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Home My WebLink About22598-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23505 Date FEBRUARY 22, 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1380 BAYBERRY ROAD CUTCHOGUE NY House NO. Street Hamlet County Tax Map No. 1000 Section 118 Block 2 Lot 12 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 1995 ~ursuant to which Building Permit No. 22598-Z dated FEBRUARY 21, 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 "AS BUILT" ACCESSORY STORAGE SUED AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pLUMBERS CERTIFICATION DATED MARGUERITE P. MULLEN N/A N/A N/A Rev. 1/81 /y~l~dlng/Inspector FORM NO.3 TOWN OF $OUTHO~D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No_ 22598 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHO~ZED) Permission Is hereby granted to: MAR~II~RITE P. MULLEN 1380 BAYBERRY ROAI) CUTCHO~Ulg, NY 11935 ~....EQR..AN., !~AS..~UILT::..ACCgSSOR~.. S~ORAGE..SPED,,A~. ~P.I~LII~B.. FOI~,, ..................................... at premises located at 1380 BAYBERRY ROAD, CUTCIIOGu~ County Tax Map No. 1 O00 Section ......... !,!,8,, .......... Block .......... ,2, .............. Lot No ............... !,,2, .......... pursuant to application dated ............... ~ .B..R..g...AI~...~.....2. !. ? ................... 19..~.5. .......... and approved by the Building Inspector. ~ ~ 35 O0 Rev. 6/30/80 Form No. 6 APPLICATION FOR CERTIFZCATE OF OCCUPANCY f V~~~ ~his application mus~ be filled tn by typewriter OR ink and submitted to the build%'~g' inspec~or with the following: for new bailding or new use: 1. Final survey of property wigh accurate location of all butldi%gs, property lines, streegs~ and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~). 3. Approval of ~lactrica% installation from Board of Fire Underwrite:s. 4. 8worn statement from plumber certifying that the solder used in sys~ contains less than 2/10 of 1% lead. 5. Co~arcial building, in4usgriat building, multiple residences and similar buildings and installations, a cergificate of Code Comp'llance from architecg or engineer responsible for ghe building. 6. Submit Planning Board Approval of .completed s%te 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 applicet~on and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied~ the Building InspDetor shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy .- New dwelling $25,00, Additions to dweliing $25,00, Alterations to dwelling $25.00> Swim,lng pool $25.00~ Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Oe~ificate of Occupancy - $5.00 over 5 years ~ $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Re~ide~tial $15.00, Commercial $15,00 / .... ............. New Construe¢ion ........... Old Or Pre-existing Building..~-.~ ....... Location of Property,..%~Q;~'.~y.~99~;.~p~;.~p~.~ ........................ House No. Street ~amlet Onwer or Owners of Property...~org99F$~e P. Mullen County Tax Map No I000, Section,.~ ......... Block.. ~ ............ Lot. ~% ................. Subdivision. Map. of.~as~au. Pe~L. ECa~b. ~l~m~.Filed Map ............ Lot ..... %~.QO,~o~¢~.~ap A ~p/ Permit No ................ Date Of Permit ................ Applicant. Ah%g~%~ .A.~ ~%q~'~q~q~y for owner Health Dept. Approval .......................... Underwriters Approval .................... ; .... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certice~e .... X ...... Fee Submitted: · '/ 'APPnZCANT ' WILLIAM WICKHAM ERICO BRE$SLER ABIGAIL A WlCKHAM UEFFREY STARR LAW OFFICES WlCKHAM, WlCKHAM & BRESSLER, Pc. MAiN ROAD, P.O. BOX 1424 MATTITUCR, LONG ISLAND NEW YORK 11952 516-298-8353 TELEFAX NO 516-298-8565 Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 Att: Gary Fish Building Inspector Re: Marguerite P. Mullen SCTM 1000-118-2-12 1380 Bay Berry Road, Februar~.~c~.l 7, 1995 Cutchogue, N.Y. Dear Mr. Fish: Enclosed are Applications for Building Permit and Certificate of Occupancy for a shed on the above property, together with a copy of the survey with the shed pencilled in. Also enclosed is our check to the order of Southold Town Building Department in the sum of $35.00 which was the amount you requested. If you need additional paperwork, please call Madeline at my office. May we pick up the CO's next week? Ve~.tr~lv yo, urs, Abigail A. Wickham AAW:mh encl. 30-bldgdptl FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTh,~, N.','. 