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HomeMy WebLinkAbout16931-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z7.I.6.9..8.9 ....... Date June 14 , 1988 THIS CERTIFIES that the building ...... A q G..E.8.8.0.R.? ............................... Location of Property .... 1.7..9.5..E.[.ijah ' s Lane Mattituck, N .Y. House NO. ' ................. County Tax Map No. 1000 Section ...1.0.8. ...... Block 4 .Lot 7. 10 Subdivision ............................... Filed Map No ......... Lot No .............. conforms snbstantially to the Application for Building Permit heretofore filed in this office dated April 12, 1988 pursuant to which Building Permit No. 16931 Z dated .... ....,..........April 28, 1988 ......... wasissued, and conforms to all of the requirements of tile applicable provisions of tile law. The occupancy for which this certificate is issued is ......... ACCE'SSORY SHED AS APPLIED FOR The certificate is issued to ELWOOD & PATRICIA ROWE ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval .......... .N./.A. ............................ UNDERWRITERS CERTIFICATE NO ................. .I'1./A. .......................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Roy. 1/81 FOR~ NO. ~ TO~t4 OF $OUTHOLD B~SI.DI~G DrPARTMEb~T TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ........... ~~_~....~ ...... ~.~......~ ~. ..... ~ .............................. ;.~...~.~.....~, .......... ...; .......................................................... ~t premises located at ..../'.. ,'~...,~. .......... ~'~~~...,..~...-.~'~-'~ ................................................ County Tax Map No. 1000 Section ........ ,,/',~...~.. .... Block ........ '...~... ...... Lot No.....~.~.(.../.....~. ....... pursuant to application doted ....... . .~../Z.~ ............................. , 19.,.~,,~., and opproved by the Building Inspector. Fee $ ................... Rev. 6/30/80 Memorandum from... BUILDING INSPECTORS OFFICE TOWN OF SOUTPIOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y. 11971 765-1802 .June 23, 1988 Mrs. Patricia Rowe 1795 Elijah Lane Mattituck, N.Y. 11952 Re: B.P. #16931Z Dear Mrs. Rowe: Please be advised the fee for your Certificate of Occupancy regarding the above numbered building permit is $10.00. We have your check in the amount of $25.00. If you would either mail us a new check or stop by with one for $10.00, we will issue your Certificate of Occupancy and return your check #727 in the amount of $25.00 Thank you for your cooperation in this matter. Sincerely, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical instaJlation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 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 topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Cartificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ~'~. 5.Updated C.O. $ 50.00 Date ..... ~ ~./../.~'..~.d NewConstruction ...... Old or Pre-exi~ting Building ............ Vacant Land ............. Location of Property ./. ~ I.,J .~;L..~ ~.../. 4:t I CC C House No. Street Ham/et Owner or Owners of Property ...... .~ .... ~ .............. County Tax iVlap No. 1000Section....~.0..~. ....... Block ...... .~ ....... Lot .... .J~. ;./.0. ...... Permit No. /'~"~"~,t'. Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... . .--'~...-. ~...~ .............. .. Rev. 10-10-78 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~FINAL DATE /,~ / ~/~,(~t,,' .iNSPECTOR OUNDATION ¢15t) 9UNDATION ( 2nd ) DUGH FRAME & -PLUMBING ISULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: AND/OB FRO.,.~ DATA OBI'A~IiED NOTE: · -- MONUMENT SUaO/V/S/ON ~P T// E~ /N rNe O~R CC O~S~/~E CrE~/~ O~SU~O~ eouNrY oN aEV,S~ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, N£W YORK ALDEN W. YOUNG HOWARD W. YOUHG ' SURVEY FOR: ' -~' - TOWN O~ SOUTHOLD SUFFOLK CO., N,Y. 6 KAUFOLD'S COUNTRY SHEDS are made for you by skilled craftsmen using quality materials to give you a long lasting building with a minimal amount of maintenance. Available fully constructed or custom built at your site. Constructed with 4x4 pressure treated foundation. Floor joist of 2x4's spaced 16" on center covered with 5/8" exterior plywood. All studding is placed 16" on center throughout. Exterior siding ts long-lasting durable %" Texture 1-11. All structures include aluminum jalousie window(s) with screens. Roofing consists of exterior plywood sheathing covered with 240 lb. asphalt shingles. The Saltbox This stylish structure is ideally suited as a poolside cabana, an attractive backyard storage shed and/or playhouse. The Mini Barn An economical all purpose storage unit. Ideal for basic homeowner storage of garden tools, bicycles, lawn furniture, etc. ALSO available with optional higher side walls. The Cottage This attractive building is a great maximum storage unit or office. Offers 6' wall height, overhead storage and a neat clean look. The Ideal as a maximum Full 6' wall height and Available with standard double hun doors or optional ~(as shown). Options Include: · 11 Exterior Colors · Additional Doors & Windows · 7 Shingle Colors · Overhead Garage Doors · 3 Trim Colors · Extra Floor Supports · Wider Doors · Interior Partitions · Higher Doors · Dutch Doors Floor · Cupolas · Pressure 'I~eated Ramps · Weatbervanes · Flower Boxes BOARD OF HEALTH ...... 