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Home My WebLink About21727-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23598 Date APRIL 17, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 35900 COUNTY ROAD ~48 SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 1993 ~ursuant to which 'Building Permit No. 21727-Z dated OCTOBER 22, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is AN ACCESSORY BUILDING IN THE REAR YARD AS APPLIED FOR. The certificate is issued to THERESA MANNINO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~/A Rev. 1/81 // B~lding Insyec or FO~M NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HA~L SOUTHOLD, N.Y. N-° 21727 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .................. ../.¢..~?~. ...................... 19....¢.5.. Permission is hereby granted to: ,¢,~.,¢~...~..~.. ............ ~..¢-._¢..~.. ...... ~,.~.... ~......,'../.~ ................. ...... ~::~ ........ ~..~......._..//..¢..'....~... .................... to ...... ~~-... ......... ~ ......... ,, _~:~:.~ ........... ~.,.,....~,, ................. ...1..;.~ ......... ~....7~ ........ ~.....~./...~2.-- ~ ....... ...~...~:--~ ....................... at premises located at ....... ..~,.,~ .............. ~/...~........~.:.Y'. ......... ~... .......................... ............................................................. ~- .~..~:~ ........ ~ .................................................... CountyTaxMap No. 1000 Section ...,..~.., .~-., ...........Block ....... ~...,~.C ........ Lot No ..... ~..~... ............. p~Jrsuant to application dated ........ ~....~ .~,-~..~.,...~../ ....................... 19,.. (~.,~.~. ...... and approved by the Building Inspector. ~ee*....~.~ ...... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN [~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrica~l installation from Board of Fire Underwriters. 4f Sworn statement fromfplumber certifying that the solder used in system contairs i. ess than 2/10 of 1% lead. 5. Commercial buildin$, industrial building, multiple residences ~nd 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. F~r 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 unusuai 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 I. 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-existin~ Buildine - $i00.00 3.Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential ~15/.00.,/~ommercial $15.00' New Construction ........... Or Pre-?i g Building .......... Location of Property..J.~.~ ........ /.~..~.] ..................... ~..~./.. f ............ · ' House No../?. ~ Street. -- '~Z~ _? Hamlet Onwer or Owners ,.,f '' v ..... / j)/ :.../.~ ....... ...; .~ County Tax Map No i000, Section....~..~ ...... Blnck...:. ......... Lot ...... Health DepJ/A~:~al ..................... ' ..... Undcrwri,ers Approval ......................... Planning Board Approval ........................ Request for:. Temporgry_.Certificate ........... Final~Certicate ........... ION. "OUNDATIO:; :2nd -PLUMBING .~tSULATIO}I PER N. STATE E};ERGY CODE FI;IAL ADDITIO~IA'L COMME~$TS: 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION []FRAMING [~FINAL DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 6199 ' Disapproved a/c ......... (~ing Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTIt ,. ........ 3 SETS OF PLANS ......... SURVEY .................. ClICCK HAIL TO: Date...' ........... 19.. ~' : 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 sti-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 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 l~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departmer~t for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicablo Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describbd. The .applican.t asr. ecs to comply wit.h all applicable laws, ordinances, building code, ho ing code, and re ula, ions admit authorized mspectors on premises and.in building for necessary insp,..~fi,/ions, h~/k~ . gt~ ?