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HomeMy WebLinkAbout21677-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22706 Date NOVEMBER 4, 1993 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 745 SLEEPY HOLLOW LANE House No. Street County Tax Map No. 1000 Section 78 Block 1 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 10.12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 13~ 1993 pursuant to ~hich Building Permit No. 21677-Z dated SEP~ER 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 BUILDING IN REAR YARD AS APPLIED FQR. The certificate is issued to GARY ENRIGHT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A /~uilding Inspector Rev. 1/81 FORM NO.2, TOWN OF $OUTHOLD BUILDING DEPARTMENt' TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT ITHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ..... ...~~.~..¢..x....~,,~~. ...... ./. . ./. . ?. ~ ./ ............... , , to....~,~...~..~..o..~ ......... ~ ............. ~.c. . ~. ~. ,~,,~. . . . . . . ~ /~'.L ~u. -. . ~ .......... ,~ ...... ~ ......... ~.....¢.,~....~ ............ ~.~ ...... ~:~.....~ ................. at premises located at ..................................................... "..~.,.~........Z~..././¢.,..¢'z~'......~ ............................ ..................................................................... ~..~.~ ............ ~.~ .................................... CountyTax Map No. 1000 Section ......................... Blook.....¢~..../.. ............... LotNo. pursuant to application dated .......'"~'" "~" '"~':'"" '/'~"'"7 ................... 19.....~...~......, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 NOV - 4 Form No. 6 " TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL ~65-180Z 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 I 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. ]. 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. 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 $15.00, Commercial $15.00 ew Construction ...... Old Or Pre-existing Building ................. House No. Street Hamlet OUnty Tax Map No i000, Sectio O-k.%'.O0 ~' - (~\ OO .~..~...~. Jbdivision ' .................................... Filed Map ............ Lot ...................... armit No ........... f~.oate Of Permit ................ Applicant.. . .. ~alth Dept. Approval ..... ~..b~..~ ............. Underwriters Approval .... [anning Board Approval .... .~....~ ............. ~quest for: Temporary Certificate ........... Final Certicate.......~... ' Suiiding 40--SUNY, Stony Brook, New York 11790-2355 A revzew has be_n made or- your ,g . Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the parcel ~/proj ect is: Greater than 300' from inventoried tidal wetlands. Landward of a substan~ia! man-made structure greater than 100' in length which was constructed prior to 9/20/77. ~/Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of th~ topographic crest of a bluff, cliff or dune which is greater than !0' in elevation above mean sea level. Therefore', no permit is required under the Tidal Wetlands Act (Article 2~ of the E~vironmenta! Conservation Law). Please b~ advised, however, that no construction,, sedimentation or disturbance of any kind may take D!ace seaward of the !0' contour or topographi~ crest without a permit. ~t is your responsibility to ensure that all'necessary precautions 'are taken to prevent any sedimentation or other alteration-or-d~sturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the !0' contour or topographic crest and the project (i.e. a 15' to 20' wide construc%ion area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additionalwo.~,-" or modification to O-SC..De-!'~ ~' ~ may ~=~u~= authorizatzcn by this Deoartment~ . this office zr such are contemplated. the project as Please contact Please be further=~v~*~' ~sed that this __.._.~v~ does not relieve -~spons-o--l~3 of obtaining any necessary ~ermzts or a~orovais from other INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Hr. Gary gnright 745 Sleepy Hollow Road Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X~X An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XXX The check is (o ....... /not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # . BP# 21677Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. (1st) ~DUffD A T IO,'! ( 2nd ) ROUGH FRAME & .PLUMBING ~.I~SULATION PER N. STATE ENERGY CODE FI:;AL ~DDITIO~IA'L COMME~ITS: 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION IST []FOUNDATION 2ND []FRAMING ROUGH PLBG. INSULATION FINAL DATE INSPEG~rOR '$EP 13 1993 ~ed .... · · ~ ..... 19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... (~il~in~Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF }tEALTlt 3 SETS OF PL,1NS ......... SURVEY .................. .............. SEPTIC Date .................. 