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HomeMy WebLinkAbout12151-zFORM 110. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18494 Date OCT. 24~ 1989 THIS CERTIFIES that the building Location of Propert~ 650 GROVE DR. House No. County Tax Map No. 1000 Section 080 Subdivision ADDITION SOUTHOLD Street Hamlet .Block 04 Lot 024 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 22, 1982 pursuant to which Building Permit No. 12151Z dated FEB. 10g !983 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 TO EXISTING DWELLING. UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to EDMUND H. PRESSLER ( owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A H012395 OCTOBER ~0~ 1989 Rev. 1/81 /Budding Inspector P~n~issiori is herebywranted ? BUll ar~d:~pproved by the TO~ OF SOUTDOLD BUILDING DEPARTHR~T TO~ DALL $OUTDOLD, NE~ YOR~ 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY " NEW COt;STRUCTIoN .. ..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ '' ro~t~on o~ Prop~..,~..~. · . ................ .~. ~.~..~.~..?~ HOUSE NO. , STRE<T UAHLET ' O~ner or Ownerg of Property ~o~ ~ .~, .o. ,000 ~o~ go ~o~ ..~... ~o~-~ .... gubdivtaion ....................... Ftled Hap ........ Loc .......... ..... ~are of Per.it .......... appt~canr ....... Ueaith Dept Approval .................. ~nder~rieer~ Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Sub~i~ted: $ .... ~.~..~ ........... Certificate 10/14/88 FEES: I. FOEHNO. 6 TO~N OF SOUT~LD BUILDING DEPARTmeNT TONN IL~LL 765- 1802 ~PLICATION FOR CERTIFICA~ OF OCC~ INSTRUCTIONS~ '~s application must be filed in type~iter OR ink and mubmjitted to the B~ildlng Inspectmr with the following; for new buildings or new ~se: ~ ~. Flnal SU~ey ~f property with accurat~ location of all b~ldings, property streets, and unusual natural ~r topographic features. 2. Final approval of ~ealth Dept. of water su 1 _ · ' 3. Approval of electrzcal ins~-]~-' ~ ~PP y and sewerage disposal(S-9 fo~ ~. Sworn mtat~ ~ ...... ~on ~rom ~oard of Fir~ UnHe~it,~ of I~ lead. 5. Co~erclal buildings, industrial buildings, ~ltiple residences and similar.' ' buildings and lnstallatlons, a certificate of ~Ode compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan equzrements. For existing buildings (Prior to April 9, ]9570 nOn-confomi~g uses, or buildings and "pre-existing" land uses: . I. Accurate su~ey of property shOWing all property lines, st;reefs, buildings and unusual natural or topographic features. 2. A properly completed applicatlon, a consent to inspect signed by the applicant and a certified abstract of title issued by a title COmpan~ which shall show single and separate o~ermhip of the entire lot prior~ to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector ~hall state the reasons therefor in ~iting to the applicant. 3. Date o[ any housing code or safe*- : .... pertinent info--rio .... ' - ~ ~uspecc~on of buildings~or premises, other ~ ~quzrea to prepare a certificate. ~ or For Vacant Land'Certificate of Occupancy: ~' ~ appl~cation for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title compan~ showing single and separate o~ership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denled,~the Building Inspector ~hall State the reasons therefor in ~iting to the applicant. CERTIFICATE OF OCC~cy - New ~elllng $25.00, Addlti~ns to ~elling $25.00, Alteratiom Co ~elling $25.00, Swiping Pool, $25.00. ~ccessory building $25.00 Addition to Accessory buildlngs, $25.00 - Businesses $50.00. 2.Certificate of Occupancy on pre-ex~sting dwelling - $100.00. 3.Copy of Certificate of Occupancy - $5.00 - OVer 5 years~'- $/0.00 4-Vacaut Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 6.Temporary Certificate of Occupancy - $~5.00 Residentiai $50.0~ Co~ercial ~v. TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 To Whom This May Concern, TEL. 765-1802 We are unable .to complete your Certificate of Occupancy because .of the following reasons. /--/ An application for Certificate of Occupancy is not on file. /~ No Underwriters Certificate On file. /--/' The check is (outdated/not on file.) /-/ No Ilealth 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 t, I A -~/ .~ _~ Z Building Dept. ***/Z/ No Plumber Solder Certifica:te on file. ( all permits involving plumbing being issued after April 1,1984 ) ~ i~ ' THE NEW YORK BOARD OF FIRE UNDERWRITERS. '. ~ B5 JOHN STREET NEW YORK, ~E~ ~ORK t0~: ': : : ~. OCTOBER 20, 1989 64706289/8" :: ~ Date THIS CE~IFIES THAT , <.