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Home My WebLink About22247-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~RTIFICATE OF OCCUPANCY No Z-23261 Date OCTOBER 4, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 385 PINE TREE ROAD EXT. CUTCHOCUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 7.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1994 pursuant to which Building Permit No. 22247-Z dated AUGUST 10, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certif'icate is issued is ACCERSBORY STORAGE SHED 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 HAROLD & MAUI~EEN WICKS N/A N/A N/A Rev. 1/81 FORM NO.3 BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 22247 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........... .~/,../...~.. ..................... 19..~../,~.,. Permission Is hereby granted to: ..... .~....~...~...£~...~ ,- . ........... ~ ./...~~,,,~,...~..* ...... to .....~4.~ ~......,~..... ....... ~.~.~ ~: ~..o..~ ~ ....... ~.~......~....~ ........ , ................... ~.....~.l.~..,.. ..~.. ...~ .. .~......~. ................... .~.,....~ .... ~f?p ........ .................................................... ~.../..~..X.. ~/.. ~,.~...,,...z~.~, ............................... C:oun~Tax Map No. 1000 Section ~ Block / Lot No. .?.'..../... .~....: .......... pursuant to application dated .......... ~...6f~...../..,~. ....... .~...?.. ........... 19...~.....~....., and approved Pythe Building Inspector, Fee $...~....~......./~... .... Rev. 6/30/80 Building inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' ~- A. This application must be filled in by typewriter OR ink and submitted to the/~uilding 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 electrica% 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 "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 Buildinm - $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 0~r Pre-existing ~uilding ................. Location of Pronertv... House No. Street Hamlet Onwer or Owners of Pronertv.. County Tax Map No 1000, ~ec on .......... , .... Bloc~ ................ ~ot ..................... ' Subdivision .................................... F~led Hap ............ Lo[ ...................... Permit No.~. ........... ~q~ ~Date Of Pe~it..~~pplicant...~..~;~ ...... Health Dept. Approval .... ~-7 ................ Underwriters Approval .... ~/~ .............. Planning Board Approval ....................... . Request for: Temporary Certificate ......... Final Ce~icate.~. Fee Submitted: $ .... 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 September 14, 1994 Mr. & Mrs. Harold Wicks Box 298 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy becau~o~/'~he following reasons: ' C/xx An application for Certificate of Occupancy is not on file. (Enclosed) o 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 ~ 22247-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 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 September 14, 1994 Mr. & Mrs. Harold Wicks Box 298 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. 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 # 22247-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. COMmeNTS · ' " SULATION PER'~. STATE ENERGY CODE ADDITIO~IA'L CO:4~ENTS: The Quaker This is the roomiest shed going. It uses ere anything from sales office to pool house or even studio - the possibilities are endless. This model comes with a loft. The Gable, A~Frame or Cottage An excellent addition to your property. Great for storage space and comes n a variety of sizes. Window is included for that extra special look / 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 fSarn This Colonial looking barn bas enough space for the modern day homeowner. The usable space includes room for shelves, a loft, and even a work station. You'll enjoy the look and get the space. WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS 76s-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ] ROUGH PLB_.G. FOUNDATION 2ND [ ] INSULATION FRAMING [~J/~L REMARKS: INSPECTOR B . i' TOWN OF SOUTHOLD SURV£Y · ~I~I BUILDING DEPARTMENT CIIgCK .1~ . . . ~ TOWN.,,,,.,_ s~-F',',c on:, ;~'--'F~};'"' ' ~ BLDG. II:IEPT. SOUTHOLD, N.Y. 11971 OP/~C~-"'- ~g"'/o/ ~~~.1 ,/D / TEL.: 765-1802 t:O? 1 FY: .~. - - - Disapproved. a/c ..................................... ~. ...................................... iili ~ ' '(BuilrJi~'In sp;it ;r) ' · AP BUILDING PERMIT INSTRUCTIONS 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 t(~ scale. Fee according to schedule. : b. Plot plan showing location Of lot and of l~uildings on premises, relationship to adjoining premises or public streets 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. ¢. 