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HomeMy WebLinkAbout23009-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z--24003 Date NOVEMBER 2t 1995 THIS CERTIFIES that the building Location of Property 350 K~TNNEYS RO~D House No. County Tax Map No. 1000 Section 59 Subdivision ACCESSORY SOUTHOLD{ NEW YORK Street Hamlet Block 3 Lot 33 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 5~ 1995 pursuant to which Building Permit No. 23009-Z dated SEPTEMBER 12~ 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 STORAGE EkU~U AS APPLIED FOR. The certificate is issued to CORI & KAREN LANG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/a N/A Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ $OUTHOLD, N.Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED~.~ ~oo~ z ~'~ ................. ~'~ ................ '~'~'"'"~' .............................................................. ~~....~..~,_,_ ............................................ CountyTaxMapNo. 1(300 Section ........... ...~'...?., .,, Block .............. ~ .......LotNo ........'~.......'~.. ............. pursuant ,o application dated ........................... '/"~ .,,-~,......~'~...., 19....~..~and approved bythe Building Inspector. Fee $....,m"f..?(., .............. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Cod ,md 9care,~ ~ P. O. Box 1083 Cutr..6.ogue, NY 11935 APPLICATION FOR CERTIFI~A~oo~C'~O~(~N~Y This application must be filled in by typewri~'~ ~nk:an& ~ubmitted to the building inspector with the following: for new buildirrg-.~o.r ne~ use: 1. Final survey of property with accurate ioc~t~oh of ail 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 tire 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 bnildings and "pre-existing" land uses: 1. Accurate survey of property showing ali. 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. ~I.jScertificate 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~ Buildine - $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 '-~P~ Date .... Z(? .[q~. ~. ] ]/~]~.~. ] .................... New Construction..:~... Old Or Pre-existing Building ....... Location of Property... ~] House No. Street Hamlet Onwer or Owners of Property .......... .... .... .ot .?.3.... County Tax Map No 1000, Section .... ~ ........ Block ..................... Subdivision .................................... Filed Map ............ Lot ...................... .G.o.p.', Permit No.'~..~...~..?.~..Date Of Permit...~/. ............ Applicant ......................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submit ted: $.. .............' A LIOA T ............ ' ' 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 October 12, 1995 Mr. Cori Lang P.O. Box 1083 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23009-Z Please contact our office on this matter. cooperation. Thank you for 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 October 12, 1995 Mr. Cori Lang P.O. Box 1083 Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: xx An application for Certificate of Occupancy 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 % 23009-Z Please contact our office on this matter. cooperation. Occupancy is Thank you for SOUTHOLD TOWN BUILDING DEPT. FII~I.D I"~PECTION R~PORT DATE COMMEIfl'S ~ C FOllNDATION (IST) r0UNnATION (2Nh) z ROUGII FRAME & ' PLUHBING INSULATION PER N. Y. STATE ENERGY ADDITIONAL COMMENTS: 7~5-1802 g AM ~ ¢ ~ FOR E ~OMPLETE FOR ALL 60~STRUCTION SHALL THE REQUIREMENTS OF THE N. STATE CONSTRUCTION & ENERG CODE N~ RESPONSIB~ F0 DFRI~ OR ~RU~ION ~RO t"' E~V D // 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. 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 The The High Sic e 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 REMARKS: ] ROUGH PLBG. [[ ] INS~U~TION [ ,/J' FINAL DATE INSPECTOR ~/~~ ~ FOI1M FI(). I TOWN 0[: SOU IlIOLI) BUII, DIN(; IDL:PAI] IMISNT ~- TOWN IIALL / / SOUIlIOLI),N,Y, 11971 I~xamiued 19~-- ' ' l)iSalqU eyed a/c ................................ ~ .... ............. .- .... ........................ ; ' AI~;A'I'ION FOIl [tUILDIN(~ PEI1MI]' 3 SETS OF ['I.ANS ....... SIIllV£Y ................ CIIECK ......... ~ ....... SEPTIC F D [I. II ........... INSTI~,IICTIONS Il. 