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Home My WebLink About10471-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26004 Date: 10/05/98 THIS CERTIFIES that the building ADDITION Location of Property: 435 WEST ROAD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 7 Lot 11.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1979 pursuant to which Building Permit No. 10471-Z dated NOVEMBER 13, 1979 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MARSHALL FROST of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/02/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /i~ing Inspector FOP~f NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENt TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTi*tORIZED) N? 10471 Z Permission ~s hereby granted to: .......... ~(z/o.~.,~..../~(,.....F..,~'o.~ .~.... ...~..f_cz.,...../~./~.~ ...../~. ~) ........................ ....... ~.,,~.,~.~..oq.,~.~...~..~ ........ :. , . ~o ....... e ~..~.~,z ~.~..~-.......~ ~.~,.~.~.,~,. ..z:~ ...... ~'~ "~"~)'""~'~'~'7'"'c~'~'~?~ at premises located a~...~..~.~-'.....~./~.~....~'~'~-~ ............~.~tc~,~o~r~'~);'"tO'~; .......... pursuant to application doted ....... /(.,~..~....J.--~' .......................... , 19~..~..., and approved by the Building Inspector. Fee $,/...~. ............... Form No. b ~ ~.~ TOWN OF SOUTHOLD ~, BUILDING DEPARTMENT · ' ~ 765-1802 . ~c,,,,~ I~L; L APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the built inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fox 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial buil~ing~ _multiple _residences and similar bull 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, oK ~uildings Ppre-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 a consent to inspect sig~ed by the applic~ If a Certificate of Occupancy is denied, the Building Inspector shall state thc reasons therefor in writing to the applicaut. 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 $25.0£ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Ceztificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building... ~. ......... ocation of property .... House No. Street ]~mlet P y~/. Onwer or Owners of Pro err .~..~/~.~ ........................................... ~-~-'~ .... Co=try r= mp 000, s =tio . .... not..// Subdivision Filed ~p Lot Health Dept. Approval ........................ . . Under,tots ~pproval .................... Fee Submitted: ~c 5 ~0~ Planning Board Approval.......... .......... ... Request for: Temporary Certificate ........... Fin~ Certicate ........... $ .... Town Hall~ 53095 Main Road PO Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-180.2 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 18, 1998 Marshall Frost 6 Hunters Circle Lebanon, New Jersey 08833 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 10471-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INS~ FOUNDATZOM FOUNDATION 2. ROUGH FRAME PLUMBING INSULATION STATE E 4. BO'AD LAtJD FOrZ AT C U T, C H 0 G U L: TOW~J OF ~UT~OLP,M.Y. 5CALS: 40',~ I" FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ................ 19... Per'nit No../.~..~ 7./...~- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This apphcation must be completely filled in by typewriter or in ink and submitted in triplicate 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 th~s 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 applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~.O. 6U/zk~.4)...['V.].. .'~7~ ]/..(~.~f'.~... ~.. (as on the tax roll or latest deed) If applicant is a corporatmn, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~o~.~.~... ~/'~4~/~..-~.. ~ Plumber's License No ...... ~P. ~ ........... Electrician's License No... ~ .... : ...... Other Trade's License No ...................... 1. Location of land on whmh proposed work will be done ................................................. I ...... ................ ......... House Number ~ ~" ~amlet County Tax Map No. 1000 Section ...ff.~ .......... Block ...O. 7 ........... 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 .... ~'.4. ~¢.e. ~.~... ~ b. Intended use and occupancy ... >J~D~'~ f. [~i~.~.e.~( q:~ ........................................ 5. If dwelling, number of d~velling finits ................ _hl~mber of dwelling units on each floor ............. If garage, number of card ..... i" '~' '~r'O'~:;*~' '~ ~'''' [~.O~-4. ~ .............................. 6. If business, commercial ~r mixed occupancy, specify nature and extent of e~ch type of use .................. 7. Dimensions of ~jsting s' ructurei, if any: Front .... [~.' ....... Rear . .g..-,~?. ....... Depth . .~'1~ .~ ..... i I-Ie~ght ../.~..'...~. Number of Stories ................................................... Nature of work (check Wll~ch applicable): New Building ................. ........ ;. Addition ... Alteration Repair '. ............ [ Remoyal .............. Demolition ........... Other Work ..... (Description) Estimated Cost ......................... ~ ..... Fee ...~ O ........................... ~4..; ' ' ' (to be paid on filing this application) 10. 11.' 12. 13. 14. Dimensions of same stru Depth .... .'),-.."~,~-..... Dimensions oftentire ne~ Height ./. ~,~..'J~r~....~. Size of lot: Front ...... Date of Purchase .... Zone or use district in ~ Does proposed construe Will lot be regraded .. Name of Owner of prerr Name of Architect ...... Name of Contractor ..... ~Locate clear~ and disti~ property lines. Give street an interior or corner lot. :ture wi~h alterations or additions: Front ................. Rear ................. ........ Height ................. Number tel Stories ....... ~ .............. constntction: Front... i~. ?i ...... Rear... £.'. ........ Depth ..t'tJ.: ........ · Number of Stories ........................................................ .[ ..... J ........... Rear ...................... Depth ...................... .~ .~.~. ............... Name of Former Owner ............................. hich premis~es are situated ............ ?~ ?. .................................... tion violhte any~oning~aw, ordinance or r~g[la~lon~.~. .......................... ...... ~ ............. ~...~.. Will excess fill be removed from premises: Yes ises ... ~ ................ .~Address . .~..~ .............. Phone No ................ ' A~[dress ~ q*' k' Phone No .... ~ ............... Address .................. Phone No ................ PLOT DIAGRAM :ctl¥ all 11 buildings,' whether existing or proPosed, and, indicate all set-back dimensions from block number or description according to deed, ~ind show street names and indicate whether STATE OF NEW YOR .K~5 COUNTY OF. '~(y..~..~.,Cl ......... 71.2¢.5 (Name of indivi above named. ... F~.)~... ~ ~]~./i ~ ~. [ ........ being duly sworn, deposes and says that he is the applicant lual signlng contract) He is the ..... : ........ ~.. ~. ..... ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, tu td is duly authorized to perform or have performed the said work and to make and file this application; that ail stateme: tts contained in this application are true to the best of his knowledge and belief; and that the work will be performed in th ~' manner set forth in the application filed therewith· Sworn to before me this - j ..... dayof. NOTARY PUBLIC, State ct NOR, / ~o. s2-~s~am I (Signature of applie~t) Qua] hod ~n 8uftol~ Co~ ~ CommisSion ~xpires March ~0, 1~