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Home My WebLink About22482-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23466 Date JANUARy 23, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property. 5350 COUNTY ROAD ~48 MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 15 Subdivision Filed Map No. L~t No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1994 .pursuant to which Building Permit No. 22482-Z dated NOVEMBER 21, 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 AN ACCESSORY STORAGE BUILDING IN THE REAR yARD AS APPLIED FOR. The certificate is issued to GARY & GAIL DOROSKI of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner's) MIA N/A N/A Rev. 1/81 il~ing Inspector FORM NO.$ TOtNN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. Ne 22,482 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Permission Is hereby granted to: ~ ..C~.~. ....... ~.~..~.~,...i ................................... ...,.....~::......~:~.~ ...... ~....Z ........................................ .... .~.,~.,.~.~ ........... ~ .................... to...C~..~..,~.~ ............ ~; ............ ~.~:~-~.' ................ ~,~ ................. ~./..~.., ............. ~ ........... ~... ~~..~ ............ ~ .................. '.'.'.'.'.'.'.'.'.'.'. ~,~.~ ........... ~..: ........................................ ~ .................................................... ~'~'~i~'~,i~i'i~'~ .............. ~ ......... .~.~.....~ ......... ~.; ............. ~~~/~ ............................................ CountyTax Map No. 1000 Section ......,,~..~ ...... Block ...... ~..,~... ......... Lot No ....... ../'...~... ............. pursuant to application dated .............................. 19 , and approved by the Building Inspector. Fee $ ......................... // / Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 Ppre-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 $15.00 Date ......................... ....... .. . . New Construction ........ Old Or Pre-existing Building ................. ~' Location of Property .... ~X~ . .. ~ ~ ~r ~.~..? ........ House No. Street Hamlet Onwer or Owners of Property ...... ..(~..~..~...~...~.~. ~.~..$.~.~.] .......................... County Tax Map No 1000, Section.../.9..~. ..... Block....~ ......... Lot..~.~.. ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ........................... .. Health Dept. Approval ....................... .. . Underwriters Approval ..................... .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~. ....... Fee Submitted: ~~''~'APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 11, 1995 Mr. Gary Doroski P.O. Box 781 CUtchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22482-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. STATE ENERaY CODE FIXAL .- ADD~T~OIIA'L CO!-tt~Sr;TS :, klflV - 9 1994 BLDG. DEPT. 'tOWN OF The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts. The Dutch B~ This Colonial looking barn has enough for~th'e" modern day homeowner, The usable space includes room for shelves, a loft, and even s work station. You'll enjoy the look and get the space, WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SEL!r TO THE BEST PEOPLE - OUR CUSTOMERS ¢ONSTRIJCTION WhyilDon't the Other Shede Meaeure Up? · No middle man. · Completely constructed and aslsembled, · All wood construction. · Stronger, longer life. · Foundation: 4x4 Pressure Treated Timbers, · Floor Joists: 16' On Center, Pressure Treated covered with % inch Pressure Treated Plywood. · Maintenance - Free ¥8' Exteric Grade T 1-11. · All Wood Corner Molding. Compare Our Quality · Roof Trusses 2x6 and 2x4 Double Guesetted for maximum strength, · Exterior Gred__e Plywood Roof, · Self Sealing 240 Ih, Asphalt Shingles. · Aluminum Roof Edge, · Heavy Gauge Galvanized Hinges & D6°r,~Latch. · Galvanized Nails, · Reinforced end framed Double Swinging Doors · Fully Painted and Trimmed, When you purchase a North Fc own a high quality wood prod~ Island with pride, Door and wit Delivery to Most Areas, We i Designing To Your Specification rk Wood Design Storage Building, Gazebo, or any other of our many products, you Ict, soundly constructed, with the finest construction materials. Built here on Long dow placement can be changed to suit your needs. Single Doors also available, Free eeerve the right to make design, option & specification improvements, Custom Other Designs Are Available All Sizes. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR - 9 1994 BLDG. DEP1; 'fO~WN OF SOL~THOLD Approved . .. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~.~. Permit No...°l?..~...~.~.. Disapproved a/c ' ................................ APPLICATION FOR BUILDING'PERMIT BbARD OF HEALTH 3 S'ET$ OF PLANS SURVEY CIIECK SEPTIC FORH M^IL TO: Date .. .'~ ............ , ' INSTRUCTIONS f · a. This application must be completely filled in by typewriter orin 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 mu~t 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 igsued 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 i'or any purpose whatever until a Certificate of Occup'ancy shall have been granted l?y 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,~o[;~t~,§c~t:~tio,,~ of buildings additions or alterations or for removal or demolition as ' Th ' ,' '~ "' ' ~ -: ~ ', ....... , hereto described. e applicani, a~8~to comply wzth all applicable laws, ordinances, bufldm code housm code a a~ ,m{t,~.~. ,uttzonzed ifi~p~tdrs ,6~t.premi~',e~%nd in bui!ding for necessary inspectiogns. ~ g , nd .regulat,ons, and to , t,~e~ ,~:;',, i' f4'-i' '~, t~: '~.~,~ f; ~,~w, r (Signa~ur9 oftapplicant, or name, if a corporation) (Mailing address of applicantJ~ S~te wh~'i~hei: appllcant is~W~nex;,lessee, age/~t, architect, engineer, generaJ contractor, electrician, plumber or builder. .~. ....... O.q~:M,V~:-,~ ...:,~...; ..... ~ ................................ . ........... . ... ~ ~ - ~ . · '~ ~ ",, ' r,'. (as on the tax roll or latest deed) If apphc~3t~,s,a,,c, or, poratJon, ~ ~, , ,. · . ;s~gnature 6Tduly authorized officer. · (Name an~ ~t:/t~le ,9 f~dcrp, orat~e~o~'ficer) ........... Electrician's Licen~ N~ *'" ;-' *' ~ Other Trade's License No ........ ~ .............. Location of land on which proposed work will be done. o ~ I .................. 2.rz... .................. ......... House Number Street Hamlet County Tax MapNo. 1000Section ...i.~0 Block ~ ' Lot.. Subdivision ........ . ......... ' ................... '. Filed Map No ............... Lot ............... (Name) Stat~ existing use and occupancy ofprenZ, , ' 'mt~4e-~ ~ and occupancy of proposed construction: a. Existing use and occupancy . . ~ ~ ~ ' .... ~ , ~ , ,~ b. Intended use and occupancy . ~~g~ ~ ~, ~ '' c · Nature of work (check whmh applicable) Addition Repair ' R~moval ................ Alteration . ' .............. ' Demolition Other Work ......... 4. Estimated Cost .......... / ,~-'"; ' ' scr '! ....... .................... Fee ............................. , (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 .. i ' · .... If business, commercial or mi.' .................................................... .. · 6. >ted occupancy, specify nature and extent of.each type of use . .~.~...~. ~.~..~..~.%4 ..... 7 D' ' sole ' 'ngst ctUres if any F. ... · imenslon XlStl Itl · . Height Npmbe fSiori ' ' . · Depth · ! , font ........ Rear ............... Dim sions fshm struct iwith Iterations additions:'F' ..................................... en o e ure a or ront ....... D pth ' Height ~ .................. Rear . 8 D'mensions of entire new construction: F ....... ['/"/" ' i .......... Number of Stories ' ' ont Rea JH ' '~ .... .......... ~ r ............ Depth .............. 'ght /. 9 '.lq.' Ni / Hei .... ~ ..... tuber of Stories ...... Size of lot: Front ......... ,. ......... ;.. Rear.. ' ................... Date of Purchase i ............. Depth ~3~.. ............... ·" · · ' . Name of Former Owner .. . ...... Zone ' ' · ' ............ · ........ or use al,strict in which premises are situated .... .~.,~.~½..l~_q,[~..~.~,.~.._.%. ........ ",: ....... clare any zoning law, ordinance or regulation. ' ................ Does proposed Construction viI . .. ~ 6 .......... Will 10t be regraded ...... . ill ex¢e. ss~fill be_re pr m e Nam~ of Architect ....... i .' ................ ~ .................. Address .......... Phone No . "' Name of Contractor ....... i .................. Address ...; ......... . ...... Phon,%e No ............ '., i.. 15.' I.s this property within1300 feet of a tidal wetland? *Yes ........ No../~-, .... · If yes,'SoutholdiTown Trustees Permit may be required. I ' P!~OT DIAGRAM Locate clearly and distinctly a~l buildings, Wheth'er existing or proposed, and. indicate ail set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 10. 11. 12. 13. .14. NOTIFY BUILDING DEP~ARTM~NT A~I' 768-1802 9 ~ ~ 4 PM FOR ~E FOLLOmNG INS~N~ 1. FOUNDATION - ~0 REQUIRED 3. INSUm~N 4. FIN&L . CON~YRU~ION MUST BE COM~ i~ ~R,C.O. ALL CONSTRU~ION 8HA~ ME~ THE REQUIREMENT8 OF ~E N,Y. STATE CONS~u~IoN ~ ~ERGY CODE~. NOT RE~PON~IB~ FOR DESIGN OR ~N~RU~ON ERRS8 STATE OF NEgZ--Y-ORKJ~F [ I COUNTy OF. ....... .... ,. (Name oftindividual signing cqntract) above named.. being OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE,. OF OCCUPANCY duly sworn, deposes and says that he is the applicant He is the . :~ ................... .... i (Contractor agent corporate officer etc ) ' )f said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this'application are true to the best of his knowledge and belief; and t let the ~oi'k will be performed in thc manner set forth in the application filed therewith· ' ~wom to before me thisf ........ , ~mlsslon E~k~ De~m~r ~ 19~ / ' " ' ~ mappncanu ,