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Home My WebLink About19007-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19040 Date MAY 11, 1990 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 380 OLD SHIPYARD LANE $OUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 02 Lot 48 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1990 pursuant to which Building Permit No. 19007-Z dated MAY 11, 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 RELOCATION OF EXISTING METAL STORAGE SHED AS APPAIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A LEWIS B. SHANKS Rev. 1/81 · ORI~ NO. 1~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- ~ c)007 Z Permission is hereby granted to: /2 · ,/// , /// _ < /~ ~ .(...~..~../.,:~...~.,..~....L....,~ ~, ,~~ ..~..~....~...~..._~ ........ ..~/~;; ............ :.~.),._~ ........... ~..~...~ ................................. ~, p~.~i~.s ~ted ~......~ ........... ~..._ ~~....~ ..................................... ........................................................... .............................................................. County Tax Map No. 1000 Section .......... ~....~..... Block ........ ~.....~...... Lot No ......... ..~...~.., ..... pursuant to application dated ...... .~...../,Z/. .................................. , 19~..~..., and approved by the 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. C. Fees I. 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..M. gY ............................. 1it...1990 .... New Construction ........... Old Or Pre-existing Building~.~OY~.~£~i~g storage shed Southold Location of Property...~q.~ ............ ..... Q~.~R~9~.~9~. ............................ House No. Street Hamlet Onwer or Owners of Property Lewis B. Shanks County Tax Map No 048 1000, Section .... .6.4 ........ Block .... .0.2 .......... Lot ...................... Subdivision .................................... Filed Map ............ Lot ............... William ~...~ ~.~.Esq. Permit No ................ Date Of Permit ................ Applicant ............. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........ ... Final Certicate...........X .' Fee Submitted: $ ..... ~P:~q .................. C¢ ~- / ~ ~ ,' '~. ESQ. DL,DG, DE~P'~', TOWN OF ATTORNEY AT LAW 828 FRONT STREET, RO. BOX E GREENPORT, N.Y. 11944 Phone (516t 477-1016 May 11, 1990 Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 RE: LEWIS ~. SHANKS SCTM 1000-64-2-48 Gentlemen: Enclosed herewith please find application for building permit together with application for certificate of occupancy regarding storage shed on the subject premises. Please issue a certificate of occupancy as soon as possible. I have enclosed herewith my check in the sum of $50.00 representing $25.00 for the building permit and $25.00 for the co. If you have any questions, please do not hesitate to contact me. Very truly yours, ~/ William H. Price, Jr. Examined Disapproved a/c .......... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ............ , 19... ., 19~.Q. Permit No /.~7.~.. BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK .................... SEPTIC FORbl ' . '. .. NOTIFY~ MAIL ao sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of l&yout of property must be drawn on the diagram which ia part of this appli- cation. ¢. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein described. The applicant agrees to comply with all applicable taws, ordinances, building code, housin~ code'; and regulations, and to admit authorized inspectom on premises and in building for necessary insp~ ' ~ ,~9~ ir'/ corpor:~ rl(~n') ' .~.~,~-!7 ........ " WILLIAM H. PRICE, JR., attorney for .......... Lewis B. Shanks ' ' '~0'6'5',,' ' , '--;; ; ..... .... . ....... ........... 'o . PO Bb'~ : .... · .... 77. ~.'. i; ': ',, "'~" Greenpor%, t~glnn~lr~ss et app leant) State wnerner appncant z$ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofor~misek .. ..e.wJ.s ~. Shanks ...... ( th 11 I d d) ,,?,~ :,,, .,,- as on etaxro or atest ee If applicant is a corporatjOn' 'signaturb of duly'authorized officer (N ........ ~ e'o ) afne'hn~tSti~e 0~' borporat fficer Plumber's License No ......................... Date . .M.a.y..1.1.~. ......... 199.0.. INSTRUCTIONS Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building I~speetor, with $ Electrician's License No ....................... Other Trade's License No I. Location of land on which proposed work will be done: NO # Old Shipyard Road, Southold, New York }i;~;e Nun;bet ' Street Hamlet '' ' County Tax Map No. 1000 Section 64. ......... BlOck 02 048 ........ · ................. Lot ........... Subdivision Eiled Map No (Name) ................. 2. State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy. ~,~J%~ ....... ,', .................. ~f.~ ................. B. Intended use and occupaney.,;¢, ' Alter tion 3. Nature of work (check which applicable): New Building .......... Addition .......... a ........... Repair ........ ~ ..... R~moval .............. Demolition .............. Swimmi,ng pool... , ........ Tennis Court ......... A&cessory Building..X ....... Febce ....... Othe'~~ ~o~'kf,vi ......... Fee $.g 0. · . 4 Estimated Cost .... ~ (to be paid on filing this application} $, It' dwelling, number of dwelling units ............... Number of dwelling units on each floor ..... .: ........... If garage numberofcar~ : · ' 6. ~If business, commercial or mixed Occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures,' it'any: Front.., .,,5.' .......... Rear . ..5.' .......... Depth.,..1.0 ....... Height Number of Stories ], · · Dimensions of same structure with alterations or additions: Front ..5.'...........-. Rear..5.....' ..... Depth ..... .1.0.'. ............ . Height ...................... Number of Stories ...... 1 .......... 8. Dimensions of entire new construLtion: Front . .5'............ Rear ... ..... 5 [ ... .. Depth . J_.0.~. ..... Height Number of Stories .1. . 9. ,Size of lot: Front ....7.5.'. ................ K~ar... ~'....7.5.'. ........... Depth . · 1SD.' ........... 10. Date of Purchase . .ac.f.u.i.r.e. 4t..t.h.~;.u..L.W.&.T... ~ .... Name of Former Owner c.b~-rl.atte. M.. Skanks... ...... I I. Zone or use dlstrtct in whtch premises are situated .................................. ordinance or regulation: 12 Does proposed construction violate any zoning law ....... 13. Will lot be regraded .... &o .................. Will excess fill be removed from pr.emi~s:._ Yea. ,.; No. · ': · . ~ uzamond Ba.r. CA 14. Nme of O~vner of premises .Lewis. B,..Shanks. Address 3.4.0.1 . F~L.GOR. P,a. dgi~hohC~a~d. ~'e :. ~-;.. ·; ~ ~ ~' · · Name of Architect ........................... Address ................... Phone No ................. .Name of. Contractor ......... ~ ....... ~ ........ Address ................... Phone No ..... .~ ...... ; .... IS.Is thxs property located within 100 feet of a .tidal wetland.* *YES...~NO .... · If yes Southold TownI Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all ibuildings, 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. This building permit is to be issued to move existing storage shed. APPROVED AS NOTED NOTIFY ~UILDING DE~T ~T 7~.1802 9 AM ~ 4 ~ FOR ~E FOLLOWING INSPECTIONS: 1. FOUNDATIO~ ~0 REQUIRED FOR POURED CONCR~ 2. ROUGH - FRAMING & PLUMffiNG 3. tN$~LATION ~. ;INAL CONSTRUC~ON MUST BE ~OMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUiREMEN~ OF THE STATE CONS~U~ON & ~ERGY CODES. N~ RES~NSIB~ FOR D;$1GN OR CONSTRUC~ON ERRORS STATE OF NEW YORK, S.S COUNTY OF...S. qg$9,l-.]q ...... ........... Wi~l.i.o.m.H... Rr~.c~a,. Jr ................ being doly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above nam'ed. He is the Agent , . - (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to pe,rform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before mc this llth 'f .M.ay. 19 9.q ........................ day 0 .................. · Nots Sufolk ry Public ............ -~ .... ................. County