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HomeMy WebLinkAbout23652-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24782 Date DECEMBER 6, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 325 OAK DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1996 pursuant to which Building Permit No. 23652—Z dated AUGUST 29, 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to LUDWIG C. HASL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORK NO. I 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) Nb23652 Z Date .. ..2:.tv.................................... 191k Permission is hereby granted to- ......... ...... .. .............. ..... .........•• / � R ..................... to •..•...• •• ••. . .. . . .••� ...... .•.....• ..T•+s•�.. , • ....• atpremises located at .......................... .................................................. ........................................•...........(0..... . .... ..............................................•......0...................... ........................................................................................................................................0...............•........ County Tax Map No. 1000 Section eed�...... ......... Block ..�...............p. Lot No. ............. pursuant to application doted ....Cl...,,(f�1�.. ......,......................... 19f••6.�..' and approved by the Building Inspector. J/ dV Fee S `t ................ .. ........... ..... ..... ..... ding Inspector •• .......... Rev. 6/30/80 TM-47LN OF SOUTHOLD 3UILDING DEPARTMENT TOWN HALL ;s3-1so2 DEC 2 aPPLICaTION FOR CERTIFICATE OF OCCUPANCY A. This aDpiication must be tilled in OV tvDewriter OR ink and submitted co the buildin,, inspector with the following: for new building or new use: L . final survey of Droperty with accurate location of all buildings, proDert'.r lines , streets, and unusual natural or topographic features. 2. Final Approval from Health Dent. of water supply and sewerage-disposal(S-0, 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 Ia lead. Commercial building, industrial building, multiple residences and similar buildings and-installations, a certificate of Code Compliance from architect or engineer responsible for the building. o. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and " "pre-existing" land uses: I . Accurate survey of property showing ail 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 scate the reasons therefor in writing to the applicant. C . Fees 1 . Certificate of Occupancy - New dwelling 325.00, :additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool 525.00, Accessory building 325.00, Additions to accessory building 325.00. Businesses 350.00. 2. Certificate of Occupancy on Pre-existing 3uildine - $100.00 3. Copy of Certificate of Occupancy - .25e,. A . Updated Certificate of Occupancy - $30.00 5. Temporary Certificate of Occupancy - Residential 315.00, Commercial Si5.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . © K� . . �tE'�.(/ . . . . . . . . 5;0 IV . .��?'71 House No. l Street Hamlet . Onwer or Owners of Property. . . . . !` u�w/ . . � .' `�.g�. . . . . . . . . . . . . County Tax Map No 1000 Section. Den D 0. . . Block. . . . O.I.P.p. . . .Lot. . . DO . . . . . . . . Subdivision. ./ nCJb(/, / . . . . . . . . . . . . .Filed vaD. . .��J?I. . . .Lot. . . .43 O.W. . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . !�:d. : . . . .ADDlicant. . . ! �'A4;!/6. . Healch Dept Approval. . . . . . . . . . . . . . . . . . . . . . . . . :I r* :e - . nde aria. rs .:DDrovsl. . . . . . . . . . . . . . . . . . . . . . . . . nning 3oard Approval. . . .�. . . . . . . . . . . . . . . . . Requesc for: T.emporary C2rtifica1e. . . . . . . . . . . -inai Carticace. .�r. . . Fee Submitted. 3 . . . . . .5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q•�. �a 3a. 9 _?I�a�\r� c6 �a�� T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSTION [ ] FRAMING NAL [ ] FIREPLACE & CFIIMNEY REMARKS: 1 DATE INSPECTO FIELD INb'PEtYl'l6N REPORT DATE N - ------------ �� II FOUNDATION OST) ---- -- --- --— --- --- ii FOUNDATION OND) II U ---------------------------- tl ROUGH FRAME 6 PLUMBING it 'I -II -II INSULATION PER N. Y. STATE ENERGY II CODE �------�� -- ------ II II II II (73 -� u-- FINAL N------ --- --- --- — s=s=saasaas=axss=xssxxaxe�aaa==sac�sxssa==sasasaas so -sassac aaasxsxxsxsxaassss ADDITIONAL COMMENTS: =caaac==a=ansa=as=xssa=as=sssaoa==aao=saa=s=aa=ssc=asassacsacasa=sscssxsaa=sxaasax=as=saaa r\� r ------------------ ------------ - --------- — -- a ") BOARD OF IIKAIA II L y FORM NO. 1 3 SETS Oh .ANS . . . . . . . . . . . 