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HomeMy WebLinkAbout13591-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25775 Date: 06/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 1800 LITTLE PECONIC BAY RD. CUTCHOGUE, (HOUSE NO.) (STREET) (HAMLET) County Tax Map No, 473889 Section 111 Block 14 Lot 20 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 1984 pursuant to which Building Permit No. 13591-Z dated NOVEMBER 29, 1984 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 ADDITIONS & 2ND STORY BEDROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certifioate is issued to ALVIN GOLDHUSE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. B-060182 06/11/98 PLUMBERS CERTIFICATION DATED 05/13/98 MATTITUCK PLUMB.&HEAT. Rev. 1/81 FO'e.~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 1359i Z Permission is hereby granted to: .... ~./..,.,.~.~..:..~.~~ ........ ..... ~0...:.......~.~.....?..~.. ....................... ,o....~.~-~.~.~.~.i ~' ...... 'iiiii ........... iii¢i~~ .................... ....... ~.~..~ ........ . .............. ~ ............ ~ ...................... , ............ .~ ..................... _ _ ., ,,-,,, ,~,~ ~, ...z~...~z~.~~..~....~.~x~.~.~~ ............................................................................................................ ................. ~~ ~ ................ .... ~~..~ ............. ~...:~ .............................. ~; ....................................... Coun~ Tax Map No. lO00 Section ...... ~Z~ ..........Bilk ...~.~ ........... Lot No.. ~.~ ............ ..r.u.., .o 0..,,.~.,o. ,0,~ ..~....~ .............................. , ,~,, on.....ov~ ~ .~e Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 > APPLICATION FOR CERTIFICATE OF OCCUPANCY / / f~ 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. FSnal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fro~.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 I% 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25¢~ 4. Updated Certificate of Occupancy - $50.00 Residential $15.00, ~ommercial $15.00 5. Temporary Certificate of Occupancy - New Construction Old Or Pre-existing Building · Location of Property ...... House No. Street Hamlet Onwer 0~ers of ~ ..... ~, ,,f~//F ~-~z~..~..~/./. ................................ .Bloc~ .... I..~. County Tax Map No 1000, Section .... !!J ............... LOt ...... ~- .............. Subdivision....................-... .... . .......Filed Map ............ Lot ...................... Permit" /-~.~/.~.-~ Date Of Permit Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval · · Request for: Temporary Certificate ............ Final Certicate..~,~.. ..... Fee Submitted: $ ...... .~.~.%.~.~. .............. · .~%~ ......... ~ ~ APPLICANT C 0-2~3 7 2~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 EUREAU OF E'ECT.,C,TY 40 FULTON STREET, NEW YORK, NY 10038 Date JOiqE 11,1998 Application No. on file 161.40798/98 H 060182 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is it* the premises of ALVIN A. GOLD~JSH, 18OO B~'~TLE PECONIC BAY ROAD, CUTCHOGUE, NY in the following location; [] Basement [] 1st FI. [] 2nd Fl. Section Biack Lot was examined on JUlff~ 01,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES OUTLETS SWITCHES INCANDESCI DRYERS r FURNACE MOTORS AMT, K,W, OIL H.P, GAS H.P. FIXTURES OTHER IFLUORESCENT FUTURE APPLIANCE FEEDERS AMt. NO. A W, G. RANGES ,MT. K.W. SPECIAL REC'PT. AMT, AMP SERVICE DISCONNECT NO. OF S AMi'. AMP. TYpE EM~Eu~ l0 2w l0 3W 3e SW s(~ 4W OTHER APPARATUS: NO. OFCCCOND OF CC. COND. NO, OF HI-LEG UNIT HEATERS MULTI-OUTLET NO. OF FEET C OF HI-LEG DIMMERS AMI. WATTS NO. OF NEUTRALS A. W G. OF NEUTRAL KITCHEN ADDITION~-i *NO VISUAL DEFECTS: "/~ electrical s%lrvey has been made of the exposed electrical equipment iii the premises indicated." "No obvious _unsatisfactory condition was found. CUTCHOGUE, NY, 11935 · Per 1 ~ Th,s cert,hcate must not be altered in any manner; return to the office of the ~nnrcJ if inon~tar-. ..... · .......... ~. .....~. ~nspec~ors may De ~dentified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTFCATE MUS~ NOT BE ~LTERED Town Hall, 53095 Main Road P. O. Box ! 179 Southold, New Yo~, 11971 Fax (516) 765-1823 Telephone (516) 765-t802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD .C E R T I F I C A T I,,.O, N pAT.: _~,,/1~/~ ~ ildin Permit No. (please Print '(please print I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. [P ~mbers ~i~a'f?ur~ ) r. Sworn to before me this /3, Notary Public, day of ~_~_i.