HomeMy WebLinkAbout14541-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z20127 Date AUGUST ~. 1991
THIS CERTIFIES that the buildin~ CHIMNEY
Location of Propert~ 17525 C.R. 48 CUTCHOGUE
House No. Street Hamlet
County Tax Map No. lO00 Section 95 Block 04 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DEC. 13, 1985 .pursuant to which
Building Permit No. 14541Z dated FEB. 11~ 1986
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 CONSTRUCT CHIMNEY TO EXISTING BARN.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
LORRAINE & KENNETH S. MILLER
Rev. 1/81
FO~M ~0. O
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)
14541 Z
Permission is hereby granted to:
....... ~~.~...~/.....~.../~'.,..//~ ......
........ /.7~..~..~. ....... ~-..~.....-~ .............. _
.....
....... ¢.C)z.v..,2.?.zZ~..c.T.. ...... c~./.z/~.t~ ~_.....~.... ...... ../.~.~... ~.~.r.T/~ .... .~../~..~. ....
ot premises located at
County Tax Map No. 1000 Section .... ,.(?,..~'....~.,.. Black ..... ..(~.,.,.~.. ...... Lot No.....~,../....~.. .......
pursuant ,o application dated ..... . .l~...~.....~.......¢....<~.. .................... , 19.2..,~and opproved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOW '
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN
765-1802
Ai°PLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and Unusual natural or topographic features.
2. Final Approval from Health Dept. of Water supply and sewerage-disposal(s_9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code C~pliance from archizect or engineer
responsible for the building.
6. S bmlt Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9 1957)
'pre-existzng land uses: , uon-conformzng uses, or buildings and
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
:. Fees
1. Certificate of Occupancy - Mew dweiling $25.00, Additions to dwelliug $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessorv building $25.00,
Additions to accessory building $25.00. Businesses $50.00. ·
2. Certificate of Occupancy on Pre-existing Building - $I00.00
3. Copy of Certificate of Occupancy - $5.00 OVer 5 years - $I0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..........
re ex ...............................
ew Construction ........ Old Or P isting Building. ~.~.f./-f..M4..~.ff'
Itouse No. Street .........
Hamlet
~wer or Owners of Property....~..~...~j..~.~.?.~...~....?....~.~.~..~/.~..~......~.~.~..7%_~' ............
~unty Tax Map No 1000, Section...~.~. .... Block ....~. ..... ,
" " ~- .. ~ot ..... /..~. ............
~bdivision ........... ' ...................... Filed Map ........ ~
:trait No.~.~.~.~.~ .... Date Of Permit., ............... Applicant.~-.~..../-~.~/~.~..~ ...
alth Dept. Approval ................... : ....... Uuderwriters Approval .......................
anning Board Approval
quest for: Temporary Certificate. Final Curticate.
· ' - '
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 24, 1991
SCOTT L. HARRIS, Supervism
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Kenneth S. Miller & wife
RR2 17525 County Road ~48
Cutchogue, N.Y. 11935
Re: Storage of bus and expired Building Permit #14541-Z @
17525 County Road 48, Cutchogue~ N.Y.
Suffolk County Tax Map ~1000-95-04-19
Dear Mr. & Mrs. Miller:
The Southold Building Department has received a complaint
concerning an apparent charter bus business being operated at the
above premises. During the investigation of this complaint a
large charter bus was observed being stored behind your barn.
Please be advised that this is not an allowed use in an
A-C zoned district, and in order to avoid possible legal action
by the Town of Southold the use must be discontinued immediately.
In addition during the investigation it was discovered that
Building Permit ~14541-Z has expired and a Certificate of
Occupancy has never been issued for the completed work. Please
contact me at the Southold Building Department to resolve these
matters.
Thank you for your cooperation.
VRW: gar
Very truly yours,
SOUTHOLD TOWN BUILDING EkEPT.
Vincent R. Wieczorek~,
Ordinance Inspector
FIELD INSFECT~ON COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
?LUMBING
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined. 6~/t¢ 19 .~.
Approved ..... .~. ~L? ....... 19~.. Permit No. J..~..~.7 .~..g. ~
Received ........... ,19...
APPLICATION FOR BUILDING PERMIT
Date t ..... , 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Btfilding Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of OccupancY
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code~, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. __ ~, ~ ~
..... ::.f/. .. ...............
(Signature of applicant, or name, if a corporation)
../.7. :C. .c. ¢:... .....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................... ...........................................................
Name of owner of premises ' -~'O'~/L
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... ~-~-.~ ...........
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License NO. .....................
1. Location of land on which proposed work will be done ..................................................
House Number Street Hamlet
Coun.ty Tax Map No. 1000 Section .............. Block ...7'2. ............. Lot ....... ' ............
Subdivision..' ................................... Filed Map No ............... Lot .... ; ..........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................
b. I~tcnded ~se a..~d occupancy ...............
~3. Nature ofworl¢ (check which apphcable): New Building .......... Addition ....i ........ Alteration..__., . ....
Repair ...... '. ....... Removal ............... Demolition .' .... ~.- ...... i... Other Work'. .
4. Estimated Cost ................................ Fee .......... ~ ............................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number'~)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: Frbnt ..~ .... Rear ...... I Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ~ Rear ......
Depth ............. Height ...................... Number ofiStories .................. ;...
Dimensions of entire new construction: Front ............... Rear ........ ; .. Depth ....... ' ........
Height Number of Stories .
Size of lot:
Front
Rear
...................... ...................... Depth ......................
10 Date of Purchase Name of Former Owner '
11 Z ditri tinwhichpr is esit d
· one or use s c em es ar uate ........................ I ...................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ............................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address .............. i .... Phone No ................
Name of Architect Address ' Phone No
Name of Contractor .......................... Address ............... i .... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or de~scription according to deed, and show street names and indicate whether
interior or corner lot.
''8.
STATE OF NEW YORK, S.S
COUNTY OF .................
................................................. being duly sworn, deposes and says that he is the applicant
(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 this
application; that all statements contained in this application are true to the best of hi~ knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.. [~2 ~ - /~zc.- ..... ,19 .~..S-
No' Public .............. ~4f~.-~t/' .~ ~J~ f~-,,,. ~?~,~ ~. ~,.. ..... oay.oi .............. ' .... ~ '~''
raw , · .............. c ................... County.
/ %
E
MAP
,o4 I..OT, ~s
SURVEY FOR
KENNETH S. MILLER
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
'~NAUTHOR~ZED ALTERATION ~R AOOITIO~I TO THIS
DATE :
SCALE:
NO. :
AUGU*5~F 2'5~,1~4
AUGUST 2~ 1984