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Home My WebLink About19030-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~4ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20471 Date JANUARY %3~ .1992 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 6580 OREGON RD. & 9905 ALV~HS LANE CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 3 Lot 7 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17, 1990 pursuant to which Building Permit No. 19030-Z dated MAY 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 GARAGE AS A~PLIED FOR. The certificate is issued to JAMES McBRIDE (owner) ~f the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 IFORM NO. $ TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) NO_ ~ 9030 Z Permission is hereby granted to: .................... ~ ........ .,,___.~__~~,....~~---,-~ ........................................... at premises ,~oted et .... . ~ ~.~ .~ . ~. ..~.. ~.~ ...... .................... ~ ...... ~~ ..... co~ ro~ uop uo. ~0oo s,~t~o~ ...~.~ ..... ~k .... ~.~ ........ lot ~o ..... ~..~..~.... gui~dln~ Building Insl:~ector Rev. 6/30/80 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. i~. 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 $I5.00 · .~?.' ~d Date .................... r Pre-existing Bui · .ew Construction .. . 0 lding..j~ ..... ~~.. Location of Property House No. Street ~ Hamlet Onwer or Owners of Property ..... ~ .... ..~...~..~....~. .............. Coonty Tax Map No i000, Section...?..~.....Block.. ~ ....... Lot. "ubdivision ~ ............................... Filed Map ............ Lot ................. Permit No ...... Date Of Permit ....... Applicant'~'f?.~2~-~-,¢:~ /.~..r.~.¢ ...... Health Dept. Approval ................. Underwriters Approval .............. Plan~ing Board Approval .................... Reqoest for: Temporary Certificate ........... Final Certicate..~.. ....... ubmitted: ........... · ................... APPLICANT CO ti 71 _ FOU:IDATIO.~! ( 1st) FOU:;DATIO:! (2nd) 2. ROUGH FRAME & .?LUMBING 3. INSULATION FER N. Y. STATE E~ERGY CODE FINAL RDDITIONA'L COMME1;TS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exan,/ned..~-~. · ,~../..., 19 Approved .~.~'" . ~t,./..., 19~.~. Permit No../. ~..~. ~,,~,~ Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ............ .... NOTIFY~ CALL ..................... MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERM IT Date INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building Ihspector, with $ 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 layout of property must be drawn on the diagram which is part of this appi/- 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 ~o complyw'~th all applicable' "laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for nec~{~3,ry inspections. ' (S~nature ot apphcant, or name, ff a corporanon) (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N of ofp is s .....~ .~,..r~.. ~'..~. amc owner rem e ;.. , ........ (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. ' '""' .... ~f'/'a~ .~ ..........................titl~ of corporate officer) '"' Builder s License No'. .... PI mber s License No ......................... Electrician's License No ....................... Other Trade's License No Location of laud'on which proposed work will be done: tlouse Number Street. ............. ~" ............... Hamlet County Tax Map No. 1000Section .............. ' Block.. ..~............ Subdivision Eiled Map No .....................................(Nnme) ' .............. Lot ............... State /.~_~t/~ ~;~."~'ffiP~ffea construct,on: xlStmg use and occupancy of prem/ses and intended use and occunan._ v , . A. Existing use and occupancy.. ~~...~-~t,~.,g}_. ........... ' ' ~~'i ' , '7't''" B. Intended use and occupancy ...... /~', ... ~ ~~ ..~.....:. .~ ~Addition ~ ARcration ........... 3. Nature of work (check which applicable): New Building ·, Repair... .,.o,,..... Rbmoval!, ........... Demolition .............. S~,immlng pool ............. Tennis Court ......... "'~ ~,flc~)OAecmss°ry~ Building .......... ..... Fee ..Fehg'e/~'. _~__/~_..~_t. ....... .~, ,~, ,Other ................... Work ........... ... 4. Estimated Cost ............ , ................ · "~ ' (to be paid on filing this application} $ Il'dwelling number of dwelling uni!s Number of dwelling units on each ...... ............... f~oor ........... If garage number of cars '' · 6. If business, commercial or mixed o~cupancy, spEcify nature and extent of each type of use.. ........... . .. . .... . Fr t Rear Depth," 7. Dimensions of existing structures, , any: on . ;,,...; ............................. ' ............. Height Number of Stones · · Dimensions of same structure with[alterations or additions: Front ................. Rear ................... Depth ...................... itIeight ...................... Number of St°ties' '~e'~'t~' i ~_ ~'~'-'-~i ........ 8. Dimensions of entire new construction: Front .. ,'~.?-~- ...... Rear . ...~-,. ............... Height &:9. Numb{r of Stories t'.... · · " ~ ................ Size of lot: Front ' ' Rdar ' Depth ,~.~ff..~ Name of Former Oxvner 10. Date of Purchase ................................................... 1 1 Zone or use district in which premises are situated ..... 12. Does proposed construction violath any zoning law, ordinance or regulation: ................................. '13. Will lot be regr~tde .......... } ................. Will excess fill be removed from premises: , Yes .... No.. 14 Name of Owner of premises i .: ....Address Phone No . · . Name of Architect : Address . . Phone No ................. Phone No · ' Name of Contractor ' ' Address .. ...... · .-..,* ........... 15.is this property located within tOO feet of a tidal wetland? *YES .... NO .... · If yes, Southold Town ,iTrustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block nhrnber or description according to deed, and show street names and indicate whether interior or comer lot. (S gnatum of applicant~ STATE OF NEWcY'OR~/ ' .~ . ~'. ~ , . (Name of individual sighing contract) above named. He is the ' ' .... ~ ' (Co r. ag ~t porat offi~e~' otto), ~ "''~ of said owner or owners, and is d~ly authorized to pe,rform or have performed the said work and to make and file this application; that all statements con;rained in this application are true ,to }be best of his knowledge and belief; and that the work will be perforated in the mamter set f~rth in the application filed theregvith, / SWorn to before'me this ' ' Notary Public, . ., County