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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 .......