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Home My WebLink About22996-zFORM NO. 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23949 Date OCTOBER ~2~ 1995 THIS CERTIFIES that the building 445 BENNETT LANE & Location of Propert~ 800 CUSTER AVENUE House No. County Tax Map NO. 1000 Section 70 Block Subdivision Filed Map No. ACCESSORY Street Hamlet 9 Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2Bf 1995 pursuant to which Building Permit No. 22996-Z dated SEPTEMBER 7¢ 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 ACCESSORY S~ED IN T~ REAR YARD AS APPLIED FOR. The certificate is issued to ~RLES FAR,ELL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. l/B1 N/A Building I n~ec~or / FORM NO.,~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOII~/N HAU. $OUTHOLD, N.Y. N.o 22996 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............................................... 19 ........... Building JnspectoJ. ....... /J "Building Inspector Rev. 6/30/80 ~ TOt. IN OF SOUTHOLD .~/ ~--~ '~ BUILDING D~?ARTllENT ~~[/~z~_.~ A TOWNHALL 765-tBO2 This application must be filled in by typewriter OR ink and submitted to the building inspector =ith the following: for ne= 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 t~nter supply and se~erage-disposal(S~9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn ctatement from plumber certifying that tbs colder uced in systmm contains iecc than 2/IO of 1% lead. 5. Commercial building, industrial building, multiple reside,cee and similar buildings and installa'tions, a certificate.of Code Compliance from arehitsct or engineer. responsible for tbs building. 6. Submit Planning Board Approval of completed site plan requirements, For existing buildings (prior to Aoril ~, ~957) non-conforming uses, or buildings and "pre-existing" land us~s: 1. Accurate survey of property shut, lng all property lines, streets, building and 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 ~riting to ~he applicant. Certificate of Occupancy - Ne~ d~elling $25.00, Additions to dwelling $25.00, Alterations ~o duelling t25.00, Swim,,in~ pool $25.00, Accessory building $25.O0, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildilm - $100.O0 3. Copy of Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.O0 5- Temporary Certificate of Occupancy - Residential $15.00., Commercial $[5.00 a ' n~ rop y ....... ~ .................................................................. ~ouse No. Street Hamlet 3nwer or Ushers of Property. C~.~.~.'~-. .. -I~.--f~.~.{~v..f~'. ............................. County ,sp ,o OO0, . ec,io,, ..... 70 ...... ...... ........ ............... Subdivision .................................... ~i [c/J Hap ............ Lot ...................... Per,nit No. ~...~.~..~---~...Dot:e Of Permit ...... Dept, Approval .......................... Umiartoriters Approvul ......................... '[annin§ Board Approval ........................ "squest for: Temporary Certificate ........... Fi,m! Certicate../~d. ..... -ee Submitted: S..-z. ~. r ......... 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 September 29, 1995 Robert Bohn Contracting P.O. Box 55 Peconic, NY 11958 Re: Prem: Charles Farrell - SCTM#1000-70-9-20 445 Bennett Lane, Southold NY 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 22996-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1m)2 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]l~o~ ~,'4=INAL DATE BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY ......... TOWN OF SOUTHOLD CHECE .......... BUILDING DEPARTMENT SEPTIC FORM ..............- TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL ...... MAIL TO: Date .................. , 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Ir~spector, witl sets of plans, accurate plot plan to scale· Fee according to sckedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stm or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl 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 pew shall be kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, b!pilding code, housin..g~ode, and regulations, and admit authorized inspectors on premises and in building for necessary i~pection~ ~ ~ I,~/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer out ectrician, plumber or builde · ............................................................................... Name of owner of premises .. ~-~ .~.~..(:-..(~.....~(~t.~ · ./~...(~.. ............................................ (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , ALL CONTRACTOR'S MUST llF~ ~qUFFOLK COUNTY LICENSED Builder's License No ..... .~'.~..'~,/~'[~..}7{ ~ ........ Plum bet's License No ......................... Electrician's License No ....................... AU6 2 8 1995 Other Trade's License No ...................... I. Location of land on which proposed work will be done~ ...................... } ..... t' .................. House Number Street Hamlet County Tax Map No. I000 Section ..... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~..~1..~.(.~-~ .... .~..~.../.t~.~. ...... j~... ~..C~..[..,~J.C~. ....................... b. Intended use and occupancy . · .i.'.'.'.'.'.'.'.'.'~..~'~..: .................................................... J. Nature of work (check which applicable): New Building . .~.~....~... Addition .......... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. 1~-~~oo (Descr~plion) 4. Estimated Cost .... ~ ............................... Fee ..................................... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cars ....................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dknensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 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 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......................... r ..... 13. Wi/l lot be regraded ............................ Will excess fill be removed from premises: Yes N9 14. Name of Owner of. premifes .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No Name of Contractor .......................... Address .... : .............. Phone No ................. 15. ks this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLO~f DIAG KAM Locate clearly a~d distinctly all buildings, whether existing 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 interior or comer lot. STATE OF NEW YORK----. S.S ........ ~ ,zl 5.-4.~ .(~ ..... ~ r; .o. r%-..'~ .~q~. ......... being duly sworn, deposes and says that he is the applicant (Name of indMdual signing contract) ~bove named. ~ntrnct or ' is the , apent, corporate officer, etc.) said owner or owners, ~d is duly authohzed to .pplication: that ali statements contained ~ this application are true to the best of his knowledge and belief; and that the york will be perfo~ed in the m~ner set forth in the applicadon filed therewith. ;worn to before me this ............. ~-~ ¢~,k · · .day of.. NuVo, f Public. State of ~i.';~ York / / IG'~ 0 APPROVED AS NOTED DAT~: ~.p.# NOTIFY BUILDING DEPART'MEN* AT 765-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. RDUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY