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HomeMy WebLinkAbout15615-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17164 Date AUGUST 5r 1988 THIS CERTIFIE Location of Propert~ 27400 House No. County Tax Map No. 1000 Sectmon Subdzvmslon that the building. AGRICULTURAL COUNS~fROAD $48 PECONIC Street Hamlet 85 Block I Lot 3 Filed Map No. Lot Ho. conforras substantially to the Appllcatmon for Bultdlng Permit heretofore filed mn this office dated JANUARY 2, 1987 pursuant to which Bumldlng Permit No. 15615Z dated JANUARY i0~ 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thms certmflcate is issued is AGRICULTURAL BUILDING. The certificate is issued to JOSEPH & NANCY MERKEL (owner, of the aforesaid building. SUFFOLK COUNTYDEPARTM~NT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15615~ Z Permission is hereby grantedoo.~_e~to: ~,~....~~ ..::~.~...~..~.~-~ ~,.' .................................................. ~ ~.-~o I/ ~o ...~~..-~....~~...~.....~.. -~7 ...... ~--.~..;;.~ ........ ~_~ ~.....A~.~:.F;...-~.;..~...~ .......... ; .... at premiss I~ated at ...... :..~..~ .............. .~. ~ ......... ~.~. ........ }..~.~.~ ......... County Tax Map No 1000 Section ...... .(~..~...~.'~.... Block ....... .~..~ ........ Lot No ..... .~....~ ..... pursuant to application dated ......~.. ~...~ .......... , 19.~1, and czpproved by the Budding Inspector. Fee $..~..: ~ Rev. 6/30/80 (2,0 THE NEW yORK BOARD OF FIRE UNDERWRITE*RS 1000~4 BUREAU OF ELECTRICITY T-'- A. {; t~;'t' ~ f;. I ,~858 JOHN STREET, NEW YORK, NEW YORK 10038 D~I~ ~lpplication No, on J~le THIS GERTIFIES THAT ordy thp_ f~ct~iea~ ~qui~ment ~ d~crlb~d below and introduoed by tbe applicant named on the abov~ epplicati~m number in CAI~P~:T (-:.{PF, F,N [,~IN~q, NO~TH {,to/~l)(,qOiiND AV~), /4'52, P~;CON~;C, ~ exami~ on ond]ound to be in ~mplian~ with the ~qui~menls o~ th~ ~. RXTUI! RXTUIIES IL&N~lS OVENS D~:)H WASHIIIS EXHAUST FANS OUTi_~TS SWITCHES FLUO~ESCEI~T ] ~ 2.d, 10 8 ~ DIYIIIS FURNACE MOTORS FUTUIm AI%lflJANC~ /~IDI~S TIMICLOC{(S UNITHiATEIS MUL~-OIJTIJT SYSTIMS SIIRVIC! DISCONNECT S ! R V I C E ii.P.S. '70 '~ATT 8()T(')R8 ." 1.-1 3/0 A.W.G. ~iO. OF N~UT{AL5 "{/0A' w. G' (~: HI-KG (~= NEUTRAt 1 P.O, BOX %72 I,Aii~;I,, NY, '11948 ~ ~ ' ~ TMs ce.ificate m~t ~t be altered in any manner; return to t~ office of t~ ~ord if incorr~. Insp~ors m~ ~ i~ntified by their c~tials. F CERTII'ICAT! IN ANY i TOWN OF $OUTHOLD Jl ,""/I .._ III I Budding Department JlJ~ I JtJJJ/ .- A iCIR1 Ill I Town Hall Southold, N.Y. 11971 ILl ~ JJ J,J~ 765 - 1802 J , APPLICATION FOR CERTIFICATE OF OCCUPY..?Y"~'w~ ~ ~OUTN01.D Instructions This apphcatlon must be filled in typewriter OR ink, and submitted i ~ to the Building Inspec- tor with the following, for new buddings or new use 1. Final survey of property with accurate location of ail buddmgs, property lines, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept of water supply and sewerage dmposal--(S-9 form or equal). 3. Approval of electrmal mstallatlon from Board of Fire Underwriters. 4 Commermal buildings, Industrial buddings, Multiple Residences and mmilar buildmgs and mstalla- tlons, a certificate of Code compliance from the Architect or Engineer responmble for the buddmg. 5. Submit Planning Board approval of completed site plan requirements where applicable. B For existing buddings (prior to Aprd 1957), Non-conform~ng uses, or buildings and "pre-exmting" land uses: 1. Accurate survey of pZbperty showing all property hnes, streets, buddmgs and unusual natural or topographm features. 2. Sworn statement qf owner or previous owner as to use, occupancy and cond,t~on of buddmgs 3. Date of any housing code or safety inspect~on of buddmgs or premises, or other pertinent mforma- t~on reqmred to prepare a certificate. C. Fees: Additions $25.00 1. Certlflcate of occUpancy New Dwellz~tg $25.00, Accessory ,$.