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HomeMy WebLinkAbout25234-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26036 Date: 10/15/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 625 WHITE EAGLE DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 25 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1998 pursuant to which Building Permit No. 25233-Z dated OCTOBER 15, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GAZEBO "AS BUILT" AS APPLIED FOR. The certificate is issued to MICHAEL J SCHNEIDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25234 Z Date OCTOBER 15 98 Permission is hereby granted to: MICHAEL J SCHNEIDER 429 SCHERGER AVENUE PATCHOGUE~NY 11772 for : CONSTRUCTION OF A 4' SPLIT RAIL FENCE IN THE REQUIRED YARD AREA "AS BUILT" AS APPLIED FOR. at premises located at 625 County Tax Map No. 473889 Section 127 pursuant to application dated OCTOBER Building Inspector. WHITE EAGLE DR LAUREL Block 0009 Lot No. 025 8 98 and approved by the Fee $ 35.00 or ORIGINAL Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25233 Z Date OCTOBER 15 98 Permission is hereby granted to: MICHAEL J SCHNEIDER 429 SCHERGER AVENUE PATCHOGUE,NY 11772 for : CONSTRUCTION OF AN ACCESSORY GAZEBO "AS BUILT" IN THE REQUIRED YARD AREA AS APPLIED FOR. at premises located at 625 County Tax Map No. 473889 Section 127 pursuant to application dated OCTOBER Building Inspector. WHITE EAGLE DR LAUREL Block 0009 Lot No. 025 8 98 and approved by the Fee $ 35.00 ! BUCCI ns pe~ct or ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the buildin; inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail buildings, property lines streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and s~m~lar buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, oK %uildings an Ypre-existlng" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees . 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 3. Copy of Certificate of Occupancy - ~ -25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date l© ~.- ~ ~. New Construction .......... Old Or Prei~xisting Building .... House No. Hmmlet Onwer or Owners of Property ........................ CountyNo ooo, ection.. ..... Bloc .. ....... Lot ........ .' Subdivision.................... ............... . Filed Map ............ Lot ........... ~ ........ Permit No Date Of Permit Applicant Health Dept Approval . . Underwriters Approval ...... Planning Board Approval ........ .. Final C r icat e: ...................... FOR~ lqO. I TOWN OF SOUTHOLD BUILDING DEPARTNENT TO~ HALL SOUTtlOLD, N.Y. 1197 I TEL: 765-1802 ~--~i~ ................. , ~9 ....~X~ ¢ '-~-,~c~_ Di~ a/~ . . 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORI4 ................... NOTIFY: CALL .................. NAIL TO: .................... BLDG. DEPT. i TQWN QF SQUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERI4IT INSTRUCTIONS a. 'Ibis applicatico must be co~letely filled in by type~iter or in ink and suhuitted to the Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan aho, ring location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property t~mt be dr~n on the diagram dnich is part of this applieatian. c. 'llm ~ork covered by this application my not be cc~meaced before issuance of Buildlng Permit. d. Upon approval of this application, the Building Inspector ~qill issue a Building Pemit to the applicant. Such pemit shall be kept an the premises available for inapectian threughont the ~rk. eo No building shall be occupied or used in ~Jnole or in part for any purpose ~ha£ever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATI(I~ IS ~ FIAIE to the Building Department for the issuance of a Building Permit pursuant to the l ding Zmne Ordinance of the To~n of Soutl~old, Suffolk County, Ne~ York, a~d other applicable La~,/~cdi. p/aoces or atioas, for the coastruction of buildings, additions or alterations, or for removal ~ de~olit~m~ j~ber, ein (Nailing address of applicant) State ~tmtfler apphcaut as (~er, lessee, a~nt, architect, engineer, geeeral cantractor, electrician, ph~ber or beildea .................. '. ..... i .... ..... , ....... ......... ........ : ............................ ~ of ~, of p~,s ......... .~k~...k.~.[ ........ '.4. .......... .~.~.~e.~..~.a ...................... (as on the tax mi1 or latest d~d) If applicant is a corporation, signature of chly anthorized officer. (Nar~ and title ofcerporate officer) Builders License No .......................... Plumbers License No .......................... Electriciaas License NO ...................... Other Trade's Uce~e so ..................... _ ,. Lseatiee of land on daich propo~. ~,~ork will be done...,....[~.~.~.. ...... [f~J~.l:~-~..~.~J~...~..( ....... ............................... ¢.k ........ .Cal .......... b ......... 2. a.L ................. }louse ~.er Street x~ ~ ~Eamlet ~T~o.~,__ ~ ~.~-~'~ ~ .... ~.~X .... ~ ..... ag ..... ~ .... a~..... ~ .~.a~S...C~ ...... ~ .... 5~ .... ,~ ............... 2. State ~iati~ a. ~sri~ ~ ~ m~y ....................... Z ..................................................... 3. ~.atnre o[ ~ork (check ~{~idl apphcable): Ne, a liiilding .......... Addition' ' Alt ~ ~.' ......... P~air ............ ~1 ...] .......... ~littm ............ O~her I~ .... ~ {.~.~, ~..~...~ 4. Estimat~ ~st ...... , ......... f~ .............................................. i (to ~ ~id ~ filing this a~ti~ti~) 5. If d~lli~, ~r of ~11i~ ~mits ............ t~r of &~lling tmlts ~ ead~ ~r }~i~t ........................ i. ~r o[ Storios ...................... ~pth ............. ..... .. ~i~r .......... . .. ...... . l~r o[ Storle~... ..... ..... .. 8 i tl t~t' ~p~ thi~t ' ~r o~ ~tories 9 ~i~ oi lot: .............. [ ...... ~ of Four ~r .................... 10. ~te of ~o[~tt~t.............~..........i ........ .. .. . ~msa ........................... .. . ~ ............... ............ ~ ....................... ~resa ............................... ~m ~ ............... PLOT DIAG~H ~tl~r interior or eo~r lot. .... ..... (Na~e of individual' slgei.g contract)i duly sxmm, deposes and ~ays that he is tim appl. ieant (Contractor, agent, gOrporate officer, etc.) o. ~a~d o~er or o~0rmrs, and IS guly thorl~.l to perform or have lmrfo-n~d the said ~ork and to maim and file this applicatic~; that all statements conta[sed in this sppl ication are trim to tile best of his knowledge a~t bel iefi ar~I that the ~rk will be performed in th~ maturer set forth in the application filed therewith. LOT No. 24 N57'26'18"E 218 00' I LOT NO. 25 ~ 40,11 2 S.F.. ~36.5' ui = 90.7° 33.8' "S57'26'18"W 218.00' LOT No. 26 CERTIFIED TO: RECORD IF ~o/~ SASSUSNrS Or AN~ NOT SHO~ ARE NOT UNAU~IZED AL ~RA H~ OR ADDISON ~ ~[S SURLY IS A ~A~ON OF SEC~ON 720~ OF ~E NEW Y~K STA~ EDUCAnON LA~ COPIES OF ~1S SU~Y MAP NOT BEARINO ~ LAND SURfeR'S INKED SEAL OR ~BO~SED SEAL SHALL NOT BE CONSIDERED ~ARAN~ES INDIOA~D HEREON SHALL RUN OMLY TO ~E PER~ON EOR ~0~ ~E SURLY '~IS ~REPARED, AND ~ HIS BEHALF TO ~ CO~PAN~ ~O~RNMENTAL A~ENCY AND .~NDIN~ tN~TION LIS~D HEREON, AND '~0~, ~UARAN~ES ARE NO~ ~ANSFERABLE. SURVEY OF': LOT No. 25 MAP OF GOLDEN FILED AUGUST 50, 1984 TOWN OF: $OUTHOLD SUFFOLK COUNTY, NEW YORK DATE: 9/24/96 · ', DIST. NO, 1000 VIEW ESTA 1ES FILE No. 7770 JOB NO. B6-2460 SEC, OLK. 127 O9 WOODSIDE LANE SCALE: t' -- $0' lOT 025 FND. MON. rn rn FND, MON. 0.2S KENNETH' H, BECKMAN. L.S. Surveying and Land Planning~' 5018 Expressway Drive South Suite 202 Ronkonkoma,. N.Y. 11779 (516): 588-0380 FAX (516)', 487-294! '~ /~'3'A/A c.