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Home My WebLink About23413-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24401 Date JUNE 6, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 3180 ORCHARD STREET ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1996 .pursuant to which Building Permit No. 23413-Z dated MAY 6, 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 AN ACCESSORY BUILDING IN THE i%EAR YARD AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 FREDRICA L. WACESBERGER (owner) N/A N/A FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N£ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] 23413 Z Date ................ ~.. .............................. Permission Is hereby granted to: .~~.....~..,.......~.~~.~ ~ ~:....~'...~ ............... to ...... .~...~,.~ ......... ~.,-~..... ....... ~~......~.'..~G ........ ~ ........... ... ~..~,~ ...................................... Ooun~To× Map No. 7000 Sec~lon....~.7.. ........... B,oc~ ......... ~ ......... Lo, No ...... ~:./ ............. pursuant to application dated ............... .~.~..~..../....~.. ........................ 19..~.~. ....... and approved bythe Building Inspeotor. ~ee~...Z~.~... VBuilding Inspector Rev, 6/30/80 Form No. 6 TOW~N OF $OUTHOLD BUILDING DEP ~llT~iNT TOWN 765-!802 iPPLiCATION FOR C~R .... CAT- OF OCCD~~~NCY This application must be filled in by t}~ew~iter OH ink and submitted co the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property !ines~ streets, and unusual nature! or topographic features. 2. Final Approval from Hea!uh Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical insua!iation !rom Board of Fire Under%~riters. a. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of !% lead. 5. Commercial building, industrial building~ multiple residences and similar buildings and insta!lauions, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For exzsuing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '~pre-exlsting" land uses: !. Accurate survey of property showing all property lines, streets, building and unusual natural or uopographzc features. 2. A properly completed application and a consent to inspec~ signed by the app!icanu. If a Certificate of Occupancy zs denied~ uhe Building !nspeccor shall scene the reasons therefor in '~~-~~_~_n=o to ~he applicant. ~. Fees !. Certificate of Occupancy - New dwelling $2~.00~ Additions ~o dwelling S25.00~ Alterations co dwelling $25.00, $~i~uning pool $25.00, Accessory building $25.00, Additions 5o accessory building $25.00. Businesses $50.00. 2. Cerci£icate of Occupancy on Pre-existin~ Buiidin~ - $i00.00 3. Copy of Certificate of Occupancy - .25¢ ~. Updated Car=i!icate of Occupancy - Ji0.O0 ~e_=_~~ca=e of Occupancy Residenuia! $15.00, Commercial $!5.00 5. Temporary ~ --~=~ ~ . - {ew Oons~ruc:io~ ........... Old Or Pre-existing ~u&l:~ng ................. ~ocation of Property. ~.~.eP.. '~'S~'' '''~ ..................................... House No. Street lnwer or O~ers of Prooerty ' - ................. -:ea~n Dept. Approval .......................... Underwriters Approval ......................... 'fanning Board APProve! ........................ ~e~ues~. for: Temoorarv Certificaea ........... Final Certica-~ ....... . .... ;ee Submit=ed: $' ,,ea s Sa, 8 .... ................... ................ {,UIIUI'~II 113 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 14, 1996 Ms. Fredrica Wachsberger Box 347 Orient, NY 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is xx not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23413-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. The The Quaker Gable, A-Framej or from sales office to pool house or ~e'llent addition to your property. Great for possibilities are endless, comes in a variety of sizes. Window for that extra special look The The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts, 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. WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE ~ OUR CUSTOMERS NORTH FORK WOOD DESIGN PAUL:S LANE & RT. 48, · PECON~C, NY 11958 Source PHONE: (516) 765-3090 FAX: (516) 765-0013 Date Phone # (H) (W). Load Truck Description / ~-, , Size / '-~/ ~ / ~'~(~ Colors: Roof Wall ~ "'"" Trim .~ r ~- - Special Instructions: - NOTICE - TO ALL CUSTOMERS BEFORE YOU MAKE YOUR PURCHASE! · If site is not prepared properly and driver must prepare site, there will be an additional charge. · If site is inaccessible to our truck and we must return with shipment, up to 10% transportation cost will be charged. · Can we drive directly to the location you've cho.~n for y~ur shipment?. · Are there any overhead obstructions lower than 12'? · You the customer are responsible for any building permits and boundary lines! · We're going into your yard at your request, therrefom we do not accept any responsibility for damages which occur! · Placament of Shed. Our ddvem must assume whetsver thstmctions given by pemon(s) present, in accordance with the buyem wishes or in event no one is present, we do not assume responsibility whatso- ever for misplacement of shed. Any relocation will be done at the buyer's expense. · Wood. when it is exposed to the elements has a tendency to sh,'ink and expand. Because of this, we cannot accept responsibility for chipping, cracking, minor warping, otc. If them is a problem, please let us know. PRICE AMOUNT Options: TOTAL Tax Subtotal Deposit BALANCE DUE Signature 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] [~'i~AL ] FIREPLACE & CHIMNEY REMARKS: DATE ~'~/Y~_ INSPECTOR~~ BOARD OF }tEALTH 'FORMNO. 