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Home My WebLink About20130-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo%d, N.Y. CERTIFICATE OF OCCUPANCY No Z-20203 Date SEPTEF/BER ~0~.....~9~.~ THIS CERTIFIES that the b~ilding. ACCESSORY Location of Property 2775 PINE NECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block 6 Subdivision Filed Map No. SOUTHOLD, N.Y. . Hamlet Lot I7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 199% ..... pursuant to which Building Permit No. 20130-Z dated SEPTEMBER 9~.19~.~ .............. 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED~ Rev. 1/81 WILLIAM & AUDREY NORRIS /' Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT ('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_ 20130 Z Permission is he reby~,~.........~.,.~~gronied~¢; ~ ,~__ ......... ~.,.,....~.t.. , remisesl at 72 ' .~ County Tax Map No. 1000 Section ...... ].~,,.,~,, ......... Block ........ ~, ......... Lot No ........ ./.,,Z, ....... pursuant to application dated ............. ~' ................................... , 19.~.~.....~-- ond opproYed I~ th~ Building Inspector. Fee $..?~../ ......... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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. 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 - $i00.00 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 New Construction Old Or Pre-existing Building 2775 PINE NECK ROAD SOUTHOLD N Y ' Location of Property · ' ' House No. Street - Hamlet WILLIAM NORRIS & WIFE Onwer or Owners of Property ................................................................. . County Tax Map No 10O0, Section .... 77 ........ Block ...... ~ ......... Lot.., 1~ .. Subdivision .................................... Filed Map ............ Lot .................. ... . · 2o 3oz · oRRis Permit ~o ................ Date Of Permit ............. ~pp±icant ............................. Health Dept. Approval ..................... . ,. .. Underwriters Approval........... ............ .. Planning Board Approval Request for: Fee Submitted: Co Temporary Certificate ........... Final Certicate ......... .. APPLICANT Southold, New York 3 September 1991 Dear Mr. Fish, The adjustments you suggested during your recent inspection of my property have been made. Attached to this note are permit requests for (1) the utility sheds and (2) the extension to the garage. The property is ready for inspection at your earliest convenience. We appreciate your help and assistance to-date. Sincerely/ W. G. Norris W. G. Norris 2775 Pine Neck Road Southold, New York 765-1276 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined ., 19 ~..// Approved ., 19 ~/Permit No ~/c~O/........... Disapproved a/c ............................ : ........ APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... '~ SETS CE PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL flAIL TO: Date ', 19 IN STRUCTIONS a. This 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- :ation. 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 ;hall 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 ;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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~he applicant agrees to cpmply with ali applicable laws, ordinances,~building code, hgusing code, and regulations, and to ~dmit author/zed inspectors on l~remises and in building for necess~f/ih3sp~ej~tions. // ,_ .. -- (~gnature of applicant, or nam~e, if a corporation) "7 ..... .: ...... 7' ". ................ (Marling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. >;ameofownerofpremises ~'°r/-~'L'f/'¢/?~ ./-<.- .'/" /'~.~"'..'~../~.~f~'..~. ZPg, ,d~/~'~-~'! 3* (as on the t,a~x 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 L~cense N ., El i inn's Li N ./~.' .~." ectr c cense o ..................... Ct ler Trade's License No../~.'...~.: ............... Location of land on which proposed work will be done ......................................... ' ........ Ilouse Nmnber Street Hamlet County Tax Map No. 1000 Section ...... 7~ ......... Block ......... ~?. ....... Lot ...... ~.tT. ......... Subdivision . ./.l//.~.: ......... , .................... Filed Map 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 work (check which applicable): New Building .......... Addition .......... Alteration .......... Repa/r .............. Removal .............. Demolition .... Other Work ~r'~' . .. ~' "~. t5 ' ,~, ~La (Description) 4. Estimated Cost o' ~ ~ ~ (to be paid on filing this application) 5 If dwelling number of dwelling ufiits t~.~t~, Number of dwelling units on each floor · .lfgarage, n'umberofcars .~..~I............. ........... .. . ' ............... 6. If business, commercial or mixed occupancy, specif~, natur~ and extent of each type of use .Z~.-.~., ........... Dimensions of existing structures,iff any: Front.. ' ' ' 7. .'/".'7 ' 6, :... Rear O-O Depth..~.~. '... DepthDimensi°n?,~,~/.,'l°f same~ structure with alterations, .... or z.~additi°ns. ~. Front . ,-5 .~F2~..., .......Rear .J..F.-'¥.~. ........... ............. i ne~gn[ ..... o/-/~J ~', ......... Number of Stories..,ji~.t~~. ............. 8. Dimensions of entire new constru6tion: Front ............... Rear ............... Depth ............... He g it . ~ · · · .......... .. ·. Number of Stones ........... 10. Date of Purchase . 0 O~.f.. )~ih ¢. ''"X ..... " ....... ' ........... Name of Former Owner . . .~.~..~.~ q. ?../?q.~.~'.~.~. ...... I I. Zone or use district in which premises are situated ~.t,5.C.~'~a~ &~. 1 2. ocs proposed construct~onA~olate any zo~n. mg law, ordinance or regulation. A~.~ 13. fll lot regraded ..../ ..... Will execs be r~r3ove~d , No Name of Architect ././:~A/~. .... i ............... Address ................... Phone No ............. Name of Contractor A/. o,dq' .... , ............... Address ................... Phone No ................ 15. Is this property within 3010 feet of a tidal wetland? ~Yes.. No. · If yes, Southdld ~ ...... · ....... ToRn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all b'uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nt ~fiber or descriptioh according to deed, and show street names and indicate whether interior or coruer lot. , ? ,TATE OF NE .Yg,R . ....... · ~...(.//i:~. ~k ~_~ ..'.gJ. 9~'t~( ~. · being duly sworn, deposes and says that he is the applicant bove nanled. [e is the .......... (Contractor agent corporate officer etc.) ............ f said owner or owners, ~d is duly ~uthofized to perfom or have. perfomed the said work and to m~e and file this pplicafion; lhat all statements contain.~ed h this application are true to the best of his knowledge and belief; and that the :ork will be perfomed in the m~ner s~t forth in the application filed therewith. Wom to before me this ~1~ In Surfak ~n~ ~ ~ (Signature of applicant)