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Home My WebLink About36775-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/14/2012 CERTIFICATE OF OCCUPANCY No: 35596 THIS CERTIFIES that the building SHED Location of Property: 6790 Horton Ln, Southold, Date: 5/14/2012 SCTM #: 473889 Sec/Block/Lot: 54.-3-14.5 Subdivision: Fried Map No. conforms substantially to the Application for Building Permit heretofore 10/18/2011 pursuant to which Building Permit No. 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: 12' X 12' accessory shed as applied for. Lot No. filed in this officed dated 36775 dated 10/26/2011 The certificate is issued to Winters, Penelope (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36775 Date: 10/26/2011 Permission is hereby granted to: Winters, Penelope 6790 Horton Ln PO BOX 335 Southold, NY 1197;I To2 Construct a 12' X 12', accessory shed, as applied for At premises located at: 6790 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot # 54.-3-14.5 Pursuant to application dated To expire on 4/26/2013. Fees: 10/18~2011 and approved by the Building Inspector. CO - ACCESSORY BUILDING ALTERATION OF ACCESSORY BUILDiNGS Total: $50.00 $157.60 $207.60 Form No. 6 TOWN OF SOUTItOLD 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 uew building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograpbic features. 2. Final Approval from Health Dept. of water supply and sewerageqJisposal (S-9 form). 3. Approval of electrical installation from Board &Fire Underwdters~ Sworu statement flora plumber certifying tbat tile solder used itl system contains less tbal~ 2/10 of I% lead. 5. Commercial building, industrial buildiug, multiple residences aud similar buildings and installations, a certificaie of Code Cmnpliauce from ambitect or engineer responsible for the building. 6. Submit Pbuning 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: I. Accurate survey of property showing all property Iiues, streets, building and unusual natural or topographic features 2. A properly completed application and conseut to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor m writing to the applicant C. Fees Ce~lificam of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $5000, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building- $100.00 3.Copy ofCert, ificate of Occupancy- $.25 4Updated Certificate of Occupancy $5000 5Temporary Certificate of Occupancy - Residential $15.00, Commercia $1500 Date. New Construct/on: Old or Pre-existin~, Bu din - Location of Property: (~-.~-"/ q (~ House No. Sti-eet OWner or Owuers of Property: ~e g'] ~--_510~9~! Suffolk county Tax Map No 100O, SectiOn S-[division ' rmit Co. 3¢775- Date 0fPermit. Health Dept. Approval: Planning Board Approval: Request for: (check one) Hmnlet Fil~ Map. Applier: Unde~ite~ Approval: Fee Submitted: $ Temporary Certificate 2012 · ~ pp icantSignature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL IROUGH) [ REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE 3 -- .3 o - / ~ INSPECTOR TOWN OF SOUTHOLD BUILDING D, EP.~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. N~orthFork.net PERMIT NO. Examined Approved Disapproved a/c BUll. DING 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Coutact: Mail to: Location of land on ~vhi,ch .pFoposed wprk will be done: House Number Street County Tax Map No. 1000 Section 5H Block 1 FOUNDATION TW , r_-: ~)blPr? FOR oOUR_KD .;;O: C- STR~PP!NG ELECTR,Cz 3, INSULATION 4. FINAL- CONSTRdCTION MUST BE COMPt ETF ALL CONSTRUCTION ShA~ REQUIREMENTS OF ~HE YORK STATE NOT RESPON~ BLE FOR ~~~NSTRUCTION.~ ERRORS Hamlet Plumbers License No. Electricians License No. Other Trade's License No. If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. (Signature of applicant or name. ifa corporation) :i; iS UNLAWFUL T>-xox ,:. CERTIF!C?T· (Mailing address of applicant) State ,vhether applicant IS o%;n~}, ess~',~geflt.ra¢oHiteCt, engineer, general contrabe~80~i~ ~ or builder Name of owner of premises ~( ~~FY BUILDING DiPARTM~NT AT a ~ 8 AM TO 4 PM FOR q~ ~ (As on the tax roll or l ~} E FOLLOWING tNSPECTtC NS Expi,-ation 4/~ ' 20 [5: Phone: ~"~ E,~ E ~ ~ ~-i~-'~] ' Bui'dingInspector I~LICATION FOR BUILDING PERMIT OCT l 8 20ii Date /-/'~O/{ 20// --,0W~LgP ~r:60t9' I INSTRUCTIONS a. This application MUST be completely 511ed in by typewriter or in ink and submitted to the Building Inspector with d sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prmnises, 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 isstle 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 pag for any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. fi 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 Depamnent for the issuance ufa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Sufiblk 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, h~nd ~ admit Subdivision Filed Map No. Lot 2. 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 ~'/¢ ~'~ 3. Nature of work (check which applicable): New- Building/,/'/ Addition Alteration Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, speci[¥ 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. 8. Dimensions of entire new construction: Front Height ~.~- Number of Stori~s 9. Size oflot: Front / S ~::~ Rear Rear Number of Stories /~-~ Rear ~ /3 'Depth k .Depth~ZX-~ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zo~ law, ordinance or regulation? YES NO / 13. Will lot be re-graded? YES NO / Will excess fill be removed fi'om premises? YES NO 14. Names of Owner ofpremises'n~,' k~a~)tL~rcJ--q~ddressG~ ;tz [-~e'~,% Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ NO ~ * 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. 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 NO · w YES, S TAT E. O. F7 .N_B_kV_%O RtqtJ _qTA, SS: ~~ ~{~ being duly sworn, deposes and says that (s)be is tile applicant (Name of individual signing contract) above named, cONNIE D. BUNCH Nota~ P~, ~te ~ New Yo~ (S)He is the ~D~t~ ~, No. O1BU61~ (Contractor, Agent, Corporate Officer, etc.) Quat~ In S~ C??~t~J~ ~, Comml~iOn E~I~ ~n~ ~, ~ o¢ said owner or owners, and i~ duly ~utbor~zcd to p~rfbrm or have performed the said work and to make and file this application; that aH statements contained in this apdic~tiRp are true to the best oChis knowledge and 5e][e¢: and dmt thc work will be perfUrmcd in thc manner sm ¢o~h,iu tl~;aRpl~ation ~lcd d~m'ewkb. ~ Sworn to before me th:ks, ) ~ day or Notary Public Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 April 5, 2012 BUILDING DEPARTMENT TOWN OF SOUTHOLD Penelope Winters PO Box 335 Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: //'Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $$0.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (AIl permits involving plumbing after 4/t/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-'1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 36775- 12 x 12 Shed Town Hall Annex 54375 Main Road P.O. Box I ! 79 Southold. NY 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7,2012 Robert Bohn PO Box 876 Southold, NY 11971 Re: Winters, 6790 Hortons Lane, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36775- 12 x 12 Shed '¢QUING OV£qTON .(.v^c~w'r) MAP f /