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Home My WebLink About22557-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OC~JPAN~Y No Z-23478 Date FEBRUARY 2, 1995 THIS CERTIFIES that the building Location of Propert~ 51540 MAIN ROAD House No. County Tax Map NO. 1000 Section 70 Subdivision ALTERATION SOUTHOLD NY Street Hamlet Block 2 Lot 1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECENBER 29, 1994 ~ursuant to which Building Permit No. 22557-Z dated JANUARY 12, 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 ENCLOSD-RE OF AN UNHEATED "AB BUILT" R~AR PORCH TO AN EXISTING The certificate is issued to TWO FAMILY DWELLING AS APPLIED FOR. CLIFFORD & KATHRYNE MITCHELL (owner' s ) 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 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N.o 22557 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHOR[ZED] Permission Is hereby granted to: - , .... ............. (..~..~..~'~.~D....~..,~.....~'..,.~ .'../..:~ ~....~.~.~....~.,...:..~ .... ...'-. ......... ...6....~..~/.../..,.~ ....... ~....~...~.'/.~. ........ ,~..~.~.~....: .,~n~. ./.,..e ~; ....... ~.....b.,~.,...:. .................................................................................................................................. .................................................... ..-..~-~.~._~.../~......... ~......:/... ....................................... Oe,,n, ToxMa"No. ,000 Sect,on ....... ~ ....... ,,eok ........... ~ ....... Le, No ...... ( .................... pursuant to application dated .................... ~...,.~Z ......... 1'9..~....~...... and approved bythe Building inspector. F~.,,.7...:....~ ..... Rev. 6/30/60 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE 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 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 th'e 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 certificate of Code Compliance from architect or engineer ~' responsible for the building. 6. Submit Planning Board ~proval 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 ail 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 I. 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 Buiidinz - $i00.00 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 · · · ~ · ~ -~. · ~. · · .~. ~ · ~ .~.~7. ....... New Construction ........... Old Or Pre-existing Building..~.~..7.~jL~...~.~, ~ ' Location of Property.~./.~. ~ ~ ..... j~.~,.[..x~.. .... ~ ~' ............. ~k ~ ...... ~. House ~o. Street Hamlet Or.wer or Owners of Property....'.~..~..~.O...~.....~..~~..~.~ .... ~):.~.~.~. County Tax Map No 1000, Section....~..~.. ...... Block .... ~ ......... Lot ........ ~ ......... Subdivision .................................... Filed Map ............ Lot .................. termit No....~....9~..Z..~7~. ate Of Permit../. ~. ?;,.~..Applicant ~...~:-~7.. .. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ lequest for: Temporary Certificate ........... Final Certicate..? Fee Submitted: $ ..... ~...~ ............... /LATIOH PER'~. STATE E~ERGy CODE FI;IAL '. " ~DDITIOH~iL C O.q;(l E tITS ' LOG. D~PT ~OV'z'N 0~: SOt 7O x. 765.1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [] ROUGH PLBG. [] FOUNDATION ZND [ LATION [ ]FRAMING ,[~]'FINAL DATE /~_~/~'~ INSPECT~ ,~ lIE0 291994 ~,,~ BUILDING DEPARTMENT 'L .......... ~ TOWN HALL BLDG. DEPT. SOUTHOLD, N.Y. 11971 ~ ~ffOWN OF SOU, T[{~ TEL.: 765-1803 A rv ' ppo ....... ..... 19 .; ermit No. ...37.. Disapproved a/c ..................................... //-. (Buildin,,In~pector) ~' - ' ' ?yLICATION FOR BUiLDiNG PERMIT INSTRUCTIONS BOAED OF HEALTH 3 SETS OF PLANS SURVEY .................. CllEC~ ................... SEPTIC FORH ............. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sfi'eets qr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ' c. The work covered by tkis 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 permit shall 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 Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess~]~ ~4~¢ (~'~)'~ -- · ~..,,,,~,,~2~Sj~,nature of aplYlicant, or n. ame, i~ a corporation) 3 .o.,-¢....~'~.."¢D. tv.,,/..it .~ .7./ .................. (Mailing ~'ddress of~tpplicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. ............................... .o..w.. ......... - .............. . ........................... Name of owner of premises .~.fi../G..~. .[~..'. . ..../~. {. ~.~..~. ....................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~.~ ................ Plumber s License No ..................... Electrician's License No. t~. ................. Other Trade s License No ................... I. Location of land on which proposed work will be done .................................................. ..... . .............. .... .......... ltouse Number. Street Hamlet County Tax Map No. I'000 Section q'732'e~ ~ .