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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)