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HomeMy WebLinkAbout34263-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33388 Date: 11/14/08 THIS U~KTIFIES that the building ACCESSORY Location of Property: 42205 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 3 Lot 25.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 2008 pursuant to which Building Permit No. 34263-Z dated OCTOBER 31, 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 MATILDA T MOTT of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL U~KTIFICATH NO. PLU~ERS C~KTIFICATION DATED N/A N/A Rev. 1/81 Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC5 This application must be filled in by typewriter or il~ 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, ptope~%' liucs Stleets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sexverage-disposal (S-9 3. Approval of electrical installation from Board of Fire Undem, nters 4. Sworn statement from plumber certifying that the solder used in system cootains less than 2/10 of 1% lead. 5. Conmmrcial building, industr/al building, multiple lesidences and simila~ bnildmgs and installations, a certificate of Code Compliance from architect or engineel responsible for the building 6 Submit Planrfing Board Approval of completed site plan requirements B. For existing buildings (prior to April 9, 1957) noa-colfforming uses, - uil(lin~s and "l)re-existing', land uses: 1 Accutatesurveyofp~ope~%,showingallpropely es, seets, uildmgandumlsualnatulalortopographic features. 2 A properly completed application and col/Selll lo iiq;l)eCl Sign]CCi b) ll)C C/1O[)[iclmt Il a Gellificate of Occupancy is denied, the Buildi~g lnspeclor shall state lhe C. Fees 2 Certificate of Occupancy on Pre~extsting Braiding 3 Copy of Cellificalc of Occupancy - $25 4 Updated Ce~lificalc of ()cci,pan%r $5000 Ne;v Col~stm,.ction; Old ol Pre-existing Buildiug: ~iche~ ;m~7 Location of Properly: ~t~ z o ~ ~· , c{ 5 5 '~ ~ House No S1 reel Han~e( OwI~el olOwnersofPlopcl%,: ~/~ ~;/ Subdivismn _ __ Filed hlap lot: Peunit No ~q',~ ~, ' Health Dept. Approval: Planning Board App 'oval: Request for: Temporary Ce~ificale Fee Submitted: $ Undem'rimrs Approval: Final Certificate: -T_ ~"'~c(c hcck one) Applicant Signature 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. 34263 Z Date OCTOBER 31, 2008 Permission is hereby granted to: JAMES MOTT 42205 COUNTY ROAD 48 SOUTHOLD,NY 11971 for : "AS BUILT" SHED AS APPLIED FOR at premises located at 42205 CR 48 County Tax Map No. 473889 Section 059 pursuant to application dated OCTOBER Building Inspector to expire on APRIL SOUTHOLD Block 0003 Lot No. 025.001 27, 2008 and approved by the 31, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~"~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~-' ! -'~// ~ //~r /3 // DATE / / ~- ~'~'~- '~ ~ INSPECTION REPORT FOUb~DATION (1ST) FO[4~DATION (2NI)) ROUGLI FtC4~M2:NG & pL L~I]BEq G faNS ULATION PER N. Y. STATE ENERGY CODE DATE COM2VIENTS FIN AL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined t~f~ , 20 6~f Approved lC/SI ,20 ¢ ~ Disapproved a/c Expkation 95~,20 I~ PERMIT NO. ,,¢&~,3~ 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 Flood Pemfit Storm-Water Assessment Form Contact: Mail to: .,4 Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,200~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 ~nall 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 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 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 applicant or name, if a corporation) (Mailing addres~of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contra'dt6r, ~ec'~n~an, plumber or builder ALL CONS';, MEET THE REQL Name of owner of premises ..... ~ ,~, If applicant is a corporation, signature of duly authorized officer (As on the tax roll or lat~iLdeed) Builders LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade's License No. (Name and title 1. Location of.land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section ~ ¢} Block ~ Subdivision Filed Map No. Hamlet Lot 22.~', ] Lot 2. State existing use and occupancy of premises and intended use and bc~upancy °f pr°p°sed c°nstructi°n: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition A tera 'on Other Work '7~ cq0~ Demolition (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of 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 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear Depth Rear 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? YES NO 13. Will lot be re-graded? YES __ NO Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater 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 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF I'fl,.EW YQRK) k,'~ ('L,.~s:' s: COUNTY O~'t~n__ ~ c, ~O O c~ ~~[O-'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ing contract) above na~ed, (S)He is the (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 tree 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 2 ~'~ day of ~) ~fT- 20 ~(~ ~- , -' ' VICKI TOTH Notary Public -- O;k ~ ~ ~f0010~,~U ~t~ t _ Commission ~pi~ July Signature of Applicant 25 13 0 25 SCALE: 1" = 50' SURVEY OF DESCRIBED PROPERTY SITUATE A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNT~, NEW YORK S.C.T.M. DIST. 1000 SEC. 059 BLK. 03 LOT 25.'I , ~ , I ' 1 ~5 ' 50 75 100 125 150 200 DATE: SEPTEMBER '17, 2005 225 CERTIFIED TO: JAMES C. MOTT CHARLENE MO'iF JOB NO. 2005-329 MAP NO. FILED: REVISONS: REV. PROP. DWELL 6/23/06 LOC. FOUNDATION 8/30/06 FINAL SURVEY 11/28/2006 ADD SANITARY DIMENSIONS 1/31/200'~ LICENSE NO. 050363 HANDS ON SURVEYING 26 SILVER BROOK DRIVE FLANDERS, NEW YORK ~.~'~ 11901 TEL: (631)-723-1954 - FAX.'(631)-723-1329 MARTIN D. HAND L.S LOT AREA: 31,0'16 SQ. FT. = O. 712 ACRE (ROAD LINE AS WIDEND - CALCO 34,138 SQ. FT. = O. 784 ACRE (DEED) WATER SERVICE AND SANITARY LOCA TION BY CONTRACTORS AND NOT GUARANTEED rr' ~.~o~°9'©