[0.00 Business $50.00 2 Certificate of occupancy on pre-exmt~ng dwelhng $ 50.00 3. Copy of cert~flcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date . .M/,z).u...2~., ,/./,~.[F? ........ NewConstz'ucbzOn ...... OldorPre-exlstmgBulldlng .......... Vacant Land ............. Locat,on of Property .... .*'2-?.,¢~o....0.. ....... ~ .~..'P~..~.. · ./~-~....~.. I~.~ ............ .,,~.45'-..('¢,,,.I-..~ .c.... House No. Street Hamlet Owner or Owners of Property . . .'~J].~..sc.'.lq .L~' .'~. ~.~...I,%~.~.~.. ..................... County Tax Map No. 100OSectlon ..O.~.~. ...... Block ...~Z ........ Lot...~;~..~. ......... Subd~ws~on ..................... Fded Map No .......... Lot No .............. Permit No../.~..(~.?. ~ Date of Permit . ./.]/..°..~9?.Apphcant .. ?..o~r¢..~..~..,4/..~.?~..~...J.~t. ~.~..~. C~.. Health Dept Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ................. Planning Board Approval ...................... Request for Temporary Certlfmate ................. F~nal Certificate ...................... Fee Submitted $ . . . ./.0 .o.0 .............. Construction on above descmbed buddmg and permit meets all apphcable codes and regulations co TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN IIALL SOUT}IOLD, N Y. 11971 /El, 765 lg02 To Whom This May Concern, We are unable to complete your Certi£1cate of Occupancy because .of the following reasons. /_~/ An application for Certificate of Occupancy is not on file. ~v~z~- /--/ NO Underwriters Certificate on file. /~_/ The check is(outdated/not on file.) f//c? -- /-/ No Health Dept. Approval on file. /5/ No fxnal inspection has been made. Please Thank you for Building Permit Building Dept. ***/5! your cooperation. contact our office on thi:, mat%er. No Plumber Solder Certificate on file. ( all permits znvolv/ng plumbing bcxnq issued after April 1,1984 ) Occupancy or use xs unlawful without of Occupancy. Clear up this mattc~ as soon a', pos ,il so that legal action does not have to 1)~, t,~ktn. Thank you for your prompt a{ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [~INSULATION ~ FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~ ] FINAL DATE INSPECTOR~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ~OUGH PLBG. FOUNDATION 2ND [~]' INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~INAL REMARKS: From the desk CARPET GREEN LAWNS Box 67 - Jamesport, New York 11947 (516) 7'22~4764 TOWN OF SOUTt:IOLD~. FOUNDATION COMMCNTS FOUNDATION 2. ROUGH FRAME ~// PLUMBING 3. I~JSULATZON PER ~ STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: LOT 0 0.._~ SURVEY FOR JOSEPH MERKEL 8, NANCY MERKEL AT CUTCHOGUE TOV/N OF $OUTHOLD SUFFOLK COUNTY, NEW YORK DATE SEPT 25, 19S7 SCALE I"= 200' NO 87' 1562 YOUNG s YOUNG 400 OSTRANDER AVENUE R1VERHEAD~ NEW YORK FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, NY 11971 TEL.: 765-1802 Exam,ned ~ .cw~ lo. ,19~'~ Approved ~]Oe'wa~'O., 195~ Perm~tNo / ~.'~. /'~' ~- D~sapproved a/c ...... ,r-Z (Budding Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19. Date :h-'A~ 7._ ., 19~ INSTRUCTIONS a. Ttus apphcahon must be completely filled m by typewriter or in ink and submitted to the Bufldmg Inspector, w~tl sets of plans, accurate plot plan to scale. Fee accordmg to schedule. b. Plot plan showing locatmn of lot and of bufldmgs on premises, relatmnship to adjoining premises or public stm or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram wluch is part of tins ap cahon. c. The work covered by tin~ apphcatmn may not be commenced before ~ssuance of Budding Permit d Upon approval of thru applicatmn, the Building Inspector will ~ssued a Bmldmg Permit to the applicant Such pen shall be kept on the promises avaflable for inspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certfficate of Occupm shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldmg Permit pursuant to Bmld~ng Zone Ordinance of the~ Town of Southold, Suffolk CounW, New York, and other applicable Laws, Ordinances Regulations, for the constmctmn of buildings, addmons or alteratmns, or for removal or demohhon, as hereto describ The applicant agrees to comply with all apphcable laws, ordmances, budding code, housmg code, and regulatmns, and admit authorized inspectors on premises and in bmldmg for necessary inspections (Sign(rt'ure of applicant, or name, if a corporatmn) · .