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Home My WebLink About22850-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23760 Date JULY 11, 1995 THIS CERTIFIES that the buildin~ Location of Property 5455 DEPOT LANE House No. County Tax Map No. 1000 Section 96 Subdivision ACCESSORY Street Block 4 Lot 6 Filed Map No. Lot No. CDT~HOGUE~ N.Y. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 13, 1995 ~ursuant to which Building Permit No. 22850-Z dated JUNE 23, 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 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 JOSEPH & SABINA ZUHOSKI N/A N/A Rev. 1/81 FORM TOWN OF SOUTHOLD I~UI~,DING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT No PERMIT MUST BE KEPT ON THE PREI (THIS COMPLETION OF THE WORK ~ Date .............. 22850 Z ~ ~ES UNTIL FULL Permission Is hereby grante,~, .., ........... ~...... :~,~'. ~..~Z~ ........... ...~~...~~~..:. ............... ....... , ;;';'~';~,12;'12~;;2;~;i.'.'.'.'.'.'.'.'.'~~.'.'.'.'.'.'.'. ..................... ..~.?...........................................~.............~... pursuon~ ~o oppli¢o~'lon do~ed ....... ~.....~..~. .............. 1 9.. '.~..-~.....,~' end o~proYed bythe BulJ~,ng Insp.eot~o / / Rev, 6/30/80 TOUtl g F ~(;UIIIOt BU ~I.D IN(; DI~ P/~IITIIEiqT qOUP II^L1. 765-1802 AI'J'I,LCATI. O~ FOR CERTIVkCN¥1S OV OCC/)PANGY I. Fi.at `survey o[ I~ropErl. y ~¢J. th acc.r~t¢~ Io( 2. F.t.al. Approval.' from 119{tll. h Del, k. o[ w kef .less I. ha. 2/10 of IX let~d. "l~rE-eXiSl:J. ng~ land use.q: - l. gccurat~ survey of Prolterty sho~¢t.g at.I. properly G. [rpes I. Cet'l:tfJcake o[ Occup..cy - Here dwe.tJ.i.g $25.00, AddttJ. ons Lo dwelling $25.00. AJkeJ:ak.i.o.s Eo d~eJ..[i.g $25.00~ 5~¢i,..j.g pool $25.00, Accessory bufldtug $25.00, Add.l. tio,s Lo accessory bul. tdt,g $25.00. Busiuesses $50.00. 2. (;er~trtcat. e of gccupa.cy on Pre-exJsLt,R 3. Copy o~ Cerl. tf).cate o[ Occupaucy - $20.U0 - lesJ. de,t]al. $J5.00, lieu 6o.s~ruct:ton .... ~ ..... O.[d Or Pve-extstt.g Bulldt.g ................. Onwer or O~.ers ~.,[ Pro1 er~y ......... c,..,,~ 'n,~ .,., ,0 ~0oo, s~to,, ..... ~ ...... ~t,,¢~ ....... E ....... ;o~...'~ ................. ................. l&lud Hap ............ Lee ...................... . .A ~1~1 ~t:,~.t .~, ' qv¢ ] Eh Depk. Approval .......................... U.tlerwrtEnrs Approvat ......................... 'Ia.nt,,g Board Approv(ll ....... ..... FIELD INSPECTION REPORT DATE CO~IENTS FOU~A'rION (~ST) II " FOUNDATION (~ND) ][ -- II STA~E E~R~ II CODE II II Il ~ll II II II FINAL II II ADDITIONAL COMMENTS: ,, The ~-~ ~' High Side Barn' High sides and double dutch doors make this ehed great for storing I ght equipment and tools of all ~orts, (x.,CU?ANCY OR Ve~' ~S UNLAWFUL ~,'~'~ ,uu. CERTIFICATE BE COMPLETE FOR C,O. ALL CONSTRUcT{oN SHALL MEET THE REQUIREMENTS OF THE N.¥, STATE CONSTRUCTION & ENERGY CODEs, NOT RESPONSIBLE FOR 'DESIGN OR CONSTRUCTION ERRORS ¥ .......... i~,~- - ~! FOIIM NO. t ! 'owNo ouT o _o BUILOING DEPARTMENT [l~ ~l,:~J~ ~ . TOWN IIALL BLDG. DE / TEL; 765-1802 Approved ............ I . mit No ........... I)isapprove{~ I/c ....................... ~ ......... '. L~UAt':I) IJF IlEAl-III ] SETS OF PLANS ......... SURVEY ,..; .... . ........... c E c: · L¢~.~.~.~.3S., O:0. . SEPTIC FOlttl ............. tlOll FY ~ . ^,. L b.8. c/ ........ I'lA I L TO: Date ................... 19... INSTRUCI'IONS ti. This al)plication must be coml)lelel¥ filled in by typewriter or in iok and submilted to the Buihling Inspector, xvilh sols or phms, accurate plot plan Ioscnle. Fee according lo schedule. b. Plot plan showing 19cation of lot and of Imildings on premises, relalionship Io adjoining premises or public slicer or areas, and giving a detniled descriplion o[ layout of properly mull be d~awn oo Ihe diagram which is part of this appli c. The work covered by tiffs applicalion may not be commenced befme issuance of Buikling Permit. ~ d. Upon approval of this applicalion, the Buikling Inspector will igsued a Boilding Pemdt lo the applicanl. Such permi shMI be kept on Ihe premises available for inspeclion fl.'oughout Ihe work. e. No buihliag shall be occupied or used in whole or in pad For any purl)ose whatever until a Certificale of Occupanc~ shall have been granted by the Building Inspector. API'LICATION IS IIEREBY MADE to Ihe Building I)epadment [or the issuance o[ a Building Permil pursuant lo Building Zone Ordimmce of the Town o¢ South~ld, Suffolk County, New York, and other applicable Laws, Ordinances Reguhdk)ns, for Ih~ construction o[ buildings, additions or allegations, or for remova ~ '{e o o as hereiJ described I he npl)licant agrees lo COlllp y with all app cab e aws, otdin,mces, building code, housing code, and ~egula ions, and admil authorized inspeclms on premises and in buildiog for necessary inspections. ~ (Si~nalure of applicant, or nan}e, if a corpo~atio i) (Mailing address of hpplicant) Shale whedmr apl)licanl is ownel, lessee, agenl, architect, engineer, generM conhactor, elechician, plumber or builder. (as on Ihe lax mil or lalest deed) If applicant is acm m,nfion, signature of duly aulhotiied officer. (Name and lille of coq)male officer) Buihler's License No .......................... I'luml)er's License No ......................... Elechician's License No ....................... Olher'l'r o's l.,ice.se No ...................... I. Localion of land on which I)tOl)OSed work will be done ................................. I[ouse Number Street lhunlet Co V"xM ~o O00Seco "' 33g~ ~&. Bock '¢ ' Subdivision..; 2. Sh, lc ex,sling use nnd occupancy Orl,,'em,ses nnd ,,derided use and occupancy of proposed Itcpai~ .............. P, emOval Demolilloll .............. · : ......... Oilier Woik ............... 1£ dwelling, Illlfllber of dwelling Unils .... (Description) Fee _ ~ ~.. '-'.,,;- ....... . {to be paid on filing this apldication) .. ,. Number o£dwelling units on each floor. ~ ....... I£1,,arage number o£ ' . , cars ..... i .............. ![.~,,,s~,l o.~ . . ' ................... ;'" ;'Ji'i .................... ,ess, c nm. ercml or mi.xed occupancy, specl£y nature a?d cxle t of.eat ~ ty ) u e ..................... lnmensmnsoiex~sttngslmcturels, ifany:Front,lO.~.~ ~Rear / Lo~, Depth.~~ Ileight .~ .~ ....... Nu[nb~rofglories , Dimensions or shine structure wi'il alterations or additions: Fro[d ................. Rear .................. i Deplh .... ' .................. lleight ........... . ......... '., Number of Stmies ' : ....... 8. l)imensions of enlire new co is clion: Front Ileight . .t~. ~ ........ Mu niber of Stories .... ~.~.~, ......... ' ....... 9. Size o£1ot: Front .............. Rear ........... Depth .. .~ ' ' ,t~ .................... 10, l)ate ofl'nrchase .k~.i. ~ .' ......... Name of Former Owner II. Ze,,~,,, ,,~,,~,r~, i,, ,~,~, ,,~e~,,,~ ~ ~i,,at~,~.. . .. ~ ........... '. ~'. '. .......... 12. Does proposed construction violMe any zoning law, ordinam:e or regulation: . ./~ ..... ' ' ~ ...... 13. Will Io1 be ,,, , ~-- . ~ ' ..... ~]'"~'"&'.'t''&'-' .... Will excess lill be removed fro ~ prmdses: Yes No ~4. [?,,,,e o[ 7~,.,~ o,. ~,,~,,,,,~ ~S..~... a,~,~,~ ~a'* P-~.$~... ~',,o ~ ~o.~ a~¢.et~ ...... i~ame o/f.~,tcnil~ct .......... : ............. Address ........ 1 ho e No .......... Nanle of Cmmactor . ........ ................. Address ................... Phone No ................ 15, Is tl~l.s property wlthh~ ~f)O feet of a tidal wetland? *Yes ........ No.~ ...... t<lf yes, Soul:hold 'll, ow~ Trustees Permit may ~e required. ... ] P!~OT DIAGRAM Locate clearly and distinctly all ibuildings, wheth&r ex'shng or proposed, and. indicate all set-back dimensions from properly lines. Give street and block fiumber or description according to deed, and show street names and indicate whether interior or co[ncr lot. being duly sworn, deposes and says Ilia! lie is the applicant lie is the . .~.... ................. (~Coniraclor, agent, cor'porate officer, (;lc.) ..... "" ............ of said owner or owners, and is duly! authorized to perform or have performed Ihe said work and lo make ami £ile this application; Ihal all slalemenls conlai'ned [n lids'application are Irue tO lhe best of his knowledge and belief; and that Ihe wink will be i)e~foqned in I e manner~set forlh in the application filed therewith. SWOIII 10 hel'om,me this I .... : o,.'; . .. .... '., ,, r t ' : BARSARAiM. HAURU8 /~Y Public, Stat~ of NeW York No. 52.6806770 ~hlalifted ia ~uffolk ~Unt~ ' t g ofaplilicanl)