HomeMy WebLinkAbout12535-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...Z..1.6.6.5.9. ........ Date .... ~ e..b.r.u.a..r ¥..1.9. :. 1988
THIS CERTIFIES that the building Accessory
Location of Property . 52800 North Road (C.R. #48) Southold
House No. Street Hamlet
County Tax Map No. 1000 Section' 135 .Block 03 .... Lot 00 l
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..... ~..u.ly..!.8.,..[9..8.3.. . pursuant to which Building Permit No. !.2.5.3.5..Z ........ -
dated July 30, 1983 wasissued, afid conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
..... A..c.c.e.s..s 9y.y' . g.a.r.a.g .e.y.i.~..h.p.r.o.p.ey..s..e.t.b.a,c..k.s..a.s.. ,a.p.p. 1 .led for.
The certificate is issued to RICHARD & BOBBTE GASSER
................. - .... ....................
of the aforesaid building.
Suffolk County Department of Health Approval ....... ~./..A ................................
UNDERWRITERS CERTIFICATE NO. N 853434 2 / 12 / 88
PLUMBERS CERTIFICATION' DATED: N/A
Building Inspector
Rev. 1/81
~0~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12535 Z
Permission is hereby gmnte?~to;;
......... ~~ ....... (~..;~,~ ...................................
~ .......................~o ~ ~....~. .............................
~.~~......~..~.~.: ....................
,o ..~~.~....~.~..~.~.....~.~...~.....~.~.~....~..~~ .....
~:~,....~.,....~**~..~ ....................................... : .......... ~ ..............
at premises located at ..~....~...~...O....~. ...... ~...~..~..~..~.. ............. .~......~..~..~....~,.~ ....
I 5 0 o o ~
County Tax Map No. ]000 Section~ .......... Block .......... ,~ ........ L t N ........................
to application dated ...... .,~..~....~...~. ....................... , ~93.~, ond approv~ by the
pursuant
Building Inspector.
Fee ,..~..~.
Building Inspector
Rev. 6/30/80
; l: i~ ,
TOWN OF SOUTItOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
January 4, 1988
TEL. 765-1802
Richard & Bobble Gasser
52800 North Road
Southold, New YorkFl1971
To Whom This May Cohcern,
; t'
We are unable ~o complete your Certificate
of Occupancy because .of the following reasons.
/~/ An application for Certificate of Occupancy
is not on file. ENCLOSED
No Underwriters Certificate on file.
/~/ The check is(~/not on file.) $25.00
/~/ No Health Dept. Approval on file.
/~/ No final ins~pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # -L ~ ~_ ~_~ z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY.
CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT
HAVE TO BE TAKEN.
Thank you.
FIELD INSPECTION
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N, Y.
STATE ENERGY
C DE
FINAL
ADDITIONAL COMMENTS:
' ~ i ' ~ ,~-
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000708 BUREAU OF ELECTRICITY
[~-FD 85 JOHN STREET. HEW YORK, NEW YORK 1OO:38
D.t. February 12, 1988 4pplica,im, No.o..f,e 3s7597/85 N853434
THiS CERTIFIES THAT
o~y t~ el~trical ~utpment ~ ~scrib~ below a~ int~uc~ by t~ applicant ~med on the a~ve application number i~ the prem~s of
A~soxattli~edo~l Februa~ 8, 1988
FIXTURE LKEpTAC~Sj SWITCHES ~ FIXTURES ~ [ RANGES ~G DE~ ~ ~ OVENS DISH WASHERS EXHAUST FANS
/ . I
PANELBOARDS: 1-4cir., 100 amps.
Wiggins Lane
Greenport, N.Y. 11944 lic.#1049-E
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hali
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
~OWN
Instructions
A. This application must be filled in typewriter OR ink, and submitted aa~ 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 features.
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 pz~operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
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: Additions $25.00 POOLS $25. 00 ALTERATION $25.00
1. Certificete of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0. O0
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacan% Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Dete ..........................
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ...... ~.3.. ~.0. ¢.,..~. ?./t..~.H... /¢¢OZt P ,~OoT,P~,'L D
House No. Street l/am/et
Owner or Owners of Property ...... . ./¢...V.. ~ .... .~.,¢..~.,~.~.~.~. ...............................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No./,~..~',~..~.-. Date of Permit ~//~/~.~<,¢..Applicant
Health Dept. Approval ........................ Labor Dept. APproval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $. ~ ~CP ..................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant
THE NEW YORK BOARD OF ~EIRE ?wRITERs
I~UREAU OF ELECTRI~I~Y~. · ' ~ ·
~- J~l~,~.v 2:~ [978s ~OHN sT.~, N~w ~RK, N~W~O~
Date ~ppllcation ~o. on file ~ ~ .~ ~
THiS CE~FI~S THAT . , : ~ ~ ~ '' ~ ~A~
w~ exa.*ined on a~*d found to be in compliance with the requirements of this Board.
