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HomeMy WebLinkAbout30211-Z ~ FORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30143 Date: 04/19/04 Tt{IS CERTIFIES that the building ACCESSORY Location ~f Propezty: 63165 CR 48 HOUSE NO. (STREET) County T~x~ap No. 473889 Section 40 Block 1 Filed Map No. Lot No. Subdivmsion GREENPORT Lot 14 ( ~LAMLBT ) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2004 pursu~alt to which Buildin9 Permit No. 30211-Z dated APRIL 2, 200¢ was issued, and conforms ~o 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. Tg~e certificate is issued to MARTIN C PFEFFER (OWNER) of the aforesaid building. SI/FFOLK COOlFiqf DEPART~gT OF ~AI~T~t ~_PPRO%qkL ELECTRIC~kL CERTIFICATE NO. PLI~4BERS CERTIFICATION DATED Rev. 1,81 N/~ N/A Authorized nature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL ~EP~YT N0% 30211 Z Date APRIL 2, 2004 Permission ms hereby granted MARTIN C PFEFFER RD 1 BOX 63165 CR 48 GREENPORT,NY 11944 for : CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT REPLACES BP~25168. at premises located at 63165 County Tax Map No. 473889 Section pursuant Building CR 48 O40 to application dated APRIL Inspector to expire on OCTOBER Fee $ 75.00 G~EENPORT Block 0£01 Lot No. 2, 2004 and approved by the 2, 2005. Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (T PERMIT NO. Permission is ~ BUILDING PERMIT ~IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ Z Date SEPTEMBER 10, 1998 eby granted to: MARTIN C PFEFFER RD 1 BOX 63165 CR 48 GREENPORT,NY 11944 APPLIED FOR. for : CONSTRUCTION OF AN ACCESSORY BUILDING AS at premises loca County Tax Map N pursuant to appl ted at 63165 CR 48 ~. 473889 Section 040 ication dated JULY GREENPORT Block 0001 Lot No. 014 22 1998 and approved by the Building Inspector. Fee $ 35.00 %%~g I~ns~dtor ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~'~2 "~ This application mast b~ filled m by typewriter or m!c and subrmtted to the Building Departmen~ with tl~ f611owmgz A. For new bm'lding or new use: ;-~ ...... ~ t L Final survey of property wlth accurate location of all buildings, property lmes streexs, and unus~ topographic features. 2. Final Approval ~om Health Dept. of water supply and seweragerdisposal (S-9 form). 3. Approval of ale ,~c~5:i~ ~cal installatior~ from Board of Fire Underwriters. 4~ qwom ~atemen? r*t,m ,,~umb~' ce.,~ying that the solder used m system contains less than 2/10 of 1~ o lead. 5. t 'ew'uc~c :,1 b..:l,~:'::,. ~,la,' "i~.l ' . ~aing, muIffple residences and similar.buildings and installations, a certificate ,d'( ode ( ,,r:pli:.v. cc Ih~:n mcl,~cc~ or engineer responsible for the bu/lding. '6. ',~.',~',~: I'iar'fiu!= It,,,.m \plV,,',~.· ofcompletedsite-planraqn~rements. For e~i~ 'sting buil~di ~ngs {priol: to April 9, 1957) non-conforming uses, or buildings and "pre-existing~' land uses: 1. Ac, dUrate surveyof prop~y showing alt property lines, streets, building and unusual natural or topographic features. 2. &prope~:ly conrPlemd applieahon and consent to inspect signed by the applicant. If a Certificate of Occupancy is defied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certi~a~e ~f ~ccupancy - N~w dw~l~ing $25.~ Addili~ns t~ dwe~ling $25.