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Home My WebLink About24032-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25020 Date MAY 6, 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 4960 HORTONS LANE SOUTHOLD, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 21.4 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26~ 1997 pursuant to which Building Permit No. 24032-E dated APRIL 10, 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 T~U~ REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CHRISTOS & CHRISTINA ~ER~ENIOTIS of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FO~3J[ NO. $ TOVv'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24032 Z Oo,e ...~./....a.. ................. , Permission is hereby gronted to.:o .~ . ~ / / ~ ...~~_.~.._..../...~~...~ ........... ........ ~..~...~.~ ....... ....... .~z~.....~~~~....~..~.._.~.......~~~ ........ ........... ..... o, p~mi,e, ,=,ed o,.....~'~&d...~....~.:~....~~ ......................................... County mox Mop No. I000 Section ....................... Block c~ Lot No. c:~/, ~ pursuant ,o application dated ............. ~~.....~-c...~....., I~..~..Z and approved by the Building Inspector. Rev. 6/30/80 Form TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPL%CATION FOR C~RTIFICATE OF OCCU?ANCY This application must be filled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 i% 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 c6mpleted siJe plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" lend uses: 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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dweliing $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 Buildin~ - $1OO.OO 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 . ...... .................... New Construction ........ Old Or Pre-existing Building ................. ~on=ion of Frop erty . . . .ff .g f ~ ............. 17:.0 ~ )0.~ . . . .~. .'. ....... &~. 6.+).~. ............... ~ouse No. Street ~amlet Onwer or Owners of Property ................................... county T= ~p ~o I000, Seo~ion....~'.~ ....... ~loo~..3. ............ ~ot....Z..l..--..~ ......... Subdivision .................................... Filed Map ............ Lot ...................... ?ermit ~o...;~0.3X.~ate of ~e~it...fi/iq ....... Ap~lica=....d.....g~.'.'.~..".'.~..h~. Health Dept. Approval ......................... 2Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~[ Fee Submitted: $ ............................. ~..~.<. ~2~ 5'z-- ..... ~,. ca '%:$ APPLICANT I'1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] INSULATION [ ~FINAL ~~~ DATE The Quaker This is the roomiest shed going. Its uses are anything from sales office to pool house or even studio - the possibilities are endless. The shed is 9' high. The Gable, A-Frame or Cottage An excellent addition to your property. Great for storage space and comes in a variety of sizes. Window is included for that extra special look, $' high. AILL MODELS COME WITH A 2' LOFT OR RAMP. The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts. The Dutch Barn This Colonial looking barn has enough space for the modern day homeowner. The usable space includes room for shelves, a loft, and even a work station. You'll enjoy the look and get the space. 10' high, T MATERIALS, ~RODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS. BLDG. DEPT, J TOWN OF SOt~THOLO FORM NO. I TOWN OF SOUTttOLD BUILDING DEPARTMENT TOWN llALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTtl ............... 3 SETS OF PLANS ............... SURVEY ........................ CBECR ......................... SEPTIC FORM ................... f PLICATION FOR BUILDINC PERHIT INSTRUCTIONS a. This application mst be crmpletely filled in by lYI~rritor or in ink and sttraitted to the Building Inspector wii 3 sets of plans, accurate plot plan to scale. Fee according to .schedule. b. Plot plan sho~ing 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 mst be dr~m on the dlagran ~hid~ is part of this application. c. The ~ork eouered by this aHflication r~ay ant ~ ~ ~o~ i~ of ~ildi~ ~it. d. ~ a~l of this ~licati~, t~ ~ildi~ In~tor will is~ a ~ildi~ ~t to tt~ ~lic~t. ~t ~11 ~ ~t ~ ~ ~i~s ~il~le for in~ti~ ~h~t ~e ~rk. e. ~ildi~ll ~ ~i~ ingle or in ~rt f~ ~ ~at~r mtil a~rtilicate of ~ ~1 ~ ~ ~at~ N t~ hildi~ In--tot. ~I~ffi Iff ~Y ~ to t~ ~ildi~ ~r~nt for ~e ismmce of a ~ildi~ Pe~t ~t to the ~ldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ York, ~ other ~li~le ~, ~i~es or ~lati~, f~ t~ ~st~tlm of ~ildi~, ~iti~s ~ alterati~, or for ~1 ~ ~llti~, ~s ~in ~ri~. ~ ~lic~t ~s to ~ly wi~ all ~licable 1~, ~ims, ~itdi~ ~, ~i~ ~, ~ ~lati~, ~ to ~t ~i~ i~t~s ~ p,~,,i~s ~ in ~ildi~ for ~es~ in~ti~s. (Signature of applicant, or name, if a corporation) (Mailing, address of applicant) //~7/ State v/nether applicant is o,*nor, lessee, agent, architect, enginee, r, general contractor, electrician, ph~ber or builder ...................................... 0..9. ....................................................................... Nam o£ oaner of praises ............ ~ ............... J ..................................................... (as co the tax roi1 or latest deed) If al~licant is a corporation, slgnam of duly anthoriz~d officer. (Name and title of corporate officer) Builders License No .......................... Plmbers License No .......................... Electricians License No ...................... Other Trede's License No ..................... I. It)cation of land on ~hieh proposed *x)rk will be done .............................................................. ...... ............... ........ ................................. l~use ltmt~r Street ltmnl et Comity TaxHapMa. ](~0 Sectlan ..... .~.lJ ........ mock .... Subdivision ...................................... Filed Map No ................ Lot ............... 2. State existing use and occupancy of premises/and intended use and occupancy of proposed co~strection: a. ~isting u~ and oceupa~y ...... ~..'...~.?. ~/...~. ............................................... b. Intended use and oc~ ~d 3. ~;~ture of ~o[k (d~ck ~liid~ apglicable): Nc~ IkHlding ~ ~i~ion .......... Alteration ....... l~lmi r ............ ~al ............. l~t~l it Jo, ............ Other ~k ....... L~.~ ..................... (~ripti~) 4. Estlu~t~l ~st .. ~0~ (to I~ ~id ~ [illng this al~licati~0 If garage, ~r o[ cars ...................................... 6. If lami~ss, ~*~rcial or mi~ ~m~, s~ci~ ~mtu~e ami extent of ead~ ty~ o[ ~ ...................... 7. I)in~nsi~m of ~isti~ ~tnmtures, if any: ~t ................ ~ar ............... ~pth ................. lhi~t ......................... ~d~r of fitorie~ ...................... Di~rmiam o[ ~m stnmturo with alterations or ~itions: Front ............... ~ar ~pth .................... ~i~t .................... ~i~r of Stories ............... l~i~,r ....... f.~ ............... N~l~r of Stories ..... [. ............... 9. Si~ o[ lot: ~r .................... ~ar .................... ~ptl~ .................... lt. ~ or um district in ~id~ p~i~s are simta ............................................................ 12. ~s prowl ~t~ti~ violate any ~ing 1~, ordinate or regulari~: ........................ 13. Bill lat t~ rngr~ .................... ~ill ~ees fill I~ r~ 14. ~ms o[ ~r o[ ~i~s ........................... ~lress .............................. ~ ~ ......... ~ of Arddt~ .................................... ~ress .............................. ~ ~ ......... 15. Is this p~mrt7 ~ithiu ~ [~t of a ti~[ mtlml~ * g~ .......... ~ .......... PI.OT DIAC, RAH It)cate clearly m~l distinctly all buildings, utmll}er existing or proposed, a~d imlicate all set-back dimensions I:rm~ properry lines. Give street and block a,~tmr or description according to deed, and shc~ street nares and indicat~ interior or corner lot. ...... ' .... .~.. ~. ~, ................... being (h]ly s, torn, delx)ses a,xl mays tint he is tim alll)llca. I (ll~,~a of indi~ith~l signing ca,tract) alx~e ........... ................................................................... .. (C~tractor, nge~t, c. orlmrate officer, said r~mr or ~mrs, and is duly ~[hori~ to lmrf'onn or h~e i~rfor,~ the ~id ~rk and to rake a~l file this aI~l ica[i~; [hat alt statamnts c~a~tai~l in this al~)l icat i~ are trim to the Ims~ of his ~l~ge and t~[lef~ Ihat the ~rk will I~ ~rfon~ml in the ~mmmr ~t forth in the aI~lic~tio, [Jill (Sig~ml:ure ol' ^t~plica.t)