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