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Home My WebLink About29302-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30933 Date: 05/26/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 605 HIGHWOOD RD SOUT~OLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 50 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2003 pursuant to which Building Permit No. 29302-Z dated APRIL 16, 2003 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 "AS BUILT" ACCESSORY GAZEBO AS APPLIED FOR. CONSTRUCTION CERTIFIED BY GARRETT A STRANG, ARCHITECT. The certificate is issued to GARRETT A & BARBARA A STRANG (OWNER) of the aforesaid building. SUFFOLK COUNTYDEpARTMENT OF~J~THA~PROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION 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. 29302 Z Date APRIL 16, 2003 Permission is hereby granted to: GARRETT A STRA/qG 605 HIGHWOOD RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF ~/q AS BUILT ACCESSORY GAZEBO AS APPLIED FOR at premises located at 605 HIGHWOOD RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 050 pursuant to application dated APRIL 14, 2003 and approved by the Building Inspector to expire on OCTOBER ~. Fee S 150.00 /~ze/d Sjt~re~-- ORIGINAL Rev. 5/8/02 Farm No. 6 TOWN OF SOWFltOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Budding Department with the following: A. For new building or new u~e: 1. Final surv~ of property with w. curatc location of all buildings, property lines, slmcts, and unusual natural or topographic features, 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval ofelec~cal installation from Board of Fire Underwriters. 4. Sworn statement from plumber coxifying that the solder used in system cootains le~5 than 2il0 of 1% lead. 5. Commercial building, indnslfial builcFmg, multiple ~sidcoces and similar buildings ~d ins~ons, a ~ of Code Compliance flora architect or engineer responsible for the b~ilding 6. Submit Plm~ning Board Approval of completed site plan requirements. B. For existing building~ (prior to April 9, 1957) non-conforming uses, or buildinga anU 1. Accurate survey of property showing all property lines, streets, building and unusual n.,at~al. ~r.topographic---~. ~ features. 2. A properly completed application and a consent to ~ signed by thc applic~m. is denied' the Building lnspeet°r shall state ~he re~s°ns theref°r in writing t° the appli~l~ C. [ ~',' OF q.:','_'] HO~ ~ 1. Cortificet~ of Occupancy - New dwelling $? 5.00, Addilions to dwelling $25.00, A]tei'llll01~to d-~ll~g ~F25.00;' Swimming pool $25.00, Accessory buildin[, $Z5.00, Additions to accessory building $25.00, Bnsincsses $50.00. 2. Certificate of Occupancy on I~q:xisting Bt ilding - $100.00 3. Copy of Ceatificate of Occupancy - $25.1)0 4. Updated Certificate of Occupancy- $50.0C 5. Temporary Certificate of Occupancy - Res lenti~l $15.00, Commercial $15.00 Cons ction: 5. gy Location of Property: ~O ~ House No. Old or Pre-ex ting Building: Owner or Owners of Property: Suffolk County Tax Map No 1000, S~ction Subdivision Permit No. Health Dept. Approval: Planning Bored Approval: Request fo~ Temporary Ctmificate F~ Submitted: $ ~ ~ Date of Permit. (check one) Hamlet Block O ~ Filed Map. Lot: Applicant: ,_~z'-~ & ~,tff,- Underwriters Approval: M/A Lot ~ Final Certificate: ~' (check one) pplicant Signature Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 May 24, 2005 Mr. Mike Verity Building Inspector Town of Southold Main Road Southold, NY Re: Premises, 605 Highwood Road, Southold, NY SCTM//1000-78-09-50, BP #29302Z Dear Mr. Verity: This will certify that the accessory gazebo at the above referenced premises has been relocated in the rear yard behind the existing deck, and now complies with all Southold Town Zoning and New York State Code requirements. Respectfully submitted, /~c~tecAt' Strang' R-A 76S-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUG/H/pLBG. ] FOUNDATION 2ND [ ] I.~ILATION FRAMING ~INAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ~FINALC~.~..~.~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:. ~-,~,~ ~;~-----~-- ~ . SURVEY OF PROPERTY AT BA YVEW TOWN OF $OUTHOLD SUFFOLK COUNTY, AREA = 20.399 sq f~ or 0 468 acree 99 - 209 NIPIIOVf~ AS NOTED NOTIFY ~UILDING DEPARTMIJNT AT ALL CONSTRUCTION ~ MEET THE REQUIREMENTS. OF THE CODES O~ NEW YORK STATE. ,. ~'*~~ ~:~.--~ ............. ~ANCY OR . USE IS UNLAWFUL 2. F,~.. ,~*m ,, ml.m~ WITHOUT CERTIFICATE '. ~' ~ ~ ~ OF OCCUPANCY ~ ~C.O. ~~ ~THE~~ YORK STATE. OF..SlSNOR CO~ r RESPON~I.E FOR ITRUCl'ION ~ FIELD INSPECTION REPORT DATE · I~ COMMENTS FOUNDATION (IST) FOUNDATION (2ND) ROUGH FRA]~IING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF S.OUTHOLD BUILDING DEPARTMENT TOWN ~IALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined .20 Approved .20__ Disapproved a:c Expiration .20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the follox~ing, before applying? Board of Health 3 sets of Building Plans plarmmg Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 5///0-" ,20c 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 waterways. 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 what so ever until the Building Inspector issues a Certiftcate of Occupancy. t: Every building permit shall expire if the work authorized has not commenced within 12 months alter the date of issuance or has not been completed within l 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. .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, t:br 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 prenfises and in building for necessary inspections. (Signature of applicant or name, if a corporation~'"~'~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general conu'actor, electrician, plumber or builder Name of owner of premises ~r~-~7-~ ,~ ~0~.~, J. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location/of land on which prgposed work will be done: House Number Street Hamlet Count5.' Tax Map No. 1000 Section Subdivision (Name) Block LT~ Filed Map No. Lot Lot 2-O State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy d'z,'~'~ b. Intended use and occupancy Nature of work (check which applicable): Nexv Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent o f each type of use. 7. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear 10. Date of Purchase ,Y~/~? Name of Former Owner 11. Zone or use district in which premises are situated .Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO/ 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address 15 a. Is this property within 100 feet of a tidal wetland or a freshxvater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO X Will excess fill be removed from premises? YES___ NO~ Phone No. 7'g Phone No Phone No. NO 16. Provide survey, to scale, with accurate foundation plan and 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) COUNTY OJ~ $)S: (/~ ffr~ ~--~ ~-//' ~ 6~c k~ being duly swam, deposes and says that (s)he is the applicant (Name of individual signing contract) ~t~fo've named, (S)He is the /~ _fA f'/C~ r/' (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. Swam torbe, fore me this /~ Nota~ Public CLAIRE L GLEW Natal/Public, State of New York No. 01GL4879505 Qualified in Sufl,o. lk Comaliy/~.J~ ~ Commission Expires Dec. 8, _r-~4 ~.'C~rLJ ~ure of Applicant