HomeMy WebLinkAbout10593-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20659
Date APRIL 20~ 1992
THIS CERTIFIES that the buildin~
Location of Property 600
House No.
County Tax Map No. 1000 Section
Subdivision
ADDITION
CEDAR DRIVE SOUTHOLD~ NY
Street Hamlet
78 Block 9 Lot 6
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12, 1980 pursuant to which
Building Permit No. 10593-Z dated MARCH 21r 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 ADDITION TO EXISTING GARAGE ATTACHED TO ONE-FAMILY DWELLING
The certificate is issued to
of the aforesaid building.
D. F. NUHFER
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Bev. 1/81
-- - ~ Building Ins'pe'~to'r- ' 'J
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTME~IT
TOWN CLERK'S OFFICE
SOUTH'OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTt~ORIZED)
N? 10593 Z
Permission is hereby granted to:
~........~.~.... Z .-Z..~ ..................................
.................. ~.~.~,.?z~.~...... ~.....~.
to ...cZ..~.~.~.Z-z~.~.c.Z.~..~r~,~,'z:.~.~-2-.../...-'~. ...... z:~.~,.~.x.~'~......~7.~,~-~.cT~-.~
~..x~.,~..c~,~za....~....~.,c,;... ~,~.~,..~. ~....~.,~.z.z,~....: ...............................
ot premises Iocoted o~-...dO~ ........ .6~./,~-..,~,~.4t~..-~'...::...~7~ .~..~.~./~;;~,~.w',~')-
pursuant to application dated .....~.~./-6..'./.~.C.~...../...~.. .........., t~.., and approved by the
Building Inspector.
Fee $~.. .....................
Building Inspector
TO~N OF
TOUN HALL
SOUTHOLD, NE~/ ¥ORJ~
765- 1802
11971
APPLICATION
FOR CERTIFICATE OF OCCIIPA
Permit
Planning ~oard Approval
NEW CO.~STKUCTiON --~--.OLD OR PRE-EXISTING HUILDINc ...... VACANT LA~ID...j ....
o~ o~ o~.~ o~ ~o~.~..~.~E~Z~ ........................ . .......
subui~szo..~q~/~..~_~... Fizeu ~ -~-~f.-Loc..~ .....
o~=. np~o~.l ..4~: ............ U.U.=~ri=~ ~po=o~oi.~ ........
...........
Request for Temporary Cer~,,ificate ....... Final Certificate ~
Fee Submitted: $ ............
....
i~~DIC~ON FO~iC~KTIFICAT~ OF OCCUPANC~ INSTRUCTIONS
A. This application must ~e £11ed in type~-rltcr OR ink und submltced to cbc Bnildlo~
Inspector with the foliovin[; for new buildln~s or ney usc:
1.' Final survey o£ property vlth accurate location of all buildlngs, property linest
2. Final approval of H~altb Dept. of ~a~erPsupply and se~crage-dxsposal(S-9 form).
3. Approval of elcetrldal iuscallacion from Board of Fire Under,fliers.
4o S~orn s~n~menC fro~ pl~ber cerglfying ~ha~ solder used in sy=ccm con~ains less'
~han 2/I0 of 1% lead.
bu~ldznaS, indusgrlal buildings, mlciple residences nnd
buildings ~nd inscalla~ions' a cnrcificnCe of code compliance from ghe
or Engineer responsible for cbc building.
6. Submit PlanniuE Board Approval of completed si~e plan requirements.
B. For.existing buildings~ -
{(Prxor ~o April 9, 1957~ non-confo~in~ uses, or buildings
and "pre-exis~ing" lau~ usnsl
I. Accurate sunny o~ ~rope~y sho~ing all proper~y lines, streets, buildings and
unusual natural or Copogrnphlc features.
2. A properly compleced application, a conseng Co inspect ~igued by ~he applicant
. If a Cerciflcnge of ~Occupancy is denied, the Building Inspector shall s~a~e
reasons ~herefor in ,~iciug ~o the appllcang.
3. D~e o[ any housing ~code or safe~y inspection of b~ildlngs or pr~mlses, o~ o~her
percincn~ infoacio~n required go prepare a
I. M appllca~ion for viacanC land C~r~ilica~e of Occupancy shall be submitted,
and a ccr~i~iad abs~rac~ o~ ~i~le issued by a ~i~le company sho~in~ single and
separate o~ershlp o~f ,the entire loc prior Co April 9, 1957 shall also accompany
~hall ~tate the reasons therefor in ~itiut to the appllcanC.
CERTIFICATE OF O~C~CY -- Ne~ ~elllnE ~25.00, AddlClons ~o ~elllng $25.00,
Alteration Co ~lllug ~25.00~ S~imin[ Pool, ~25.00. Accessory buildint ~25.00
iddi:ion to AcceSsory buildings, ~25.00 - Businesses $50.00.
2. Certifi:~te of O~cupancy on pre-existing d~elli~g -
1. Copy of Certificate of Occupancy - ~5.00 - ova~ 5 years - ~I0.00
I. Vacant Land Certlficate of Occupancy -
i* Updated Certlfic~t~ of Occupancy -
fi. Temporary Certlf[caCe of Occupancy -~15.00 Residential
Comerclat
FOKM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your application dated .................................................... ,
for perm,t to ........... '..~. ........ at the premises located at ....................................
Map .'.~.]....?..?....~....L/tc.. ............ ~'~c~. .........~..~..!?.!..~...~ 'I'~TCFC/~/~ ~ .'ti.- / /
............... LOt .............................................. iS
returned herewith and disapproved on the following grounds ....... !..k.....?.~ ./~F I~' E ~/..~. ...........
