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Home My WebLink About23963-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24982 Date APRIL 11~ 1997 THIS CERTIFIES that the buildin~ Location of Property 5700 VANETON ROAD House NO. Street County Tax Map No. 1000 Section 111 Block 10 Subdivision Filed Map No. uuTCEOGUE,N.Y. Lot 13.1 ACCESSORY Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 14, 1997 pursuant to which Building Permit No. 23963-Z dated M~RCH 5~ 1997 was issued, and conforms to all of the requirements of the applicable previsions of 'the law. The occupancy for which this certificate is issued is ACCESSORy STO~AGE SHED IN FRONT YArD OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to of the aforesaid building. U~KISTINE HUNT (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~ORM NO. ~ TO~N OF SOU'I'HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23963 7 at"'""'"'""'"'"'""premises located ........... at .................... '"'"'"'"'"'"'~'"'"'"'"'..'~....Z~...~~~..~;..~~'~'"'"-'"'"" '"'"'"'"'"'" '"'"" ,'""' '"'t" ....... ' County Tax Map No. 1000 Section ....... ././/. .........Block ....... /.~. ........ Lot No ..... ./..,~,..,~,...,,/.... pursuant to applicotion dated .................................... , 19.~.../~..., and approved by the Building Inspector. Fee ........................ Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I~LATION [/~FINAL REMARKS: TO~ ~LL 765-L802 This application must be filled ~ b7 c?pe~-r!~er OP. ink and submitted co :he bui!diag Llspec%or wi~h cie fol!ow~ug: for ~ew build~g or new ~se: [. Fine! su~;ey of proper%y ~Eh accurate !ocaclou of ~! bu~d~gs, propern7 lines, 2. Final Approval from 5e~zh Dept. of water supply and sewerage-disposa!(S-9 fo~). 3. Approval of aiec~ric~ ~sua!!auiou fr~ 3o~d of Fir~ Underwriters. A. Sworn stauament from plumber cer%ify~g cha~ %he solder used ~ syst~ co~ains !ass =ham 2/!0 of 1% lead. 5. C~er~i~ buddha, ~dustr!~ ~d~g~ ~=ipla residences and similar buildings and ~st~lazions, a carcifica~a of Code Co~'l!ance from archizac~ or engineer responsible for ~he bundlE. 6. Submiz P!a~g Board Approv~ of co~iamad site p!~ raqu~enms. For existing build'_nas (prior to ~p.r~--l 9, i957) uon-co~for-,~ug uses, or buddhas ~d Upre-~xisu~g" i~d uses: i. Accurate su~ey of proper~ sh~g ~1 proper~y !~es, s~rae~s, bu~d~g ~d unusu~ ma~ur~ or ~opogrsphic faa~res. 2. i properly co~iauad appiicazion ~d a co~senz ~o ~spec~ si~ed by ~he app!ica~. reasons therefor ~ '~!u~g to ~ha applicant. C. Fees i. Cer--i3~icat=- of Occupancy - New dwelling S25.00, Add!clots co dwe!!i~g $25.00, ~ar~io~s ~o dweii~g S2~.QO, ~ng pool $25.Q0, icCesso~z hu~d~g $25.00~ kdd!%ions Co accasso~ bu~d~g ~25.00. 3us~esses 2. Cer~if!ca~a of Occup~c7 om Pre-~is=~Z 3 Coov of ~ ~-~F~ . .. ua .... aac~ of Occupancy - ~ -~. Updated Car~iflcana of Occupancy - $50.00 Tampora~7 Carnificana of Occupancy - . ......................... New Consc=acnion ........... O1R Or Pre-~isn~ Buddha.. ~ ...... / ... ............ .................. House ~o. S ~ree~ ~o===y ~= ~ ~o ~ooo, s~=io=.Z// ...... ....