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Home My WebLink About22565-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24131 Date JANUARY 24, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 3965 MILL LANE House No. County Tax Map No. 1000 Section 107 Subdivision AGRIuu~T~q~L STRU~A'u~E MATTITUCE NY Street Block 4 Lot Filed Map No. Lot No. H~let 2.8 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1995 pursuant to which Building Permit No. 22565-Z dated JANUARY 17, 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 AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED ARTHUR & LAURETTA BAUER (owner's) N/A 19, 1996 N/A Rev. 1/81 FORM NO.3 ToWN OF SOUTHOLO BUILDING DEPARTMENT 1'OWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N__ 22565 Z Permission is hereby granted ..~....~.~....~.~,~..~ ............. o,~,~m,~,oo~,~o, ......... ~ .......... ~//....'"./.~ ................................................. ............................................. ~~/..../..,. ....... ~ ........ ~.~ .......................................... CounlyTax Map No. 1000 Sectlon..../z~...Z~... Bloek......~.... ............... LotNo pursuant to application dated ...................... ..~;...~...~...~.. ......... Building Insp~or. Fee $..~,~.,...~... ......... Rev. 6/80/80 Building Insp,~'tor TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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). ~. Approval of electrical installation from Board of Fire Underwriters. 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 certificate 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 the applicant. C. 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 :.qr. ............................. New Construction...~ ....... Old Or Pre-existing Building ................. Location of Property.. ~.~. .... .~..I.~6..[..,q ................. .~..~t.'~..I.~.L~'.~ .................... House No. Street Hamlet County Tax Map No 1000, Section~.~[7. ........ Block ..... ~1 .......... Lot. ~' 1 Subdivision. ..... . ............... Filed Map ............ Lot ...................... Permit ~o ............ Date Of Pe~it ................ Applicant. ~"~. ~r..~-_~ ........... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ' '~' '~: '~' ?'~ ,~O~)' .................. ART BAUER MILL LAME, MATTITUCK, NY 11952 WOLF PIT POND ESTATES-LOT ~9 SPECIFICATIONS FOR PROPOSED BARN OVERALL SIZE: 20¢ X 40/ = 800 SQUARE FEET FOUNDATION : 4X4 CCA POSTS OM CONCRETE FOOTINGS 48" BELOW GRADE - 48" ON CENTER BOX: 2-2X8 CCA WALLS: 2X4XlO~ CEILING JOISTS: MAIN GIRDER: RAFTERS: 2X8 RIDOE: 2XiO SHEATING: ROOF- WALLS- ¢3000PSI) 16" OC - SOLID BRIDGING AT Sl 2X8 18" OC 3-2X10 LAMINATE, SUPPORTED BY 4X4 CCA POSTS ON CONCRETE FOOTINGS OC COLLAR TIES- 2X4 8/ OC 1/2" CDX PLYWOOD 15/32'' ASPENITE ROOFING: 210LB ASPHALT SELF SEALING SHINGLES OVER SIDEWALLS: VINYL SIDING DOORS: FRONT- 2~-5X8 TROLLEY DOORS SIDES- 3~X6~0'' STEEL HEADERS: 3~ DOORS= 3"X8" HEADER 9/6" DOOR= 3"X12" HEADER VENTS: 16" X 24" GABLE VENTS TiMBEr: ~2 HEM/FIR OR BETTER OR AS PER CODE ALL OTHER SPECS AS PER TOWN AND/OR STATE CODE 15LB FELT ~0~/.,I 5.~00'/' ~,¢. ~u~. e,,o .--'r'lq'": ~ooo' ~o-1' '~' :),% L,,ooL~ p t'T' ~0nb t::,e o ~o.:,?,o -~o~..e-.~ Lot I$ $.0001 ~1c. FIELD INSPECTION REPORT IIDATE ? · COlq~MENTS FOU~0A~rON (is~) L II ROUGH FRAI4E & - PLI1NBING II II II II II INSD~T'ION PER N. Y. STATE ENERGY II CODE - FINAL {I I1 765.,1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. [ ] INSULATION DATE I NSPECTO~_~~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1(~45(~96 BUREAU OF ELECTRICITY ['~ BB JOHN STREET, NEW YORK. NEW YORK 10038 Date JA~Y 24, ~,996 ,4pplicatlon ~/o, o. file TI-tIS CERTIPlES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of HR. & MRS. ~AUER, 3965 HILL LANE~ HATTITUCK~ in the folfmvi,g Iocatio,; [~ B,$ement [~ Ist FI. ~ 2nd ~7. OUT/BARN ,%etlon l~lo~k Lot ~ examined on JANUARY' 19,1996 and found to be i, compliance with the Notional Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 7 3 7 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLRT DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C )THER APPARATUS: G~F.C.I:-i OF CC. COND. NO OF HI-LEG AWG. OF HI-LEG DOUBL~-?OI.~ ~L~CTRIC P. O. BOXI47 PATCHOGUE LIC.~3913E 11772 GENERA/, MANAGER Per ,I This certificate must not be altered in any ~ return to the office of the Board if incorrect, fnspectors may be identified by their credentials. MANNER, lI ~ F~~ t~' ~i TOW j;;~;;'i~HO LD "I JAN-9i995tJAN -91995 : ~! BU LDINGDEPARTMENT [ I ~ ,~ ·. TOWN HALL - --"-"'-'"" ~'EP'r ~ ' SOUTHOLD, N.Y. 11971 Approved A ~/Z 19~.?. Permit No '~)~'~ ~ Disapproved a/c .... . ................................. ~ :AP~7~¢ATION FOR BUILDING PERMIT ' 'INSTRUCTIONS BOARD OF HEALTil ~. ........ 3 SETS OF PL,A~S .......... SURVEY ............... . .... ClIECK ............· . SEPTI '. FORH ..... CALL : . . . .... MAIL TO: Date.;../l.~ ........... , 19 ~ a. 