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Home My WebLink About19144-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19183 Date JULY 5, 1990 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1715 SUNSET LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 6 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1990 pursuant to which Building Permit No. 19144-Z dated JUNE 21~ 1990 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 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 JAMES E. & EVE C. MULLINS Rev. 1/81 FO~ NO. ~ 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) NM 'i714 Z County Tax Mop No. 1000 Section ....... :.~... ......Block ...... ~ ..........Lot No ......~ .............. pursuant to application dated ......... i~.//~.~... .............................. , 19.~...~., and approved by the Building Inspector, Rev. 6/30/80 Form No. 6 TOkrN OF SOUTHOLD TOWNHALL . 765-1802 ' BLDG D~OtD ~ l APPLICATION FOR CERTIFICATE OF OCCUPANCY hzs applicatzon 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 conta~s ~ less than 2/10 of I% lead. ,. 5. Commercial building, indus.trial building, multiple residences and similar bu~/dings 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: l. Accurate survey of property showing all property lin6s, 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 - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................................... :;u~ Construction .... ~ ..... Old Or Fre-existing ~uilding ................. Location of Property..[~J~.~y~.~ ~0.~'8~ o.o~yZ~..o~, ~. House No. Street Hamlet Onwer or Owners of Property.. ~ ~f o~o~ t 'o County Tax Map No 1000, Sec ~ n .............. Block ..... ~ .......... Lot .... ~ ................ Subdi~ision Filed Map Lot [ Permit Ho lq I ................ Date Of Permit ...... r.S.V.p..Applicant... ~lea~th Dept Approval Underwriters Approval Planning Board Approval ': '" Request for: .Temporary Certificate ........... Final Certicate...~. ..... ¢0 APPLIC' .A~T · .. ']'Og~N OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P,O. I~OX 728 TOWN HALL $OUI'I[OLI), N.Y. 11971 June 27, 1990 TE~,. 16S-I 802 James E. & Eve C. Nullins Box 882 Southold, N.Y. 11971 To Whom This May Concern, We are tnlable to complete your Certificate of O~'pancy becauJe .of the following reasons. /_-~ An ,'lpplication for Certificate of Occupancy is not on fil~.. (ENCLOSED) /'~///:k3 Under;¢riters Certificate on file. /_~//-/' "lhe check is(ow~Ig~]~/not on file.) $25.00 /-/ No Health Dept. Approval on file. /~/ ~:o final inspect:ion has been made. PJease contact our office on Thank you for your cooperation.' Building Permit ti I 9 1 4- 4 Z Buil(lin~[ Dept. ~**/~/ ~;o Plumber ( all permits involving plumbing issued after April 1,1984 this matter. solder Certificate on file. being FOUNDATION (1st) FOUNDATION (2nd) FRAME & ROUGH .FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL tD=TE ADDITIONA'L COMMENTS API~RO~ED AS NOTED FEE: ,~'~%~ ~ ~r,, ~y: NOTIFY B~I~bEPA~M~A~ 7~1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~0 REQUIREO FOR POURED CONCR~ 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHA~ ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRU~ON & ~ERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ON ERRORS "~ ~'' :~ Pauls Lane '~':'~ Peconic NY ~-','" ~:~"'~:,~". 765-3090 Finest Quality'~ Storage. HouSes-~' Products` IllkiL .... lliJJ BUILDING DEPARTMENT ~r'~:~ ~ TOWN HALL I :~~. ~:,, , $OUTHOLD, N.Y. 11971 NOT~FY: .: 765 1802 .., ~mincd ....... , MA~ TO: roved .... ...... , -'Pc~it No. Disapproved afc .................... APPL[CATIO~ FOfi~U[LDING PEfiMIT Date ~ l~ I~. ' ' " INSTRU~I6NS ' ' a, Tlfis application must be completely filled in by ~pewfiter or in ink and submitted to th~ Buildi~ I~ector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pl~ s~owing location of lot and of bulldogs on premises, relationship to adjo ning prem~ or pubic streets or area~, and -' ' - cation. ~xvm= a dot,led description of layout of property must be drawn on thc diagram which ~ of t~s appH- e. Th~ work Covered by tM~ application may not be commenced before issuance of BuUdm- d:' Upon approval of this application, the Buildin- t ........... ' ' ~ 'L ' ' -..