HomeMy WebLinkAbout15618-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19374 Date SEPT. 20f 1990
THIS CERTIFIES that the building ADDITION AND ALTERATION
Location of Propert~ 2000 NASSAU PT. RD. CUTCEOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 10 Lot I1
AMENDED MAP ANASSAU
Subdivision CLUB PROP INC. Filed Map No. 156 Lot No. 179
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JAN. 6~ 1987 pursuant to which
Building Permit No. 15618Z dated JAN. 12, 1987
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 ADDITION AND ALTERATION TO EXISTING ONE FAMILY DWR. LLING.
The certificate is issued to RICHARD A. WALL III
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
H017208 JULY 25~ 1990
ALBERT GIULIANI SEPT. 13~ 1990
/ Building Inspector
TOWN OF Sou'rHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERA41T
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
No 15618 Z
hereby granted to~
.~.....~.:.~.:.....!.!..1. ...iL~,~
,o ..D~.~...~._.~....~,,_.~~...%.~.,....~.
· ~/~'"'r .... ':' .............. '~' ................. ~'"-;;/ .......... ~._~__~ ............
~ p~,~s t~,ted ,t .~.....~.~_~..~ .......... ~_~.~
..~ ......... ~.~ ...................... ~ .................................................................... ~.~ ............
......... ~ ......... ~.~ ............................................................................. ~/ .....
=..~ v=~ ~ ~. ,oo0 sec,,o. ...... ~...~..~ ..... ~,~ ..... ~..~ .......... ~o, ~o.../.~..~:
Budding Inspe~or.
Building Inspector
Rev. 6/30/80
TO~N OF SOUTUOLO
BUILDING DEPART~[ENT
TOWN HALL
SOUT~OLD, NEW YORK
765 1802
119
APPLICATION FOR
CERTIFICATE OF OCCUPANCY
DATE
NEW C0'~$TRUCTION ....... OLD Ot~ PRE-EXISTING BUILDING ...... VACANT LAND ........
~OHSE NO. STREET ~AMLET
County ram Map No, 100~ Sectiom ./.'~.. Block
Permi~
~eai[h
.....
.Date of Permi~ .Applicamt
Approval , .
............ kpp .......
Planning Board ApprovaZ . ~/~
Reque=g for Temporary Certificate .... Final Certifinate
Fee Submitted: $ ...... .~S.?~.~. .......
'er. 10114/88
APPLICATION FOR CERTIFICATE OF OCCUFANCY INSTRUCTIONS
A. 'This application mus~ be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildiogs or mew use:
I. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final approval of ~ealth Dept. of water supply and sewerage-disposal(S-9
3. Approval of electrical installation from Board of Fire Underwriters.
&. Swor~ statement f~om pl~anber certifying that solder used iu system contains less
than 2/]0 of ]Z lead.
5. Commercial buildinlgs, industrial buildings, multiple residences and similar
buildings and inst~llatlons, a certificate of code tempi{ante from the Architec[
or Engineer responsible for the building.
6. Submit Planning Bo~rd Approval of completed site plan requirements.
B. For existing buxldzngs (Prior to April 9, ]957~ non-conforming uses, or buildings
and "pre-existing" la~d uses:
[. Accurate survey oflproperty showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspent signed by the applicant
and a certif£ed abstract of title issued by a title compnny which shall
show single and separate ownership of the entire lot prior to April 99 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor iu ~rriting to the applicant.
~ 3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent infor~atibn required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
I. An application for Vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing sxugle
separate ownership of thc entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
3.
4.
5.
6.
CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
Certificate of Occupancy on pre-existing dwelling - $100.00.
Copy of Certificate of Occupancy - $5.00 - over 5 years - $[0.00
Vacant Land Certificate of Occupancy - $20.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - $~5.00 Residential
$50.00 Coramercial
OUNDATION ( ls t)
OUNDATIO~ ( 2nd )
OUGH FRAM~'~&
FLUMBi~'/
NSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIO~AL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~01q06~ SUREAU OF EI. EGTRIGrrY
~ 85 JOHN STREET. NEW YORK. NEW YORK IOO3B
/~s,~ 3ULY 2-~,1c)9(] Rpplicafion~o. onfile 00~5569(~1/9{} H i'1172('18
THIS CERTIFIES THAT
RICHARD A. NALL Iii, 20{)(/ NASSAIJ POINT ROAD, CUTCHOGIJ[, N.Y.
in t~ f~lowing ~ation; ~ ~nt ~ Ist FI. ~ 2~ FI. OUT ,~tion Bilk
~sexamin~on ~I)~,Y 17, 19~0 and f~nd to be in compliance with the requi~ments of th~ B~.
