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Home My WebLink About27599-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28078 Date: 11/19/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 46155 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 2 Lot 24.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 2001 pursuant to which Building Permit No. 27599-Z dated SEPTEMBER 7, 2001 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 BARN AS APPLIED FOR. The certificate is issued to VAN DUZER APPLIANCE COMP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A T ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ///Auth rized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27599 Z Date SEPTEMBER 7, 2001 Permission is hereby granted to: VAN DUZER APPLIANCE COMP PO BOX 1497 SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY BUILDING AS PER SECTION 100-101C OF THE TOWN CODE at premises located at 46155 CR 48 SOUTHOLD County Tax Map No. 473889 Section 055 Block 0002 Lot No. 024 . 004 pursuant to application dated JUNE 28, 2001 and approved by the Building Inspector. Fee $ 155 .40 Author d Sig ture COPY Rev. 2/19/98 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building7and M A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property line sual-4aatutopographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S fo3. Approval of electrical installation from Board of Fire Underwriters. UT 4. Sworn statement from plumber certifying that the solder used in system contains less 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 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction. Old or Pre-existing Building: (check one) Location of Property: I�0�5 K.(�a'��, �A <� 5(�4t1 C'i1� U House No. Street Hamlet Owner or Owners of Property: v a" S ( _� IC i aoc e co Suffolk County Tax Map No 1000, Section 5� Block Lot y Subdivision Filed Map. Lot: Permit No. dj5 9'32-_ Date of Permit. �� rG� Applicant: 1 C�OerA- Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C d -2 -7 , ppA ^ ant Signature suaoINa DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ j FIREPLACE CHIMN REMARKS: �L 11722 7f� 17 DATE -INSPECT FIELD INSPECTION REPORT ' I1ATS COMMENTS sasp�ma=-----.�--sx�a - �a xxs} mx=a---•- __-----maxaosCONMENamsa=r=xax+-----�=aa FOUNDATION ( 1ST)• FOUNDATION (2ND) - O`I.`• ROUGH FRAME & � PLUMBING INSULATION PER N. T. STATE ENERGY ' CODE -- -- a=-- LhAeo FINAL C ADDITIONAL COUNTS: U , • O� TOWN OF SOUTO(RBUILDING PERMIT APPLICATION CHECKLIST -BUIUDINGDEPA�TMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY > 197t___ a 3 sets of Building Plans TEL: 765-1802 rG Survey ./ - 7 Checker /4425 Septic Form N.Y.S.D.E.C. 7 Trustees Examined ,20 Ol Contact: 10 Approved ,20 Ma' Disapprove a/c Phone: 7T 6 ^',� $ 2 1-2 94�,alze. Buildin spe r APPLICATION FOR BUILDING PERMIT Date bf g , 20.e_l_ INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 waterways. 'c.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 issue a Building Permit to the applicant. Such a permit shall berkept 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 what-so-ever until a Certificate of Occupancy is issued 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 removal or demolition as herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature o applicant or name,if a corporation) (Mailing address of applicant) State whether applicant i owne , lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (as on th tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which DSoposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section s Block Lot .j. Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 1p,o v5e �Y_% 3. Nature of work(check which applicable): New Building L,,'� Addition Alteration Repair Removal Demolition Other Work � r (Description) 4. Estimated Cost or10 ! o V Fee (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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front J? Rear 3.? Depth •� ' Height y- Number of Stories 9. Size of lot: Front (07 1&5 -�+. Rear epth 10. Date of Purchase �- --Name of Former Owner �(7�1'1 c1 F_.Ld 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: �d 13. Will lot be re-graded y(0 Will excess fill be removed from premises: YES NO A=e_s' uz��. Ap� qlo14. Owner of preiYfises Address L- lM Phone No. 7`2-l Cl IS(7 Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED hJU 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFShk& 6p1D e f± w,,n Gt�e r being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 0 064 ; Ce4ai (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this _ fln4 day of ` 0C(•Qi 2001 Notary Public Signatufe of Applicant NBw POBIm omm $to at NwYork Residing iq Sddk Count► Cer»iij§96 FAwrts Seo.30, 1 i r � f� �ti t i fi fjoy , t I VAN DOZER APPLIANCE CO"M. ROUTE 48 ' P.O. BOX 1497 ,'` SOUTHOLD. NY 11971 ' 1 A. r � � • . ,-. N. 79°06' 110" B- PQ,0POSED , 3 O, 131 S a. f P, .�At4 a- 60 D: J O � , AO Q 1`t yU til "`�✓ O j ✓'' v BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: J—/Y/0I .DATE SUBNIITTED:-s—/11–/01 APPLICANT NAME: �A41-- SCTM# DISTRICT: 1.000 SECTION: BLOCK: _ LOT: STREET: 6/55 �OW-F CITY: -rWot-� SUBDIV.NAME: A)14 PROJECT DESCRIPTION: Wo&,c Qe.,v c so a -r;l r�E55 ARCHITECT/ENGINEE�,v,v y 1 v . FAST TRACK? 410 SINGLE&SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: �C' �) CONFORMING? A leo, 6Y3 REQ.LOT SIZE: o�°�° ACT. LOT SIZE:_REQ. LOT COV. 2° o ACT. LOT COV. REQ. FRONT 6-1,0 PROP. FRONT REO SIDE f+,/y, ACT. SIDE REQ. REAR �1— PROP. REAR ,4C w Y - t �2�� 2oy�e o� /6" � sicQ� !3 CD - <lo �%�i s�.2e y�.-.P -- 3D WATERFRONT? A d DESCRIPTION: PANEL #: /Sfj FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW APP VALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o(_O, (BED#): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PxE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OR NO : —bl � EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) N1,4- LIGHT(SQ. FT. x 8%) OJ BUILDING PERMITS OPEN/E1IR D: BP -Z/C/0 Z- , HAVE PRE CO'S :Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: ". SF FIRST FLOOR", / SF SECOND FT,R -" SF INIT OTHER TOTAL TOTAL: SF FELE FEE FEE DT( SF)- SF)= ASF X$i =$_�+$ $ i _$ Z. CS ' - __._ - _ - .- -- _-