HomeMy WebLinkAbout23218-ZFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24888 Date
FEBRUARY 5, 1997
THIS CERTIFIES that the buildin~
Location of Property. 2260 $~uNK LANE
House No.
County Tax Map No. 1000 Section 97
Subdivision
ACCESSORY
UUTCHOGUE, N.Y.
Street Hamlet
Block 3 Lot 18.05
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 18, 1993 pursuant to which
Building Permit Ho. 23218-Z dated JANUARY 17, 1996
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 AS APPLIED FOR.
The certificate is issued to DOUGLAS J. LOVETT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Rev. 1/81
//ldi~ Inspector
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
N£ 23218 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date JANIIARY ]7, 19 ,?..~,
Permission is hereby granted to:
DOUGLAS L01/ET"[
2260 S~u~K ~
CWI~CHOCUE, ~ 11935
CONSTRUCT (INSTALL) AN ACCESSORY SHED AS APPLIED FOR.
. 2260 SKUNK LANE, CDTCROGUE
at premises located ar ...............................................................................................................................
CounJy Tax Map No. 1000 Section 97 3 18.5
......................... Block .......................... Lot No .............................
pursuant to application dated OCTOBER 18, ~ o 93
............................................................................ and approved bythe
Building Inspector.
F . 35 O0
ee ~ .......... ~ ..............
'I~IIS PEIk",~T HEP1E,ACES BP~21751-Z.
/ ,..~,uflding Inspector
Rev. 6/30/80
FORM
TOWN OF $OUfHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
21751 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED1
Permission is herebygranted to; / , / .,., / _
', ......... r-~....,-..>.-.; ............................ ~ ............... u ., . ~
~...~.........~....~.~ ......................................... ~ ~/~ ~
................
at premises located at ................. ~...~. ........ ~ ......................................................
CounlyJaxMap No. 1000 Section ......... ,~,.,~,. ........ Block ...... ...~.,. .............. LotNo ...... ./...~..-..,,,,~., ........
pursuant to applicatlorj dated ....... ._./'.~.?~.. .................................. 19,?...-~... ......... and approved bylhe
Building Inspeotor.
Fee
Building Inspector
Rev. 6/30/80
TO~ OF $OUTEOLD
BUILDING DEPARTIfE.NT
TO~N 5ALL
765-[802
APPLICATION FOR u~EllTTFICATE OF
This application must be filled in by cype-~-riter OR ~_nk and submitted co the building
~lspector wi~h the following: for new building or uew use:
1. Fimai surcey of property wigh accurate tocatiom of al! buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from ~eatth Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Unde~arritars.
&, Sworn statement from plumber certifying that the solder used i~ system contains
!ess than 2/10 of i% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and instaliations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. S~bmit Planning Board Approval of completed site plan requir~ents.
For existing buildings (prior to 'April 9, 1957) nuu-conforming uses, or buildings and
'fpre-~xisting" land uses:
1. Accurate survey of property showing al! property lames, streets, buildamg and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect sig~ed hy the applicant.
If a Certificate of Occupancy is denied, the Building Inspector skall state ~he
reasons therefor in w-ritAmg to the applicant.
C. Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
A-Iterations to dwelling $25.00, S~m~ing pool $25.00, Accessory bu~d~g $25.00,
Additions ~o accesso~ bui!d~g $25.00. Bus.asses $50.00.
2. Certificate of Occup~cy on Pre-~xis~ ~u~d~ -
3. Copy of Cartificace of Occupancy - i .25C.
g. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Reside~zia! $i5.00, Co~erci~ ~15.00
Onwer or Omers of Property ....... 5 r.. Z J. :... PJ~i [/.,i ..............................
Su~dzvzs_o ........ ~ ............................ ~ ....... Lo~ ......................
Health Dept. Approval .......................... Under,_tars Approv~ ....
Planning Board Approval ........................
Request for: Temporary Certificate ........... F~ Car~icatm...~. .....
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 27, 1997
Mr. Douglas J. Lovett
2260 Skunk Lane
Cutchogue, N.Y. 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.)$50.00*
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 # 22599-Z (ADD) & 23218Z~
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*TWO CO'S REQUIRED @ $.25.00 EACH.
FbUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
.FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
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
January 3, 1996
Mr. Douglas Lovett
2260 Skunk Lane
Cutchogue, NY 11935
Re: Building Permit ~21751-Z
Premises: 2260 Skunk Lane, Cutchogue
Suff. Co. Tax Map #1000-97-3-18.5
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
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
January 3, 1996
Mr. Douglas Lovett
2260 Skunk Lane
Cutchogue, NY 11935
Re: Building Permit #21751-Z
Premises: 2260 Skunk Lane, Cutchogue
Suff. Co. Tax Map #1000-97-3-18.5
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved'. a/c ........................ . .............