1 3 SE'~S OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT; CIIECK TOWN HALL SEPTIC FORH SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL .............. HAIL TO: INSTRUCTIONS , a. This apPlication must be completely filled in by typewriter or in ink and submitted to 1he Building Inspector, with ." sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatignship to adjoining prmnises or public sti-eet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. c. The work covered by tiffs application may not be cominenced before issuance of Building Permit. d. Upou approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection tliroughout 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 beeu granted by the Building Inspector. APPLIOATION'18:~IEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thl Building Zone O[dinance of the Town ,of South61d, .Suffolk County, New York, and other applicable Laws, Ordinances o Regulations for thee coristrtiction 0~f buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comp~ly with all applicable laws, ordinances, building code, housing code, and regulations, and t¢ admit autl,lori,zed ~speetr?i;s'o.~'.~,l:4m'ises and in building for nedessary~e~tions.~ ~. t '~{1~ 4~(Signature o'f applicant, or name, if a corporation) · .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder· .................... ................................................................. · c, .............................. Name of.owner ofprenlises .~5~..gD~..~.l.e.a. ,, ~,l'~ ~.3,~ ' . .... - ....... (as on the tax roll or latest deed) If applicaut is a corporation, signature of duly authoriied officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ....... .................. Electrician's License No ....................... Other Trade's License No ...................... BLDG. DEPT :OWN OF SOUTHOL_r~D_ r.. 1. Location of land on which proposed work will be done .................................................. .... . ................. s:. · .................... llouse Number Street Hamlet Cou'nty Tax Map No. 1000 Sectiou ...~.g.~ ......... Block ...0.~. ' Lot OO :~' 610 } Snbd,vislon ."~.. ~.~.~.. ,'~...~....' ......... '. Filed Map No. ~...~.~."~'~ Lot..]. ............ (Name) 2. Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... '. ;'3h:aO~:~::j ..................... b. Intended use 'and occupancy /~/~'"1 :~')~t~:xc~>;0.¢t~ .3. Nature of work (check which applicable): New Building . ~ ........ Addition .......... Alteration .......... Repair .............. RemoVal ............ Demolition .... : .......... Other ' Work '<~ (Description) 4 Estimated Cost ' ..... 4 ...................... Fee ...................................... (t ' g th' ppli ) o be paid on fihn is a cation 5, If dwelling, number of dwelling ulnits ......... Nmfiber of dwelling units on each floor .... · If garage, number of cars ........ ' · ' ......... If business, commercial or Ti.xed ioccupancy, specify nature and extent of.each type of use ......... 7. Dimensions of existing structuresi if any: Front ~ ~ r2,~. o-.4 t ,. . . ~,) ? .......... Height lQ t ., . .~ ' '/~2;/' ............. ~ · ,~,/ ..... L~eptn ,/.~.. o ~ ~tones../,,¢_. . . Dimensions of shme structure witi~ alterations or additions: Front ................. Rear .................. Depth .... ' .................. · Height ....... /:. ....... 8. Dimensions of entire new cpnstruction: Front ....... ; Rear . f.~. t . Depth /,~...t Height., .~. ........... Numbler of Stories ...... / .... '"">, ....... ''" ~)epth ,~/~. ~: ,2-,~, ..... 9, Size oflot: Front ,./.~:~.p ......... :., Rear iq~.'~Ax ................ : .......... 10,DateofPurchase l l.q ' '" ..... ' ............ · . . 1 1, Zone or use district tn which prginises are situated...~., :,'~, .' .......... .12. , ...... Does proposed construction violate any zoning law, ordinance or regulation .3{JO.', ..... 13. Will 16t be regraded ./~.Q ' · ................... ...... ~.' .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . 81~ . , Address ,~, ~.~.7. ~,/.Z/.&"j~, . . Phone No.~.'5. ~g. 5'~--~ J; .... Name of Architect ........... ~ ............... Address ................... Phone No ............... '., Name of Contractor .......... , ............... Address ............. ...... Phone~o ............. :,, 1_5. 'r,s this property within 30'0 feet of a tidal wetland? ayes ........ No..i¢~?.. ail yes, Southold Togn Trustees Permit may. be required. ' '' .. ; PLOT DIAGRAM Locate clearly and distinctly ail bfiildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, l and show street names and indicate whether interior or corner lot. ' ' · ;TAME " OF NEW ~O~, :ou v ............ s.s ....... .............. . ......... ~Name of individual signing ontract) 2-'& 765-1802 9 ~ TO 4 PM FOR ~E FOLLOWING INSP 1. FOUNDATION'- ~0 REQUIRED FOR ~URED CONCR~ 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION . CONSTRUCTION MUST ~ FOR A~ C SHALL MEET TH~ R~QUIREMENTS ~E N.~. S'FATE CONSTRUCTION & ~NERGY CODES. NOT RESPONSIE FOR D~SIGN OR CONSTRUCTION being duly sworn, depose,s and says that~he is the applicant bore named. :e is the ~ (Contractor agent cor~oorate officer etc) ............. f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this *plication; that all statements containedl in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. ' worn to before me this .............. ',..day of,.. ¢-. : .......... ,19~'~ otary Public, . .. ~k~. ..... ,i ..... .h ...... County ~ ' ,/5 ' , 'i .... ........ .. , ~lrdTt~cJql4resFebruary~, I~q/. '. s oiapplicant)