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 according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or 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 this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a BufldingPermit- to the applicant. Such permit shall be kept on the premises available for inspectior/throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occupancy shall have been granted by the Building Inspector. -- , ..... APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit ,ursuant 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 demoliti0ii} as herein described The applicant agrees to comply with all applicable laws, ordinances, builfii4tg code, housing code, and regulations, and to admit author/zed._ inspectors on premises, and in building for .necessary ...... .in s~e ct-~n ?., ~ .~-m---...,--.t~,._~.(. ~4.~1..x~--' ~''''~~~ ............... · (Signature of a~pplicant or.n..~ame, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect/engineer, general contractor, electrician, plumber or builder. Name of owner of premises fll~.T. ~ U.~.~ [..(4U~..~L~zt'.~QU¢ ~. '~. ' .................. : ...... gP, P~0¥1~ll g$'ll0T~D ........'" ~ (as on the tax roll or ~atest deco). / z ~ _ _, OATE: Z ~7,, Y'J If applicant isa.corporation, signature of duly authorized officer. ¢~ B.R ~,,_~ f..~ _, . OFIFY 13UILOING OEP,,j~r.f~:' Builder s License NoX. ~ ............... ' } ....... . ' - TWO ~" , ?~ pouR~:.r~ CO,~fCa~TE Plumber's L; ..... ~,r~, X.. 2. ROt GH ~ FRAMING & PLUMBIN Electrician's Licen:e ~o: ~:: .".". ............. ~' ~}~;;~i~Oi;~CU.g[iON MUST Other Trade's License No .... ~. .... AkL CONSTRUCTION SHALL MEET .......... ,''"~ ............. THE REQUIREMENTS OF THE N,Y~ STATE CONSTRUCTION & ENERGY I. Location of land on which proposed work will be done ................. GO~ES~ · ~G'F · 'I~E~PONSH~LE. · FOR ............. p L..,. N q i I o, House Number Street Hamlet Count9 Tax Map No. 1000 Section .... \.~.3 ......... Block....~.. Lot Subdivision...... ...... ~.... ~' .... ~b~h~' . ..... Filed Map No ............... Lot (Nmne) ............. 2. State existing uge,and occupancy of premises and intended use and occupancy of proposed c~ a. Existing use and Occupancy ... ~0T'...r.~ ................ b. Intended use and ocoupanoy .'... ~ ~ I~'~t : 9~0~" / l/ ' / , '" '''J' ..... : .............. 3. Nature of work (check which applicable): New Buildin ......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... ' (Description) 4. Estimated Cost .l~.~q3..~.~. ,.0·.0 (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 , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... ' .......... 7 Dimensions of existing stmcture~ if any: Front Rear Depth ........... · Height ..................................... ' ...... ............... Number of Stories .................... Dimensions of same structure with alterations or additions: Front ............................... Depth I Height ...... Rear .......... ............................................ Number of Stories ........... , ....... 8. Dimensions of entire new constr~ction: Front .... .~..O. ..... Rear . .¢~.O ......... Depth .&O. ....... ~ ... Height ..~,. 9. Sizeoflot Front ~.&.cl .. . Rear 2~/~'J ............. ~.":.' :4~>.:. ~' ......... "' ..... "L'.'d;, ',gt;-;,'~ ....... ,o,.,~.-~ ............... L~ep.m .t.':~O .............. ~.. 10. flare oteurcn, ase ...WXn.'I... I.)n .-r ..... . .......a' Name ~fFormer Owner . .~.;~.. I~J'T...~.o. LT/: .~';~'F..,.. ~.. 11'. ~one or use aistrict in which premises are situated..F.'.'X~O~C~m¢4,(...~.~.~. .............................. 12. Does proposed construction violate any zoning law, ordinanc~e or regulation: ...$2~). ..................... '...r%. 13. Will lot be regraded .. IqO... ................... Will excess fill be removed from premises' Yes Nam 14. e of Owner of premises ~. ,.Iw..l~. ~.O.~,,. Address .%})o l~e~m.. Phone No 3 ~9 -. Ol.~'~ .. Name of Architect ~ ~4k . ~clct~o~ ...... *,,- -, ' ........ .................................................... rnone mo ................ Name of Contractor . ~ ~.~... ................. Address ................... Phone No ................ 15. Is this property within 3'00 feet of a tidal wetland? *Yes ........ No. ~. ..... *If yes, Southold T;own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block aumber or description according to deed, and show street I indicate whether interior or corner, lot. ~ ' STATE OF NEW 1CT3'RK, ~'~__ Jb i county OF ..... ¼.% .'37 l -s.s .... ~ g'~ ' ~ ~ ~..: .................. being duly sworn, deposes ~d says that he is the applicant (Name of individual signihg contract) above named. He is the ....................... . . .. " (C0hiractor agefit corporate officer etc2) of said owner or owners, ~d is dulyiautho~zed to perfom or have perfo~ed the said work and to m~e =d file this application; that all statements contalfled M this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed in the manner 8et forth in fi}e application filed therewith~ Swom to before me this ~. , ' , / . ......... ...... , ~oISW Public State of Now York ~ N~. 487~505t ~ ~ '; ~, : . * .... ' Oualfffed in Suffo k ~oun~ ~/~ : (Signature of applicant) ~mmission Expires D~ce~bor 8, 19 ~