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~
~?