The URL can be used to link to this page

Home My WebLink About27609-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28642 Date: 07/31/02 THIS C~TIFIES that the building ACCESSORY Location of Property: 220 APPLE CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.6 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2001 pursuant to which Building Permit No. 27609-Z dated SEPTEMBER 12, 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 SHED AS APPLIED FOR. The certificate is issued to MICHAEL & PAMELA ZEIEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO%Z~L ELECTRICAL c~TIFICATENO. PLUMBERS CERTIFICATION DATKU N/A N/A N/A 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. 26702 Z Date AUGUST 4, 2000 Permission is hereby granted to: MICHAEL & PAMELA ZEIEN 220 APPLE COURT SOUTHOLDtNY 11971 for : CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 220 County Tax Map No. 473889 Section 070 pursuant to application dated JUNE Building Inspector. APPLE CT SOUTHOLD Block 0001 Lot No. 006.006 26~ 2000 and approved by the Fee $ 35.00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao Bo 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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. Co 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 x// Old or Pre-existing Building: (check one) House No. * ' ~t~eet Hamlet New Construction: Location of Property: Owner or Owners ofProperty: ~. ~¢,~l'xc4~e.,[ ~ 9Cl.~,ae_lct., 7~._q~_.i'e.,rh_ Suffolk County Tax Map No 1000, Section ~:~ Block ~ ~ Lot~ Subdivision ~G~0~& V i~[~ FiledMap. ~ ~.~ Lot: ee~tNo. -%~c'-~~ x ~ Dateofeen~t.~- ~-~ Applic~t: ~t'c.~e~._ ~t'~ Health Dept. Approval: Unde~riters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~, % , Q) CD Final Certificate: (check one) Applicant S i~r~ BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date $//~/O Owners Name: ,~5 x~ar~ tt,.(-~. {9. Reviewed: · Architect/ ~ Date /.~ / Engineer: Submitted: ~6 ~-0 ! SCTM #: District: 1,000 Section: 7{") Block: [ Lot: //_3 Project Single & separate Required certification: (Yes / No) Req Zoning District:~J'//~ [Lot size: Req. Req. [Front Yard __ Proposed: [ [Side Yard Project Description: Subdivision Name: Req. Actual: .,2~- /~--- 9 ~ [ [Lot coverage ~ Proposed: Propose: -- /~ / 1 [Rear Yard ~ Pro~sed: AGENCY PERMITS REQUIRED FOR REVIEW Permit N.A. NO YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] ~SU~ [ ] FRAMING [,.~F'IqNAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] [ ] FRAMING [/..~-FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR .~/~~/~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~ [ ] FRAMING [/.,~]~FINAL [ ] FIREPLACE & CHIMNEY REMARKS:/ ~~~ ~__/'~. 'IELD IN.SPECT!OH REPO_RT___~ _D_A_T__E ................................. C_O~=I~'=S .................. ~L ~ .............................. 'OUNDAT I ON (IST) II - II II II I1 II II II IT II 11' Il Il Il - H Il l{ . H II Il ii , . INSULATION PER N. Y. 11- --tl II STA'I'Ii2 EI'.'E R~ ii II II II II II II II II II II ........................ ii, ..... 7=--~ ........................... ~.r ........... X , / / - ii :== ............................... ~ ..... ~ .......... .~-.,~.~----~ ........ = = ADDITIONAL C~~ ......... TO" '¢ Approv .................. Pemit No Disapproved a/e . ........ (Building Inspector) FOEld NO. ! TOWN OF SOUTUOLD BUILDING DEPARTMENT TONN HALL SOUTHOLD, N.Y. I]97l TEL: 765-]802 BOARD OF BEALTH ..~. ........... ,~3 SETS OF PLANS ......... ...... URVEY ........................ ~CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... .0T m .CA L .. Y. MAIL TO: ................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application na,_qt be c~upletely filled in by typewriter or in ink and .~,h~itted to the Building Inspector, 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoadng locatio~ of lot and of buildings on promises, relationship to adjoining promises or public streets or areas, and giving a detailed description of layout of property mist be dra~ra on the diagram which is part of this applicat ico. c. llm work covered by this application may not be ccamenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemit shall be kept em the premises available for inspection thmugh0ut the i0ork. e. No building shall be occupied or used in daole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by ~ Building Inspector. APPLICATICtq IS 'l~timlY Male to the Building l)eparm~nt for the issumme of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Seuthold, Suffolk County, New York, and other applirahle Laws, Ordinances or Regulatiens, for the construction of buildings, additions or alterations, or for r~al or rl~mlition, as herein described, ltm applicant agrees to r~',,..,ly with all applicable laws, ordinances, building code, hoasing code, and regulations, and to ~{m{t authorized inspectors on pr~ses and · in building for necessary insuections. · .app ' ~orname, i fpo ' ) .................... (Mailing arlaress of applicant) State whether applicant is ewner, lessee, agent, architect, engineer, general contractor, electrician, plurber or build. Nam of owner of praises ..Z./~...