'l'his aPlflicalion musl. be Conlplelely [illed ill by lypewrller m' hi ink ami sUlmlitled to Ihe lll]ihli,g lnspech~t, wi sdsofplaus,~ccmaleldol plm~loscalm Fee nccmding lo schedule. or aleaS, and givin~ n dehlJled descdlflion oF Jayotll gl pmpedy musl be dlaWii Oll Ihe cliaguml which is pall el this C[llJOll. c. The wink cove~ed by lifts aplfligalion may riel be oommenced befm~ issuance el lluildin[ Pemlil. d. Iipon apl~mwJol'llftsaplJlicaiJm~,lhe lluildinBlnspeclorwillissued alhfildin[Pemlillolh~applicanl. ~uch pe shall be kepi on the inemises nvnilable fin inspection flu'ouglmul Ihe wink. e. NO btlJldilq~ shall I)e occupied m ilSed ill whole or in pail I'or lilly pUlI)OSB whalever unlJl a Celti~cale of ()cc~lp shall have been g~anled by the lluilding h~sl~eCtOl'. API'I.ICATION IS III]RIHIY MAI)Ii lo the l}uiJding l)~palinlOIIJ [01 [Jl~ issuance O( a JluiJding P~lmJJ J)lllSilalll JhfiJding Zmm Oldinanca or Ihe 'J'OWII (1[ Soulhold, Suffolk Colllliy, New Yolk, ami [)Jh~l' npplicM)le l.aws, ()ldJlIilIlC lielptJatJmls, [ol (he OOllSlltlClJoll el I)uiJciingL ri(billions or nllmnlions, or for lemoval ~ ~' (IclIIOIiIJoII, ns helein descd 'lhe aplflic;m agrees Io comply wilh all ,plfliuable laws, o~dinanc~s, building code, housing code, and ~elpflal,)ns, lldlllJJ nulholJzed illSl)eC{OIS 011 plOIIliSOs alii( ill buildi,g fm tlecos~aly JllSlleClJOll~, · ~ (Signalme el applicant, or name, i[ a COl polalJoll) (khuue and lille elf COlllmnl¢ oil(ceO lluihh!l's I il:cnse No .... ~~Z'~ ~'~ [ Im,bel s I.icense No ......................... l:Jet h'ci i s Lice.se Ho ....................... ()lher 'll,de's l.ice,se No ...................... I ot:aliml el hltJ(J Oil which ploposed ,,vmk will bc done .............................................. .... s.o .................. i..: ........... ........... I louse Number Sit(el Ih. nlet Subdivishnl Filell M;q) N,~) ............... Lot ........... (Name) ~ - .. (I)cscliption) .................................... Fec ...................................... . II gaiag~, immt)~r o[c[t~s ................... , .................................................... ?. I)inicllSiollS ol'exJsJill~ ~JlIIC(III~S, il JJJJ~: l~lonl ............... l(0ar .............. i)uplll ............... IleiBhl ............... Nunlb~l o[ SIo~ics ....................................................... J)illlCllSJOllS o[ SJ[lll~ sJl'Jlc~Ll(e wilh llJlelllliolls ur midi(ions: i;lOll( ................. Nc[if . ................ DcpJh ....................... lJeJ~hl .................... ..,J'hlmbcl o[SlOlJeS ..................... Ileighl ............... NJllllbel o[ Slolios ....................... ~ ............................... g. Size ()J' J~)J: J JL]JJ[ ......... ............. IL~a~ ...................... J)~l)lh ..................... I(], I)Mu u[ Pillchns~ ............................. JqilJli~ O[ ~;Ollii~l OWiI~r .......................... ~ , I 1. Zm~o o~ usC dislHcl in whJ~Jl JIIOIllJSCS [lI~ siJ~lill~[J ................................................... .. ii. Will Iol b0 le~lilti~tl ....... ~ .................. Wilt uxeuss [~ll be iBiiIOVUii [[()JJJ Jlft]lllJSos: YeS (~ J4. ~Jitlil~ of ()WtI~I' O[ J)lelllJS~S ........... t ........ Add[~ss ................... lqlone NO ............... Jqillli~ iii' Architect ........................... AthJiess ................... PIItiIiI~ J~(I ................ IIilIIIC O[ ' ' . Ad~Jlgss ................... l JlOll~ Nil, 15. I~i lilJs j~l:opel'L~ i~JiiJill '~()0 [eel o[ il LJdili I~eLilmd?. ~Ye8 ........ I'h~...~ .... PI.OT I)IA(iRAM ] (iclll~ [;JcnlJy [llliJ dJslill[:lJy nil I)uiJdill~s, wJlelhef exislin~ or ploposed, illlil, iudJcal~ all s~t-back dilllellsiollS Il(il plUlU.'.lly lines. Giw slrccl ami bk)ck i,,tlmlmt or dcs,.:liplion accol(.l)ng !il (Iced, S'I'A'I F. C) F HI:,W YO f,K, S.S ~. '()lJ N I'Y OF ................. .......... ~.~. ! . . ~ ........................ bciitg duly swo~n, deposes nnd s~tys Ihal he is the applit' (N;unc of individunl siglling c<mtrnct) .. .... ........................................................... ' ........... (Conhneh)i, nB~nl, cofpo~n[~ ol'[i~l, cia.) <)1 snid owne~ or own~ls, ~nd is duly nulJioli~ml ~) i)~t[o~nl or hnv~ p~l[Omiml Ih~ snid work and Io m~k~ ~md lil~ api)liualion; Ihal nil shH~m~nls conlnim:d Jn Ihis npl~licalion 5WOIII I0 J)eJolo II1~ this ~o ~B~2248, Suffolk