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Home My WebLink About24454-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25357 Date NOVEMBER 12, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 595 NORTH PARISH DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1997 pursuant to which Building Permit No. 24454-Z dated OCTOBER 30, 1997 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 STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MADELYN CROASDALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE DATED JUNE 3, 1996 - #12138 PLUMBERS CERTIFICATION DATED N/A Building Ins ector 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) Date......OCTOBER.......3O19... 24454 Z97... ....................... Permission Is hereby granted to: MADELYN CROASDALE .......................................................................................... 595 NORTH PARISH DR .......................................................................................... SOUTHOLD,NY 11971 ............................................................................... to CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR ............................................................................................................... REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................. ............................................................................................................... 595 NORTH PARISH DR SOUTHOLD at premises located at............................................................................................................................... .................................................................................................................................I.................I.....I...... County Tax Map No. .....473889.... Section ....071............ Block ,.....0001,...... Lot No. „006.............. pursuant to appilcatlon dated .....SEPTEMBER 24 19.......97..., and approved by the Building Inspector. Fee$........:35.00 .. .. .. .... ... ................. Building Insp for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 765-1802 APPLICATION FOP. CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all 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 similar buildings 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. B. . For existing buildings (prior to April 9, 1957) non-conforming uses, or buildin "pre-existing" land uses: gs and 1. Accurate survey of property showing all 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. .2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date :'��P,T, ' • • • • . . • • • • • • . . . • . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . , , , . . . . . . . . . . Location of Property. 59'.'S.7. . N}Pft. R1S o4 . ;Dli kyf. . . . . . . . . . . . . .S. Hz� L�. House No. Street •Hamlet• . . • • • • • • • •— Onwer or Owners of Property.. . . M. }Q!C�;�;�rU, lJ;f�O�}SQ (.�. . . . . . . . . . _ •. County Tax Map No 1000, Section. .. :7,. . . . . . . .Block. . . .I. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .. . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . .. . . ... . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. , 5' 6?4x 5 3 6 . . . . . . . . . PLICANT Cg ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 12138 DATE: 6/3/96 APPLICATIONNo.ONFRE VILLAGE.- SOUTHOLD TOWN: SOUTHOLD ADDRESS: 595 N PARISH DRIVE IS UFD TO: GENE COSDALE INTRODUCEDBY' EUGENEHEACOCK LICNo: 943-E was examined on 6-3-96 and found to be in compliance with the National Electrical Code ----------------------------------------------------------------- LOCATION: Base.. i st )ff 2nd 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES I HEATERS I FANS J G.F.L AIR.COND. DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SUOK'EDETECTOR FURNACE OIL GAS CA MOTORS BELL MN. SERVICEDISCONNECT mnm AMt'S FHAM OTHER EQUIPMENT OUTSIDE,RES. LOW VOLTAGE LINE TO FEED SPRINKLER SYSTEM HUGO S. SURDI PR&WENT B UILDING PERMIT No. This cWdmte must notbe abo and many manner inspedm may beukuh eflby d%*aedwfimis BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE M-lm BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I l FRAMING [ INAL [ ] FIREPLACE & MNEY REMARKS: ell � X17 DATE INSPECTOR � s , 1 111,11 111'ii'I;I;(Illll (U'EMI'C ...r. ..r. •Iw -irvnw �n� •- .•.�..-.... . -•�. .._.. .. -- l.Ulll)1')1)YI .�1� ti 1: � I I�Illllltln'I'II)11 ( I!;•I•) 1^ t � 1"UMIUA•I'IOil (1111))n^ r r.. r�k�nnn w •....w+.+r..--r�..—.....w.w.�'+•m-++.�.�.....�...�.w.��.wwn-.+n w....n�w•�n.. IlI)Ill:ll I�IlAII11 /. n 1'1.111111111(; -- w w w n w--w--w..w • -I,w w w....w w w w w w wrw www w w.-....w 111;;III.A I'11111 PKIt 11. Y . 1•• NTATR I'11FA111Y f;01111 —- _. ww_--wwnww.._w-ww w... _-w --------—-—- —————— w :w-w-ww-n_,ww -- orA Ir I IIAL . -__---w._-.,--nw .._w_w_w, ww-n..w-ww--_-. -------...,..-w_----_w-ww_w.-w-_-wwwwwwww_ww-_-ww__w Q � A1111ITIOIIA1. ....,^..-+w•.+..w...nww....www�w..,w... nrwwww...,....,,...,,.wn,r,,..,.,,,,,,..,----w..n+..r----w.w.w.w.w.n.w w..--ww..w....ww.nnw....w....nw.wn- • 11 . 1 1 .. ... sr•r— a�e,C 1 \BVI IFI D- hl l;l BOARD OF HEALTH . . . . . . . . . FORM NO. 1 ' 3 SETS OF PLANS 24l TOWN OF SOUTHOLD _ SUIWEY . . _ _ _ . . . . . . . . . . . BUILDING DEPARTMENT _ CIIECK . . . .. _ . _ _ . , , , , _ . . TOWN HALL SEPTIC ronN _ . . . . . . . SOUTHOLD, N.Y. 11971 , ` 7 TEL.: 765-1802 NOT I F11 f.�. / CALL ��' Examined . . 