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HomeMy WebLinkAbout23296-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC~PANC~ No Z-24338 Date MAY 6, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property E5 HARVEST LA. & 33610 MAIN RD. House No. Street County Tax Map No. 1000 Section 97 Block 2 Subdivision Filed Map No. CuX~HOGUE, N.Y. Hamlet Lot 13.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 1996 pursuant to which Building Permit No. 23296-Z dated MA~CE 14, 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 GREENHOUSE/HOOP HOUSE IN REAR YArD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DAVID & M~/~YET.T.~N GAMBERG N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 23296 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .......... ~ ........................................ Permission Is hereby granted to: ~ . .......~...~....~.~..~...~.~ ....... ...... ~_~~......./..~.~ ........... ..... at premises ,ooated at ................... .~...~.... .......... ~.(-'/'~~'~/~ ....................... CounlyJaxMapNo. 1000 Section ......... ..~_.....~... .... Block....' ...~.. ............ LotNo. /~.="~--...~ .... pursuant to application dated .................. ~...~-~.~..(.~. ....... 19....~..~ ..... and approved bythe Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ BLDG. DEPT. ~ TOWNOF$OUTHOL_D T~is application mnst be f~lled in by :ype~r±ter OR ±~ and submft~f~to tAe bulld±n§ ±:specter ~it~ tAe follo~±~g: for ~e~ building or :e~ use: ~i~al survey of.proper:y ~itA accurate location of all ~ildi~gs, ~ro~ert~ 1±nos, 2. ~i~al Approval ~om AealtA Dep:. o~ ~te~ supply ~d sewerage-disposal(S-9 form). 3. A~proval of eleot~ioal instal~atio~ from ~oar~ of Fire ~nderwr~ters. 4. S~orn statement from plumber cer:~£y±~g tAat :Ae solder ~sed In system contains less tAan 2/~0 of L~ lead. $. Commercial building, industrial building, mul:±ple ~esi~ences and simllar bnildings and ±n$~allat±ons, a certificate of Code Compliance ~rom arcAitect or engineer responsible £or tAe building. For e×±sting bu±ld±~gs (prior :o April 9, 1957)' ~en-¢o~forming uses, or buildings and ~. Accurate survey of proper~y s~o~ing all property lines, streets, bu±ld±ng and ~usual ~a~ural or topograpAio fea:~res. 2. A properly' completed appl±oatio~ and a consent :o inspect s±gaed by tAe aBplica~t. If a Certiftoa:e ef Occupancy is den±ed, :~e Build±rig Ins~e¢:or sAall state reasons :Aerefor ±n writing to :Ae appl±¢a~t. i. 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-existing Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - $20:00 4. Updated Certificate of Occupancy - $50.00 5. .Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............... P Y ...... ~ ..... ~;-. .... ~J ................... ~f ................ House No. Street Hamlet · Onwer or O~ers of P / ~ roperty .................................. ooo, ...... ................ ........... . . Filed Map Health Dept. Approval ........... Underwriters Approval . . Planning Board Approval .................... .. .. Request for: Temporary Certificate ........... Final Certicate .......... Fee Submitt:ed: $ ...... ,~...~.~, ~). 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 Mr. & Mrs. Gamberg 55 Harvest Lane Cutchogue, NY 11935 To Whom This May Concern: April 5, TOWN We are unable to complete your Certificate of Occupancy because of the following reasons: xx xx An application for Certificate of Occupancy is 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23296-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 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 April 5, 1996 Mr. & Mrs. Gamberg 55 Harvest Lane 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. 