HomeMy WebLinkAbout25527-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27603 Date: 03/28/01
THIS CERTIFIES that the building ADDITION
Location of Property: 7645 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 101 Block 1 Lot 14.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 15, 1999 pursuant to which
Building Permit No. 25527-Z dated FEBRUARY 9, 1999
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 GREENHOUSE ADDITION TO EXISTING BARN AS APPLIED FOR.
The certificate is issued to ERNEST SCHNEIDER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-542744 11116100
PLUMBERS CERTIFICATION DATED N/A
tho ized S gnature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25527 Z Date FEBRUARY 91 1999
Permission is hereby granted to:
ERNEST & WF SCHNEIDER
915 LAKESIDE DR
SOUTHOLD,NY 11971
for
CONSTRUCTION OF A GREENHOUSE ADDITION AS APPLIED FOR.
at premises located at 7645 ALVAHS LA CUTCHOGUE
County Tax Map No. 473889 Section 101 Block 0001 Lot No. 014 .003
pursuant to application dated JANUARY 15 1999 and approved by the
Building Inspector.
Fee $ 50 . 00
r
i
Authori ed Signature
ORIGINAL
Rev. 2/19/98
3 Form No. 6 Tale
TOWN OF SOUTHOLD
b � BUILDING DEPARTMENT
TOWN HALL
,�i --- - 765-1802
:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
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.
C. 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .254)
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.`00, Commercial $15.00
Date . . �d 7/P.l . . . . I . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . U Old Jr Pre-existingBuilding. . . . . . . . . . . . . . . . .
Location of Property. .74/,S N . . . . . . kCt 614?A't . . . . . . . . . . . . . . .
House No. (� Street Hamlet
Onwer or Owners of Property. . AWM.T- . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . b �. . . . . .Block. .Q 0 Q ??1. . . . . . . .Lot �Q.w . . . . . . . . . .
Subdivision. . .((.--. . .)). . . . . . . . . . . . . . Filed Map. . . . . . . . . . . .
/Lot. . p. . . . . . . . .
Permit No. . p sr —'-' Q. , ,Date Of Permit. . . 4?/?1 . . . .Applicant�RCJV! ?.T !/.�Y�l� ER' . . . .
Health Dept. Approval. . . . ./ �!)).A . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . l�. 0 . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
&,ac. s9a33 APPLICANT
en -?- 03
cm
Town Hall,53095 Main Road C4 Fax(631)765-1823
P.O. Box 1179 Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 28 , 2000
Ernest Schneider
915 Lakeside Dr.
Southold, NY 11971
RE: 7645 Alvahs Lane, Cutchogue
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)
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 # 25527-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW' YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1001093 BUREAU OF ELECTRICITY
AO FULTON STREET, NEW YORK, NY 10038
"Date' 16,2000 Application No. onfile 18321299/99 N 542744
THIS CERTIFIES THAT PERMIT NO. 25527
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
'1 SCHNEIDER'S GREENHOUSE, ALVAH'S LANE, CUTCHOGUE, NY
in the following location, ❑ Basement ® Ist FL ❑ 2nd Fl. Section Block Lot
was examined on NOVEMBER 09,2000 and found to be in compliance with the National Electrical Code.,
FIXNRE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P.
8 16 7 1 B 1 1 1 1 4 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PI.I TIME CLOCKS BELL I UNIT HEATERS I M SYSTEMS ET DIMMERS
AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 50
SERVICE DISCONNECT I NO.OF S E R V _ I -- - C - E
METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. I 0 RW 1¢JW J 0 3W13 0 4W PER 0 OF CC.GOND. NO.OF HI4EG Of HIAEG NO.Of NEUTRALS Of NEUTRAL
OTHER APPARATUS:
MOTOR CONTROLS 'F-2
PANELBOARDSTI-14 CIR. 100
G.F.C.IL-2
DOROSKI ELEC. INC. LIC.#2941 E L L
425 MONSELL LANE
CUTCHOGUE, NY, 11935 GENERAL MANAGER
11
Per 4 ��
Thls cedittcate must not be altered In any manner return io the office of the Board If incorrect. Inspectors may be identified by their credentials.
COPY FOR -BUILDING- DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]:INAL
SU TION
[ ] FRAMING j
[ ] FIREPLACE S CHIMNEY
REMARKS:
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,DATE INSPECTOR ✓
FIELD -INSPECTION REPORT DATE COMMENTS
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BOARD OF HEALTH . . . . . . . . .. .. . . .