~ A~terations t~ dwe~ing $25.~ Swimming pooLS25.00, Accessory bu/lding $25.00. Additions to accessory building $25.00, Basine~scs $50.00. 2. CertificateofO¢cupancyonPre-ex/sthigBu/lding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updeted Certificate of Occapancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 Date. New Construction: Location of Property: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section (.~ Old or Pre-existing Building: (check one/ Hamlet Block Subdivision Filed Map. Lot: PermitNo. ~ O~ [ I ~ DateofPermit. /~ ~ -O t~ Applicant: Fr~'~ r/ C ~9~e~¢c2~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c>~D ~- Final Cextificate: (check one) Applicant gig~l~e ~' 765-18O2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FOuNDATIoN2ND [~]1~, LATION FRAMING [/~FINAL FIREPLACE & CHIMNEY [ } FIRErSAFETY INSPECTION REMARKS: /~ ~'~'~ DATE INSPE~ ;U.~{DATION__ (~st) F!RAME & -PLUMBING' iSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: HOT~I~'Y: HAil, TO ...................... 'Date ................ ,19.,.. filled in by ,Cyl~rriter or st'r~ c pm~rty ~mt ~ dr~ ~ ~ 4{~m ~dcl~ la ~ of tl~ ~ildi~ ~r~nt for ~ (StBnature o1[ applicant, or mmV, if a corporatlc~9 State ~t~eQ~er applicant ls o~er, lessee, agent, archit~t, e~i~r, Re.rat ~t~tor~ el~t~ct~, pier or Ix~tl,~ ~ o~ ~ ~ ~,,...I.~la~.b.~...,C .... ~/a~'~.~..~ ........................ : ....................... (~ ~ U~ t~ ~1l or lateat d~) If a~)li~{t is a co~mti~, si~re of ~Iy ~tl~)ri~i ofiicet. Ik~ilders License Nc~ .................. . . .. Plurbers License Ho .................... IZleccri¢iarm l,ice~ ~ ...................... ~' {. l~uci~.of,l~,~ ~lid~ p~l ~ will ~ a .............................................................. --,-. .... ~..~ .......................................... am¢~az.. .... ~:...!~ .......... ~ ~,-~,~f,~ ~-~...~o ........ ~.~ ..... Z.: ....... ~, ..... Z.~. ..... ~ivi~[m ...................................... ~iI~ ~hp ~ ......... ~ ..... 1~ ............... 2, S~aCe exls~ing[.~'~ ~ o[ l~i~a_/''~ intem~ me ~ ~ o[ p~ mt~ttm~ ,-~ ~ ....... ....-...-.. ................... ............. .~.. ..... : ................... F~sCi~ 'Y - '~'~YV,'"~~ .... r" '~*"~ ....... ~ I~lr ............ ~1 ;~, ~,~,.. l~ll~l~ ............ Orl~er I~ .................................. ' ~ 9~T?a'8 (~o ~ ~ld~m Hllna this ~l~ltcatl~) garage, i~l~r o[ ~r~ ................................ ... ... l)ln~i~z ol ~m s~nc~ with al~eract~s or 'a~l~tonsc ~c ............... ~ar ............... ............... propel. ~t~ttm lot I~ ~ms of ~r o~ F~al~s ........................... ~]ress .............................. t~ ~ ............ PLOT D~AORAH. lo:ate clearly ~md distinctly all buHdi~tts, d~..~l~er ~l~ttng or pm~, ~'t~fcate all ~t-~ di~na.fona ~ ~rn, delx)~e9 a~xl says Llmt he ia the nppl. i¢:ant: (C~ttractor, ~enefcorporate of.l~icer, etc.) said i~a~er or ~rs, ~ ts ~ly ~O~rl~ to [~cfon~ o[ h~e larfO~ the ~td ~rk taxi m ~e a~l file this nl~)l teatl~; Lhnt all states,ts ~t~ fn thin a~llea~t~ 9re tn~ to ~m ~e o~ his kt~l~g~ m~ .l~lief~ a~t ($tgtmt:ure ol~ ~{~ptlcant) HELENE D.:HORNE Notary P~blic, stere of New Yotl~ No. ~5 ~ 364 Q~a~ified i~ Surfak Coun~ ~ C~mm ss~n E~kes ~¥~ 22, ~9 7~