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HomeMy WebLinkAbout13883-z ~)mw NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ..... ~.o.~./.~.~...~....~.~ ...... ~_~L..~.~ ............................. .... ~~...,.~:..~ ....... ,o ...... ~D~.~.~....~~.~....~~...~z~ ~ .......... at premises I~ated at .~~.....~~ ~....~.~ ....... ................................................................................................. ............ pursuant to application dated ..~.~/.~..~...~.. ....... ./. ............... , 19~....~.~"and approved by the Building inspector. Fee $..~.~..~ / Building I~tor Rev. 6/30/80 BLDg. DEPT. TOWN OF SOLITHOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: survey property showing all property lines, streets, building and 1. Accurate of 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 - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00 ~cation of Property***~'...***~***~**~** ........ ~**~ .............. House No. Street Hamlet O~wer or Owners of Property ...................... ~-~-~-t~d ~ ~. .~y ...................................~..F~, ~. / ~ ~ C¢ nty Ta× No 1000, ection .... ..... .... .... ...... $ bd±v±sion .................................... Filed Map ...... i ..... Lot ...................... P~rmit No ............... Date Of Permit ................ Applicant ............................. ~alth Dept. Approval ....................... .. . Underwriters Approval ......................... [anning Board Approval ........................ ~quest for: Temporary Certificate ........... Final Certicate ........... ioSubmitted: $ .................... 'IELD INS¥~CT..~N FOUNDATION ( ~ it_L), FOUNDATION (2nd) 2. [OUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY qODE FINAL COMMENTS ADDITIONAL CQ~ NTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~, 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 1, 1995 Mr. Gerald Gralton Middle Road Box 153 Southold, NY 11971 **** SECOND NOTICE **** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) ** xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 13883-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard Principal Building lr~pector Curtis Horton Senior Building Inspector Thomas Fisher Building Ir~pector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southoid Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD APRIL 16, 1993 GERARD M. GRALTON SOIJTHOLD FLOOR COVgRING, INC. 35450 COUNTY RD # 48 SOUTHOLD, NY 11971 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) No Underwriters Certificate on file. The check is ~X~k/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, BUILDING PERMIT ~ 13883-Z (ACCESSOY STORAGE BLDG) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765~1802 BUILDING DEPT. r INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND*[ ] INSULATION [ ] FI~AMING REMARKs: [/~ FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 9OUTHOLD, .N.Y. 11971 TEL.: 765-1802 xamined ~../.'~.., 19~ isapproved a/c ........................ ~7 .......... ~5~~ ~/ ~'///~ (Building Inspector) INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to authorized ~nspectors' _on premises and in building~ for. necessary, jns~12~tj~°,.,n~,~~ ~-~-~-~*-~ _ -_.-~ ,~..v,~_'~t~,DF' ~ ~-r.~ (Signature of applicant, or name, if a corporation) 7( ~ ~' ~ (Mailing address of applicant) whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · O. ......................................... '7 ....... of owner of prem,ses .C~ ~.~./~...~.~2?......~... ~.~ ~r.~..'7-t29..//. -(c'' ...................... ~/' ....... (as on the tax roll or la:~st deed) !applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..."~5..~.. · .~.3 .............. Plumber's License No. ~(D ~ ~- Electrician's License No... ?..~q.~<. ?. ?..~..~....~,..W~. ~'~-X~% ~'T~x~- Other Trade's License No ...................... Location of land on which proposed work will be done ................................................... House Number Street Hamlet County Tax Map No. 1000 Section ................. Block .................. Lot .... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed ~onstructjon: a. Existing use and occupancy ................ ~Cd.