HomeMy WebLinkAbout11434-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22004
Date DECEMBER 7~ 1992
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 39380 COUNTY ROAD #48
House No. Street
County Tax Map No. 1000 Section 59 Block 9
Subdivision Filed Map No.
SOUTHOLD, N.Y.
Hamlet
Lot 28
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 9, 1981 pursuant to which
Building Permit No. 11434-Z dated OCTOBER 27, 1981
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 ACCESSORY AGRICULTURAL GARAGE
The certificate is issued to DAVID L. MUDD
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-849008 - JAN. 6, 1988
Building Inspector
Rev. 1/81
~o~ NO, ~
TOWS-0~ S~OU?80~9
TOWN HALL
SOUTHOLD, N~ y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL ULL
COMPLETION OF THE WORK AUTHORIZED),
N~. ~ 434 z Do,, ...O/~....~:~m ...........
~rmission is hCroby 0rontod to:
~u~ ~ .
...... ~ ........................ ~.~ .......................
...... mrr~ ...... ~m ~...,....+...? ................
.................................................................................. ...: .......... :....;. ...........
....... ~ ......... ~ ......................................................................... ?..~:....?. ............. :.~ ............. : ........................
co~ ,~ ~op ~o. ~000 'so~o~ .... ~.~ ..... ~o~k ,..~.Z,, ........ ~co~ ~o. ~.Z~ ...........
Building INspector.
~ *.~.-.. ........
Form No. 6
TOWN OF SOUTHOLD ·
BUILDING DEFARTMENT
TOWN HALL
765-1802
i - APPLICATION FOR CERTIFICATE OF OCCUPANCY '!~ -'
,%- 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 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 ~lectrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system conta~s
~ less than 2/10 of 1% lead.
5. Commercial building, indus, trial building, multiple residences and similar bnildings
and installations, a certificate of Code Compliance from'architect or engineer
responsible for the building.
6. Subm~it Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 195_7) 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. · ..o
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 - $i00.00
3. Copy of Eertificate of Occupancy - $5.00 over 5 years - $10.00
4. Updat=d C~rtificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.%0, Commercial $15.00
Date ........ · .......
2:ew Construction... ... Old Or Pre-existing Buildin~ ..............
Street Hanule t .........
Onwer or Owners of Property... .
County Tax ~'p No 1000, Section .... ~.? ......Block...p.%. ........ Lot...~.~ ..............
SubdiVision ' '
.................................... Filed Map ............ Lot ......................
...... pplieant..q ..
Permit No ..... . ..... Date Of Permit.'~ '
~ealth Dept. Approval... ,
....................... Underwr.lters Approval..
Planning Board Approval .......... ' O ,!',.,
Request for: .Temporary Certificate ........... Final Certicate ...........
, -P iC. -. , ....... ."'
THE NEW YORK BOARD OF FIRE uNDERWRITERS
1000378 BUREAU OF ELECTRICITy
~-~..~ B5 JOHN STREET, NEW YORK, NEW yORK tOO3S
TH~S CERTIFIES THAT
only the el~trtcal ~uipment ~ ~scrib~ be~w and i~tr~uced by the applicant ~d on the a~e application number in the prorates of
S~ph~u ~fu~d, Rou~e ~ ~ke~'ly Po~d & Kenny*~ R~d~ ~u~ho~d,
te ~ara~e
in the following location; ~ B~s~mdnt ~ Ist FI. ~ 2nd FI. Section Bilk Lot
~sex~r~i~edon D~C~,~ 10, 1987 andfo~ndtobelnco~t~pli~nce~'ithther~qt~ire~e~tsofthisBo~rd.
FIXTURES RANGES OVENS DISH WASHERS
EIXTURE SWITCHES
DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO, OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
NO, OF NEUTRALS A, W G
i 250 ~ICt~
Steve's Electric Inco
P.O. Box 1268
Southold, N.Y, 11971
This certifi¢ote must not be altered in uny mdnner; return to th&' office of t~e Board
COP~Y FORiBU LDING DEPARTMENT. THIS COPY OI
Lic. 3494g
GENERAL MANAGER
be identified by their credentials.
~ ANY MANNER~
FIELD INSPECTION COMMENTS
~.FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
o
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN ItALL
$OUTHOLD, N.Y. 119'/I
TEL. 765-1802
This is to advise yon that the jobunder building
permit no. 11434Z issued to David
Mudd
on 10/27/81 for AgricultUrai Building is completed
n final inspection has ( ) has not ( x ) been done.
and
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
enclosed form, return same to the above office with a check
for $10.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for nn inspection date
Occupancy or use is unlawful without a Certificate of
Occnpancy. Please help n,~ to clear up thi~ mat~er so that
legal action docs not have to be taken.
'thank you for your prompt attention.
Very truly yOu~,
Victor Lessard
Exccutlve Administrator
VL:gnr
encl .
TOWN OF SOUT~IOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
June 4, 1992
Mr. David L. Mudd
North Road
Southold, New York 11971
To Whom This May Concern,
TEL. 765-1802
We are unable to complete your Certificate
of Occupancy because ~of the following reasons.
/~ An application for Certificate of Occupancy
is not on file.
/5/ 'No Underwriters Certificate on file.
/5 The check is(outdated/not on file.)
/~/ No Health Dept. Approval on file.
/5/ No final inspection has'been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # 1 i 4 3 4 Z
Building Dept.
***/5/ No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
TOWN OF SOUTHO D
OFFICE OF BUILDING INS?ECTOR
ILO. BOX 728
TOWN IIALL
SOUI'tlOLD, N.Y. 11971
September 17, 1990
TEL. 765-1802
Hr. David L. Mudd
NotCh Road
SouChotd, New York 11971
To Whom This May Concer~,
We are urlable to complete your Certificate
of Occupancy becau3e .of the following reasons.