/Bu~ffing Inspector)
APPLIGATION FOR BUILDING PEtqMIT
BOARD OF HEALTH .......
3 SETS OF PLANS ...... .
SURVEY ................
CIIECK .................
SEPTIC -FORH
GALL ........
}tAIL TO:
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 st?ee
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app
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 perm
shall be kept on the premises available for inspection throughout the work.
~ e. No building shalI be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan,
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 tl
Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances,
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe,
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and i
admit authorized inspectors on premises and in building ~iirY~ ! J'£~g$/Jt Atgt,~£ ~/
. . .:. . ..(. ~.go/,~ r/.. ?. ~ .~..r,...,t~.....
-- (Signature of applicant, or name, if a corporation)
gzr c45o~....c//q. ~..~..~.~.~: t.~..tv..~ .... t t $X8 .........
('~/3tqt-~, 70 (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, genera~ contractor, electrician, plumber or buildei
C~.~f~..~.. co.,v..v~.,~ F.~..~ ' ·
N~m~e of owner of premises . ,~ aLL ~2.~./~.~.... ~ .... CO ¥~-. ry. .............
(as on the tax roll or latest deed)
If,~applicant is a corporation, signature ofduly authorized officer.
. (Name and title of corpoFate officer)
Builder's License No....9-:~.. r.Q.~. ~5.. tt-}.~. .....
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done .....
'.. Z Y .......... ..................................
House Num bet Street. Hamlet
iooo ... .......... .'..3.' l&.o ......
Subdivision ........ . ............................ ·. Filed Map No ............... Lot ...............
(Name) ,
Stat~ 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 which applicable): New Building .......... Addition ......... Od4~Ij~ation .......
Repair .............. Removal .............. Demolition .... : ......... Other ~,f/~l~ ..~ ......
·-, . v~ (Description)
4. Estimated Cost . .~. ~0.(~...........~' ~ ~) ......... Fee ....................................
(to be paid on ~Iing this application)
5. If dwelling, number of dwelling units ............... . Number of dwelling units on each floor ..............
. If garage, number of cm ......................................................................
6. If business, commercial or mi.xed occupancy, specify nature and extent oLeach type of use ............... ,...
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ..............
HeiSt ............... ~umber of Stories .......................................................
Dknensions of shine stmctur~ with alWrafions or additions: Front .. ~ ~ ........ Rear .. J.Q ~ ........
Depth .... ~ ~ ............ HeiSt ,.' ........... Number of Stories. [ ' . .....
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ..............
Height ............... Number of Stories ....................... ~ ...............................
9. Size of lot: Front ................... ~.. Rear ...................... Depth, . ....................
10. Date of Purchase ......... } .......... ......... Name of Fomer Owner~g~.{~U~T~..~.
11. Zone or use district in which premises are situated ....................................................
12. Does proposed construction violate any zoning law, ordnance or regulation: ...............................
13. Will lot be regraded ....... ; .................... Will excess FflI be removed from premises: Yes N
14. Nmne of Owner of premises ~U~O~.. ~9~7~ .... Addre~ . ~O..~ .~ ..... Phone No. ¢1~ .~¢~.~g
' . ........................... Addre~ ~. ~W~. Phone No ................
N~ ......... ~ .......................... Address . ~, .t..t.t~.~O ....... Phone No .....
15.' ~p this property within 300 feet of a tidal wetland? ~Yes ...... ... No..~ .....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAG~
Locate cle~ly ~d distinctly ~1 bu~d~gs, whether exist~g or proposed, ~d, indicate ~1 set-back d~ensions fro~
prope~y 5nes. Give street ~d block number or description accordNg to deed, and show street nines and indicate whethe
~tefior or corner Iot,
BE' ~PLET~ FOR C,O.
?6~E CO¢~TRUCT;ON
. ,S NOT RESPONSIBLE FOR
COUNTY OF...~.~C,~-Y~. p t~L~_'~'~ '
....... ~~~" .~.. ~~.~ ~. being duly sworn, depose~ ~d says that he is the applican
(Name of individual signing contract)
above named.
He is the ..... , ........... ...........~~a~;; t~corpor te---"-'a"- .............. ' .............
~f said owner or owners, ~d is duly authorNed to perfom or have perfo~ed the said work and to m~e ~d file thi
~pplication; that all statements contained N this application are true to the best of his ~owledge and belief; and that th
~ork w~l be perfomcd in the m~ner set forth in the application filed therewith.
~wom to before~m~
............ ,. .....-
N~ Public, ~te of N~ ~ .......... r ....... ~ .................
No. 4879~5 ~ ff (Signature of applic~I
Qualified in Surfak Co~ ~
CD
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20'