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Home My WebLink About21455-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23277 Date OCTOBER 11, 1994 THIS CERTIFIES that the buildin~ Location of Property 265 JASMINE LANE House No. County Tax Map No. 1000 Section 70 Subdivision ACCESSORY SOUTHOLD, NY Street Block 1 Lot Filed Map No. Lot No. H~let 6.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 1993 .pursuant to which Building Permit No. 21455-Z dated JUNE 4, 1993 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 SHED AS APPLIED FOR. The certificate is issued to JOSEPH & CAROL BEST (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H/A N/A N/A Rev. 1/81 IrORM NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_N? 21455 Z ....... ~:.7..;~-..~'~.......~· ......... ...,~x~ ....... .~.~ .......................................... ...................................................... ........... ~..~.~.../... .................................................................. County Tox Mop No. 1000 Section ....... .~'.~. ........... Block ...... ./. .............. Lot No....~,.'...../~.. ......... pursuant to application dated ......... .%~. ................................. , 19..~'...~..., and approved by the Building Inspector. ilding Insf)ector Rev. 6/30/80 Form No. 6 TOWN OF SODTHOLD 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 i~ 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, klterations 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 ew Construction ........... Old Or Pre-existing Building ................ ocation of Property .... House No. Street Hamlet nwer or Owners of Property...~h ~.~. g~.~fO.~...~ ................... oun Tax Map No 1000, Section ......... Block ........ ~on .............. .... .......... ........ ............ Map Lot ..... .... ................ ........ : ~rmzt ~alth Dept. Approval .......................... Underwriters Approval ..................... . . . . lanning Board Approval ........................ '~quest for: Temporary Certificate ........... Final Certicate...f~. ....... ~e Submitted: $ ..... ' ....................... ~,~ ~ ~ k3 ' D~PPLICANT 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 28, 1994 SECOND NOTIFICATION Joseph & Carol Best 265 Jasmine Lane Southold, N.Y. 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. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21455-Z (ACCY SHED)* Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *NOTE: ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. FOUNDATION FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 7G5-1S02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE INSPECTOR ~IJILOIN(~ OORR AREA = 37,798 sq. ft. CERt~-~=u TO~ JOSEPH BEST CAROL BEST THE LONG ISLAND SA VINGS BANK FSB SUPERIOR ABSTRACT CORPORA T/ON Prepared In accordance wllh Ihe mIRImum slandards Ior lille surveys as eslab#shed by lhe L.I.A.L.$. and approved and adopted lot such use by The New York Slate Land TIIle ,4ssoclallen. The wa/er supply and sewage disposal syslems lot this residence will conform lo fha slondards o! The Suffolk Counly Oaparfmefll of Heollh Services. The /DCa/ions at wefts and cesspools shown hereon ore from observo#on$ and or from dale ob/o/ned from SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 92 $0 38 APPROVED 14AY 2,8 revise lax namber 1~/08/9Z' SURVEY OF LOT I "MAP OF $OUTHOLD VILLAS" FILED JUNE 25, 1992MAP NO. 9237 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 01- 6.2 Scale: 1"= 40' March 11, 1992 JUL Y 15, 1992 (foundation) Oct. 23, 1992 (final) q3 -;ol LIC. NO. 49618 ) /,,'~ "' FORM NO. 1 '"')~' HAY 218'1§g3 ::'TOWN OFSOUTHOLD ~'i ~''' ~ , BUILDING DEPARTMENT ....................... SOUTHOLD, N.Y. ] ~ ; TEL.: 765-1802 ~xanfined ........... ~9 .~ ' ' ,., . Disapproved a/c ..................................... - . (~ildi~1~/Ir~fpecfar) ': APPLICATION FOR BUILDING PERMIT g~ARD OF HEALTH SETS OF PLANS ........ SURV£Y ....... HAIL TO: ,- Date .~' .