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Home My WebLink About19083-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20660 Date APRIL 20~ 1992 THIS CERTIFIES that the building Location of Property 600 House No. County Tax M~p No. 1000 Section 7B Subdivision ACCESSORY SHED CEDAR DRIVE SOUTHOLD~ Street Block 9 Lot 6 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1990 ..... pursuant to which Building Permit No. 19083-Z dated JUNE 7~ 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~ IN THE REAR YARD~ AS APPLIED FOR. The certificate is issued to D.F. NUHFER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ ' - Bui'lding I~s~c{or' f~/ Rev. l/B1 I~ON,~ NO. ~ TOWN OF $OUTHOI.D TOWN HALL $OUTHOLD, H. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° ~ 9083 Z ? ! 9.~'.~. Date ..............~ ......................., Permission is ,hereby granted to: ....... ....... ......................... ....... ****T~.~....~..~..~. ........................................... .......... ~ ............... :.~. ........ u..t.~. ......... ,o ...~.~......~.....~.~~...~L~***.,..,~:..x~,.~ .......... a premises located at ....~.~.' ~ ..... ~-....~..~..:.......~..~. ......................................... County Tax Map No. 1000 Section ....... ..~..,.~...~. ...... Block ........ ..C~....~. ....... Lot No..~'i...~.. .......... pursuant to application doted ........... .~..CL,/i~.P~..,../...~. ........... , 19.~'..0.., and approved by the Building inspector. Fee $..~t., ............ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~LL 765-1802 A~PLICATION 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 Plauning 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ~roperly 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~. ~. -/.Z... ~ f~ .... New Construction....~. ...... Old Or Pre-existing Boilding ........ Location of Property...~0 ..... ~../~M .~.~.; .................. House No. Street ........ Hamlet Onwer or Owners of Property..~].~.~..~.~.F¢~ ................... County Tax Map No 1000, Section. O~8 · Block...O.2 ......... Lot .... Subdivision...~.~ I'D.~. ~C~- ......................... Filed Map.~O~.~. ..... Lot... ~ ..... Permit No..~?.O~.'..'.~. .... Date Of Permit.~-~..'~./~..Applicant.X~,'~'~.....~O,..~.~f~ ........... Health Dept. Approval ..................... Underwriters Approval Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate .... ~ ..... ?ce Submitted: $...~.~..~. ................ ( 2nd ) ~LUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802. BOARD OF HEALTH ............ 3 SETS OF PLANS SURVEY ..................... CHECK ................. Approved - .?.., 19~.O, Permit No /.9.<~..~.~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PEFIIVI IT NOTIFY ~ CALL . .~ ..... MAIL TO: INSTRUCTIONS a. Tlfis ~pplication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 cat/on, o~Vmo a detailed description of layout of property must be drawn on the diagram which is part of this appli- ¢. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon -app, r~ot(~lcgf,[13is application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be k~¢t 6n ?re tOf~fs~a~ailable for inspection throu~hout the work. e. N6: buildmg;~gfil?~,e.~.~clupied or used in whole or in part for a~y purpose whatever unt 1 a,Certificate of Occupancy shall h/~ve ,been grant:ed b~t.~6,]~uilding Inspector APPLI~,~n,I~JS~RoEBY]~IADE to the Building Department for the issuance of a Buildin Permit ursuant to th _Building Zone'brd'fi{r}~d~o~ne Town of Southold Suffolk Count~, New y,,~t. ~a ~,~h~, ,- g,_, , P~ ,. e Regulations, for the construction of buddings, a .d. ditions or alterat(o'ns, or fo~/r~m'-~;a~' ~)"r~t~pm[~;i;~'~;e, a~Se're%nd%sa~';se~,r The applicant agrees to comply with all applical~le laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~pections. · (S~gnature of applicant,/or name, ~fa corporano'n) ' ...~'.~.~): .x~q(...47.o. 9.. ~'~. ~.-.o.~A.. ~.. ,./. .......... (Mmhng address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer; general contractor, electrician, plumber or build6r. Name o f owner o f p remises:'~.~2~.~.C. ~ ~'f2~'. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........... ;~i ;~ ............................. (Na title of corporate officer) Builder's License No../.~.. ?'.~.~..-..'.W., .-K. ......... PI tuber s L~ccnse No.. ./P/~. Electrician's License No. t , · ~/~. O her Trade s.Lmense No ................. 1. Location of land on which proposed work will be done; ouse umbcr Street, Hamlet Co,,ty ra× ,Xlap No. . .O.?R ........... ... I000 Saction BlOck .......... Lot ............ ;... Subdivision .. /./,)..cT-, ...~Z]2<~.,q.~.r2ff' .......... Riled Map No. ~.Q.~. ~.. Lot rT. (o.... ' (Name) ............ 2 State e ' ' · x st ng t se and occupancy of premises and intended use and occnpancy of proposed constrnction: a. Existing Use and occupancy ..~ b Intended Use and occupancy 3. Nature of work (check which applicable): New Building ..... Addition '/~ Al rat on Repair .............. Rbmova, l .............. Demolition ............. Swiraraine oonl ............ Tennis Court ......... Ac:cessory Building...V ...... Fence ...' .... Ot~km ......... 4 Estimated Cost ./~ 6~,. t0.O ~ ........... Fee ........................... ' ' (to be paid on filing this application) If garage, number of cars ................ ~/~ ................................ '~A ......... ' 6. If business, commercial or mixed Occupancy, specify nature and extent of each type of use .dJ//y ............ 7 Dimensions of existing structures iii any: Front Rear Depth ........... Numbdr of Stories Height .................. Dimensions of structure with alterations or additions: Front Rear same ~ ....................... *. · · . ......... umbe, o Sto es. ;; ... Depth ..................... , eight ........ ),,~'r /o - 8. Dimensions of entire new constru~ti n: Front ..... .~ ......... Rear ..... -~ .... t ... Heigitt ....... J{{ ..... ,Number of Stories ..... /. ........ : ............... : ..... 9. S,ze of lot: Front ...... /DO.., .......... Rear ..... /P.Q ............. Depth ' ?:~'.' .~'": ::':'i .... Date of Purchase ~ ~ Name of Former Owner ~ 11. Zone or use district in which prernises are situated .'.~CD.W,~O. :X ~.c. ...... .. ; ..................... .. · · · 12 D pr p seal tin iolai i gl din gul ti ~.C). ...... · ocs o o construc n v e any zon n aw, or ance or re a on: .............. · · .... 13. Will lot be regraded .......... ilh.3. O. ............. Will excess fill be removed from premises: ~ Yes ~.. ~ No~'. 14. Name of Owner of premises .~.c.L~5~..~: ¢,~lqFO~,Address ~z~C.L.~O.~. .~-~ .... Phone No. ~.~.7~.5'.'.2-.~. .... Name of Architect /~..~: Address Phone No · · . Name of Contractor~-,s 7[ /~J.~//.~.... · ~.._ A~ddress ~3~_~ ~.~9..%. ............... Phone No ..... Is this property located ithxn uo reef or a tidal wetland? *YES...'.NO~... · If yes, Southold TownlTrustees Permit may be required. , PLOT DIAGRAM Locate clearly and distinctly all Buildings, whether existing or proposed, and, indicate all set-back dimemions from property Lines. Give street and block ,umber or description according to deed, and show street names and indicate whether interior or comer lot. 12~ STATE OF NEI~ ~, ~~~'- OCCUPANCY OR OSEIS UNLAWFUL ffHouTCERTIFICATE OF OCCUPANCY APPROVED AS NOTEL~ ~LJlL,DING OEPARTMEt~, qo2 9 AM TO 4 PM FOFi ~ ,~ ,lING INSPECTIONS: DATION ~O REQUIR~ ' ,OURED CONCRETE ~H ~ FRAMING ~ PLUMBING Al/ON COUNTY OF ..., .: CONSTRUCTION MUS'I' 'ff'qPLETE FOR C.O . . ............................ ! ..................... being d u Iy/~s~vo m, de P4~:fiv(Slxlsa~ J~[.:Lt ll~lffEthe a P~tica n t. (Name of individual sigping contract) 1 .... !qFMENTS OF THE N,¥, above named. ,,¥ ~;TRUCTION & ENERGY : C~ ;'~ RESPONSIBLE FOR H,e is tile ' DE~ .,,~,-,~d CON~?RU6'FION ERROR.S, - (Contractor, agent , corporate officer, crc . ) " of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application: that all statements coniained in this application are true to the best of his knowledge and belief; and that the work Will be performed in tile manner set forth in tile application filed there~vith. Sworn to before me this ·. day ............. Notary Public .............. ; .... County H£LEN K. DE;VOE NOTARY PUBLIC, St~hofNewYod; . No. 470787fl, SuffolkCounty,,¢/ mrm Elpires March (Signature of applicant)