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HomeMy WebLinkAbout9798-zFORM NO. 4 TOWN OF SOUTNOLD HUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-26118 Date NOVEMBER 19, 1998 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1865 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 104 Block 13 Subdivision Filed Map No. CUTCHOGUE, N · ¥. Hamlet Lot 2.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 19, 1978 pursuant to which Building Permit No. 9798-Z dated JUNE 19, 1978 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 ADDITION WITH FRONT & REAR DECK ADDITIONS TOEXISTING ONE FAMILY DWELLING AS APPLIED FOR* The certificate is issued to DREW & LOIS ~ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N--434669 -- MAY 21, 1997 PLUMBERS CERTIFICATION DATED N/A * THIS UPDATES CO Z-9598 DATED 4uL~ 20, 1997. Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..Z..9.~9.~ .......... Date ...~Tul.y..20 ...................... 19 7.9. THIS CERTIFIES that the building ................................................ Location of Property ...c~.;~p ......... House No. Street Hamlet County Tax Map No. 1000 Section .'1.O.~. ........ Block ~.~ ............. Lot . .P.a?.~..9;4.2.~ .2... Subdivision. ~T~cq. Bgll. P. QSTI~..P.I?Op ........... Filed Map No..15.~. .... Lot No...~t.2 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .O'.tlr, re ..... .'19. ,., 197.~. pursuant to which Building Permit No. 9.7..9. ~. .Z ............... dated ...... .~.l~ll~e. ~.~. ............. 19~..8. , 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 ......... ...gO~i~ion .onto..~ .l~r.i¥,t.e..r~n~..f.~l%Y..~w.e%].$lag ......................... The certificate is issued to ... J~rtl~.P-.~h. H.,..~ohl~l,e~? .................................. (owner,~) of the aforesaid building. Suffolk County Department of Health Approval .I~/FL ..................................... UNDERWRITERS CERTIFICATE NO..43&.6~9 ......................................... ......... Rev 4/79 FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 979~ Z Date Jtme 26 ........................................................ , Permission is hereby granted to: Kenneth H. 3chuZer to ............ a~.. en.~.-,a.. ~z~.va.¢ e...O~e.. ~.em~.%.¥...~e,].,1 ~g. .................................................... at premises located at .......'1~8~.~ ....... ~[~,~ISJLI..P~:LI~'I;..RO&~ ........................................................... .......................................... g..u. ~ .o.~.o.~ .e..:...~.~.. Lo.~ ........................................................................ .....~...~...L~ ~ ...~/.~ ~.e..u....~.~.~.~...~.,.,...~.~p../t....~56. ................................................................... pursuant to application dated ..~T~il~.....J.~). .................................. , 19..7~., and approved by the Building Inspector. Fee $....~ 5,.Cig. ......... Building Inspector lO00-10/~-13-Parl; of 2.2 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwe[[ing or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .~.?.~.~ ./..f~./../.~./~Z~./~. ....... New Building ............. Old or Pre-existing Building ........... , Vacant Land ............. .... ............. ocat o of Property./ . . .. s2 House No. Street / Hamlet Owner or Owners of Property /~{~ ~. ~. ~[~. ~. ~~ ......... County Tax Map No. 1000 Section ........... ~.. Block ............... Lot. ,~ ............ Subdivision ................................. ~a~ ~o ............... lot ~o ............... Permit No..ElZ~--6'.ZDate of Permit ¢~/,~.Applicant j&~)~*. ~: ~55~ Health Dept. Approval .~ .... , ..... : ........ Labor Dept. Approval .. ~ ................ unee~r,ters" ' /5~:~'~' ~~ .¢~2~...Planning Board ApprovalApprova, ......... ~ ............ .... ............ floquost for Temporary Cortificato ..................... Final Cortifica!e .~.~ Fee Submittod $.. ........................... Construction on above described building and p. er~it meets all applic.~ble c~es and regulations. Rev. 10-10-78 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 inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ali 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 Upre-existing" land uses: I. 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 $25.00, 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-existinK Buildinm - $i00.00 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 ~P..VI~..gK 3~ 1998 Date . : ......... ~ew Construction ........... Old Or Pre-existing Building..UPDATBD. CO ..... ~ocation of Property $865 NASSAU POINT RD. CUTCMO~UE, N.Y. House No. Street Hamlet i f ty DREW & LOIS I~%mf nwer or Owners o Proper .................................................................. ................ Lot ...... : ............... )ounty Tax Map No 1000, Section.. IO4 .Block .... 19 ...... 2 3 ~ubdivision · -- · Filed Map Lot .................. ~ermit No ~79~ Date Of Permit JJgg/J~ Applicant ~ealth Dept. Approval.. ........... .... .. ...... . Underwriters Approval ......................... ilanning Board Approval ....... iequest for: Temporary Certificate ........... Final Certicate..F~ ..... ~ee Submitted: $ 50.00 .. June 19, 1978 Town of Southold Office of Building Inspector Town Clerks Office Southold, L. I. N. Y. 11971 Attention: Mr. Hlnderman Building Inspector Dear Mr. Hinderman: I appreciate the courtesy and time you gave me via our telephone conversation last month in regard to the addition I would like to do on the existing house I recently purchased on Nassau Point. A lot of time and effort was spent on the design of same, in order that it be in keeping with the surrounding homes. As you know Lorraines parents have lived on Nassau P6~nt for twenty years and her brother Bud Baldwin is doing an out- standing job on improving his home next to this one. It is our intention to keep up this Nassau Point high quality standard appearance, for anyones view entering Nassau Point over the cause- way. Attached herewith for your approval are three sets of drawings, applications and fee. It would be appreciated if you could advise me shortly of your review as we are quite anxious to start this work and complete it before the winter sets in. Again thank you very much for your help and cooperation and we look forward to meeting you in person during your inspeotions of construction. Very truly yours, Kenneth H. Schuler Town of Southo'Ld Office of Building Inspector Town Clerks Office Southold, b. I., N.Y. 21971 Attention: ~r. Hinderman , THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~' 85 JOHN STREET, NEW YORK, NEW YORK IOO3E~ Kenneth Schuler, Hassau Point Rd., Bay Ave,-2roadwaters Rd., Cutchogue N.Y . location; ~J Ist FI. Le 2nd Ill. .