~..C~. ~ 1973. INSTRUCTIONS This application must be completely ill/ed in by typewriter or in ink and sub½nitted 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 issued a Building Permit to the applicant. Such permit s~hall be kept on the premises availgble 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 descr/b~d. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i.~,pections. . . .... &~5.. ~.~-. s,~'~ .~..~....be. ~,~. ~.~-~. b...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. Name of owner of premises ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' ; (Name and title of corporate officer) Builder's License No ............... Plumber's License No. Electrician's License No ....................... Other Trade's License No ...................... V' \\' 1. Location of land on which proposed work will be done. ~ exes : ' a4ff. House Number Street .......... Hamlet County Tax Map No. 1000 Section... i.'~O ......... . .g. Block -"[ ............. Lot. q ....... ' ..... · ' . .............. '. Filed Map No. ,. Lot (Name) .................... 2; State existing Use and occupancy of premises and intended Use and occupancy of proposed onstruction: a. Existing use and occupancy .. ~ .]...~.~~: i}'l?: c. ~' b. ].~endcd use a~d occupaucy ~ ~ .~ , ~'" . . '~.-.~ ...... ~?:..~ .......... · ;3. Nature k beck whJr,chAi~pph.cable):,NCw Building .. Addition ......... A/teration .... . Repair ........ e. cimovaI .............. Demolitio[r/ .... ; .~.. .. Other Work ....... 4 Estimated Cost 3~.~. 0R (Description) fling (to be paid on filing this application) 5. If dwelling, number of dwe units ............... Number of dwelling units on each floor ....... · If garage, number of cars ! .. 6. If business, Commercial or ml5ed occu-ancv s,-eo:C- - · ' ........ .~ ..~.., · ~. ...... . .... · · ' '- -' ~' ~"Yna[ureanaextentof,each typeofuse 7. Dlmensmns of existing structdres if any' Fr~-* ........ "-"T, .~'~' · · · - Nd ...... ,,.~ ............... Rear ...... Depth · Hmgnt ............... tuber of Stories .......... · ........... tmensmns of same structure ,with alterations or additions: Front ........ Rear ....... ~.. 8. Dimensions of entire new constructiom Front ~'.~ .. mb~'fif Stories .......... '. ,Height . '.-].~ .*' ......... Nuinber of Stories ...'. [ ...... . . 10. Date of Purchase .l¢/4.?/<~O~ ....... . ......... Name or Former O . · ': ' ' I h Zone or use d~stnct in which premises are situated .... ' wrier '~q*~.. ~.~gel~-ti¢~ .~.~.~q~..u~. ,~ .12. Does proposed construction vi6late any zoning law, ordinan'ce or re,m/arran. 13. Will 16t be re~radecl rxt~ , o ' · · .~J.O 14. Name of wner ~ ~. · ; ;.'.' ' ..: ....... W~II ex,~ss fill be removed fr n~ Name of Architect ......... ~ ..... . ............. ;... Name of Contractor ~ ............. Address ................... Phone No. ·. - I.s this property with±n ............ Address ............ ; ...... Phone No. ' 15.' 1300 £e ~If yes~ $outhold i Permit may be required. . · t~o,..fa<....'.' ............. Town' Trustees tidal wetland? *Yes ....... -- ~- . · ... ! PLOT DIAGRA/vl Locate clearly and distinctly al! buildings, ~heth'er existing or proposed, and, indicate all set-back' dimensions frgm property lines. Give street and blockinumber or description according to deed, and show street names an interior or corner lot. i ~ ' ~ (Name of individual signin~ contra'c}) ...... being duly sworn, deposes and says that .bove named. .. Ie is the . ' (Contractor agent corporate officer ) ' ' ' , , etc. f s.aid ·owner or owners, and is duly huthorzed to perform or have erformed th vphcat~on that all statements ContMn~t~cl {n ~'l,;o- ..... P C Smd work and to make · · . . . ...- ....... , .........uppncauon are true to thebes . . . and file th~s ork will .be?erformed m/t, tie n~nner set forth in t ~e annlicat o" r, ,,.~ ....... ,;*h t of Ins kn, owledge and behef and that the worn to omore me this// ~/ i ........ ,~ mu~c ...... .... .-. ,,, . NOTARY PLIBLI d ~Y. ' ' ' te is the applic4nt o 0 o cc