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HomeMy WebLinkAbout21058-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22419 Date JUNE 25, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 1110 TUTHILL LANE EXT. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section. 55 Block 6 Lot 15.48 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 26, 1992 pursuant to which Building Permit No. 21058-Z dated OCTOBER 26, 1992 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to KENNETH & LINDA MEKLENBURG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ildi g Inspector Rev. 1/81 NOUN NO. 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) l.c->?..... 19.9. ? - 210 5 8 Z Date ' Permission is hereby granted to: „1 f l 0......1....~.....~• ...:52:.!..:...... . j n to ..C.e? - .d g4A..... f z-..~-~ .,...r4t~... lA.... 4 . 4 tom...... .fin n a premises located at ..~/.1.0....~~ M1.A...........5-, : i County Tax Map No. 1000 Section C.o ..-S...... Block`...... Q. Lot No. lS yO pursuant to application dated ..L'y 19b%, and approved by the Building Inspector. i Fee S••.4`Z.t~.t. f.... ~C!.. '°f'°........... C Building Inspector I Rev. 6/30/80 ` Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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 17 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 dwell' $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, ccessory buildiin $25.00, Additions to accessory building $.35.00. 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 $15.00, Cercia~l' $15.00 Date New Construction.... . Old Or Pre-existing Building.,...... Location of Pro ert ,T7LL /J~D Soo P Y.. 1~KCOfl~ti>......... House No. p Street / Hamlet )nwer or Owners of Property...//?~~({~7~, )ounty Tax Map No 1000~ection..~!,ra ...Block... ® Y": ........Lot.... subdivision. e/1J,.i/1 d Map.e%° A..Lot.....4 A 'ermit No, .QC, ate Of Permit... I.rApplicant 1./1.'?/r ® !,~'/~{f7 ~J lealth Dept. Approval .............Underwriters Approval......................... Tanning Board Approval......... tequest for: Tempor ate..........: Final Certicate........... 'ee Submitted: . . . 3y1- r~ aa~f i APPLICANT `D ~:iS: Il i;: *i•t L NT.~ f • ,1~ ,-w°,b, m ~/y H - "j 00 OUNDATION _ (1st) OUNDATI011 (2nd) _ r o OUCH FRAME & I o/ .PLUMBING I ` N -7 Ia n IISULATI0;1 PER N. Y. I - • STATE ENERGY CODE i I7 i FINAL k ADDITIONAL COMMEIITS: m ' x • o ..s m 1~ • H Ll ^o H 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING INAL REMARKS: DATE INSPECTOR BOARD OF HEALTH FORM NO.1 /3 SETS OF PLANS TOWN OF SOUTHOLD /SURVEY BUILDING DEPARTMENT ,,CHECK TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 765-1802 NOTIFY 1111 TEL.: Examined 19 CALL FtWv.w , T 9 L A' MAIL T0, Approved !t) °'!A"+ A . 4 191~. Permit c., Disapproved a/c . ~p77~ ova (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 .?P11__ 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 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. q. 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 inspectors on premises and in building for necessary i ections. . - (Signature of applicant., or name., if a 94p on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~~~~?/1a-'............................................................. . 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. .......M . Electrician's License No. Other Trade's License No . 1. Location of la on which proposed work will be done. ! I.~, ? ..........r..!/f~.a ......tcr............... I-louse Number Street Hamlet v ~ County Tax Map No. 100 Block Lot 6 . Subdivision S . . .Filed Map No. ...4~ 9 /c2... Lot (Name) 2. State existing use and occupancy of premise nd intended use and occ ncy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy . 3. Nature of work check which licable). New Building Addition Alteratio . Repair Removal Demolition . . Other Work . e.,r>. 4. Estimated Cost ?..D'.0 (Description) Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor , . If garage, number of cars . 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 . . Dimensions with alterations or additions: Front Rear Depth o same structure wi Height . Number off tpries . 