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Home My WebLink About22841-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O(:~umANCY No Z-23799 Date JULY 26, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 2380 HOBART ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 3 Lot 6 Subdivision Filed Hap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~/qE 13, 1995 pursuant to which Building Permit No. 22841-Z dated JUNE 21, 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 AC~ESSORY~AZEBOLANDWARD OF ANEXIBTING ACCESSORY BTRUCi'U~E AS APPLIED FOR. The certificate is issued to JOHN & V~RONICA of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building kns~o~ / FORM NO.3 TOW~ OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. 22841 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .... :..,j.~.~....~.....~/~ ............................ ..... ~J..Z.O.....,..~,./Z.~......,.~..,~.. ................... ,o......~..~.~ ........... ~ ......... ~~..~.~.~ ............ ..~..~ ........... ~.....~~ ....... ~.~. .................................................................................................... ~Z/~ ........................................................................ Building Inspector. Fee $ ......................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~LL 765-1802 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 nse: 10 Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Appraval 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 certificat~ 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 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 tbe applicant. C, Foes 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 ........ ~.'~...~.~.~....~...'. ............... New Construction...V._.... Old Of/Pr~-existing ~ijdin~, ........ ~ ...... ~, ~ Location of Property...~.~..~....~..~...~ .... .~.~.~_~.~. ~_~.~,~ .~ft.... Z~...Z.~. · House No. Street H~let Onwer or Owners of Propert~.~.~.~/f~...~...k~.'~.~.~.....~...~..~.~.......A/ .............. County Tax Map No 1000, Section .... ~.'..~.. .... BJock..~..~. .......... Lot..~.~. ................ SubOivision..~..~.~..~..+~.~.~. ..... F~'ed Map...~,~...Lot ...................... Permit No.~_~..~.~.~..~....Date Of Permit..~.~.~....Applicunt ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fiual ~ zca e ......... Fee Submitted: $ .......................... 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] :ORAUMNiD~ION2ND [[ .,] ~~NAkTION [ ]FIREPLACE & CHIMNEY DATE //~ INSPECT~ FIELD INSPECTION REPORT DATE COlffiqENTS FOUNDA'CIOIq ( IST) Il Il' ROUGH FRAME & =========================================================================================== INSULATION PER N.Y. {! , STATE ENERGY , ........ I1 EODE ' ......... · l{ ....... ROOF ltA~'r~S 2X6 4X4 FLOOR ~2X6 5/4X6 A USE IS UNLAWFUL WITHOUT OF OCCUPANCY Albert J. gaupski, President John Hohapfel, Vice President William G. Albertson Martin H. Gan'ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 July 6, 1994 Johh Neville 2380 Hobart Ave. Southold, NY 11971 RE: John Neville SCTM ~64-3-6 Dear Mr. Neville: The following action was~takenby the Southold Town Board of Trustees on Thursday, June 30, 1994: RESOLVED that the Southold Town Board of Trustees grants a waiver to construct a gazebo as shown on survey. Located 2380 Hobart Road, Southold. If you have any questior~s, please do not hesitate to contact this office. Sincerely, President, Board of Trus'tees AJK:jmd cc: Building Dept. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN tlALL SOUTHOLD, N.Y. 11971 TEL.; 765-1802 Disapproved a/c ' APPLICATION FOB BUILDINGPEBMIT INSTRU(STIONS a. Tids application must be compleiely filled it, by typewriter or in ink and submitted to the Bnilding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing lpcation of lot and of I~oildings on premises, relationship to adjoiniog premises or pnblic streets or areas, aod giving a detailed descriplioh of layont of property must be drawn on (he 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 igsued a Building Permit to the applicant. Snch permit shall be kept on the premises available for iospection thronghout tl~e work. e. No building shall be occupied