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Home My WebLink About34980-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPDJqCY No: Z-34027 Date: 10/26/09 T~IS CERTIFIES that the building ACCESSORY SHED Location of Property: 1530 NEW SUFFOLK RD (HOUSE NO.) County Tax Map No. 473889 Section 109 Subdivision CUTCHOGUE (STREET) (HAMLET) Block 6 Lot 13 Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2009 pursuant to which Building Permit No. 34980-Z dated SEPTEMBER 3, 2009 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 D TRUE of the aforesaid building. (OWNER) N/A N/A N/A - ~thorized Signature Rev. 1/81 TO~,~iN OF SOUTHOL~) . 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: 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 from plumber certifying that the solder used in system contains less than 2/10 of t% 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. [;~r exis~ng buildings (pri~r t~ Apri~ 9~ ~957) n~n-c~nf~rming uses~ ~r 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 Date. New ConstrUction: Old or Pre-existing Building: Location of Property: / ~-,,,~ O .~l ¢'t~ t~tf/d/[C- House No. S{re~( t OwnerorOwnersofProperty: .~i£~- ~. g-/ d~5 . .'~t/~ Suffolk County Tax Map No 1000, Section f~ ~/ Subdivision rgqq~5~ .%?c~e ~ ~ Permit No. ~- ~ Date of Permit. (check one) Block ~:; Lot /.~ Filed Map. Lot: Applicant: / /3. % Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c~o-~0?) / Final Certificate: ¥' (check one) ,' 4' ,~p'plicaht 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. 34980 Z Date SEPTEMBER 3, 2009 Permission is hereby granted to: MICHAEL D TRUE 1530 NEW SUFFOLK ROAD CUTCHOGUE,NY 11935 for : AS BUILT ACCY 10X14 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0006 Lot No. 013 pursuant to application dated AUGUST 28, 2009 and approved by the Building Inspector to expire on MARCH 3, 2011. 1530 NEW SUFFOLK RD Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 FOUNDATION (1ST) ~ :~, FOUNDATION (2ND) · ROUGH FRAMING & PLUMBING ~S~ON PRR N, Y, STATE ~RGY CODE ~ ~D~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Approved Disapproved a/c Expiration · 2o L c "; , 20; \ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowing, 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 Permit Storm-Water Assessment Form__ Contact: Mail to: Phone: ~/r~¢ ~3bq ~ilding Inspector I ~ I Date_ ,20 ~ BtgG. Ut[2..~,,, ~ INSTRUCTIONS ~pletely 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 wate~ays. 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 Pemfit to the applicant. Such a permit shall be kept on the premises available tbr inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eveu building pe~it shall expire if the work authorized has aot commenced within 12 months after the date of issuance or has not been completed within 18 months l~om such date. If no zoning amendments or other regulations affecting the prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit tbr an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depa~ment fbr the issuance of a Building Permit pursuant to lhe Building Zone Ordinance of the Town of Southold, Sufi~lk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or aherations or fbr removal or demolition as heroin 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. ~ ~ig~~~~ tur~ o~apphcan{ or name. ifa co.ora ion) ~ILIN~ & GO~EGT~O~S (Mailing address of applic~t) ~~ ~ ~ner, lessee, agent, arcmmcL engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ F~ ...... ~.~ V (As on the tax roll ~5~t~.~) ; .~; ,W;'MENT AT If applicant is a co~oration, signature of duly authorized officer 765-1802 8 ;,k~ ~3 ,: 7t¢ FOR q HE (Name and title of corporate(o) yO{)J pAb!(. y OF-; Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on whicllpropgsed work will be done: / 55Co Me.aw House Number Street i. FCUND,~IL N -5V'/O REQU!F;ED FOR POURED~ ...... 2. ROUGH F,,:. ,~ & 3, IW3ULA'[~ON 4. F,NAL ¢C ,~I,CI MUST BE COL/iPLE-I 2 ..... ~. ALL CONSTRUCT',ON SdA_L MEET THE REQUirEMENTS OF'THE CODES OF NEW County Tax Map No. 1000 Section Subdivision YORI~TATE. NOT [~ESPONSIBLE FOR DES~ ~.(~T~;ft~q.T.~ ERRORS, Hamlet cd Block ~ Filed Map No. Lot /-~ Lot State existing use and occupancy of premises anD int~nde~use an~l occtu~j~cy of proposed construction: a. Existing use and occupancy b. intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Alteration {/Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature dud extent of each type of use. 7. Dilneusioos 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. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Fonner 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 ora 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 *fiis propeily? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) COUNTY OF~{¢)S: ~kJ~,~ "'"~ "(' ~ 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 perlbm~ 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 perlbrmed in the ~nanner set forth in the application filed therewith. Signature o f Applibant SURVEY OF PROPER~ 51~A~.' OUTOHO®UE TO~N~ SOUTHOLO SUFFOLK COUNTY', NY' or ~ofmer/9 °~ 150.¢' ~S0o06' 40"E N ssoOO6' 4o"W ~' ~_50.00' CRAPHIC 5GALE ~IiII JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.$. LIC. NO, 50202 RF~RFIF~, N,y. 11901 369-8288 Fax 369-8287 REF~-TIGER~ROS\99-221