~and.t° · · · · -- ' . (Signature of a~pllcant, or name, if ~orporation) (Mailing address of applicant) ..... State whether applicant is owner, lessee, 'agent,' architect, engineer, generai 'contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. DA~: ~~R ......... . ~ ~uilder's License No. ' ~ .~C~p, ~ POLLOWING INSPE~ONS: ............... ' ' UNU%{ FUL pou. o CO.CR . FINAl. . COP~STRUCTiON MUST Other Trade's License No. ' ....~:' '~¢'Lf~¢'~ M ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTs OF THE' I. Location o¢land on which proposed work will be done ..... .... STATE' CONSTRucTIoN & ENERGY House Number Sfreet ' · Hamlet C Tax MapNo. 1000 Section .;. '. ,.. Block . · ..... ~:.. Lot .................. Subdivision ........ . ' "" (Name) ............ '. Filed Map No. Lot ' . State existing use and occupahcy ofpbemisea anti,tended use and occupanc~ of proposed constructioni a. Existing use and occupancy .. . ~ , . ,,,, , ...... .... ,'.'*, ,~ '3. Nature of work (check which ~pplicable): New Building Addition Alteration Repair .............. Re oval ........... Demolition i ' . .... '' ....: ......... Other Work .............. 4. Estimated Cost . ~ ~ i9 . (Description) '= .... ~' .................... Fee ..................................... ' (t ppli ) .O. ~ o be paid on filing this a cation 5. If dwelling, number of dwellin~ units .... Numbe o ...... If garage, numbe- --~ -- . ,~n ....... f dwelling units on each lloor .... . 6. If business, Commercial or mixgd ..... · ...... 2.~.' D' , . . occupancy, specify h typ ,~'9,~ff,, 7. nature and extent ofeac e of use 1 existing structur, es, if any: Front .............. Rear ...... De ight . ' · ....... pth ...... He ............... Number of Stories ........... . ......... Dimensions of shine structure With alterations or additions: Front . · · Rear .... ~. D.epth.....: ..... . .......... ....H' t ...... i...' ......... '..NumberofStories. .. "~. ' D,mens~ons of e~n. ti_~re e~gh ~. · new consl~ruchon. Front /d ,, ,~ ....... , ,~ ..... He ght ./.~./.-.2 ... xT.--,.__ ,',... ' ..... ': ...... ; l~ear ./.t/. .... Depth . ....... ,,~,iI~uro~rones ...... /. . . . .. · ......... '. ...... ::::::::::::::::::::: 10. r .......... i. i..'J ..... l'~ame of Fo'rmer Owner . Zone or use district in which pr~ ~,~',a-./~.~...,qfC". ~. ~' ' '~"~ ..... ' · · ' 11. mises are situated. . ~. .,,e:-'~,~ ~ ~. ' ' ' 12. D.o. es proposed construction violate any zonin-law .... "' ' ' ' . ." ..... ~ '~' ............... 13. Will lot be regraded ...... · ~1/~ o , umma.n. ....... ce or regulatmn: .... ~. ..................... Name of Owner of nremises ~ .~.' ' ' ~-~.; J 2~ .... Will exc s fill b e ~re.m eyed from p remises:~/~A/~-~7 14. ~,,~,~ e_s es ~r'.'- ..... :"....Address ,.~'-~..~.~ ..~.. ,~/,~ ph,-,n,~ M,-, Name of Architect ! . .'... · ..................... ,, Name of Contractor .......... ' ............. Address .......... Phone No ........ ......... ................. Address ............. . ...... Phone No ..... 15.' 19 this property within ~00 f~et of a tidal wetland? ~Yes ........ No.~..O.... ' .......... · If yes,'Southold Town Trustees Permit may be required. .... .PLOT DIAG RAM . Locate clearly and distinctly all lbuildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. . . ;TATE or NF,~ORI~./'~ /// S o .... ~] . .///~[~C.~..~..~, . . ~4.~.¢~( q .... being duly SWorn, depose~ ~d says that he is the applicant (Name of individual signing contract) ' ' bore named. is the .., ... ............. ~ .. ~ ...... . ........... . . Ontractor, agent, corporate officer, etc.) .' ' ~ ' ' ' 0 perfom or have per ' said Owner or owners, ~d is duly a~thorized t reined the said work and to m~e and file this ~plication;.that ' this'application are ' all statements contained ~ true to the best of his knowledge and belief; and that the ork will be perfomed in the manner se~ forth in the au lication filed th ' ~om to before me th~ ] ,P erew~th_ · ' Qualtfl~ In Suffolk Coun~ ~ , ' .... / ' .~' ~; ............. MADE IN U.S.A, h,~.22437 DUTCH BARN An old-fashioned look w~th storage capacity,, for file 90's. Th,s style ,s higher than any other model l~lus I1 comes with a loft,