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Home My WebLink About23079-zFOI~M NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y'. N? 23079 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Oo,.,n,¥Tc, x,~c,,,o. ~000 Sec,,o. ......... 7~. ..... ,,oo,~ .............. ../.. ........ ~o,r~o ...... ~.~ ........... Building Inspector, Fee $ ....... ~,,.. ........... Rev. 6/30/80 /.// Building Inspectg¢' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24032 Date NOVEMBER 17r 1995 THIS CERTIFIES that the building. ACCESSORY Location of Property 285 SMITH DRIVE NORTH SOUTHOLD NY House NO. Street Hamlet County Tax Map NO. 1000 Section 76 Block i Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1995 pursuant to which Building Permit No. 23079-Z dated OCTOHER 20~ 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 STORAG~ BUILDING AS APPLIED FOR. The certificate ia issued to MATT~U~W FARRELL (owner) of the aforesaid building. SUFFOLK COUNTY DBPART~NT OF HE~LTH APPROVAL UNDERWRITERS CERTIFICATE NO. PL~q~BERS CERTIFICATION DATED Rev. 1/81 N/A FormNo. 6 BUILDING DEPARTME~ TO~ ~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~C%_ Tlis application must ~e fille~ in ~y typewriter O~ in~ aha su~mitte~::~o~>le, buil~ing inspector with the following: for new building or new use: Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from ~ealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation fr~ Board of Fire U~e~riters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of ~% lead. 5. Co~ercial building, industrial building, multiple residences and similar buildings and instal%ations, a certificate of Cede Compliance from architect or engineer responsible for the building. 6. Submit Planning Board ~proval of completed site plan requirements. For existing buildings (prior 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 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.00, Commercial $15.00 Date ........................................ New Construction Old Or Pre-existing Building Location of Property...~.~.~ .~..~(~..~.,.. f~P~.%'~ ......... ~O~,/TT'f~.~.O. House No. Street Hamlet Onwer or Owners of Property .......................................................... County Tax Map No 1000, Section ..... .7.~ ...... Block .... .~.; ......... Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ J Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: Town Hall, 53095 Main Road P. O. Box 1179 SouthOidl New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING iNSPECTOR TOWN OF SOUTHOLD November 14, 1995 Robert Bohn Contracting P.O. Box 55 Peconic, NY 11958 Re: Prem: Matthew Farrell - SCTM#1000-76-1-26 285 Smith Drive North, Southold NY To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: xx xx Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Departmgnt Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23079-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. COHi'I E H'I'S [:()IH'II)AT ION ( IST ) IN,~;IJI.ATIOi'! I'I~.R N. Y. STA'I'I[ I~,N I~. RGY It II AI)DITIONA1. COHHI!N'L'$: , T .WHO, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOAgD OF HEALTtt ......... 3 SETS OF SURVEY .................. CIIECK ................... SEPTIC FORH ............. CALL ....... HAIL TO: Disapproved a/c ..................................... ~ ' ' . "'i' ~'Inspector) '~ ' R BUILDING PERMIT INSTRUCTIONS Date ................... 19... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ars 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 streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ¢. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the .uilding Zone Ordinance of the Town of S6uthold, Suffolk County, New York, and other applicable Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing cgd~ and regulations, and to dmit authorized inspectors on premises and in building for necessary~c, tions./ -- //(Signature of appli~nt, or name, if a corporation) (~ailing address of applicant) (as on the t,a¢ roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... 7[~..~.~ ~ ~ ~]~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... · Location of land on which proposed work will be done .................................................. rs House Number Street Hamlet County Tax Map No. 1000 Section ..... .~.~ ......... Block ....... (~ .1 ........ Lot .... d.~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~.(,~.~. .... ~"-~' ' ' '~' ' ' '~' 'c57' '~' ' '07'~ ...... *t,~' ~",,' ~'"',~ ............ b I d du do p ' nten e scan ecu ancy ........................................ [.' ' : 3. Nature of work (check which applicable): New Building . . Addition .......... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. .~..~././..O0o0 {Description) 4. Estimated Cost. .' ............................ Fee ..................................... (to be paid on filing this application) 5. If dwelling, numbqr 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 ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ....... .~_N~mber of Stories ............................................ 9. Size oflot: Front ..jg.-) ..... Rear ...... .4.~kS'/,t,,i.,i,ii.i Depth .... g.~.,,.i,,i,i.i.i I0. Date of Purchase ............................. Name of Former Owner ......................... t .... I I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes } No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAG RA~ Locate clearly and distinctly all buildings, whether e. xisting 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 coruer Iot. :oum'¥ ....... ~.~,:)d....~-'.:..../.-~.~.~...4't~.. ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. ~___~ntract~lagent, corporate officer, etc.) said owner or owners, and is duly authorize~-d-ff6-fferform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the · ork will be performed in the manner set forth in the application filed therewith. worn to before me t~ i.t~.~ F~ ........... .... ...... fl l .b