~o~..AE .......... =~=...~,.7 ............. Subdivision .................................... Fi~ad ~-ap ............ Lot ...................... Per.il No ................ Data Of~o=_r-m~'- ...... ..... . .... App!icanu ............................. ......................... Qaue_~-r ..... Approval ......................... Hee!~h ~ep~. Approval. ' ' ~ ~ .... Planning Board Approval ........................ Request for: Tampora---7 Carulflcaua ........... F/ual Ceruicaua ........... FORH NO. I TONN OF SOUTIlOLD BUILDING DEPARTHENT TONN HALL SOUTI{OLD, N.Y. ll9?l TEL: 765-1802 (l~ilding Inspector) ~ A~LICATION FOR BUILDING PERNIT INSTRUCTIONS B()ARI} OF ilh~,lf[ ............... 3 SETS OF PLANS SURVEY ........................ CHECE ......................... SEPTIC FORH ................... blOTIFY: CALL .................. MAI1. TO: .................... a. 1his application mst be et~pletely filled in by typewriter or in i~ ~ ~itt~ to ~e ~ildi~ I~tor w 3 ~ts of pl~, ~ate plot pl~ to ~le. F~ ~i~ to ~le. b. Hot pl~ ~ ]~ti~ of lot ~ of ~ildi~ ~ p~i~s, ~lati~ip to ~joini~ pr~i~s or ~lic struts or ~, ~ givi~ a ~tail~ ~ripti~ of l~t of ~o~rty ~t ~ ~ ~ ~ di~ ~i~ is ~ of ~is ~li~tim. e. ~ ~ ~M ~ ~is ~li~ti~ ~ ~t ~ ~ ~fore i~ of ~ildi~ ~Mt. d. ~ ~al of ~is ~li~ti~, ~ ~ildi~ l~tor ~11 is~ a Mildi~ Pe~t to t~ a~li~t. ~ ~t ~11 ~ ~ m ~ p~s ~ail~le for i~ti~ that ~ ~. e. ~Mildi~ all ~ <~i~ or ~ in~le or in ~rt for ~~at~r mtil a~ifieate of ~ ~11 ~ ~ ~t~ by ~ ~ildi~ I~tor. ~I~ IS l~i }~ to ~[m ~ildi~ ~r~nt for Om is~ of a ~ildi~ Pemit ~t to tim ~ildi~ ~ ~i~ of ~ T~ of ~fl~ld, ~ffolk ~ty, ~ Yo~, ~ o~er a~li~le ~, ~i~s or ~lati~, ~r ~ ~ti~ o~ ~ildi~, ~iti~ or alterati~, or for ~al or ~llti~, ~ ~rein ~ri~. ~ ~li~t ~s to ~ly ~ all ~li~ble 1~, o~i~s, ~ildi~ ~, ~ing ~, ~ ~lati~, ~ to ~it ~ri~] i~tors ~ ~i~s ~ in ~ildi~ for ~s~ in~ti~. .................................... (Si~t~e of al~li~t, or ~, if a ~ratim) (~ili~ ~r~ss of ~liemt) State ~hether applieast is ~er, lessee, agent, architect, engineer, general contractor, electricias, pltraber or huilde ........................... ~ 0[~ ~r of ~$ .~.{~..~.'[~..r~..~.~....[~. {..~..t~...'l.. ................................................................ (as on tie tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. and title of corporate officer) Builders License Kb .......................... Plun~ers License Igo .......................... Electricians License No ...................... O~r Trade's License 1~o ..................... I. Location of land on ~hich proposed ~ork will be d~ .............................................................. ..... ....... .......................................... ................... House Nmd~er Street tlanlet County TagHap No. 1000 Section .../J.l ......... Block ...l.q .......... Lot .1~.:./ ........ Subdivision ...................................... Piled l~lap No ................ lot ............... 