~. A lg,f~ County FIE~D I~rEOTION FOUNDATION { 1st) COMMENTS FOUNDATION ROUGH FRAME & FLUMBING (2nd) INSULATION PER N. STATE ENERGY Q~DE FINAL Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 May 18, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Alvin Goldhush P.O. Box 950 Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #13591-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 25, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Alvin Goldhush P.O. Box 950 Cutchogue, New York 11935 Re: Building Permit #13591-Z KITCHEN ADDITION Premises: 3700 Wunneweta Rd., Cutchogue Surf. Co. Tax Map #1000-111-14-20 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. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a 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. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13591M issued to Alvin Goldhush on __11/2~ff~4 for Addition is completed and a final inspection has ( ) has not ( x ) been done. An Underwriters Certificate is needed 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 $25.00 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 Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly ~y~, Victor Lessard Executive Administrator VL:gar encl. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~FINAL DATE, ~-~,/~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~SULATION [ ~]/FFINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~-~ ~~** DATE INSPECTOR /~--~'~~-- 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., i~.. Permit No../S~../...-~ Disapproved a/c ..................................... .................................. ...~.~... :~ ..,,L (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..... r-~p ........ , ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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, bufl/)l'./~g, code,~/9~ing code, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necesi~ry~l°~,~e~//a/...~3z.?.: . .(___,,. .............. (Mailing address of applicant) State wheth~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...g./Q.~((..../4..'....~..G.57~. (~..(~.'?./~...~.. P./.'~.~.~. } .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corpora~fficer) Other Trade's License No ...................... 2/~ ~ ~*~(~ ~Jr ~ C~' I. Location of land on which proposed work wilt be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... Block .... /~ Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~ ......................... ~, ...... ~.~. · .7 · ~ ............. b Intended us~ and occupancy~...~...~./.~G.~ / ...... ~.~Z~[~ m ~. ~~~.~ 3. Nature of work (check which applicable): NeW Building ...... 'Addition ~.~..... Alteration ~ ....... Other Work Repair .............. Removal ............ Demolit: on ........ , ................... ' ~ .I (Description) 4. Estimated Cost ................................. Fee ............................... '~ (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ............... Numt er of dwelling Unit~ 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, ifany: Front ................ Rear ~ Depth .... '.. Height ............... Number of Stories ....... /. .................... i ........................... Dimensions-of same structure with alterations or additions: Frei Depth ...................... Height ................. Dimensions of entire new construction: Front .............. Height ............... Number of Stories .............. Sizeoflot: Front .... '? .ifill ........ Rear ......... Date of Purchase .... .' . ............. Name el ............ l ..... Rear ................. .... Number of IStories ..................... · Rear ............... Depth .............. I ' Former Owner . .~.~(~.../,..ty~..~?.,~..~.. .............. 11. Zone or use district in which premises are situated .......... ]J ...... .. .....-~z.:.,v ...........i ....... ' .....;.. 12. Does proposed constructjqn violate any zoning law, ordinance'or regulation: .. 13. Will lot be regraded .. ~t..~ ....................... Will excess~ fill be removed from premises: Yes ~ No Name n r f mises ~.k.(/rgJ ~- L--.~rr-~p/.~rI 14. ofOw e o pre ....... ~. ~ . . ~ess J, . . . ;...PhoneNo...~*.: ....... Name of Architect ........................... Address 'I .............. i .... Phone No Name of Contractor Address Phone No PLOT DIAGRA ; Locate clearly and distinctly ail buildings, whether existing or ,reposed, anti, indicate all set-back dimensions from property lines. Give street and block number or description accordin; to deed, and sho~, street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, dep9ses and says that he is the applicant (Name of individual signing contract) . . . above named. He is the (Contractor, agent, corl ,rate officer, etc.) of said owner or owners, and is duly authorized to perform or application; tliat all statements contained in this application are work will be performed in the manner set forth in th6 application fil~ Sworn to before me this', Notary Public, ............ ~- E .~..~.../O.& .. County performed the ~aid work and to make and file this to the b. est of his knowledge and belief; and that the therewith. (Signature of applicant)