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HomeMy WebLinkAbout24911-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26123 Date: 11/19/98 THIS CERTIFIES that the building ALTERATION Location of Property: 560 HOLDEN AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 21.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1998 pursuant to which Building Permit No. 24911-Z dated MAY 28, 1998 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to THOMAS E UHL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N445371 08/14/79 PLUMBERS CERTIFICATION DATED N/A 4 B ild' g Inspwgtor 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. 24911 Z Date MAY 28, 1998 Permission is hereby granted to: THOMAS E UHL 353 SPLIT ROCK RD SYOSSET,NY 11791 for ALTERATION TO EXISTING SINGLE FAMILY DWELLING "AS BUILT" AND AS APPLIED FOR. at premises located at 560 HOLDEN AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 021 . 002 pursuant to application dated MAY 28 1998 and approved by the Building Inspector. Fee $ 75 . 00 Building Inspe or ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD j `[ 13UILDING DEPARTMENT TOWN HALL 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 lures, 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. Q1. 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of. Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential. $15.00, Commercial $15.00 Date . . . . . . .4V . . ... . .C" 9- . . . . . . . . . . New Constructi.on. . . . . . . . . . . Old Or Pre-e ist g Building. . Location of Property. . . . . . . . 11. /. . .��. . . . Gr . . . . . . . . . . . . . . . House No. Street Hamlet' Onwer or Owners of Property. . . . . . I:5�. . . . .. . . .v".f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . ,V6. . . . . . .Block. . . . d,�; . . . . . . . .Lot. . ."?./­, .? . . . . . . . . . . . . Subdivision, i . . . . . . . . . .. ... . . . . . . . . File Map. . . . . .. .Lot. . . . � . . . . . . . . . . . Permit No. . . . . . . . .Date Of Permit. . . Applicant. . . . . .> :C1ia G . . . Health Dept. Approval.. r�l �l��. . . . . . . . . . . . . . .Underwriters Approval. . Planning Board Approval.. . . . . . . .�/'� j. . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . final Corticate. . . .''J�., "i Pee Submitted: $. . . . . . .�l.G%. . . . . . . . . . . . �o�a6�o2� . . . . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . APPLICANT THOMAS E. UHL TELEPHONE PRESIDENT 51 6 692-4545/6 Flower Hill � ° /I FACSIMILE 119 1II11IL!(uiJY1ffi s 3&7-7323 8243 JERICHO TURNPIKE, SUITE 01 O WOODBURY, L.1., N.Y. 11797 May 27, 1998 AI'TN: John M. Boufis, Building Inspector Town of Southold P. O. Box 1179, Main Road Southoid, NY 11971 Dear Mr, Boufis: It was nice meeting you at the house on Holden Avenue the other day and I appreciate your help in this matter. Enclosed please find three (3) copies of plans for work that was done on the lower level and i (0) application, for Building Permit along with a check for $75.00. 1 have corrected the various window and deck header problems that you suggest- ed, and I am now in the process of working with the Health Department and surveyor. I would appreciate it if you could fax me the Health Department survey showing the approximate locations of where the well point and the cesspool are. If you have any questions, please do not hesitate to call. Thanks again for your cooperation. Sincerely, T o s E. Uhl TEU/cm Encls. DN: TIdU(Ylfl3lsp.gw THOMAS E. UHL TELEPMDNE PRESIDENT ,�{¶� l1/�Corporation 51 6 692-4545/6 Flower Hill Bu iliang Co poration 51 6 367-7323 8243 JERICHO TURNPIKE, SUITE 010 WOODBURY, L.1., N.Y. 11797 November 23, 