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Home My WebLink About20310-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPDARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20394 Date DECEMBER 4, 1991 THIS CERTIFIES that the building. Location of Propert~ 1130 SALTAIRE WAY House No. County Tax Map No. 1000 Section 100 Subdivision ACCESSORY M3tTTITUCK, N.Y. Street Block 1 Lot Filed Map No. Lot No. Hamlet 30 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2r 1991 pursuan% to which Building Permit No. Z-20310 dated DECEMBER 3r 1991 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 IN REAR Y~RRD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2tLTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RICHARD & LINDA SCHneIDER Building Inspector Rev. 1/81 l~OB,~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Ct'HIS PEPJVtlT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 20310 Z Permission is hereby gront~l to: ~ , ~ l/Jo ' . .... ~~..~,...~:~....~../~+ .......... -"'"-~'"'""~'""~:'~",,~../~ ~~__ '~' ~'~"'~'"'~ ............. ..... ...... .......... : ............................ at premmes Iocatea at ............................. ~ ......................... ,~r~/4~X~,~......~. ......................... County Tax Mop No. 1000 Section ...Z.~,.~.. ........... Block ....... ./.. ........... Lot No ...... ~ ............... pursuant to application dated ......... ~/,..~... .............................. , 19..~.L, and approved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ' ; '~'~ ............... BUILDING DEPARTMENT . ~ ~ TOWN HALL ~i\l ' 21991 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mus~ ba filled in by ~ypawri~er OR ink and submitted ~o ~he building inspector ~ith th~ following: for na~ building or na~ use: 1. Final survey of proper~y wi~h accurata location of all buildings, property lines, s~raa~s, and unusual natural or ~opo~raphic features. 2. Final Approval from Haalth Dept. of ~a~er supply and sewerage-disposal(S-9 form). 3. Approval o[ electrical installation from Board of Firs Undarwri~ers. S~orn sta~emaa~ from plumber certifying ~hat ~he solder used in system contains less ~han 2/10 of lZ lead. 5. Coaarcial building, industrial building, multiple rasidencas and similar buildings and installations, a certificate of Code Compliance from architact or engineer responsible for the building. 6.Submit Planning Board Approval of comple~ad si~a 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 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, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. CerEificate 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 Occupanc~ - Residential $15.00, Co~ercial $15.00 ......................... ......... )~ew Construction ........... Old Or Pre-existing Building.~~ ..... I.ocation of Property .... 2~ ............... . . ~.7~ .~/~f House No. Street Hamlet o= ................................ County Tax Map No 1000, Section...~.q ....... Block .... / ........... Lot..~C ................. "ubdivision o ............................... Filed Map ......... Lot ...... Permit No ................ Date Of PermiE. . .............. Applicant ............................. Health Dept. Approval ........................ Underwriters Approval ........................ ?lan[ling Board Approw]l ..................... 3equcst for: Temporary Certificate ........... Final Certicate ........... Yee Submitted: $ ............................. OWtt HEREIn[ ~RE F~OM FIELD O~uv~ ~DIOB F~O:f D,ITA OBTAZ~ED FROM ' : SURVEY ~R ,; .....~ ~ ~~ '~ ' BEN ~NDOZZA ';;:, ..,,,"." ' ' /00 -/ -- ~ j . :. ' * .'LOT NO. 2B ' SALt~IRE ' '~ ;:MATTITUCK ' '-." SUFF. CO.,N.Y.' eU~TE[B~, ' :". ~.: SU~W~SmN mL~O ~" TH[ Or. CE ~OF m~ SCALE: i" = 40 C~RK OF SUFFO~ COU.~Y ~ ~, 3,t~S ~[ ASM~ ~. 4ese. [ ~' N~V. 20,1975 JAN. I, 1976 pROCESelO~dS:~NEE LAND 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []~ISULATION / _ FRAMING [//] FINAL REMARKS: DATE ,INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH SURVEY SEPTIC EORH .............. Examined . t/.~./.~.'. .......... , 19 .~./'. Approved ............. 19 . Pernit No ..~.3../.O..~.. Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin 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- :aLien. c. The work covered by th/s 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 · ball 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 .h~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 ~uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ..... · (Mailin,,"* ~a,address cSf applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eleetrm~:~..lshimber or builder. ........................... ' ...................................... i'APPR0VEDASNOTED ......... Cas on the roll' or latr X; '>i "aa ' .... If applicant is a corporation, s ,,nature of dul,, authorized officer ' NOTIFY DUll. DING DEPARTI01ENT~AI' = ~ · 765-~802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION . TWO REQUIRED, FOR POURED CONC~e't e ,L ROUGH. FRAMING & PLUMBING Builder's License No. ' ";:: .INSUIAIION ,;, FINAL - CONSTRUCTION MUST Plum ber's License No ........ '; ................ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Electrician's License No ........................ THE REQUIREMENTS OF THE' N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No ...................... CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location or land on which proposed work will be done.././3.~. ~.~.Z.P.~.?~..Z:.. ~..2~. ;/..~t~/ff.~../~p'.~..~...' ......... .......... 2.4.3.9 ................... . llouse Number Street Hamlqt County Tax Map No. 1000 Section ..... dO.c/ ......... Block ...... / ........... Lot .................. Subdivision ..................................... Filed Map No ...... Lot ............... (Name) · S~ate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .0~.~...~ff.,~!./.ffT(. b. Intended use and occupancy ~.ro. ~z0~ ,5'-~.. ' · 3. Nature of work (check which ipplicable): New Building ....... Addition ....... Alteration ......... Repair .............. Removal .............. Demolition . ''' · · . Other Work ............... Cost .~/~.~ ~ i (Description) 4. Estimated " .... ~ .......... Fee (t g thi o be paid on illin s application) 5. If dwelling, number of dwelling units... Number of dwelling units on each floor .......... If garage, number of cars ~ ............ id ify ................................... 6. If business, commercial or mix occupancy, spec nature and extent ofeac e of use .... 7. Dimensions of existing structures, if any. Front ./o · h typ ................. Height /o/ .. ~,. I , ~5 ............... R. ear ...4o..' ........ Depth P.~.... ......... ~um ocr ut Stories ........................... ', · ....... ~,ith ................ Dimensions of same structure alterations or additions: Front ' ' ' ' ' D pth ..... ! Hight ................. Rear ..... Din sio of tire ' ti F ................... Number of Stories ......... ~en ns en new const, ruc on: runt ............ H igt N mb fSt ri ............... Rear ....... Depth e it ............... u er o o es ........ · .............. Si fl Fr ~.~.~.. ' ~ .................................. ' R (,~' '~ ' ' ' D pth ...... Date of Purchase -.F..,~.~. :.,.~,$ 7~ ............... e . ~M.~. . ......... Zon dist i t in wi i t ' ' ~m'i ................ t'~ame o er ncr ......... e or use r c ~ c ~ pr scs are situated ........ · ...... Do prop d ti vi i i .................... , ......................... es use construe on o ate any zon no v,,, ordinance or re Will lot be regraded , ' ~' .... gulation: ~td. ff ............... -, - f P ' ' ' ~.'? ......... ., · .,~ ...... Will excess fill be removed from premises: Yes No rqame or Owner o remises Name of Architect .... [ one No ........ ....................... Address ..... . Phone No. Nanae of Contractor ........ i ............................ 5bb''r .............. Address ................... Phone No ......... · ....... s thio property within feet of a tidal wetland? *Yes ........ No..t~... · If yes, Southold Town Trustees Permit may be required. ''' ,,. ~ PLOT DIAGRAM 10. I1. 12. 13, 14. 15. Locate clearly and distinctly all ibmldmgs, whether existing or proposed, and, indicate all set-back dimensions from proper~y lines. Give street and block interior or comer lot. number or descriptioh according to deed, and show street names and indicate whether TATEOF NEW YORK," ~ · ' "· OUNTY OF ', ' :~" '": '~'"' · .... (Name of.individ,ual ignin ! contrac6 )ore named. ........ being duly sworn, deposes and says that he is the applicant ' is the 4q~ .~?..F~. ' (Contractor, agent, corporate officer, etc.) . said mvner or owners and is duly a~tliorized 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 ~rk will be performed in the manner se[ forth in tlie application filed therewith. 'om to before me this ....... ~.,'~ ~. .......... day of. ~ ...... '19... ' tary Public .............. . ....... County . LINDA J. COOPER No..tarVPub~ie, State~f~u,,,,,u..,. (Signature of applicant) ~erm Expires