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Home My WebLink About33651-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33065 Date• 06/02/08 THIS CERTIFIES that the building ACCESSORY Location of Property: MADELINE AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 6 Block 7 Lot 16.1 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2008 pursuant to vPhich Building Permit No. 33651-Z dated JANUARY 26, 2008 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 SHED AS APPLIED FOR. The certificate is issued to MICHAEL L LAUGHLIN (OWNER) of the aforesaid building. SIIFPOLR CODNTY DHPARTM6N'P OF HEALTH APPROVAL, N/A HLSCTRICAL CERTIFICATE NO. N/A PLTA~BSRS CERTIFICATION DATED N/A Rev. 1/81 Form No. G TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL (03~-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: 1. 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 fram plumber certifying that the solder used in system contains less than 2/10 of 1% 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 buildings and "pre-existing" land uses: 1. 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 Da/te. ~°~(~~ b New Construction: Old or Pre-e/x~isting Building: n y (check one) Location of Property: ( (~~Qh}' 1-tU(~ ~t elrj ZS~ ~ House No. Street Hamlet Owner or Owners of Property: ~ ~ ~+~q~1 ~gt_~q~r1~~ h Suffolk County Ta~C Map No 1000, Section ~ Block ~ Lot /~, / Subdivision 33 ( ~ Filed Map. Lot: Permit No. Date of Pennit. l Applicant: Z 3 ~j ~Oh-~('a_ ~ ~~-~,C. Health Dept. Approval: Underwriters Approval: _ Platning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ a5 QQ ~ -~,~33d.o~ `~~'y .n~ 2 n zom ~ 55~,b~j -~~. 02/08/2008 09:11 FAS 801 788 7798 FISIIER9 ISLAND UTILITY FOUNDATION (IST) FOUNDATION (2ND) ROl'IGH FRAMING & TLUMSING DvSVLATIUN PER N. Y. I~~~-.y.. ---' --.- STATE ENERGX CORE '- FliYAL X002 ~- - -- w y _... U ~ ac _. ~ ~' r 'L D ~~~ i" r' ~~ l~ I7 P J a m A 1 ~7 f~ J~ ~, x r> ~ 1' x d 02-06-2008 09:18 SDUTHOLD BUILDING DEPT 16317659502 PfIGE2 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. 33651 Z Date JANUARY 28. 2008 Permission is hereby granted to: MICHAEL L LAUGHLIN PO BOX 323 FISHERS IS,NY 06390 for "AS BUILT" ACCESSORY SHED IN THE REQUIRED YARD AS APPLIED FOR at premises located at MADELINE AVE FISHERS ISLAND County Tax Map No. 473889 Section 006 Block 0007 Lot No. 016.001 pursuant to application dated JANUARY 22, 2008 and approved by the Building Inspector to expire on JULY 28, 2009. Fee $ 200. C ~ Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~ 3~ , 20 ~~ Approved ~~ , 20D$ Disapproved a/c ~( ~=-~- ~~~/1--~ Building Inspector BUILDING PERMIT APPLICATION CHECICLIc:" Do you have or need the following, before applying Board of Health 3 sets of Building Plans PERMIT NO. 13 E J'1-t?~ _..~ Date , 2002 ._ 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 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 a Certificate of Occuparn is issued 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 ash?rein described. The applicant agrees to comply witn all appiicaoie laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. z 3 S C D>1~f"4 C'R v, 4 Im C (Signature of applicant or name, i a corporation) 1 0 ~JOX ~,0~ t-IS~~,C515~av,r) lU~ ALL OOHS' " (Mailing address of applicant) Ofo 34C TL1C GC",.: ,- I'C ~ i,.. State whether applicant is owner, lessee, agent, architect, engineer; general contractor, electrician, plumber or builder Name of owner of premises (as on the tax If and tyY~ of corporate of duly authorized officer Builders License No. '~ 15q 3- H JCCUPAN.: Plumbers License No. ~_~ S - M ~ ~SE ~S U~i'.-,~~: Electricians License No. ~ `~ ~ ~ - Yl'l ~ ~'~'~~~~~~~ ~ ~ .._ CCU; r° . Other Trade's License No. ''' 1. Location of land on which proposed work wild, be done: House Number Street Survey Check Septic N.Y.S Contact: I Mai] to: ~ 3 5 ~On~fACT, na -1-~~ P. o. $nx boa F;shecs -_r~a„c,~ Phone:(~,31~ rl$g-985~ N~ CX~3 `? ,Q-s s .; ~ ~>- ~_ h; 3Ti~~. B'.~l'~C '.., 3T~: ' i r1T i6` 19p? n.~.~. ~;~r~ A FOF ~~~~ .. ., -u~ ~ F ~..,, .~~,~Ir:.. ~ r, I r° ~' ~ ~w:~ ,,.~'~i ~, t u•. ; 4 FI'VAI. - :~~ ~ fJ h~JST ALL CO','d5 F U'" ";- ,i;L! h4EET ThE REO!.;IREIJIEIJ°iS C; TN' C'DESOFNEI't' YORK STATE. MOT r.C_:~'ONSIBLE FOR ~DESIGDI QR fta7STRUCTI `(<64 ERRORS. Hamlet County Tax Map No. 1000 Section lO Block I Lot_ Subdivision Filed Map No. Lot or latest APPLICATION FOR BUILDING PERMIT (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy _~j; ,.,~\p ~a, Intended use and occupancy, S' Y~-~ ~-Q,,,,,; t A, Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 'T~~ ~\,,.Qd (Description) Estimated Cost ~ ,~(~('~, _C57-) ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units 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. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: uQ 13. Will lot be re-graded BUD Will excess fill be removed from premises: YES NO F;y~s Izta.,d, '.? rIa^:esc°Ov:.erc.`_...._:_,. N 063 r=~«=~~~~1Y1ic~ar' ~.G>~„1:~dcressP D X3.23 Y doneNoL31~ `j~`3-0'70 Name of Architect No,Le Address - Phone No Name of Contractor Z+S (' -Fcar-~;~ c AddressQ .D •F~p>C 2 0~. Phone No.( (a 31 9i - ~~.5~ F;She~sTZ1a„d,MY0G390 ~ 15. Is this property within 100 feet of a tidal wetland? *YES NO ® IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIItED 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: ~iS1r1C.C~j =S\0.~ COUNTY OFS~u /lI~~~S ~/ ~i ~`O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)lie is the (Contractor, Agent, Corporate Officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; :hat 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 ^' /r N ~ . ,.,,. ~ ~ 2 . 4~~~ie ~ ~ Notary Pub°1 c ROXANNE SFAULDING NDTARY PUBLIC, STATE OF NEW YORK Nn.0151'6119~42 (]UAI IIILD IN SUI 101 K CIIIINTY h1V CUh1MIti510N I XI'llllti AlIG. 9, 70L~ t Si ure of Applicant Rear