Loading...
HomeMy WebLinkAbout16732-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19936 Date MAY 24, 1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 26235 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 12.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1988 .pursuant to which Building Permit No. i6732-Z dated FEBRUARY 5, 1988 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A DALI2%S L. GATE~OOD III & KAY GATEWOOD Building Inspector/ Rev. 1/81 lf'O~'M' NO. O TOWN OF SOUTHOLD BUSLDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_O] 67~_ Z Permission is hereby granted to: ~....~..z.~.~. .............................. ~ , ~~..,~.~ ......... ~.~:~.~ at premises located at ..... ~...~....~..s~....~..i...:. ...... ~.......~.~...-;...~..~ ............................................... ................................................ .......................................................... Counht *ox Map No. 1000 Section ........ .../..~.....~...... Block ........ ..~....~.. Lot No....Z.~....¢...~ ..... pursuant to application doted ................ ~../.~..~.. ........................ , 19...~..i~, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 ~ TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer responsible for the building. Submi[ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) 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. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 MAY 23, 1991 Date ......................................... Iew Construction ..... Old Or Pre-existing Building ........ ocation of Property 26235 MAIN ROAD CUTCHOG~, N.Y. House No. Street Hamlet P ty , DALLAS L GATEWOOD III & KAY GATEWOOD )nwer or Owners of roper ...... ' iounty Tax Map No 1000, Section. 109 ..Block.. 2 ............ Lot ........ 12. I ............................... Filed Map ............ Lot ............... ubdivision . ermit No. 16732Z ~ ._ 2/5/80 DALLAS GATEWOOD ............... Date Of verm~c ............... Applicant. ealth Dept. Approval .......................... Underwriters Approval ...................... .. . lanning Board Approval ........... .. ......... .. equest for: Temporary Certificate ....... · . . . Final Certicate .......... . ee Submitted: $ .......... ~.~. .............. DALLAS L. GATEWOOB III C0 .1q 36' APPLICANT INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. VflECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTTL HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPF. OTOR TOWN OF SOUTHOLD October 30, 1990 Dallas Gatewood III First St. New Suffolk, N.Y. 11956 RE: B.P. 16732Z ACCESSORY STORAGE SHED 26235 MAIN ROAD, Cutchogue, N.Y. Dear Mr. Gatewood: I am enclosing copies of notices our office sent to you regarding the above permit. This permit has expired and you have not filed for a Certificate of Occupancy. I am enclosing an application. You had a final inspec- tion on 3/14/88 and passed. The fee is $25.00. Thank you for you attention to this matter. Yours truly, Secretary TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECFOR P.O. BOX 728 TOWN HALL SOUTI{OL~), N.Y. 11971 June 8, 1990 TEL. 765-1802 DALLAS GATEWOOD III P.O. BOX 1006 CUTCHOGUE, N.Y. 11935 ,3. aD & FINAL NOTICE TO Whom This May Cogcern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /--//An application for Certificate of Occupancy is not on file. (ENCLOSED) /~///NO Underwriters Certificate on file. /~/ The check is{~Y~%ITm~c~not on file.) $25.00 /5/ No lIealth 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 ~ I 6 7 3 2 Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OF OCCUPANCY. YOU ARE IN VIOLATION OF THE CODE OF _T H E__T9 W ~_ 9_F_._S 9 p_T~O~ p .____T_~{3 S_~ _A,~.IE_~_~ ~S_%0_ ~ ~ _C~L E A R~E TOWN OF' SOUTtlOLD OFI:'ICH OF BUILDING INSPECTOR P.O, BOX 728 TOWN IIALL SOUTIIOI,I), N.Y. I t971 March 17, 1988 DALLAS G~TEWOOD III P.O. BOX 1006 CUTCHOGUE, NEW YORK 11935 To Whom This May CoBcern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because .of the following reasons. /.~/ An appl.lcation for Certificate of Occupancy is not on file}. (ENCLOSED) /~-./ :~o Underwriters Certificate on file. /~/ T!le check is~>~t~KaXt~not on file.) $10.00 /-_/ ~o ~Io. alth Dept. Approval on file. /_-? I.:o final, inspection has been made, P]ea:3e contact our office on this matter. Thank you for your cooperation, Building Permit ti 1 6 7 3 2 Z Buildinq [)opt. **~/~/ ~o Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1~19fl4 ) FiELD F 0 U ~__.~ D ~T I~O N -- (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL CO~M£NT~ IIDATE l[ ADDITIONA'L COMMENTS: 'U ANN,':', h./I. VAE, IL~OL: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~]/FINAL INSP£CTOR ~/~ .................................... ,T : ............................... ~Bufl~ Ir/spector) ,; APPLICATION FOR BUILDING PERMIT Date ... ,]/Z..