HomeMy WebLinkAbout24773-ZFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26323
Date: 03/15/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2085 BRAY AVE LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 8 Lot 15
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 10~ 1998 pursuant to which
Building Permit No. 24773-Z dated MARCH 17, 1998
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 STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to CONSTANCE ZAHRA
(omma)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
uilding Insp/tor
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. 24773 Z Date MARCH 17, 1998
Permission is hereby granted to:
CONSTANCE ZAHRA
PO BOX 262
LAUREL~NY 11948
for :
CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 126
pursuant to application dated MARCH
Building Inspector.
2085 BRAY AVE LAUREL
Block
10 1998
0008 Lot No. 015
and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
~LDG. DEFT.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 a 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.
~Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25~
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building~
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..............
New Construction ........... Old Or Pre-existing Building .................
Location of Property ..... ~0~ .............. ~f. ~v~l~e ............... J~t~r~l.,.~.~ .............
House No. Street Hamlet
Onwer or Owners oF_ Property....~oD~$~DC~.IR-.Z~h-r~--- ............................... ....... ..
County Tax Map No I000, Section...~ ........ Block ..... ~ .......... Lot...l~ .................
Subdivision........... ............... ......... . Filed Map ............ Lot~..~ ..................
Permit No .... g~77~g ...... Date Of Permit. 3flT~B ........ Applicant...C. of~s.~c~..2mb, r~ ........
Health Dept Approval ~/~ Underwriters Approval .....
Planning Board Approval ...
Request for: Temporary Certificate ........... Final Certicate .... Y~ ....
EDWARD FORRESTER
Director of Code Enforcement
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Southold Town Hall
53095 Main Road
RO. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
March 5, 1999
Constance Zahra
P.O. Box 262
Laurel, NY 11948
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on ftle.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24773-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
IIDATE It 30M~4£~T£ ~-
II
] ·
FOUNDATION
FOUNDATION
(ist)
ROUGH FRAME &
PLUMBING
(2nd)
iNSULATION PER N. Y.
STATE ENERGY
CODE
r _NAL
ADDITIONAL COMMENTS
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ /] ~TION
[ ] FRAMING [ C3~FINAL
[ ] F I RE PLAC E/~/~N EYe, ,~, ~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] ~SULATION
[ ]FRAMING
[ ] FIREPLACE & C~HIMNEY
REMARKS: ~
DATE
INSPECTOR ~////~
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
TO:
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Constance Zahra
P.O. Box
Laurel, New York 11948
Your Building Permit application
for the following reasons:
What is the shed made of?
Ho~ is it anchored to the ground?
You can submit a oicture if you have one.
What are the dimensions of the shed?
is being returned as incomplete
DATED: March 3~ 1998
/ N~t~ - ~ ~ ~ SOUTIIOI.D, N.Y. 1197 I
pp=ed ...... .... ....
1)i~ a/c ..................................
. .... /-'
~-'. ~L~ APPL~ATION FOR BUILgING PBI~IT
:~ F~U ~OLD
INSTRUCTIONS
BOARD OF IIEALTS ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FORH ...................
NOTIFY:
CALL ..................
NAIl, TO: ....................
a. 'fids application mast be conpletely filled in by ~iter or in ink and sulnltted to t~e I~dlding Inspector wi4
3 sets of plans, accurate plot plan to scale. Fee according to sdmdule.
b. Plot plan sl~aing location of lot and of I~ildlngs on pr~snises, relationship to adjoining premises or l~d)lic
streets or areas, and giving a detailed deacription of layo~]t of property most be dra~n on tim diagrm~ ~d~idl is part of
this appl icatioo.
e. ~e work covered by this application may ~ot be ccramnced before isatmnce o[ l~ilding Permit.
d. Upon approval of this application, the l~ilding Inspector x, ill issx~e a Building Pemit to tim appllcant. ~uch
pemit ~hall be kept on the pr~nises available for inspection throngbont the ~ork.
e. No building sim11 be occupied or used in ~hole or in part for any purpose ~mtever until a Certificate of
Ocoapa~cy dnalI Imve been granted by tim Building Inspector.
APPLICRFlCI~ IS IEl~t~Y Ht~E to tim Building Oepartn~nt for tim issuance of a Building Permit paranant to the
I~ilding Zooe Ordi]mnce of tim Tonn of Sonthold, Suffolk ConnO], ~ York, and other applicable I.~as, Ordizmnces or
Regulations, for the construction of I~fildlngs, additions or alterations, or for removal or d~rolition, as herein
descril~d. The applicant agrees to comply x*ith all applicable la~s, ordinances, beilding code, housing code, and
.... .............
( 'gnature or appllcant,~,r nane, it' ~ corporatian)
(lqailing address o[ applicant) /~t
State/~tber applicant is ~a~er, lessee, agent, arddtect, engi~oer,'geoeral contractor, electrician, plunber or Daihler
(as ~ fl~ t~ ~or latest d~)
applic~t is a curl~rati~, si~re of ~ly ~tl~ri~ officer. ~P~D AS
3.
od~ Tt~'s L[c~ ~ ..................... 4. FIN~ . ~NS~U~ONMuST
, ALL S~ M
· ~u~t CODES. G .......
N~$~NSIB~ FOR
(~)
State existi~ ~ ~ ~o~ of I~i~s ar~ inte~ ~ aed ~o~ of pro~ ~mt~tion:
]. P;]~.re of ~k (dmck d~id~ applicable): Ne~ Iluihling .......... g~klition ....... ~2~/Alteration .......... '
Ilel~dr ............ ll~val ............. lhnolition ............ OLher Wink ...~t.ff ...........................
!Peserip[.ion)
,,. Esti,, ted cost ..... .................... ' .........
(to be paid on filing this application)
5. If d~lling, rx~limr of d~lling tells ..] ......... Nt~nler of ~t~elling tells on each flonr ................
If garage, nt~i]er of care .. .....................................
6. If buslpess, eemmrcial or mi~ed t*zo~aocy, speelf~ tmture and extent of each type of use ......................
1. Dimensions Of existing stroctures, if any: lh'ont ................ Rear ............... Depth .................
Ileight .... ...................... h~ter of Stories ......................
Dimensions of s~m structure ulth alterati~s or additions: Front ............... Rear ...............
Depth .................... Ileight .................... I~fl~er of Stories .......... . .....
8. Dime. nsi~ts of entire ne~ construction: Front ................ Rear ............... Bepth ..,,. ..........
Ileight ......................... l~der of Stories .....................
9. Size of lot: L~ront .................... Rear .................... Depth ....................
IO. I~te of lhirdmse ..................... 14,:~e of Former O~er ........................................
II. Zone or u~e district in ~/hich prmises are situated ..............................................................
12. Floes prope.sed e.~tstrocti°~ violate any zoning Ira, ordinance or regulation: ........................
13. Will lot le regraded .................... T/ill em:ess fill Ix] removed Prcm premises: Yi~ lxD
16. Iim~s of O~ner of pr~n|ses . .......................... &ldress .............................. Phooe 14o .............
~n~ of Ard~iteet .................................... /~ldress .............................. PIm~e 14o .............
l~m nf C~mtroctor ................................... ~ldress ............................... H~me 14o .............
15. ls Ods proport~t within 300 feet of a tidal ~etland? ~ YF~q .......... ~ ..........
*IF YES, S(lfflr~D 'fO[~l 'll~/STl!~S [~mrr my m m nmm.
?i.OT DIAGRAM
locate clearly and distinctly all buildings, wbetlmr existing or proposed, and indicate all set-leek dimensions
fron property lines. Give street and block nt~lmr or description according to deed, and sl~w street hanes and indicate
wletlmr interior or corner lot.
Constance Zahra ~ ~ ~:i~t~5~
........................................................ ~~}m~, delx~s a,~l m~ys that he
(~ of h~ividtml 81gnh,g c~tract)
I~? is the ......... ..O?~..e..r ....................................................................................
(C~tractor, ngent, corporate officer, etc.)
of said {~ner or {~ers, nnd is ~fly authorized to perform or h.T~e perforn~l tie maid ~o[k atxl to make a,xl file this
application; that all stat~,ents c:ontalned in this application are tne to the lest of his kl~ledge a,~l N_,lief~ at,l
that tie ~}rk will le perfonne{I in the maturer .get forth in the appllcat|on filed tlert*aith.
left)re n~. this
No. 47N4~
'i,4ig, ml:,,re of Al~d icant3~'r .......