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Home My WebLink About22993-zFORM E0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC]f No Z-24156 Date FEBRUARY 8~ 1996 THIS CERTIFIES that the building ACCESSORY 6850NE~4 S~FFOLKAFE & Location of Propert~ 95 DO~NADP~IVE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 16 Lot Subdivision Filed Map Nc. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21~ 1995 pursuant to which Building Permit No. 22993-Z dated BEPTEMBER 6~ 1995 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 ACCKSSORY S~n TO~ODEAS APPLIK~ FOR. The certificate is iseued to DONALD & DOREEN KIRBY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A j B6ildi~g Inspector Rev. 1/81 FOIJM NO.$ TOWN OF $OUTHOLD BUll. DING DEPARTMEI~IT TOWI, I HAIL $OUTHOLD, N.Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLEllON OF THE WORK AUTHORIZEDJ 22993 Z Count,/ Tax Mclp No, 1000 Seo~on.....~r./,,~.... Block ...... ../..~... ........... LotNo. '/ pursuant to application dated ....~./.. .......................................... 19.....~..,.,~....'~, and approved bylhe Building Inspector. Rev, 6/30/80 Form No. 6 TOWN OF SOUT~tOLD BUILDING DEPARTMENT TOWN ~LL 765-1802 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). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the 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 completed 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 properly 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. 2. 3. 4. 5. Fees 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. Certificate of Occupancy on Pre-existinz Buildins - $100.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.O0 Temporary Certificate of Occupancy - Residential $15.00., Commercial $]5.00 New Construction ........... Old Or Pre-e~sting B~'/~ing ................. Onwer or Owners of Property..~'f¥.~...~.O....~...~....~..~..~.~.~../~. .......................... County Tax Map No 1000, Section..i/..~. ....... ~]ock...~.~. .......... Lot ..... ~.l~ ............. ubdi ision m.' ............ .... ............... llealth Dept, Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final ~icate ........... ~Fee Submit t ed: $ ~'~" '~'0' ' ~' ~/~' ' '~'/' '~'~' '~-'~0~ ~ ..... .' tSL .......................... FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & :PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL CON~ENTS: 240 lb. 20 Ycar I/2" C.D.X. gn*ranlce as troll Plywood mol' self-scallng shing cs sheathing Mninlcnance Free ah,ninnm drip cdge o~ painted Country Sheds &'Gazebos A D ~slon of Katffo d s Councr~/ Flo, rl~gt, an~ ~rm, Inc. 724 ~IDDLE'COUN~Y RD. * ~GE, N.Y. 11961 (516) 924-1265 , Stan~rd Co~tmCtion& Features Ovcrhanl~ all Four sides eliminales walcr runoff AImnlnum Jalonsic windows' wit|! ,~crecns & clw~se optional windo~ choie~ of ~lom or cle~r-~csled Maintenance F~c Dnmtemp~ ~r Textu~ I - 1 I ~iding Jac~ & hende~ or ch~se Optional W~ Clap~a~ m meet all Slate Oual~ty ,s the oun~on Kiln stud PRESSURE TREATE 4"X4' foundation be~n PRESSURE TREATED 16" O.C. floor joL~t.s WHAT'S SPECIAL ABOUT KAUFOLD'S · No boat patches · DoesnLcrnck, aph[orcheck · Reslst~nyweatherortempera[ur~ , · Keep* its paint a[ leant twice as long ~, Guaranteed ,~b.~earz ~}~ Won't ~how dent$ or hammer mark~ -D'gi'~'~e~' ~nd wTJ~ L°ad Permit tees may apply. -, Written Warranty Another KAUFOLD'S Exclusive :EMP® T-11 FIR SIDIN' ~05~ ~r L ! 45 ea = 2~125 sq fZ /30. O0 -- Lo! 7/ VENUE GARAGE-' ~UBDIWSION 14AP FILED IN THE OFFICE OF THE CI-EI~K OF SUFFOLK COUNI'Y QN .Ews,oas YOUNG & YOUNG · /,4~'v'. ~0,/.~)75 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FOR: BEN MENDOZZ A LOT NO. 45 "DEEP HOLE CRE~ -row. o FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF liEALTII ..-3 SETS OF PLANS //SURVEY /~ClIECK SEPTIC FO[tH Disapproved a/c ' .................. , t mmda'mo Ip~¢ctor) APPLICATION FOR BUILDING PEFIMIT CALL ................ MAIL TO: .VS.~.~: .... .~~t~.q:.. Date ................... 