1998 ATTN: Connie Southold Building Department Town Hall Southold, NY 11971 Dear Connie: Pursuant to our phone conversation of today, enclosed please find Certificate of Occupancy for 560 Holden Avenue, Cutchogue, NY. Will you kindly have the Building Inspector sign same and return it to us. Thank you for your help in this matter. Y"truly Y urs Carol Meehan CM DN: HoldenCO o��gUFFOt,(C O H x Town Hall,53095 Main Road of Fax(516)765-1823 P.O.Box 1179 y O�� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 12, 1998 Thomas Uhl 353 Split Rock Rd. Syosset, New York 11791 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. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24911-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - Il- I i ' m gwmq�m115 111111,11-151 1 11 111, 1111 1:1 tHlE NEW IYdt .K IF#OA 2 ` ' OF FIRE" UNDE12WR1TER�S' If I_TI IIr IU 'i II rI) 4 Iii III tr t( -t t t tit dI t1 r 1 I VIII IIIri'I1111 1;_ I, II ,I 1111nitl iiil 41 I�U�t4AQ F tLr=i Tlr ICITYI , I, ',Ill. nI .,hi Ill 'III I�) Cb !sl !I Ii dll 6 tll il) BSS�I li`aTt4�EE.tr'I,il� l(Y0 K NF..W..�'IQRIC i11 ItI 111 ♦I di '} fll !II ff I}1 lli '1! +ill 171 oa t7 ,I � � ,I� �{at re1W$t18't- l�+rf 1�If -ii Ii) 4(. '9iA�plbiatort,lo{oiyfe�rt IIIaQJt $ � `< i a III''lll II ul ;{V !I' II' IflflI hi 111 . 1!+ pp /� .; f��� G11� RTIFI�EiS 7l itr ilI it! 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METEkI 1 AA1T 11 iAMV 1 'TYRE EQUIP I tW 1,9'3W 3.6' w 3,6'AW N OF 4 CONE A Mf G NO OF NI LEG A.w G NO OF NEUTRALS A W"G`—`�1' �, IPER A OF CC GOND } I r Of N44E0 OF NELRRAI Ii II � 11 1200 1; I ., rX III 16 i� 4i Il ( It t! t 1: .i 0 111. II I! d t Ir ti( iw tI Ilr 1 " .s.: 11 Ito- ILr t 1 ..6: t ,�� ��.-_{L fj if I i. 'II t - t- H t t r t OT�Ek APPARATUS: U r i� 7;If Iil .I 111 1 �II It XW$MOlte� @ta 1 tll ii( t � -V t r i ' u tr rt rl,,,, fl -i! ° 4 11I �I I 144" 4'1 j7i16'i i �1II[1 ('r�I I `39 I{ 1 i .�tli IIE 'i i L 11 'P!' i I 1i. ra. itl IL, i I t,'- .t-",II rii j'_ ❑ II 1, it I uI T 4. cons AeC. I�tnit , , E „ IL i;` I i ' r i- i I i i€ 'n I(I � ..•e I t t .r i _ Iti i r I_ a it ° I { 117r II: Iil tL ii :11( y I` lir tii� I1' 1 r 1: Iii r 1 i ? II n 6? .III II f � u .4 III . - ,i t{ t .°- I IIt.IIt t 111 I 112 II� 11g �r�`�ilQ.{�et �.�.11�VVl�ira y i t1 I ',P'I1 ptl 1$O`yF( 14131,1 7} -III k i}I l 11 !1j ( p7�,J td II • O.. , i L L li ` yy�, i -1lI i, ^MBttituC1k NaYhb 115521 iTi'1C 1 2-E _ :GENERAC�MAN GE , II P tl, I 't ' '' ' 4 is. •t `Il 'It -in. .i, it ,I 8 ii Iit" i tt Ni_ER I (! Il - .II ,1- It , ', 1 t'_ III �i ;', i.` 1�4r r aj.16' Ii II- ' r I h 'I III--.pt. IV 1( �r It i , , .. _ iThl;1<eTtlflgGlelm'ust not' be''altered Iri'dny mO�penjlreTurhlto4heji�fflte loP t6rt 6oatd rf;Int&`reci, Inspec1OFs,irioy''be•identified by tboir.tred tit11 ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE && CHIMNEY REMARKS. � 4�f DATE-�7 11 INSPECTOR f O � HOARD OF HEALTH . . . . . . . . . . . . . . . SAY 2 S tc",lQ g � FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . . y TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . T - - - G BUILDING DEPARTMENT CHECK . . . .. . . . . . . . . . . . . . . • . • . • • i jo-f d S(_al'rHOt.D j 'TOWN MALI. SEPTIC FORM . . . . . . . . . . . . . . . . . . . "... _ ..._ '.. ..�w SOl1THol,l), N.Y. 11971 TCC.: 765-1802 NOTIFY: CALL. . . . . . . . . . . . . . . . . . . Examined.....