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HomeMy WebLinkAbout20472-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20597 Date MARCH 18, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 1560 BRIDGE LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 2 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1992 pursuant to which Building Permit No. 20472-Z dated MARCH 11, 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 APPLIED FOR. The certificate is issued to KEVIN J. & CHERYL A. LYNCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ding Inspector Rev. 1/81 FORM NO. f 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) N2M Z Date ...:~O/ 19.9 . 20 Permission is hereby granted t : - to G1`~1 /tpremilses located at ...I~~ f??~ County Tax Map No. 1000 Section ........f Block ...........GL Lot No....' pursuant to application dated ; ---A7 19,22.:1 and approved by the Building Inspector. Fee S..~1 s uildi I for Rev. 6/30/80 _ Form No. 6~ ]JO TOWN OF SOUTHOLD R y BUILDING DEPARTMENT U TOWN HALL 765-1802 BLDG. DEPT. 10M OFSOITHOLD ICATION 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 $15.00, Commercial $15.00 Date 1.~~ New Construction.... 1!; Old Or Pre-existing/ ~Bui~lding.... n Location of Property . ?v .......6 i>9E...! House No. ( Street Hamlet Ca/ Onwer or Owners of Property. 161.~Xj `.r ~.y.x~7t.......lyIL. County Tax Map No 1000, Se/cttion. ~~i 5:gK.....Block.. ~ {00.......Lot..© p,~......... Subdivision .:...Ak~e. I.....'Z~............Filed Map. :?6 -~~....Lot...... Permit No...2.0..7/...__.t/.Date Of Permit ................Applicant.. V,. -72 Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval / Request for: Temporary Certificate........... Final Certicate....V...... ov Fee Submitted: $..~~J.`.: C~ia2 ~f3~f ~G . Cot x0517 VCIA T' NQ~ p APR VEDAS mod? DATE: 13,R Nt}i'IFV3UI NC DEPAR AT 765-1802 9 AM TO 4 PM FOR THE - - - FC1LtCDVV{NG INSPECTIONS: FOUNDATION - TINO REQUIRED - - FOR POURED CONCRETE 2. ROUGH _ FPAM£NG & PLUMBING e b y 3, MSULATION f - fi, p JEtt bbl ( mj +:4. FINAL - CONSTRUCNON MUST l.a "+3t 1' t k~ i BE COMPLETE FOR C.Q - ALL CONSTRUCTION SI { A U M E7' THE flEQUI EMENT~S C5F_ THE_ NY. g e N ! "„fit STATE CONSTRUCeT{C3N FNIHRGy s, - WOES, NOT RESPONSIBLE FOR G!~ ar s E,G DESIGN OR CONSTRUCT(ON ERRORS t rut- - ax`f e')T- - /l oc. . i i - Cv . 1 SUPFC)LK CM HEALTH C1/M T. N. S. NO. REFER TD f7OF' E.S 8%KV IN HE CYLE`5ta$111~E) E. - 321.53 sVSrOt row THIS nowmaclt WILL - , r-- ~ ~ COt1P`Oil'M TC TH[ STAilpdMi Or TlIE i 1245 SLWFOLK (ti CO. DEBT. Or HEALTH UMVta* W MtiMT SL"GLK COU14Tr O0'. OF NEALT" >S, 7? 1t WA*W.:swr "*VICES - POP A"ROVAL Or y n CCNE'fwUCTum oft y STOOL Trt+tl ,i ?~b1P A DATE: 7" 1 g ` \Y a1 }L ' 7 WPOWX CO. TAN 140 01A lRcT.AAt *0 A. N ~ U7C H Q>Edl~.-Arl.T•; 1 t3? f~. . 322.05 79Ei . 134 - /E3l r k eo. cn c. 5CALE-4do-1 ro c y ~ SA JeVEYED FOW, s - ~«eo _ MAP) j r i4DA, N O'CP E 2N E ! Y N(/ H ()F NE LM?i4U ti ?~P~4 • nI0VAE3 A$82 ~ , ,'moo°~ .o {9;~~; TOWN OF S?OVT HS? D,h,t w YOU AIWWbl .LD JULY C 1083 1w wl91RK 1 0 ry BOARD OF HEALTH (4 FORM NO. 1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY . BUILDING DEPARTMENT CHECK . . TOWN HALL SEPTIC roars SOUTHOLD, N.Y. 11971 BLDG.OEP'C a' TEL.: 765-1802 NOTIFY: OWN OFSOIJTH D CALL Examined 19 % MAIL TO: Approved 19 f4ermit No. r T. Disapproved a/c CBi dinginspector) APPLICATION FOR BUILDING PERMIT Date ..C> 2:1.9 19 7 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 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 inspections. e' , M " . . .4 . - (S~ignatu~r{e of applicajn~t, or name, if a corporation) (Mailing address of applicant) -73 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 9c~?ti? Z . Name of owner of premises . Xv"i y ~ C 7 L . '41. . ~ (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 . Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done. !A!..(.... /~s~eo........ ~:......L~ ; House Number Street Hamlet County Tax Map No. 1000 Section ...®C~C ? Block 5~ 8 d Lot .....l....... 'If Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: fIL...... . a. Existing use and occupancy . ,54 "1 b. Intended use and occupancy ..Cl»E1 iL , , , , , 3. Nature of work (check which applicable): New Building Addition Alteration Repair • • • • • • • • Removal Demolition Other Work . ' :mil .tin ,»t4 (Description) 4. Estimated Cost...... 1......................... Fee.....:::.............................. (to 4paid on filing this application) 5. If dwelling, number of dwelling lunits Number of dwelling uni is &-each floor . If garage, number of cars • • 6. If business, commercial or mixe occupancy, specify nature and extent of each type of use . r Height l~? , . Nu s, if any: Front YS-...... Rear YS Depth ...a~.......... . Dimensions imensions of of same existing structure structures, if rrlber of Stories . ~ o........ . alterations or additions: Front Rear Dimensions entire new construction: ' Height Number of Stories 8. De Dimeensio • • • e ruction: Front J.a2.~........ Rear ...!R./......... Depth Height l Number of Stories . 0Sy.......... 9. Size of lot: Front ...433r0 Rear Depth...... 10. Date of Purchase • . 1... . Name of Former Oer -;G~~r!?dk?E `~'!°V/. 11. Zone proposed or use district in a which ~ premises are situated ,-e,. F,0, wn 12. Does construction vio 'ate any zoning law, ordinance or regulation: 13. Will lot be regraded ''I Will excess 40fill be removed from premises: Yes 14. Name of Owner of remises I rte. Ly~J , .Address . ,j CAVO • , Phone No..7. .7~Y/... . Name of Architect ame of Co tractor . . • • • • • • • • Address Phone No............... . N ` rt • . Address . PhoreNo................ 15. Is this property within 00 feet of a tidal wetland? Yes........ No.. X *If yes, Southold 'own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all'ibuildings, 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. i2 I 1 + 1 i r~zE lay i STATE OF NEW YORK S. S COUNTY OF... • • • • • • • • • ~ ~iy~f7• being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......~4J!dl? . (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 ~7...........day of. L 19 cr Notary Public, County n~r.......... V (S~gnature of,applicant)