/
/_--//An application for Certificate of Occupancy
/is not on fil~.. (ENCLOSE.)
/~/.';o Underwriters Certificate on file.
/__¢_/--~¢'"The check is(oK~tX~not on file.) ,~25.00
/-/ ~Io ;lealth Dept. Approval On file.
/_--/ No final inspection has been made.
Please. contact our office on this matter.
Thank you for your cooperation.'
Building Permit tl I I 4 - 3 4 Z
Building [3opt.
,.,/_-/
NO Plumber solder Certificate on file.
( all permits involving plumbing being
.ts ,ued after April 1,19~4 )
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
February 26, 1992
Mr. David Mudd
North Road
Southold, N.Y.
11971
Re: Building Permit ~ 11434-Z
Premises: 39005 County Road ~48, Southold, N.Y.
Suff. Co. Tax Map ~1000-59-9-28.2
Dear Mr. Mudd:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued. Please submit the enclosed COApplication
along with your check in the amount of $25.00 so that the
Certificate of Occupancy can be issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
GJF:gar
encl.
Gary J. Fish,
Building Inspector
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMgNT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-t802
Examined . .~....~.~..7 ......
Approved
Application No...f./.~. f'~. .......
Disapproved a/c ..... ~ '
APPLICATION FOR BUILDING PERMIT
Date / ~5 - ~' 19o0../
INSTRUCTIONS
a. This application must be completely, filled in'by typewriter or in ink and submitted in triplicate to the Buildi
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 stre{
or areas, and giving a detailed description of layout of property must be drawn ou the diagram which is part of this apl:
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 peru
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 Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t
Building Zone Ordinance of the Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building~ode, housing code, and regulations, and
ad,nit authorized inspectors on premises and in buildings for necessary inspectiqb~ps.[ .., ]
. .......... .................
(Signature of applicant, or n~ale,~ if~a/~orporation)
......... /. ....
............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engiueer, general contractor, electrician, plumber or build,
Nmneofownerofprcmises ........ .~..~..~.~../~./. u' ~ b
(as on the tax roi1 or latest deed)
If applicant is a corporation, signature of duly attthorized officer.
(Name and title of corporate officer)
Builder's License No. ~ .~./.~. ..................
Plumber's License No ..... ~ .........
Electrician's License No.' .ff7~ ........
Other Trade's License No ......................
1. Location of land on which proposed work will be done..~ (~..D./,.~...t~.2)...5'.,...,~..~.~.. ~..,~..~.7.~../~ .'.~.0. ?.~?..~..Y
.......... ..... ..... ..........
House Number ¢'o~W77 re,) ~?g Street ' Hamlet
Couuty Tax Map No. 1000 Section ..... .D..~. ?. ........ Block ...... ~ .......... Lot ..... ~..~. ........
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy f.:.~q r~]
b. Intended use and occupancy ¢%4 ~-~ ~ ~;;~
L Nature of work (check wllicl, applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
* Estinmted Cost ~ ~ Fee ...,.. .......... -'
, (to be paid on filing this application)
;. If dwelling, number of dwellinglunits ~ Number of dwelling units on each floor.
If garage number of cars
i. If business, commercial or mixed occupancy, specify n~ture and extent of each type of use .....................
7. Dimensions of existing stmctur¢s, if any: Front ............... Rear .............. Depth ..............
Height ............... Number of Stories .......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear .................
r)epth .......... - ......... 4 · · Height ...................... Numb, er of Stories .....................
...... ~.q~ .O.~. ( pth .~.~./
g. Dimensions el entire new construction: Front ........... Rear ........... De .........
Height ..../ ........... Number of Stories ..... /. ..............................................
L Size of lot: Front ........ ...., ...'.' .........Rear ...................... Depth ..; ........ ~. ;~: ......
). r)atedfPurcllase //~i52 .... Name of Former Owner ..~..~..//..r/.~F.~'.
[. Zone or use district in which Premises are situated ............... ~". .........
L D,~es proposed construction vie!ate any zoning law, ordinance or regulation: ...~ff.'.o. .........................
L V, ill lot be regraded ....... ~ .~.S. ................ 'Will excess fill be removed from premises: Yes / No
L Name of Owner of premises . Z,D~. ~.'..t.~/.o: .~.~ ..... Address . ~'.~'~. (~T..ff../?~. .....Phone No..?.6.3:.~?/..2.f~ .....
Name of Architect . Address Phone No
Name of Contractor . Address Phone No
PLOT DIAGRAM
Locate clearly ,'mci distinctly ali, buildings, whether existing or proposed, and, indicate all set:back dimensions fi'om
roperty lines. Give street and block'nmnber or description according to deed, and show street names and indicate whether
~terior or cornel' lot.
(Name of indMdual sigl}ing contrfict)
>eve named.
being duly sworn, deposes and says that he is the applicant
e is the ............... 'd~ ...............................................................
(Contractor, agent, corporate officer, etc.)
f said owner or ownel~, m~d is du!y authorized to perform or have performed the said work and to m,xke and file this
)plication~ fi~at all statements con(ained in this application are true to the best of his knowledge and belief; and that the
'ork will be performed in the manner set forth in the application filed therewith.
worn to before me this :
....... '.. :. ...... day or...,.., lC...
NOTARy PUBLIC, 'State of New York
No.i 52-8125850, Suffolk
Term Ex, Ires March 30.
]~ ~ignature of applicant)