8. Dimensions of entire new construction: Front 14....... Rear V...... Depth , ,/v'./ Height Num r of Stories , . g 10. Date of Purchase 9. Size of lot: Front `P,~, UO Rear IRV.......... Dep a~~0.......... . ......Yas Name oP~fForme . Zone 11. Does or use district in seed construction rr~~vi r pqD r Owner /t, , , , , , mises are situated . .Q! . PrsP e any zoning law, ordinance or regulation: f , . 13. Will lot be regraded ...O..J . Will excess fill be removed from premises: Yes Not/ 14. Name of Owner of premises Eai. kleszbo.ddred11,P7.4.44. 44?:. Phone No.74s, :-491 i Name of Architect Address Phone No....-'.......... Name of y Contractor y . . . Southold Address . Phone a . 15. Is this property . *0 feet o of f a *If 00 fee tidal wetland? *yes........ No... Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I I II STATE OF NEW Y JIR , CY OF. . 1~~~•.• • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.........~f/!/~~~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 'authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .........!~i6..... !.days .I,. 3Eg IAA Notary Public, County i ROBERT I. SCOTT, NOTARY PUBLIC, Sta , of N.Y. T .4E25089M y31,>t9NIL, (Signatur plicant) R=40~ G ' ,sty 911 \ om JJ. \ to o~a\ ~ s ©\~2s F \ 2 oe i E \ ,pl `gym. S / P~NSo G / J~O C ` S o Y~~j c0 IN,y~ a bltb T a 9a ~ ~ 5~ m~i/S'ao' 'o ` o ~ T.,r c~ME0 ,jv A OCT 2 61992 ' iv SLOG. DEPT. TO\NN OF SOU: 10L1 t ..„.~.....m..,..~....~,w..~.... SUMEY FOR KENNETH itEKLENSMO III LINDA M. MEKLENBURI CT. 4 ,1990 LOT NO.42, HIGHPOINT MEADOWS, SECTION THREE SEPL2%19" AT SOUTHOLD DATE'. AUG. 15,1990 7OWN OF SOUTHOLD SCALE 1"= 40' SUFFOLK COUNTY, NEW YORK NO. 90-0518 NUM UTHMIZED ALTERATION **ADDITION TO THIS GUARANTEED b suNVEV s A VIOLATION Or SECTION T209 or THE KENNETH b F of1Y NEW TONE STATE DMSC?TIOM LA ' W r COPKf OF TINS SIOIVEr NOT D[MSN THE LAND LINDA M E 114 p SURVEVOI'S I90 DEAL ON ENROSOED KAL $HAII TICOR N Y MDT N C°Msw(RSYN TON A VALID TRUE COPY rwAS 21 WOICATLO "EXION SMALL 41P ED 10 (TITL IF - HEAITH DEP+IRT KENT -DATA FOR APPROMIL TO CONSTRUCT THE KM LF TO THE SURVEY AMC ON or 109 ws SEwl To THE [ TITLE TLC CIS is aNP RRErANr, aovDAM- N sT NI NfOYNC OF MTER N~1rtt IC MENTAL AGENCY YID LENDING INSTITUTION LISTED WAp N Mf CO. 111 NA? MT~Q DEt?IEM DLOCR .L LOT ~~•1 MERINO, AM TO /ME Aff INRIIf Of THE LENDING STMDt AM GO WELLNMD MITIMN 1011 FEET OF THIS PROP(RTr INSTITUTIML 411ANARTEEf AM NOT TENRD?tRAh( WREN IMAM TMOu NI011N 119wEWR TO ADDITIONAL WSnTUT10NS 00 SUEKaUEMT R TIME WATER S1;IVI AIOSIWAN OWN" STSTSN MISS THIS NNIDIM owoco% *4 411109 NRAWCDs sNDWN HANSON FROM PRO ATV LINES WILL CDMOMI TO TW STANDARDS W 11R MIFPIN COWTV KPARTNENT OI OF ISSALTH IMICES. TODNgTWO STSUCTURIS AM PON A SPECIFIC ~.qV NPLwNwv, ?IW/OSG AN0 A°E NOT TO N USED TO ISTASIISM PAOPI IT LINES OR FOR THE ERECTION OF FENCES AODA(N YOUNG a YOUNG IM~wnsem, mEw~vonx NOTE : A _ STAKE ¦ - MONUMENT SUBDIVISION MAP FILED W THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 9912. AND LAND SURVEYOR N.Y.S. LICENSE NO. 12643 HOWARD W YOUNG, LAND SURVEYOR N M LOCBpI i go uwl,m nc immRS 11 cpDFOOLNV) NnWN INHION N.Y. S. LICENSE 100.45993 + in MINE PIQD NEM11S1fnm AN OR DATA OSVONO PNIN OTMENS Z.s SAANOIA A sons INC. 1x6 FnSU r• i -3 ~ - / P~-6'15'ra.c. OAS Y.4 (+~nTE \1ETITeD ,IINrL soF Fl' eD JIN-1, soF Flj ~6 64L 64L :7 f a O ~ .1 ~r 15^ FccT V~ N ~ NrIYL c,pwG 'L p,pWG I I ~F`^-Iwc~lia po,..s E; 12~ CVr`14. r-rtr. ~ $°n12" vrav. Fv.~ CVNS, r-rtr. N 1=2vfJT 1,/i'tT/Q*/ 2 817 fob ild( L'ED PAS 01(rTr'D T `y guy-ly' o. c. 1_)I RY 6. In+i'p1G '~tlw. p I~ ^w~ i p.:t',V Io-'X P,iIJ:I )IhIG DEPARTMENT Al' tu5-'i ei?Y2 AM TO 4 PM POR THE LC}p1]w IPISPPCT{C7NS: g~ 1T OUTCERT4 WAIC re F u;tIOATIC;N 'TWOREOUIRED V,( y FfiF; PfIt1R'eU rf?NC6iETE OF OCCUPANCY 2. RY1CNaRAMING iPLtV.MNG i N r (2~ Y.H`~ L 406o cgr. a,~R V,r .+:LII-'r:Ni ru'rt; :J :nldF,i.L fvtEEi 4VuE EEi::IjIIIEMFNYS OF THE N.Y. SY,ATF-. CiJNSTRLJC.TION R1 ENEP.GV Cf"~UES. NOT RESPONSIBLE FOR _ DESIGN OR CONSTRUCTION ERRORS K` XII /I /V-22-92 Scrct' yy 71 1 OCT 2 61992