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Home My WebLink About20293-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20710 Date MAY 8, 1992 THIS CERTIFIES that the building. Location of Property 1900 YOUNGS AVENUE House No. County Tax Map No. 1000 Section 63 subdi¥ision ACCESSORY SOUTHOLD~ N.Y. Street Hamlet Block 2 Lot 10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1991 pursuant to which Building Permit No. 20293-Z dated NOVEMBER 25t 1991 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A THOMAS & JENNIFER SCHLECHT ~uilding Inspector Rev. 1/81 I~OBM NO. $ TOWN O~ $OIJTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20293 Z Date ·,..~. ............................................ , Permission is herp~ granted to: ..... ~,.~ .~...../.~/ / ..... ..... .................... rem,ses I ate t ..~'....~.~. 0 / County Tax Map No. lO00 Section ......... .~..~...... Block .....~ ......... Lot No.../.~. ................ pursuant to application dated ...... ./.~.. ................................... , 19..~/..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPJRITMENT TOWN ~IALL 765-1802 APPLICATION 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. 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 $15.00 Date .... ~.~...~.1.~.~-. ........................ New ConstruCtion.~.~. .... Old Or Pre-existing Building .................. Location of Property... [~OO ~/.0.0~~ ,(~,o~ ,~.. ? ~[?~. House Ho. Street Hamlet Onwer or Owners o~ Property .... ~.~ .. ~ ~ ( ~ ~ Cou~t? ta~ ~p ~o 1000, Sec~io~...~.'~. ..... ~lock ................ ~ot ..................... Subdivision ............................ Filed Map ............ Lot ................. Permit Xo..~.O.~'~ ...............~ .Date Of Permit. lltt9-~l~(..Applicant ............... ~cx~'' ... ] ......... Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ......... .. Final Certicate ........... ............................... APPLICANT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTI' L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOVv'N OF SOUTHOLD I~Y 6, 1992 YHO~$ & JENNIFER $CtlLECHT P. O. BOX 1281 $OUTHOLD, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is {q~t~/not on file.)$25.00 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 $ 20293-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TO~N BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: //~/ DATE INSPECTOR~//~-~ FIELD FOUNDATION FOUNDATIO~I ROUGH FRAME & -PLUMBING 3. INSULATION FER N. STATE ENERGY CODE ID~TE il FI;IAL ADDITIONAL COMMENTS: NOV I 91991 , Examined ......... 19 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTIt ......... . .'¢.. ............ ott,,t .............. CALL ................... HAIL TO: APPLICATION FOR BUILDING PERMIT Date ................. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .ets 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 the diagram which is part of this appli- :ati~on. ~c. The work covered by this application may not be cbmmenced before issuance of Building Permit. .d. Upon approval of this application the Building Inspector will issued a Building Permit to the applicant. Such permit h~l be kept on the prem'ses 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or (egulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .dmct authorized inspectors on premises and in building for_necessary~/nsnec[mn~ ' ~ (~i~naSu~ of applicant, or name, if a corporation) ,j ,-,,¥.L ___ ~- ~-- <-tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .' . (as on the tax roll or latest deed) applicant is a corpo/ation, signaturb 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 ,viii be done....~.~...{-~. .... .~. ~ : ........ llouse Number Street Hamle, t County Tax Map No. lO00 Section . . Io'"~) Block ....~. gl. Lot .... SubdMsion ..................................... Filed },lap No ............... Lot ............. (Name) · · · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ,. b. Intended use and occupancy ' 3. Nature of wot ( reck wh~c apphcable: New Building . pal · .. ' ion .......... Alteration ......... Re r ............. Removal .......... Demolition .............. Other Work ........... 4. Estimated Cost ~5-~- ..o~.4'..~ (Desc tion) i .................... Fee ........................ ... ( p~ d '' ~ (to'be on filing this application) 5. If dwelling, number of dwellin~ Ifg g, units ............... Number of dwelling units on each floor .... · arage, number of cars ...! ........................ . .......... ..... ify ..... it ............................. 6. If bus ness, commercial or mixied occupancy, spec nature and e ont of each e of use ............... 7. Dimensions of existing structuies if any: Front ......... Rear typ.. Depth ..... ;ght ............... Nu nber of Stori .......... Unensions of me structur,, lvah alterations or additions: Front ............. Depth ..................... Rear.. ............... .... tfeight ........ · ............... i .............. Num bet of Stories .................. 8. Dimensions of entire new cons nmtion: Front .............. Rear ............... Depth gt '' Hei ~t ............... Number of Stories ........... i ............... 9. Size of lot: Front ....... ; ... · .................... 10, Date of Purchase Io.?r.qt [ ....... Rear . ' pth .................. ..... i ............ ' . .. r~ame of Former Owner . ~.~?--.k.E~ ! '. ............... I I. Zone or use district in which p emises are situated ................ 1 2. Does proposed Construction violate any zoning law, ordinance'or reo,',~" ......... k)~ ............... I3. Will lot be re,,raa~a k~o i ............. ~...'at .......... Ion . fP i ............ W,II excess fill be removed from premises': Yes 14. Name of Ownero remises .... ........... Address ................... Phone No ................ Name of Architect ......... ................. Address . . Phone No ........ Name of Contractor ........ ( ............... Adch-,*~ ' ........... · ....... 15. Is this property within ~00 feet of a tidal ~and? '*Y'es .............PhoneNo ........ . · If yes, Southold Town Trustees Permit may be required. No.k~. ...... ' ....... PLOT DIAGRAM · Locate clearly and distinctly allI buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whetti~er in ter/or or comer lot. AP~I~OV, EI~ AS NOTED · 76B-1802 .9, AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~STATE CONSTRUCI'ION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~jIE ~F NEW ................ i i~/(/'~"~-7' '~'' '~(~' '~' 7~-being duly sworn, deposes and says that is the applicant (Name of individual signingicont/a~t5 ......... he ore named. is the .............. -. . (C tn' ffi ' ' ' ' ' ' · .... ontractor, ag t, corporate o cer, etc.) said owner or owners, and s duly a~thorized to nerform or ,~lica.tion: hat a statements container: .... E have performed the said Work ~nd to make and file this ~ m m~s application are true to the best of his knowledge and belief; and that the I ' ,rk will be perfo~ed in t to manner set forth in the application filed therewith. om to before me this No. $581910 Comml~lon ~ires June