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Home My WebLink About27474-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28841 Date: 09/04/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 380 AKA #15 MADISON ST. GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2001 pursuant to which Building Permit No. 27474-Z dated JULY 13, 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 10 ' X 14 ' ACCESSORY STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to GARY C & CARLA L BLASKO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Q01L W49"'� Authorized Sig to 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. 27474 Z Date JULY 13 , 2001 Permission is hereby granted to: GARY C & CARLA L BLASKO 15 MADISON STREET GREENPORT,NY 11944 for . CONSTRUCTION OF A 101X 141ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 380 MADISON ST GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 018 pursuant to application dated MARCH 27, 2001 and approved by the Building Inspector. Fee $ 35 . 00 Authori d Sig ture ORIGINAL Rev. 2/19/98 Form No.No.6 TOWN OF SOUTHOLD BUH,DING DEPARTMENT "�' `-' 2002 1 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. 6�ZC�(C3`Z New Construction: M Id or Pre-existing Building: (check one) ( Location of Property: `S 1 �lam- :S GrEc_np ,4 House No. Street \ Hamlet Owner or Owners of Property: �'�`�)f l� i Cam ALJ. ��5 ts-) Suffolk County Tax Map No 1000, Section Block 05 Lot kF) Subdivision 11 ff Filed Map. Lot: Q Permit No. a-1 }-1 ` t Date of Permit. 3 Applicant: a_k Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C_O��GC_A_� Applicant Signature Cc � �a8y Gr 1632 BUILDING PERMIT REVIEW CHECK LIS Applicant/ / Date Owners Name: 6 C1�5�(0 Reviewed: 13to Architect/ \ Date Engineer: V. RIE7ZP Submitted. Z� 0 SCTM H: District: 1 000 Section: 40 Block 05 Loc 1`6 Project Subdivision Location: 5� MAb15oti1 SZ . GQ �I Pd✓`T _ Name: Single<, separate Requlr ccrufication (Yes No) — Q Req. Req. 427 + Zonmv Dutriet: t`- yo I1.01 size: yo,_ooV Actual: �� 6b I ILot coverage C2o_/e PiuposeJ - la. e.l Req Re `f- Re II (From Yard NIA Proposed: J [Side Yard '103 -4 ropos �CT ) [Rear Yard �T Projwsed ) Project Description: )rC F-SC)e-y AGENC) ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ✓TT New York State D. E. C. Town Trustees J Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? � Q Flood Zone: �o nIE Notes.: -7 4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMA S: -^ r-- t DATE INSPECTO FIELD 'INSPECTION REPORT DATE __. ,,,.,.;y' COMMENTS II H FOUNDATION ( 1ST) �j I n I f FOUNDATION (2ND) meoo=—=_------===ceoee oo=__- --- _oc=_oee =cc=co.===e=cceecce000ccvvoo=oo h II �I �n o ROIIGH FRAME fi PLUMBING I II 11 < ro INSULATION PER N. Y. p { y , STATE ENERGY L CODE N I 01 I� � p ry H� ry II FINAL ADDITIONAL COMMENTS: r H H H � z � I TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST: BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL r- --— Board of Health SOUTHOLD, NY 1197 r F 11 . '"� g 3 sets of Building Plans r ! Survey. I Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 '0/ Approve d� 20 PERMITNO. -2-7L/7 Disappro a/c Building pector APPLICATION FOR BUILDING PERNUT Date � 7 20 � 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 sale. 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 Occupancy 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 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. 0 (Signature of ap 'cant or name,if a corporation) I "Qal'4 5CZ� 0� 1 6 (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises-6n",, V- ta (as on.the tax roll or latest dee g� TE: B.P. # Q7 If applicant is a corporation, signature of duly authorized officer FEE: 3 Py. NOTIFY BUILDING DEPARTS -N AT (Name and title of corporate o6&uDslaill �j 765-1802 9 AM TO PM FOR THE + 1C OR 10 FOUNDATION - TWO REQUIRED LLOWING INSPECTIONS: Builders License No. FOR POURED CONCRETE FUL 2. ROUGH - FRAMING & PLUMBING Plumbers License No. 8. INSULATION TIF1CATE4. BE COMPLETE FOR C.OFINAL - �ON MUST Electricians License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done: 15 House Number Street Hamlet County Tax Map No. 1000 Section 7d Block Lot 8 Subdivision NA- Filed Map No. Lot (Name) 2. State existing use and occupancy of pre ses and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy \31-10d 3. Nature of work(check which applicable): New Building-->( Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost 25bo Fee 135 (Description) (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 Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 98 Name of Former Owner Rb ye a n 11. Zone or use district in which premises are situated R q 0 12. Does proposed construction violate any zoning law,ordinance or regulation: r) 0 13. Will lot be re-graded Q 0 Will excess fill be removed from premises: YES NO 14. Names of Owner of premises �Address Zs /t[ � hone No. 4177--:Sl� 9b Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale,with 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 OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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 day of 2pb� Notary Public Signature of Ap icant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Tenn Expires June 8,2002- ROAD �C.R.48� NORTH w SURVEY OF PROPERTY A T GREENPOR T TOWN OF SOUTHOLD N�o� PAS` '' ,zg•e'' SUFFOLK COUNTY , N. Y. 1000-40-05-18 SCALE : 1' = 20' OCTOKR e, 1M v PE T 39.9_— 2b 2LA ' CONCRETE N `9 ul a o x � � W m � fn ul CERTIFIED T0l 0 7�1V GARY BLASKO 9 y N CARLA PLASKO L�� CONTINENTAL CAPITAL CORP. �,1^ TLE INSURANCE COMPANY TOF NEW YORK 1 24 3 TITLE N0. FNT 9817501 E LOT NUMBERS REFER TO e "MAP OF FLEETFIELD" FILED 6e "MAP A �• IN THE SUFFOLK COUNTY S P N CLERKS OFFICE AS MAP o � � A N0. 1351. `0,` Sec O C conc cure �I CMF 1'I�• AREA 15,166 sq. ft. P��OF NEWS No�N T. M�TjG cr K W-5 FQ f�S ig'OB r1/o/F 1 I �,} S. LIC 'N0. 49618 MF ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PECONIC P.0 FE OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW 2 1' EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS (516) 76 51.1 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0. BOX LAND SV SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVEL 198-33:d WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 � u Afi n b:YV s: f S �5 The The 8'x 12' Suffolk 8'x121 Ranch This is the roomiest shed going because of its height you can An excellent addition to your property. Great for storage add a loft or two.The shed is 9' high and is a beautiful way to space and comes in a variety of sizes.Window is included for meet your storage needs. Shown is an 8'x12'. Comes with that extra special look. 8' high. Shown is an 8'x12'. Comes two windows. with two windows. All Sheds available in T 1.11 or Tongue and Groove Cedar. .::.::.......... N wC t£)Y $ S t k i 6 C , x F h4 The The 10'x 12' Tall Barn 8'x 12' Colonial Barn High sides and double doors make this shed great for storing This Colonial looking barn has enough space for the modem day equipment and tools of all sorts. This shed is over 10' high. homeowner.The usable space includes room for shelves,a loft, Shown is a 10'x12'. Comes with one window. and even a work station.You'll enjoy the look and get the space. 10' high. Shown is an 8'x12'. Comes with two windows. WE BUY THE BEST MATERIALS,TO BUILD THE BEST PRODUCTS, 0 THE BEST PEOPLE-OUR CUSTOME ALL OUR DOUBLE DOORS ARE V WIDE. ,ir/997, 07