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Home My WebLink About23282-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24458 Date J~RE 25, 1996 THIS CERTIFIES that the building Location of Property 2565 VANSTON ROAD House NO. County Tax Map No. 1000 Section 111 Subdivision ACCESSORY Street Hamlet Block 6 Lot 7 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 1996 pursuant to which Building Permit No. 23282-Z dated M~RCH 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 REP~ YARD AS APPLIED FOR. The certificate is issued to KEITH T.- DOLAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEllON OF THE WORK AUTHORIZEDI Date ............. ~.~.,. ................................. 19..,.'~.~.... 23282 Z Permission Is hereby granted to:. ../...~. ~....~/~ ...... · .,. ~.~.~.~. ........... ~/...././.~? ~o ...... ~,..~..~ .............. ~ ........... ~,..~,~. ......... ~~.~......~-~ , ......~ .......... ...~....-~....~......~~ ............ ~......./......~~ .......... ~..-~ CountyTax Map No. 1000 Section ...///.~'.. .............. Block ....... ~..~,,. ........ Lot No....~..~.. ............... p,~rsuan, to o,~p,,oa,,,~ do,ed .......... ~ ........ ~ .................. ,~.....z?.~.., a~d a~ro~ed by,- Building Inspector, ~ee~ ....... 7~.~.. ~lnspector Rev. 6/30/80 L BLDG. DEP'f, TOWN OF SOUTHOLD Nc. 6 OF SOUTEOLD 765-;-802 _. :._~== su_--vey of properly %--'~h assuraus iocauion of all buildings, properuy !ines, ......... ~ ~ f~) Approval of ~ ~--'~ ~ ims~zlLa:ion from Bo~d of Fire Unda~!:ars. lass :kan 2/i0 of ~% ]=~ ~ C~arzi~ ou_!~g, ~us~rL~ outing, mu]~Di= -=~&enc~s and $~mylzr buiidi~zs 6. Sub~: P!znn~g Board ~provg of ao~!auad size p!~ requir~enus. ..... ,_s~--= ~ -~- AprLi ~, !.°57) non-conro~i~z uses, ^r :u~dTM and _. ....~. p=ope__..~v comuiauad. =pp___a__on- ~'~ ~ and a cousan: no inspaci slued by. ~he aooLiczn~.. . Car~fdca~s of Occupancy - New dwe~iln~ ~a3.O0, iddi:ions :o _wa .... = S~,OC, ' '~o S25.00. S~- ,-~,,,fng pool . kd¢i~±ons ~o accasso-~-i buLidLng S25.00. Bus~.assas $50.00. Car~iSiaaus of Occupancy on ._e--~x_=__n~ 3ul~c~n~ - ~00.00 Copy of Caruifica5a of Occupancy -. .25c Uodaza~ Car~±f±caua of Occupancy - Temporary. . '~s ..... =-_= of 0ccuDancr. . - RasLdeno±a! ~_~'~.00, Commercial '~: 00 ~--~-.~.4 .......... ~o..s._uc__on ........... Old Or Pra-~-~s~dn~ 3udid±~ ................. o~ ~ropa=:~..: ...................... ~I~..~ ..............¢~u~%~g~ ..... ' ...... ~ouse No. S~rae~ ~a~e~ 3nwer or Owners of Proper:y ..... :o~::y :~--x ~ap ~o ~.000, Sas:±o~...~,.O0 .... ~lo~..06:.00 ....... ~o~..O0:7'.~Y'--)O./ ..... far. hAns Board Approval ........................ .aquas: for: _-emoorarv Carnlflcana ........... Final Car%~caie ........... · ~0.. ........ ............. 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 June 5, 1996 Mr. Keith Dolan P.O. Box 319 Cutchogue, NY 11935 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 # 23282-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUtlI)~T I OII (2HI)) ItOIf(;ll F'I{AHI~, & PI.IJHB ! I lj.c;Ijl.^T]OFl ]'F,R I!. Y . S'I'A TI~: (~01)1~, F I II^ I. Al}l) IT I Oil^l, (;I,)l-II:ll[lt'l',S: 65~ .LOq 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INS~LJL~TION FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE .,INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG, [ I FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS'-,~ /-~"/'~*-~ ~ DATE INSPECTOR ~ 765-J.802 / BUILDING DEPT. IN PECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE FORM NO. 1 " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... . (134il¢,fi~g ~spector) APPLICATION FOR BUILDING PERMIT 3 SETS OF PLANS SURVEY CIIECK SEPTIC FORH NOTIFY~ CALL HA~L · .2.3 ............. TO: Date ................... 19... INSTRUCTIONS ~. This application must be completely tilled in by typewriter or iu iuk and suNnitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 1,~. Plot pNn showing location of lot and of buildings on premises, relationship to adjoining premises or puhlic streets or areas, and giving a detailed description of layout of property must be drawn on the diagrmn which is part of this appli- cation. c. The work covered by this application ~nay not be comtnenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on tile 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 MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zoue Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinmlces 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 regulafions, and to admit authorized inspectors on premises aud h~ building for necess~ry,2nspections~q ~ ~ ~ )(.. ...... .7,'. ............ ~ v(Signature of applicant, or name, if a corporation) ' .... ~..~.:..t5~....:54..5... (Mailing address of applicant) /[~.~5~~' State whether applicant ~essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. I~-~..'~. J~...~.:. '~7 -)~ ........................................... (as on the tax roll or latest deed) 1£ applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) l~,i,der's Lioc,,se ~o... { 5,..~.7~-'.q-g .......... l)lumber's License No ......................... Electrician's Liceuse No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ................................. Y .,~...~.os.l .................. .6~.,:r .a:t...c~..o~ .................. tlouse Number Street Itanflet County Tax MapNo. 1000 Section .../].[. ........... Block ..... ~ ........... Lot...~ ............... St, bdivisiou~.~t.g~O"~'" Filed MapNo...~ ..... Lot.~ ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existiug use and occupancy ~~ ..................................................... b, luleuded uso and occupancy ..... i~: ,,,,..5, ~i. ~',. 5 5.: ,~.t ,.~ ...................... 'X 3. Nature of work (check which app!icable): New Building ...... Addition .......... Alteration ...... ' P, epair .............. RemovM .............. Demolition .............. Other Work ............... ~ .... (Description) Estimated Cost ./J[~ : 4 .................................. Fee ...................................... , -- (to be' paid on filing this app. lication) 5. If dwelling, number of dwelling units .... ~..A ..... Numb6r of dwelling units on each floor· .~.S/47., If garage, nnmber of cars . .-'~. ~.O.... ' ........ If business, co~n,nercial or mixed ~ccupancy, specify nature and extent of each type of nsc .t~.L4 ............... 7. Dimensions of existing stmctures, lif any: Front ............... Rear .............. Depth ............... Ileight ............... Number of Stories ........................................................ Dimensions of same structure witli alterations or additions: Front ................. Rear .............. Depth ...................... Height ...... ' ........... '....: Number of Stories .............. 8. Dimension%. qf qntire, new construdtion', Front ,e~.~ ! Rear 2~ t . . . . . . . ~v~,..llh~,,~ . ~x~. t.. ............... Hetght. ./, .~· ......... .Number of Stories ~YS/~. ...... . . 9, S ze of ut' Front ~ ///o "~l ~"~---~ ..................... ~ '-;'~' .............. ........... ; ......... ~xu,'.,..c,-e ................ Denth .-'~'~-~-~ ..... 10. Date of Purchase .~..~... ].~:.~.L~.... ......... Name of Former Owner ~/~. 11. Zone or use district io which premises are sitnated ..................................................... 12. Does proposed constru.c.t~n~violat~ any zoning law, ordinance or regulation: ~k/~.. . . 13. Wil lot be regraded ,~..{~, ."~. i ' ' ' ........................ ·,. ,. ,>._._. ,_ · · · ._ ........ . ....Will excess fill b~,removed from premises: Ye~ 14. ~ame of Owner of pr~e}n.~es .~/:.].. ~.~... Address .~ .c'5 .~.~'~/:l~hone No 7.,-~.[- ~...~z:~...'.'.~ ~';ame of Arctitect [.u~.: Address Phc "' ........... 15. La ~tlLa property witt~n 30u feet of a tidal wetland? *Yes .... No~ ..... ·If yes, Southotd ToWn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all btiildings, whether existblg or proposed, and, indicate all set-back dimensions from property lines· Give street and block number or description according to deed, and show street names and indicate whether iuterior or corner lot. ~TATE OF NE~YOtlI, K, , ,,OUNTY OF .:7!4 ~'.)r~.LJ(~- ..... S.S' ....... ~..~., .~.: ~_¢Z.~..~. ............. being duly sworn, deposes and says that he is tile applicant (Name of individual signing Contract) lbove mnued. f-lc is tile ............................ orporate officer, etc.) ~f saki owner or owners, and is duly authorized to perform or have performed the said work and to make and file this q~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that tbs ~ork will be performed in the manner sell forth in the application filed therewith. ~woro to before me this ........... . qotary Public, . .... ~~~~., 1.... I~rm [~ Mabel. 1~ ~~' ~~nre of ap;l~cant)