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Home My WebLink About20758-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21040 Date SEPTEMBER 23, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 345 DEAN DRIVE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1992 pursuant to which Building Permit No. 20758-Z dated JUNE 24, 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 BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to HENRY & CONSTANCE KOHLMEYER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM X0.2 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) N°N° 207582 Date ~ 19.1 i Permission Is hereby granted to: / i`N~ fc~HLMy ....!~~«.....L~r~J~~....1.~.~................. 0..teL:....a(fi Ff~t2sq.J //7 ~ 7 to....Gpr!1:1R(t5.f........... cGssc?.~~......./~'u~/~.? RAC.......klA~ 11.5...........!~...~,<v /r!...................................................... v~ L?~ 'p1............................................ at premises located at .5.. C G . / County Tax Map No. 1000 Section /..Gz........ Block .....a Lot No...... j pursuant to application dated ..........................3.................., 19.2 and approved by the Building 99Inspector. Fee 3...P`. ~}D...... . Building Inspector Rev. 6/30/80 G Form No. 6 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMENT TOWN HALL 765-1802 SEP 1 8 !o( ~s ;.9 5. APPLICATION FOR CERTIFICATE OF OCCUPANC4'_ 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 V 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. 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 •~,J,~1~~"~' ew Construction s iOld Or Pre-existing Building(„ • ocation of Property.3.'Z .4J. 17 N. pK........... : G) House No. n • V•- J~fStreet Hamlet 1wer or Owners of Property.,/,/ wg •v ,sa,®9 Y )unty Tax Map No 1000, Section.,,1J 6,,,-„ .Block.......... ...Lot.#.:> lr. 50q bdivision....... Do wiV5 ......Filed Map..5 .6 ..,Lot... rmit No, 20. $Z:t , • • „Date Of'Permit................... Applicant............................. alth Dept, Approval........,, •••••••••.......Underwriters Approval anning Board Approval quest for: Temporary Certificate,,......... Final Ccrticate........... ' Submitted: $ Q~2e a yyB ~i5 *-ovl- C•~.. r'`iELJi::S.c Yi4LNI^ H FOUNDATION (15t) c~ FOUNDATION (2nd) 2. z W o ~ ROUGH FRAME & .PLUMBING 3.' m INSULATION! PER N. Y. H STATE ENERGY CODE I x C r b ~t FINAL 0 Ise, ADDITIONAL COMMENTS: m x cv • x H b y _ A H H ' O . Z - m a H • o I _ H •,J~ f yl _'t, ~ i F- Q) c 1 l ~r r ; LL t 1 JC r U 0 wi xr ~ ~ 3 :1. z .oyJ. n LL J vl (j) u Q "1 [ 'fin (i ~ W y I P U] 3 ui V !u i F- J~ Q ~i•i V 1 j C', !11(1^'.1 l•J ?~~]US.S 1 I•~ V" it ~ • ~ e ~j - v ((T3 ~l t m CD . (1-1 6z NIV. wi p~' ~r '~IVI~r BOARD OF HEALTH E hl;~ r FORM NO.1 J SETS OF PLAYS J /,SURVEY 1 ? TOWN OF SOUTHOLD UN 2 3 1992 BUILDING DEPARTMENT /CHECK . . . . TOWN HALL /SEPTIC FORti SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r.OTIFY: CALL? ~~ZcT Examined ...t{! 19& is Mn I L TO Approved T....., 199F! Permit No. Or!~~.. . Disapproved a/c _ . (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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. 47. (Signatur of applicant, or n e, if a corporation) .r_6496. R®:.. PMT.~OXGt .111'..1'1717 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................y..................................,(......./................................ Name of owner of premises N ~.r. . c,~/V$ /I~GE N•E?77 4 n6. (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 . Location, of land on which proposed work will be done . . 341 .............:.p ~.M..D.R:... c vr~ H o.00. v . N':y. . . House Number Street Hamlet County Tax Map No. 1000 Section 4^A_0....