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Home My WebLink About21281-z ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22215 Date MARCH 25, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 57225 MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 3 Lot 21.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1993 pursuant to which Building Permit No. 21281-Z dated MARCH 24, 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 STORAGE BUILDING "AS BUILT" The certificate is issued to ROBERT & CHRISTINE HASCOAT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - 3/25/93 (STORAGE BLDG. ONLY) PLUMBERS CERTIFICATION DATED N/A s uilding Inspector Rev. 1/81 FORM NO. a 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° 21261 Z Date 4....................................... )9.7..3 Permission is hereby gran a to. r .a.. 4 s' ......r.p .................V V.......... to . .a .......aam . at premises located at 1....;9 . 2 ..........a `7•• . County Tax Map No. 1000 Section 6.~3 Block Lot No..... v~ pursuant to application dated . 19.24 and' approved by the Building Inspector. Fee B..... mg Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD y BUILDING TOWN 765-1802 ViJ It 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 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 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. B. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential /$15.0J0,,, Commercial $15.00 Date ...(Y2// 4 New Construction........... Old Or Pre-existing Building Location of Property House No. Stree Hamlet Onwer or Owners of Property..... .V . , , , , , , County Tax Map No 1000, Section.. Block..~...........Lot.c~~R Subdivision .Filed Map............ Lot Permit No P.?.°? J ...Dgat~e/~Jpf Permit... -Applicant .....G0G1~ Health Dept. Approval '"6 ................Underwriters Approval......................... Planning Board Approval.. Request for: Temporary Cert/ificate........... Final Certicate../, c~ 07a Fee Submitted: `p$....~ j am. Lf C 0 ,~'Laaa LS APPLICANT A 2 " M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL REMARKS: r_ r z 1 2 DATE 1)4 ? INSPECTOR BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FDRN SOUTHOLD, N.Y. 11971 < TEL.: 765-1802 t:DTIFY; Examined 19 CALL . , p P1AIL T0: Approved . 19,8. Permit No. . . Disapproved a/c µ . A,O ~A Vi ~tor) uildi In e APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter Orin 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 streets 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 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 inspectprs on premises;and,in building for necessary i 1pec ons. (Silg''n~~ature o applicant, or na e, f as c~ortpQoration) (Mailing address of applicant) State whether applicant i own r, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ((6? is ~ dl~ t 1~ (as on the tax roll or latest deed) If applicant is a corpor tion,.signature of duly authorized officer. .I. (Name and title of corpdrate officer) Builder's License No. Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will bee*d/ortnpe. ...~/J. !•~r ' ~jD House Number /S,treet Hamlet ( C/ County Tax Map No. 1000 Section .......lS~. Block Lot.. ~1 . Subdivision Filed Map No. Lot............... (Name) yutd g p 2. S a t ate existiuse ng ause and nd occupancy of remises and intended use and occupancy of proposed construction: b. Intended use and occupancy • t4 . . . . . tfi 5 i 3. Nature of work (check which 413Plicable): New Building.......... , Addition . Alteration Repair Removal . Demolition . Other Work . O c7j / { J 4. Estimated Cost Fee . . . . . (Description) , l'~ garage (to be paid on filing this application) If If dwelling, nunumbermber of of cars dwelling units Number of dwelling units on each floor , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 Dimensions of existing structures, if any: Front Rear • Depth. Height Number of Stories . " ' • " " " ' • • ' imensions of same structure with alterations or additions: Front Rear . ~epth . Height . • • . Number of Stories . 1 8. Dimensions of entire new construction: Front Rear Depth Height Nuipber of Stories . . . - * . 'epth . 9. Size of lot: 1;r&t . . . . . . . Rear . Depth ~ 10. Date of Purchase • Name of Former Owner . . . . • 11. Zone or use district in which premises are situated . 12. Does proposed e construction vio ate any zoning law, ordinance or regulation: . 13. Will lot be regraded , , • • , , , , , , , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . , i, • • • • • • • • • • • • • • • • • Address . . Phone No. . Name of Architect Address . • • • • • • . • • • Phone No... • . • . • . ' • • . • . Name of Contractor . Address . . Phone 'No................ 15. Is this property within 300 feet of a tidal wetland? *Yes. *If yes, Southold 'down Trustees Permit may be required. " No......... PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED DATE: B.P. # ~ BY: j E NOTIFY BUILDING DEPARTMENT AT 785-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YO SS OUNTY OF • • • • • • • being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) bo•:e named. 1 n le is the 0 (Contractor, agent; corporate officer, etc.) f said owner or owners, and is duly 'authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the •ork will be performed in the manner set forth in the application filed therewith. worn to before me this (,(A -.day I.day of. rte 19 3 otary Public, County Notary Public,, Statee of Ne1y Vork No.4879505 (Signature of applicant) Gualifled In Suffolk Coumy Commission Expires Decemba j 8,18 0 7WR219M Towiu~c s~~urwc~,,r.' N„ /I •,V/ T~WI~ MAP OF P20PE2TY Su¢vEYED POQ IGogEr-T stir ~ HAS-, HASG0AT - A / K2.uKOWSkl SOUTHOLD NSF SUPPOLV COUNTY, N.Y. I 4q 28 i If i N.68 40 30 E u~ i w 0 • o r m N SCALE: 20'= I" 20'= C' ? = MONUMENT 4UMENT o = PIPE • = STEEL BA12 ZnY R BAP r u 0 O N LL Z i i I 1 Z 1 T i W 6 L A C IC T O P - Z m 1 p A 2 tC I N G I cESSPOOLS1 I N.~y 552o E• 1 i - I 1 N I i S O EGA(ZAGE 0 1 SEPTIC I 1 1 LAMP 1 POST i N I - 5T02Y ~ I N O I 6LgG KTar 3 I ! I 1 Ill WI D. , pA2 KI NG I 1 1 SToey I z m F2AME BUILDING I I ~ 1 I , ~ O I LAMP POST i 1 8 TREE J 1--- WALK I I m ' J z , LAMP POST 1 I Q SIGN `.I •A(j Vq• `Y_ - ~ 3 I ~II 5 6z 47 LAMP POST le. i 42-CID s.6 s4 u~. 81.90 1500'- TO 5.7r} OS W. E50ISSEAU AVE. ~~~~~~.••--~~---pppp 7, rwi6i RG p_lJ TITLE NO.930B-00595 3-00556 TL. GUA2AM"EEO 70 THE OWNERS , OWNERS, TO ,L _ KJ 2J, r>in+eu asy CPICAGO TITLE IN5UQANCEC0MI 24NCE CAMP4N~`wC~~ ~_.°-'cv ~'a iem enrol yen to a.. AND 70 8121LGEHAMPTON rW.TlOhl/ ON NOTIONAL VANV, ~~Ny' ~y~ :-LOlru®oGPY 'lug eh°•I .ry -;1'_ „mmforreon er As suevE`/ED MA¢. IS, 1993. IS, 1993. Poi;oneOmrwnemt`" 2DDG2ICV VAN TUYL P.C. yt'b1..+ ~.1 'nV. BovemmenID' ! _ 1 ,~R - T'UYL, R.C. •rtonlienNM ~,e \ SUFr-0Lk COUNTY TAK MAP DESIGNATION: LICENSE-0 LANG SU12VEY~0P5 1Ut2/EYOf2S `-OFS°I`~IOOO, SECT. CG3, BLIG. 3, PCL5- 20 a 21.2. 62EENP012T NEW YC 2K 4EW Y02V