~,.ction Bl,,c~ Lot on May ~ ~ ~ ~9 79 und Jouttd to he in co.qdiance tvi~h tile req~*irentet~ts qf this II,~rd. FIXTURES RANGES 2-G,F.I. 1-Smoke Detector :, Clifford E. Jagger 'P.O. Box 61 Peconlc, N.Y. 11958 Lie.1836-E ' Per_ 11 This certificate must not be ohered in ony manner; return to the office of the Boo, rd if incorrect, inspectors may be /denfifmd by TOWN OF' ~OLITHOLD I-'IFFIE~E I-IF I=ILIILDING INSPECTOR TDWN I'~,LERK'S OFFICE: SrlUTHI3LD, N. Y. 11g'71 TEl-. . ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Yo (Building Inspector) Application No ..........~'~ ............. APPLICATION FOR BUILDIbiG PERMIT Date ......... , .................................. INSTRUCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate ~co the Bui~dJhg Inspector, with 3 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 perrm~ 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 $outhold, 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 ~dmit~ut~rizedinspect~rs~npremises~and~nbui~d~ngsf~rnec~ssary~nspe~i~ns~/~;~`~ ~ ~......~'~d~- "' appii f t, ........ ....... ...... St~ta wheCh~?icant is owner, I~ssee, agent, ~rchit~ct, engineer, Deneroi co~tractor, electrician, pJumbar ~ bui[dor ......... ............................................................................................................................... J'f applicant is a corporate, signature of duly authorized officer. ~ Builder's kic~se No ..................................................... ~ Plumber's License No ................................................. ~ Electrician's License No ............................................. ~ O~er ~ro~e'~ O~ceo~ ~o ............................................... ~ .~. Street and Number ~.~.~ ........ 2. State existing use and occupancy of premises and intended use ~nd occupancy of proposed construction: ~. E~i~m~ ~ ~ ~p=~w ....~,~ ......... ~ ............ ~.~ ............................... ~' ................................................... b Intended us~ ~nd o~up=~cy ............................ ~ ........................................................................ 3. Nature of work (check which applicable): New Building-, ................. Addition ..... ~. ..... Alteration ................ Repair .................. Removal .................. Demolitior, .................... Other Work ..................................................... (Description) 4. Estimated Cost .... ./,..~./.,/Z~./X. ...................................... Fee ............................................................................. (to be paid on filing this application) 5, ~f 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~ach type of use ............ q .............. onso, o,,t .~-/~.~.~ ....... Rear ....~ ............. ~epth .~.~.~..~... ' .... ........ ' '" .................. z ........... ........... ....... ~uimensions or some structure with alterations or additions: kront ..~.%~..~J~.~ .......... ~5~¢~...~ .......... Depth ..... ~.~ ................. He,ght .~ ...................... Number of Stones ./¢~ .................... 8. Dimensions of entire new construction: Front ......... ~ ....................... Rear ............................ Depth ........................ Height ....... Z.. ........Number of ~. I 1. ~one or use d~strict in'which ~remises ore s~tu~ted ..................................................................................................... 12. Doos proposed construction violate ong zonin~ Iow~ ordinance or re~u{ation: .... ~ ........................................... 13. Will lot be regraded ...../¢¢ ............... Will excess fill be remove¢_from pre~¢s: ( ) ~s (~ No Address Phone No. o, ............... ................................ ...................... / ' ~LOT DIAGRAM Locate dearly and distinctly ali buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines. Give street and block number or descriphon according to deed, and show street names and {ndicate whether interior or corner Iol. STATE OF NEW YORK .... ~ COUNTY OF .~.~ ....... f"'~ /..~.f!.~,)?,.Z-.Q~./.~. ....... ./.'.¢,.:..,..Q..~.,~.~.....~....~...~-.~...~.: ........................ being daly sworn, deposes and s~ys that he is the applicam (Name of individual signing c'ontrace) above named. He is the ....~.~.....~,.,,~....-~~ ......................................................................................... (Cont~ctor, dgent, ~porate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this application; ?hat ~1 statements .contained in this application are true to the best of his knowledge and belief; and thor the work will be performed i~ th4 manner set fo~h in th~ 'applicati6n filed therewith. .............. 'Z~.,.. d~of~.....~,,..,~,...., ........ , 19Z~. Notary Public,~..~....~oun~ ...... ~ ............. ~.]L'~,~A~ ~ S'~'~PH~N~~ (Signoture of opplicont) .']JOTAI~Y PUBLIC, State of ,New No. 41~3336235 ' '1 ZxlO" ',i LIOU $ ,6 J! J '1 FR°HT ' EL'EVA'TI ',I i .J ~" Co L - i · 1