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Home My WebLink About23010-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23868 Date SEPTEMBER 13~ 1995 THIS CERTIFIES that the building. ACCESSORY Location of Property 900 YENNECOTT DR.& S0 TU"Z"BILL RD. SOu"£~OLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30~ 1995 pursuant to which Building Permit No. 23010-Z dated SEPTEMBER 13f 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 POOL S~n~u IN REARYARD "AS BUILT" AS APPLIED FOR. The certificate is issued to AR'£~UK H. STEWART (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-355678 - SEPT. 13f 1977 N/A ilding Inspec~r ~ FORM NO.3 TOWN OF $OUTHOLD BUll. DING DEPARTMENT TOWN HAU,. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN~IL FULL COMPLEQON OF THE WORK AUTHORIZED) N? 23010 Z Permission is hereby granted to: ......... P.O. Box 1181 Cutchogue, N.Y. [ 1935 t Accessory Pool Shed in rear yard "as built" as applled for at premises located at .......... ~.0..0... ].e...~.~ .e.~ ,c... ~.;....&....8..0...~.u.~}}.?_....R..d. :. .......... ~.o. ~..t.b...o.?_..d. ~....~..: !.: ......... Courtly Tax Map No. 1000 Section .......... .5..5. ........... Block .......... .6. .............. Lot No .......... ,7 .................. pursuant to application ,dated ........ .A..u.~B~...s..t:....3..9.t .............................. 19...~.5.. ........ and approved by 1he Building Inspector, 35.00 Fee $ ......................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 18 3 0 1995 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 (prigr to April 9, 1957) non-conforming uses, or buildings and Upre-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 6f Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Coramercial $15.00 Auc~st 29, 1995 "As built" 4x6' detached shed Date .... ~ .................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property..?99.Wg~n~99~... ........ ~¥~ ~.~.t~.~ Ny. .................................. House No. Street Hamlet Onwer or Owners of Property Arthur H. Stewart County T~ ~p No 1000, Section..gP~%99 ...... Bloc ..q ..qq ......... notPP, l-PP. ............. .. Subdivision ..................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certifisate ........... Final Certicate .... x. ...... Fee Submitted: $...25..00. . ~ ~ ~ 0 ~£~ R~ A~?LICA~r l Y~NNECOTT ,.T._.F~T NOLI~ SUFF. CO. DEPT. OF HEALTH I~ERViCl!:8 ...... STAT£MEI~T or INTENT FOR APPROVAL OF CONIJT~UCTION ONLY DENC~: WILL CONFOR~ ~0 tftE Examined ~J~,,..[~,~, . . Approved ~{5~:.. ~ .~... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19..~. Permit No.oT.~O.lO..~.... Disapproved a/c ................................ ~ ..;. ~OAED OF 3 SETS OF Pi'-ANS SURVEY CIIECK .................. NAIL TO: (Buikii eton) APPLICATION FOR BUILDING' PERMIT Date . .A.u. cy4s...t..2.9. ........ 19~.5. INSTRUCTIONS j a. This application must be completely filled Jn by typewriter or in ink and submitted to the Building Inspector, with s~ts 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 st?ce ~r areas, and giving a detailed description of' layout of property must be drawn on the diagram which is part of this app cation. ¢. ' The work covered by this application may not be commenced before issuance of Building PermiL d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the 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' Occupanc 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 tl Building Zone Ordinance of the Town of South01d, 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, building code, housing code, and regj:~lations, and t admit authorized inspectors on premises and in building for necessary inspeFbi,ons. ~ .. ' I'. ' -- (Signature .of applicant, or name, if a corporation) Drive 900 Yennecott ;g~, So~u.t~.old, NY 11971 ' ' ~ (Mailing address Of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'con~:r~actor, electrician, plumber or builder Name of owner of premises .... Ar. th.ur. B... S.tewarL ..................................................... (as On the iax roll or latest deed) If applicant 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 ...................... Location of land on which proposed work will be done .......................... : .. 900 Yennecott Drive, Southold, NY 11971 House Number Street Hamlet County Tax Map No. 1000 Section 055.00 Block 06.00 ' Lot. 007.00 Subdivision Filed Map No. Lot (Name) State exigting use and occupancy of premises and intended use and occupancy of proposed construction~ a. Existing use and occupancy .... QO~f~0il~ ~esidanca ..................... z ....................... b. Intended u~and occupancy one-~amily residence '3. Nature of work (check which applicable): New Building . ~ ........ Addition .......... AJteration ....... Repair .............. Removal .............. Demolition .... : ......... Other Work ............. 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 ............... Rea[ .............. Depth ............. Height ............... Number of Stories ...................................................... DLmensions of iame 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 ..................... I0. 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: ............................... 13. Will lot be regraded ....... '. .................... Will excess f'fll be removed from premises: Yes N 14. Name of Owner of premises ............... ~ .... Address ................... Phone No ............ ;.. Name of Architect ........................... Address ................... Phone No ............... Name of Contractor .......................... Address ................... Phone No ............... 15.' %~ 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 ali buildings, whether existing or proposed, and. indicate all set-back dhuensions fror property fines. Give street and block number or description according to deed, and show street names and indicate whethe interior or coruer lot. See survey OCCUpANcY OR USE IS UNLAWFUL WiIHOUI CERIIFICATE OF OCCUPANCY If copper tubing is used. . for water distributing system; pipir~l shall be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED AP,PgqYED AS NOTED ' ,~,bn~v ~u,uOINo O~RT~ENT ~ 7~5 (gO2 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTiONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING .& PLUMBING 3. INSU~ON . 4. FINAL - CONSTRUCTION Must BE COMPL~E FOR C,O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION ~ ENERGY CODES. NOT RESPONSISLE FOR DESIGN OR CONS~U~ION ERRORS STATE OF NEW YORK, COUNTY OF..~..u~.~ ......... s.s ARTHUR H. STEWART ........................................ · ......... being duly sworn, depose9 and says that he is the applican~ (Name of individual signing contract) above named. He is the . .~. owner (Contractor, agent, corporate officer, etc.) af said owner or owners, and is duly autl'~orized to perform or have performed the said work and to make and file thi: ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that th~ ~ork will be performed in the manner set forth in the application filed therewith. eworu to before me this