HomeMy WebLinkAbout20643-zFOP~M NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCcumANC~
No Z-24197
Date F~%RCN 8, 1996
THIS CERTIFIES that the building
Location of Property. 49925 M~IN ROAD
House No.
County Tax Map No. 1000 Section 70
Subdivision
ACCESSORY
SOUTHOLD, NEW YORK
Street
Block 5 Lot
Filed Map No. Lot No.
Hamlet
2
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 12, 1992 pursuant to which
Building Permit No. 20643-Z dated MAY 21, 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 STORAGE SHED AS ~PPLIED FOR.
The certificate is issued to GERARD GAUGH~AN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEP~6RTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/&
Building Inspecto/
· OR~ NO. ft
TOWN OF So~'rHOLD
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? 20643Z
Permission is hereby gronted~ - , ~,,..~,~,
....... ............................
..... '/ ............ '~ ......... 77 ......... '~ ......................
at premises located at .......... .~....~..~..,~..~... ......... ./~...~..: .......... ~.~ ...............
County Tax Mop No. 1000 Section .... ~...~.. ............. Block ......~....~.. ........... Lot No ........~... .............
pursuant to application dated ........... .~..../.~....~... .......................... , 19...~.., and approved by the
Building Inspector.
Fee $...2..~...z....0~.. .......
Rev. 6130/80
Form No. 6
TOWN OF SOUTHOLD
TOWN HALL
765-1802
~dAPPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
~. Submit Planning Board Approval of completed site plan requirements.
~or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
qpre-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 Buildinm - $100.00
3. Co~y of Certificate of Occupancy - $20200
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate .......................... ..
New Construction .... ..~...... Old Or Pre-existing Building .................
Location of Property
House No. Street Hamlet
Onwer or Owners of PropJrty .... ~.~-.~.,~.....~.~,.u_.~ .......................................
County Tax Map No 1000, Section .... .-~.~ ...... Block .... .~. ......... Lot ..... .~.. ...............
Subdivision ................................... . Filed Map ............ Lot ......................
Permit No...~,~..~....Date Of Permit....~/~[/~ .~. .... Applicant.~.~[ [J .........
Approval '-- Underwriters Approval ~
Health Dept .............................................. ... . . .
Planning Board Approval ~
Request for: Temporary Certificate ........... Final Certicate.....~......
Fee Submitted: $. ~0__~O .. ~ ,
................
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 14, 1996
Mr. Gerard Gaughran
P.O. Box 998
Southold, NY 11971
Re: Building Permit #20643-Z - (accy shed)
Premises: 49925 Main Road, Southold
Suff. Co. Tax Map #1000-70-5-2
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG~4~LBG.
[ ] FOUNDATION 2ND [ ]/~SULATION
[ ] FRAMING ~/~ FINAL
[ ] FIREPLACE & CHIMNEY ~.
REMARKS: ~
..
?0 U N D A_4T ~.~0 N
FOUNDATION
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
(2nd)
FI;IAL
ADDITIONA'L COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
. ,,~,¢¢lding Inspector)
APPLICATION FOR BUILDING PERMIT
BOAKD OF HEALTII ~
3 SETS ~I~/'"PL.I, NS ..........
' ': ' ' ';:: ' '
ClIECK
.ff .....
TO:
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:ts 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
r areas, and giving a detailed description of layout of property must be drawn on thc diagram which is part of this appli-
'.don.
c. The work covered by this application may not be c~)mmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
:ail 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
.all 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
Jilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
-'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
~e applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~, and regulations, and to
mit authorized inspectors on premises and in building PeK necessary inspections.
