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Home My WebLink About23645-z vw FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24682 Date OCTOBER 8, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 25705 COUNTY ROAD #48 CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 2 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 1996 pursuant to which Building Permit No. 23645-Z dated AUGUST 23, 1996 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 SHED TO CODE AS APPLIED FOR. The certificate is issued to BERNARD SHALVEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / ol- Cuil4ir,6 Inspector Rev. 1/81 FORK NO. 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) No 23645 Z Date . .......................................... 19& Permission is hereby granted to: .. ........ .. ...... .....�- .... ........ • . ...................... .. to .... ... .. .. ... ...... .sc9 ........ ......L� ... ... ... .. .................................. ..... ..... ..... ....... ................................. o premises locat at . , �1 ....... ..... .. ...x...,r`:. ................................. ....................................................... . .... ....a.. • . . ....................................................................... .................................................................................................................................................................. County Tax Map No. 1000 Section .... J". r Block .....#P'.:......... Lot No. ....`.�...�d�. ........ pursuant to application dated IfO?......................................... 1 ... and approved by the Building Inspector. Fee S•s..o`.�..c 11� . zinspect .................. B din Rev. 6/30/80 OF SOI;T"?CLD `�'Gtl•-Q � a�'i�3?��-�j�y��9�5-'�� 3-TLDTNG •1ENT TOWN HAL 7 sot ��-7o'-- 7 �PPL_CAT:CN -0R CLIITT_TC1TE Or OC UP3`�C'- a0014CeqC40n lhust be fil led in Jy fvpewrf ter OR ink and submitted to the bu-ldi,g is- 'w-th tie following: for new building or new use: J L . F-nai Survey or prooer:-;, with accurate lOC3t40n OL all bll-ldings , property Ines, Streets, and unusual natural or topographic features. �. . final approval i rOT[h Health Dent. of watar supr,17 and sewerage-disposal'S for-n) . 3. Approval of electrical :nStail=_tion from 3oard of "-re Underwriters. Sworn statement from plumper car_'- -ng' that the solder used in systam contains less than 2/10 of La lead. 5 . Commercial building, industrial building, multiple residences and S1m4_ar buildings ` and-ins ta!11 ations, a certif cafe of Code Compliance prom architect or engineer responsible for the building. d. Submit Planning 3oard Approval of Completed site plan requirements. s 3. For e-xisting buildings (prior to April 9, 195/) non-conforming uses, Or buildngs and pre-existing land uses: L . Accurate survey OL propertyShowing all property lines, streets, building and unusual natural or t000grannlc a faturas.' 2. A properly completed application and a consent to inspect signed JV the applicant. TL a Certificate of Occupancy 4-3 denied, the 3uiiding TaSpector Shall state the reasons cnerefor in writing to =he applicant. n -- .. Cees Cert'l"*icate of Occupancv - New dwelling 325.00, Additions to dwelling 525.00 , Alterations to dwelling 325.00, Swimming pool 325.00, accessory building 325.00 , additions to accessory building 325.00. Businesses 350.00. Certi-ficate of Occupancy on Pre-existing Build inz - $100.00 3. COpv of Certificate of Occupancy - .25e !. Updated Certificate of OccuDanc-T - $50.00 5. Temporary Certificate of Occupancv - 3es4dentiai SL5.00, Commercial SL5.00 Datej/ J/ New Construction. . . . . . . . . . . Old Or Pre-existing BBuil/dding . . . . . . . . . . . . . . . . Location of Property. .J.70'� . . Gre1 w y. .I�4i . .:/. . . . . . . . . ��ek0? . y. . . . . House No. ` r�Street Hamlet Onwer or Owners of Property. : .w.�/LN��. . . . SYA'`U�y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3i - Z COunt-7 Tax Map No ?000, Section. . . !! . I . . . . . . .31oc?c. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed !ap . . . . . . . . . . . .lot. . . . . . . . . . . . . . . . . . . . . . �J /9 Per-rit Vo. . �. `! . . . .Date Ot Pernit. Q` ! /. .63oplicant. . . . . . . . . . . . . . . . . . . . . . . . f Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .. nderwriters pproval . . . . . . . . . . . . . . . . . . . . . . . . . P=ann_.g 3oard Approval. . . . . . . . . . . . . . . . . . . . . . . . �erL`eSt -3r. 7ampora 7 Certi=_c_aza. . . . . . . . . . . in al ,a r--,._te. . . . . . . . . . . . /7 A J L . .a. . .2. . . . . . . . . . . . . . . . . 1_2 L 7 t, co Y6 A FIELD INSPECI'ION REPORT DATE - COMMENTS II II H FOUNDATION ( 1ST) FOUNDATION (2ND) --- II -------------------- ii ROUGH FRAME & PLUMBING II II -II II jj INSULATION PER N. Y. STATE ENERGY II II H �►---------Iii --- CODE II 11 #--------II ------ II — — ol- 00, 41 I II II �o FINALtlK -II O --- ADDITIONAL COMMENTS: CrJ — H BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO- 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL 1?xamirx'c .. ........ 