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Home My WebLink About20586-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23931 Date OCTOBER 3, 1995 THIS CERTIFIES that the building Location of Property 7130 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ACCESSORY MAST MARION NY Street Block 6 Lot Filed Map No. Lot No. Hamlet 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1992 .pursuant to which Building Permit No. 20586-Z dated APRIL 27, 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 AN ACCESSORY SHED AD APPLIED FOR. The oertificate is issued to WILLIAM & DOROTHY WAGNER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED R/A N/A N/A //ildi~g Inspector Rev. 1/81 FaBlE NO. ~ TOWN OF $OIJI~IOL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJVtlT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 20586Z Permission is hereby granted to: ~.~ ....... ?~.~...../..~ ./......~ ...... '""~. .'"~'"'71 ............ :"": .......... ~:-:'"'~ ..................................................................... at premiss Ioca~ea at ..... ~./.~./~.~../.~....~ ...................................................................... County Tax Map No. 1000 Section ........ ~.../. ....... Block ........... ~ ........ Lot No....,~.. .................. pursuant to application dated ........ ...~../~ ............................... , 19..~.-~ and approved by the Building Inspector. / Bu~y'tg Inspector Re~ 6/30/80 APPLICA'[ION FOIl CERTIFICATE OF OCCUPA~CY TOt.tN OF SOUTUOLD BUILDING DEPARTHgNT TOWN HALL 765-~.802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the follouing: 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 HeaJth Dept. of water supply and seuerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. &. S~orn statement from plumber certifying that the solder used in system contains less than 2/i0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certi[icate.o£ Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Appr?val 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 sbowing 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 shell state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - Neu d~elling $25.00, Additions to duelling S25.00, Alterations to dwelling $25.00~ Swjmming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100-00 3. Copy of Certificate of Occupancy -- $20.00 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial ,.. ............................. Ne~ Construction ........... Old Or Pre-existing Building ................. Location of Property...~l.~.~,..~.2~.~D ........................... ~--.~:~/.~ ........ ~ouse No. Street ll~mlet :ounty Tax M~p No JO00, Sectio...~.( ......... BJuck..,~ .......... bok..,~ ................ Subdivision .................................... Filed H~q~ ............ bo~ ...................... Permit No ................ Date O[ Permit ............... Appllc:lnt ............................ ;Jealth Dept. Approval ......................... Underwriters Approvt31 ..................... 'lgn.ing Bonrd Approv~l ........................ !equest for: Temporary Cer~zf].cate ........... Fi,a! CerticaLe ........... Submitted Form No. 6 ~, ~--,'~ ff. I/faf '~: ' TOWN OF SOUTUOLD JUN I 8 1992 q!~)[ TOWN HALL i ............. '~'~'t' 765-~$02 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This appl£cation must be filled in by typewriter OR ink and Submitted to the building inspector w±th the following: for new building or new use: Final survey of property with accurate location of all buildings~ property l~nes, streets, and unusual natural or topographic features. Final Approval ~rom Health Dept. of water ~upply and sewara§e-disposal(S_9 form). Approval of electrical installer±on from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder~used in system contains less than 2/10 o~ 1~ lead. 5, Commercial building, industrial building, multiple residences and similar buildings and installations, a ~ertifieate of Code Compl±ance £rom architect or engineer responsible for ~he building. 6.Submi~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-c~nforming uses, or buildings and 1. Accurate survey of property showing all property lines, streets, building and snusual 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 ~. 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 $15.00, Commercial $15.00 ate .................. 2w ~onstruction....~. ...... Old Or Pre-existing Building .... Ilouse No. ' ' · ............ ~...c~q~. ... , ectioo ........ !.(...Block ..... ~ ............... bdivislon ...... . . .......................... Filed ~ap ............ Lot ...................... rmit ~o '%O 3~ ge ¥-..Date -.' ............. Of'Permit Applicant : alth Dept Approval ' ' ........................ Underwriters Approval mning Board Approval ...... ~uest for: Temporary Certificate .... ....... Final Certicate ........... ~...