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HomeMy WebLinkAbout10851-zFORM NO. 4 TOWN OF SOUI=HOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC~dPANCY No Z-18377 Date SEPTF24BER 18~ 1989. THIS CERTIFIES that the building_ ADDITION Location of Property 130 CLEAVES POINT ROAD EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 02 Lot 032 8ubdivisionMARION MANOR Filed Map No. 2038 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7a 1980 pursuant to which Building Permit No. 10851-Z dated SEPTEMBER 2~ 1980 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 SECOND FLOOR ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JOHN EDLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N494727-SEPT. 25, 1980 Rev. 1/81 Building Inspector BUILDING TowNHALL, SOUTH'oLD, Permission is hereby grarlted to: I0851 Z BUILDING P,ERMIT ~, ; (THIS PERN~IT MUST BE KEPT ON ~HE piPElineS UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ;~ ii ote Z. , ,, '~ .~....:.x.~ .............. , at premises located County Tax Map No. 1000 Section pursuant to apphcation~ dated BU Idlng Inspector, Fee $. ....................... No ~..~..~,.. .......... ond approved by the nspe~tor TOWN OF SOUTHOLB BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 II971 APFLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION / .OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Loca~o. of P~ope~t~.~... .,. , ~.~. .... ~~..~y~ HOUSE NO. STREET HAMLET O.ner or O..~rs of Propert~...~ ~. £--.JZ ~ ~ Permit No. A~ ...... Date of Permit . -AppLicant . Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: .. . f ............... Final Certificate eo ~ 1~7'7 'er. 10/14/88 PORMNO. TO~NOF SOUTBOLD BUILDING DEPAKT~ENT TOWN HAL~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS # 'This application must be: filed in typewriter OR ink and submitted to the Building ,Inspector with the follo,~ing; for new buildings 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 of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrica~ installation from Board of Fire Underwriters. 4. Sworn statement from ~lumber certifying that soldex used in system contains less than 2/10 of I% lead.' ~. Commercial ' ' bu~ldzngs,.indu~trial buildings, multiple residences and similar buildings and install~tlons, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board!Approval of completed site plan requirements. For existing buildings (~rior to April 9, ]9573 non-conforming uses, or buildings and "pre-existing" land uses. ]. Accurate survey of ProPerty showing all property lines, streets, buildings and unusual natural or opographxc features, 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show Single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of O~aupancy is denied, the Building Inspector shall state the reasons therefor in w~iting to the applicant. 3. Date of any housing cdde or safety inspection of buildings or premises, or other pertinent informationlrequired to prepare a certificate. For Vacant Land Certiflc~te of Occupancy: ]. An application for vadant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany th~ application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ]. CERTIFICATE OF OCCiUPANC¥ - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dweliling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of OccuPancy on pre-existing dwelling - $100.00. 3. Copy of Certiflcat~ of Occupancy - $5.00 - over 5 years - $10.00 ~. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificat~ of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.0~ Commercial 10/I4/88 FIELD -INSPECTION !. ~OUNDAT~0N FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: ',YORK BOARD OF "~ ........ ' '~ - , ,,, ' NEW :FIRE:: UNDERWRITERS--' - ,, I< i -,~ ', ,?':. ' BUREAU OF,ELECTRICITY',=-~!I-Zh!'.qI'-,' , , ~, , ' h,,, 85 :JOHN STREET, NEW YORK, NEW,YORK ,I0038 o.t~ Septembe only the el~trical ~qulpme~t ~ described belo~ and i~tr~uce~ b~ the applicant ~am~ o~'t~ a~e a~pllcatio, number i . ~ Jo~ Edl~, Cle~es Po~t ~., Gzllet~e ~. ', ~s~ ~z~, N.~. ~ :~ ' ~ao~epg~r ~2, 1980 ~ j~ and found to be in ,compllance with the requirements of thi~ Board OVENS 1 DRYERS Paul Burns Town Harbor Lane Southold, N.Y. 11971 This certificate must not be altered in any 'manner; return tl the , , ..... OENERAL t , ,, , Lic 282 E ,,, ,~ _~-, 11 office of the Board ~f;~ncorrect. Inspectors may be ,dentJied FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 ...... Approved ...... l ....e mit No..la Disapproved a/c ........ ~ .... ~ (Bm'l&ng Inspector) APPLICATION FOR BUILDING PERMIT Application No./.t?:~.~7./. ....... Date 8-27-80 19 INSTRUCTIONS a. This application must be completely filled in by typew, riter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans~ ac~curate 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 g~ving 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. Ahler~..Bull.~.r,..Inc, ............ (Signature of applicant, or name, if a corporation) 855 Eugenes Road, Cutchogue, N.Y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ Gener. al. C.ontrac. tor ............................................................... Name of owner of premises . .J.o. hrl. E.dler ........................................................... (as on the tax roll or latest deed) If applicant ts a corporation, signature of duly authorized officer. .......................................... George Ahlers, Pres. (Name and title of corporate officer) Builder's License No....253. ................... Plumber's License No ....................... Electrician's License No...~..27.E. ........... Other Trade's License No ..................... 1. Location of land on which proposed work will be done ................................................ ~ Cleaves Point Road, East Marion, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section .. ~.. ~. ......... Block ...~.~. ......... Lot... ~."4~2 .......... Subdivision.../~t(W~..f~..~(kl. am~.f~9~. -O~. ..... Filed Map No. ~O.,~...~.. ..... Lot...~. ........... 2. State existing rise and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ........ . .1~.~..1.1.i.~g .... .O..~...~... ~.~../~../..~...~..~ ........................ b. Intended use and occupancy ....... ~..1.13.~.g.. .~. . 3. Nature of work (check which applicable): New Building .......... Addition ....X. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~i .J~.~. ~c~ (Description) 4. Estimated Cost ~8000o00 ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwellingiunits .. 1 Number of dwelling units on each floor 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.. 3~ .......... Rear .... 32 ........ Depth... 57 .......... Height .... 22 ........ Nuraber of Stories .... ~ .................................................. structure- with alterations or additions: Front . .~.2. ............. Rear ..... ~.2. ............ Dimensions of same Depth..37 ................... ' Height ...2.2. ................. Number of Stories ...... .2 ............... 8. Dimension~f entire new construction: Front '2 ..... 32 ...... Rear ..... 32 ........ Depth ...57 .......... Height ...".'- ........... Number of Stories ........................................................ 9. Size of lot: Front . 8121 ...... . ............ Rear . .80 .................. Depth ...308 ................ 10. Date of Purchase .......... . ................... Name of Former Owner ............................. I1. Zone or use distr~iqt, in which piemises are situated ..... ~k ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . ..I19 ............................ 13. WJl116t be regraded no ............................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . .0'..O.1~...I~..d.l.~p. ...... Address ...lg.a. 8.~.. ?I.a. lT.~.o.~l.... Phone No?.7.?..0.1.I.]:. ...... Name '14~ ~I~i~' 'Bl~l~'. ................ Phone No. 4. ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl4 number or description according to deed, and show street names and indicate whether interior or corner lot. 3o~ STATE OF NEW I¢'~K,-- ~ ~ ~ ~ (Name of Individual sighing contract) above named. : He is the ............... ~ ~ · ... · · { .................. r ....... ~, i-* ...... ~, ~ .' ............... (Contractor, agent, corporate office'r, 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 are 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 me this I ........... ~- ...... day olf ......... ,19 being duly sworn, deposes and says that he is the applicant County NO No, 52-8125850, Suffolk Term Expires, March (Signature of applicant)