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 # 23296-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I;~ I II^l. mo~ .... O~ --m~ m-,~O00 ~ Pc 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~]'~NAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR HFALTH DI':.PARTMFNT-DATA FO~ A~PR0'~'L ' NOTE: d~ -. STAKE'?;',I.'~' MONU~EI RE: LOT I ; MINOR ~UBDIVI'SION' / / D GAMBERG ~ AT CUTCHOGUE ~;iTO~N OF, SOOTHOLD MARY ELLEN GAMBER6 DATE'.' JAN. 16, 1992 "SC'ALE: I "= 60' "~'! ;' 92' 0025 AFFORDABLE MORTGAGE CORR CHICAGO TITLE iNSURANCE COMPANY ~108 - 04 313) - 400 OSTRANDER AVENUE D; NEW YORK POIIH ti(}. I TO%~N OF SOIITIIOLI} BUll.DING DEP^RTHENT TOgN IIALL SOUTIIOLD, N.Y. 1191 I TEl.: 765-1802 Disapproved alt .................................. .......................................... ,~.~.'~. ....... _~'-" A~/~,ICAT1 OH FOR BI/1 I.DI IlG I'ERH1T 1 N,qTRUCT I (IH,q IIOARD tn' ... 3 SETS OF PLANS ......... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... CALl HAll. TO: .................... n. 'lhia affi~llcatt~ ,t~st Im cell)lei.ely iqlled in by tyl~{riter or'in ink a~l m~h~dtt~l to the {kdlding Ins~¢l'o¢ ~vith 3 ~ta of plans, noon,rate plot: plan to ~ale. F~ according to b. Plot plan ~i~B I~ti~ of lot a~ of lndldi~a a~ pr~ni~s, ~lationshlp to Mjoining streets or aremq, m~l Bivlt~ a (~tai{~ i~ripti~ of la~aC of p~rty .nat l~ dr~ ~ the diagr~ ~licJ~ ia ~rt of c. 3he ~rk c¢~r~l by tl~is aHilicati(m ~,ny ~t Im comet~ml I~fore isa~.~e o~ Ik~ildieg Permit. d. tll~ a~,~a{ of this nictitating, tim Ik~ihli~ ]ns~ctor will is~ a Ik~iidi~ ~mit to the a~)licant, ~ch imtmlt ~mll {m kept ~ tim p~d~a ~ailable for inal~cti~ th~t tim ~k. e. HO InHhllng ~tall I~ ~o~pi~{ or u~d in ~le or ia ~rt for at~ D~q~ ~(a~im~n:y Mmll I~e I~a g~ant~l by tim Ikdldin{l hm~tor. ~i~Af~'l'l~ IS I~l~ }~g to lin l~ihli~ l~lmrtnent for the ism~e o~ a ~dldh~ Pemit D~r~nC to tim Ikaildit~ ~m Onli~m~e of tim '1~ of ~tl~ld, ~fffi)lk ~mty, ~ York, a~ off,er ai~licd~l~ I~s, Onlimea or ~{~latlr~s, for tim ~stn~tim ol5 la}ildl~s, akliti~m or alteraCims, or far ra~al or Ch,~lition, as Imreia ~ri~l. lie applicm~t a~h to crawly with all u~{llcal)la l~o, ordina~mes, Imilding regtdati~m, at~{ to ~nit m~tlmri~l ins~tora ~s p~d~a at~l ia Ixdldi~ for ~cea~ ..... ....... : .... (~ilt~ ~lres8 o[ a~llcaaO State vhetller applic~qnt ia {~mr, le8~, agent, arddltect, engi~r, gestural c~traetor, electrician, plmlmr or I~ilder. If all,licaet is a c~rlwrati(m, M~tum of th,ly ~tla)riv~l officer. }:'~ :,~ ~ (~ [3. ~ ~ L: ........ ............................................... ' "' g[R [ 11995 8. 12. 15. ..,.,~va t .............. Ik~l Ii. Ion ............ Other E~[i.~,{~I (~>~t: ...... ~. ..... .~ ........ fee I I: ~k~lli~l~, i~,~t~r o~ ~ll h~ (mils ...... ll,,t~r o~ ~ml Ihql tmll'~ {~s ~nch fl~)r ............... If garaii~, I~l~r of cam ....... ~ ............................... I ~ I~mh~,, ~m~reia] oF ml~t ~:~qm,~y, nl~CJ 1:~ ~lure m~l exle~ oF each lyf of ~me ...................... ......... ......... ...... ~.~, ,,~ m..i~a ...... I~ ......... Size oF lot~ I~ ................ ~ .... l~ar ..... ~ .............. I~plh .................... l~tle oF l~srchat~e ................... ~ .......... 2~ or u~e district ~. ~Ich pr~.l~s nr~ ~it~oted .............................................................. I~ prolgmed c~st~:tl~ violate nn~ ~hsg l~.,or'db~:e or re~ulntl~s~ ........................ ~ o~ Cz~l:roctor ..... ~ .............. ~ ............... ~lre~s ............................... ~o~ ~ ............... 1' I.{yr clearly m~l disl:lnctly all I~llhlil Inl,rlor or cor~r lot, ,';I'^'IE O(~ {t~'~ f,. .......................... .......... '((,~X ',~, ~'"'~ '~ ''~ .... '~' '~'' Notary Public, State of f<c~ York No, 52-8 ] 25850, ~uffo k Term ~p~res ~ober (Stltl,al:m'e of fippl