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Home My WebLink About21530-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23447 Date JANUARY 12, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 6960 SOUND AVENUE House No. Street County Tax Map No. 1000 Section 121 Block 5 Subdivision Filed Map No. ACCESSORY MATT ITUCK, N.Y. Hamlet Lot I. 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1993 .pursuant to which Building Permit No. 21530-Z dated JULY 13, 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 ACCESSORY AGRICULTurAL STORAGE SHED AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WATCH HILL REALTY & DEV. CORP.' N/A N/A N/A Rev. 1/81 FOI~M NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWNHALL SOUTHOLD, N.Y. NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date.....~.. ............................................ 21530 Z CountyTax Map No. 1000 Section ......... ,./...~/. ..... Block .......~,~,. .............. Lot No./..:...~ ............... pursuant ~o clpplication dat~d ...... ~,./~..~.. ................................... 19...~.~. ....... and approved by the Building Inspector. - Building Inspec or Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDINGTOWN765-1802 DEPARTMENT HALL 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 residence~ 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 ail 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 dwell~0~ Alterations to dwelling $25.00, Swimming pool $25.00, ~-A~~bnilding $25.00_3~' Additions to accessory building $25.00. B~sinesses $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 $15.00 ~ew Construction ........... Old Or Pre-existing Building ................. ~ocation of Property .... 5'¢~.~ ............. .~?~.~.~.~....~., .~...t~...~. .......... ./~..'~7.~."'-/~'~ .~.~q(~.~. ..... House No. Street Hamlet Onwer or Owners of ~roperty .......................................... ~ ....................... County Tax Map No 1000, Section ............./~{ Block ..... .......................... ~ .Lot ..... Subdivisio~ .......................... Filed Nap ............ Lot ...................... Permit No ................ Dace Of Permit ...... .......................... Applicunt(~.~.~'~ ~f..~..~.~..~/~..~* Health Dept. ~pproval .......................... Underwriters Approval ......................... Planning Board Approw~l ....................... . Request for: Temporary Certificate ........... Final Certicate...~ ...... Fee Submitted: :~ .~,-'., .......................... -...~ 0 ~3 V ~ APPLICANT ~OUIIDATION (lst) ~]UNDATIO:!__ ( 2nd ) ~UGH FRAHE & -PLUMBING i~SULATIO:! PER N. STATE ENERGY CODE · tl It II FI;IAL ADDITIONA'L COHHE~;TS: O P~ ¢ sOUND JUN 2 11993 SURVEY FOR ,WII. LIAM, DANA 8 WATCH HILL. REA,/TY8 DEVELOPMENT CORP. AT iVlATTITUCK TOWN OF SOUTHCX.D SUFFO~..K COUNTY', NEW YORK 400 O~'IIU, ND~R AVENUE RIVERH~AD, NEW YORK FORM NO, '1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 LK!p,r', Approved ......... 1 .~.. me;mit No. Disa /c ' ............................... . A:i~ u ildii/g/ln sp ect o r) APPLICATION FOR BUILDING'PERMIT BOARD OF HEALTH SURVEY CI1ECK ................... .SEPTIC FORH ............. CALL .................. HAIL TO: . .q$.,. 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 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?eets or, areas, and giving a detailed description of layout of property must 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 i~sued 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 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- described. 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 inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...&/..AT/."~..4.. ~.l/<.L. ~.(c,~...~..~...t~.../--f.~...~.~/..K~j....~..~. ?. .... (as on the tax roll or latest deed) If applicant is a,corporation, signature of duly authorized officer. (Name and title of corporaieX officer) Builder s L cense No .......................... Plumber's License No. ' Electrician's License No ....................... Other Trade's License No.. .................... 