~...o~..~.f....,~2..~. <,p.c..~e. n .~. ................ '3ct~,~o_~o~r- /~,',~- 1z ~47 ..... ........ ~riAii±A~'aaa~*~4'a~'A~piicant) ;3; ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnman, plumber or 1 Name of owner ofpremlses ~p.~ ~--~,+. -4- N.,~,~ ~ ~ x'~.'x~ ~--.~- ~ (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authorized officer (Name and title of corporate officer) Braider's License No ff4~ .~vc ~ ..... Plumber's License No Electrician's License No Other Trade's License No Locatmn of land on which proposed work will be done House Number Street Hamlet County Tax Map No 1000 Section O~ Block . .../. ..... Lot .~. 2 Subdlwsion " '(N'am~) ...... Filed Map No .... Lot State ex~shng use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy b. Intended use and occupancy 3. Nature~fwork (check which applicable): New Building ..... Addit: . ....... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) ti d C /.5, act Fee 4. Es mate dst.., o...., .......................................................... .. . . ... (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number o f dwelling units 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, if any: Front ............... Rear .... , .......... Depth ............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front .... ~..:~. ....... Rear .... 2. ~-~ ....... Depth .... ~...2_. ...... Hmght ... ~..../: ...... Number of Stones ....... / ....... ~ ................... , ............. 9. Size of lot: Front ..... .~.84:, ,3.6.... i .... Rear .... ~ ~ 2, .-. ;~'/ ....... Depth ./. ~./.9.,/~'~.., ....... 10. Date of Purchase . .,.l .u/V..~7 ./.8,../.~.~..~. ......... Name of Former Owner ...rg..,*~v?-z'~-. e~.....?774..,~A+/. .... 11. Zone or use district in which premises are situated ..... ,0.~;.~..~.c.q,~.T~'.. d.ed....R~ ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~t.-a, ........................ 13. Will lot be regraded ...~.~ ..................... Will excess fill be removed from premises: Yes ~_ 14. Name of Owner of premises ~..o~,.~..~,,v.~wc..l,' ..... Address ~/,O..v.~.7/.~,q~:~o.r~,t-e,l,~Phone No.. ?.~-~ .'..4.7.¢,.4. Name of Architect ...~ ~..~o-A~......'~...~. ~.. Addres~ ~",~.--.o:-.~e..~....~..'?e~r. Phone No. ~/c,. ~.:.L-.4.;'.~.~.. Name of Contractor . -.'TP..~. ['}.~x...~?..~ ............. Address 2.~?..,a.~.:..~..'?5 ?fi?..~er-?Phone No.~..'i:.4~. ~.: ?.77:~. 15. Is this property located withinlo0 ~feet of a tidal wetland? * Yes ..... No ~... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. He is the ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application; that all statements contained in this application are true to the best of his knowledge and belief; and that tl work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................ · ~ ....... day of ....... Notary Public ....... .7~. '..L??¢,.. ?~./....~.~? .~'~ .ff').'~. ..... County "l'~'l~ir~ ,~¢~ ~,~ 2 /~/~(Signature of applican SURVEY FOR JOSEPH MERKEL & NANCY MERKEL AT CUTCHOGUE DATE SEPT 25,1987 TOWN OF SOUTHOLD SCALE SUFFOLK COUNTY, NEW YORK NO 87- 1362 IL YOUNG e, YOUNG 4OOOSTRANOER AVENUE RIVERHEAD, NEW YORK  ALDEN W YOUNG~, PROFESSIONAL ENGINE ER AND LAND SURVEYOR N Y.S UCENSE NO 12845 i HOWAR0 W YOUNG~ LAND SURVEYOR N Y.S. LICENSE: NO 45893 NOTE lB = MONUMENT SUFFOLK COUNTY TAX MAP DIST I000 SECT,085 BLK.OI LOT 003 OCCUPANCY OR USE iS UNLAWFUL - WITHOUT CER'[IFIC,~TE OF r~ ~?