HomeMy WebLinkAbout23715-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No—Z-25262 Date SEPTEMBER 11, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 8100 INDIAN NECK LANE PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 86 Block 7 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTENBER 27, 1997 pursuant to which
Building Permit No. 23715—Z dated SEPTEMBER 24, 1996
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 IN SIDE YARD AS APPLIED FOR & AS PER
ZBA #4406.
The certificate is issued to BARBARA ADAMS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
B d' g Inspector
Rev. 1/S1
FOUL[ NQ 8
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)
N23715 Z Date ..............,/...Q .Pte.......................,
Permission is hereby granted to:
..�.`�..e�4.
........ :r...................
�., . % ...........�. ...............................
to ...� . ................1. '.✓......... -� ./J'c7.... ........ ....................................................
... ....... .mss......../A....A�..��°. ..� ... .. � :...... . .
atpremises located at ...... /67 ....., ...... . ... '�!:�.. ..........4...............................
............................................................. .........................................................................
.................................................................................................................................................................
CV
County Tax Map No. 1000 Section ....Or--(e........... Block ....(2-7..... Lot No. . .Q. .............
pursuant to application dated ...........sJ.e+-�...� .... . -4.............. 191.50, and approved by the
Building Inspector.
Fee 5212:!....
7Bull ng ng Inspector
Rev. 6/30/80
0. c ��
TOWN OF SOUTHOLD !v�4apo. ((,41
BUILDING DEPARTMENT -"`' 51
TOWN HALL
765-1802
APPLICATION 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 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. Copy of Certificate of Occupancy - .251C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate f Occupancy - Residential
$15.00/, Commercial $15.00
Date . . . .1/ 1/ . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . Old Or Pre-existing Buiding . . . .
� C
Location of Property..0.1�. . . . _:Ig:�� .. .! `.. . . . . . . l:. . . . . . . ..
House No. 6Str et Hamlet
Onwer or Owners of Property.. . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
County Tax Map No 1000, Section. .. . . . . . . .Block. . .F. . . . 0 . . . . . .Lot. . . . -If. . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . .. . .
36 � -�: . . . .0 -,--
Permit No. .Date Of Permit.�/_ ,l.�. . . . . . .Applicant. . � ..�
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . .
.
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . 1.r . . . . .
Fee Submitted: 3 . . . . . . . �. . . . . . . . . . . . . . . .
APPLICA�?IT
�� � 533 63
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
. .G.C. . Date - - - • • - - - . . . . . . . . . . .
..Q-�
. . . . . . . . . .
PLEASE TAKE NOTICE that your application dated . . . . . . . .\1. '
for permit to .,��->✓l. .�/�. .L ' �,��'�,� - . . . .
/ SA244zW-X . at
Location of Property ��..b.... - . . . . . .. . ✓.,. � '
House No. Street
c 9 Ham/et
County Tax Map No. 1000 Section . . . . .O .�o. . . . . Block . . �. . . . . . . . . Lot . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . .
is ret ned herewith and disapproved on the following grounds . . . L
t. . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
. . .
Building Inspec • r "
RV 1/80
'�3 7
70-102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY �
REMARKS:
DATE 6 0 ` INSPECTOR ,/�
P I V'U) 11u;11EGI'I Off RBI'OR I' 1)A'1'1-' _ -Cot1MLNl"'; v
II 'd
I) II
II
V01INI)A'I'I ON ( l s'I') II ti
FOUNDAIJON (2111)) t
' u
R01101 FRAHM 1. II II o
MAIM ItING
i
H,
I NSM.A'1'T ON PER N. Y . I I*�
;'I'All, FNEAWY
CODI. (I.
I c�
N i NAI, II
I II
-ADD IA I ONAI. COMMENT';: 1,
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7
t,l
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BOARD OF 11KA1,'Tn
FORM No. 1 3 SIFTS OF PLANS . . . . . . . . . . . . . . .
1JUL � 5� 'TOWN OF SOUTHOi,D sllltvl?Y
. . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT (`IIRCK . . . . . . . . . . . . . . . . . . . . . . . . .
BLDG.DEPT. 'TOWN I1ALL SI.P 1 I C FORM . . . . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SOU T110Lll, 11.y. 1 19 7 1
TEL: 765- 1002 NOT FY: O
CAI.I. . . . . . . . . . . . . . . .
FJUNil i Iled.... ....., 19. 11A1 1. TO: . . . . . . . . . . . . .
19 � l'enniC No. ....... ...........
Disaltin-ov d a/c ........!/..` Y•'... �a .......... ..........
.... y
...... ..... .. .
C 2 7 .
APPI.I CATION FOR IIII I I.D I NG I'l:ltl11'I'
c: i l?I(1. O �.
1 NS'1'RIl(:f i ONS
a. 'this applicaLion nest: lie collllleCely fillet.) in by typewriter or in ink alxl sulmilled to the IAlildirtg anspeclor will,
3 cels of plans, accurate plot plan Co scale. Fee according Co schedule.