1. Location of land on which proposed work will be done ................... .. .d.'.o. ...... .c4.,¢. . . /ff4. . . v. .......... ' ....... . 7. T.,. .tH .c./.< ................. . House Number Street Hamlet Connty Ta.x Map No. 1000 Section .. ' ./.~. ] ....... Block -~- ' * / '(~,/M/MO.&,,) ,--- ' ...... , .................. Lot .... t. .............. Suoo v s on...~.q;~.Er/... ~ ............... Filed Map NO ...... ......... Lot ..... i ......... (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: t.d a. Existing use and occupancy .~..~../zffC....~;,.~41¢¢. ~ - ';' ............. b. Intended use and occupancy. ....... '" ...... ::":i" "~r?'-T"~--~-:"'--~'~ -'~-- -.- .........., .-. ........ ,-- ..... ~r'4-~z.v z .~t.~.r~. ~r~.-. 3 Nat q k (ch kwh' h Ppi' ble) N B ildi .'~ddition Alteration ' . ureofw r ec lc a Ica : ew u ng ........ , ......... ,... Repair .............. RemOval .............. Demolition .... ; ......... Qt. her Work ~.If~.: .~..~ 4. Estimated Cost ,~..0~. ' F (to be paid on fil,ng th,s application) 5. If dwelling, number of dwelhng fun:ts .......... Number of dwelling units on each floor · If garage, number of cars ..... i .......... .g///3c .....' ............. . .. · ..... 6. If business, co.mmercial or mixed occupancy, specify nature and extent of.each type of use .......... ~" .... 7. Dimensions et existing structures if any' Front ~.. ~ f D~._ ~ ~ f ~. .. ~'~ / ........ ............ · x,,u ¢x ......... .cpm . ..~o ........... He .............. u er of Stories ....................................................... Dimensions of shme structur,~ with alterations or additions: Front Rear ................. ~D.epth ..... ~ 7 ' :.' .......... [.. Height ....... i . ~ .' ...... ; ·.; Number of Stories ..... ' ...... 8. ~lmenmons olq~n~lre new construction. Front / t9 / . r,~ /,q t .' .. ' ~' ' ~/'~ ..... ' ,* ..... x ...... x · . , cqum,eer oi ~tones .... / ......... ~ . . . ' 9. Sizeoflot' Front . _-'?Oat · ,-. ,qt-> ....................... / ........... ..... ~/'1 .................. Name of Folmer Owner ...r'eoa</,q./a . c-/~r,*~,~e'v ~ . 11. Zone or use district, in which pr~mises are situated .. '~ ./{../f6 ~.tr7 u~.r a,z~t~//l~x ~c,.oTm. ' ' Does proposed construction wol~te any zoning law, ordinance or regulation' ~t; ..... ' ' ' Name of Contractor 3' · ...... Address ' Phone No. ' , 15.' I.s this property within ,00 feet of a tidal wetland? *Yes ........ No..X ..... · If yes, Southold T, own Trustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all Jbnildings, whether existing or proposed, and. indicate all set-back dimensions fro~ property lines. Give street and block l.umber or description according to deed, and show street names and indicate whethqr interior or corner lot. . Bff COMFL,E~E FO~ C,O. ALL CONSTRUCT{O~ THE BEQUIREMENTS OF THE STATE CONSTRUCTION CODES: N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR~ STATE OF NEW YORK, COUNTY OF --~/~. ~47 M.~ 'SIS , .............. ......... ~-G~ ...................... · ......... being duly sworn, deposes ~d says that he is the applicant (Name ofindivid ual signidg contract) ~ ' above named. He is the ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly ]author~ed to perfom or have perfo~ed the said work and to'm~e and file this application; that all statements contained ~ this'application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner ~et forth in the application filed ~erewith. Sworn to before me this ....... ................ ....... ' ..... , i ' ' ~.4~12 , ,. . .............. [ ~ln~ O~ (Signature of applic~t) . SOnY FOR ,WILLIAM, DANA ~ WASH HI~R~ALTY~ DEVELOPMENT CORP.' AT MATTITUCK D~TE: MAY ~N ~ SOUTHOLD SC~L;: ;" :100' SUFFOLK COUNTY, NEW ~RK NO. 92 -0437 HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~TRUC T ~NO ~ H~S ~LF ~ T~ ~TL[ C~Y, ~OV~- ~ o~.~;. ~v;~ ~" YOUNG a YOUNG .,v~.~..~ ~o.~ NOTE:~=MONUMENT ~=~AKE O=IRON PIPE ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR M~ L~ ~ ~L(W),~IC TA~I~IaCE~S(~) ~N ~[~ N.~S. LICENSE N0.45893