2. State existing use and occupancy of premises ~ intended use an4 occupancy of proposed construction: ~mo~ dto~lu~' ni bei~euO 3. N:~ture of ~ork (dm(zk '~idt applicable): ~ t~fildinp, .......... /~lditi(~ .......... Alteration .......... l~[~li r ............ ~al ............. I~l iL[~ ............ Other ~rk .................................. ~ripti~) 4. F~t i~mt~l ~st ......... ~ .............. f~ ............... '. .............................. (to I~ ~id ~m filing this al~licati~) 5. If ~k~lling, txmi~f of ~lli~ units ............ ranter of t~lling ~mlts ~ eacJ~ H~r ................ 7. Di~n~i~m of ~isti~ strictures, if any: rr~t ................ ~ar ............... ~pth ................. lbiO~C ......................... Knl~r of glories ...................... Di~n$1~s of ~ stn<~lre with nlterati{ma or ~i~ions: Front ............... ~nr ............... B. Dimensions of enti~e ~ ~L~t:i~: Prat ~ar ~pth .............. ,,. ~ o~ ~,~,~ ..d~cl~&' ' ........ ~ o~ ~,,,~ ~~-~C:..*.~:...~.~.~ ........... II. 7~ or u~ district in d~id~ pr~i~s a~ $it~t~ .............................................................. 12. ~a propel ~st~Li~ vl}late any ~ing 1~, o~lit~e or re, dali.: .~.~ ................... 13. ~ill lot ~ ~ra~l ................... ~ill ~ess fill I~ ~'"___., __ v,. ~ or ~ o~ ~i~ ~LO.;.~..~.fi~.. ~, .............................. ~ ~ ........... ~ of Arddt~t .................................... ~lreas .............................. H~ ~ ........... 15. Ia this p~rty ~ithin ~ f~t o[ a riehl ~cla~l? * ~ .......... Pi,fir DIAGRAH l~cate clearly mx] distinctly all lxJiltllngs, ~hether existing or propo.~-,d, taxi i~llcate all ~t-~k di~nsi~s p~rry li~s. Gi~ st~t ~ bl~k m~r or ~scrlpti~ acco~ing to ¢~1, a~ M~ strut ~s a~l i~licate interior or co~r lot. ,~5.~802 9 A~ ~ 4 ~ FOR rot i. CW~NG I~*,~$pECTIONS: VOUN DATIO!',! %VO FOR POURED CONCRetE ROUGH - ~AM~NG ~ p~M~iNG CONSTRU~ON MUST . ~ eOMPL.~E FOR ~.O. AfL eONS~U~ON SHA~ T~E REQLIIR~E~ OF ~E N.Y. S~ CONSTRU~ON & ~ERGY CCd~$. N~ ~SPONSIB~ FO~ PES~GN OR CONS~U~ION ERRORS ,w~)n~, clelxme,~ m~l ,,~'zy~ ttmt he is the appl icm~L ~-~lle i: the ...................... ?.,~.~..~ (('~tLracLor, a~et~C, corporate offic:er, ~[.~.) of ~aJd (~r or ~r~, mzl is dill;? mllhorJz~l to j~rfo~ or II~ [~rror~ the maid ~rk a(~] Lo rake taxi file thi~ (Slg~-~f:ure or AFplicm,t) I' ! ~ I,!' Ill:i l'Et; I lOll 1I1~ nllIT IMn: \:UIIlIIOln:i '--"'._-~~~-.,--._~~~~"~ ......,......- .....-.""...--.......-.,...-......"...-.. ".,-" - -,.. -._.. -"-"'-,..., --................. .,...."....~....,..,.. --.., -- .---- - . , 'u l~ I, n "1 HJlI/III^T 11IH ( l!iT ) -'I. ....... " -.. -- .- .... ~ , r> VI FUlINIMT1Ol-/ ( 2tI1l ) ,-, ..~".'r_"~~"_"~~~~~~"""...~"_ I . ~ .. ,....,.........._,.,.,...,.. .-... -. . - ._..='n--.........~'=".....,...n........ , .:Z: 0 IlIHIl:lI FUMm ~ ---. 1'1.11/111 I 'I(: . -_._. r ........~""~=-~_n~=~_...~_...._~~~n_ ....-.........,...,,"'.... .....,.,......". ~.... ~.. .......... '""'........ ...n..,..... r.'I:n.............. --......... ........ ....._ ....... _........ 1ft........ n.......... 'a,......, VI .. ... .. - ~ I lI:i'''.^TI lHl 1"~H II Y 1:1 - '" '..-.-.-.