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HomeMy WebLinkAbout34189-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33632 ~te: 04/02/09 THIS ~KTIFIES that the building ACCESSORY G~d~AGE L°cation of Property: 265 BARLEY LA (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 59 Block 4 Subdivision Filed Map NO. __ Lot NO. __ SOUTHOLD (HAMLET) 5.12 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2008 purser to which Building Permit No. 34189-Z dated SEPTEMBER 29, 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 ACCESSORY NONMABITABLE UNHEATED TWO CAR GARAGE WITH STORAGE ABOVE (NO ELECTRIC) AS APPLIED FOR. The certificate is issued to CORI & KAREN LANG (OW~NER) of the aforesaid building. SUFFOLK COUNTYDEPARTM~qTOFHEALTHAPPROVAL ~LRCI-KICAL c~TIFICATE NO. PLI~4BERS C~TIFICATION DA'£~D N/A ~/A N/A hor/~ed Sd~nature Rev. 1/81 BLDG. OEPT, TOWN OF SOUTHOLO P,d'J'L Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 2ATION FOR CERTIFICATE OF OCCUPANCY JX 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 leeation of all buildings, property lines, streets, and unusual natural or topographic featurea. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3. Approval ofeleetrical installation fi'om Board of Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% Iced. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for thc building. 6. Submit Plannin$ 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 featmes. ~ 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 New Construction: / Location of Property: jt~ S House No. Owner or Owners of Property: CO 1'-I' Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ ~//0~/ Z Health Dept. Approval: Date. Old or Pm-existing Building: Street (check one) 0 ~--? Block 000 q Filed Map. Lot: DateofPermit. ?/OOT/OY Applicant: .CO~ ~ ~''I~}TtylA-j Unde~te~ Approval: ~ Hamlet Lot 0 0.~', 0/o~ L,t,u 6 Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ j~, O O Final Certificate: ~ (check one) Applicant 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. 34189 Z Date SEPTEMBER 29, 2008 Permission is hereby granted to: for : CORI & KAREN LANG PO BOX 1083 CUTCHOGUE,NY 11935 CONSTRUCTION OF AN ACCESSORY GAP~AGE IN THE REQUIRED REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 27731 at premises located at 265 BARLEY LA SOUTHOLD County Ta~ Map No. 473889 Section 059 Block 0004 Lot No. 005.012 pursuant to application dated SEPTEMBER 29, 2008 and approved by the Building Inspector to expire on MARCH Fee $ 443.40 29, 2010. ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27731 Z Date SEPTEMBER 25, 2001 Permission is hereby granted to: CORI & KAREN LANG PO BOX 1083 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY GA}~AGE IN REQUIRED REAR YARD AS APPLIED FOR at premises located at 265 County Tax Map No. 473889 Section 059 pursuant to application dated AUGUST Building Inspector. BARLEY LA SOUTHOLD Block 0004 Lot No. 005.012 16, 2001 and approved by the Fee $ 443.40 ORIGINAL Rev. 2/19/98 REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ [ ] ROU PLBG. [ ] ;ULATION [ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE ~ INSPECTOR ~~~~~ 765-1802 BUILDING DEPT. INSPECTION [//'] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ] FINAL REMARKS:[ ] FIREPLACE~& CHIMNEY _ DATE INSPECTOR ~Om~DAT~ON ( IST)' ROU~ ~ & INSULATION I~R lq. Y. DATE ADDITrOIqAL CO~flKI~'S: LOT ~ 4124D MI. fl. ~' 154J2' lOT NO. 12 BARLEY LANE LOCATION CF WATrR ~ A~D ADdiX~I~ WATER C(~Y & KAREN LANG SUNRISE ABSTRACT ~. CO~ITgYWIDE HOME LOANS. INC. of record, if any.~ no= sbov~':~ ;:.'~ ,~ ~4c;.m~eed. JO~ NO. 00-104 r~. ~AT~ SURVEYED F~ C~Y ~ ~ ~G ~i4 ~A~D AT ~ ~WN ~ ~-~ ~ KY. H~OLO F. T~CHON ~R. P.C. LAND SURVEYOR ~/-A''~I}' LIC..NO. 048992 HAROLD F. TRANCHON .IR. PENN LIC NO. 211t5-E 1866 WADING RIVER-MANOR RD. WADING RIVER NEW YORK, 11792 516-929-4695 TOWN OF SOUTHOLD PROPERTY ~RECORD CARD OWNER STREET '~?~>~-~ VILLAGE DIST. SUB. LOT /,/__ RES. ~ I 0 S~5. V~ FARM COMM. CB. MitS. Mkt. Volue ~ND IMP. TOTAL DATE R~RKS Tilloble FRONTAGE ON WATER Wo~nd FR ON ROAD /~o Meedowl~d :OEPTH ~ ~ House Plot BULKH~D Totol TRIM Extension Extension Extension u Porch Breezeway Garage Patio O.B. Total Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Both Floors Interior Finish Heat Z4 J Rooms 1st Floor Rooms 2nd Floor Driveway Dinette LR. DR. BR. FIN. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved ~'"~ta~j''~z- .~ ~, 20 t~./ Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: C~,rl Lt~ 'hone: '-765'- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 se~s 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 apphcatiun 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 Occupancy 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 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~fiame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ('tL'gi ~ ~Qlt-(¥t,.//.r°ft¥(.~ (ns 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. .-D'('>_ }: Plumbers LicenseNo. Electricians License No. Other Trade'sLicenseNo. 1. Location of land on w~ch prgposed, work will be done: House Number CountyTax Map No. 1000 Section ._~/ Block Subdivision Filed Map No. Lot (Name) 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 Repair Removal 4. Estimated Cost I O 5. If dwelling, number ofdwell~g units If garage, number of cars r]_ Nature of work (check which applicable): New Building Demolition Fee Addition Alteration Other Work ~ !~eCi' (Description) (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. ~ t'a' 7. Dimensions of existing situctures, if any: Front ~ Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front /L~ Rear Depth Height. Dimensions of entire new construction: Front Height 9. Size of lot: Frotu 10. Date of Purchase Number of Stories Rear Depth Number of Stories Rear Depth Name of Former Owner ~J3c~.~ 11. Zone or use district in which premises are situated ~'-~%~ (~ ~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 14. Names of Owner ofpremises ~ ~q /}Ifjohn{- Address Name of Architect Address Name of Contractor c~ ~I~' Address Will excess fill be removed from premises: YES ~ Phone No. Phone No Phone No. -,~ 15. Is this property within 100 feet ofatidal wetland? *YES NO ~ · IF YES, SOUTHOLD TOWN TRUSTEES 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 ) CO ? ~ ]--/¢~'J (~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 flied therewith. Sworn to before me this Not~ublic ~ A ~A~IS ~ARY ~B~G, ~te of N~ Yo~ T~ ~ Ju~ ' :,: OCCUP ISE IS U ,APPROVED,ASNO1T]I , USE IS U 765-1802 FOL~OW;NG INS E~ONS. I~ FOUNDATION. TWO FOR POURED CONCR~ Z ROUGH. FRAMING A RLUMBIN~ ~ I~SU~TION · FINAL . CONSTRUCT/ON BE COMPLETE FOR C,O. ALL CONSTRUCTION 8HALL THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT DESIGN OR CONSTRUCT E F~ DO NOT PROCEED \'V!TH FRAMING UNTIL SURV['Y OF FOUNDATION LOCATICN HAS BEEN APPROVED.