FORM N0. I 3 SETS OF FLANS . . . . . . . . . . .. .. .
TOWN OF SOUT1101.1) SURVEY .. . . . . . . . . . . . . . . . ... . . . .
BUILDING DEPARTMENT CHECK I.. . .. . . . . . . . . . . . . . .. . . . .
TOWN HALL SEPTIC FORK
SOUT1101.1), N.Y. 11971
TEC.: 765-1802 NOTIFY:
qq q CALL . .. . . . . . . . . . . . . . . .
MATT. TO: . . . . . . . . . . . . . . . . . . . .
A1-4)rovp
ed....... '.!....,. 19.1.S Permit M. ... o .........................
Disapproved a/c
uek
1 ( R p� ...(Milding Inspector)
PLICATION FOR BUILDING PERMIT
15199t3 !
Date. . . , 19. .
INSTR11CTioNS
BLDG. DEPT
a
TOWN OF t completely filled in by typewriter or in ink wxl submitted to the Wilding Tnapector wi
3 seta or plans, accurate plot plan to scale. Fee according to schedule.
., plot plan showing location of lot and of buildings on premises, relationelnip to adjoining premises or phhulic
atrects or areas, and giving a detailed description of layoht of property must be drawn on the diagram vhich in part of
this application.
' c. 'lhe work covered by this application may not let commenced before issuance of g Permit
Permit.
d. Upon approval of this appl.icatian, the )building Inspector will issue a Building Pt to the applicant. Such
permit shall be.kept on the premises available for inspection t'hro)ghout thhe work. -whatever until a Certificate of
e. No building shall be occupied or used in whale or in part for any purpose
Occupancy shall have been granted by tine Building inspector.
APPLICNrIM IS li'RE81f MATJE to the Building Department for tlhe issuance of a liuilding 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 reroval or demolition, �herein
described. Tihs applicant agrees to comply with all applicable laws, ordinances, building code, housing
regulationa,,wd to admit authorized inspectors an premises and in building for necessa i tions.
grnature of•applicant, or name, if a corporation)
(Mulling address of applicant)
State wi)ether applicant Is Owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or Wilde
..............!.........�.?...�.t...........................................................
Now of owner of premises RIX .�. N l�.c:c�%ct 4`a Q ..........•••.••• t
(as on the tax roll or latest deed)
if applicant is a corporation, signature of duly autlarizecl officer.
.........................................................
(Hurn and title of corporate offiPPce��r),,//�
Builders License No. .....o ./U��••••••
Plumbers License No. .N/°/...ry.....••.• y f /yp yv
Electricians License ••••
Other Trade's License No. .N.x/114.............
i. location of land on which propowl work will be done................... . .......................................
7 l ........ L�l l .5... .ff%/7C- .......I...............(.../rf� G .�T ...............:...-.-
Ilouse tkuber Street [�lbrilet
County Tax Map len. 1000 Section ...1.0.1........ Block ......t......... Tot 1..1........
Subdivision Filed Map No., ........:::.... Lot ...............
(Nate)
2. State existing ore and occupancy lo{f� premises and intte�rded use and occupancy of proposed construction:
a. Fxistirg nae and occupancy .(N!��L. sR� �...IYR� 7!l..... Sc .........................
... .........
b. Intended tube and occupancy +h.v5>a w.hw.�...,,. ••••..r•. .
.m..........,,,..•..it.".ytt,9 w, vq.:"•. Prrtnt
3. Nature of work (check mild, app#iceble)t New Wilding ........1. Addition .,: Alteration
Itelwir ............ Nemwel }......... tlahxhlltlon ............ Other Work ....• ... .. .............
(Description)
It. Hanointed Cost /,� a. ....r..... fee .............................
(to be paid cxh filing tills app llcaCIon
)
5. if &mlItit, naber of dwellhrglrnits ............ H,ober of thnelling units ah each floor .. .. ... ... ......
It garage, hxnber of care ...................................... ll,'II
6. If. Ixhsiness, con, relal or mlx fOcnhPency, apartCY nature and extent of each ty of Ae,W r � /iL� ( net Irf4�N3,
dagiew 41
7. Dinenelons of existing stntctures, If enys Front,., O., Bear .. � nepilh
Il neht ... of .1 s tn.............
w{•tkinber of Stories .../.I................
with alterations or'adtlitionat Pront .. 6.4'/ Rear a6 /
.....
