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Home My WebLink About18652-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218653 Date DEC. 19, 1989 THIS CERTIFIES that the building ACCESSORY SHED Location of Property 570 DOGWOOD LANE EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 38 Block OS Lot DI Subdivision GARDINERS BAY EST. Filed Map No. 5083 Lot No. 181 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 14, 1989 pursuant to which Building Permit No. 186522 dated NOV. 17, 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 SHED AS APPLIED FOR. The certificate is issued to CHARLES J. CROMACK (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NSA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NSA _ ~f~~ Building Inspector Rev. 1/81 - - soaas xo. s 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 0 8~.) 5 ~ Z Date ~!J~~ 19.01.1.. Permission is hereby granted to:. ~,~,J , ..:..............~.~.'.........!t~'.~~f~ 2 ~ at premises located at ~~~.''~....~...../GAT.~r.~ ........................................{sr~.................6 County Tax Map No. 1000 Section Block Lot No pursuant to application doted .~7... 19.t~.1.., and approved by the Building Inspector. Fee $.f~ ~ ...r...... Bu ng I for Rev. 6/30/80 TOLIN OP SOUTIIOLD BUILDING DEPART:IEIIT C:j~~,~~~ SOUTIIOLD,IINE4t YORK 11971 ~ ~C ~ 3~~ 6f j 765 - 1802 L.,~...~~~R.~.~-~. i " ~ Pl ~]ia. 4'i E.§';- _.....7C:1NJf~! t.i~ E:T)U1i90~f_i7 APPLICATION FOR CERTIFICATE OF OCCIIPANCY p DATE ~"2..~.J~...S.C.... KEN CONSTRUCTION ..Y....OLD OR PRE-E%ISTI1iC BUILDING......VACANT LAND........ Location of Property..~~U.....!!C~~~.'J~OC>D_._~~~_....._._CAS7.M/j f2/o ~ql~~, UOUSE NO. ~ STREET ..IIAMLET.. Ovner or Ovncrs of Property. ~~}/~2L~S_~:__C~0MliL'IL__________ ~ 1 Countq TaxnHap No. 1000 Section Block ~.~f... Lo[' ..~C.~_. Subdivisiod:A~~~~~~`S._ t>fi~/. SST!-FMS Filed Map ~~:~...Lot..~~/.... Permit No. «~.":'?..Date of Permit .~~_'~.~.~{_Applicant .C~.r/~~:~:5.`~:~.~MfjC~- Health Depc. Approval Undcrvriters Approval.............. Planning Board Approval Request Eor Temporary Certificate Final Certificate Pce Submitted: $.~:5.- APPLICANT.. Ca z t g(, s3 rey. 10/14/88 ~:lT+. i ~ ~ FORM NO. 6 ~ i TOWN OF SOUTIIOLD BUILDING DEPARTMENT ~ TOWN HALT. - I 765 - 1II02 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS ' - p. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the follpwing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusualnatural or topographic features. ' 2. Final approval of IIelth Dept. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electricpl installation from Board of Fire Undervritors. 4. Swora statement fromiplumber certifying that solder used in system contains less' than 2/10 of IZ lead'. 5. Commercial buildings,, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the 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, buildings and ' unusual natural or tlopographic features. 2. A properly completed, application, a consent to inspect signed by the applicaaC and a certified abstiract of title issued by a title company which shall show single and separate ownership of the entire lot prior Co 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, or other pertinent information required,to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified absdract of title issued by a title company showing single and separate ownership of~the entire lot prior to April 9, 1957 shall also accompany the application. I~ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $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 Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential Commercial i i ~C1yI'r., CJVL V'O•-~ ayy cv, t0/14 /S8 r1ELD iI:SP~C:iU1J ~~UATE ~ OMMENTS -a _ y N FOU1dDAT20N (1st) \ _ _ c FOUNDATI0IJ (2nd) _ _ 2. o P,OUGH FRAME & PLUMBING ti H 3. ~ IIJSULATIOP! PER N. Y. • • STATE ENERGY CODE 4 . l y FIiJAL o . z ADDITIONAL COMMENTS: ' x ~ ro ~ \ H 2 • x C+7 a \ • r _ H d -o H ~~,o S v 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ vrF:NAL L-~-~,-`~' REMARKS: - DATE ! ~ INSPECTOR ~ • ~ BOARD OF HEALTH .t% ; • 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK Y~:~ l~-I(~ . BUILDING DEPARTMENT SEPTIC FORCf ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY L!-j ~ ~7~/ TEL.:7G5~1802 CAL o~ W MAIL T0: Examined ./,I 19 yq ~ . m Approved ...1//~......., 19~1.Permi[No..~(~c~ ~:~,w. i,-,...u.u_._ _ , c~ i_- Disapproved a/c I ~B .,...;u,.- ~.1..... t~lP R VED AS NOTED ~ ~ I $ l9$.9 DATE ~7 B.P. M -1==~~~.~"~t? :.~'4~ BLDG. DEPT. ~.i po ~ ~ ^ TOWN OF SOUTHOLD fEE: BY: ud a Inspector) NOTIFY W O DEPART T ATAPPLICATION FOR BUILDING PERMIT 765-9802 9 AM TO 4 PM fOR THE FOLLOWING INSPECTIONS: Date 15 . 1. FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE INSTRUCTIONS 2. ROUGH -FRAMING Sr PLUMBING 1 ~Tt~~ ~ ~g~~gp~p}~elcely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets~f ~,ap~~t~~L'~'~n~fo s'c31e. Fee according to schedule. ~11,VY~t~ Y~}~~• QY~,~,~^t Qn ~~t and of buildings on premises, relationship to adjoinin; premises or public streets or ar~, ^ YF~A~IV7~t9P ~~n$xFPn of layout of property must be drawn on the diagram which is part of this appli- catic~ttl CO STRUCTt & .ENERGY OA~e w o ~R~ppflL4Wtion may not be commenced before issuance of Building Permit. p~§~gxg, the Building Inspector will issued a Building Permit to the applicant. Such permit shall ~,~'~~t on t to pret~iavailable for inspection throughout the work. e.F No ut utg spa ]"'~e occ pt~i dT'used in whole or in part for any purpose whatever until a Certificate of Occupancy shall N~~IFY B LDING 6EPARTMENT ATspector. ATFt3t )tBAAa'I~DtiN1S1'f3Fdt$~IYpj~p1)l~to the Building Department for the issuance of a Building Permit pursuant to the Buil~fl,~.13~FK3hcIN~IE+CCTt(SfJ~e Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or ReaulattcQ~lf7bRTl0[tl cons~y&jxi~pf~gldings, additions or alterations, or for removal or demolition, as herein described. The aptRO~~RL~09Nf7PEET1'~'j with all applicable laws, ordinances, building code, housing code, and regulations, and to admif!a~tlt3lCd #~4lRQtll~ 8t>~q~¢nd in building for necessary inspections- 3. INSULATION ~I_ ' 4. FINAL - CONSTRUCTION MUST ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ BE COMPLETE FOR C.O. (Signature of applicant, or am(~e, if a corporatton) ALL CONSTRUCTION SHALL MEET •~''ja DOCrWOOD ~R~ Q~o.362„GAST/nnRk~ THE REQUIREMENTS Of 7HE N.Y. (Mailing address of applicant) N, tt93~ STATTE CONSTRUCTION 8 ErN_E~PRO~G~~gV 7 Stat , ,agent, architect, engineer, general contractor, electrician, plumber or builder. ~r~9f6S~~TR~~~R~~'i'S~~RROASe ^ .......o,t;~NGfZ . Name of owner of premises ..~.'-.~:~A2LrS ;J"'•.L', RU,1?~f:1~1L . . . . . . . . (as on the tax roll or latest deed) tf applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) p~ Builder's License No. Plumber's License No . Electrician's License No . ~~t; Other Trade's License No . I. Location of land on which proposed work will be done. ~~R p {nlE2S ' B!~ ESTATES S'7o ..................Da~LVOOD..~R'.. ...........