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Home My WebLink About28608-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28907 Date: 10/02/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 615 DOGWOOD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 1 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 2002 pursuant to which Building Permit No. 28608-Z dated JULY 29, 2002 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 SHED AS APPLIED FOR. The certificate is issued to DIANE D DUNBAR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 t Authorized Signae 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. 28608 Z Date JULY 29, 2002 Permission is hereby granted to : DIANE D DUNBAR 19 SCOTT DRIVE MELVILLE,NY 11747 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 615 DOGWOOD LA EAST MARION County Tax Map No. 473889 Section 037 Block 0001 Lot No. 011 pursuant to application dated JULY 29, 2002 and approved by the Building Inspector to expire on JANUARY 29, 2004 . Fee $ 75 . 00 , Zuithixize nature ORIGINAL Rev. 5/8/02 I r Form No.6 n 1 d TOWN OF SOUTHOLD ZQQZ BUILDING DEPARTMENT TOWN HALL j _... 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 I% 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. 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 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. 'e — -?-7 — `^ i New Construction: Old or Pre-existing Building: (check one) Ji.ry Location of Property: y l ,- VQg r/Q z t n p House No. - Street Hamlet Owner or Owners of Property: �j� ? r en <T) y i j C Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: ' Permit No. �.s O Date of Permit. ` l;} Applicant: (/ i e n" !/ �1 k, Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 0 g c C �zz:> 2a`i�`�o�l —�— i 2Q (off'4 3 Applicant Signature BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: L.27Z APPLICANTa:)mU .kDATE SLBMITTED:_47/;�/a SCTN1n DISTRICT: 1.000, SFCTlON: -(z3;1 131-0('K: __/_ LOT: S FREEI_ ADDRESS: CITI : ��/ ' M M)t\'IS1ON: 5� V PROJECT DESCRIPTION: Ancros0 �SA ESTIMATED PROJECT COST: -� ARCHITECT/ENGINEER: �v�llea__ FAST TRACK? c> SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24_ljri recognition.(C'R IiA fF,D before Iune 30, 1983),LINDF;RS IZFD[OTS FRONT JAN. 997 100-25. Nlerger.(A nonconforming at any time at ZONING DISTRICT: -R-410- CONFORMING? REQ. LOT SIZ p o�o__ACT. LOT SIZE:/�- ��lREQ. LOT COV. o ACT. LOT C_OV. REQ. FRONT ' PROP. FRONT/ - SIDE ACT. SIDE _ T REQ. REAR `?,f PROP. REAR _ J� REQ. EIGHT__,�<PROP. HEIGHT WATER FRONT? 1`/ 0 DESCRIPTION: PANEL #: ff+ FLOOD ZONE.7–X APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or�(BED #): DTE:--/—/— PERMIT#:R10- TOWN SEPTIC RECEIPT: Y o NEW YORK STATE DEC: PRF-DFC 9/1/75 YES o O SOUTHOLD TOWN TRUSTEES: YES oleM TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o N NYS ENERGY: YES OR® r►R EGRESS (18 H min.? 4 sq total) VENT(SQ. FT, x 4%) 1J LIGHT (SQ. FT. x 8%)rUIft BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: lao __SF FEE FEE E L (_SF)- ( SF)= SF X $ =S +$ +$ $ '�. 2. ( SF)- ( SF)= SF X $__s_+$_+$ THE �cc��o�>r�►L 8'A�� `r. BUILT ON SITE ADD 15% SIZE PRICE . ' 8X10 2085. 8X12 2195. s 8X14 2495. 8X16 2600. 2295. 10X12 35. �,a. R 1 14 2675. ° 10X16 2900. 10X18 3150. 10X20 3525. 10X22 4040. The 10X24 4195. 8'x 1 ' Colonial Barn 12X12 3205. 12X14 3685. This Colonial looking bam�ase -space for the mod- 12X16ern day homeowner. The usable space includes room for 4040. shelves, a loft, and even a work station. You'll enjoy the 12X18 43555, look and get the space. 10' high. Shown is an 8'x12' with 12X20 4660. two windows. Doors are 5' wi e, T111. FREE Delivery in Suffolk to Your Prepared Site. Note: 12' wide or larger MUST be built on site, which is reflected in the cost. Higher Walls add $6.50 running foot (must be considered built on site add 15%). Our floor dimensions are full size, not like our competition which is smaller. PRICES SUBJECT TO CHANGE. 'f HE TAI,��.; ,box... BUILT ON SITE ADD 15% SIZE PRICE 8X10 2085. 8X12 2195. 1 ' 8X14 2495. 8X16 2600. 10X10 2295. 10X12 2435. _ 10X14 2675. 10X16 2900. 10X18 3150. The 10X20 3525. 10'x 12' Tall Barn 10X24 44095. High sides and double doors make this shed great for 12X12 3205. storing equipment and tools of all sorts. This shed is 12X14 3685. over 10' high. Shown is a 10'x12'. Doors are 5' wide, 1 2X1 6 4040. T1 11. 12X18 4355. COMES WITH ONE WINDOW. 