`,1.. ......, 19 MAIC: TO: . . . . . . . . . . . . . . . . . . . . Approved........6(3....., 19 fo Permit. No. .lT�'.K. �l` ..........I......................... Disapproved a/c ......................)LICATION I.... ................................... . ...................................... ..... ... .. /Bu»]ding 7nslhectorA FOR BUILDING PERMIT INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schechule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pthblic streets or areas, and giving a detailed description of layout of property mint be drawn on the diagram which is part of this application. 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 wilt issue a Building Permit to the applicant. Such permit shall bekept 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 i5 vEMBY HAM to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the lbwn 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 lava, ordinances, builds , lousing code, an regulations,,ad to admit authorized inspectors on premises and in building for inspections. ........... (Sig Cure of applicant, or name, if a corporation) cc- State whether applicant is owner, lessee, agent, architect, engi r, generaI contra r, ale t>r�i�ci plumber' or 7x0lde .........../..y/..... .... ....a�( ".':..................... Nae of owner of premises ........�., ........✓..:°:(........................................................... (as or the tax roll or latest deed) If applican s a corporat'on, si lure f duly authorized officer. (Nae and title of corporate officer 11 Builders License No. 51IS�` -496........ Plumbers License No. ..........I.............. Electricians License No. ..................... Other Trade's License No. ................... 1. Location of land on which /pprrroopolwl work will///bombe done..s-i5e-0��./�.) ........ ..... .!.`.. ........................ I • •J �CM.✓....... W Y.. 4..................... �....�: (louse timber Street hamlet s County Tax Map Na. 1000 Section ...//a....... Black .....1.......... Lot ......W....... Subdivision ..................1777................. Filed Map No. ..... Lot ....—....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy f proposed construction. /� / �� a. Existing use and occupancy ....4f.� .. f'B.�i(��r°! ... ... B ................ . b. Intended use and occupancy ...0/ .... ICC• .. � t......• •••• 1. Mature of work (dheck whidh applicable); Neu building ........... Addition .... ,f A)te�"tion ...../.... / Itelwlr ............ Rahaval ............. 1)ahrolltlon ............ Other Work .�'/,py4Cfr ./•off?:C�! .� !�1.. 8,0 (Description) 4. Eatiaated Cost ....;2,46w........... C ' � fee .. .... . .J................ .. .... / (to be lwhd on filing this application) 5. If tLelling, rnaier of dwell hug units ...1/....... Huber of dwelling imp's on each floor ................ If garage, ocaler of care ...................................... 6. If Iawlcess, mmnercial or mixed'oecupency, specify nature and extent of each type of use.......�...tp.�........... 7. Ulaensions of existing strictures, If any: Pr nt.... r�Fr +�6 -1 ......... '[tear .. �..... Depth ................. lialo t ......2 2P..tr........... Maher of Stories .....el ............ s ULnensiaw of sane structure with alteration dcor ackliLions: Front ... lam........... bear ' ...... Ilaplh .... ............ leigbht ... ........ Maier of Stories ....?........ S. Dimensions of entire new construction*. Front ...... tear ..... Depth ..2-e.F Ilelght .....�i b . ........., Muter of Stories......�,!............. 9. Sire of lot: Front .... Depth©0,!........ Rear ...d.�.!��..... Dept 10. Dare of Ncrc:lcase .....1.P7..8......... Name of porser O:mer. ....... 11. Zone or use district in whidh premises are situated ...............!Wk. .5,.............. ............... 12. hoes proposed construction violate any zoning low, ordinance or regulation: .... .............. 