HomeMy WebLinkAbout23241-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO Z-24423
Date J~NE 12, 1996
THIS CERTIFIES that the building
Location of Property 325 OAK AVE~u~
House No.
County Tax Map No. 1000 Section 77
Subdivision
ACCESSORY
SOu'£uOLD NY
Street Hamlet
Block 2 Lot 11
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 31, 1996 ~ursuant to which
Building Permit No. 23241-Z dated FEBRUARY 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 "AS BUILT" ACCESSORY STORAGE SHED IN THE I~EQUIRMD i%EA~
YARD OF A ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPH HYDELL JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLO, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 23241 Z
Permission Is hereby granted to)~ ~ ,
,~/.~. ....... ~ ............ ~.d...~ .....................
..... /.~....-..,.....~..=_:.-=.. .... ~ -~~~ .................. TU/-.] ...~. ............ ._. ............. ..~
Coun~/TaxMapNo. lO00 Section 7'/' Block. ..~ ........... Lot No. ...../'.~.. .............
pursuant to application dated ......... ...~......~..../.. ....... 19..Z',,~,, ......
and
approved
bythe
//
Building Inspectob.~, //
Rev. 6/30/80
Form
TOk~ OF SOUTHOLD
BUILDING DEPAtlTMEB~
TOWN [4ALL
765-!802
TAms appiicanion must be filled in by typewriter OR ink and submitted uo mhe building
inspector with the following: for new %uilding or new use:
i. Final survey of property wimh accurate location of all buiidings~ property !mnes~
s~reets, and unusual nanurai or topographic features.
2. Final Approval from Heal nh Dept. of wamer supply and sewerage-disposai(S-9 form).
3. Approval of electrical installation from Board of Fire Undez-~ri:ers.
4. Sworn statement from plumber certifying that the solder used in system con5ains
less ~han 2/10 of !% lead.
~. Commercial building, indusrria! building, multiple residences and similar buildings
and insca!lacions, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submi: Plannmng Boaro Approval of comp!aced sime plan requiremenns.
· 1~7/ non-conforming uses, or bui!dznss and
Yor existing ouildings (prior to Aoril 9, ~- ~ ~
p~e-ex~s~n= !and uses:
· . . ouLldln~ and
!. Accurate survey of property showing all oroDerrv lines, circe=s, ' ~, ~ =
unusual nature! or :opographic features.
A properly completed app!ica£ion and a consent no inspect signed by ~he appiican~.
,- a ~a_.=_~c,~a of Occuoancv. . _s~ ce..l~a' ~'=', the Building Inspeczor shall state ~he
reasons therefor in ~icin~ to the appizcant.
~. Fees
!. Cernificane of Occupancy - New d~ei!ing $25.00, Additions to dwelling $25.00~
A!nera~ions co dwelling S25.0Q~ Swimming pool S25.00~ Accessory building S25.00,
Additions to accessory buL!ding $25.00. Businesses $50.00.
2. Careificate of Occupancy on Pre-~xiscin~ Bui!din~ - $100.O0
3. Copy of Cer=ifica~e of Occupancy - .25¢
£. Updated Certificate of Occupancy - ~50.00
5. Temoorarv Certificate of Occupancy - Residennia! $!5.00, Commercial $!5.00
~ew ~onsnruccion ........... Old O~ Pre-existing Building ..... ~ ..%~.;-~/i/..~x~
5ousa No. Street .~ Ha~e~
:oustF ~ N~p ~o ~000, Se~:~o~. .......... . ......... ~oc~ . ...... .~o~ ......................
jubdivision .................................... Filed Map ............ Lot ......................
ermi .... 3. .....of ?ermit ................ .,pplica= .............................
:{ealuh Dept. Approval ................ ~ ......... Unde:~riners ~pprovai .........................
-'%anning Board Approval ........................
esues~ for: Temporary Carnificate ........... Final Certicate ...........
Submitted:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 17, 1996
Mr. Joseph Hydell Jr.
325 Oak Avenue
Southold, NY 11971
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
not on file. (Enclosed)
No Underwriters Certificate on file.
xx 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 # 23241-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWNBUILDING DEPT.
],
FOU~'tD^'[' I 0/I (2ND) ff
I'I,IJHll I N(: ............ Jj ............................................. : .....................................
IN.c;IJI.ATIOI'I I'I~:R 1'I. ¥,
STATI':
1~ I NAI,
AI)I)IT I()N^I. COt-II-ll~.lf ['S:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] I~
[ ] FRAMING ~...-.],"FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .~~/~_~ ~
8LDG. DEPT,
~ORH NO. I
TO!~I OF SOUTHOLD
BUILDING DEPARTHEI~T
TOI/N HALL
SOUTItOLD, N.Y. 1197 I
TEL: 765- 1802
BOARD OF HRALTH ...............
3 SETS OF FLANS .~ ..... ;.,~ ....
SURVEY
Clt~CK .. , ......................
s~mc FO~ ...................
NOTIFY:
INSTRUCTIONS
a. lhls ~plicatioa ~st be c~mpletely filled in ~ ~ite~ m in i~ ~ ~tt~ to
3 ~s of plus, ~te plot pl~ to ~ale. F~ ~i~ to ~le.
b. ~ot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lati~ip to ~joini~ p,~d~s e ~llc
s~ts or ~, ~ givi~ a ~t~l~ ~ri~i~ of l~t of ~ ~t ~ ~ ~ ~ di~ ~i~ is
~is ~li~ti~.
c. ~ ~ ~r~ ~ ~is ~licati~ ~ ~t ~ ~ ~[~ is~ of ~ildi~ Pe~t.
d. ~ aw~ of ~is ~li~ti~, ~ ~ildi~ l~tor ~11 is~ a ~ldi~ ~t to
e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~t ~ ~ ~ ~at~ ~tll a ~rtificate
~ ~1 ~ ~ ~t~ ~ ~ ~ildi~ I~t~.