3 SETS OF PLANS ..~-'-~..- 'FORM NO. 1 SURVEY . .~ .... ~.,.K,.~ TOWN OF SOUTHOLD CIIECK . o~ ....... BUILDING DEPARTMENT SEPTIC FORM . TOWN HALL NOTIFY TEL.: 765-1802 CALL ............. MAIL TO: OCCUPANCY OR USE aS UNLAWFUL Disapproved a/c ..................................... ........W~TL!e~' ,- ........................................CERTIFICATE ..~JJ 0~f~[./~ A ~J ~jgBu. d~idg insp e c t or ) APPLICATION FOR BUILDING PERMIT Date .~1.]..2-. ./.., 19..~ 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 necess~sp~ [% (Signature of applicant, or name, if a corporation) ~Mailing address'of(applicant) 'l ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ © .tO. ri .e..~. ........................................................................... Name of owner of premises .. ~..i .(22. O.c) .CJ .... .~...~..o~.~.t7..~:~ I'.CL.... ~..~ .o..trq.~PR.~I~.E[} ~$.~011[} ......... · . (as.. on the tax roll or lat~ed)dd//~J~/~.,q_. /_ BR. # Z~ ~/ ~ If applicant is a corporation, s~gnature of duly authorized officer. FEE' ~ ~F.~''- =,,. '~(~ ~ NOTIFY ~L, IFc~NG OEPART~CENI' A~ .............................................. 765-1802 9 AM TO 4 PM FOR THE (Name and title of corporate officer) , FOLLOWING INSPECTIONS: ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED I. FOUNDATION IWOREQUIRED Builder's License No ........ ~ ..... FOR POURED CONCRETE 2, ROUGH. FRAMING & PLUMBING Plumber's License No ......................... 3. INSOL&llON 4. FINAL CONSTRUCTION MUST Electrician's License No ....................... BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET Other Trade's License No ...................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done~ ............. CODEI~ ~1.(~.. RESI~NSIBLE..F~QR .... ,-~ ~ 4._j~1~$!.~ OR CO~.,.~TRUCTION ERRORS ·/..'7...c/,~ .......... dS/.,..h. :~.~..--r.... A..~... / ........ t.q .~ .~. r-..,./..~ .~..tx ................... House Number Street Hamlet County Tax Map No. 1000Section ../.0...~ ............ Block ~'/ Lot ..~.,.t.O. 7 Subdivision...~.,J.I.I. ctJ~..~.. ........... Filed Map No..(a 0. ~o. .... Lot .... .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .F'. C..-% J..~ 14. c..C ............... : .,i. ' - ,-~.'. ....................... ;.~ ~ .,~. ~ 0 ~:e.c.. :~ ~.J. L~ ~,~.,... l~.~,,~ e~.,,?,~,~T 3. Nature of work (check ' ~ ' wh,ch apphcable): Repair ' .............. Removal ... 4. Estimated Cost ....... ~,../..3-.O2: ..... ST'~ ~.J~ e ..... _ .... Addition gJqed .... Buildine V. ' · ' ' ' . '''~ ' .'[,._ New ......... Demolition ............. } Other W6'rk .............. Fee ' · (to be paid on filing this application) 5. If' dwelling, number of dwelling ¢nits ............. 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. Dlmenslonsofex~stingstmcture$;ifany Front .... O.O. . ..... Rear .57P.-.~. ....... Depth ..¢ff.%~.. Height' .., ~....~ ....... Nero?i- of Stories ....... ~, .............................................. Dimensions"0f same structure'wi~h alterations or additions: Front ~ Rear ~ '~ Depth .' .... : '-~.. ..... :... !.. Height ............. Number of Stories .......... 8'/' Dimensions of entire new constrOction: Front ....... / ~ ~ .. Rear .... /.2. ........ Depth ... ,/ ........ Height ... ¢,...%~01.~ t,o.,~ .~ J ..... Number of Stories ............................................... 9. S~ze of lot: Front .J5 $ .... , . Rear ...... /.5' .............. Depth .... ~.(~ ~.,°~../. ....... 10. Date of Purchase --,~e-ql. i.l.q7~.~. ........... Name of Form?r Owner . ~5~./.~ d .~.~.~..et. ......... 1 1. Zone or use district in wl~ich pre[nises are situated... ~e ~. i c/e.n~.,.~ [ ................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.q .......................... 13. Will lot be regraded ...... f/,O. I ................... Wilt excess fill be removed from premises: Yes (~'~) 14. Name of Owner of premises ~l~:~q4 . ./~0W.~ ....... Address/?~,r'.~..//;t~64'../-~L .....Phone No. P, cJZ:-~7. ~.. ~..r~.. Name of Architect ' Address Phone No Name of Contractor ......... ~ ................ Address .... : .............. Phone No.......... .... .. 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No .~.. *If yes, Southold Town TruStees Permit maybe required. PLOT DIAGRAM Locate Clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block fiumber or description according to deed, and show street names and indicate whether interior or corner lot. i coum'Y OF ........... ............. cPC, t,o'~' ~ ~' v l,i.:*~a.;.:t8 .................. being duly sworn, deposes and says that he is the applicant , T~la,¢ ,~ ° [~i~iY~fl ~a!;a [~ni~g'c°ntract) 850~a] ~0~131~I~ :~V ~" ~ , ' ' '1 (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dulyi authorized to perform or have perfonned the said work and to m~e and file tMs application; that all statements contaihed M this application are true to the best of his knowledge and belief; and that the work will b~ perfomed in the m~ner ~set forth in the application filed therewith. Sworn to b6fore me this Nota~ Public .......... ! ..... County . ~707878, Su~lk~ (Si~ature of applicant)