~ ..... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... Fom ~o. ~ SURVEY BUILDING DEPARTMENT SEPTIC ~O~H ............. : TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 MAILCALL ~: .............. / 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. ~...Plot. plan showing location of lot and of bui!d~gs on-premises, re!ations~ip to adjo-.n.o p.e....s~., ,,~ ~. ~.., streets ~ oI 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe, Odons. ....... W . . ................... (Signature of applicant, or name, if a corporation) .... .p.~. (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. (5 cvw-~./ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. 0CC~gr'JCY O~ ........................ ...................... US[ 18 (Name.and titl~ of.coruorate officar~ ALL CONTRACTOR*S ~UST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... 0 C RT FIG TE Plumber's License No ......................... ~~,~? ~ 0~C [~ ~ ~ ¢~i Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done'. ................................................. .~. ~ .~ .3.s' ..................... .no.. ~ ,. ~ . P.~...d ............ ~.~. k~.~.~ .e .................... House Number Street Hamlet I ~* ! County Tax Map No. I000 Section ../.O. ,~..O..~. ....... Block ..~..~..~. ~?. ......... Lot..~ ......... Subdivision...C?:..c~. :Q .~...e~.. ?'. ~..4~'.. ,~-.4 ...........Filed Map No...~..'.2-.h~c/' ...... Lot...I ............ (Name) 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... f..~-. 3 c[ ~ c.~. .............................................. b. Intended use and occupancy ....... ~.,t'Bx~ ........................... ; ......................... 10. 11. 12. 13. 14. 15. Is this property located Within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town TruStees Permit maybe required. PLOT DIAGRAM Nature 6f work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............. Other Work ............... ~" i (Descriplion) Estimated Cost ...... ./.~.o. ?'i ........................ Fee ................................... : ~ (to be paid on filing this application) If dwelling, number of dwelling units ............. Number of dwelling units on each floor.. If garage number of cars If business, commercial or mixed! occupancy specify nature and extent of each type of use .... ~ . D menslons of existing structure~, ff any Front ear .. ~ ~, ....... Depth . . .T .... Height ............... Number of Stories ........................................................ Dimens!ons'oD~ae~t~gtl&re with alterations or additions: Front ................. Rear .................. Depth ; ..... . .~..'.~ ?~..1~..... !. Height ......... Number of Stories . Dimensions o~..g.ntire new construchon: Front.. J~. ..... ~ ..... Rear... ~.. ......... Depth . ?. ....... Height .... t~ .......... Number~of Stories .... /. .............................................. Size of lot: Front ..... d'.~.o... [ ..' ........ Rear . ..................... Depth .... ,~.~ ............... Date of Purchase ..... .~..o.~ l~. ~./. ? .~.~. .........Name of Former,Owner /:I. 0 W. rg. ~..,...~..~. $ g kq .o ..... Zone or use district in which pre~nises are situated....('.'?. $ tc~qq~..~ .......................... ~ .,~ ..... Does proposed construction violate any zoning law, ordinance or reguIation: ...~..~. ..................... ':,,, Will lot be regraded ......... ~.~ ~ ............... Will excess fill be removed from premises: Yes No Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ' Address : Phone No property lines. Give street and block interior or corner lot. Locate clearly and distinctly all ]buildings, whether existing or proposed, and. indicate all set-back dimensions from humber or description according to deed, and show street names and indicate whether STATE OF NEW YORK. S.S COUNTY OF..~.,4..F..~--q./..~. .... , & INSULATIOH ............................................... being duly sworn, depots ~he applicant (Name of individual signing contract) ALL (;ON~a'~'~'~On %~' *,,~ ~ < ~ above named· ,' T~ REQOt~9'~b ~ ~ r~ '" He is the ...................... : ........................................ ¢~ ......................... ; (Contractor, agent, corporate officer, etc.) n*?f~.: T;. '.' ;'~" '- ": "'J~ of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the said work and to m~e and file this application; that alt statements contained h this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ne~ set forth in the application filed therewith. Sworn to before me this yY ........... ~.~. ........ day o~..~ .............. 19... $ota~Public, ..~ .~ ~g ~......... County~~ ,~TA~DLIC, StatootNewY~ ' (S[gnatQre of applicant) No. 4707878, Suffolk ~un~,, ~ [ Term Expires ~smh BO, 1~/ '