( / ..,.. tkiost ./f1l. ... ... jMrlixer of 41 �rie r'.....p�
ikh tUh � RoNh"
ructions Pront 7a4., ltenr ... .,.. Depth ...
!� ...�..�. hril)er of Stories ..�...•...,.....
Ikhl K /
0.
/ [�
neon are o entire new cone
9. Sine of lot.= Rront � ,......... Rear ...20,P.,.......... DaPth ...�YPa.. .:,.,..., ,
10, little of Purchase ........19.7$....... flame of Pornrer Omer . �I��L 4 d 4N,S..... ........ ....... .... . .
II, Zahe or use district In which premises are situated ....... ,4 ......................................... ... .. ...
12. Does proposed construction violate any zoning low, ordlnasrc'e or regulationh .i..,.,.,....:,.:.,
13. Will lot Ise regraided ,.... .......... Will excess fill Ile rammed from premiseet
premlees a
I NoJ3Y �6� ..
h. Nares of Owner of c dv4 ' ct7/r(�
Have of Architect .......... .................... Arklreas ......... ..................... flhahe to.
p 1, c� 761=i.i1y
lkme of Contractor ...... Acklrese�yi!-L�K4-�:tP.��RAt4yVaF47J(R�4.11ane
IS. is this property within 300 feet,of a tidal tetlend7 * YPS .......... NO
*if Yn, Swn[ID '1 4N 11i11Sfi+.QS fLimn MAY w In. piBIfi.
It1,0T DIAGRAM
Locate clearly and distinctly all buildings; whether existing or proposed, and Indicate all set-back dimensions
From property lines. Give atreet and block ntnber or rlescriptiors according to rleed, and Allow street "res aixi iaiicnte
hAtet er Interior or corner lot.
�157� rood Sct-T lol 13Loc PCir I4{. 3
5'0Z
lies �i'
Rod oAm
`dII r )
1`t a'� 6 Ct 4htL
, SS
(IAINIY Up I.......................
T•-
C t�•1� `5} T• ��� �!�� �� being duly sw)rn, delxhnea 81x1 Says that be in the appIA(Umt
(Na1c of hxitvithtnl signing contract)
alxrve ualed,
Ile In the ......... ...............IQQW. SQL... ....... ..............,.....,........,......... .
(Cahtractor, agent's-corporate officer., etc.)
of said owner or ownera, and in duty authorized to perforin or hrrve performed the said work axI to nrhke a1x1 file this
nlgd ICOIL ifxh; that 11.11 statementsCc�htatried in this tiplAICatkin are true to the best of his khxraledge ahxl •lxil.ief; mxl
tint the work will he performed In Ute manner net forth in the nppticatitm filed therewith.
,worn to before rre Urfa
....a.a."�...,,dnyof .: L... y.. 19.�.q...
l41
Notary Public ...... 1
SOBER'1 1. SCUI i JH. ignnt:ure of Appllc8ut)
Notary Public,,State of Now York
Qualified in Suffolk Copnty
No.01SC4728088I
Term Expires May 31,
=CSI'CI!7SUFFOLK CO. HEALT14 DEPT. APPROVAL
N_�&32 to E. 518.22 H.,S. NO.
•' `\ �,y/ +-•,�- Cam _.�// �yyJ�\ �.y.L''t84 k � \\`\ �+"/ /
�G a
STATEMENT OF INTENS,
I Flop ELS S�� uj THE WATER SUPPLY AND SEWAGE DISPOSAL
S ` Np
SYSTEMS FOR THIS , RESIDENCE WILL
= '} ;�- 2?S.0 �� CONFORM TO THE STANDARDS OF THE"
a j PSzo'. eptIc R '•" '�. /' SUFFOLK ,CO. DEPT. OF HEALTH SERVICES,
- ✓
^..
{ f— (5} APPLICANT
SUFFOLK COUNTY DEPT• OF HEALTHLn .
SERVICES — FOR APPROVAL FOR
CONSTRUCTION ONLY
li iU _ DATE:
} H.S. REF. NO.:
*� ` Sr-A E }CAJTE APPROVED:
P2Ek°532A .
h� G<.t4 ta4QMEi`V_a
3 � f -- SUFFOLK CO. TAX MAP DESIGNATION-
a DIST SECT- BLOCK PCC
3 OWNERS ADDRESS
G12EEUtYA 33.E -
> _ In 1 y ALVAf-!'S x-&NIE
3
W rS 3 -
_'.w - DEED: L_
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LICEP#5E0 LAND SURVEYORS
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