-- - H !n^TI~ 1~I-lI~It(:y C:OIm - i .. "- ... ... .... - -"~-~~-~........"..".."M....~"...~....... ..................."...... ...'~......_S1.............................,..,.,""'..........,."...'"......................_....._....................'"....,."...........""..."""..,..... It' ~ ._.,_.-_...._.__..._.-.._..~ u_.._.~_,...._ --. -. b , I .~- .. I' I "^1. - ~~r~~~~_~~~~~~~m"_n___~_~ ""_""_~~l"_-.r~~~_~""~__~"~~_~~_________~_________~"__""___""~_"~. AIIIJ IT lOt/AI. t:OffUI~rfT:; : I' -~~""~-"~-~"--~-""~-~--~"~-_ft_~~'~""~""-~~"_~~ft~__mB~n~mn__n~_~__n______"______n~_____""__". ,. 'I , ( I . - -' '.....u ... 1 , - -~,-.... . - - -~---._._...._.~. .........+- .. l I - - - - ~ _. .. .\.:) <..N ~ <w ~ , t! ~.~ ~ ~ t ~ ~ , ~~ ~~ ~ ~ \~ ~( ~j ;j~ :l~ ~~ r:I-- ... c' ~I l:J '" '~ , <- " . ~OIlH NO. I TOIm OF SOllTIIOLD BUILDING DEPARTMENT TOWN HALL SOUTIIOLIl,N.Y.11971 TEL: 765-1802 J S~;TS U~ PJ.ANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORM ................... EJ(allired.~4'd.~, ,/11 ry~ ~-b Approved..~~1tfd.r:: 191.7 Permit lb. .23c....:Jl~ Ilisapproved ale............................... NOTIFY: CALL.. ..... ........... HAIl. TO:.................... .................................... .........................................;...........~ . ...l:Ljt/.I'~~J. ~(BuiIding Inspector) ~ . A CICATION FOR BUll.DING PERMIT ..................................... . Ilate... .1/3./........,191.7-: INSTRlICTIONS a. This application RUSt he ~letely filled in hy typewriter or in ink and subnitted tn the D.lilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of b.ildings on premises, relationship to adjoining premises or Plblic streets or areas, and giving a detailed description of layout of property IIUst be dr""" on the diagran which is part of this application. c. nle work covered by tIlis application 1'B)' not be C<ImEnced before issuance of Building Permit. d. Upon approval of this appl ication, tIle nllilding Inspector will issue a D.liJding Permit to the applicant. Sucll pennit shall be kept on tile premises available for inspection throughoot tile work. e. lb "',ilding shall he occupied or used in "'101e or in part for any purpose IoAlatever until a f.ertificate of Occupaney shall have lleen granted by tile Illlilding Inspector. API'I.l("J\rION IS IIlREIIY ~WE to tile Iklildillg Ilepartn.,nt fOT Ihe iss""nee of a fklilding Permit plrsunnt to llle Building 7.one Ordinance of tlte Town of SootllOld, Suffolk Count)', New York, and otller applicable Laws, Ordinances or Regulations, for till! construction of buildings, additions or alterations, or for reIlINal or demolitiOn, as herein described. lbe applicant agrees to ~ly with allapplical,le laws, ordinances, building code, housing code, and regulations, and to atbit authorized inspectors on premises and in building for necessary inspections. .~.kk..t~.r.....~.~r~~~.... (Signature of applicant. or Jla'1'e, if a cOT]XJration) . ~~.~~. .~.--:.~... .~~. ~! !.:.