11971 TEL.: 765-'1802 Examined ....... ', 19~. Approved, .~.' .5~. .., 19 ~'~Permit No..~...~...~ .~.~ Disapproved a/c ..................................... (Buildirffg Inspector) APPLICATION FOR BUILDING'PERMIT .I -. INSTRUCTIONS BOARD OF HEAL, in ....... 3 SETS OF SURVEY CIICCK SEPTIC I~ 0 R i'! i'; UT I P¥.I''n .... ... I'IA I L'---T O: , ' a. This apl~lication 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 sti'eets 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 Building Permit to the applicant. Such permit shall be kept on the premises available for inspect/on 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 shaI1 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 South01d, 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 apphcable laws, ordinances, building.code, housing code, and re ulations and t admit authorized inspectors on premises and in building for necessary insp.e~fC/fis. ~, /' / ,/ . ~ g , o (Mailing address of applicant) State wl~ether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. Name of owner of premises (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. Other Trade's License No ...................... 1. Location of land on which proposed work will }c done .............. ~ ...................... ......... '. ' .... ' ... ................... . ..... l'lousi ~;;, Street ' Cotmty Tax Map No. 1000 Section ... i .............. Block . ~- ' Lot Subdivision ........ . .............................. Filed Map No ............... Lot ............... (Name) .. Sta e ex~stmg use and occupancy of ~re~dses, and intcn~ded use and occupancy of proposed construct{on: . . ~ ~ ~~~' .// ~ : --- x.~,,~;~ which ~Pplicable): New Building .......... Addition . Alteration tqepair .............. Re,oval .............. Demolition .............. Other it rk~ 4. Estimated Cost ............ ,' i .............. Fee ..................... , (to be paid on filing this application) , 5. If dwelling, number of dwellinglunits ... Number · Ifgarage, number of cars . .. ............ · cfdwehmg Units on each floor ............... 6 Ifbu i Iormide~'o~ ~ -',~ : '. 7 Di ions ofex'st'ng st . : . ~,-,,~,~ccny na[ure aaa extent of each type of use . . · e~ fa F H ~nens ~ i ructur ,~ ny: rout ............... Rear .............. De ..... D~ght ............... Numl~er of Stories ..... ~ ............. ' pth ......... ions of sh with alt ti .................................... ens me structure era oas or additions: Front Depth ' ·.. Height Rear · Number of Stor/es · Dimensions of entire new construction: Front ............. ' ........ Height Numbelr of Stories ..... ' Rear Depth · ' ' ' 'Rear ' ' ....................... ~ ....... I0. Date of Purchase ~ . .~ ......... '. ........... ~ ...... ' ......... Name of Former 11. ~ or use m. smct in wi)rah premlies are situated ...... ~.~. ~. ........................ 13. Will lot be re -~ -~ ~-~ -.,~,--~ ~w, oramance or regulation: . ·. ·. · .~~...~..d_..~, 14. Name of Ow r ' · >>~ ....Will excess fill b¢ rem Name of Contractor ~ .... auuress ....... ............ Phone No ............ .. ............. .............. Address ............ : ....... Phone No ............ ' 15.' I.s this property within 300 ~eet of a tidal wetland? *Yes....~.... No ...... ~If yes,'Southold Town 'iTrustees Permit may be required. ''' .... I~ PLOT DIAGRAM ~.. Locate clearly and distinctly all buildhags, Whether existing or proposed, and, indicate all set-back d'imensions from property lines. Give street and block numb~ r or description according to deed, and show street names and indicate whether knterior or comer lot. TATE OF NEWeYO)'~, ~z S S ov ¥ OF ..... , · ........ '.'.. (Name ofindivklual'sig~ing c;nt;a'c'tj ' ' ' ..... being duly sworn, deposes m)d says that lie is the applicant )ore named. -' is the . t ontract r ag nt porat office ) .............. o , e ,cot e r, etc. said owner or owners, and Fi duly authorized to perform or have performed the said work and to make and file this plication, that . · , all statements contained in this applicdtion are true to the best of his knowledge and belief; and that the >rk will be performed in the manner set forth in the ap ,om ~lication filed therewith. ' to before me this ......... ...... ,o¢ ,,. · .. 5/~'./.'-~ .,.ya-t.. ,q-e.~ ..... gountv ~/ ., .~ ., ~ ...~ ~ ' .'4' HJf~OS -JO NAAO£