Loading...
HomeMy WebLinkAbout16495-zFORM NO. 4 TOWN OF SOUTHOLD BUILD%NG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18115 Date JUNE 13, 1989 THIS CERTIFIES that the building Location of Property 3800 VANSTON RD. House No. County Tax Map No. 1000 Section 111 AMD.MAP A Subdivision NASSAU FARMS Filed Map No. 156 RENOYATION CUTCHOGUE, NEW YORK Street Hamlet Block 05 Lot 14 Lot No. 323 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 1987 pursuant to which Building Permit No. I6495-Z dated OCTOBER it 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 CONVERT EXISTING GARAGE ADDITION TO LIVING AREA AS APPLIED FOR The certificate is issued to PETER J. STAHEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-048741-DECEMBER 6~ 1988 JUNE 2~ 1989 - HENRY J. SMITH & SON.INC. Rev. 1/81 FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_o 16~.75 z Permission is hereby grarlted-t~ ,.-.., . _ '.....j?~.~.~~......~.....~L ....... ........ ~..~.a...~..~....~..,. ................... ..G~.o.~.....~.....~.q.... ....... ~J..s..a., .. ~'"~f~""~7 .......... w ........ ~ ....... .~..; ............. .:...~.~ .................................. at premises located at ....~..~....1~........~{..~..~.., ........... '~Q~s~.~..~ ............... County Tox Mop No. 1000 Section ....... ./../.../. .......... Block ....?....~./.. ......... Lot No ....../.J ............ pursuont to opplicotion doted ...... .(~)..~..~.....I ................... , 19.~....~.., ond opproved by the Building Inspector. Fee $.~.~...:...~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........ HOUSE NO. STREET HAMLET County Tax Hap No. 1000 Section ../J~.. Block Permi~ No. /g*f$ Z .Uate o~ P~rm~ ....... Lot ..... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ........... APPLICANT ..... ~~ ........... rev. 10114/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN 1 tALL : 765 - 1802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS A. '~[~is application must bel filed in typewriter OR ink and submitted to the Building Inspector vith the follow~ng, for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property 1lacs, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 13. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of II lead.I 5. Commercial buildings, lindustrial buildings, multiple resldeuces and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible £or the building. 6o Submit Planning BoardlApproval of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957~ non-conforming uses or buildings and "pre-existing" land Uses: ' I. Accurate survey of prbperty showing all property lines, streets, buildings and unusual natural or to~ographlc features. 2. A ~roperly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company w hlch shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of O~cupaocy is denied, the Building Inspector shall state the reasons therefor ia ~ritiug to the applicant. 3. Date of any housing cbde or safety inspection of buildings or premises, or other pertinent information!required to prepare a certificate. C. For Vacant LandCertlfic~te of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. ~ES: I. rev. 10/14/88 CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe%ling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certifica(e of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certiflca(e of Occupancy - $50.00 . 