12X20 4660. I APR ED AS NOTED DATE' BY- FEE' AYULLDWINGE DDEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOIJNDATION - TWO REQUIRED FCA,dOURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR a x WFUL wil14GUT CERTIFICATE OF OCCUPANCY /F eZ£c 7x iC UNDER 1RITERS CERTIFICATE REQUIRED 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMinRKS: DATE SPECTO ;,9 � ff 4-,.� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ) ROUG,"LBG. ( ] FOUNDATION/2ND [ ] 1 ULATION [ ] FRAMING 'Z [ FINAL [ ] FIREPLAC HIMNEY REMARKS: DATE ✓02, INSPECTO FIELD INSPECTION REPORT DATE COg FOUNDATION (1ST) Ct Ck A> FOUNDATION (zND) �y z 0 y z ROUGH FRAMING& PLUMBING INSULATION PER N.Y. y ! STATE ENERGY CODE . !� 1 lJ v FINAL ADDITIONAL CONnmon S $ O z m h x N � I zl mI TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDINe' DEPARTMENT Do you have or need the following_before applying' TOWN BALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans___ TEL: (631) 765-1802 Planning Board approval _ FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 2 '20 2 Contact: Approved 2 ' 20 Mail to: Disapproved a/c Phone: Expiration , 20 / C Buil g Inspector 2002 t a�� APPLICATION FOR BUILDING PERMIT _....... Date 7— —— `'" �''°– INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector Nit I1 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 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 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 the Building Inspector issues a Certificate of Occupancy. f. 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 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 name, 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 ``1 A (As 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. Plumbers License No. Electricians License No. Other Trade's License No. 1 . Loca1tion of land on which proposed work will be done: House Number 4 & eet Hamlet - County Tax Map No. 1000 Section ; Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended.use and occupancy of proposed construction:/ a. Existing use and occupancy , f I`1- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ✓ Addition Alteration Rcpair __ _ Removal Demolition Other Work SSC (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling. number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business. commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories S. Dimensions of entire.new construction: Fronts Rear Depth Height Cy, �/- Number of Stories / 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 1 1 . 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 t/ Will excess fill be removed from premises? YES NO 1 . Names of Owner of premises ;�i ..Pi yr y� �'° Address i ti I�" II Y ! Y i 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 1� * 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. STATE OF NEW YO ) COUNTY OF 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; tliat all statenicuts contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworto before me this (� day of 20 Notary Public Signature of Applicant LYNDA M.BOHN NOTARY PUBLIC,State of New York No.01 B06020932 Oualified in Suffolk County— Term Expires March 8, 204_� �O N !oma mo � i s ' 00' pry/ ox F h h6 OT Zoo oL / ryh / 1 41 R1• ti 4 f / ` ~ \ \ �� R- 25.00' /l /fP�j. L- 40.50' --- CH- 0.50' ---CH- N.13056'50' W. 3(5.21' I � 30. a \ ry0 00 V SURVEY OF PROPER T Y �-y AT EAST MARION TOWN OF SOUTHOLD AREA = 16,655 sq. ft. SUFFOLK COUNTY, NY 1000 - 37 - 01 - 11 SCALE 1'1f = 30' CERTIF/ED TO, SEPT. 141 2001 DIANE DUNBAR NOTE, LOT NUMBERS ARE REFERENCED TO GARDINER'S BAY ESTATES, SECTION TWO " FILED /N THE SUFFOLK COUNTY CLERK'S OFFICE ON SEPT. 23, 1927 FILE NO. 275 ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION OF NEW y0 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. T. MEtr 9 EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS S of pp y HEREON ARE VALID FOR THIS MAP AND COMES THEREOF ONLY /F -10 SAID MAP OR COPIES BEAR THE IAAPRESSED SEAL OF THE SURVEYOR F `•_ • ?• WHOSE SIGNATURE APPEARS HEREON. PV.Y. LJC. NO. 496/8 ADDITIONALLY TO COWL WITH SAID LAW THE TERM ALTERED BY' t6EC S $, F MUST BE USED BY ANY ANO ALL SURVEYORS UTILIZING A COPY (63/1 - 020 F64X 1 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED' AND P 0 av°� BROUGHT - TO - DATE'ARE NOT IN COMPLIANCE WITH THE LAW. /230 p ET SOUTHOL , 7/ i 01 - 241