~[~ (Mailing address of applicant) State w'>>ether aPPlicant/OS owner, lessee, agent, architect, engineer, general contractor, electrician, plumer or b.lilder. . [)~ M.! t. ..1 ..?t.l~ .1:... C ~~. ~:rq. .1:fp.0.~.lli~+)........................... tIiIre of owner of premises .Chri~f:i. !'J.e..... .t1\? !J.t.......... ...................................................... (as on tlte tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (tIiIre and title of corporate officer) Builders License lb. Pl..mers License No. Electricians I.icense lb. ...................... Other Trade's License No. .................... I. I.ocation of land on IoAlidl proposed work will be done.................................................... .... ...... ......~~.......~~~t"~..~..........................................~.~.~................... IhJse IlmtJer Street Hanlet Comty Tax Map lb. IlXXl Section ...llL........ Block ...al.......... Lot ./3....t........ Subdivision ....... ............................... Filed M.,p lb. ........... .... Tot ............... (Nane ) 2. Slate existing use and occupancy of premises and intended IIse 80(\ oc(."\Jpaney of proposed construction: :: :::::::: ::: :~~::~:~!.~~~:~~~~::::::::::::::: .,,~ ;rTO:l2 .nll""o" _wit ...slllo ." Ie ,:>iidu'l V"~IO'" 'I,nlJo:J ~lollu~ "i b~;'ilruO 4i80a~\I<lP,1O .o~ .11: .~M a..i.,.l m,..T 1. tJ.alure of ,..ark (dteck 1oAlid, applicable): ~J nllileling .......... l\ikli lion.......... Alterat ion..... ..... l(epnir ............ Renoval ............. Denl.llition ............ Other l-klrk .................................. I,. Est ill~tetl fAlst ......... ~ . . . . . . . . . . . . . . (lJeseri pt ion) fee .............................................. (to he paid on fit ing Lhis lIppliculion) 5. If dl..Jellinr,. lu,her of dwelling IIlIits ............ thlher of ()...Jelling ,mits on end. floor ................ If garage. Ilulher of cars ....................................... 6. If husiness, conllerciat or mixed occupancy, specify nnture and extent of end. type of use...................;.. 7. Dimensions of existing stnJCtures. if nny: Front. . . . . . . . . . . . . . .. Hear ............... Depth ................. 8. IJeight ......................... ti..i>er of Stories...................... Uinensions of Slue stnacture wilh alterations or ndditions: li'ront ............... Rear ............... Ueplll ..................... 1leiW\t .................... tlllher of Stories ............... nimensions of entire new conslnx::t:ion: Front ..g.'........... I~.mr .9.~.......... nepOl ..'f.!......... Ileil~lt .......................... tl.dler of Stories..................... Si..e of lot: I'mot. .Wi t...$. J...... Rear.. ..Un ...$.$...... IJepth . :3.1-1 ~5......... I~Jte of PllrchaRe .. d 1:-( I ~ i/:-.. ...... H....re of FOIlIler Owner c.,..t. f:. . .Hnl:tY.1.~. f.. . .. .. . ... . 9. Ill. II. 12. n. 7..,one or use district in loIIlidl premises are situated .............................................................. noes proposed constnlCLion violate any 7..oning low. ordin.....IK:e 01'" regulation: .N.p................... I',. Will lot be regraded ......A........... Will excess fill he renovecl fran premises: yr"s Nil'''s of (Moer of I,remises \.:'~.i.