~_~. ' ' '~._~U¢2~2~¢3 ~; ............................ b. Intended use and occupancy .... ~.~. ~,.qolK .... .~'~..... ~:~..[~O29ff~ ....C.~Tx/1~ ) .~9.G ............... hi ppli ) / 'Additi ' 3. Natureofwork(checkw cha cable :NewBuflding .......... on.' Alteration Repair Removal Demolition Other Work 4. Estimated Cost. . Fee . .~ .~..~.d .... , ....'... '* (to bei'paid on filing this application) 5. If dwelling, number of dwelling units /VO~,V~ ~ Number of dwelling units on each floor If garage, number of cars ................................... If business, commercial or mixed occupancy, specify nature and extent of eacK tyt~e of use .~.~.~. ~t0 G~r . 7. Dimensions ofexisting structures, ifany Front " .~.5 Rear . 2, !. (p..5 De~t'~ :['iii,~'¢ ight ~..Q .PS~...°~. N .~ /.7-- ..... - ....... He umber of Stories .. * .......... ' Dimensions of same structure with alterations or additions: Front .... I,&.ep.~.~: Rear ~x_~cO~,a~- Depth .... hOc~ ~ ~ .......... Height ....... ~Q..c.? .,,d.~ .......Number of Stbries ..... h.9..e,p.&?~ ......... 8. Dimensions of entire new construction: Front ... I .Q..O. ....... Rear ...~.~.q~. ....... Depth ...~..O ......... Height . ~ .~..~ .o.A.... Number of Stories ..... I ~ ' .... %g.c.~. 2& · '/ ........ . .......... _.. ~,. · ~ ........... 9. Size of lot: Front .......... .~..C>..O..~.. Rear ............... ~Depth .. [.~.k21 ............ 10. Date of Purchase ............................. Nam e ot~ For, mer~O~w~ner ~.: .......................... ted ~ /(~5117 a~75fi.,4~ ' 1 1. Zone or use district in which premises are situa ~ 1 2. Does proposed construction violate any zoning law, ordinance or regulation: : 13. Will lot be regraded ..... 1'9...¢-~. .................. Will excess fill be removdd from premises: Yes No 14. Name of Owner of premises ~ ................. Address ............... 1 ....Phone No ............... ~ Name of Architect .'--). ~ X/ ~]]~Ltwe,~_~A Addr~t~ L~u~Dr4 LN°~r- ~E Ph~,,~ .~.~.~...~..O.O.~,.p..'~5 Name of Contractor Address ~' Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~in,dicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. · '~?' · '~'~' '~..12K~D"~ ¥"~' ~ ICKL'"'-~-~DIx'D being duly sworn, depdses 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 shid work and to make and file this application; that all statements contained in this application are true to the best ofhi~ 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 Il . day o ~q // '- Notary Publlc, State of Now York .... · , ~/t f / No. 5~-4640852 (Signature of:applicant) Qualified in Suffolk County ~CommJssion Expires March 30, Z~ '- , 'X NOTIFY BUIL0ING D~PARTME'NT AT 765-1802 9 AM TO 4 PM FOR THE FO LLOWli',[G K'cFECTIONS: J. FOUNDATION - TWO REQUIRED FOR p~UW-D CONCRETE 3, INSULA I ALL CONSTR'JCTION SNALL MEET STATE CONSTRUCTION & ENERGY CODES. N~T RESPONSIBLE FOR I %~CT,~ON ~- ~ , ? 5~_.C. TION A-/~, J" (...~LOTEX: T,~ ' ~'XG~ / ¼ II I I I Ii II II I I I i ] F'LOOP-,, PL,k,N I I N I NOR, TH EL..EV. ilo suFFoLK COUNTY DEPARTMENT OF HEALTH SERVIC~ N,DiPlr, ya. IN~f Constr~cted disposal and water supply facilities at this location :~c0mpliance with these a. Uu0~ plans. DATE f CNIEF Of G~[~ .... ENGINEERING SERVICES Unauthorized alteration or addition to this document ii · violafion of section 7209 of the New Yorh State Educafior~ Copies of.this document not beadng :the enginee/= inked teal ar ~mbossed seal shall na, l be considered valid cop[es, / / ,/ ~ENE~AL NOT~S~: i. ~LAT INFORMATION ~,~ ~ F ~ HP'I , FROM A SURVEY BY YOUNG & YOUNG DATED 7/15184. SITE LAYOUT FROM A PLAgq BY ADG ASSOCIATES DATBD 5/12/82, LOCATION OF ADJOINING PROPERTY APPURTENANCES A~ BASED ON INFORMATION BY OT~ERS & ~OT DIRECT OBSERVATION. ALL iNSTALLAtIONS SHALL ~EMADE IN ACCORDANCE 'S%!ITH SUFFOLK COUNty DEPAR~M~N~ OF HEALTH & OF ENVIRONM~TAL CONSE.RVATION REQUIREMENTS. WATER SHALL B~ SUPPLIED BY THE ~RE~NPORT wATE~ VIA ~E EXISTinG WATER MAIN LOCATION O~ THE NORTH OF CR 48. - INSTALL T~CER WITH ANY NON-METALIC Unauthorized alteration or addition to this document is e violation of section 7209 of the New York State Education Cop~es of this document not beefing the engineer's inked seal or embossed seal shall not be considered valid copies.