13. Will lot be regraded .......ek,..'O....... Will excess fill Ile reamed from rahh►sea: YfrS M. Nares of (Mer of premises ./ (at/ ...Q..61... Acklreas 45at� `, Mie of Ardttect ... Adklrese _ ` tkae of Contractor C'?Yrr .fQ !�`.. Acklreae p'r� J .� G4�4� 15, is this property within 300 feet,of a tidal wetlecxl2 * YES ......•. M) �� *IP YES, SOUI1l7D IMN 7 mms wrtm r MAY bb RE(X1I m. PLOT DTAGIIAM4 locate clearly and distinctly all buildings, wloetter existing or proposed, and lrclicate all set-leek dimensions frau property lines. Give street and block timer or description according to deed, and allow street nares and irclicac:e hdetler interior or corner lot. �I SI'Alli q` Mel Y( 88� MINH (M'' .... ......... ""'•'............. =Trdi.K. .......N/..........being duly sworn, deposes six[ says that h is the appl.icklat (M.-1:e of individual. signing contract) above nailed, Ile is the ........................ ........................................;................................. (Conhtractor, agent;corporate officer, etc.) of said aner or owrera, and Is duty autlorlied to perforin or have pe.rformed the said cork slid to mice and file this appi kalium; that: all statements contained in this application are true to the best of his knowledge add belief; awl thnL the work will be performed In Lie nooer set forth in the nppl.ication filed therewith. Sworn to before me this .day ( f 19.. . Notary thiblic ..... ..... IVOTARY Rt3tN1A W. UN4 �.... ...... ....... N 113LIC, Stats of Now York (Signtore of Applicant) Qualified UH`175633 'Commission '" NaSSau county Expires t"14- bb4��® d t re e + � law SUM 00.HEALTH DEPT,APPMOVAL H..8. NO 48 J L P :7 P;hI CHICAGO TITLE INSURAW, _ COMPANY Nl (516) 727-4M • r y _ E # �� rin S 3 A RSA �-=,.r. '"".� --�._�__•__� [, 9 'THOMAS UHL 40 THE.PNCE. GLEN COVE YORK 1:1542 � 1 4 :i b Q t, 15 Z' __:._ ._...►_..,..,•. „-..._.tet......-�....,.j.......^..p.,.. Z4 ,�✓�`'~ '�• + /�Sys •5• C j t eje 01 h F'. ut# .'t"A1.1 P � trtlAC'i:7;µ�1 I-1 S0 ', r{ '��fr CT.!!`.►,8L.5 L'F11:tw�•,1'?`4� f.r "TLR CAUMr. ✓ r.AAs•' I 'KAP OF {4R. tVTEE:U Tn s�►L i YuMcAG3 rfr ENSUPYWN. Co. �i�T�faGu�ra> AS SU E. --�—�—-- VAN TUYL. P C 0401: SOUTHIC :.`4 M .. .r rte• .a x. HC;.1-AMO BURV�ri►Q SU1rR.CO.Darr.O!r. HEALTH S3RY GEIS �fATl�ItaNT Q, .� FOR APPROVAL OF CONs4RUCTION. ONLY THa WAWA ltM.Y gip. w. P ,jam 1 • , V DISPOSAL, SYST"S FOR THINI DASEt w+ ! DENCa WILL CONVIO TD ..1lw 4 H.S.mall. NO,: ,.,, •+ Q * ;;"1 '.. STANDM OS OF SUFFOLK C06, i ,+ OR HKALTH. SaRVic". APPROVED: - _ �foctC1n3 JFMC- a.rP/F�E/.,-YFOODOU�f[ re►�/d`[t°�il.3Gi�i�. Corp _.. N. Y,, 1;797 e.-V_ � _s�, owA r40. ! __._.,ww1_�-,-.-,z -r4 F_ ' ._„!�l/UI,I''7•,J.kd ='�_rJ .'c;K�j$f4c�- � :.b 1^ d � BPRQTED DATE: / 'FEE NOTIFY BOINGDE MjEj2A T��, ,.L r Yi / S-� � 7E5-1802 9 AM TO 4 MFOR E 1FOLLOWING TON LLOWINPECTIONREQUIRED FOR POURED CONCRETE - - , /Fity _ 2. ROUGH - FRAMING A PLUMBING 3. INSULATION ,• - 4. FINAL - - CONSTRUCTION MUST BE COMPLETETIOR 0.0. ALL CONSTRUCTION SHA4L MEET - - - THE- REQUIREMOM'OF',.THE ,N:Y• r STATE:_CONBT,�IUCTION'�' EMIEJRGY - � .�� � �wCODES NOF RE$PONSIp61i i✓OR 7 - idISE1R6 3wom mums" Baamp3li - ` .' 1�1l01l -CER 1 rt ,r T�IC71T I J { 1, T I ---�—}- � r � EMFRREINCMfSfAPEA$ IWO f r : �xiuu BY 'l �. �. „z- •.: :> Ri.:714 OF IBBlLOING,C0ib 4E Nj 1 , q4 0, yqp �N W. O[ - * — STRUCTURALENGINEER W l JOHN W. z Z OLSON, PE. UNAUTHORISED-AI.TERA ON OR AnDITI0 �^y 7366 S.W.JASMINE TRACE . - TO THIS Do"vaIENT IS' A VIOlAT10N cI sF N 4•I4 �c PALM CITY, FL 34990 - ' Tit fl*msf e004'pI alegJl<e[1riA!Ik rrt,h SECTION 72D9 OF THE NEW YORK STATL: Op a, 33 P' - - - WFh ,ny effm uM al�f�U..... �wa'MW, i EDUCATION UAW. ROFESS,O� - All :r•�'?fiMHis mYef'(Ne ^Iw A43.! n