~ :.:: .... ~ .................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 15, 1995 Mr. william Wagner P.O. Box 21 East Marion, NY 11939 ***** SECOND NOTICE ***** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. xx The check is outdated. S25.00 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 # 20586-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS ~FUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. FOUNDATION ( ls t) FOUNDATION 2. ROUGH FRAME & (2nd) ·PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FI~;AL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION 'FOUNDATION 1ST [ ]' ROUGH PLBG.' FOUNDATION 2ND [ ] INSULATION [ ] FRAMING 'REMARKS: [~FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD ~PR 2 ~ Ig§2 i i!i,i BUILDING DEPARTMENT "'~' SOUTHOLD, N.Y. 11971 ~; ,;.,", TOWN HALL l~, ,-,. TEL.: 765-1802 Examined ........ 19 Approved..~...~ ......... 19 ~' Permit No. ~..~..~..?.~. ~ Disapproved a/c ..................................... APPLICATION FOE BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHUCK .................... SEPTIC FORH .............. CALL ................... 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 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 pumuant 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 insuections. ~ ~, .... ............. -- '~ (Signature of applicant, or aa, ne, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises... .... .... .... ........'~ .b4.'.:e~../~..~.zr. ....................................... (as ~n the tax roll or latest deed) If applicant is a corporation, signature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No../..~.-q...~./..~..~. ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .... .o. ................. . ,. ................. .o.,o .................. House Nmnber Street Hamlet County Tax Map No. 1000 Section . ...3.! .............. Block ....fi. ............. Lot... ?. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ~.O~..a~...(~/. ........ 3. Nature of work (check which ap~ licable): New Building .......... Addition .......... Alteration .......... Repair ............. Rem?al .............. Demolition ............. Other Work ............... ? : ' ~' ~ (Description) 4. Estimated Cost .r. ,~.~. ¢.O..,?b.. Fee .~.~.. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling Onits ............... Number of dwelling units on each floor .......... ' ~ ..... If garage number of c~s ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of nsc ..................... 7. Dimensions of existing stmcture~,ifany: Front ............... Rear .............. Depth ............... Height. , ............... Number~ of Stories ........................................................ D~ensmns of same structure wi~h alterations or additions: Front ................. Rear .................. ~ Height Number of Stories Depth .................................................................. 8. Dimensions of entirenew constrgchon:' ' Front .............. . Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9 Size of lot: Front ' Rear Depth 10. Date of Purchase ........... ~ ........ . ......... Name of Fomer Owner ............................. 'hp '' 1 I. Zone or use district in wh~c rem~ses are mtuated ........................................... 12. Does proposed construction violate any zoning law ordinance or regulation: ......... 13. Will lot be regraded ......... ; .................. Will excess fill be removed from premises: Yes No 14, Nme of Owner of premises ... ~ ................ Address ................... Phone No ................ Nme of Architect .......... ~ ................ Address ................... Phone No ................ N~e of Contractor ' Address Phone No 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold T~wn Trustees Permit may be required. ... ~ PLOT DIAG~ Locate clearly and distinctly fil Cuild~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from prope~y lines. Give street and block n~mber or desc~ )tion accord~g to deed, and show street nines and indicate whether ~te~or or corner lot. ....... X; .......... ; ..... ~..~ .................. oemg-amy sworn;*eposes ~says:rna[~m ~s [he applicant u~ame of indiviaual signing contract above named. , He is the ............ (Contractor, agent, corporate officer, etc.) 3f said owner or owners, ~d is duly aBthofized to perform or have perfo~ed the said work and to m~e ~d file this ~pplication; that all statements containsd ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner s~t forth in the application filed therewith. Sworn to before me this ............. ~..dayof .......... ,19 Nota~ Public, 8tare of ~ ~. 4051~ ................. ~ ........ Ou~lified ia 8~olk C0un~ (Signature of applicant) Commission Expir~ May ~, 19~