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Home My WebLink About29075-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29899 Date: 12/10/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1095 TRACK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 1 Lot 26 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 31, 2002 pursuant to which Building Permit No. 29075-Z dated JANUARY 7, 2002 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 DAVID J KOLLEN & ANO (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPART~4~R~T OF~ALTHAPPROVAL ELECTRICAL CERTIFICATE NO. pLUmBERS CERTIFICATION D~£Fn3 N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29075 Z Date JANUARY 7, 2002 Permission is hereby granted to: DAVID J KOLLEN CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED PERMIT #26090Z at premises County Tax Map No. 473889 Section 137 pursuant to application dated DECEMBER Building Inspector to expire on JULY located at 1095 TRACK AVE CUTCHOGUE Fee $ 75.00 Block 0001 Lot No. 026 31, 2002 and approved by the 7, 2003 . ~rize~Signature Rev. 5/8/02 COPY 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. 26090 Z Date OCTOBER 27~ 1999 Permission is hereby granted to: DAVID J KOLLEN 1095 TRACK AVE CUTCHOGUE~NY 11935 for : CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AREA OF A SINGLE FAMILY DWELLING. at premises located at 1095 County Tax Map No. 473889 Section 137 pursuant to application dated SEPTEMBER Building Inspector. TRACK AVE CUTCHOGUE Block 0001 Lot No. 026 14 99 and approved by the Fee $ 35.00 .utho~ize~t ~ign~re COPY Rev. 2/19/98 TOWN HALL 765-1802 APPIHCATION FOR (;ER'F1FICATE OF OCCUPANCY :.~__~ __:~4lJ&[t~Jo ~ mus* be filled in by typewriter OF, ink and submftted inspector with the following: for uc, w bui]ding or new use: 1. tile bui]dir~ Final survey of property with accurate location of all bu/]<tings, property lines street:;, and unusual natural o~ ~opograph5c features. ?. Final Approval from Health Dept. of water supply and sewel~qtr~ dispo~;a](S-9 3. Approval of elec[rical installation from Board of Fire Und(uwtfters. less than 2/10 of 1% lead. respon:~ible for the building. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a "pre-existing" land uses: 1. Accurate survey of property showing all property 15nes, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican 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 $25.0C, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Bui]d/n~ - $lO0.OO 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~,.~.~.. {.7.j. ~..CKIO ........ New Construction ........... Old Or Pre-existing Building ........... ~..~..~ Location of Property...l~q5 .............. W[~.C~..~0~ ..... .~6~0. _~ ....... House No. Street H~et .... Onwer or O~ers of Proper ...................................... County T~ Map No 1000, Section ........... Block ............... Lot .............. Subdfvfsion ................. Filed Map ............ Lot .................. Permit No ............ Date Of Pemit. T. ..Applicant ........ Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.....~..... · Submitted.' ................ ~-\~ ~ ~ ~ ~ - ............. ~c~ i~,,, / .... /~' APP~CA~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS/UL~TION [,..-J~NAL REMARKS: FIREPLACE & CHIMNEY DATE INSPECTOR/~///~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~JE~ATIoN [ ] FRAMING [/~j~ FINAL [ ] FIREPLACE&CHIM~Ey J DATE INSPECTOR.~~~ .T.D IIqSPEr,~T'IOM REPORT DATE COMMENTS INDATION (IST) INDATION ( 2ND ) JGH FRAHE & PLUMBING STATE ENERG~ CODE FORH NO. I TO~Fd OF SOUTHOLU BUILDING DEPARTHENT Disapproved a/c .................................. ~/~ICATION FOR BUILDING PERHIT INSTRUCTIONS BOARD' OF HEALTH ............... :3 SETS OF P~-.ANS ............... suRwY . ~. ........... ~. ........ c~c~ ...~ ¢.'.~...~..l~.~. ......... SEPTIC PORN ................... NOTIFY: CALL 251'.R. 7. 7.q ..... HAlL TO: ................... a. This applieati(~ ~LtSt be ~.~.l'etely filled in by tyl~ariter or in ink and mitred to the Building Inspector * 3 sets of plans, accurate plot plee w scale. Fee according to schedule. b. Plot plan sbe~ing locatian of lot and of tmildi~s an p~'eadses, relationship ~o adjoining premises or public streets or areas, and giving a detailed description of layout of property uust be draun an the diagram ~hich is part of this applicatiee. c. The ~ork covered by this applicatian my not be cc,~enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector trill i_~,e a Bu/lding Permit to the applicant. Such permit shall be kept an the p~e~uises available for inspection throughout the ~ork. e. NO building shall be occupied or used in ~ahole or in part for any Parlxme dmtever anti1 a Certificate of APPLIOLTICE/ IS ~i ~ to the Building