HomeMy WebLinkAbout23118-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24041
Date NOVEMBER 21, 1995
THIS CERTIFIES that the buildin~
Location of Property 7955 SKUNK LANE
House No.
County Tax Map No. 1000 Section 104
Subdivision
ACCESSORY
CUTCHOGUE, N.Y.
Street Hamlet
Block 4 Lot 23
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NO~EMBER 1, 1995 pursuant to which
Building Permit No. 23118-Z dated NOVEMBER 19, 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 STORAGE SHED IN RMAR 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
LAWRENCE & CHRISTINE VACCARI
N/A
N/A
N/A
Rev. 1/81
FOQM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
COMPLETION OF THE WORK AUTHORIZED)
Date ...~../, ././..~'.. ........................................... 19...~.~"
23118 Z
Permission Is hereby granted to:
.... ~.~. ~.?....~.~'.~z. ......................
Counh/Tax Map No, 1000 Section,,,../...~d~.....~... ..... Block.....~ ............ LotNo .....~ ...........
pursuant to application dated ........ ./,/~..~ .................................... 19...~....~....., and approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF
BUILDING
(THIS PERMIT MUST BE KEI~T ON-THE:PREM'
COMPL~ ON OF THE WORK' AUTHOR ZED)
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
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).
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/I0 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
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 the applicant.
Co
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 ......
New Construction ........... Old Or Pre-existing Building .................
Location of Property · · ........
House No. Street Hamlet~
L¢. re c¢ ........
ty ...... ' ....
Onwer or Owners of Proper ..............................
County Tax Map No I000, Section..l.O..~ ........ Block....~ ........... Lot--.~h.~. ...............
Subdivision.............. ..................... · Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate... Final Certicate ....
Fee Submitted: $ .............................
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN,.~..~,,A~ .....
[ ,/~]~"~'1 NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:~ ~~,/~
DATE
INSPECTOR
The
Gazebo
Special attention to quality sets the North Fork Wood Design Gazebo apart from the rest.
Our Gazebo is not only beautiful, but each gazebo is hand-built by skilled craftsmen. Only the finest, most durable
wood is used in Construction. Fragrant Cedar or Pressure-treated Pine. Both are long-lasting and will maintain their
natural beauty for generations.
Precise attention is given to every detail....,.right down to the steel galvanized screws. These screws will insure your
gazebo will maintain its structural integrity and will weather the years without rusting.
The
Mini Barn
Another very popular model, which will surely
complement the natural landscape of your property.
Like other models, the double doors are 5' wide and 6'
high which will accommodate everything from tools to
heavy [awn & garden tractors,
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 availabJe on ALL
MODELS,
7.00.0 ·
3. Natme of work (check which applicable): New Buikling ....... Addition , Alterali.On ..........
Repair . ............. Removal .............. Demolition .... ; .... Other Work ~.~ ......
4, Estimated Cost / ~00~ (Description)
...................................... Fee
(to be paid on filing this application)
5. If dweJlh}g, number oEdwelling units ............... Number of dwelling units on each floor ................
. If garage, number of cars ........................................................................
6, ' bus ess co ~ nerc I or nixe( occu )al/CV s~ecif natt ~c and ~
~, . . , :, t Y cxlel orem~ty~eo' se .... ; .......
7. l)ime~lslons ol exlstHlg structures, ff a~w: [~ront .............. Rear Del)th
I leight ............... Number oC Slories .... ' . .
Dimensions of shine smtc[ure widi all,~ralions or additions Front .... ] ....... Rear ...........
Dcpfli ....................... Height ................... :.. Number of Stmies
8. Dimensions of entire new cpnstrnction: Frmd ............... Rear ............... Depth ...............
lteight ............... Number of Stories ...........
9. S~ze of lot: Front .............................................
......... . ............. Rear ...................... Depth
10. Date of Purchase ...... ' .....................
I 1. . ...................... Name o~ Former Owner .............................
Zone or use district in which premises are situated ...................................... ~ .......
12. Does proposed co~lstmcNon violate any zoning law ordinance or reg~ a on' . ...............
13. W 6t be regra er , ~ .... ~ ........
........................... V t excess fill be removed from premises: Yes No
1,t. NameofOwnerofpremises .................... Address
Name o[ Architect ................................
