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HomeMy WebLinkAbout10240-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21086 Date OCTOBER 14, 1992 THIS CERTIFIES that the buildin~ Location of Property 660 BAYBERRY ROAD House No. County Tax Map No. 1000 Section 118 Subdivision ADDITION CUTCHOGUE, N.Y. Street Hamlet Block 1 Lot 13.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1979 pursuant to which Building Permit No. 10240-Z dated MAY 30~ 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 DORMER ADDITION TO EXISTING ONE FA~4IL¥ D~q~LLING The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOANNE B. McSHERR¥ N-443970 - AUGUST ir 1979 Rev. 1/81 FOR~ NO. ~ TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNq COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted tO.'~ ,~--~ .~Z,.~.~ ~ /;z~/; ...... d~Z,,~z. ~,.~.~.~....-.....~.:...~.... ..... ..~.~.A~.~.~ ........ ~~2.~...~.~/~ZzZ~ ........ iL FULL ~Z.~-., and approved by the ng Inspector ,4,,,~.~..Z~. ....... Z,,~:~x~.~~..z....~.~ ....... ~./..~ .... pursuont to applicotion dated ........ ..~.,~.../...~...........,' · ................ , Building Inspector. Fee $...~.~...~ ........... BUILDING DEPARTNENT 765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 accurat~ 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buiIdings and installations, a certificate of Code Compliance from architect or engineer responsible for the building· 6. Submit Plauning 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: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ~roperly 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· 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 - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . ~ate ..... ~..~ ~....~.... f.~. .................... New Construction...~.'~..~:./O~d Or Pre-existing ]uild~g ............... o House ~o.. ~ ~Strcet "' ~m~;~ ...... ............ ......... ill County Tax Map No 1000, Section.../(~.: ..... Block ...... l: ........ Lot . /.~, ~ .... ' . ,Subdivision ~ .................. Filed Map Lot ;Permit ~o..[.~.., · ...Date m · · Of Per it Applicant ~Health Dept. Approval ............ ~ '''' Uuderwriters Approval Planning Board Approval Request for: Temper&fy Certificate ........... Final Certicate .... ~ ...... Fee Submitted: $ ....... ................ <~, W~¢:~- . .~..~.. ~. .................... TOYfqY OF SOUTKOLD OFF/CE OF BUILDING INSPECTOR · P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 - =pp-~cant This i~ ~ ~ ~ ..... ~e YOU that the iob Permit Ha · ,, - '- ~ ~rx, una~r ~uildinR a rlna!' knspect~ on f[as~4~ '_~z~ -, In omdep to complete this ']~ is fl,_: it necessary that a Certificate of Occupancy be issued F!ease · ,-11 out ,h~ enclosed ~orm(s), return same to the above office with a check for $5.00 payable to the Town of Southold. Please indicate to whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date. Thank you for your prompt attention. VL:ec Very truly yours, Victor Lessard Administr~ tot FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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-iS-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. Su bm it P lann lng Board approval of comp leted site p lan requ irem ents where app l icable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p;Coperty 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. Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ...... .~,../~....~..//. J.~'.~ .~.. New Building ............. Old or Pre-existing Buitding ............ Vacant Land ............. Location of Property .~.~.~. (f~./~?//~-'~./¢7.~. (.~. .~,..c~.("~..~. ?~',<:.~-.~'.'.../..~.'.(~, ...... No. ' ....... T .... ....... Nam/e, Owner or Owners of Property ...J.~ ~]..~.'.~. ,~ .... t/,,~.....~..~ .~..~.~?. ?-..,~;~ .................. / County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ~.~) ~LZ/6 Date of Permit .~../~p/7.~..Applicant ~o/Lg'~ //)~ /~/~-3 ~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p/~rmit meets all appiica~ble cod~ ~)~d regulations. U Rev, 10-10-78 MEMORANDUM TO: Building Inspector, Town of Southold FROM: Board of Housing Appeals RE: Proposed Completion of Second Floor Residence of: Jeanne McSherry Bay Berry Lane Cutchogue, New York INSUFFICIENT HEAD ROOM In consideration of the non-conforming head room in the existing second floor dormer for the above residence, consent is granted to construct a new dormer with rooms having ceiling height to conform to the existing rooms of 7'~ 1". The balance of this new construction shall however conform to all applicable codes of the Town of Southold. Yours truly E. Kenneth Tabor, Chairman Board of Housing Appeals Dated: May 30, 1979 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 October 10, 1980 .' George Ahlers, Builder, Inc. 250 Cox Lane Cutchogue, New York 11935 Dear Sir: This is to notify you that Building Permit No. 10240Z issued ~a~ 2~. 1979 to ... Jeanne McSher~y will ex~'i~e oh _ November 2~ 19~0 If more time is required to complete the job and obtain a Certificate of Occupancy, you may apply, bY letter, for a six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, H. FISHER ~ : Sr. Building Inspector GHF/mw MEMORANDUM TO: Building Inspector, Town of Southold FROM: Board of Housing Appeals RE: Proposed Completion of Second Floor Residence of: Jeanne McSherry Bay Berry Lane Cutchogue, New York INSUFFICIENT HEAD ROOM In consideration of the non-conforming head room in the existing second floor dormer for the above residence, consent is granted to construct a new dormer with rooms having ceiling height to conform to the existing rooms of 7" 1". The balance of this new construction shall however conform to all applicable codes of the Town of Southoldo Yours truly E. Kenneth Tabor, Chairman Board of Housing Appeals Dated: May 30, 1979 250 COX LANE, CUTCHOGUE, N. Y. 11935 Telephone (516) 734-5010 May 25, 1979 Southold Town Zoning Board o£ Appeals Town Hall Southold, New York 11971 Re: McSherry residence Gentlemen: I am in contract with Mr. and Mrs. McSherry to build a dormer across the £ront o£ their home. It is our intention to make the dormer conform in wall height to the existing rear dormer and existing interior £inished rooms. The existing interior wall height and rear dormer wall height is approximately 7'1". As you know, the New York State Building Code calls for a 7'6" minimum £inished ceiling height. I would like permission to ereot our dormer and any new partitions on the insid~ which are shown on the drawing, to conform with the existing partitions. Very truly yours, GEORGE AHLERS, BUILDER, George Ahlers President INC. GA:nam FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~?. 7..?..~. .... , 19 .~.~?~ Approved., .r:~ .-~..~.'.C? ..... ,19/7Permit No...~.~..~.. ~?_) Disapproved a{c ................. ¢ ....... , ...... ~ aPPL~CAT~O~ FOR ~UlLD,~a Application No. ~..(.~...~..~.~. ?. ..... Date . .M.a.y..2.5. ~ ........ , 197.9. INSTRUCTIONS a. This application 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 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. .GEORGE. AHLERS.,..BUILDER.,..INC .............. (Signature of applicant, or name, if a corporation) .25.0..C. O .x. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... Gonaral. Eomt~acton ................................................................. Name of owner of premises . J. aanns..Mc Sherry ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signat~o f_d~uly a~e~ ;f~cer. ~eorge Ah'kers~ P. res.- ~-~"~ · ~Name and ~itie of ~~;) ......... Builder's License No ..... ~.1. ................... Plumber's License No ......................... Electrician's License No .... 15~9~E ............ Other Trade's License No ....................... 1. Location of land on which proposed work w~be done .................................................. .............. Bayb. arry. ~ ..... Nassau. l~.oin.t. ........ Cu.t. chog~a. ~.gS.. : ....... House Number Street Hamlet County Tax Map No. 1000-S~ctlon ...//..<~.. ......... Block ...d?../. ........... Lot....(9./..~.: ~ ....... Subdivision/~.. ?..~.~... ~O.~/'.~ ~& ~...~ ..... 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 .... d'c/ol].±~'lg ....~-~OA~r-~..~..~r~.f..~.5-~ b. Intended use and occupancy .... .d.w.e. 1..1.i.n.g..~.~[Q . . .,~3..~/?,~. ....... Repair .............. Removal .............. Demolition .............. Other Work ............... ;~ ~ (Description) 4. Estimated Cost . $.~.Q, 99.0...99 ......................... Fee .../..~....-'77. .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling units on each fioor ................ 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..~6 ! .......... Rear .. ~6.' ......... Depth ...~6 ! ......... 20 ' 1 Height ............... Number of Stories . . .4 .................................................... Dimensions of same structure with alterations or additions: Front .... .~6 ! ......... Rear ..../46.' ............ Depth . . 3.6. ~. ................ HeiSt .... ~0. ~. .............. Number of Stories ... ~½ ................ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated..A. .................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . Y. es,. ~ee. a.%tachad .le.~ter,. 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises JoaP-~. M~.~h~'r~.. Address ~clX. 6D.0,. C1J.~ohol~tl~ne No ................ Name of Architect ........................... Address ................... Phone No ................ Name of ContractorGeOrg~. Atll~r~.,..B~l.d~l'Address 2~0. Co;~ .La....C~.t.ci~e No. 73.4.-.5010. ..... 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 OF NEW ~).PsK] , 0 ~ S S COUNTY OF..~lrT.. ' ..... ¢.eorg.~..Ah'l .0~$ ............................ being duly (Name of individual signing contract) above named. sworn, deposes and says that he is the applicant He is the ........ C o~tr~c~.o.r ..................................................................... (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; that all statements contained in this application am 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. Sworn to before meth~ N°talTf Public~~ ' ~'z~' ' ' C°unty,~,~ c~ ~ ~(Signature of ~o~^,~ ,o~,~.,T,l,;?o;, ~.~. ~o~ ................................. applicant) , INSPECTORS Principal Building Inspector Curtis Herren Senior Building bzspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 $~OTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold. New York 11971 Fax (516) 76%1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SEPTgMBER 18, 1992 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy ~s" not on file. (Enclosed),~' --' ~, No Underwriters Certificate on file. l~ . The check is (outdated~x~x_~)$25.00(Returned $5.00 check ~ #837~dated 2/12/85) NO Health Department Approva! on file. ~%~' No final inspection has been made. No Plumber solder Certificate on file. (Ail permits involving plumbing being issueff~ft,~ APril 1, 1984). Please contact--__-_~U~_~ffi~/n this matter. cooperation. (Dormer Addition) Thank you for SOUTHOLD TOWN BUILDING DEPT. PLEASE NOTE: ~1tg ABOVE-REFERENCED BUILDING PERMIT BAS EXPIRED. KINDLY TAKE CARE OF THIS CO Ii~4EDIATELY. THANK YOU! ,Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: I. 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 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. Bo 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 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. C. Fees i. 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 - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.' Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............ .?/. ~[ ~..Z.. ................. New Construction ........... ,Old Or Pre-existing Buildin~..~ ~ ~f~_3~C(~ ..~.~-//.. i ....... ....... .................... · . ~Street Hamlet Onwer or Owners of Property ................. .... .. .. . ~ ...... -............ County Tax Map No 1000, Section .............. Block ................ Lot ...................... Permit No .... · ........ Applicant ............... ~ ..~. .... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: