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Home My WebLink About22408-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z-23629 CERTIFICATE OF OCCUPANCY Date MAY 11, 1995 THIS CERTIFIES that the building Location of Property 250 SIXTH STREET House No. - Street County Tax Map NO. 1000 Section 126 Block 1 Subdivision Filed Map No. ACCESSORY LAUREL, N.Y. Lot Lot NO. Hamlet 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1994 pursuant to which Building Permit No. 22408-Z dated OCTOBER 25, 1994 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 & FENCE 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 Rev. 1/81 ROBERT &ALISONKELLY N/A N/A Building I~specto~ FORM TOWN OF $OUTHOLD BUILDIN~ DEPAI~TMENT TOWN HALL $OUTHOLD, N.Y. N~ 224O8 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~o,~ ....... ~.....~..~ ................... ~.. .... ./.../..~.....~~.~..~...~.~. ......... ...... to....~~~,~..;.~.....~.~~.....~..~ ................ ~ ......... ~....~,~.~.....~ ....... ~.~ ......... ~.~ ..................... ....... ~.....~/~.....~~ ........ ~..~..&. .......................... .... ~.~.~..~ ............. ~.~......~/~.~.~.~.~. ............................ at premises located at.,...~ .......................... ~ ...................................................... ............................................... ~.~..~ .............. ~..~..~..~ ............................................ ~,~~. ~ ~,~ ....... ~..~ ..... ~ ........ ( ................ ~..r.~. ................... Building inspector. ....~ ...... .../~~ ............ Rev. 6/3 0/80 BLDG. DEP'[ TOWN'OF SOUTHOIJ; .......... ~]P~'~ATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN tlALL 765-1802 DLOG. DEP'[. 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 lihes, 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 hess 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 ~lanning Board Approval of completed s~elp~e~qi~ments..~. 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 all property lines, streets, building and i 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 $%5.00, Alterations to dwelling $25.00, Swimming pool $25.00,~ilding $25.00, Additions to accessory building $25.00. Businesses ~ ', ~ 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 ...... .~. 21.2...~..~ ..................... New Construction ..... ~..... Old Or Pre-existing Building ........ .... ~treet~ ~ - · H~ml Onwer or Owners of Property...'~.~b,~,~., ..~J.CW~2f~..i~.~. ....... Subdivision ................................. Filed Map ............ Lot .................. Permit No ............... Date Of Permit .............. Applicant .......... - ................... Health Dept. Approval ......... .......... Underwriters Approval ...................... Planning Board Approval ..................... Request for: Temporary Certificate2 .......... F~icate .......... Pee Submitted: $ ............................ i~~~ ~/. qq l _ · /% I)iyL~h,t~ cd' Knufidd's Cotmtry FIo~i~t n~l I'*nrm, h~c~ (:OI,.1NTRY RI). · RII. (~L.'. N.Y, llg~l ': Fhd~h I',ceuly n I|ghtn¢ PLUS Written W~irranty · Af~0ther KAUFOLD'S I door ,I, or cheek I~ [hdl 2X4 Kih* dHcd SIIIcI w.lls ,FIR sIDiHG? CO~/qTE LATIO:; PER'N. Y. STATE CODE FI;;AL '. II / ' /'- - ,.]~ .'. · a, DDITIO~IA'L CO!-~iEI/TS: N 69°15'10'' E 50,00' ~ BLDG, DEPT. ~N OF SOUTHOLD i-1-1 2so.oo' ~ Versatile and charming, the Quaker's standard features are: · One double door · Two 18x22 jalousie windows with shutters* Also available (not shown) - Hip roof as shown in the Quaker with 1' lower walls. Nostalgia and function are combined in this barn. Its features are: · One double door · One 60xl 5 jalousie window Pressure Treated Skids 8' Wide Barns 10' Wide Barns 33¥,~ I 33~A 21h 12' Wide Barns 35 ~ 33~ ~ All buildings ore fully * 8' × $', 8' x 10' and 10' x 10' buildings your prepared site. ~ feature only one window with shutters. Z N 69'15'10" E 50.00' ~.0~(~ SET BLDG. TOWN OF SOUTHOL 0 \ I~' I: :" ~,,,~-~ ..... ~.!:..~ S 69'13'10" W 50.00' SIXTH STREET (BLUESTONE &: ROADWAY) CONC. ~ON. ~-Ulli~'Y POLE 250.00" ~. ~ 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG~ [ ] FOUNDATION 2NO [ ]INSULATION [] FRAMING [/~'"AL ~ ~b DATE ~////~/~,NSPECTOR ~.