'TOWN OF SOUTHOiD SURVhY . . . . . . . . . . . . . . . . . . . . . . I W IIUII.1)ING DFPARTMI''N'I' Cllf?CR , . . . . . . . . . . . . . . . . . . . . . . 4 r TOWN IiA1.1, SEPTIC FORM . . . . . . . . . . . . . . . . . . . . --- SOII'1'I101.1), N.Y. 11971 BLDG. (SEPT. TEL: 76)5- 1002 NOTIFY: -i 1'sVVN OF SOUTHOLD� CALL 25.7 .96.6 -. . . ++ MA 11. TO: . . . . . . . . . . . . . . . . . . . . Al>trrtrve<l. .� 1 ........ 19/ Permit No. ..��...�?✓'`�. .................................... Disapprved a/c ..................... ............. .................................... ...................................................... (Iloildins In, or) APPLICATION FOR 111111.1)iNG PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'ibis application mist be cumliletely filled in by type%-yriter or in into aril milviitted to the )krilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scirechrle. b. Plot: plan showing location of lot nix] of I)uildirrls oil premises, relationship to adjoining premises or ixrhlie streets or areas, aril giving a del.-ailed description of: laymit: of property must 1)e chrism on the diagram which is part of Lids application. c_. 'lire work cmw.red by this npplicaticxr r>;ty rx)t be cantrrerx.ed before issmince of Wilding Permit. d. 'tllj*xr approval of this application, tire. ik)il.ding Inspector twill issue n iluilding Permit to the nlif)iicant. Stich hermit shall ire kept cxr the promises available for Inspection (Irrcxr)xx)t the work. e. No Ixrilding shall be occupied or used in whole or in part for arty ptrrlxise whatever until a Certificate of Oo.c71kmx:y shall. have Ix-en granted Iry Ow lkrilcling Inspector. API.I.1CNIJON iS IEM--IsllY AtAII.'s to tine ikri1ding Department for the issuance of a Ikrilding Permit p(rrs(4ant to t:he Iloildhig &xre Uniirkorxe of the Ta.nl of Scxrl.lrold, Suffolk CtAltity, New Yolk, aril other applicable laws, Ordinances or Regulations, for the constrttcGoo of: imildings, wklitions or alterations, or for removal or derrolition, as herein described. ']he applicant agrees to ccnrlily with all, applicable laws, orclirrnx.es, ixIrilding code, ]lousing code, nix] regt.dations, nix] to admit mtthorized Inspectors otr premises arxl in Wilding for )lecessary inspections. .. .' _ .... ................... (Srgtu�lure of. licant, or mime, if: a corporation) A/C1.!i.9.71 Wailing rxklress of applicant) State wl►etlrer applicant is saner, lessee, agent, architect, engineer, general contractor, electrician, phuber or Ix)ilder. ............................................................................................... Nano of owner of premises ......J`�lly1E ..... Z.cJ,O tli� e A9 S L........................................ ... (as on lire tax roll or latest deed) If applicant is a corporat:iort, signnhrre of duly mitlx)rized officer. ......................................................... (Nana aril title of corporate officer) Ikril(lers License No. ......................... Plud)ers License No. ......................... Electricians License No. ..................... OLlrer 'l'ade's License No. .................... I. lm.ation of: larxl on which pr(Iposed work will. be (kn)e.............................................................. .. . Ikx)se Niorber StreStreett'il<zrile Gxmty Tax Rap No. IWO Section del�:dU.. Block ...n�'.�Q/.... lot: 9P.9 Sx)lilivision 4'�ypty.. �i�Es......... Filed Mrl) 6.J ... .3 No. tants �, Mule) 2. State existing use aril oce:opmx:y of premises aril interxle(I use mil ncc7)Par)Cy of proposed cciosLrmtion: a. P:X'ti)rg use atxl occxlivincy ....../ 7 .i4 .. .............................................. b. InLerxiecl tire atxl occuivin y .........� -........................................................ 7. Halle of 1x)tk (dleck widdl apl►licill"): New Ik)ildinll ........ . . A/kiilloo ... . Al 1 n Relwlir ............ Itlslloval ............. Ik�Irll it:loo .... ........ Other IlC)1k 5 (Ik:sc:r I IA I Oil) 00.. . ... .. .... . fee .................... . ............ ......... .... ((o be paid (x► fi I hill tills applteat:loll) inll, Irnlier of &-'-111118 Wills . ...... ..... lAuber Of tk+el I inll unll s ()It each floor ... . ...... 