11. Plot plan slxxaing Iocadott of lot acx) Of Wildi(>Us cxl prcnises, relationship Co adjoining; pronises or (xtblic
streets or areas, alxt giving; a detailed deseripticx► of lay(x)L of property nusL be drrnai ext Lite diagram ,Adc:h is pkirl: of
(hi:; alylicaLicx).
c. 'lite work covered by this application i1vty Ix)t be ceau„elx,ed before isstiance of Wilding; Permit.
d. Illxx) approval of this aln)lication, lite fk)ilding lnspecLor (•)ill issue a lktilding Permit: to Lite n(i61icanl. Such
(x!rtuil. shall lie kept oc( the prelnises available for inspecCim (hrotijolotal the work.
e. Nn Wilding sllall be occupied or used in whole or in (kart for any Ixlrpose %,Aialever (u►Lil it Certificate of
(k:cxykux.y -!(all have been grantee( by late Ikril(ling InsOecCor.
APP(:ICNI'llON IS Il:RfalY 1W13 to lite lkiilding Deparintent for the issuance of a Ik►ilding Permit IX till Lo the
Iktilding Z.cx)e Ordinarx.e of the 'lixn) of Scx)tltold, Suffolk (Amity, New York, aril other applicable Laws, Ordbuinces or
Itegulaticxts, for (lie ccx)sLrxiedocl of 1)(rildings, mkliLi(x)s or alteraLions, or for rerar)val or de,nolition, as herein
(lescr ibed. 'lite applicant agrees to c(,1q►ly will, all typl icable laws, ordinances, 1xl(11(ling ccxle, Ixxlsing co(le, at-Ki
regulat.ioxts, a,xl Lo (xlnit: a((ltorized insOectors ext premises atxl in Ixril(ling; for necessary instecti(xts.
....
(Slg(kature of applicanL, or none, 'f a corgx)ration)
1 0 ............ c,.l .
(1.4ti I ing; rxklress of appl lcivi )
:irate (dtellter alli0icant is owr►er, lessee, rtgen(, arc:hitecL, eug;iateer, general contractor, electrician, pluiber or Ixailder.
.......... �,Q,/,�l/.��............................... .................................APPROVED AS NOTED
DATA: ,C1B.P.#
Nar
, � of cw(x r of pronisc � � ..... 1�. �//.i"f. �3
. .
(as ext the tax roll or latest: deed) g,..
NOTIFY BUILDING DEPARTMENT AT
If "ITlicant is it corgx)raCicx), signature of duly authorize(! officer. 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
..................................................... . ... 1. FOUNDATION - TWO REQUIRED
(linea atx) Lille (if: col-(x)rate officer) FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
lkti ldern License No. .................... ..... 4. FINAL - CONSTRUCTION MUST
t'ludx rs License No. •,,,,,,,,_,..••,_, ,_ BE COMPLETE FOR C.O._ ALL CONSTRUCTION SHALL MEET
Electricians License No. _ THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
O(her 'llrikle's i.icense ilk). ...... . ............. CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
I. I[xaCiox, of lacxl Olt wltic l pro(x)r;e(I work will Ix' (kxx�....... .... ..................
Ilotise Nud)er g�p >,............SCreeL' .. •, C�r � ....Ik�nleL... �0�/I �........
0xutty Tax K-11) tb. I(XX) SecCicxl ....q-G......... Block ......� ........ i,ot. ..... .........
s,dxliv'Isi(x) 1?i led PLgI Pk).(N-rrte) ...............
2. Stare existing use acxl occ.`t)pancy of prallises and intelxled use atxl occulknx:y Of propose(1 c011StrLCI1n11:
(1. hxlst Ing 11::(: alxl (x:('11(k'llx.y .....
b. lntelxkcl use aaxl cx.ct)(tarx:y
%CJI' � '�,�y\.,la►, I '^� ra-A'A !�
,
�AP ALS BOARD MEMBERS
Off' C4G Southold Town Hall
~� ya
Gerard P. Goehringer,Chairman c .,� 53095 Main Road
Serge Doyen ti z P.O. Box 1179
James Dinizio,Jr. p Southold, New York 11971
Robert A. VillaFax y'�Ol � �a0! Telephone(5 6 ) 765 809
6) 765-1823
Lydia A. Tortora
BOARD OF APPEALS
TOWN OF SOUTHOLD
September 25, 1996
L
Ms. Barbara Adams
P.O. Box 211
8100 Indian Neck Lane
Peconic, NY 11958
Re: Appl. #4406 - Variance for Shed Location "As Exists"
Dear Ms. Adams:
Please find attached a copy of the Board's findings and
determination regarding your variance application. We have
furnished a copy of this determination to the Building Department
as an update to the initial Notice of Disapproval. You will be
required to contact their office (765-1802) and submit whatever
other documents and fee is required to reactivate the permit
request and certificate of occupancy application for final
processing.
Please note that under the Suffolk County Administrative
Code, the County Planning Department reviews projects which are
located within 500 feet of a waterway, estuary, or state/county
owned land or highways. It is expected that the County will
request a $50.00 fee for its review or recommendation. No further
steps are required on your part in the County review. The
County is expected to leave this project for local determination.
Very truly yours,
Linda Kowalski
Enclosure
Copy of Decision to: 1
Building Department
Suffolk County Department of Planning
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Copies of oils ltlnveytttapttot bmto
B'arrk crscs sur v� c�a' S t
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embossed nalshdndbeaareldered
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erly to the parson for whom the survey
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vile company,govemmaddrgaxyatd
lending InsWution listed hereon and
to the.ssigneas cI the lending Inti-
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