19 9% ... t ' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set~ 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 t?y 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 South01d, 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 auth°rized inspect°rs °n premises and in building f°r necessary iG~--t~;~ C~-~ (Signature of applicant, or name, if a corporation) .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enginee rai c electrician, plumber or builder. N me of owner of premises... .............. APPROVED AS NOTED -- (as on the tax roll ;; If applicant is a corporation, signature of duly authorized officer.' ' NOTIFY BUiLglNG DEPARTMENT AT ............................. , '~ 765-1802 9 AM TO 4 PM FOA THE : (Name and title o i~ ..... '. FOLLOWING INSPECTIONS: 'Bu der's License No ' !'7 L.J 2' 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE Humber's License No. ' ~;x~}t~l J~J'~J ~ ~*~ ..... 3.. ~NSULATtON . ~" ' ' ' ~'~;h~"' )~'d~' 'l/' ~g ~ ~.~ ~ ~,~:~=~ ~ ~-. FINAL CONSTRUCTJON'IVtUST · Electrician's License No. q~,r. : ~ -v ~. ,~ 'h¢~ ' ~ ALL CONSTRUCTION .SHALL ME~f Other Trade's License No ........ THE REQU~REI~tlENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ~' ' .q'.?~?;.I! ,~?~-, r' r~:~.,~ LOO..S, NOT RESPONSIBLE gOR · Location o£]and on which proposed work, will :l~e, dcm ~,. ~iJ;{..'~. .. ~[F.S!G~[OR.CO~STaUC~IQ~ House umber . Street Hamlet Cotmty Tax Map No. 1000 Section ...: ' Block ........ ;.. Lot. ~ (Name) . · .......................... State existlug use and occupancy of premises and intended use and occupancy of prooosed 2onstructio a. Ex~stmg use and occupancy ... .~ ~ b. lntended use and occupancy ' · ' . .... ~ ', '~ ~ " '''' · 3. Nature of Work (check which iapplicable): New Building ..... Addition .......... Alteration Repair ............ Removal .............. Demolition .... ; ......... Other Work .............. ' ?'~0.o0 '"" (Description) 4 Estimated Cost Fee (t,o be paid on filing this applicati6n) 5. If dwelling, number ofdwellin' units ............... Number of dwelling units on each floor .... · If garage, number of cars .... ' ' · .......... 6 Ifb ness, commerc ' ~ ....................................... · us/ ial or mix,ed occ fl a;h t~;e'of' .................... D' ' . . . Upancy, spemfy nature and extent o e use ..... 7. anenmons o[ exzsting structures, if any: Front. ' ......... , .... Hight N mb fSt ' "i .......... Rear .............. Depth ......... D~ ...... · ......... u er o ories .................... . ......... with ti daiti /. ~-' mensions of same structure altera ons or a OhS: Front ... ear D pth '.~.. . ./O ' · R e ................ I... Height ......... .. ' ....... . ......... 8 Di i f nti ' · ....... '..NumberofStories .... · mens ons o e re new construction: Front ..... · .... · ........ Height ........ · ........ : Rear ........... Depth ..... 9 Si ....... Number of Stories ................... ' ' ' ' · ......... fl F *,~.. ~..o~ R · zeo or: ront .. . · .... ~.. ear .... · ...... 10. Date of Purchase ................ Depth .................... 1 I. ' ......... ~ .................. . Name of Former Owner .......................... Zone or use district in ~vhich premises are situated ............................................ 12. Does proposed construction violate any zoning law, ordinar~ce or regulation .~?.~ '13· Will lot be regraded .. '. ~. J, ........... wm excess rill be removed from premises: ' Yes ' ' Name of Owner of premmes ~ .~7.. .~.~.~..~ ~.~..~.. 14. · .~./~,r,r .... Address · · · Phone No Name of Architect ......... [ ............. - ....Address ...... Name of Contractor ~.~ C.~ ~[~.,.~.,~, ~, · ............ Phone No ........... ..~.. 15.' Is this oronert ..... ~,~_ i~'~' %'_ ~ ·., ..... ... ~,aaress .......... ; ..... Phone No..??.'.?T..~.¢~.' .~. · ,?~ ~ i ~'"~" ~ ~uac or a tiaal wetland? ~ . ~ yes,'Southold ~own Truste=~ o~-_.. . ~ ..... ... ao .... ~ ~=~u,zc may oe requzred. '' ''' .... ~' PLOT DIAG~ Locate clearly ~d distinctly ~1[ bulldogs, Whether existing or Proposed, ~d, indicate ~1 set-back d~ensions from prope~y Hnes. Give street ~d block humber or description accord~g to deed, and show street nines and indicate whether ~tehor or corner lot. . I' ~TATE OF NE~O S S ..... W;.' (Name of individual signing contract) being duly sworn, deposes ~d says that he is the applicant bore named. isthe....., ............ " - , . ' i .....~ .... ' ......................................... .... ........ . ( ontractor, agent, cor'porate officer, etc.) .... said owner or owners, ~d is duly a~thorized to perfom or hage Performed the said work and to'm~e and file this ~plication;.that all statements containdd ~ this'application are true to the best of his knowledge and belief; and that the ork will be perfomed in the manner se~t forth in the application filed therewith.' yom to before me this ~ j ...... Nmaw Public, State of New Y~ ' ' '; '" ' ' ' 'S' ~ '; ' No 4879505 ? [ lgn~ture ofapphc~t) . Qualified in Suffo k Count. ~" ., ' ................................... C~mmissio, Expires Oecem~ lp~ ..- ......