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Home My WebLink About23096-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24322 Date MAY 1, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 905 CEDARFIELDS DRIVE GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 1.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated O~OBER 18, 1995 pursuant to which Building Permit No. 23096-Z dated NO%~MBER 1, 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JAMES & LORETTA KLEIN N/A N/A uilding Inspect/r FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N9 23096 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~,~.~.., ............................. .¢.... .... .~z~_~...~.~...-:.......~....,~:...././..?..~.~ .... . , ,o....~..~,.~.~.... ......... ~ ......... :~:~:~. ........ ~,,.../...~ ....... ..-:....~... ........... / .......................................................... .... ........ : ..................................... No ~ ~ '-~z..:. iotNo I.Z~ Coun~TaxMap . 000 Secflon.,,,.~ .......... Block ....... ................................... pursua,, to application dated ............ Z~I/~ .......................... 1 g.....~:., and approved bythe Building Inspecfor. F~ ~...~.~ ..... ~lBuilding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILOLNG OEP AR.TH. EHT TOWN HALB 765-!802 APPLICATION FOR CEP, TIYICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or mew use: I. Yinal survey of property with accurate location of ail buiidings, property lines, streets, and unusual natural or topographic features. 2.Final Approval from Rea!~h Dept. o~ water supply and sewerage-disposal(S-9 3.Approval of eiertricai instal!a~ion from Board of Fire Underwriters. Sworn stmtement from plumber certifying tha~ the solder used in system contains less ~han 2/10 of 1.% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and instal!a'tions, a certificate.of Code Compliance from architect or engineer. responsible for the bui~lding. ~ 6.Submit Planning Board Apprpval of completed site plan requirements. B. For existing buildings (prior ~o April 9, ~957) non-conforming uses, Om buii~ings~and "pre-exis~ing" land uses: = 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly compleced application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall stave reasons therefor in writing to ~t~e applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations ~o dweliing $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-exis~in~ Buildin~ - $IOO.OO 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00.~ Commercial $15.00 New Construction ........... Old Or ?~-existipg Building ................. ~ouse No. Street tlamie t On,~er or O~ners of ~roperty ....... t... ...P~*..~S. .... ~.1. N ................ :ounty ~:,,~ ~,,~ ~o ~000. Sect,:°,, ..... :?~0 ..... ,'~,~c~ ...... ~,. ....... ~o~ .... /:.l? ............ Subdivision .................................... Flied Hnp ............ Lot/../, ...................... Permit No ................ Oote Of Permit ................ ADp[itt, nc ...... Dept. Approvni .......................... Underwriters Apt;rovol ........................ 'fanning 8nard Apnrova]. ........................ 2eques~ for: Temporary Certificate ........... Finni Curt!cate .......... -o~ s.~:ed: , ....... ~..5,.~;Id .............. d~¢~, S~?~ ......................................... 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~.ATION [ ] FRAMING [ ~I~NAL [ ] FIREPLACE & CHIMNEY 'Umber POS #837-92-99 Deluxe Wood Truss Barn Assemble Yourself and -Saue, , CONTENTS 8' and 10' Barn Assembly 8' and 10' Door and End Assembly 8' x8' Barn Construction (Pos #837-21-99) 8'x10' Barn Construction (Pos #837-22-99) 8'x12' Barn Construction (POS #837-23-99) 10',x12' Barn Construction (POS #837-24~99) Materials Lists Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 REVISION DATE FEBRUARY 1990 I* · Copyright 1989, Eighty Four Lumber ~:ADD~ss 1~51 W ~tN ST CS~TD~ER SIGNATURE 'HOME <CENTER'" 7AGE I OF 1 CU~T~E,~ SIGNATURE { Lumber Pos #837-92-99 Deluxe Wood Truss Barn Assemble Yourself and Sa~e CONTENTS 8' and 10' Barn Assembly 8' and 10' Door and End Assembly 8' x8' Barn Construction (POS #837-21-99) 8'x10' Barn Construction (Pos #837-22-99) 8'x12' Barn Construction (POS #837-23-99) . 10'x12' Barn Construction (Pos #837-24~99) Materials Lists Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 REVI810N DATE FEBRUARY 1990 eCopyright 1989, Eighty Four Lumber ~ ~ tllOIF joHH ~' (;OS'fELLO' OCT 18 1995 Examined .... ~.~.// ..... Approved 'i'' "' .9[//. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT: TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 192,2~e~mit Noc~O. ~.~ .~- Bb~RD'OF HEALTIt ......... 3 SE~S OF PLANS ......... SURVEY ............. o .... CIIEEK ................... SEPTIC FORH ............. NO~IPY ~ CALL HAIL TO: . (B~q'd~,~ Inspector) APPLICATION FOR BUILDING'PERMIT Date(~).~../..~..., 197.57 INSTRUCTIONS · 4~. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acco!-ding to schedule. · b. Plot plau showing location of lot and of buildings on premises, relationship to adjoining premises or public stYeets or areas, and giving a detailed description of layout of property muJt 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. · o bmld~h~l~} ~cC~t~RlCq3 otSused ~n whole or in part for any purpose whatever until a Certificate of Occu anc APPLIGA~J~q~I:~ IZl~;~'EB~IVl~gE/to the Bulldmg Department for the issuance of a Bmldlng Permit pursuant to the Bmldh~ ,~d'h~ .~r~i~tc~ o~n o~ Southold Suffolk~oun~w~:New¥:ork. and other am~licable Laws Ordinances or ReguWtzons, l~J*6~ [.uildmgs, additions 9r alter, abons or for removal or demohtlon, as herem described The applicant a~~¢~-~,~h ~ls applicable4aw~ o?dinaffc~s;' bnilql code and regulations, and to admit authorized ~n~pectors ~n premises hnd in building ' -- ,u'~ ~ nc porporation) State wliether applicant is owner, lessee, 'agent, fifbhitedt; engineer, generaF c'6htraator, electricitin, plumber or builder. .......................... : ........... Name of owner of premises ..... Z' R~'P'~(K~ ~3 5' :-, ',. IhS.Oil tt~ t'ax, roll or i~te;t' deed) If applicant is a corporation, signature of duly authori2ed 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 ..... House Number Street Hamlet County Tax MapNo. 1000 Section .. ' ...~ ...... Block ....... ~ .... J... Lot.../~/~ ......... 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 b. Intended use and occupancy ..................... ' ........................ : ...................... · 3. Nature of work (check which applicable): New Building . 2. ~ ..... Addition .......... Alteration .... ; ..... Repair .............. Remqval .............. Demolition ..: · Other Work ........ ~ .... ' (Description) 4, Estimated Cost , . ........... i ......................... 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 i .... . . ... 6. If. busm.e ' . ~ .......................................... . .... ss, commercial or roi.xedI occupancy, specify natt re and extent nf each tvn,~ ,,f ,,o,~ ' ' ' ' 7. Dunensmns of existing strucmreg if an,,' ~^.'+ ,,- ....... :,~ ..................... ,. .. · .' J .... , ......... ear ..~ ........... Depth ............. He,ght ............... Number of Stories ~. Dm~ensmns of same structure w~[h alterations o dditions: Front ................... ~Depth .... ~ ................. i' Height ... . ................. Rear ...... . .......... ....... .' ........ ,.. Number of Stories ........... i(5 ? ...... 8. IJimensions of~n/tire new construction: Front ..I ........... ; Rear ............... Depth .../ Height .... .0. ......... Numl~er of Stories .......... 9. Size of lot: Front ............ i ...... ~.. Rear ...................... Depth ................. 10. Date of Purchase } . .' .... Name of Former Owner . 11. Zone or use d~stnct m wtuch premises are situated .. ......... : ...... 12. Does proposed construction viola e any zoning, law o~,~jd ~'- .... .' :.' ........ ....... d ,Lq ........... ' ..... ' ~. ~ ~ ,, , ,u,~a.ce ur regulanon: . '' ., . . . ~.,.,.~. .............. 13. Will6tbere r ' ' | g aaea ....... '... 1· ./'./'./'./'./'./'+~.O ........ ~ ..... Will excess fill be removed from premises: Yes 14. Nmne of Owner ofpremises~,.[~z.~A,,&.q~..t.~.q.~),qq~ddressC,[.~)..p.n..LF.,.~.~.~.~.~.. Phone No .q/"~.275'~ Nmne of Architect Address ................... Phone No ................. Nmne of Contractor ......... . Address ............. ' · Phone No ..... 15. I.s 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 all b d&ngs, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nt tuber or description according to deed, and show street names and indicate whether interior or corner lot. . APPROVED AS NOTED FEE:~BY: ~, NOTIFY BUILDING DEPARTMENT AT 765-1802 R AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: i'.; 'FOUNDATION ,, TWO REQUIRED ! FOR POURED CONCRETE ~.! ,o~,. ~M,N~ ~ ,~UM,,,~' ~:l 'NSUL~,ON FINAL ,. CONSTRUCTION MUST i BE co~pmE FO. C.O. A~L co.macT, o..,^LC T,E .E~U,.E~E,T, OF T,E ..~. STATE CO.mUCT,ON C~OES..OT .SFO,S,ELE~ FO. O,~$,~. O. CO.~TRUC~O, ~..oR"~ ;TATE OF NEW.YORK,. . '~ ~, .................... . .~ggt ~.7. ~. ~./> ~.,~ (Name of individual signing ¢on/tr'a'iti .......... bore named. OCCUPANCY OR USE IS UNLAWFUL WITHOUT. CERTIFICATE, OF OCCUPANCY beiug duly sworn, depose.s and says that he is the applicant ~ (Contractor, agent, cor'porate officer, etc.) f said owner or owners, and is duly auitborized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this'application are ~rue to the best of his knowledge and belief; and that the ~ork will be performed in the manner setlf0rth in the application filed therewith. worn to before me this [ HELENE O:iHORNE · Notary Public, Sta}e of New York ............. No. 495~364 ~. ' ' ture of applicant) Quetified ihrSUff?k County ~ '~ Commission Expires May 22, 19 .---