-0 ,aapector wm ~ssuea a ~uildJng Pc~it to the appfi~t. Such pe~it ~hall be kept on the premises avaQable for inspection throu~out the work. c. No buildMg shall be occupied or used in whole or in part for any purpose whatever until a Cc~ifi~ of Occup~cy ~hall have been g~ted by ~e Build~g Inspector. ' APPLICA~ON IS HEREBY MADE to the Build~g Dep~ment for the issuance of a B~lding Pe~it ~=uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo~k, ~d other applicable ~. OrdM=cca or Regulati~s, for the const~ction of bu~d~gs, additions or alterations, or' for ~emoval or demolition. = ~m desc~bed. The applicant agrees to c0Mbl~ with all pplTcable laws. ordiCances, buQd~g~eode, housing code, and ~tions, and to admit authorized Mspectom~on:~remises and,M bulldog f6r neyessa~"~spections.~ ,. ........... t~gnature ot applicant, or name, ifa co. oral'n) (Mailing address o~ applicmt) State Whether applicant is owner, lessee, agent, ~chi~ect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~. · ~ .. &l~g' ' (as on the tax roil or lat~t deed) 'f ' If applicant is a co~oration, signature of duly authorized officer., Buildcr's License No .................. ~ ..... ' ' ,, ~ Olher T~ade's ~censc No ........... :.. ' · I. Location of land on which proposed work will be done; llouse Number ....................... StrecL ' ' .............. Hamlet ............... Co ntyTaxM pNo[lO00S ti ~ ~ ' u a ec on .............. Block . Lot ~ s ................................ u vision ......................... . Ell ........ cd Map No. (Name) .............. Lot ............. i ' ' ceupancy .......... q .... '. ' BOARO OF HEALTH ............ 3 sETS OF PLANS SURVEY ..................... CllECg s T c',;g ;72''221222 222222 3. Nature ot work (check which applicable); Ne~v Building .......... Addition ... Tennis Court ......... A~ces .......... ~ ..... ~ ~ ~ .......... ~,,~ ............. ~. Ir dwelling, number of dwelling u~its .... ~J~.. ·; .... Nnmber of dwelling units on each floor .... ~(~. ~ ..... If garage, number ofcar~ ............. ~ .................................................... . . 6. If business, commercial or mixed ~ccupancy, spccify nature and extent of each typc of use .... ~[~ ..... nc~gut ...~ ......... Num~erorStohe~...~[~.~ ....................... ,... ~}~nefismnx o~amet~tmcture wit~ alterationa or additions: Front ... ~l~ .......... ~ear .... ~.... ' ~pm ........ ~ .......... ~. }Iei~t .. M[~ ................ Number of Stones... ~l~ ............. S. Dimensioas of entire new construction: Front ..... [~.~ .... Rear . . . }~ ~ ~ ...... Depth .... .~ p~ .... Height .... ~. ~.~ ...... ~um b~r of Stories .......... .~ ~ ~ ......................... .... 10. DateofPurc~a~e. . .......... . · ~68 ............. · NameofFo~er0wner ....0~,.~, ........... 11. Zone or use d~tnct ~n which pre~i~es are ~ituated .... ; ...... ~~ ............................... 12. Does Croposed Construction Wolate any zoning law, ordinance or regulation: ..... ~ .......... 13.?:W~I lot be regmded . :-.'....~I ................. Will exce~s fill be removed from premises: Yex .... No~. N~c'ofArchitect' ~ ~ Address Phone No Contractor ....... ~.. P.aH9 ~ ........ Address ............ Phon~No ..... ~'. ..... ; .... · If yes. ~outhold ~o~n ?rU :ees Permit may be required. PLOT DIAG ~M Locate cle~lg ~d dist~ctly ~1 ~u~d~g,, whether existing or proposed, ~d. indicate ~1 set-back d~ensibns from prope~y Une~. Give street ~d block number or deschption accord~g to deed, ~d show street nines and ~dicate Whether' STATE OF NEW YORK' COUNTY OF .... ........ ........... (~ .......~} i[~iv ~ual si~nid~ntract)~ ~ ' ' ~ .......... being_ duly sworn, deposes ~d says that he is the applicant above named. : ', I (ContraFtor,~afent, corporate officer, etc.) ~ '~,, ~ ', ' of said owner or owners. ~d ~s dulylauthorized to pe,rform or have perfo~ed the said Work and to m~e and fil~ this ~plica{ion: that all statements contaihed in {his application are true to the best of his knowledge and belief; and that the work will be perfommd i0 the re=ncr ~et forth in tlie application Hied therewith. S~Vom to before mc this :