or used in whole or in pad for any pnr'pose whatever uotil a Certificate of Occupancy shall have been graoted ~y the Building Inspector. APPLICATION IS IIEREBY MADE to the Building I)epartment for the issuaoce of a Building Permit pursuant to lhe Bnilding Zone Ordinance of the Town of South61d, Suffolk County, New York, aod other applicable Laws. Ordinances or Regolations, for the construction of boildiogs, additions or alterations, or for re nova ~[[ demolition, as herein described The applicant agrees to comply with all applicable laws ordinances, buildin~cor e, ~ot s ng code and regulations and to admit authorized inspectors on prem ses and in building for necessa~Spectf~s Slal~ whel,lmr_,~J):pJjO~ld l~:~wner, lessee 'agent, architecL eogioeer, general co Itractor, electrc a I, p nn b~r or bt ilder (as on tim tax roll or latest deed) If applicant is a cot rotation, signature of dnly authorized officer. (Name and lille of corporate officer) Builder's License Nc, .......................... Phlmber's License No ......................... Electrician's License No ....................... ()tiler Trade's License No ...................... on which proposed work '.vii, be done. ~..3, 1. Location of Jalld House Ntnn her Street J hnnlet ComdyTnxMnpNo. lO00Section .~.~...~.:0.~ . Block ..0~ ' Lot .... ~.~ .......... (Name) 2. Slale existing use n( occupancy of premises and inlended rise and oc'cul)ancy of proposed construction: a. Existing I~se and occupancy .... .........~,~ .~ ..................... ,~:~(, ,~'~)':>~',i tP~;) ....................... b, Intended use and occnpaocy . . ~ ~.~ '? ~; t,:~ ~,+" .q:?~ ,~ ~,'~ ~ .... '.' .,: ,, ~ ':~<~ ........... 4 ES(Jlllfl(e~ Cost ...... : .................... ~ee (to be p~id on filing lids npplicalion) 5, lrdwellins, number oCdwelhng mits Number ordwelling units on each floor f~arage ~t nberofcars ]~ ' 6. If business, commercml or roi.xcel occupancy, specffy~re and exle,t of.cacique oP use , .W ................ 7. Dimensions ol[~ting stmcture:s if a~ y:'Front ~, . Rear ~ Depth .... ~ ...... Ileighl .... ~7 .... Nt ri;bet of Stor es ' . . . ' '" ........... Di i ' ' Ill It ti I 1' ' F IllellS Oils Of SfllllO sin Ch ~e w t a era Oils OF fl( ( l[IOllS'. FOIl[ R ~ ................. ear .................. De ~t ~ ' ' ' , .I ,. .................... ?. Ile~gbt ....... *~.~ ......... ,., Number of.~tories .. :. ...... ' .~.. . 8. l)mmnslons 9[esdire oew consll~tcllo ~ Fro t .~ . · . ' Rear ~¢ ~0,>., lle~ght ............... Nt~ber of Storms .............. ~ ............................. o .......... 10. ~ ~ ' ' d .......... ' ............... ,' · I 1. Zone or use district in whiclffpremises are situated ....... ' ............................. ~. ; ' 12. Docs proposed constructmn vlolhte any zonin~ law ordinmice or rem latim~' ~b 13. Will lot be reg~aded ..... ~O ..... x:'" :'z': .... Will exces;fill'~)emo~ed fro,it iremises: '~Yes Id. Name of Owner of premises ~.~..~q~.. Add,ess ~.~~;.Phone No.7~4 ~ . ' Na e o'A-c t~ct . . ~ Addresq >oo~.o~/ ~ M '/ .... Name of Coutractor ~ ~. ~ ....... Address . '~' p ,~ ,. u. ' ls ems prolmrCy w.ttMn ?0 f~eC of ; 't'L}I~i '~t~ai~h'"*};'d.'~'.'i.' .... .'. .............. '. *If yes, Soutbold Iown trustees Permlt may. im required]'~-~ . -'. j PLOT DIAGRAM. Locate clearly and distinctly all j buildiogs, Whether existing or proposed, and. 'mhcate all set-back dimensions from property lines. Give street and block ~umber or descriptJo~ according to deed, and show street L5. STATE OF ~EW YOfl~K,r,o ,, 1[].~ ~. .......... being duly sworn, depose~ and says ti at he ,s the npplicaut (Name of individual signi?g conh'acl) above IlalBed. I lie is the . . (Coutractor, agent, cor'porate officer, etc.) of said owner or owners, and is dul~ authorized to perform or bare performed II~e said work and to make and file this application; that all stalemeuts conla~ined fl~ Ibis'appllcation are Irue t~ the best of his kn.owledge and belief; and that the wink will be pei formed in the mannel set forth in the application filed therewith. Sworu to befme m~lbis .~ // oeEm t. .... / ..... /F .................. : ................ ~ ~-PUeLm, Sta~o~.Y, , . / ', ~ ' (S,gnature ofapplicant) ~o. 472508~,lSuOotk Count/ Term ExpiresiMa~