19 INSTRUCTIONS ~,. Tiffs application must be completely filled in by typewriter or in ink and submitted to tile Building Inspector, wi! sets:of plans, accurate plot plan to scale· Fee according to schedule. ;b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sth or areas, and giving a detailed description of layout of property nrust be drawn on the diagram which is part of this al: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such per 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 Occupa 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apptic~able Laws, Ordinance: Regulations, for the construction of buildings, additions or alterations, orflor~emoval or demotion, as herein descrilc 'File applicant agrees to comply with all applicable laws, ordinances, builfl'ing c~ode, housing c..ofle, and regulations, and admit authorized inspectors on premises and in building for necessary (Signature of ap, t:d.i~nt, o,r'name, if a corporation) ·..~C. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electric4,an, plumber or build ............... O.~ .7~.~- ...................................... .. . ...................... .................. ('a; ;'n' ;h'e' t'a'x roll ~)~ ia't~t' 3;e'd') ...................... If aPt)licant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..... ' .................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land ou which proposed,q~kork will be d~,mb. ........................... ~ .................. ..q~ .................... 3..~..?~..~.,~ ........... ~.~,.~ ~<~. ........... Ilouse NumberStreet llamlet / Cot,nty T~.xap No. ~00 Se~,~n .... '.1;..~.. ....... Block .../.~. ........ :... Lot...(: ........... s,,,',v,s,o,,~z~r~(~ -Lzy-,,,~ ~i,e~,a~ No ............... ~ot...~.~ · "~" ...... (N'ai,~) ................ , ...... 2. State cxistiug use and occupancy of premises and i~tended use aud occupancy of proposed construction: a. Existing use and occupancy ..c?..g~J.:....,....~..,.,-.,.t.:..[....- ............ (. b. Intended use and occupanc3 ~-~ .~ .~-...C~...~..;~..~. g. 3. Nature o~ wor~c ~ n ' ' ppticable): New ~uilaing ~ .'.. Addition .......... Alteration .... ;.. 2. Repair .............. Removal .............. Dom6[ition .... : ......... Other Work .............. 4. Estimated Cost .... 9: ...... .............. Fee (to be paid on filing this application) $. If dwelling, number of dwelling units ............... Number of* dwelling units on each floor ............... · If garage, number of cars .................................................................... ... 6. If business, commercial or roi.xed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. tteight ............... Nmnber of Stories ....................................................... Dimensions of shme structure with alteratious or additions: Front ................. Rear ................. Depth ...................... tteight ........... ........... Number of Stories ........... i ......... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 9. Size of lot: Front ......... , ......... '... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ............................ I h Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .. ......................... 13. Will 10t be regraded ....... '. .................... Will excess fill be removed from premises: Yes N 14. Nmne of Owner of premises .................... Address ................... Phone No ............... Nmne of Architect ........................... Address ................... Phone No ............... Name of Contractor .......................... Address ................... Phone No ............ :.. 15. I~ this property within 300 feet of a tidal wetland? *Yes ........ No ......... '- *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~indicate all set-back dimensions fro, property lines. Give street and block number or description according to deed, and show street names and indicate wheth, interior or corner lot. STATE OF NEW YORK,~ ....,~...h~ . .OC~..~.. ~ .~.. l~. L~. .............. ......... being duly sworn, deposes =d says that he is the applica (Name of individu~ signing contract) above na~ He is the~..~* .... ~ ~. ~-.~. (Contractor, agent, cor'porate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file ti application; that ali statements contained h~ this application are true to the best of his knowledge and belief; and that t work w~l be perfomed in the manner set forth in the application filed therewith. Sworn to before me this ........ e v. oo - ..... .................. ' / N~.~i~S[atg. o~Y~ / (Signature ofapplicai