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HomeMy WebLinkAbout18490-z FORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25324 Date OCTOBER 21, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 705 NOROMIS ROAD SOIITEiOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 3 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTS!ffiSR 1, 1989 pursuant to which Building Permit No. 18490-Z dated SEPTEMBER 14, 1989 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to WILLIAM P. & KEVIN J. HARDING (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I pector Rev. 1/S1 !'O8M N0. ! 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) N ~ .L $ ~ 9 ~ Z Date 19G! Permission is hereby granted to: J r r ct premises located at .......~~P..~C~.........~1~. / ..................................................~LZ'it~j~....................................................................... Caunty Tax Map No. 1000 Section .......r.../........... Block Lot No......r`...~.... pursuant to application dated~//'~.~~~~:$.~~{$p 19........, and approved by the Building Inspectar. `~G~ g/~/a g Fee y.p~-....'~....• . ~ ...............?..i. . B ng Inspector Rev. 6/30/80 Form No. 6 ~ ~ ~"/F_,_ , TOWN OF SOUTHOLD Y BUILDING DEPARTMENT ~0~ ~ TowN HALL 7'r~6 D ~ 0 , ~ 765-1802 OCT g ~ggl APPLICATION FOR CERTIFICATE OF OCCUPANCY DE . A. This application must be filled in by typewriter OP, ink and submitted 0 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 17> 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. 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 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 w 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25r_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0c0,rC~o/mmercial $15.00 / Date ......1°,r0.1"S./ . New Construction.....?..... Old Or Pre-existing Building Location of Property.. .0. , . , . , e e ( ~A s o v'f" f{ a ~ tt!.K.h..S...J....p.......... House yN'o. Street Hamlet Onwer or Owners of Property.~!~~"µH ~ /~rZ~Ita(T- d-- ~iEt/tN J A/ ~lN~ J~...........,1 ~ . ~ . County Tax Map No 1000, Section.. ~.~.4.b~ ...Block.. O ~ 6 O , , , ,Lot.. ~.°1.~~. 0.00 , , , , . , , Subdivision ................................U.//.Filed Map............Lot...................... Permit No...~~ ~.5~......Date Of Permit..l.~~U~ .......Applicant Health Dept. Approval...........: ...........Underwriters Approval-- Planning Board Approval Request for: Temporary Certificate..."...... Final Certicate.../:...... Fee Submitted: ~.C........... a.~. 53s zy ~ APPLICANT 765-1802 " BUILDING DEPT. !NSl~ECTiON [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ]FIREPLACE & CHIMNEY REMARKS: a DATE b U INSPECTOR 765-1802 - 1~~~0 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]~LATION [ ]FRAMING [ FINAL REMARKS: ~ f~~'-~ j ~ ~ r,~~.. r ~y'~u"r DATE INSPECTOR i_LD i:: z.._'_J:: II lin:~. Cv:YC4 E.NT~ / II t . y- m a • I H H c'OUJJDATIO:J (1st) I a - - - c ?OUlJDATIO;J (2nd) m ~ - - I `o RDUGH FRAME & ~PLUMBINC ti 3. ~ m n IlJSULATIDPI PER N. Y. , STATE ENERDY CODE ii ~ 4. "Z I ~ y FI;f AL ~c ADDITIOCIAL COMME11T5: x x b ' H 77 A . 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BUILDING INSPECTORS OFFICE v- TOWN OF SOUTHOLD ~ TOWN HALL, $OUTHOLD, N. Y. 11971 V 0 765-1802 October 3, 1985 Mr. Kevin Harding 1055 Franklin Ave. Garden City, N.Y. 11530 Dear Mr. Harding: Please fill out forms & return with check. Building Permit $25.00 Cert. of Occupancy 10.00 TOTAL-- $35.00 Anchor down shed and call for inspection. Very truly yours, SOUT~TOWN BURG DEPT. o+~~~ Thomas J. Fi er Building Inspector TJF:gar encl. - FORM NO. 6 rc'~~ ~ ~ n n~ ' TOWN OF SOUTHOLD ~ 0 15 l7 Ij l Building Department Town Hall ~ ~ Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN TOyITlOFSOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec- torwith the following; for new buildings or new use: 1. Final ~rvey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 PO LS 25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~ a .0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4. Vacant Land C.0. $ 20.00 October 28, 1988 S.Undated C.O. $ 50.00 Date New Construction,,,,,,OldorPre-existing Building Vacant Land Location of Property 705 Nokomis Road Southold House No. Street Hamlet Owner or Owners of Property , ,William P. Harding .and Kevin J. Harding County Tax Map No. 1000 Section ..78........... Black ....3.......... Lot...25........... Subdivision .................................Filed Map No. ..........Lot No. . Permit No. Date of Permit ..........Applicant ..Kevin .J.. fLazding . Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . X . Fee Submitted $ ,10: 00 Construction on above described building and permi me t all applicable codes and regulations. Applicant...... Rev. 10-10-78 PJIN lI GC(t ~tu9 _ _ _ zs oa "1 BOARD OF HEALTH ' ` r Q''7 ~ i 3 SETS OF PLANS ` 3'~ L~ l~ 7~'., i,,,~.i~!:~-.'