..h.7:~ .............................. ~/~ ~ b,~'~r, ...................................... ~ . /~ ~ .......................................... ~zc: / ~[)~ ~3/~. ............................
Building Inspector
06 t C 'f '7-l-/IL
:4
:fffec:t /~ -hqe $~, i~ Co.
TOWN OF SOUTIIOLD
OI':F'ICE OF BUILDING INSPECTOR
ILO. BOX !179
TOWN IIALL
£OU'I'IIOLD, N.Y. 11971
Hatch 5, 1990
TEL 765-180,2
Thomas F. Nuhfer
P.O. Box 506
Southold~ N.Y.
11971
RE: D.F.
To Whom 'Ih.zs May Concernt
N'UHFER
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
/~/ An application for Certificate of Occupancy
is aot on file.
~_--~ No Underwriters Certificate on file. B.P. #10593Z
/~/ ';'he check is(outdated/not on file.)
/~/ Mo Ileal. th Dept. Approval on file.
/~/ Mo final inspection has been made.
P]eauc contact our office on this matter.
Thank you for your cooperation.
I!uilding Permkt {I I 0 5 9 3
Building Dept.
Z (GARAGE ADDITION)
Z (ALTERATION GARAGE
Ho Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
ROOF)
NOTE: BEFORE CO'S CAN BE ISS~D~__A PERMIT FO~_
~q~gS~O. gX_._~)tEp_,._A_~P~g_~_ FOR ADDITION TO HQU~E.
IS REqUIRE._D:.
FIELD INSPECTION
1.
COMMENTS
FOUNDATtO~
FOU1VDATZON (2nd)
ROUGH FRAME&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY
CODE 'k
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-180;3
Approve~./~..P{Ct/~r. ..~.. , 19d~. Permit No.//~..-5.'1~..~...~-
Disapproved a/c .: .... ._ ~~/.
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
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 wilt 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,/~uilding code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessa~spections. __ /1 ~ ~
................
(Signature of applicant, or na~ne, if a corporation)
· .P. ~....~....Ty.s....s..o~ ¥¥q.t~ .................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
OkP-t ~c~P- ..............................
Nameofownerofpremises .i'~.?t:...~!'.e'<g.....~' ?..~..~..ffcr.l%· .............................................
(as on t~e 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...~.~ ..................
Plumber's License No. ~(.~ ................
Electrician s License No ....................
Other Trade's License No... ~/~ ...........
1. Locahon of land on which proposed work wilt be done ................................................
.. &p.p ...................... ~5.. ~,~.{~ .............. 7¢~. ~ ~ .......................
House Num bet Street Hamlet
County Tax Map No. 1000 Sect~... ~. ~ ....... Block.· ~.~ ........... Lot..~ ...........
......... & YS ...... ...........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed co~,struction:
a. Ex~sting use and occupancy· ~%~ .~~ ~.~.~/~ ~ ....................
b. Intended use and occupancy .. ~.Q¢.~ ...... ( ..............................................
3. Nature of work (check which a~plicable): New Building .......... Addition . .~ ...... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
i (Description)
4. Estimated Cost. : 1 ......................... Fee
I (to be paid on filing this application)
5. If dwelling, number of dwelling U. nits ............... Number of dwelling units on each floor ................
If garage number of cars ! .[ ........................................................
6. I business, commercml or m~xe¢ occupancy, specify natur$ and extent of each ~type of use .......
7. Dimensions of existing structures, if any Front ..... .~..O. Rear ~O Denth ~.'~i?~iiiiiiii
Hmght .../~. ......... Number of Stories .... ./ ...................................................
Dimensions of same structure wlth alterations or additions: Front ................. Rear ..................
Depth .................... i' ' Height ...................... Number o,f Stories ............. , ........
8. Dimensions of entire new construction' Front ~O~ Rear f~d r,~+h 4/~
Height ..... J~. ....... Nu~mber of Stories ......................................... , ...............
9. Size of lot Front /.O.o../.!.. ', ...... Rear ./.o.Of. .............. Depth ../.~.Q: ...............
10. Date of Purchase ...-~..u..e-A~.-...15. .B. ............... Name of Former Owner .. ~ ~.~..~... ~ .~-.c..~t. .......
11. Zone or use district in which ' ' are
promises situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ...... .~4.O. .................. Will excess fill be removed from premises: Yes ~
14. Name of Owner of premises . .~.~ .O~....17 .~.t-).[f~T~. Address . .G~flfl. pg..Tq.~..r.~.o.~).. Phone No. 7~.~.~. ?.~.~. ....
Name of Architect ~
........................... Address ................... Phone No ................
Name of Contractor I
......... ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block Bumber or description according to deed and show street names and indicate whether
interior or corner lac.' ~ '
STATE OF NEW YORK,
CD.IJ.NTY OF..<0."-'k ~..,.,.,.,~..c~.... ,S.S
' ~' ' ~'' ~ ~ ~ ~f~ .... i .................... being duly sworn, Ceposes and says that he is the applicant
(Name of individual signlng contract)
above named.
of said owner or owners, ~d is dul~ authorized to perform or have perfomed the said work and to m~e ~d file this
application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the
work will be perfomed in the manne~ set forth in the application filed therewith.
Sworn to before me this
iNora~Y ~uauc, s}o*: ~ ~,- vo,~ / (Signature of applicant)