HomeMy WebLinkAbout23342-zFORM NO. 4
TOWN OF SOUTHOLD
SUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25032 Date MAY 8, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Propert~ 760 CEDARFIELDB DR.
House No. Street
County Tax Map No. 1000 Section 40 Block 5
Subdivision Filed Map No.
GREENPORTw N.Y.
Hamlet
Lot 1.23
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, 1996 pursuant to which
Building Permit No. 23342-Z dated APRIL 3, 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 WOOD ACCESSORY STORAGE BUILDING IN REAR YArD AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
NEIL J. MACDONALDw JR.
N/A
N/A
N/A
Rev. 1/81
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
N~ 23342 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Da,e_ ....................
Permission is hereby granted to',~ , r-. (~ ~'~
at premises located at ........
County Tax Map No. lO00 Section .......... Block ........... ~,.. 'LotNo...,~(~...~....?........-~.. ......
pursuant to application dated ............... ~'Z~-~.../....~, 19....~.~...., and approved bythe
Building Inspector,
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN BALL
765-i802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 ~he 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 c6mpleted site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
?pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properlM 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-~xistinR Buildinm - $100.00 /
3. Copy of Certificate of Occupancy - , .25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~) ~. . / .~. O / q '-]
New Construction....~.. .... Old Or Pre-ex~stimg Building ....., ............
House No. Street Hamlet
Onwer or Owners of Property ...... .~t ...... ~-' ..~.~c' ........ .~ IJ .................................... -~ r .
/~t/{) O0
(od/, oz~
sou=y 00o, .... O. .O.q .... .....................
Health Dept. Approval .......................... Underwriters ApprovaZ .........................
Planning Board Approval ........................
Request for: Tempor~y Ce~toificate ........... Final Cernicate...w. .... '/7'
( ................ ............. ' ........
C0 :~05~3 2.
SURVEY OF
LOT 23
SUBDIVISION OF CEDARFIELDS
FILED JUNE 27, 1990 FILE NO, 8968
A T GREENPOR T
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N, Y,
--- I000 - 40 - 05 - P/001
Scale I" = 30'
July II, 1990
Sept. 28, I~90(fouad.
MarGh 1. 1991(final)
CED~t /?F/EL
H S. REF. NO. 90 - SO - 96
AREA = 20,124sq. ft.
CERTIFIED TO' $
NElL J. IdAC DONALD
DALEsoNY/dAMORTGAGE BANKER CORP, N/O/F
11052 199
(10) No campers,
he front
trailers or boats will be permitted
yard or side yard of the property.
to be kept in
(11)
installed
be viewed
Satellite disks and solar units shall not be permitted to be
so as to be visible from the front of the premises so as not to
from the front.
(12) No fencing shall be permitted forward of the rear line of the
house. All fencing must be wood except around swimming area.
(13) No vehicles shall be kept by the owners or occupants of the
premises, or their guests, overnight, on the streets, with driveway to be
used for parking. No commercial trucks or vans over 3/4 ton shall be
kept on the driveways of the property overnight, whether owned by the
property owner, guests or relatives.
(14) Disrepaired vehicles shall not be stored on the premises or
streets. This includes unregistered vehicles.
(15) It shall be the esponslbility of the occupants of the premises
r '
to see that no trash ontalners are placed on the street for collection
except on the evening immediately prior to collection, and such containers
are to be removed on the same day that the garbage is collected.
(16) No structure, either primary or accessory, shall be erected on
the premises with asbestos siding or aluminum siding. Siding is
restricted to brick, wood or other natural material, or vinyl siding, or
as otherwise approved by Declarant.
w/ (17) The premises to be constructed on subject property shall comply
in all respects with Local Law No. 6 of 1986 of the Town of Southold,
County of Suffolk, State of New York, more commonly known as the
Affordable Housing Law, with the exception of Plot $38, which will be
exempt from the above law.
(18) If the Declarant, or their successors or assigns, ~ha~l
violate, or attempt to violate any of the covenants an~ restrlctsons
enumerated l}erein, or shall fail to enforce said covenants and
restrictions, it shall be lawful for any person or persons, owning any
portion of the hereinabove described premises, in addition to the
Declarant, to prosecute at law or in equity, the person violating or
attempting to violate any such covenant, and either to prevent them from
so doing, or to recover damages for such violation.
(19) These covenants and restrictions shall run with the land,
subject to the right of the town Board or Planning Board of the Town of
Southold, by a majority vote plus one, after a public hearing, to modify
or repeal any or all of the foregoing covenants and estrlctions at any
time at the request of the then owner or owners of the premises affected
-4-
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]~ULATION
i
DATE ,~,~/'~//~7
INSPECTOR
PORM NO. 1
TOWN OF SOUTHOLD
BUfLDh~JO DEPARTMENT:
TOWN HALL
SOUTHOLD, N.Y. 1197:1
TEL.: 765-1802
B~ARD OF HEALTH ........
.3 SETS OF PLANS ........
SURVEY .................
CHECK
SEPTIC ......
xa 1 e .... , . .. FLAIL TO:
pp 0 e .., Permit No ..... · ................
Disapproved a/c .................
