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Home My WebLink About22756-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23674 Date May 31, 1995 THIS CERTIFIES that the building Location of Property425 OLD FARM ROAD House No. County Tax Map No. 1000 Section 25 Subdivision ACCESSORY ORIENT NY Street Hamlet Block 5 Lot 7 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1995 pursuant to which Building Permit No. 22756-Z dated MAY 11, 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 STOMAGE SHED IN THE REQUIRED HEAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN M. BREDEMEYER III & BEVEI~LY BHEDEMEYER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner's) N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22756 Z Rev. 6/$0/80 Permission Is hereby granted t~: ..... £.~.,...~.~.....~.~ .............................. ...... .C2.. .~.~......~, ............. .Y..... ............................. ~o~,ox~a~,o. ~ooo s~,,o, .......... ~.o~ Building inspector. Building Inspectc~ Fee Submitted: $.~..~ ...... Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN IlALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bnilding 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 contairs 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ "pre-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 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 Buildin~ - $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 ~ Date ........... 1 ................. New Construction ........ Old Or Pre-existing Building. ~.~.~ . Location of "' - C ...... House No. Street Hamlet . .... County Tax Ma- No 1000 Section ~ ~ P ............... Bleck ................ Lot..~ ................... ,, ~ , ~ ~ ~ P Lot ...................... Permit No..~5~.~...Date Of Permit~.~%~ . Applic~%~'.~%~%.~ Health Dept. Approval..~ ......... Underwriters Approval.~ .................. Planning ~oard Approval.~.~.[[[[[[[[[ ....... Request for: Temporary Certificate ........... Final Certicate~. ....... APPLICANT 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 May 24, 1995 Mr. John Bredemeyer 425 Old Farm Road Orient, NY 11957 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 # 22756-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 7GS-'"SQ2 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROU~,B~ i ]] ~ORAUMNiDNA~ION 2ND ~FiNA~ATION []FIREPLACE~,~MN~EY REMARKS ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~DATION 2ND [ ] INSULATION / FRAMING [ ] FINAL REMARKS: FIELD INSPECTION REPORT ~)ATE ~l ....... ~ FOtr,~TOAT~O~ ' (~ST) __ Il ROUGH FRAHE & PLUlq~ING II II INSULATION PER N. Y. COD~ ADDITIONAL COi~IENTS: The Carriage House Our most popular model. An excellent "on location sales office", pool house, or general storage are for your home. A beautiful way to meet your storage needs. Single or double doors are available on ALL MODELS. TOWN OF SOUTHOLD ~lj LDING DEPARTMENT TOWN HA~L ' SOUTHOLD, N.~, 11971 TEL: 765-1802 ' Disapproved·, . a/c ................. ii (Budd~n~ Inspector) ~PLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD'OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY .................. ClIECK ........ CALL .............. MAIL TO: Date ....... : ........... 19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee accel:ding to sdhedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street: or areas, and giving a detailed description of layout of property muit be drawn on the diagram which is part of this appli 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 i~sued a Building Permit to the applicant. Such permi shail 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 beer. granted bY the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th~ Building Zone Ordinance of the Town of Southbld, 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 described The applicant agrees to comply with all applicable laws, ordinances, building cod. q~e,,.1,o~sing code, and regulations, and tc admit authorized inspecto~on premises and in building for nbcessary ~nspe~tions~ ' ' -- · . · (_,/('Signatur~ of applicant, or name, if a corporation! (Mailing address of applicant),~2.7OoO State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or b. uilder. If applicant isa corporation, signature of duly authoriied officer.' FEE: ~ /~/,,~ NOTIFY BUILDING DEPA~AT .............................................. 