~.:~' ~:;~j ," o~y t~ ~lec~rical ~uipment ~ ~scribed below and lnt~uced by t~ ap~licant ~d on the a~e application number in the prem~es of ~DMUND PRESSLER, GROVE DRIVE, REYDO~N SHORES, SOUTHOLD, N.~,- ,-, , - ~sexaminedo. SEPTEMBER 2 ,1989 a.d~oundtobeincompianceWiththerequlreme~lsofth~sBu.rd. RX;UEE BX~URE~ RANGE~ ' FANS This ~ertifi~ote must ~ot be altered in any manner; return to the FIELD INSPECTION DATE COMMENTS ADDITIONAL COMMENTS: FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL EN¥. No. //,,.F~, ,MAP No r O'~lV, E' SURFEYED FOR*~O~ ~ .~¢~ ~, ¢~. -' ' ' -~ [ I~ ~ ' " ~ ~ ~ ~"~ "' LOTS: ~ ~ ' '~ BLOCK: ~, ~UA~ANTEED TO: ,,~ DATE FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Appro ed ........ l?Z, Permit INSTRUCTIONS. a. This application must be completely filled 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 mugt be drawn on the diagram which is part of this appli- cation. 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 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 regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) .... (Mailing address of~plicant) State whether applicant is owner, lessee, agent, architect, engineer,~ne~al co~_~tra~br, electrician, plumber or builder. (as on the tax roll or latest deed) -- If alyi~i~nt is a cj~13or~'g~at ~u~r~e of duly authorized officer. (Nart~ and title of corporate office~ Builder's License No..., .~-../. g.~. ............. Plumber's License No..,~.....~.... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ouse Number "' Strm Uamtet County Tax Map No. 1000 Section ...... .t~...~..~. ..... Block .. ..... ~. .........Lot .... ~ ~-. .......... ..... ~ ..... (Name) -. ' ....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... g. .,. ........................ b. Intended use and 3. Nature of work (check which applicable): New Building .......... Addition .... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... i (Description) . 4. Estimated Cost .......................... ee ................ (to be paid on filing this application) ' Z~. N her of dwelling units on each floor 5. If dwelling, number of dwellinglunits ............. um ................ If garage, number of cars 6 If business, commercial or mixed occupancy, specify nature and extent of each Wp, eof use ..................... · · ' : ' 3 pth 7. Dimensionsof,.exisarlgstrnctures,~fany: Front .... ,/6 ....... Rear ........ De ........ ;:~ ct/. '- N mb est 'ght ' Hel ............. u er o ones ..................... t' '- ............... ' ' '; '"' ' 3. .... Dimensions of same structure With alterations or addi~i~)ns: Front .... /.Q...(* ...... Rear ..../.~.... ~ ........ Depth ....... .~· .c~.' .......... Height .... ~?..~.'...,. ......... Number of Stories ...... ~ ............ 8. D~mens~ons of e.n~ire new construction: Front .... l'. ~ ...... Rear ........ ~ ..... Devth . .. ~:~. O...¢. .... .,H.e~ght .../.~.. ........ Nu_m_be.~r of Stones ........... .~. ..... ~ ................................... 9. S~ze of lot. Front ....... ./.'.778 .......... Rear ........ /. ~..$ ......... Depth ... ~...~. ........ .t. .... 10. Date of Purchase ... ..... Name ?fFormer Owner . . dr~.~,..~.k~ .. 11. Zone br use district in which premises are situated.., t~.~-..~, t. ~ .~t~'~c?~.{. ............... ~r~. 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ~.:..,,, ..... ~ .... Will-excess,fill be removed from premises: . Yes No 14. Name of Owner of premises . ~d')'~''''''~ ~/f6. ~..tt. ro. ~ ~ (. v'7. Address ...~.~.. ~qe...-q,. Phone No.. ~. ¢$7-. :'-./'. Name of Architect ......... i .................. Address ....... ~.q¥,3i'~rr ~-{. Phone No ................ Name of Contractor . .~--~}~. ~ ,~., .............. Address ' ~5"'~.~' ' ' '-' ....... Phone No. ~Y~ 7.7 ~. 7.c-./.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. 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 OFNEW x~ORK/ . / 'S S · .[.% .,/....r· ..t,~ . .. ~.O.d..~'lq'~ ..... : ..... n ..... '' (Name of individual sig~ing contract) above named. being duly sworn, deposes and says that he is the applicant He is 'the ..................... :, ~gent, corporate officer, etc.) of said owner or owners, and is duly authonz'~c'd°eo~perform or have performed the said work and to make and file this application; that all statements contained, in this application are tree 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. Sworn to before m~t,~s ........ · '~. ¢...~. ...... day o~-..~~', ,"19 .~..°'~' Notary "ub'~ .~4'... Nota~ Public, State of NewYo~ ' ~ .......... ~ ......... ~ ''~'''~ .... ~m~isslon Expires March 30, 19~ ' GY DRAWING NUMBER