........................... Address
, , , · .................. P m ~ No ................
NilllI~ O{ Colltractor . ......................... Ad(hess ................... Phone No .......
15. rs thi~i~roparty w.lthtn 300 feet of a tidal wetland? *Yes ........ No ........
yes, Southold Town Trestees Permit may be required. '
PI~OT DIAGRAM
Locale clearly and disiincdy all buildings, ~vhether existing or proposed, and, indicate all set-back dimensions from
properly hnes. Give street and block number or descrlpl o 1 ac~,di ~l[to deed, alld s ow st 'eet m~ ~es ami iadJcale whether
COMPLETE FOR
fiOI~¢~TRUcTION
(Name of individual signing conlra¢l)
(Contractor, agent, coq)orate officer, etc.)
,f sa*id owner or owners, and is duly authodzed to perRmn or have performed Ihe saki work and lo make and file Ibis
pplicalion; lhat all statements contained in this application are t'rue to the best of his knowledge and belief; and that Ihe
/mt will be perforated in the manner sci foith in tim npplication filed therewilh. '
worn lo before n~e Ibis
~wP~l~te°fN~Y~ ~' ~ ~
TOWN OF SOUTt-IOLD
BUILDING [)EPARTMEN'E
TOWN IIALL
SOUTHOLD, N.Y. 11971
TEL,: 76B, la03
BOARI) OK IIg^l.¥11 .......
3 SETS OF PLA?IS
SURVEY .................
~CIIECK ......... ~ .......
SEP¥IC FOItH
C^LI .................
HAl:l, TO:
'. (,lluiid,i,f~g ln(4'fector)
APPLICATION FOR BUILDING PERM IT
INSTRU~/rlONS
Date .................. , 19,
a. This application must be icomplelely filled hi by lypewHtm' or in ink and subniitt, ed to the Buiklin~ Inspector, wit_
sets of plans, accurate plot plan lo scale. Fee accordil~g lo schedule.
b. Plot plan si ow ng locahr?n of lot and of buildings on preniises, ~etationship to adjohdng premises or public
or areas, and giving a detailed d~scriplion of layout of property must be drawer on the tliagram whicl~ is part of this
c. The work covered by thisi application may not be commenced before issuance of Building Permit.
d. Upon approval of this apolication, the Buildh~g Inspector will issued a Buikling Permit to the applicant. S ct pea
shall be kept on the premises available for inspeclion throughout the work,
e. No buiMing shall be occt'?ied or used in whole or in part for any ptupose whatever until a Certificate of
shah have been granted by the Btiillding Inspector.
APPLICATION IS IlEREgY~MAI)E to the lhdlding Department for the issuance of a Building Permit pursuant to t
Bulkling Zone Ordi~lalmg of the. ~'own, of Southold,.Suffolk County, New York, and olherapplicable Laws, Ordinances
RegubHions, for the construcOo~i of Imiklings, additions or alterations, or for removal o'r demolitkm, as herein describe
The apl)licanl agrees to com>ly with all a~licable aws or( lances btil(lingco(e m;s ~gcode mt eg a o s
admit authorized inspectors on pr"emises m{~l, in building for necessary inspections.
! ~ (S~n~ap~cant, or name, ir a coq)oration)
(Mailing address of applicant)
Slate whether applicant is rayne,r, lessee, agent, architect, engineer, generai contractor, elech'ician, plumber or builde
Nalllg o[ ()Wllgr 0 )lemises 'l ........................................... , .................
~x ' (as on the tax roll or latest 'deed)
I[applicantisacorporadon,~ig a ~eoFdulyaulhorized officer.
(Nanle and lille of corl~orate officer)
Buihler's License No ...... ; ...................
Plumbel's License No .....
Electrician's License No. ,
Ohc I ,les ,ce seNo ......................
1. Location of land on which pro})osed work will bedone. , . '
thmse Nmnber ~ Street llamlet
i ,
Subdivision
........ . ....... i ...................... Filed Map No ............... 1..ol ...............
I (Name)
'2. Slate exislillg use alld occtlpall~y of pre aises alit illtell(led use alld occtlpaacy of proposed collstrtlclioll:
a. Exisling use and occupancy ~. ~ ................................ ~'''; .........
b. h~temled use ami occul)allc~',