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Home My WebLink About22997-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24053 Date NOVEMBER 30t 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 28375 COUNTY ROAD #48 Eouee ~o. Street County Tax Map No. 1000 Section 74 Block Subdivision Filed Map No. NEW YORK Hamlet Lot 42.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28r 1995 pursuant to which Building Permit NO. 22997-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 ACCESSORY STOP~E SHED IN THE 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 RICHARD & ELIZABETH MEAD N/A ~/A N/A B ilding Inspector Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE11ON OF THE ~,,ORK AUTHORIZED) ................ ............................... 22997 Z .................................... . ......... '.':: ........ ::: ...... -:?".>'.~: ~ ........ ::: ....................................................... CounlyTax Map No, 1000 Section ...... :,.~,.. .......... Block ...... ...~..../.. ........... LotNo. ,,..~..~.,.:,.~. ...... pui'suant to application dated .......... .~...¢~.~.,~../..~.....~..~.. ........... 19.,,,, .,~....~...., and approved by the Building InspectoL Building Inspector Rev. 6/30J80 Form No. 6 TO~ OF SOUTHOLD ~, il I,~/ .:, : BUILDING DEPARTMENT -- TOWN HALL 765-1802 ~:9 oo5 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). 3. 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) neff-conforming uses, or buildings and Vpre-existing" land uses: I. 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. C. Fees 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-existin~ Buildin~ - $I00.00 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 .. ~./.~..~. f.~.. ~.: ........................ / New Construction..~... ..... 31d Or Pre-existing Building ................. Locatio of ..... .'°W/....'-/.['. .... ?.e .c, .o a/. t. o. ................. House No. Street Hamlet Onwer or Owners of Property.~[~A.l~Jl~l~..~.....~..~..~d ............................ County Tax Map No 1000, Section .... ~.~. ...... Block ...... .~../. ...... Lot .... .~..~..~.5 .......... gubdivision .................................... Filed Map ............ Lot Permit No ........... .~..Date Of Permit ...... Applicant. . ~ ...... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~.~.°.Q.~! ............... ~-~-- ~ " ......... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (5 t 6) 765-1823 Telephone (516) 765-1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 22, 1995 Mr. Richard Mead Box 112 - CR~4,8 Peconic, NY 11958 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 ~ 22997-Z Please contact our office on this matter. cooperation, Thank you for SOUTHOLD TOWN BUILDING DEPT. EOUGI! FRAIqE & INSULATION PER N. ¥. COD~. The The Quaker This is the roomiest shed going. It uses are anything from sales office to pool house or even studio - the possibilities are endless. AIIG 2 8 1995 Gable, A-Frame or Cottage An excellent addition to your property. Great for storage space and comes in a variety of sizes, Window is included for that extra special look Thee The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts. Dutch Barn This Colonial looking barn has enough space for the modern day homeowner, The usable space includes room for shelves, a loft, and even a work station. You'll enjoy the look and get the space, WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]..~.ATION [ ~"**J~ FINAL DATE // ///? /~%NSPECTOR /~(~~ [~ORM NO. 1 TOWN OF SOUTIIOLD BUILDING DEPARTMENT,. TOWN tlALL SOUI-IIOLD, N.Y. 11971 TEL.'. 765.11102 Exanlincd .... .?/.,~ ..... ] 9 .~'~ ' Disapproved a/c ................................ i . . :. APPLICATION FOR BUILDING PERMIT BOARD OF IlEAL'ri! ......... '"" 3 SE~'S OF PL.",,NS ......... ~ SURVEY ..-" CII~CK ................... SEPTIC FOHII ............. INSTP, UCTIONS D te .... ....... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, ~vith sets~>[ plans, accurale plot plan to scale. Fee according to schedule. b. Plot plan sl~owlng location of lot and of buildings on premises, relationship to adjoining premises or public sticel or areas, and giving a detailed description or layout of property mtml be drawn on the diagram which is part of this appl cation. c. The wink cove~ed by this application may not be commenced before issuance of Building PeHnit. d. Upon approval of this application, ~l~e Building Inspector will i~sued a Buikliug Permit to the applicant. Such permi shall be kept ~the p&emise~,~va~lable for inspection lhroughout the work. e. No b~0~,~.e~ucm,p,eg or used ,n whole or m ,n~t rot nny purpose whatever untd a Cemficate of Occupane shall l,avq{*e~ grank~Lb~ {~q0dl,!g Inspector. ~'Z[~'I~I~ to the Building Department For the issuance of a Building Permit pursuant to th ~30[h}~ '¢~0~¢1q~,,¢' ~;t,t ~e Tow,, or Southold, Suffolk Cou,,ty, New York, and other applicable Laws, Ordinances Regulations, for [Ite:cons. tm,ction ot buildings, additions or alterations, or for removal or demolition, ~s herein' describe( lhe apphcant~agTe~[O COJnply with all npphcab e laws, ordinances, building code, housing code, and tegulatlons, mid admit auUiorized inspectors on ptenlises and in building for necessary inspections. (Signature of applicnnt, or name, if a corporation) (Mailing add~ess of applicant) State whetl~eb;a4?plic~d, is :9w~ier, lessee, agent, a~chitecI, engineer, general contractor, electrician, plumber or builde * , [.~ ~ ..4 ~:~ ~ " (ason the tax toll orlatest deed) If a plica ~t. js a'ko1' 4b2h~on sJgnatule of duly authorized officer. (Name and tille Q[ corpC4aie officer) BuJJdet's License I.h ~ her s License No. ) ....................... Elect c n s Licefi~e No.! ..................... Oil e"l' adc s LicenSe No ...................... Location or InmJ on which p,oposed wotI will be done...'J~O.~.l ......................... Cc.,...gd:...q.g.. ' .&: :V:. .............. I louse Number Stleet ttamlet Cotmty Tax Map No. lOOOSec0on ...:.~..~. ........ BI-cf' ..... I ' Lot ~2,~""'. ........... . , r.. .~ ~lap No. Lot Subdi~ ision ........ ...................................................... (Name) S{aJe exJsJJllg use alld occtll~allCy Of prellliSes gild JllJelld~d use 8lid oCClljlallc}t of proposed gOlIglrtJCliOtl: a. Existing use and occulmncy ................................................................... 3. Nalmeofwork(ch¢ckwhic al)pi[cable): New Buildifig V/ Addition Alteratioa Repair .............. Rmnoval .............. Demolition .... : ......... Othe~ Work ............... . ~ ~' · (Description) 4. Estimated Cost . ~ ~ ................ Fee ...................................... (to be paid on filing this ~pplication) 5. If dwelling, mm/bet of dwelling units ............... Number of dwelling unils on each ~oor ................ . If garage, mmfimr of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and exle~lt of each lype of use ..................... 7. Dmxensim~s of existing structures, if any: Vron~ ............... Rear ............. : Depfl~ ............... lleight ............... Nmnber of S[ories ........................................................ I)imcusions of shine slruclure wiH~ ~lteralions or addiIJons: Front ................. Rear .................. Depth ...................... lleight ........... ......... ·.. Number offitories ............. 8. Dimensions ofenHm new construcHon: Frout .... lO.~. ...... : Rear ..... ~.O ........ Depth ~ .~ ......... · ~ ~ '/(~Z? ' ~ .......... Z' '} ..... ~/~ w ............. 9. S~ze of lot: t rent ..... ~ ............ ' ...... ~: . . 7 ......... ~2el tB .... ~.. 7 .............. 10. I ale of ~ mchase ............................. ~Name of Fenner Owner ............................ [1. Zoae or use district [n which premises am situated,. ~, 12. Doesprolmsedconstruction.~iphdeany zoning law, mdinanceormgtflatitm: ..~..~ ...................... ',. 13. Willlot be~egraded ........................ ~r~O i~ -- Will excess~ ~fillberem°ved from premises: Yes No Name of Architect ....... [ ~.~ ....... Address ................... Phone No ................. Name of Contracior . ......................... Add~ess ................... Phone No ................ 15. 1~ [his property w[Lhln 300 feet of a tidal x0etland? *~es ........ No..~ ..... ~[[ yes, SouLhold Town TrusLees Permit may be required. PLOT DIAGRAM Lucalc clearly and distinctly all buildings, wire{her ~xisHng or proposed, atd. indicalo all s~bBack dimensions fi'om p[ope~ly lines. Give slr¢¢t and block number or desc[iption according to de~d, aod show stm~t names and indicate whelher iu{edor or corner lot. USE 18 UNLAWmL -- OF OQCUPANCY ~o~~d ~O~ ~ 765-I~2 1. ~U"OATION ' ~0 REQUIRED FOR ~URED ~CR~ ~ INSU~ON 4, FINAL - CONSTRUCTION ~U~ BE COM~ ~R C,O. . ~ ALL CONSTRUCTION SHALL MEET ; fATE OF NEW ~?~K. , ~ ~. STATE CONSTRUCTION & ENERGY ........... : (Name of individual signing conh act) ................. ....... · ........................................' .............. (Contractor, agent corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work ami to make and file this pplication; that all statements contaBmd in this~appIication am tree to the Best of his know[edge and Belief; aml that the ~mk will be performed in the manner set [orth in the application flied therewitB. worn to before me this ~ ELtT~ETH ANN NEV~.E .... */ (Signature of applicant) Nola~ Public, State of K~ Yo~k . No. ~2-8125850, Suffolk Co~ Term ~ires O~r 3~, ~