19:/ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..... ,rd. 97.6 Permit No. .��CJ .. ............ Disapprova/ .................... ��0 ..3............... OCCUPANCY OR (Building In tor)4-17 �. /1 USE IS UNLAWFUL ulf WITHOUT CERTIFICATE APPLICATION FOR BUILDING PERMIT Of OCCUPANCY Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to Lite Building Inspector witl 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 to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagran which is part of this application. c. the work covered by this application may not be can?fenced before issuance of Building Permit. d. Upon approval of this application, the Building, Inspector will issue 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY KW. 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 rue sary tions. . ... ... .. ................ (Signature of applicant, or name, if a corporation) (Mailingaddress o a licant) -� �9 'Y' r re s State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. • Nameof owner ofpremises.:................r ....... ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .... �'�.��i F.......... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... Qom_ r Z;1. Location of la on whiclu work will be done_. d ....... .. . house Numl)er Str Ilamlet County Tax Map No. 1000 Section ... �...... Block ...... ..... Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intenr use aT0 occupancy of �proposed construction: a. Existing use and occupancy .......... .. j;??? .... ...... - e. ... = ......... b. Intended use and occupancy .........� ?�?....... ...... ............... 64-11 3. Moure of cx►rk (d►eck vAddi aplAicable): New Ik,ildint; Nklition .......... Alteration ....... . .. Repair ............ ltmioval ............. Dm)I ition ...._....... Other Work ........................ .......... (Description) 4. Eslinkited Cost ......... fee .............................................. ►' (to lie paid on filing this application) 5. If rkrel 1 ing, nrnirer of dwelling, units ........_... Naber of A.,el I ing tori is on each floor ................ If garage, rrcnber of cars ............... ....................... G. If lx►siness, ccimrercial or rniwed occupancy, specify mature aril extent of each type of use...................... 7. Dimensions of existing sLrucLures, if any: Front ................ Rear ............... Depth ................. Ik-iglit ......................... Naber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... IleiglrL .................... Umber of Stories ............... 8. Diiiensions of entire new construction: Front ................ hear ............... Depth ............... Heitl►t ......................... Naber of Stories ..................... 9. Size of lot: Frro►L .................... Rear ........... ......... depth .................... 10. Dale of Purchase ..................... M--xne of Dormer (M er ........ ................................. II. 7kioe or use district in wl►id► premises are situated ............................................................. 12. Does proposed couslrucaion violate any zoning law, ordinance or regulation: ........................ 13. Will lot he regraded .................... Will excess fill lie renmed frcxn premises: MIS NO 14. Hanes of Owner of pronises ........................... Address .............................. Mione No. .............. Mme of Ardritect .................................... Acklress .............................. Phone No. .............. Nave of Contractor ................................... Acklress ...............................I'I►one No. .............. 15. is this property within 300 feet of a tidal weLlarxl? * YUS .......... NO .......... *IF YES, =111"D 1UJN 'I14IS-1109 PI's13•II'1' MAY IV RL(�TIR1J). ITOT DIAGRAM locate clearly and distinctly all Wildings, whether existing or proposed, axl indicate all set-hack dimensions NMI properly livres. Give street aril block rxnber or description according to deed, and rJwm street naves and imlicale rA►etlier inferior or corner lot. ACC SI'A'll? (R' Mld YUT' 011114IY U .t � ... FEE: .. NOTIFY ILDIN BY: G DE�AI� I� nF�ie�r� 7I i�Tri= M F THE (N:nr_ of imlividual signing, contract) FOGC.f3WING INSPErTIC3NS. ®R alxrie runrcl, 1• Ff3i. NDATJOf4 Fopl Po(j"ED CONCR D REQUIRED Ile i, the ...... t JW RCr4�Y t:.1 fsafi�Ml41C3 � CONCRETE ............................ .. R U (CcnrtracLor, agent, corporate officer, etc.) S K4if�F,. 1=31fpr3 L BII11G 4. of said (Mier or anrers, aixl is duly ;n,lhorizecl to perforin r m or have lrerfonecl the �aar�C1C oiA (�6O tSi i iNfMH,q#riI -1pplicaticn; Lhal: all staLarrnLs ccntainwd in this applical:icm are Lr,e to the'�l�stl��tla�. �ttl lxil.ief; m►clN SI IAl L that Lhe work will. be perforr►ed in the nrumner set forth in the application fiJ`i6WFthkR t�,�jfgC,1EN�S SH THE HE N.Y `�,xr �be(qrome tills S $ ENERGYV ONSIRLEFOR .... c, of .�19.. w, CT(ONERRO?R N►Lary I'nbl i � �� CLAIRE L.GLEW (Sigoature of Aj)plicanL) Notary Public.State of New York No.4879505 Gualified in Suffolk County Of Commission Expires December 8,19