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Home My WebLink About18841-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~2qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18868 Date MARCH 12, 1990 THIS CERTIFIES that the building. Location of Property 4895 ELIJAH'S LDuNE House No. County Tax Map No. 1000 Section 100 Subdivision ACCESSORY MATTITUCKr N.Y. Street Hamlet Block 04 Lot 10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6~ 1990 pursuant to which Building Permit No. i8841-Z dated MARCH 6, 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 UTILITY SHED FOR SWIMMING POOL AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTM~NT OF HF~LTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DENNIS & BERNADETT~ DEERKOSKI N/A N/A Building Inspector Rev. 1/81 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- 18841 Z Permission is hereby gronted to: ,o at premises located at .....~...~..~..~ ....... ~(~...~ ...... ..~..~..--~~ ........ County Tox Mop No. 1000 Section .... ~...~ ...... Block ..... .~....~.. ....... Lot No ....... ~...~.. ........... pursuant to opplication dated ...~.~-w~....~. ..................... 19..~..~)., crud approved by the ) Building Inspector. Fee $.....~.~.~..~ Building Inspector Rev. 6/30/80 TO~ OF SOUT~OL~ ~ILDING DEPA~T~I~NT T0~ ~LL SOUT~OLO. NEW YOI~K 765 -- 1802 IlgTl APPLICATION FOR CERTIFICATE OF OCCUPANC~ NEU C~NST~UCTION ..~...OLB OR PRE-EXISTING BUILDING ...... VACANT LANB ........ HOUSE NO. STREET HAHLET County Tax Map No. 1000 Sectiom ...... ~lock .... Lot' . ...... Subdivision ....................... Filed Map ........ Loc .......... HealTh Dept. Approval .................. Underwricer~ Approval .............. Board Approval ................ Request for Temporary Certificate ....... F£nal C~rtifica[e Fee Submitted: rev' I0/14/88 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Build~g Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final approval of ~ealth 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 solder used in system contain= less' than 2/]0 of II lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Ar~3mltect or Eugineer responsible for the building. 6o 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" laud uses: lo Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, nr other pertinent infor~m~tion required to prepare a certificate. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title eompa,y showing single and separate ownership of the entire 10t prior to April 9, 1957 shall also at--any the application. If a Certificate of Occupancy is denied, the Building I~pecgor shall state the reasons therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory buildi~g$25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $I00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Co~me£cial TOWN OF SOUTIIOLD OFFICF.. OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 ~'~rch 9, 1990 DENNIS & B~p~ADETTE DEERKOSKI ELIJA]t ' S LAI~E MA~£ITUCK, I~.Y. i 1952 To Whom Tt%is May Co~eer~r We are unable to complete your Certificate of Occupancy because.of the following reasons. /~z/ An application for Certificate of Occupancy is ~ot on file. (ENCLOSED) /No Underwriters Certificate on ~ile. .._ The check is(~]/not on file.) $25.00 /-/ No Health Dept. Approval on file. /-_'/ ~;o final inspo, chion has been sadie P]eaue contact, our office Thank you for your cooperation. lh,ild Ln¢l Permit Build lng Dept. on uhzs matter. Z **'*/--/ No Plumber Solder Certificate on file. ( all po. trait': involving plumbiuq being issued after April 1,1984 FOUNDATION ROUGH FRAHE & .FLUMBING ~2nd) iNSULATION FEE N. Y. STATE ENERGY CODE FI~;AL ADDITIONA'L COMME~:TS: DO" ! · 340 ~'des SURVEY FOR DENNIS DEERKOSK/ 8 BERNADETTE ABERS/W/TH lit MATT/FI_ICE ~ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK [YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N,~S, LICENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR NEW YORK BLDG, DEPT, TOWN OF SOUJHO_LO FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,,~OUTHOLD. N.Y. 11071 TEL.: 765.1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY .... SEPTIC FORM ................ ................. · -. (BuiIding Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY; CALL ..................... MAIL TO: INSTRUCTIONS , a. Tiffs application must be completely filled in by typewriter or in ink and submitted to thc Building. I~pector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of Iot and of buildings on premises, relationship to adjoining premistxs or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tltis appI/- cation. ¢. The work coverett by tttis application may not be commenced before issuance o f Building Permit. d. Upon approval of this application, the Building Inspector will issucd 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 a,ny 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 Re-uiat oas, for the construction of buildings, additions or alterations, or for ~emovai or,dcmolit, kara as he.in described. rhg applicant agrees to comply with all applicable laws, ordinances, building code. h~r,~c~e~n~ re~'alatzons, and to ~dmit authorized inspectors on premises and in bur ~Lng for necessary insoections. ~ ~l ~t~j~q~g · t~gnature ot a~p?c~r~,~i~ar, F:~n~A; a corporanoul ____ ,,.. .... . .... ' _ _i..'YS~O ¢ ?: . ,~-l---~ rlvlailing address of applicant) ';tare whether, appl,can~'~~.g_':l..a,.~nO~,~,~.___,,,~. --~""'""~' engineer, genera, contractor, electrician, plumber or builder. ....... .......... :: ......................................... o, l' applicant is a corporatmn, signal iqcer. ................ ~t.~ .~.~.~ -~,~.~ Plumber's License No ...... Electrician's License No .... Other.Tradc's License No ...................... Location of land on which proposed work will be done: ' }louse Number Street. ' ' Hamlet · County Tax Map No. IOOO Section ~./'.12[~i ..... 2 Block .. Lot .... Subdlvifion.. . .. Eiled Map No. (Name) . State existing use and occupancy of premises and intended use a.d occupancy of proposed constrnction: a. Existing uie and occupancy I'-~.~(Ci&~ . . Nature of work (check which applicable): New Building ...... Addition ........ ~'dl~j~'~l~ ~. -I ..... Rep:L/r .............. R~moval .............. Dcrr~litiort .............. SwJ..'malng pool ......... 2'' Tennis Court ......... Accessory Building...~..~.~Fen~.ee ....... Other Work:. ..... Esttmated Cost .... ..C¥..Q ............................. Fee .q~.'¥ ............................. (to bc paid on filing this aPlffi~ation) If dwelling nutnbcr cC dwelling units ......... Number o f dwelling units on ceca Hooc If garage number of ca~ ......................... · If business, commcrc~l or mixed occupant. ~pecify nature and extent of each type of u~c ............ Height ~.~g~ .... Number of Stories ...... ~ ................................ Dimensions of same st~cturc with alterations or additions: Front Rear ' ..... .......... ............ _. . Height ............... ~umber of Stories ..... t .... ' .................... L' Date of Purch=e ...... ...................... Name of For;ncr Owner ............ ~ Zone or use d~stfict in which premiss are situated ~. Does proposed ca~t~ctiom violatc any zoning iow, ordinance or regulation: .... ~ .......................... ;.. W~I lot be reg~ded ....... ~0 .................. Will cxc~ ~ll be removed from premises: Yes .... N~c of Con~ctor ................. ~ ........ Addr~ .......... ........ Phone No ..... ~ f- x~ ~ .... 5.Is this property located within {00 feet of a tid~'l wetland? tlf yes, Southold Town Trustees Permit may be required. PLOT D1AG~M Locate cle~ly =d d~etly MI bu~d~, whether existing or proposed, ~d. indicate MI set-back ~ons from ;ope~y ~ncs. Give street =d block number or de~fiption accord~g to deed, ~d show st~t n~ea and ~tc whcth~ ;tenor or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPtlOVEO A$ ~ ~, ~./...c, :_.:.. i ,,: .¥ ~.../....- ;TATE OF NEW YORK, ;OUNTYOF ............ .... . S.S .....................................· .... , ...,. . being dnly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore nam'ed. .' [e is thc ........................................... : ....................... ; ................. ; :.. (Contractor, agent, corporate officer, etc.) - f said owner or owners, and is duly authorized to pctform or have performed the said work and to moire and file this ppticat/on: that all statements contained in this application are true to the best of his knowledge a~d beef;and that thc 'ark will be performed in the m~ner set forth in thc application filed therewith. 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