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Home My WebLink About31509-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31565 Date: 05/15/06 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 2545 (HOUSE NO.) County Tax Map No. 473889 Section 110 WEST CREEK AVE (STREET) Block 5 CUTCHOGUE (HAMLET) Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 2005 pursuant to which Building Permit No. 31509-Z dated OCTOBER 6, 2005 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 STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to GREGG & KATHI ROBERTS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD 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 Building Department with the following: A. For new building or new use: I. 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 buildiugs and "pre-existing" land uses: I. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: V Location of Property: :2 .5' -+5' W' s I- c: r a. /<. Ave House No. Street (check one) tJ~t..o1t.<.t:.-- <1 Hamlet Owner or Owners of Property: Gf'("'lJ6-:;" f' KI't-rr-lf 7f.OI3c:,I'.~ Suffolk County Tax Map No 1000, Section //0 Block 5 Lot I Subdivision ~ Filed Map. Applicant: Lot: Penuit No. '15 0' ~ Date ofPenuit. 10 f ,,105 P WA. <-r Health Oept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ;l. '5.0"1) Applicant Signature ~/OIlt,Y ~O :c,15~.s 31 SO 9. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INS :lION FINAL ] FIRE SAFETY INSPECTION DATE t f? INSPECTOR A 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. 31509 Z Date OCTOBER 6, 2005 permission is hereby granted to: GREGG & KATHI ROBERTS CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN AS BUILT ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 2545 WEST CREEK AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 001 pursuant to application dated OCTOBER 4, 2005 and approved by the Building Inspector to expire on APRIL 6, 2007. Fee $ 150.00 ORIGINAL Rev. 5/8/02 - "" . .' FIELD INSPECTION REPORT DATE COMMENTS \.)J ." - vI t'l FOUNDATION (1ST) G ~ S> - '"' .. ---------~-------------------------- --.- " - _m____ - - ..--.--- -~t~ ~ FOUNDATION (2ND) ~,...,t'l ~, -_.~_._-- tt z ~ t-- - IJ} .-.-. lI\ -L'" ----.-.-- -----_._----~-- ifi ~ ROUGH FRAMING & "--- -- ---- - ----. t'l PLUMBING f -.. [~ ~ INSULATION PER N. Y. [ol :r:>'"' STATE ENERGY CODE h (,t'/t ,~ ~(" ~Q..h .I, (f) r or 'I "7/ ~ rfl~ // ..A'. t- 7' t/ 7 I r " "'-----...--.-- FINAL / ~ S' ~ ADDITIONAL COMMENTS ?0 -.--..-.-...--.--.,-..---------- t~ ....-.... i- Z m ~ ;0 It> ._d .-.....-.-.....-- CC ~ ~ ~ ." -j:;::- ~~ 0, 0 Z = t'l _u.___w..O'...__..__ c...~ ._.~------- ~g; T t'l ." ~. :-" r ~ The Nassau An excellent "on location sales office", pool house, or general storage for your home. A beautiful way to meet your storage needs. Single or double doors are available on ALL MODELS. 8' high. Shown is a 8'xl0'. The Porch This unique shed can be used on one side as a changing room for the pool or storage and on the other side as a play area for the kids. It comes in the Suffolk, Ranch or Coionial Bam styles. Shown is a 10'x16'. All Sheds available in TI.II Tongue an rove Cedar &- Vinyl Siding 4 Ft. Side Walls Mini Barn This model will surely complement the natural landscape of your property. Like other models, the double doors will accommodate everything from tools to heavy lawn & garden tractors. Shown is an 8 ft. wide. 5 Ft. Side Walls Mini Barn This model gives you more headroom then the 4 foot side wall modei, but with the same great look. Shown is an 8 ft. wide. ~ ~ - ~~~~. ~ I ; L I~ I.... iz I '0 . !." 8 . , ..j l~ (, I~ Ie .t: '4 .~"i U ," I.') . ..t. 10 ~._ ir m lQ . r..,. i ~...- , . / I"",,, " r" 1--- :'~--l '1- -'/"" ,.:...').. ""- n i ."\ \JI I ("'J 1:- I'> l~ 12'- I I i I I i If' n ~ Q If: II ~ I....... ~f ~ I'.' ! f \f\ , I I ,) ,,~ . I ;;', II III - , 1 ~~ I I ~ : I" ! . I I r., . I --! i .. : ~~.