~.0Block..................C~ : Lot...{ ............... Subdivision ........ . ...... ~..O .................. '. Filed Map No ............... Lot ............... (Name) 2: Stat~ ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~Tlctl-t,.'c-.e' ...................................... -. ..:.'.~;~ .................. b. lntendeduseana occupancy f.~.'.~'47..~.% .3. ature of work (check which ~pPlicable): New Building .......... Addition .......... Alteration .......... R~epair ...: ....... ;.. Re~moval .. ~.~ .......... Demolition ...... : ......... Other Work..L(.,/~.,~ ....... (to be paid on filing this application) If dwelling number of dwellinlg units ~ ~. ~ ~ 5. If garage numberofcm i .... '~ ....... Numberofdwellingunitsoneachfloor .... 6. If business, commercial or mi.x~ed occupancy, spec~y nature and extent of.each type of use . .~.~. 2 ............. 7. Dimensions of existing stmctu[es, if any: Front. ~'~~.~ .......... '.. Depth ............... Height ............... Number of Stories .. ~ .... -~ ' Dimensions of shine structure Mth alterations or additions: Front ................. Rear .................. D' ' ' ~ .... ~ .' ........ ;.. Number of Sto~es ...................... 8. ~mens~ons of entire new construction: Front ............... Rear ............... Depth ............... 9. e mint. front ..., ............ ~. Rear ......... Depth .......... Date of Purchase 'l . ' .................... 11. ~one or use msu'ict in wnicn p[emises are situated ,~2~ ~.~ ........... ... .... ~ ........... ~ ........ 12. Does proposed construction vi01ate any zoning law~,ordinance or regulation: .~ ......................... 13. Will lot be regraded ....... ;~ ......~ .......... Will excess ~[~ be removed from premises: Yes Nme of Contractor .... ~p~ ................. Address ............ : ...... Phone No ............ ' .... 15.' Ip thSs property ~ithSnj300 feet of a tSdal wetland? *Yes ........ ~If yes,' Southold lTo~n Trustees Permit may be requSred. ' .... ..: ~ ' PLOT DIAG~ L ' '~ ocate clearly ~d distinctly ~ bulldogs, Whether existing or proposed, ~d indicate ~1 set-back d~ensmns property Unes. G~ve street ~d blocg number or description according to deed, and show street nines and red,cate wh~ STATE OF NEW..--YO1N~I~ ! ~ ' . coum-y .'1:50. { F.x....!.s ...... t<~t-.t'4-//k!(.C,f.l~ .~,...~., .~k.~.~f ....... being duly (Name ot~individual signing contract) above named. . ! , . ?{15~1802 9 AM TO ~$ P~al/FOR THE FOLLOWING INSPEC'I'~OhIS: 1. ¢:OLJNDP4r~oN TWO 60J;r POURfiD COa!CHETE 3. INSULATION 4, FINAL C;ONSTRUfiTION MUST ~E COMPLET~ FOP, C.O, ALI., CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS sworn, deposes and says that he is the applicant i (Contractor, agent, cor'porate officer, etc.) of said owner or owners, and is dulyI authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this'application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application flied therewith. Sworn to before me this. ~tary Publto, Stete :of New Yotk . ,~.~. . ~.~ . . . . ' - .Qualified in Suffqlk County (Jl..~ ' ' (Signature of applicant) . ~ommlaslon Expires Deeamber 8, 19 ~ ' ' , r TOWN OF SOUTIIOI,D TOWN IIAI,I, ,q(IUTIIf)IJ~, NEW YL)IIK CE[{IH [CAIL OF OCCUJ'ANCY NONCONlVOIIMING PIIEMISES Tills IS TO CEIUFIF¥ that Ihlll ding(s) Use{s) No. Zl1995 0cLober .13, located at 51540 Main Road Southold 1983 Street Ilamlet shown on County tax map as District 1000, Section 070 , Block 02 Lot 001 , does{not,conform to the present Building Zone Code of the Town o~ Southold for the following reasons: _~Lhe.property has insuf'i'iclenL area, the accessory barn/garage __B~as g~mu££'igienL_~£dey_~rd setback~_¢h___e, dwelling is a two- Family residence. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /~/Land /~/Building(s) /~/Use(s) existed on the effective date the present 13uilding Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. UF IS FURTHER CERTIFIED flint, based upon information presented to the lhtilding Inspector's' Office, th.e oeetlpnncyx m~d use for which this Certifi- cate. is issued is as follows: ~ 'two-family__ ,X]dwelling. and accessory barn/ga.rag~_~pcated in Lhe 'A' Residenbial-flgriculgural Zone. The Certificate is issued to the aforesaid buildiug. MARY tlART, formerly known as MARY R. (owner, ]~-.-.~,~,e~w,.~,e~ard.) MITCHELL Suffolk County Department of Ilealth Appro, val no record ' ' UNDEI1WRITERS CERIIFIC E NO. no record NOTICE IS IIEREBY GIVEN that the owner of the above premises I-LaS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine ff the premises comply with ail applicable codes and ordin- $,ces, other titan the Building Zone Code, and therefore, no such inspection bas been conducted. This Certificate, therefore, does not, and iN not intended to ~ertify that the premises comply with all other applicable codes and regula- tions. F~E sGHOO~ M~ Dis1'RIC7 ~-~ 16.04'50 E IV. 112 O0