~t.;.Y.\t.....lt.U.(\ t:.. ^,klress .............................. N:J nlOlIC No. N<JI~ of Ardlitect .................................... J\cldres5 ............................... n Iorle No. N;:.1~ of r..ontl'"octor ................................... Address ......................... _.... .Phone ttl. 15. Is Ihis property within ](X) feet of a tidal ,,,,t1a..11 * YrcS .......... N:J.......... *11' Y1!S, 9:lInIXD lOaf 'IRlJSI1lI!S rnUHIT Hl\Y I\(i; m~lIrum. I'LOT IlIAGI\AH Lo"ate dearly mJ<! distinctly all huildings, "hether existing or I'co[osecl, md indicate all set-hack di""nsions frail property lines. Give street and block lImber or desc.ription according to cleed. aM show street narea and indi(:ate ,.A.elher interior 01'" corner lot. SIi\m (X' l'IiW y(xU<s.,~\\;- (lA/NlY (X' ....................... /Jbh.~ J1tt./~j1~d7'"~;)rE:_~r J:.~~OT~3f6J i"'E~ ~BY: "i( T:rV BUILDING 0 'iii" 1802. 9 AM TO 4 OR ;HE IOl UOt'NING INSPECTIONS: " rollNDATION . TWO I1EQUIRED F(,n POURED rONCRET~ , HOUGH. FRAMING 8< PLUMflINf.l 11~,;ULATlfm .:., nw.,1. . CONSTRUCTION hr.! 1ST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHA\.L fIiIH'. THE REQUIREMENTS OF THE N~Y. <;'lATE CONSTRUCTION & ENERGY (:(:.OES NOT RESPONSIBLE FOr. OFbIGr~ OR CONSTRUCTION ERRORf; SS .C0,[, ~r;ht: .hIJ.0.-r......... .... ............. .1.,illll dilly (>>[lre o[ individual signing contract) nbove 1"'~Il('~d, SWl:.Jrn, deposes Dud saYR that he js the applie.mt "lie in the ......................!". ~~................................................................... (Coulraclor, flgent. corJlornte officer t etc.) of H<lid (!WIler- Of OWllerR, mxl is duly in.lthori?ed to perfollll or have perfo[IIP.<) t.he Baid work mx) to IIrlke and fi Ie lhin appl icntion; that: all Rtalerenta contained in thi.s appl ication Hre title lo Ule hent of his knuwledge arKl bi!l.ief; ollld t.h;lt the 'WOrk wi I.l he perfonred in t.he 1I~lIJner set forth in the applicntioll riled therewith. ~Mlrl1 lo hefore n~ this ~/--") u~.~'~:::'~:;,~lLt~,l Cbc'f:.~/-b:uc- , / / (Sigllntur.e of ^ppUcu"t) BERTI.SCOn:J\l . / Publici, State 01 New U/ Ou8llfleclln 8uffolk ~ .'/ No.01SC472&088 Ttnnbplr..~31t fC19~ '.'- Land .....~' -.. Mpr'qar'dT , .. '- < <C' <> r ~o "'Vq .' ~~ Q...,. , _.'. ';, i' ..~,:.'" ~- "-and Qf~s~el/,i:I<:' '/;1~(h,Y: . ,'. o.--.~ - ..,,~ : . '" . "I'~' ,:' :':-: .:~ :"::: .':.~/.:::. . \. "!. , ".f .l}.. j , ............~ C'''' <0-<$ ~ "30... - . -~ " , '_ ...1. " , . . . . .. ... -.' .. .-" '.o~;... ... . :.t::-.. .,':' .... :.:- JYiAl?JJi':~~'-r.y , JURv/&.VeD FOR. JOHN r=\.;'CL:ARKt:: . ,... ANO.... "';: '. BARBA.RA'.a..Ct..ARK&" " ,.. ." . . I 'oN. .::: NAS.sAU.A;:)Ih/T . T(.1fN/'oI OFS'ovrH()4-0 NSW'YDA'K (;uefnmf6e1e11-o Ths 71'f1e G(';':lrll"r~d' Co.Q,d Nt;Irl11 For/!.8anK A ,,.-,,;,,-,, c: ~ 'cfS svrvey"'d 00 t. a.,J.9';'Z' ~. W. V.tIII ..,-r,y/ ;;'So,. /.J~' vI i ~ ,i~ r.:--",/u:/-......:... t-/c; elfJ ed /.Qn:i SlIrVti!;'ors . Gr~eru;;Jo,-1; N. y: . f Sc:a/~ $0'=/"