~I~ I~ ~f ~ to ~ ~ildi~ ~t f~ ~ isle of a ~ildi~ ~t ~t to t~
~ldi~ ~ ~ of ~ ~ of ~ld, ~folk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~e~
~lati~s, ~ ~ ~t~ti~ of ~ildi~, ~iti~s ~ ~terati~s, ~ for ~1 ~ ~llti
~i~. ~ ~li~t ~s to ~ly ~ ~1 ~li~ble 1~, ~i~es, ~11d~ ~,
~ati~s, ~ to ~t ~i~ i--t~s ~ p~d~s ~ in ~i.~~~ ~~
~ili~ ~s~ of ~li~t)
~, l~s~, ~t, ~it~t, ~i~r, ~r~ ~t~t~, el~trici~, pl~r ~ ~il~r.
5tare
~t~r
(~ ~ fl~ t~ ~11 ~ latest ~) '~ · ..
I[ ~li~t is a ~ti~, si~ o[ ~ly ~i~ o[[icer. ' NOTIFY BUILDING
, 76~-~802
-: .......... : ..... : .............. :'": ....... ~:v'~'~a~:~v 0~ ~o~o~,.~
(~ ~ title o~ ~te offl~? t.,,,l~,i~ ~'i~ 1. FOUNDATION . ~0 REQUIRED
El~trici~ Li~ ~ ............... i~;~*' '~%~'~ ~ ~ a a ~ ~*~ THE REGUIREMENT~ OF
I. ~i~ of 1~ ~ ~ ~ ~ ~11 ~ ~ ................. R ~N~-~RW
..... ~. .............................. ~ .................................. .~ .... ~ .......... ~ ~. ......
~ ~r 8t~t ~ i ~et
~( ~ ·
4~~. ~ ~,i~ .Z~-....... ~ ..... .. .........-~, ...... , .........
~ivisi~ .............................. U' ' ''~ ~i1~ ~ ~ ................ ~t ...............
a. ~sti~ ~~ ....... ; ....................................................................
b. ~t~ ~~ .................................................................
3. klat~lre of ~ork (check ~hich aPPlicable) :i Ne~ Buildinti. ..........
......... ~,,~i~ ............ 0~ ~
~ir .......... ,. ~at~"~ ~
4. Esti~ ~SC ................ ~ ........ f~ .....................
, (to ~ ~id ~ fili~ this a~li~ti~)
5. If ~lli~, ~r of ~lli~i~s ............ ~r of ~lli~ ~mi~ ~ a~ fl~r ................
If ~ra~e, ~r of ~rs ..... ~ .......................
g. Ii I~i~ss, ~rcial or mi~ ~a~, s~i~ mmre ~enC of e~ ~ of ~ ...... ~.~',i,~ ....
............ ...... / ...........
Olm~l~ o[ ~ stature ~i~h a][era~i~ or ~i~i~s; ~C ............... ~ar .........
~p~h ....... ,.., .... ,.,~. ~i~ .................... ~r of 8~ories ...............
8. Dim~iam o~ entire ~ ~st~[i~; ~C ........ · · · ,. . . . ~ar ............ ~pfl~ .....
mi~ ' i
.... ~ ~ ~ .... .~-j ...... ~ .......
Il. ~ ar ~ d~str~cc m ~t~ ~i~a ara ai~t~ . ~l
12. ~s pro~ m~n~ti~ viol~m ~ ~i~ 1~, o~i~ or
[~. ~111 loc ~ ~ ,~,.,.,.~ ....... , Nill ~sa fill ~
~ of ...... ~, · ·- ..................... ~ress ....................... B~ ~. .
15. ,Is fids p~r~m~n ~ f~ o~ a ti&t~tl~7 *~ .......... ~ ........~ ..
: PLOT BIAGR~
~aee el~rly ~ disti~el~ al~l ~ildi~, ~r ~isti~ or pro~, ~ tMi~te 011 ~t-~ d~ions
~ pm~r~ li~s. Gi~ at~t ~ bl~ n~r or ~aeriDti~ ~m~ing to
~ttmr interior or m~r lot. ~ / ~ o t
i
~'* ................. ~,;.~ .................... l~i~ ~ll~ ~m, ~s ~ ~s ~1~ he ia ~he a~li~
of ~id ~r or ~rs~ ~ ts ifly'~fl~riM to ~rfom or I~e fa*a~ the ~id m~ ~ to ~ ~ file fi'ds
a~licati~; flint all a~t~gs ~t~l~ in ~ia a~li~ti~ are to
tlmt tim ~ ~11 ~ ~rfo~ in ~ ~r ~ forfl~ in tim a~lieati~ fil~ ~r~ifl~.
...... ~!~ ; , ___ ~._. ~._
......... ,, ...... ,,~t.,, ~ o~ ~,~~ ....... 19, .~.,..
~ ~ ~. c~~ ~, 'o, StateofNew~
~' ~- ~ -- ~ _ ~o:~==~3. s~,~,~...~.; .................