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,.,.,,~..~O[d. inance~, .'.-:v ~ '~f'' the.. Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulatmns~o~r-the, e6~l~tfuqhon of.buildings, additions or alterations, or for removal or demolition, as herein described. The ap~pli¢~nt,~g-rees· tO 'comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admitlttffi~/6iSz~d ihspe~tors on premises and in building for necessary inspections. ' , ' ' ' (Signature of applicant ............... · . , or name, if a corporation) . (Mailing address of a~plicant) , State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. .. 09..cM.. ~...rC .................. · .......... - . '.;r ..... ' ......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · (Name and title of co, orate officer) ; , Plumber's License No ....... . .................. Electrician's License No. Other Trade's License No. 1 Location oflan~d on which proposed wor'- ',, ~ a,..o 5 e It usc N b ..................................................................... o um er : Street Hamlet Co,,ntyTaxMapNo.,OOO ect,on .... Z'f ....... B,oc, ..... / · Lot Subdivision . ....... . ............................. Filed Map No. Lot (Name) . ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................... b. Intended use and occupancy .... ~ , : · 3. Nature of work (check whichiapplicable): New Building . ~ ... Addition ..... ~; .';'. · ";/YIl:~t~-h}5~' } ..... Repair .............. Removal ........... Demolition ...; ......... Other Work ...... · '. 4. Estimated Cost · ,7 ...... ? .". ................................ · ...... ~ (to be paid oa ~l/~'a'~plication) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor ............... If garage, number of cars ... ~ .................................... ' ........ , .............. 6. If business, commercial or miSed occupancy, specify natum~nd extent of,each type of use .' ............ 7. Dimensiogs of existing stmcth?es if any: Front .~f,J~.. ~ .... Rear ............. Depth ....... Hmght f...~Z 7 .... Nu~ber of Stories ..... / ................ , ....................... Dimensions of shmdstmcture With alterations or additions:. Front ................. Rear Depth .................... ,,.. Height ....... "4' Y ........ ;.. Number of~tofies ' ' ' 8. Dimensions ofenOre new cons motion: Front ... A ......... : Rear .... ~ ........ Depth ...~.. 7 ..... ~Height ....... ~ .... Numberer ~tofies ......... ~... ....... I0. Date of Purchase., .~¢ff.. ][7~ .... ' ......... Name of Fo~er Owner .................... I 1. Zone or nee district in which p~emises are situated ......................... ~ .......................... 12. Does-oroposed- construction violate any zomng law, ordinance or regulation ........................... __ 13. Will lot be regraded ........ ~.~ ............... Will excess fill be rem~e~from prem~ses~ Yes N~ 14. Nme of Owner of premises ~.-. ~.(.q .~.. ,..... Address~..¢ ~.~ ~..tf~.. Phone No. p.~ .~.~ ~ ~ ~.. Nme of Architect ......... ~ ................. Address ................... Phone No ............ :... Nme of Contractor ........ ~ ................. Address ............ ; ...... Phone No ............... 15.' I~ this property within ,300 feat of a tidal 'wetland? *Yes ........ No,..~... · If yes,'Southold ~own Trustees Permit may be required. ~' PLOT DIAG~ clearly ~d distinctly M~ bulldogs, Whether existing or proposed, ~d. indicate ~l set-back d~ensions fror prope~y Hnes. GNe street ~d block' tumber or description accord~g to deed, and show street nines and indicate whethe ~te~or or corner lot, ~ 7B~-1802 ~ AM m 4 PM FOR THM ~ ~Ot.kOWlN~ INSPECTIONS: , . 1 ~:r)uNI)AI'}O~ ~O REQUIRED ~;'f~ ~'Ot w4L~ CONCRETE ~ ~ ,, rsr~¢,~ SHALL ;'FATE OF .... /g~.%[~ .... ~.' ..... ~..., .q%,'.. ........ being duly sworn, deposes says is the applicar (Name ofindividuat signin contract) bore named. reis the '~ ~. ' (Contractor, agent , cor'porate officer , etc. ) [ said owner or owners, m~d is duly uthorized to perform or have pcrfo~ed the said work and to m~e and file th ~plication; that all statements contair ,,d ~ this ap¢lication are true to tile best o~ his knowledge and belief; and that t~ ork w~l be perfo~ed in the manner s~t forth in the application filed therewith, ,yom to before me this Nola~Pu~li0,,~?~[N~York ". , (Signature ofapplic~ O~lified in Suffolk County ~ ~ ' ' rtl S 25o28'40,,E /03.32', S 31° 17'50"E / 66 78 'L o~ P 0 o :4