1f garalle, Irnlx:r of ears ........ ....... ...... ..... .... . ... . G. If Ixlsloess, earimercial or udxreO occupancy. specify nature alxl extenC of each type of use.................... .. 60 ) 100 1 1. Ilillcilnlot is of existing slnxaures, if any: l?r 0111:.. .. ... .. ..... Itear .... ... ....... . Depth .. :! . ....... ik:igt►t Muller Of SIOr-Iea . ....j .. .. . .. . ... 1)inleusi(xls of sant: sf.roettlre with al lest iOoti or (xkli t ions: 1 rout .• S m ,•. Hear . . . .. .... . ... Ik:pll► .................... Ik:igl►t Midler of Stories( .. ............. 11. 1)ille"siolts of entire ixm coostrtx:Ci(xl: F,00C . ... f0... .. ... Itear .. �....... . Depth . 1.2'. lleil;l►l: ......................... Mull r of Stories .../... . . ......... 9. Size of lot: Fr(x►t ....d` .I... ...... Muir .. . ....�J5�i.,. . . .. Depth .. .3EJ� ...... .... . . " .. g� AA10. Nile of 11)rdlase ... .. .. ...... Nall(: of �oru►er knler JJ �W f e:� I. Zex)e or use district in Vilid► premises are siCuated ....... .r...... .............. .... . .. .. . .. 12. Wes prol►Osed exx►at:rrx:l.loo violate filly zcxling lac), ordilalwe or regulat:icxl: .../VQ................ I3, Wi I I lot: be regracle(i ....�O........... Wi 11 excess f i 11 1)e resioved fran prelni flea: YES Nt) Ito- Naples of. Omber of premises �v /�. �AS.L... Acklress` 7a DAIC �� 7J�/ocl, N X. N:nle of Ardlitect ......11011f�................ .... Aeklress .. . ...... ..................... I'ilone M). 4.. ... . ...... N:nle of (otAracfor .....!!!O!v ... ................. A(klress .. ......, Ilxxxa tJo. 1'i. 'Is this properly within 3(X) feet Of f1 tidal wetlaiwI7 * YES .... ...... N;) *IF YES, RXIIIIIND '1TAM 'I1tIlSlla?S l'I'g4mt-l' NAY Ulf HI;()l1I[dq). i'LOT DIAGRAM Locate clearly six] distinctly all Ixrildings, wllet.l►er existing or prolx)sed, nlxl inlicate all set-back dimensions fr(.n property lines. Give aLreet aril blrx_k rnli)er or description according to deed and allot► street turves alxl irxlicale tAielher inferior or corner lot. s&,- Ai G/�EP Sv,eV�y OCCUPANCY OR A WOD SNOTED USE IS UNLAWFUL � DATE, _ P # WITHOUT CERTIFICATE FEE: A� BY: OF OCCUPANCY NOTIFY BUILDING DEP NT AT 765-1802 a AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED f j FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING . INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY sfrcni c>t N W YlNtl(, CODES. NOT RESPONSIBLE FOR ( � Ss DESIGN OR CONSTRUCTION ERRORS czrllrnY lir .. �. l .. ... ..Ix:iIlA duly MAJI'll, delx►ses alxl says plat he lel the appliciml. (Ninth of tlxllvukull , ' lniog cuolracC) Ikein (lit! .... ... ..... Vv•'••1. .. ..............,......... ... ... ....... ..... ...... .................... (Wilt1 tor, nllent, corlx►rate officer, else:.) of nail (h)Ix:r or- mnlorfl, nlxl is duly authorized to ix-n-fonn or have lx:rfonlr:d the Said work atxl to nwdce arxl file this 11ppi iCatioll; Chill: A I statelllelltfl c(xltalmil ill 1.1lis appl I(:at loll are title to the beset: Of his kilowle(Ill(t noxi Ix*l iv a11I1 IhaL the work will Ix. perfor►Iled in (lie 11F1111wr setFurth lit tile application filed tl►erewith. !)worn to Ix:fO > Iiv thin . ..... .... . .day of Notary 1111 ic" �........ . CLAIRE L.GLE\M ( 1 rllure of ) l...... ......... Notery Public,State of New York No.4879505 Qualified in euCr 8 Commission ExpsDecember 19 ANY AL TV U TIM QR AADI77av TO THS SLA VEY IS A VIOLA_VON OF SEC 7209 OF 7?E AEW Y0W STATE MICA 7W LAW, EMPT AS PER SErTla 1 7Y09-SEMIKSM Z ALL CERrMTXW MEW ARE VALD FOR TW YAP AAV COM TtO* F CA F SAD YAP OR COPES BEAR TtE MWSSW SEAL OF 77E SL WYOIR AAS p SUR VEY OF AW17XMU Y TO COAPL Y WM SAD LAW RE 7EW 'AL 7or ' OF AAVTIUSM BY iM �MAP L r~�,UYLOW AS MRCA7� L O TS 4 3 & 44 s""r- AAE Avr N CQNMJI m w H TIE LA1. FROM ANAP OF cor� �` "RE YD ON SHORES" •N FLED AX Y2,1931, FXE NO. 631 -o Z3 AT SOUTHOLD TOWN OF SOUTHOLD �• 77.3�.°°" E. erin NoonSUFFOLK pC�CfUNT Y, N. Y. ,�(�/ N• �'� un �B I" — Vv — 01- 32 �C F", �: ,5 ' / Gvr � z SCALE : 1" = 40' A JLA E 28 1995 LOT NE�'' ��:- 1�' O V o �� w .� 50, _ V �• h ��' ms LOT 44 194 J� I ti . �^a 5. 6°"� LOT 4� It69.3 . M•". r O OF HES+ LPFIADELITY ERTIFIED TO ALCOLM FRASER NET C. FRASER S. L/C. NO. 496/8 H U.S. MORTGAGE CORPORATION E RS, P.C. NATIONAL TITLE (5161 SURANCE COMPANY OF NEW YORK 20/ 35 l AREA = 30,439 SQ. FT. P. o. eox sos 1230 TRA VEL ER STREET JANE 291995 vnde/ned .rye SOUTHOLD, N.Y. 11971 95-199