- ".-, , '(j ) . ", '-('" t'...' '_." r1l )> Cl 'j\ ~~J (') ~ I \.1 \J <- ITI rri I ,I~ N 1~1 Iii -') IJ '" { :(, ,- . I CTl (j!'D i I;.) ~f1l Ifll IN i((~; lj 1---1, Iu) tJ l~: .'" \!11f..1 c~ I~I~ ';;11,,;; !~~ f'~; ~ 1 : .,'"i ~', jiJ rf' 'n (,= L~: ( . :i> ~;... ,~ )' .J. \.. .< If' I" ('I I ~;0 I\{\ I i I!; I', 'I~ ;rl 1--1 '- I~ I?) Ui " 'iii I ;r() ,h. 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". c, b ~ , I I I I . TOWN OF SOUTHOLl;) r. . BUILDING DEPART!Yf~NT TOWN HALL , SOUTHOLD, NY 11971 TEL: (631) 765-1802 I I ~ FAX: (631) 765-9502 I . :.. www. northfork.netJS~iIT -, r'\ 1J/60Cf~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ('.,-; A 20,." ~U) -'PERMIT NO. Examined Approved Disapproved aJ c ,. ,20~ , 20----=:1 Expiration Mail to: I:J.O~ S'...,.. Circle. (J"r/ Je.-*/'5tJl1 [-k ') N'r (i77G Phone: to 3 I . f 1 'i - 0 7 ( 7 APPLICATION FOR BUILDING PERMIT Date o/!.-Io b~f .3 ...- ,20~ INSTRUCTIONS , a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets otplans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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 Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 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 South old, 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. ~~ ~~/ (Signature of applic t or name, if a corporation) /;'0). S'A-,..... e/r~(~ fJ",r;- J.e-I+;-r SO,., j-;!'..;h'o.A. N If If 77C- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder () t(J lit'/' Name of owner of premises i If IL/ft " 1<0 6<. r~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ~ rc J:J (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians LiceNse No. Other Trade's License No. 1. Location of land on which proposed wor ,2~ .J r House Number Street County Tax Map No. 1000 Section Subdivision 110 Block Filed Map No. 5 Lot I Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. b. Intended use and occupancy g lvL chI sf.vr'-'j<C.. 1~ ,ft-Al..S as 6~/tf, 3. Nature of work (check which applicable): New l;;ildin$ Repair Removal Demolition 13 :L Po . - Addition Other Work Alteration S "-Gd. (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be pai.4 on filing tllis application) Number of dwelling units on eflch floor ,. \ 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. . 7. Dimensions of existing structures, if 'any: Front Height Number of Stortes- - \ Rear .... :....__ Jo Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front I C, ~ Rear Height ( [) , Number of Stories I I~ ' Depth (0 ' , 9. Size oflot: Front 11.'5 ' <&/, (~( I I II. Zone or use district in which premises are situated Rear &1' /120 ( Depth , L IkfSfJ/'f 10. Date of Purchase Name of Former Owner J. ts ''''A he { , 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L 13. Will lot be re-graded? YES_NO -L Will excess fill be removed from premises? YES_NO ~ &r~'1 :, L tA. A Jt-JltAP~ NY 14. Names of Owner of premises t<u~; /.pb e/T!'. Address (I/O/.- SAd'~ G (''Phone No. &3/. f71-. 07/7 Name of Architect 34- ,. ~ l' Address _ l""" 1:..... if.I.. Phone No ... T / '-:.i.I!!./ Name of Contractor }Juli, r.rk u.J?od A,t:"Address ~,. +'1 ~~C.M"c.. Phone No. 7~.>' Sf() Ii' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ---'- * 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. 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) ,sS' COUNTY OF S v flv1h.t . . -11:7 4. ~.e. G-r< 'Jj rl" h <.r~ ..... /Lo.- f1.-., K-o ~.u Is being duly sworn, deposes and says that (~)he is the applicant (Name of individual signing contract) above named, M~~( E57He is the Ow nJ..t 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. Sworn to before me this fl. V ~ W~~t Notary Public ./ 20 o-.l ~ ~~ Signature of Applicant THERESA E. EDWARDS Notary Public, State of New York No. 5010394 Qualified in Suffolk County ,j) Commission Expi res March 29 20 (/ '-