~...~.Q~,~....~..~.(.~.~ ............................................. (as on the tax roll or latest deed) / If applicant is a corporation, signature of duly anthorized officer. (Nane and title of corporate officer) Builders License No .......................... Plt~bers License No .......................... Electricians License NO ...................... Other Trm,~'s L~cense NO ..................... ]. Location of land on which proposed work will be dome .............................................................. (~) 2. State o~sting use and occupancy o~romises__~ .. --and intended, ]use~t __and occupancy of proposed construction: Existing 3. F. ature of work (check ~ddch applicable): New Building .......... /~dition .......... Alteration ........ Repair .......... ~. R~al ............. l~i,olitioo ............ Other Work ..t~,.~.,~.~. ~.~. (DescrJ ption) 4. Estimated Cost O ........... fee ' 5. If da~elling, ~mnber of d~lling ~mlts .... l ....... ~i~qber of dw~lllng tmlts o~ each floor ................ If garage, nt~nber of cars 6. If b~slnesa, c~mercial or nti~ed nccupancy, sq~=cify nature and extent of each type of use ...................... 7. Dimensioos of existing structures, if any: Froot....~ .~..'. ....... l~ar ............... Depth ................. Ileight ......................... Ntm/0er of Stories ...................... Dir~nsions of sane structure ~th alteratloos or additions: Front ............... Rear ............... Depth .................... Height .................... N~nber of Stories ..... ! ......... 8. Dimensions of entlr~ new c¢~structioo: Fro~t .... 1. al. ..... Rear ..... [~ ..... Depth ...2.q.~... 'ieight ........ I.I .............. Nmber of Stories ....... I ............. 9. Size of lot: Front .................... Rear .................... Dapth .................... I0. Date of Parchase ..................... Narc of Former Owner I I. Zooe or use district in ~d~ich premises are situated 12. Does proposed cor~strnetioo violate any zoning 1~, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will e~cess fill be removed fran premises: YES 14. Nk~nes of Owner of p~-{ses ........................... Address .............................. Phone No ............. Name of Architect .................................... Ntdress .............................. Hame No ............. Name of Cootractor ................................... Address ............................... H~ae No ............. 15. Is this p~uperty within 300 feet of a tidal wetland? * YES .......... NO .......... PLOT DIAGRAH I~cate clearly and distinctly all buildings, ~d~ether existing or proposed, and indicate all set-back dimensions property lines. Give street and block rsa~er or description according to deed, and sho~ street names and indicate ~hether interior or corner lot. .......................................................... being duly s~vrn, deposes anti says that he is the applicant (Nane of individual signing contract) lie Js the (Contractor, agent, corporate officer, etc.) ...................................... of said owner or owners, ami is duly authorized to perform or have perforn~-,d the said work a~J to make and file this applicatlc~; that all statc~nents contained in this applicatloo are trne to the best of his knowledge a,d bellefi a~d that the work will be perforned in the manner set forth in the application filed therewith. ,%~rn to before me this Notary Publi~~ ~O?Aaypu~k,C. Sta,eo,,EklZ~"r"AStAt"'eSw¥om 'i':~ature of ^~{~aat) ......... No. 01 ST6008173, Suffolk ~(~C~ty Term Expires June 8, 20.~ APPLE L ,,tODJ$' COURT ~iFFOLK COUNTY ~E ,~. !~,~:'~T O, H~.£ It Sii'igLE FA~iI_Y OY,~L'.:li'~ O~Y "- ~., ¢ ~¢l~mentand/or other a~encies and ound t~ b~ satisf~lory. Chief m Bur~of Wast~ater ManaCement CERTIFIED TO" THE LONG ISLAND SA VING$ BANK PECONIC PROPERTIES MANAGEM£NT CORP. AREA = 22,129 sq ft Prepared In accordance w/Iff lhe minimum slondards for t/lie surveys as established the L./.A.L.S. and approved and adopted r such use by The New York Slale Long Tllle Assoclalion. The waler supply one sewage disposal systems /or this residence will conlorm lo the slondards of The Suffolk Counfy Deporlmen/ al Health Services. The locations of wells and cesspools shown hereon are from field observolions and or from data obtained from olhers. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 92'S0 50 DATE HS. RE.F'. NO. ,td~PROVED NOV 13 1992 S.C. DEPT. OF HEALTH SERVICES SURVEY OF LOT "MAP OF $~ VIZA$" FILED JUNE 2~ 1992MAp NO. 9237 A T SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 01- PlO 08 Scde: I"= 40' March 11, 1992 JUL Y 15, 1992 (foundation) Oct. 23,1992 (final) Y.S. LIC: /F' "~ NO. 49618 /~ / ~' " / /IFf ' ~t · (516]', 765 - 5020 I' j~ II II II