Lot
RXTUU FIXTURES RANGES OVENS DISHWASHIIIS EXHAUST FANS
ORYERS MOTORS TIMI CLOCKS MULTB,O~TrJT OUAMIIIS
NO. OF I~IET
SIRV~CI DgSCONNECT S E R V I C
OTI~R APPA~TUS:
~N0 VISUAL D[FECT$; 'An electrics!
Su~'vey has been made of the exposed
electrical equipment in the
prem1~e~ indicmted.' 'No obviou~
unsatis?ectory condition w~ found.
RICHARD A. WAt. L Iii
2715 NASSAU POINI' RD.
CUTCHOGIJE, NY, 119~5
This certifica~ m~t not be oh~'ed in any manner;
n to the office of the Board if incorrect.
Per_ ~
may be identified by their cmdentiaif.
TO~VN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No. /.~
Owner ~/C~ /~- //6/~
(please print)
Plumber ~-~ ~/f~ 63
(please print)
I certify that the solder used in the water supply system
contains less tkan 2/10 of 1% lead.
(plumber' s signature)
Sworn to before me th~s
/~ day of ~/~W~ ,
19 ~.
Notary Public, .~~,County
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL.BG.
FOUNDATION 2ND [ ] IN.~IL.ATION
FRAMING ~INAL
REMARKS:
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~II~ULATION
FRAMING [ ] FINAL
DATE
INSPECTOR
765-].802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
[ ] FRAMING
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [//],/R~UGH ~G.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~///ROUGH PLBG.
[ ] F/~OUNDATION ZND [ ] INSULATION
/
FRAMING [ ] FINAL
DATE
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
1215 INLET EANE
GREENPORT, NY 11944
(51 6) 477 i 652
January 2, 1987
ENERCY CALCULATIONS E-~01
Residence - addition
Mr. Cliff Evert
P[ans bY C. Fisher, Penny Lumber No. 858F
Design temperature In, ide 70°F Outside lo°F
Desi~n de~re~ days 6,000
"U" Area
Insu~ation Allowed. ~e~l...~. SF
Floor R-11 .0g .08 292
Wall~ (Gr6ss) .92 706
(O~a~ue) R-{I .08 506
GlazinK .60 .52 200
Roof ani Ceiling R-19 .05 .05 292
Infiltration (Volume) .018 .018 . 4,500
Allowed
1,~00
9,310
88O
16,440
Class 28% of wall area
Windows to be Anderson - double gAazed
Weatherstr~ppin~ all windows and doors
Furnace ~o b~ 75 ' minimum e~ficient
Heating and service line ~o be insulated aa per code
BTU/HR
Design
1,~00
2,430
6,250
88O
%8§0
15,810
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
Occupancy because .of the following reasons.
~/ An application for Certificate of Occupancy
is not on flle.
__~ No Underwriters Cert!f~c&te on f~le.
/2/
The check is(outdated/no_~ ~.)~2~-
No Health Dept. Approval on file.
No final Inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
building Permit # ~_ ~ ~ /. A Z
Building Dept.
**~ _~No Plumber Solder Certificate on file.
( all permits involving plumblng being
issued after April 1,1984 )
August 5, 1988
Dear Sar:
Please be advzsed that Lands End Contractang is
no longer an business.
Clifford J. Evert
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southotd, N.Y. 11971
765- 1802
APPLiCATiON FOR CERTIFICATE OF OCCUPANCY
BLDG
TO ,VVN OF,,qOU] ,'~OLD~
Instructions
A
This application must be filled in Wpewmter OR ~nk, and submitted m~ to the Building Inspec-
tor with the following; ~or new buddings or new use:
1. Final survey of prop%rty with accurate location of all buildings, 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 electrical installation from Board of F~re Underwmters.