19 . . . rtn I L TO : . Approved . . pC , . . . . . . . _ . . . . . . . . . . 19 . Per No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . t (Building Inspec r) • . A (CATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . ., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship tor o adjoining premises or public streets cation.areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ca c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose-whatevet until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of-buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary * *.inns. �Q (Signature of ap licant, or name, if a corporation) p tion) �ov h??cD,.rrv .Y. (Mailing address of applicant)• State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildert .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' • . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . ... . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . , . . , 1. Location of land on which proposed work will be done. . . , , , , , , , , , , , , , , , . . . ; , House Number Street Hamlet County Tax Map No. 1000 Section .. . . , , , . , , Block . . . . . . . . . . . : . . . Lot . .11� . . . . . . . . . . . . . . . Subdivision . . . . . . . ... . . . . . . .(Name j . . . . . .. . . . . . . . . Filed Map.No. . . . . . . . . . . . . . Lot . . . . . . : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .. � �: .b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . .S ��.2,�G s ��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building . . . . . 5 t% Repair . . . .. . . . . . Rem _ , Addition . . p. . . Alteration Removal Demolition " " • • - • . . . . . . . . Other Work . . . . . . 4. Estimated Cost . (Description) .> 1 ��.� . . . . . . . . . . . . . . . . - . . .. Fee . , . dwelling, (to be paid on filing this application) S. If dw g,number of dwelling units . . . . . . . . . . If garage, number of cars • • • • Number of dwelling units on each floor . . . . . . . 6. Ifbusiness, commercialormixed '• ' • - ' • * - * • ' • • * • • ' • • ' " " " " " " • ' • • • • • • • - • • • • • - - . . . . occupancy, specify nature and extent of-each type of use . . . . . . . . . . . ' 7. Dimensions of existing structures,if any: Front Height . . . . . .: . . . . . . . . Number of Stories . . . . . . . . . . . . . . . • Rear, ; . : . . . . . . . . . Depth . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Depth . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Rear . . . . . . . . . . . . 8. Dimensions of entire new construction: • . . . . • . ' ' ' ' ' ' • • . • • Number of Stories . . . . . . . . . . . Height ruction: Front . Rear . Depth • 9. Size of ' . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lot: Front . . . . . . . . . l0. Date . . . . . . . .. . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . Depth • - • . . . . . . . . of Purchase . . Name of Former• • . . . . . . . . . . . . . . . 11. Zone or use district in which •r . . Owner . . . . . . . . . . . . . . . . . . . prey lists are situated . 12. Does proposed construction violate any zoning law, ordinance or re u - • - • ' • • . 13. Will lot be regraded g lation: . . . . . . . . . . . . . . . . . 14. Name of Owner of premises . . • • ' ' ' ' ' ' ' ' • • • Will excess fill be removed from premises: Yes • • • • No Name of Architect _ • • ' ' ' ' ' . ' ' • .'.. . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . Name of Contractor . • • . • . . . . . ' ' ' ' ' • • • • •Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . ' 15. Is this propert within • ' ' ' ' ' ' • • • • Address . . . . .Phone No. . . . . . . . . Y 300 feet of a tidal wetland? *Yes. ...V. . . . .. . . . . . . *If yes, Southold Town Trustees Permit may be required. No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimension s from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Ali& _YT yjr— lsc{€tP BtfIL 111G DEP E 1802 a AM TO 4 OR THE s-i:3Lt.O'+P1lING INSPECTIONS. . FOUNDATION - TWO REQUIRED Fori Pr,)URr:D CONCRETE ROUGH - FRAMING & PLUMBING' OCCUPANCY �`tti. ATlOA �S USE 1 ,N,14'1 1 Ft FINAL - CONSTRUCTION MUST tU fCERTIFICATEF CO PLETE FOR C.O. �-�i,L CONSTRUCTION SHALL MEET OF OCCUPANCY 'HEE REQUIREMENTS OF THE NX, • G,,> ATE CONSTRUCTION & ENERGY .ODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS nnG trve-c� -� Stf_-74 3qo 1 STATE OF NEW YORK, �-OUNTY OF . . . . . S.S F tl G"Eng r •J C°(Z.0 A-Sufi-c � • . . . . . . .•. . . . . . . . . beim. b duly sworn, deposes and says that he is the applicant :hove named(Name of in signing contract). [e is the . :,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) • • - - ' ' • ' ' ' ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ;]plication; that all statements contai�d in this application are true to the best of his knowledge and belief;and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . a.�: �. . . . . . . . .day of.� 7 ., 19 g otary Public, . . . . . . County �g �J.COOPER `Q ` • • .G .(�.; R. . . . . . . . . . . . . No.4822563,Suffolk Notary Public,State oN (Signature of applicant) • Term Expires December 31,1 LA t 3i f MAZE -z:L h G M,4,H am ff"#-f 6UPPr-04.17-AX Psi t -71-1-a arC& 6r _.. .Sto ry Fr, SP. ol t we t -15 �01�0�f�1�'_ .A � I�Ci.t' ' t;,' •�p4 v � is t h f _ s e F a: sol t � t '_ -'• - _ \ ' �s z r,:,.t int'}c Q 6`Lr4r�r - .� r fiu"-`:IILKiOTfe k :.__.-� r w: �_ t-�, a. ... �. �__� "-d'� ..:._ -- . _. 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