~ ~31.DG. DEPT. , TOWN OF $ou'rHOLD ~ Examined.. ..... ,1,.?.¥ , Approved..~ ~.~..., 19 ~?Pe~it No. ~~'*~'~ ' . .......................... ' ..................................... [... ~ ~ .... vi~LDG. DEPL ~ ...... Building Ins FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CI1ECK .................... SEPTIC FORH .............. CALL ...... ~/~ Date .................. , INSTRUCTIONS t a. This apphcahon must be completely filled in by typewriter or in mk and submitted to Bmldmg Inspector, the with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. -~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, hous~tg--e~d~.~and regulations, and to admit authorized inspectors on premises and in building for necessary/~~. // --- ~'~(Signatui~ o/a~'~n'~e, if~a::rporation) ~ .~..$>...,. ,. A'-.~. ......... ......... (Mailing add~ess of applicant) (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner of premises. ~~.:.... T ...... (;; ;~' ;~;' ;a~' ;~1~ ;; i~t;~[ ~~~:d~__~,~ ~ Name of If applicant is a corporation, signature of duly authorizeS officer.~~ ~:~ 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING iNSPECTIONS: 1, FOUNDATION . ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. ~NSUL.AT~ON L,O~o~ RUCT~ON MUST BE COMPLETE FOR C,O, ALL COMS'rRUCTtOM SHALL MEET THE REOUIRfiMEMTS OF THE S'r,*:r[ CONSTRUCTION & ENERGY COOES, M~ RESPONSIBLE FOR 1. Location of land on which proposed work will be done ..................... q~i~P4OB.CONSTRUCTtON.~RORS. .... ............... ................... L .og [ ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~.g G ....... Block ..... O[ ......... Lot ..... {.~ ........... Subdivision .... ~ ~ ............................ Filed Map No ............... Lot ............... (Nmne) 2. State existinguse and occupancy of premises and intended use and occupancy.of proposed construction: a. Existing us~ana';0eeupency ... ~ ~.~}..~[~.~ .................. , ............... d b. Intende use and occupahcy ..................................................... .. Addition .......... Alteration ~ .......... (to be paid on filing this application) 5. If dwelling, number of dwellinl 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 structurbs, if any: Front .............. Rear ........ Depth Height ............. Number of Stones ................................................ Dimensions of same structure with alterations or.additions: Front ....... ~ ......... Rear .................. epth ..................... Height ...................... Number of Stories .............. ; ....... { 8. JDimensions of entire new construction. Front I,~ t ~.~ 1o~ * Depth ~. ~. H /o7.t. ' ' .........................................- eight ........... Number of Stories ..................................... - ......... 12. Does proposed construction vioiate any zoning law, ordinance or regulation: .~.~. ........................... 13. Will lot be regraded ....... ~. O ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~Ot~arP:,~. ~d t~'O.~[ .[lq. Address .,~.'{d:3 .~{--., ~ Phone No. ~J.~.-~ .~Z.~.~J/~. !~. Name of Architect I ......... ..'. Address .......... Phone No ......... Name of Contractor . I ........ l ................. Address ................... Phone No ................ 15. Is this property within ~00 feet of a tidal wetland? *Yes ........ No..L~?.... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly aill buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc]~ number or description according to deed, and show street names and indicate whether interior or corner lot. .....~_~;/ STATE OF NEW YORK, COUNTY OF. ~. t*O.O, ge tt~..~d .~ b~ .q ~ Eel~ ~ being duly sworn, deposes and says tha~applicant5 (Name of ~nd~wduai mgm~g contract) above named. of a~id uw,er or uw,~, ~d is duly! authorized to perform or have perfomed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner ~et forth in the application flied therewith. Sworn to before me this · ...... a~..D ........ day of.l. ~~.~.. 19 NO. 30-4~2374 , Quafifl~ ....... Commission Expires July 13, ,9~ ¢