4. Commermal buddings, Industrial buddings, Multiple Residences and mmilar buddings and installa-
tions, a certificate oF Code comphance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed rote plan requirements where apphcable.
B. For existing buildmgs i(prlor to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property hnes, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buddings or premises, or other pertinent Informa-
tion required to prepare a certificate.
C. Fees' Addzt~ons $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancv New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certlfmate of occupancy on pre-exmtlng dwelhng $ 50.00
3. Copy of certlficate of occupancy $ 5 00, over 5 years $]0.00
4.Vacant Land C.O, $ 20.00
5. Updated C.O- $ 50.00 Date ...A..ug.u.s.t., ,5 ~ . .1, 9. .8 .8 .......
New Cons ~; ~*uc ~ ~on ...... Old or Pre-ex,sting Budding
........... Vacant Land .............
Location of Property . 20~0 .~a,ssau. P.o~mt. ~oad~..Cul~p~qg~j..I~e..~, .Yq~..k ...............
House No Street Ham/et
Owner or Owners of Property . P~,o~r~A .~13..I I I .......................................
County Tax Map No. 1000 Section ...104,. 10 ...... Block . '~.1 .1 ....... Lot ...............
Nassau Point Club Propert3.~s , 179
Subdlwslom ............................ PlleQ Map No ......... Lot No ............
Perm~tNo. 15~18Z Date of Perm~t .Apphcant L~nds End Contl~act.~ng
Health Dept. Approval ........................ Labor Dept. Approval .......................
Underwriters Approval ...................... Planning Board Approval ......................
Request for Temporary Certificate .................. Final Cert~fmate .......................
Fee Submitted $. 25.00
Construction on above described budding and permit meets all apphcable codes and regulations.
Apphcant . Lcczd$. ~d ¢p~t;,. ~p.r..R..~.o.hAr..d' .W.~.ll..1.1.~ ........
Rev 10-10 78
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802 I
FAX (516) 765-1823 I
Town Hall, 53095 Ma~n Road
PO. Boxl179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 30, 1990
Mr. Richard Wall III
2000 Nassau Pt. Rd.
Cutchogue, N.Y.1 11935
Re: B. P. 915618Z
Dear Mr. Wall:
On July 27, 1988 we notified Lands End contracting what was
needed for a Certificate of Occupancy on the above Building
Permit,---an application, a check and the Underwriters and Plum-
bers certificates.
On August 17, 1988 we received from Lands End a check in
the amount of $25.00 with an application. They did not send in
any of the other papers required. On August 18 I notified you
that we needed the other papers.
Now Lands End is no longer in business. Please fill out
the enclosed application for a C.O. and send it back to us
along with the Underwriters an~~ ~ ~/~/~
It is a v~olation of the Code of the Town of Southold to
not have a Certificate of Occupancy for the work done. Thank
you for your attention to this matter.
Yours truly,
Secretary
TOWN OF SOUT~OLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. 1197~
TEL. 765-1802
To~ Whom This May Concern,
i We are unable to complete your Certificate
of' Occupancy because .of the following reasons.
~/ An application for Certificate of Occupancy
is not on file.
/-/
/-/
No Underwriters Certiflcate on file.
The check is(outdated/~.)~25-~
No Health Dept. Approval On file.
No final inspection has been made.
Please contact our office on th~s matter.
Thank you for your cooperation.
Bullding Dept.
*** _~No Plumber Solder Certzf!cate on file.
( all permits involving plumbing being
issued after April 1,1984 )
ExaminedlOq,~-~'~.~ .I ~-
Approved x~I~-
Disapproved a/c
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.. 765-1802
,19: 7
, 1~'1 Permit No
/ b-bi
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
6 987
Recezved ........... ,19..
a. Tlus application must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, with
sets of plans, accurate plot plan tolsca e Fee according to schedule
b Plot plan showmg locatlofi of lot and of buildings on premises, relationship to adjoining premises or public streel
or areas, and giving a detailed description of layout of property must be drawn on the d~agram which ~s part of this appl
cation
c. The work covered by tlus ~pphcatmn may not be commenced before issuance of Building Permit
d Upon approval of thru apphcation, the Bml&ng Inspector will ~ssued a Binldmg Permit to the applicant Such perm,
shall be kept on the premmes avazl~ble for inspection throughout the work
e. No building shall be occupied or used in whole or ~n part for any purpose whatever untfl~a Certificate of Occupanc
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Bmldlng Permit pursuant to th
Budding Zone Ordinance of the T, own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constructionI of buddings, additions or alteratmns, or for removal or demohtaon, as herein describe,
The applicant agrees to comply with all apphcable laws, ordinances, buildmg code, housing code, and regulatmns, and t
admit authorized inspectors on premises and m budding for necessary inspections.