~R•sz-_ rn~R~o ~,~.~y;.//939... House Number Street. Hamlet County Tax Afap No. 1000 Section ....Q • • BPack . O``~....... Lot .:..~??~C........% S BH,~ 6S'T/~TE$ Filed 1\Iap No. b'O$~3...... Lot . ~~1.. ~ Subdivision .~~RplNEP, , , , , ~ . (Naiite) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy r • • . RES! 9EN~'E„ . -^~TORHGE, S~iE D , , , , , , , , , , , , , , , , , , , b. Intended use and occupancy . • r"~ Q M r• • • •Rrs ~ oEN~~ S~R~G~ SHED, , , , , , , , , , , li r ' _ 3. Nature of work (check w•hicf} applicable): New Building ...V...... Addition Nteration . Repair Removal . Demolition Other 1Vork . (Description) 4. Estimated Cast . ~ ~d.~ . Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units • • • • • • • • • • • • . Numbet of dwelling units on each Boor , . If garage,numbcrofcars 6. If business. commercial or mixed occupancy, specify n; tore and extent of each tVne of user 7. 7. Dimensions of existing structures, if any: Front . , , , Rear ~ Depth , . , . z.7 . . Height I:~~......... Npmbcr of Stories ........I . . . . . . Dimensions of same structure with alterations or additions; Front Rear . Depth Ileight ........Number of Stories . ' 8. Dimensions ~)~pf~rcl n!~onsttuction: Front . , Rear 2;4~7!'gr<f ~~19~~rt~}~''.I~~/,Q, r, , , , , , , Height Number of Stories ,i. , . . 9. Size of lot: Front ~ DO.,~ Rear , . , ...70 .r.......... , • Depth ~.8 _z~-, i •...a~' . drd,•.~. r,. 10. Date of Purchase . Ny~,lne of Permrr O'c~;'F~:'_a~~;-~~<i..=,,+R ~tr~r-a;4s,i~ ~;,ti.r-:•. . done u. ~~se disrsict fn cvhiePr ~rcmises a,e situ;,ted ~S,! Q E;NTI,f~t(r- ~;;;,r , ; , , , , , , t • t•',•,,-..t 12. Does proposed construction yjolate any zoning law, ordinance or regulation: ~Q , . 13. Will lot be regraded O Will excess fill be tet11'a :ed+frorta-premises: •~:-'•Yes Nc 14. Name of Otvner of premises ~l{FJR,2f S • C'~o"MRC(~gddress :?'~O. DO(r~+oc30, ~v,A, ,.,~,:pliohe Nos ;~~~7i': ~~4~P.. . Name of Architect , ,Address Egsl",M~}kronl•+N~s,// phone No.. ' Name of Contractor . ~(O R;rj{ , ,Fa, RI~ LVmF, , U ES. Address Pr~.u4~.L~F,N,~~Q~Ncrnhone No..~:ta~~ >~Q9P . 1.5.Is this property loeiated with in 300 feet of a tid9rl we`t'land? *YES...~:7... *If yes, Southold Torn Trustees Permit may be required. PLOT DIAGRAM , ' Locate clearly and distinctly III buildings, whether existing or proposed, and.irldic~te.all set-back dimensions from property fines. Give street and bloc; number or description according to deed, and showstteat.nameg ~tld )ttdicate whether interior or corner lot. ~ ' i y. II s'7`HTES-s~ oN 3 ~l~ ~ls-r. ~ ~ADin~ER.s Q»~ ~ 1000 ~ FILF /tIO. ~G~3 ~CS~ . sc~ , ~ ~ oas' I ~ - -mod' B,t.~elZ I. w~O~S . ~5 L.O'T~ ~ 3 s „ . '1 00 1 ~ ,.,L,OT, , r ~o'"F L9~ i~~ R f~ LoT LI ~ 179 18" l l~ ~R, p~~ooD CO TE OF NEYV YORK, S.S UNTY OF . , (1~ e oC indiviF9ua1 si~ • ' ' ' ' • being duly sworn, deposes and says that he is the applicant • • . • • • • • Wing contract) above named. llesute....1!!~RTK., FoR(Z..~oo.~... ~~S/G-:N„-, Cl~/~l~l;~~.......... . (Contractor, agent, corporate officer, etcJ of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to cite best of his knowledge and belief; and that the work will be performed in the mannei set forth in cite application filud therewith. i Sworn to before me th~ ; , .day of'~; . /.Y YdF~.-...... ]9~l Notary Public, , , , . • County • n'n . MARKS • • ~/•0~4(/ ' . ~ i~ . . NOTARY PUBLIC, State of Kew YA7k No, 30.4665471 • , Qualified in Nassau Copnty g-, • pommisslon I~xp~re July 31.19 r" (Signature of applicant)