. ~#fjll FORM NO.1 SURVEY U ~jl~ TOWN OFSOUTHOLD CHECK SEP BUILDING DEPARTMENT SEPTIC FORM TOWN HALL gLOG.OEPT. SOUTHOLD, N.Y. 11971 NOTIFY r' TQVdNOFSOUiHOLD TEL.: 765-1802 CALL . . Examined .l. ~T. MAIL T0: 1938 ' Approved f{G...., 19~'Permit No. ~~y %Q. ~ r? Disapproved a/c ~ ~ ~ L{ ~ a n/ llt ? ll= NQTEB ..DATE: ~ ~ ~y~~; r` f., . NOTIFY UILDNIO ~ AT , • . • • . • , . • •ilding... ector) 785-1802 9 AM TO 4 PM WR THE APPLICATION FOR BUILDING PERMIT FOLLOWING ENSPECTIONS: 1. FOUNDATION - TWORfOWRfD Date October 28, ly8_ FOR POURED CONCRETE 2. ROUGH -FRAMING Er PLUMBING INSTRUCTIONS 3. INSULATION 4x F ST ~ ~c~~l~tely filled in by typewriter or in ink and submitted to the Building Inspector, with sets q ~ to Fee according to schedule. E ~YE g {pt and of buildings on premises, relationship to adjoining premises or public stree or ~~Ea ~ on of layout of property must be drawn on the diagram which is part of this app cat~® N~ RESgP~~S! L'E F~Ration may not be commenced before issuance of Bullding Permit. ~SlIIpon~appro'-val'ofth~is app ica'tion, the Building Inspector will issued a Building Permit to the applicant. Such per; 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 Occupan~ 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 tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, h using code, and regulations, and admit authorized inspectors on premises and in building for necessary inspection . . ~ { Lt7 v ~ tur of ant, r name, if a corporation) •1O55,Franklin~AVenuet Garden CitX, N' (Mailing address of applicant)11530 ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Applicant is oumer Name of owner of premises . Twill lam , P., Harding ,and , Kevin, 47•., .H~rding, , , , , , , , , , , , , , , , , , , , , , , , (as on the tar roll or latest deed) If applicant is a corporation, signature of duly authorized officer. c~ccu~ian~cY oR (Name and title of corporate officer) Builder's License No . k~,?° U~~~F~ Plumber's License No . ~~`t~~~~Q~T ~~r! ! ~~~~~t Electrician's License No . ~~~'<,J( A~V ! Other Trade's License No . . I. Location of land on w}iich proposed work will be done . . 705 Nokomis Road Southold House Number Street Hamlet County Tax Map No. 1000 Section .......7~ Block 3 Lot ......~~J . Subdivision Filed Alap No. Lot . {Name) 2. Slate existing use and occupancy of premises and intended~r//i~s~,e and occupan • of proposed construction: a. Existing use and occupancy . l~Y,l~ • - jf • • •~'P:.~. . b. Intended use and occupancy .....999999. e~~ • • • • ~Ll~ , , /J~ • , , , , , , . 3. Nature of work (check which applicable): New Building ACC"~Addition Alteration ' Repair Removal Demolition Other Work . -r~' ~ w (Descriptio 4. Estimated Cost $..700: 0.0 Pee , a ~ . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front ,26 Rear . , .25.`........ Depth , , , , , , Height . apprx...18... Number of Stories J . Dimensions of same structure with alterations or additions: Front same, _ . , . _ , . , , , , Rear . Depth Hei t Num~ r o~ f 8. Dimensions of entire new construction: Front Rear ~I~epth .I,?....}Y:,:i , Height 12 ~ . Number of Stones 1 . . 9. Size of lot: Front ..20Q' Rear ..200'........... ~-'D~p4h Y~7p ` ; 10. Date of Purchase . , Marche .1988 , , , , ,Name of Former Ow ' AfiHeod$ ~ 5"$3ml ~c~c' ~ 6' 1 1. Zone or use district in which premises are situated " , , . . 12. Does proposed construction violate any zoning law, ordinance or regulation:; s: , ~O:,3b . 13. Will lot be regraded ..N° Will excess fill be removed from premises:- Yes 14. Name of Owner of premises . ,Hdrding........ , ,Address 5~ .k'i:',&rl~~-~i't .I?Y$hone No..74 6:'.Q???, , Name of Architect ...........................Address Garden, City,, NY, phone No............ . Name of Contractor ..........................Address ...................Phone No.......:. 15.Is this property located within 300 feet of a tidal wetland? *YES...,NO~C. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fry property lines. Give street and block number or description according to deed, and show street names and indicate whetl interior or corner lot. ~ppf t i i t ils~ 1 >Jt~ 5~~~ 1 4~1 ,~I ter r rt' _ yiS1 N, t.i _ d house y ~t~a5 4~ I I S bb~ 40U nn II . fVUKOM7S U18P4 STATE OF NEW YORK COUNTY OF ..Nassau S.S Kevin, J,., ,Harding . . . . . . . . . . , , , being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. He is the owner, (Contractor, agent, corporate officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application; that all statements contained in this application are true to the best of his knowledge and belief; and that t: work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ .......day of ..~Q,vember.........., 19 88 Notary Public, _ Count}e, ~u•o Nplwy tpyptk, $qa o} PIrJw Vork No•1olISt4 (Signs ure of applicar OwiifNd In 8uttolk Counttyy Term £xpfros irb T[. 19~`LQ