(Signature of apphcant, or name, if a corpora'don)
(ma~lzn~/ address of a~pl~cant)
State whether applicant is owne~, lessee, agent, arcintect, engineer, general contractor, electncmn, plumber or bmlde~
Name of owner of prem,ses ~&C~r4r~ Wq:~[ [ ~ ..
(as on the tax roi1 or latest deed)
If apphcant ~s a corporat!~n, signature of duly authorized officm
//(Nam~C,~hd title of corporate officer)
Budder's Llcense No ] '~[/~ I /.
Plumber's License No . .
Electrician's License No
Other Trade's License No
1 Locatmn of land on which proposed work wdl be doue ......
Itouse Number Street Hamlet
County Tax Map No 1000Sectmn Block.. Lot
Subd,v,ston ~.~'q~ fOt~ Cl~ ~/~ Filed Map No Lot t~ ~
(Name)
2 State ex~sting use and occupancy of premises and intended use and occupancy of proposed constructmn
a Ex~stmguseanaoccupancy ~f'~a4~ ~¢~, . .........
b. Intended use and occupancy ~(~ ~Q ~ ~ ~3, . ......
3. Nature of work (check which applicable) New Building .
Repmr ....
Estnnated Cost.
· .. Removal
..o.o. o.
·.. Addition , ." .. Alteration ....
·.. Demolition ......... Other Work ..........
(Descnptmn)
........ Fee ..............................
(to be paid on filing this application)
4
5. If dwelling, n mher of dwelling units ........ Number of 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 D~menslonso~'exlsttpgstmctu~es, lfany Front ---~.z-/ . Rear. ~zgr .... Depth. ~...~. ..
Height .l Z, ~'[~..'~/ Number of Stones ........................ . .....
Dmaenslons of same structure with alterations or additions Front %. ~. ...... Rear .. . .-~.~ ......
Depth , .~.z{ ... ~..Helght . J '~ .,~{q(;t.,'3 Number of Stones .............
8. Dimensions of entire new construction' Front ....... Rear ........... Depth ..........
Height ......... Number of Stones .................................
9. Size of lot Front . [ Rear Depth
10. Date of Purchase ...... ' ........ Name of Former Owner .........................
11 Zone or use district m which premises are situated. . . ~ .........................
12 Does proposed construction vl.olate any zoning law, ordinance or regulation .. f.'y/.~. .................
13 Will lot be regraded . . /~ O . , ..... Will excess fill be remcxved from prenuses. ~ No
14. NameofOwnerofpremmes boo ..(..(.~.CliJ. . ·Address .},le~..~g'(.q~,~t~..4['(,l~.dPhoneNo ~.\
Name of Architect .............. Address ............. Phone No ............
15. Is th±s property located[with~-nl00 feet: o£ a t±da~ wetland? * Yes ..~... No .
· If yes~ Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all bufldmgs, whether existing or proposed, and, lndmate all set-back dnnenslons from/
property lmes. Give street and block number or description accordmg to deed, and show street names and indicate whet~
lntenor or comer lot
STATE OF NEW YORK,
COUNTY OF.
SS
(Name of individual slgmng contract)
above named
being duly sworn, deposes and says that he is the applicant
Fie is the .......... ' .............................................
(Contractor, agent, corporate officer, etc )
of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file tins
apphcation; that all statements cont/uned m this application are true to the best of his knowledge and behef; and that the
work w~ll be performed in the manner set forth m the application filed therewith.
Sworn to before me this
.......... ..... dayof .... ...... 19
l~tl, llStl~.~ C0u ' '' t t ....,.."'-F ............ / ........
/ C/ (Signature of applicant)
"t
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HAP OF
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