~lk.... Block Lot ~ . Subdivision Filed Map No. Lot ...6 (Name) State existing use and occupancy of premises and intended use gnd occupancy of proposed construction: a. Existing use and occupancy j~.. b. Intended use and occupancy . _ 3. Nature of work (check which applicable): New Building , Addition Alteration Repair , Removal , Demolition .Other Work . ~ (Description) 4. Estimated Cost . ? cOOrb I Fee number of dwelling (to be paid on filing this application) If g e , dwellineg, number of cars units Number of dwelling units on each floor If ara~e 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . Dimensions of existing structures, Dimensions of same structure iv s, if any: Front . .Rear Depth . Height Nuttlber of Stories . . . . . . . . . . ' alterations or additions: Front . . . Rear . Depth Height . , . Number of Stories . 11 8. Dimensions of entire new construction: Front . . . Rear Depth Height Number of Stories • 9. Size of lot: Front , Rear Depth . 10, Date of Purchase 11. Zone or use district in which re Name of Former Owner . . proposed raises are situated . 12. Does construction viol~te any zoning law, ordinance or regulation : . 13. Will lot be regraded • • • • • • • • • • • • • ....Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address . . Phone No. . Name of Architect . ! . . . . . . . Address . . Phone No. . Name of Contractor . . Address . . Phone No. . 15. Is this property within 300 feet of a tidal wetland? Yes, No " ' " " " *If yes, Southold Town 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 lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. !I APP OVFD AS NOTED d'~ Y OAT (A 1 B.P. FEE: d,oo BY. NOTIFY BUILDING DEPART ENT AT 765-1602 9 AM TO 4 QM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE W CY OR 2. ROUGH - FRAMING & PLUMBING v, 4. INNAL ATION - CONSTRUCTION MUST UE I NIAWFUL BE COMPLETE FOR CIO. ALL CONSTRUCTION SHALL MEET WITHOUT CERTIFICATE THE REQUIREMENTS 41F THE N.Y. STATE CONSTRUCTION;, & ENERGY rP,r ~e t'raOES. NOT RESPO '~.r NSIBLE FOR fr= A.CN OR CONSTRUCTION ERRORS TATE OF NEW YO OU Y OF , ...yS.1 ..~E ~ /~~V.. C, , 6 L I , , , , • , . • , • , , , , being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) )ove named. eisthe ..OL 4 ill t (Contractor, agent, corporate officer, etc. said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the an er set forth in the application filed therewith. +orn to before me this )tary Public, r .r_ County R0M1 I. Sta J ' . NOTARY P PUUBLICC, , State N.Y. PP ) ISGO1 ~p 4725089, Suffol y (Signs ure of a ];cant Tenn Expires MAY 31r 19, iri"c (Owners Cho%~ ) (2)- 2 Xl~ 6ti/v. Joisfyar~g~rs, 7yp - a !?X P/ywoad Co x!s CCA Pasfs 12 ~rrch 2x4 57~. Cel) 7_1p 12 2 /4.'"P/ywood ~0 Dec,t (2) 2X~ - c -zn~Necp'er (2) 2X6 N~~dPr 1S'fraa ~7r,~hor f~ ~ (2~ 3~6 Ooars P~ow~e ~n 2xla~ /6"% Wire cw ~e7m - Gr./?../o;>J'/~,-~E''~_, _ (2) 2xCo ~ o ~I- Wi~do Da9rs w~i~c~cw .5'4" 5'4" 1 I ~2~7x~ t?G" ~2~2X(o p - Co "xG" CCfIF~cisJS' S/'i27 crnchor °F one co"? pC..o7No ,,~/-'U ill ~8':r6"x/6"Cn~[/ fiain~g foPosf I~ SOG/O Provide ~ / S,F, Ol~~/7CiOW.S NCY OR 6' f' /G" n/,c~ CMUU/der OCCUPANCY Of every CC°.9 Post -7 U$I JS UNIL1W UNLAWFUL CERI - - - r - - r~{- - ® WITHOUT L UT CERTIFICATE r OF OCCUPANC' 'JUPANCY G .rG CCq PoS`~S Lom_ Pion bvOwr~r p LJ LiJ LJ - / J V - - I' it -_-1_- ~j - LJ - _ --_®I l I I~I~ I!,L~ ICI 1- ~Ilil fr _11L I--IT Llil Il i. S t6J.J~J \,1 ~ Mi I! ii II II II II, II I~. I. I'. T /o-77 Z ,,V > c:26-j7-~ofe.' Shea -They//be /26f /ess ~har~ 5 / harp 5 :~/G'g'EO ZSIo 41 from cyr~y pra.°er-~ /ii~e, N~'N.~ y ,~ofaGM~YE,e C~ c~5 c~,~~re , N Y Jur,~, /991