Department for the ism of a Building Permit pursuant to the Building Zone Ordln~nce of the To~n of Southold, Suffolk C~mLT, Ne~ York, and other applicable Laus, Ordinm~ces or Regulations, for the construction of buildings, additions or alterations, or for removal or ~lition, as herein described. The applicant agrees to comply ~ith all applicable la~s, ordinances, building ,v~l% housing code, and regulatioos, and to ~--blt authorized inspectors an premises and in building for neceeea~ inspectices. (Signature of applicant, or ~e, if a corporation) (l~ihng ~ea of at,lictor)v State ~ether applicant is ~ leseee, agent, architect, engineer, general c~mtraetor, electrician, plumber or buff& ..... .O. ..CteY. ................................. (as an the tax roll or latest deed) If applica~ is a corporation, silpmture of duly authorized officer. ............... 9ATE: NOTIFY 8UILDIN~ 765-'1802 9 AM ~R THE FOLLOWING INgPE~ONg: ~. FOUNDA~N - ~O ~EQUIRED FO8 POURED CONCR~ 2. ROUGH - ~MING ~ P~UMBING 3. INSU~TiON 4. FINAL r' CONSTRU~ION MUST BE COMP~E ~R C.O. ALL CON~RU~ON S~ ME~ OCCUPANCY OR Builders License No .......................... USE IS UNLAWFUL Pl~s Lice~ No ........................ WITHOUT CERTIFICATE Electricians License No ...................... OF OCCUPANCY Ocher 1Yade's License NO ..................... --'r' ~.,TH~ REOUIR~ JOF THE N.Y. CODES. NOT ............................................................................... House ~her S~et ~let , No. 1o0o. .... ..... Blo ..... ! .......... ................ (~) 2. S~te ~sti~ m ~ ~ of ~s ~ int~ m ~ ~ of p~ m~ti~: a. ~sti~ ~ ~ ~ ............................................................................. b lnter~lod tree and occupancy ...................................... J. t~tur~ of ~ork (check ~hich npplicable): ~ Building .......... ~VIditio~ .......... ............ ~ ............. ~,~iti~ ............ o~,~ ~ .~.~.~.~..~.,.om~' 4. ~timt~ ~st ...... .~ ................ f~ .......... t ............................... (to ~ ~id ~ flt[~ this ~li~tt~) 5. If &~lli~, ~r of ~lli~ ~irs ............ ~r of ~lling ~its ~ ea~ ~r ................ If ~r~, ~r of ~rs ...................................... 6. If ~i~ss, ~ial or ~ ~, ~i~ ~ ~ ~tent off ea~ ~ of ~ ...................... 7. Di~nsi~s of ~sri~ st~s, if ~: ~t ................ ~ar ............... ~p~h ................. I~i~t ......................... ~r of Stories ...................... Oi~i~ of ~ st~ ~th alterari~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~C .................... ~r off Stories ............... s.oi~.~i~ o~ ~.~i~ ~ ~i~: ~ ...l~.~.~.. ~r ............... ~p~ .............. ~i~r ......................... ~r of Stories ..................... ,0. ~ o~ ~,~ .m.L,.~.L~a ..... ~ o~ ~o~ ~ ~~..~.v.~t~o ......... ,,. ~ o~ ~,,~r~ ~.~ 0,~,.:~.~.~ -.~"~ ........................................... 12. ~s ~ mtntlm viol~t~ ~ ~i~ 1~, o~i~ or ~latlm: .................... ~ o~ ~it~t .................................... ~ss .............................. ~ ~ .............. ~ of ~tr~t~ ................................... ~rese ............................... ~ ~ .............. 15. Is fids ~ ~in ~ ~t o~ ~ ti~t ~tl~] * ~ .......... ~ .......... PLOT DIAGRAM i~cate clearly and distinctly all buildings, whether existing or proposed. ~nd indicate all set-back dimensions f,u. pco~,~rty lines. Give street ~md block n~ber or description ~cording to deed, and ~ street r~nes and indicate ~aether interior or corner lot. gFA'IE OF him ..... a ........... (~ of i~ivi~ s~ing ~tr~t) 1~ is the ..... ~~ ................................................................................. (~tr~tor, ~nt, co.rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfo~ or h~ ~rfo~ ~m ~id ~ m~ to ~ a~ file Ods a~licati~; ~at alt stat~ts,~ta{~ in ti,st ~ ~ ~ilt ~ ~r~o~ in tl~ ~m~r ~t forth in ~e a~licati~ fil~ t~. (Si~mre o~ A~tlc~t) smorn, deposes anti says that he is the spplic~t AREA = 16,594 sq. ft. ANY AL TERA TION OR AODI~'ION TO TH($ SURVEY I$ A VIOLA TION OF' SECTION ?;~09 OF' THE HEI¢ YORK STATE EDUCATION LAW, EXCEPT ~S PER SECTION 7~09-SUBDIVI$10N ;Z. ALL CERTIF'ICA TION$ t'(EREON ARE VALIO FOR THIS MAP AND CO,fEE THEREOF' ONLY IF' SAlO MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY, TO COMPLY' WITH SAID LAW THE TERM 'AL TERED BY' MUST BE U~D BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH .4S 'INSPECTED' AND 'BROUGHT-TO-DA TS' ARE NOT IN COMPLIANCE WITH THE LAW. CERTIFIED TO, DA VID KOLLEN LAUREN ALBERTSON SURVEY OF LOTS 57 & 58 "M. S. HAND, SECTION TWO" FILED MA Y 12, 1939 MAP NO. 1280 A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 137 - 01 - 26 Scale: 1" = 30' Apr. 2, 1997 __.l. IC. NO. 49618 (516) -'-']'~,;~.;,~J~M~ ' ' P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 g7- 162