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS~
MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R
NO, OF CC. COND A, W G !
OTHER APPARATUS:
~ I C E
NO OF HI-LEG
OF HI-LEG
NO OF NEUTRALS A W. G,
OF NEUTRAL
li, GEN~ERAL ~ANAGER ,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved.. ' ., 19~..~. Permit No..].'~...S~. .~.--~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs application must be completely tilled in by typewriter or in ink and submitted to the Building 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
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Bqilding Permit to the applicant. Such 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 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 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 regulation~s~, and to
admit authorized inspectors on premises and in building for necessary inspecti.,~ ,f / r-~ j2/
........ ........
(Signature of applicant, or name, if a corporation)
....?..., .....:?. ??:..?. .....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
/ .~$o~rO.~.Bobb~e.Ga~.aer .... Ownem.
Name of owner of premises Same .............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ........ .s.e. 1..f .............
Plumber's License No .........................
Electrician's License No ..... ' ..................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .... .5.2.8.0.0...~.o.~.t..~. ?>..d ....... >>.o...~.~. >...2.8. 79
House Number 52800 .... Street North Road Hamlet Southold I//
County Tax Map No. 1000 Section .. :L35 ............ Block .. 0.3 ............. Lot OO1 .......... ~..~/ ·
Subdivision ......................... X .......... Filed Map No .... : ........ Lot .... /...W...
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . .d.w.e. 1.1..i.n.g. ........................................................
b. Intended use and occupancy Garage
Nature of work (check which applicable): New Building . f Addition ..... Alteration
Repair' . ............. Remqval .............. Demolition .............. Other Work ...............
4. Estimated Cost ...... ~...69.°.°.!:.°9 ..........
5. If dwelling, number of dwelling units .........
If garage, number of cars Ja!re e~. (3) ....
(Description)
$ 28.20
(to be paid on filing this application)
..... Number of dwelling units on each floor ................
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 .................... i. · Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .... .3.6. [ ....... Rear .... 36. ~ ........ Depth .2.4 ! ...........
Height ..l..0-J..6'! ....... Number of Stories ..... qn..o ................................................
9. Size of lot: Front .... 1,95!...i ........... Rear ....19.1.*. .............. Depth . .2.9..O! ................
10. [)ate of Purchase ..... Apr. '6' 19.6.9. ............ Name of Former ~er . l~m, · Floc, man ................
11. Zone or use district in which promises are situated...Res.. ..............................................
12. Does proposed construction vioiate any zoning law, ordinance or regulation: ...n.o ............................
13. Will lot be regraded ...... .~.o. ................... Will excess fill be removed from premises: Yes No''~
14. Name of Owner of premises ...R~. Ga~ s*~.. ...... Address . 52.800. N.ax:~h. Rd. Phone No.7.65. l&&6 ......
Name of Architect ........................... Address ................... Phone No ................
Nmne of Contractor .' ........ . ................ Address ................... Phone No ................
PLOT DIAGRAM
Locate Clearly and distinctly alii buildings, whether existing or proposed, an& indicate all set-back dimensions from
property lines. Give street and block 'number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NF~ORK. ,/ M' '~' S
COUNTY O ..... i~'
(Iqlame of individual signing contract)
above named. ~
being duly'sworn, deposes and says that he is the applicant
He is the ~ .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
wbrk will be performed in the manner set forth in the application filed therewith.
Sworn to before me this i
...... /.~'~:"...day o(.~~~ .......... ,1~.~.
Notary Public, . ............ ~ .1'~'- ~.~z~ County ~, ~
' ..........
~IOT~,RY pu~UC, Sta ew
,,, ~ ' " I Slab-on-Ground Construction: Floating. Slab Foundatmn
·
· .: .'' ' ~' ' %!'; ~J asbeslos d frame con~DucfTon Constructions us ra ed are for
Slab Gro~ Construction: Floa~Ng Slab Foundation
hon, R,2 , = 4_ m~n,, 6 max.
wood frame buddings with heights
of k2-foot maximum from floor to
door to gable peak.
16, and "Reinforced Conerele,"
foundation, see illustration entitled,
*~nchors and Nail ng for Exterior
Stud Walls," part 3, page 71.
FOR POURED CONCRETE : -'
AL~ CCNSTRU,CTION SHAg~ M~ET 'q">' ',' '"
STATE` CO~5~RUCT ON & ENERGY' ~
CODES NOT RESPONS 8LE FQR ':¥ ,'