7~5-t802 9 AM TO 4 PM FOR THE 1o FOUNDATION o~ TWO REQUIRED __ Electrician's License No ........ %' .~'.r(~ ? )~.¢.~! .~..%~,~ ~ ~ ~ [~%JF~ ~ L~ 8ECOMPLETEFORC.O, -- ~!f!',~ P~f¥'~ ~ ~ 5 ~%~J ALL.CONSTRUCilON 8HALL MEET Other Trade's License No. STATE CONSTRUClION & 1. Location of land on which proposed work will ~e 'done ................... 601);8~ .,.NOT..RE$~l~ffil~kg · gOR · · ~.~ '. ......... ......o_/.~....<,r~i... ~;.~ ~'.. ........... . .~..~..~..~...g.o., ~.o..:... lfouse NumberStreet Hamlet Couhty Tax Map No. 1000 Section .~-S' Block 'ff- ' Lot. 7 (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of propgsed .construction: E isti guse do p .' a. x n an ccu ancy .... ' ...... b. occupancy .............................. ~. 47.,...e:... k( hi h Ppi' bi ) ' . ,~dditi '3. Nature ofwor checkw c a ica e: New Bu'flding · . on .......... Alteration .... ; ..... Repair .............. Removai .............. Demolition ., ............... Other Work..: ............ (Description) 4. Estimated Cost ........ : ...... 'Ye, '~"-:t :~ ' ............. · ~.~q .~; ............ 5. /I/~7 (to be pa~d on filing this application) If dwelling, number ofdw ' ' ' ' ' If-ara e , , ell?~Tunits .............. ,, Number of dwelling units on each floor.., ~ .. . g g ,numoerotc~s .(~. ' ' ' · 6. If business, commercial or mi~a'h'~-5~-' ~" '.; ' ' ' J .... '," '; ....................... ; ........... ' .... ......... ,--~, ..... vancy, ~pecny na[ure ana extent of,each type of use .. ~.~ ............... 7. Di~ensi~s~xisting st~r~s, if~nyA Fronts .f~..~'. .... ~ ........... ~ . Depth ..... ~t ~ ~ : [ ) ...... ~. N~m~~~ : . . . ~ .Z .~, .../~ ~/ 2.~ ~eptn ........... ~5. Hei~ht'.~ . }; - ' ' ~ ~ ....... ~' ' ..... ' L~'~ ....... ~ .&. > ....... ;.. ~umoer of Stohes .......... 2 ...... 8. ~ens~ons of~¢re new const~ctmn: Front ... Z.~ ...... ~ Rear .. /~..... De~th ' ~' ~ " Height . .~ ..... Number of gt ' ~ .... v · .o ...... . ' ..... - -~o~es .................... ., 9. Smeoflot Front ~ ' ~-- ~'~) ' '~ ............. :~'2';'~ ..... / ...... 10. Date of Purchase ~ . ,, · .......... Depth .. F~Ff..~.~. 9.~ ....... ~__ ,. . ' [ ......~" 'l ......... ' ........ ..~ame of. Fomer Owner ~¢~ ~.Q~ , 1 1. aone or use restrict ~n which premises are situated ~j'~ ~ ~(~ ~' ' ~ ........... r: ....... 12. ~,~s, ~r?posed construct!on, woNte any zomng law ordinance or regulation .. ~/q .... .... ' ....... 13. wm lot oe reeraded . .~O · ~,~,,~ ......... . ..... . .... ~';' 14. ~ ........... ~ -. ~ ......... wm excess nn ~e removed from premises: /M~ No of 0 of p ~1~ O~ Address ..; ....... · ........ Ph N ~e of Awner remises . '' ........ one o ............ ;...' ................. mc.of Contracto ~ ~' &ddres[gq/~ (('.~ 'OpVl~tq Phnn~ M .' I~ thi ty 300'~' we ~h'' *~'~s i;f' '27~''''''''' 15 s proper within eet of a tidal tla ? .... ....... ~ ....... . *If yes, Southold ~ow~ Trustees Permit may be requi~g~ · ,-. ~ PLOT DIAG~ Locate clearly ~d distinctly ~1 ]bulldOgs, Whether existing or proposed, ~d, indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block ~umber or description accord~g to deed, and show street nines and indicate whether ~te~or or corner lot. .'"' '~' ~'~ ~'~* ~ ........ oemg P y t he is the applicant l~~i~ ~tract) :-= .' . ' ~e is the ............ ..... : 'x' (Contractor, agent, corporate officer, etc.) .......... said ,o~ner.~or. Owne,s; ~d is duly ~ utho~zed to perfom or have perfomed the said work and to m~e and file this ~pplication; that all statements contaim :d ~ this'application are flue to the b st ofhm knowledge and belief; and that the ~ork will' be perfomed in the m~ner s4t forth in the application filed therewith. ' ;worn to before me this _~., , ...... , .... .... ......... NO.~t~ou° ,~.. ~/~ ~ ..... · ... r ...... ~..x: ~ ..... 'ad in Suffolk Co~ ~ '~/ I /7 . ' . ' (Signature o c Oualif~ ' 8 I ' . . f appli ~t) . ' ~mmission~xpires December , [g~ , .