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Home My WebLink About22157-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-23114 Date JULY 22, 1994 THIS CERTIFIES that the building Location of Propert~ 930 JASMINE LANE House No. Street County Tax Map NO. 1000 Section 69 Block 3 Subdivision Filed Map No. ACCESSORY SOu'£nOLD, N.Y. Hamlet Lot 24.15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1994 pursuant to which Building Permit No. 22157-Z dated JI3NE 28, 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 BUILDING IN THE REAR YARD 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 JOHN J. & GRACI~ E.M. SWEENEY N/A ~/A N/A Rev. 1/81 N~ 22157 Z FOI~M NO.3 ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT 1'OWN ~ SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ........................................ CounlyTaxMapNo. 1000 Sectlon,.~.,.~.. .............. Block ...... ~,~ ............ LotNo ...... ~,~,,,',,,,~,,,~,,,,, pursuc~nt to application dated ................ &/~...~.. ........................ ,~....~...~........nd approved bythe Building Inspector, Fe~ ~...~..~... /~/' Bull .d!ng~l~spector Rev. 6/30~80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN IIALL 765-1802 rlON FOIl CERTIFICATE OF OCCUPANCY A. This appl&cation 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. B.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ':'pre-existing" land uses: i. 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 i/reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additizo~s to dwel ' Alterations to dwelling $25.00, Swimming pool $25.00,~ie.s. so~-~uildin~ $25.00. Additions to accessory budding $25.00. Businesses $~'. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated ~ertificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 ......................... Location of Prooertv ~ ~ ~ ~ ~ House No. Street Ha~et Onwer or O~ers of Property ...... ~. ~ ~ . . ~.. ~. County Map 000, ..... ..... D ....... Subdivision .................................... Filed Map .......... ..L?t ...................... .... ~.. ~. ..... J~pp~cant.~..~... ~0.~ ~ ..... Health D ' -- ~ ept. Approvai .......................... Underwriters Approval ......................... P1 g App 1 annin Board rova ...~ .......... Request for: Temporary ~ertificate ........... Final Carticate ....... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 14, 1994 John & Grace Sweeney 930 Jasmine Lane Southold, NY 11971 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. xx 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 9 22157-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. OUNDATION (1st) 'OUNDATIO:! :OUGH FRAME & (2nd) .PLUMBING [NSULATION PER N. Y. STATE E~;ERGY CODE FINAL I ADD%TIOMA'L COMME~;TS: l~cky~rd Structnres Built By' IX/o° d Design ' Pauls Lane Pe¢onic, NY .765-3090 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ............... , 19. / Disapproved a/c ..................................... go^go or U~Anr~t ......... 3 SETS O.~/~LauS SURVEY ;~..,.~.,.. ~ ' SEPTIC FORH .............. CALL . ' ....... HAIL TO: __ _ lltll . (~,diJ~ng Inspector) ij]l JUN 1 6. I~/ APPUCAT,ON FOR BUILD,NC PERmT ~: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Bulldog Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pl~ show~g location of lot and of build~gs on premises, relationship to adjoining premises or pubic strects or areas, and giv~g a dot,led descdption of layout of property must be drawn on the diagram which is pa~ of this appU- cation. c. The work covered by t~s application may not be commenced before issuance of Bu~d~g Pe~it. d. Upon approval of this application, the Building Inspector will issued a Bufld~g Pe~it to the app~cant. Such pe~it ~h~ be kept on the premises available for ~spection throughout the work. ' e. No bufld~g shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy ~ shall have been granted by ~e Build~g Inspector. APPLICATION IS HEREBY MADE to ~e Build~g Dep~ment for the issuance of a B~lding Pe~it pumuant to the Building Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other app~cable ~ws, Ord~ces or Regulations, for the construction of bufldhgs~ additions or alterations, or for removal or demolition, as here~ desc~bed. The appgcant agrees to comply with a~ appficable laws, ordinances, bufld~g code, housing code, and reg~ations, ~d to admit autho~zed ~specto~ on premises and ~ bulldog for necessaw inspegtions. - ' .... X~ature of applicant, or n~ if a corporation) 9~ .~ ~~ ~, ................... ~ (Mating address of applicant) State whether applicant is owner, lessee, agent, ~chitect, engineer, genera] contractor, electrici~, plumber or b~i~der N~e o~ o~fle; o~e~is~s ...-. ~. ? ........................................... '. ,.***'b ,* ~'~***- ,' ..... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. , (Name and title °f c°~°rate offi;;r)o~d~ANCY 0R ,~uiider's,.icense No ................. USE' ils UNLAWFUL Plumber's License No ................ WITHOUT CERTIFICATE i " ' ' OF. OOCUPANCY E ectnc~an s Lmense No .............. Other Trade's License No ...................... NOTIFY BUILDING DEPARTMENT AT 765-1802 gAM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION '- TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION - 4, FINAL - CONSTRUCTIO~I MUST SE COMPLETE FOR C.O. Location of land on which proposed work will be done. ALL CONSTRUCTION SHALL MEET ~ ! , . ' ' ''r' ............. ,' ' '~HE 'REEItlIREI~IENTS. OF' .T~dE. -N.Y. ~ 5.0. O....r--..s..%:n~.. L_om~_. --J~,_*%o Id .STATE CO.STRUCT,ON ...... ' .................................... GO~E$.- · N~T. · ~ESPON~BLE. FD~ . ltouse Nrumber Street H~GN OR CONSTRUCTION ERRORS ,o00 ........... ,,oc ............. ..... Subdivision · · · Filed Map No ............... Lot ............... (Name) State existing usc and occupancy of premises and intended use and occupancy of proposed construction: ~. Existing use and occupancy ..................................................................... ..,., ......... .... ............................ APP~OyED AS NOTEO 3. Nature of work (check which spplicable): New Building .......... Addition .......... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. 4. Estimated Cost ....... f.'~.if.~' (Description) 5. If dwelling, number of dwelling units (to be paid on filing this application) lC garage number of cars i ............... Number of dwelling units on each floor ................ 6 ' If busine'ss "'; .................................................................... · , commercial or mixed occupancy specify nature and extent of each type of use 7 Dimensions of existing structures if any: FrOnt Rear Height Num ~er of Stories ............................. Depth ............... Dimensions of same stmct .............................. ure with alterations or additions: Front ' ' ......................... Depth ................. Rear .................. · Height Number of Stories 8. Dimensions .~etntire new construction: Front .... iQ .' ....... Rear .... tO Height .............. Nu er of Stories ....... ~ , ,, 9. Size of lot: Front ........................ ~,: .......... ........ · ~ .......... Rear · · · · Denth 10. Date of Purchase C-//o ~' ' '. ................ .... · ..... ,r. -?.~ ...~ .r. · · .' ......... lwame of Former Owner ..... 11. ~one or Use restrict in which premises are situated ............................. 12. D°es pr°p°sed c°nstruction violate any zoning law, ordinance or regulation: ...... 13. Will lot be re,,raded t.-, ~, i x,~_ ~ .." ~ ' ' ~.~'4.' I:' '.-- ................ Will excess fill be remo .No 14. ~,,u,e o~ uwner o~prem~ses o..o.27. 9.."..~.~.~.% {~..f~ Address .~. gO. Name of Architect .............. Address ·.. Phone No.. ... Name of Contractor ........ . .............. ; ;'. ·. Address ................... Phone No ................ 15. Is this property within ]300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold iTown Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set:back dimens' property hnes. Give street and blocklnumber or descrintion accordin,. *~, ,~,~,~ ~-,~ ~'- ............ runs, from interior or corner lot. - --o ...... , a.,. ~.ow s[reet names eno molca[e wnether STATE OF N~W yOR~ '., '~ ' ~ ~ ~"~"~' '~'~ ~ '~"~ ~'~t ~"¢~ : ..... , · · ~ -.~ ..... ,, deposes ., :. (Name ofmd~v:duol, sigmqg contract) / aoove'na~ed. · - . i and says that he is the applicant ontractor, agent, corporate o cer, etc. ~f said owner or owners, and is duly [authorized to perform or have performed the'said work and to make and file this ~pplie,'ition; that all statements contaided in this application are'true ~o the best of his 'knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith· ;worn to before me this j ...... · ,' ................ , C Notary Public, State of Now York ' ' - No. 4951304i _ / Ouallfisd in Suffolk County ~ ~ x~g~atm'~ of applica/ti Commission Expires May ~2, 19 .... SURVEY OF LOT15 '~tgAP OF ~N,rrHoLD VILLA~ 8ECTION TV A T SOUTHOLD TOWN OF SOUTHOL, / LO). SUFFOLK COUNTY, N 1000 - 70 - Of- PlO (t Sca/e: I" = 40' Mar. 23,1993 Aug. 17, 1993 (founO Nov. 19, 1993 (final) LAN£ I~0, O0 ' SUFFOLK COUNTY DEPARTMENT OF HEALTtlI SINGLE FAMILY DWELLINGO Approval of Constructed Works H.D. Re/. The sewage disposal and water supply facilities at th have been eet~sfactmily msi;e~[ed by this Departme in ~mpliance wlh the~ as*built pianos -F CrilE~ dF ~ENER~L ~GINEERING SERVICE focal[one of we//s and cesspools ~ hereon are from f/eld observalions ~r from data obtained from others. AREA = 32,055 sq. ft. ed in accordance w/th the m/n/mum ds for /fife surveys as es/ab#shed I l,~ I _.q ~nd ~eeroved one o~ooted The wafer supply and sewage disposal sysfems for /hfs residence wi// conform (l~U!/) £66l '6l 'A ON ~uno/) £66/ 'ZI '~nv sUO!lO~,m$ClO PlalJ mo# eJo uoa./ay u, SlOOdSsa~ puo Slla/~ io S?Oll~OOl - gl 107 dO X 3A ~tn £