(Signature of applicant, or name, liCe/corporation)
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general Contractor, electrician, plumber or builder~
(as on the t~ roll or latest CaeiE.d)~_.~5"%0o BY: ~' ~Z..,.~
~pplJcant is a corporation, signature of duly authorized officer. , NOT FY BUJLDING DEPARTI~IENT AT
N n it e £corporate officer) 1. FOUNDATION I~VoREQUIRED
FOR POURED CONCRETE
nui~der's Lice.se No ..... ~>..&. ?...¢..~ ...... Z ROUEN - FRAM~r~G ~ PLUMmNe
3. ~NSUL/~(flON
Plumber's License No ...................... 4, FINAL CONSTRUCTION MUST
BE C~OMPLETE FOB C.O~
Electrician's LJccnse No. ALL CONSTRUCTION SHALL MEET
" ....... THE REQUIREMENTS OF THE
Othcr Tradc's License No ...................... STATE CONSTRUCTION & ENERGY
?Ct, ES. NOT RESPONSIBLE FOR
k'~T&!GN OR CONSTRUCTION ERRORS
Location o.r land on which proposed work will be d'one .......... .
· N b
;use um er Street Hamlet
:o,m,y No. lO00 Section O.'Z.O
............... Block Lot..
;ubdivisinn ..................................... Filed Map No.
(Name) .............. Lot ...............
;late existing usc and occupancy of prcmkes and in/ended use and occupancy of proposed constroct/on:
.1. Nature of work (check which applicable): New Building .......... Addition ........... \lteratmn ..........
Repair .............. Remove ....... Dcnlolition .............. Other Work ...............
4. s,mated Cost ...... '..Op. Desc. t,on
· ~' Fee ....................... .; ..........
5. Ifdwe rig, number of dwetli -,, - . (to lie paid on filirn: this application)
If garage, nun bet of cars . ~,o ,unlts
· ' .............. Number of dwelling un/ts on each floor .......
6. If business, commercial or mixeil occupancy specify ilature and ex tent of each type of use 'I~ ...................
7. Dinlensions of existing structurels,if any Front
He,,xt · .. . . . . .jj ....... Rear ....... '
~ · · · Nun bcr ol Stories .... ' ...... cpth ...............
Dimensions of same structure wiith alterations or additions: F'ront ........................
Depth ......... I ................. Rear ..........
.......... rt' ' Height .............. .. Number of Stories ...........
8. Dinlensions of entire new const ~ction. Fr n · ......
e,, ' '"' - · o t ~.~.. l~-: LO.
~ onr~.. .... I. 0 ........... Rear .... Depth ' ' ....
~ ....... .. Nun Der of Stories ............ ' ...................
9. raze o/lot: Front ...... [.~1~...! ........ Rear ...... I~.~. ~.. ~ ........ '~epth .l~ .~. ......
10. Date of Purchase ........ .. "-.
11. Zone or use district in wh ;h n'rr,~;,i;,.~ '' 1-' ........ ,~ame ol~onner Owner ........
· - ~-~ ......areslrUated... ~.o.~.,1(-]:.~o . ................
12. ;~,,.°.es, pr°p°sedc°nstructionviol~teanyzoninglaw, or~linanc t' ~ ...................................
13. }'~m iot be regraded .... w m ' e or reoulatlon: .. J~ .~. .............
Name ~fArchitect .
........ 1 ............ Address ........ Pllone No .......
yes, Southold Tdwn Trustees Permit ..... ' Yes ........ No..C~ ....
· ,,~y oe required.
.... PLOT DIAG RAM
Locate clearly and distinctly all l:uildings, whether existing' or proposed, and. indicate ail set-back dffnensions from
~roperty l/nes. Give street and block m tuber or descriptio~ according to deed, and show street names and indicate whether
nter/or or comer lot.
........ .....
ye na (Name of individual signing c~tract) ......... ned ....
being duly sworn, deposes a'nd says that he is the applicant
· ! (
aid owner or owners, and is duly aut{)orized to perform or/lave performed the said work and to make and 1
ication; that all statements contained !nl this application arc true to the best of his knowledge and belief; and that the
': will be pcrfo~ed in the manner set qorth in the application filed therewith.
m to before mc tills:. ~
$31°4,1~20"V,/'.
~25.0