6. Temporary Certifi~ ate of Occupancy - $25.00 Residential $50.00 Commercial TOW/ OF SOUTIIOLD OFt'ICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N,Y. 11971 June 8, 1989 TEL. 765-1802 PETER & BARBARA STAHL 142 EUSTON ROAD GARDEN CITY, NEW YORK 1530 To Whom This May Concern, 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) /--_// Mo Underwriters Certificate on file. /._~ The check it;(~Yf~XY~Xl/not on file.) $25.00 /~/ No llealth Dept. Approval on file. /--/ No final inspection has been made. Please contact ()ur office on this matter. Thank you for your cooperation. lhiilding Perm.it t[ I 6 4 9 5 Z Building Dept. · rio Plumber .~Jelder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE uNDERWRITERS 'i 00077~ mURHAU OF EL.HCTRICITY ~ 85 ,JOHN ST~ET. NEW YORK. NEW YORK 1OO3. THIS GE~IFIES THAT 60o .,f,,. }. ,¢.. I .-1 h C}~;N:'~e3 ~0. 24,'~. t'; This c~difk:me mutt not b~ altered in any runner; return to ~ office of the B~rd if incormcL Per [.~ ~- idm~f~d by th~' , ~ FOI~ BUILDIN~ D~PMt'TMI~¢r~ THIS ~ OF CIRT~BCAT~B '~T~ B! AI?!?__~ IN Ally ~.. ____ .: HENRY vows O~ soumPcP -- J. SMITH & SON, PLUMBING, HEATING & FUB/ OIL MAIN ROAD SOUTHOLD, N,Y, 11971 (616) 765-3690 InC. CERTIFICATION D a t e June._2~_ 1~8_9_ .... Building Permit No.__~k~9dZ ........ Owner Peter Stahel Plumber H e n r y__J_. _ S~mi_t h__&_So~n~__I n_q_. I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. Sworn to 19~__. before me this of ~ ....... , Notary Public Notary Public, Suffolk County B~I&NADETTE L. T~,Iq. IN ~voT,?,[~y PUBLIC ~4844893 State ,,! New York ~.~n Exm~s Sept. 30, -I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( INSPECTO/~ ,76S:1902 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~c~~OUGfl pL:BG. FOUNDATION ZND [ ~ INSULATION [ ] FRAMING 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL DATE INSPECTOR FOUNDATION ( ls t) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: June 5, 1989 PETER. J. STAHEL & COMPANY REAL ESTATE COUNSELLING · FINANCE 142 EUSTON ROAD GARDEN CITY, NEW YORK 11530 (516) 747-5074 RLDG. DEPT. '[~OF~O UTHOLD Mr. Gary Fish, Building Dept. Town of Southold Main Road Southold, New York, 11971 Re: Building Permit No. 16495 Z Peter J. Stahel 3800 Vanston Road Cutchogue, New York Dear Gary, Attached please find the copy of the Underwriters Certificate which you requested. Also, Bernadette of Henry Smith said she'would forward to you directly the plumbers certificate regarding lead content, etc. Thanking you very much for your consideration, I am, Very truly yours, BOARD OF HEA~TH ...... ~ :~,~:',.,~ , 3, SETS OF 'PLANS~ -....~-,'~ · ..' . FORM NO. 1 SURVEY ......... , .~ TOWN OF SOUTHOLD CHECK .... %..; · - , SOUTHOLD, N,Y, 1~971 NOTIFY ''~i~ APPL CAT ON FOR BU LDNGPERMT, ~ ~ ,' a. ~s apphcation must be completely fi~ed ~ by '¢pewfiter or in ink and submitted to tho Building Inspector, wit] sets of plans, accurate plot plan to scale. Fee according to schedule. : -~" ' , ~=:' ;;: ~' ?~.~?,,~:~ ~'?? ~?~ b., Plot pl~ show~g location of lot and of bulldogs on p~e~ises, relationship to adjo~g premls~s~ or pub~ or ~as, and giv~g a det~led description of layout of propertg must be drawn on the diag~m whic~ i~pa~ o~ ~ff apl c. The worE, covered ~y t~s apphcabon may not be commenced before issuance of Building Pe~t,; d.': Upon approval of thru appllCabon, the Bmldm~ Inspector will zssued a Bu~dmg Pe~it to the appHc~t.' Such pen ~PLXCATZON XS.,H~Y ~te the Budding. Dep~tment for the msuance of ~ B~ldm~ Pe~zt pu~u~t~o ~Bm~dzng Zone Ordinance of,~e..To~n~o~ Southold, Suffolk County, New York, ~d other apphcable Laws. Ordm~ces /Regulabons, for the const~ho~;9~ b~fldmgs addztmm or alterahons, or~o~al or demohfion, as hereto i~¢;Th0 applicant'.agrees to comply wzt~ all applicable laws, ordinances, bu~g co~, hous~code, and regulatxons,.