· VICAflONFOR BUILDING' !!'r ~ ~ ~
, PERMIT ., ~ ,
Date .. ~ ....
a. T~s ap~lic~tion must be completely Qlled i~ by ~pewffte~ o~ in ~ and submztted to t~e ~uild~ Inspector, with
sets of phis, ~ccu~te plot pla~ to scale. Eec accordin8 to schedule, i ' ·
b. Hot pl~ s~ow~ locatio~ o~ lot ~d of ~uiid~s o~ p~emises, ~ehtionshi2 to adjoidn8 pr~mises o; 2ubUc sffeet
o~ areas, a~d ~iv~ a det~led d~scfiptioh of layout of ~mperty mu~t be d=aw~ on the'diasmm ~ich is p~ of this
.
c. ' T~e wo~ cove~ed 5y t~s ~2p]ic~tJoa may ~t 5e commeacM ~e~o~e issuance o~ ~u~di~ Pe~it. .
d. U2on approval of this ~2plication, the ~uildin~ Inspector wQI i~sued a ~uQd~ ~e~it to the appUca~t. Such ~e~J
sh~ be ~c~t o~ t~ p~emises avaQ~ble for ~spection throughout the ~o~.
e. No buildin[ shall be occupied or used in whole o~ in 2~t ~o~ ~ny 2u~pose w~t~ve~ until a Ce~iQc~te'of Occup~c'
A~2~ICATION [S ~E~E~ ~ADE to thc ~uild~8 Dep~me~t fo~ the issuance of a ~ldiu~ ~e~it ~u~ua~t to th
9uiJdi~ Zo~c Ordinance o~ ~e Tow~ o~ Southbld, ,Suffol~ Cou~W, New ~o~, ~d other a2p~c~ble [~ws, Ord~ces o
~[ulatio~s, for tM const~ction of buQd~Ss, additions o~ alterations, or fo~ ~emoval or demolition, as ~erc~ desc~b~d
The app~c~ a~[~es to comply,wit~ all appUcabl~ ]~w~, o~dbances, bugd~ code, ho~ code, ~d re~ubtions, a~d
~ ', ,' "',. , . (S,gnatuff~ of applicant, or n" '---' ' -" '~me, ;~a
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician, plumber or builder,
......... . ...........................
N~me of,owner of promises . . . , . . . ~
(as o 'the tax roil orlatest deed)
~[ a2plic~nt is a corporation, signature of duly authorized officer.
· (Name and title of corporate officer)
Builder's License No ..... .~,/t.~ '
Plumb License No.. ....
Electrician's License No ...... I.q.~-. .......
Other Trade's License No ...... ~./)t. .......
I. Location of land on which proposed work will be'~ione.. :
House Number Street Hamlet .........
.o¢o.
' s (Name) ,- . ..... : ........
2; Stat~ existing use and occupancy of premises and intended use and occupancy of proposed constructiom
,3.
Nature or,york (check which!applicable): New Building Addition ' Alteration '
RepMr .............. Removal ....... Demolition ..... ; Other Work -
Estimated Cost ........... .
If dwelling, number of dwelling units'·
(Description)
(to be paid on fil'ng this application)
Nufi~ber o£ dwelling unit~ on each floor
· If garage, number of cars ...i .......
If business commercial or mixed occupancy .................................................... "' '
,., , specify nature and extent of each, type of use ............
Dimensions o! existing structures if any: Front Rear
, .............................. Depth ......
Height Ndmber of Stories ' ' '
Dimensions of shine structure '~with alterations or additions: Front .....
: .................. Rear .........
Depth ~ Height ' , Number of Stories
8. Dimensions of entire new construction: Front ; Lear' .................. Depth
.Height ... i ........... Number of Stories ...' ...........................
9. Sizeoflet Front ' ......................
..... . ....... t ............. ~.ear ........................ Depth .........
10. Daze olrurcnase .... , . . -, -~ ~ * ........
· ! ........ ' ......... r~ame oI former wwner .................... ~ ......
11. Zone or use district in which plremises are situated .............. ' ...............
12. Does proposed constructi v'ol ' gl ' ' ' " ' ' ..... · ............
· on I ate any zonm aw, ordinance or regulation: ..... , .............................
13 Will let be regraded .: . ' Will excess fill be rome;red from premises: Yes
14 ........ ~ ..................... No
. Name of Owner of premises . ,.. ................. Address .......... . ....... .... Phone No .......
Name of Architect Address ! Phon~ No
: .
Name of Contractor ........ : ....... Address ....... . I .. Phone No.... ........
15.' T.S this property within 300 feet: of a tidal wet:land? *Yes ...... · ~. No .........
· If yes,'SoutholdlTown Trustees Permit: may, be required, ,
PLOT DIAGRAM ;
Locate clearly and distinctly al.I buildings,
~heth'er. existing .or proposed, and, indiCate all set-back dimensions from
property lines. Give street and block: number or description according to deed, and show ',treat names and indicate Whether
interior or corner lot.
OATE:
FEE: ~
765-1802 9 AM TO 4 FOR THE
RED c;NCRETE
, ~. ROUGH , FRAMING & PLUMBING'
3. INSULAT~O~,,~TRt~C~ON MUS~
' ' ' 8E cOMPI~I'E FOB U. · _
ALL CONstRUCTION SHALL
'THE REQU REMENT~ OF THE
iSTRUCTION & ENERGY
STATE COl
cODES. 0~
DESIGN
RESPONSIBLE FOR
cONSTRUC'fION ERRORS
STATE OF NEW YORK,-. __
cou ¥o ..... i' , .
: ....S.~.:.'!. .?.-'.. ~ ~.~ ~OsigniCg~,(.~,' ~C ,.. ........ being duly sworn, deposes i~d! says that he is the applicant
(Name of individual contract) I
2bove named.
~e is the ~ ~ '
(Contractor, agent , CDr'potato officer, etc. )
)f said owner or owners, ~d is duly] authorized to perfom or have parroted the said work and to m~e and file this
~pplication; that all statements contaihed ~ th's'apphcation are t'rue to the best of his kn,owledge and belief; and that the
,york w~l be perfo~ed in the m~ner[set forth in the application filed therewith.
;worn to before me this
..... :. · '