~d ~adm~t au/fi0tm~O~pectom on. Premxses ~dm bmldmg for necessaW xnsp~~ ~ .......... . . ' . (Szgnstur~~T ~r~prp?atlp~) " , (Mailing addrts~ '~f applicant) ~y State whether apphcan '~ owner, lessee, agent, ~chitect, engineer, general contractor, plumber' or b?d '~ : '.. '3¢'; . , , . (as on the tax roll or la~est~eeal~ ' x /'~ If apphcant m a corporatton mgnature of duly authorized officer. FE~ .~ .~ ' (Name and txtle ofco~orate officer) . ' · · , . ALL"CONTRACTOR'S-MUST BE SUFFOLK COUMTY LICENSED ~Ui~IJATIO~ '~'WO L~cense No.~ ~ ' ' 'ROUGH ~Ak41~G & ~-UMBI~ - Electrician's License No .... , ~ T~'~ ~E~Ot~'~"ENT'$~ ~ ~-~' ~ ' N.Y 1. Location of land on which proposed work will be.done[ ~ ~3 M afb' ,- . House N. mber Street Hamlet ,", sOLDER uSED IN WATER ' : '[ t sUPPLY sYSTEM CANNOT XCEED /I0 of I% LEAO. 3. Nature of work (check which applicable): New Building ..... * ..... Addition .... ;'...':. Alte}ati0n . . .... Repair Removal Demolition Other'Work·f... 4.' Estimiited Cost .' ..... 000. ~ .............................. : Fee ........................ ' · " (to be paid on filing this application) 5. If dv}iillr/g'; number of dwelli~ng units ...... /. t ....... Number ctf dwelling units on each floor. ~i;;'/... ! ;~. .... If garage, number o;f cars .' .~/)/~0~. ~..~..CD .~I..ff'~..*.~.~.. 4...r,',',~..~/i~a~B. atlo...~.,..~..r~. .... 6. If business, eommercial or mixed occupancy, specify nature and extent of e~ch, ty.p~ofuse ...,"T...,.., .'.;::i. .... 7. Dimensions of existin structures, if an · Front ,6'~, t . ~ ,fig ~ m~.,th ~,~ ~ .o~,# g Y ....... : ........... ~ .... .--..~ ........ ~, ........... %. .... Height ....~.Y ......... Number of Stories .... .~.ar~.--. ............................... '.. '.' ..... :.. '...... Dimensions'of flame structure with alterations or additions: Front ~'~q.m.~ Rear .--q"/~ .. Depth ..:. ~:~t~. ........... Height ...~.~.O~C ............. Number of Stories. ~1'~.~.... 2 ........ "8. Dimensions of entire new construction: Front ...... /~r./~,~)~r/,(~j0i~ .... Depth .............. Height ............... Number of Stories ................................. : .......... .~. ......... 9. Sizeoflot:Front..~..[~../...t. ... Rear ..... ~.~.,/ .......... Depth .~../..<~0 ............ 10. Date of Purchase . ':./S)~.l/'~"O?~_,g?.t. ;t~.(~g ...... .~ame of Former Owner' {~ :..~/~t/..1~. [/~..~ .............. 1 I.,, Zone or USe district xn which premises are situat6d.../(J~.~t/~ffAl .W/tO'/... ............................... :'.. 1 2. Do? proposed construction violate any zoning law, ordinance o~'regulation ../~'/) ........... . ~fl~3.. ,Wfl!:loOS,~.r, egl:i/~d, eqt;.c ...... /~0 .............. Will excess fill be removed,from l~remises Yes 141'-NaZi 6f Owner',of premises . .~)..-5'.r/}/~.~./? ......... Address ~ .I('.~iM,~2P0./~:Ph-one No. Name Of Architect ~ ~,Zd?-,~8~it~O~-al~.~,~,,i~'Address ...~,..'.' .......Phone No Name of Contractor '-~ ~ ....... ~ ~0--~ 8lt~J/F~Phone No ' .... , .... .................. 15..Is, this property located within 300 feet of a~--~'md'al wetland? *Yes .;..~. No .~ · If yes, Southotd Town Trustees Permit maybe required. , , ',,,,. ........ :,~ ,:, , PLO'rDIAGRAM : , ,.. :,,. ,:,, Lo'ate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set21~ac~'dimensibns fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. ,. ' ' ' - ' ' "~ · i ' STATE OF NEW YORK, S,S COUNTY OF ................. ' .................................... ........ '~ .'..?".. b n~ duly sw0rfi, "~ , deposes and says that he is the applicanI '(Name of individual signing contract) above namdd. : '... ,"' ' He is the : : .....' ", ... : .... . .............. ,. (Contractor agent, corporate officer, etc ) o-~ar_~ a)~d is dulv authorized to nerform' ~r have rwrformed the ~.~id work a~d to make'and file thb