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HomeMy WebLinkAbout24269-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27778 Date: 06/28/01 THIS CERTIFIES that the building ADDITION Location of Property: 1475 STERLING RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 2 Lot 23 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1997 pursuant to which Building Permit No. 24269-Z dated JULY 24, 1997 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH J. MELLY JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 529040 07/05/00 PLUMBERS CERTIFICATION DATED N/A a ^ thorized Signature Rev. 1/81 r FORM NO. * 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) N° 24268 Z Date ............. ..`/ ........................ 19.2/ Permission is hereby granted to: :.... .M.... 1.1.. ... :............... �/ Nf.1..S1JL/. • F" Cl ......../..:..:. Y................ ..................... .......................................................................................................... ............................................................................... ....I....................... . . . .................................. ... at premises located at ....l.L ......c li .... ...y........rl .kms................... County Tax Map No. 1000 Sections .....f0-...— Block ........ i? .... Lot No. .... ........... pursuant to application dated ...1,1.21 .....9�:3........................ 19/./-, and approved by the Building�IInnsppeector. Fee $....4.!.••`• Co . "..,.......................... ' in nspector Rev. 6/30/80 fForm No. 6 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT I TOWN HALL � ��CJ 765-1802 t" APPLICATION FOR CERTIFICATE OF OCCUPANC j A. This application must be filled in by typewriters bmitted to the binspector with the following: for new building or1. Final survey of .property with accurate location of allstreets, and unusual natural or topographic features,2. Final Approval from Health Dept. of water supply. and sewerage-disposal(S-9 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, in 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 a unusual natural or topographic features, 2. A properly completed application and a,consent to inspect signed by the applicant. If a Certificate of Occypancy 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.QO. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - I .25%0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15 0, Qommercial $15.00 p� Date . . . . a . . . . .. . . . . . . . . . . . . . . . . . . . . New Construction. . . .. . .. .y Q1cj�Or Pre-existing uild'ng. . . .. j� a Location of Pro ert 5 �1.� �. ., . . .CN`. , , ,� . . p y. . . ,;ty .. . . . .. ... . . . . .. . ..�:t . House No�� Street Hamlet ) s ply Onwer or, Owners of Property.. . vd. . . �. . .. . . . . , . �.. .. ... .. . . . . . . . . . . . . County Tax Map No 1000, Section. . �� . . . . . .Block. . ,�. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . .. . . .VA .. . . . . . . . . . .. . . . .. . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No, , a� . ?. .Date Of Permit. ?. . . . . . . . . . PPlicant. . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . ........ . . . . . . . . . . . . . . `,r .. .UttderwritersApproval. . . . . . . Planning Board Approval. , , . . . . . . . . . . . . . . .. . . . . . / Request for: Temporary Certificate. . . . . . . . . . . FYerticatFee Submitted: . . .. .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . � i .• I�UI1111,111�I ( /per r 1'VIIIIIIr11 lull r 1.._,._....- . illlll.'II It AI11', f. —_... '- All _...• ....._.... __ --. , . I'I 111 1111 till - "--- - _ t) V //�� ry 11!{III n 1 11111 "VII ;I, ••� ..._.�..,,,-„ .,..«,,,�,a� 1 A 1 V. I'111'.II . .... ............. .. .............. ...... r' I IIAI .......: . . A 11 1 1 m I A 1. �;(1 1111,111111 -- ------- ------- ---- _ ----- - - --” ------ -- -- ------------ ' I U NO J fl ry,> S(J RVEYE� FOR Land o f •sfer/in9 Est �lOS� PH MELLY � v .»on �/. e.S�4 6 X00 E. //6•/6 Pie j EAST C/UTCHOGUE gZ 7o- wN OF Sou-rHOLO ` off i SUFFOLK Co.,N.Y. ; o /vote : Z-e t r7 rnbers i-erforto L ` NaSSQu FormS ,led in Su Co. C/erks �• �f as Malo 1Vo. //79. Q 0 1, 0 7 o.o o 1'70,2. .clan. S. 8S�46�00'�W //6•/6 � 1 �- GUarar7feed fo the /nterCour�f�•Tii/eGuaran)y mindA?orfy749e Comfxrny or/d fn fFie 5aulha/d STERLING 'Tall" 19a+r7/c as surveyed Oct: Z 6, /9S'9 i Oho W Van Tuyl Son Licensed .and urveyors _ � 7%WCVVa: s _ r, 'es-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 0:6 � I'L R DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ } FRAMING [ FINAL [ ] FIREPLACE & C IMNEY REMARKS: � DATE 9 oa INSPECTOR �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] OUCH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A //CHIMNEY �/ REMARKS: DATE INSPECTORN 765-1802 BUILDING DEPT. INSPECTION [ ] F UNDATION IST [ ] ROUGH PLBG. [I FOUNDATION 2ND [ ] INSULATION [ ] FRAMING j ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. S�ECTtON [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r DATE INSPECTOR 22& M-1802 BUILDING DEPT. 114SPECTI®N [ ] FOUNDATION IST [ ] ROUGH PLOG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: c DATEINSPECTOR BOARD OF UEAL.T'U . . . . . . . . . . . . . . . '..._. FORM NO. 1 3 SFlfS OF PLANS . . . . . . . . . . . . . . . l TOWN OF SOUTHOLD SURVEY BUIL.DINC DEPARTMENT Ci1ECR . . . . . .. . • . . • . • • • • • • • • • - 1Jyg] � ' TOWN HALL SEPTIC FORM . • . • • • SOUTUOL.D, N.Y. 11971 TEL: 765-1802 NOTIFY: i✓5'Gu;JlpLl�� CAi.I. Ewanined...... . ., 19. j/ MAIL T0: . . . . . . . . . . . . . . . . . . . . Approved...... . �}�..., 19� Permit No. .r!r �. Disapproveda/c .................................. .................................... ...................................................... (1Aaildinl;�I , r) APPLICATION FOR BUILDING PERMIT I nate. . tVtC. ?'3. . . , I9�.�. INSTRUCTIONS a. This application nest 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 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 will issue'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 wiwl.e or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY WW to the Building Department for the issuance of a Building Permit pursuant to the Building 7oue Ordinance of the Town of Southold, Suffolk County, Neo York, and other applicable Laws, ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'Ibe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regultations, and to admit authorized inspectors on premises and in building for necessary inspections. ' ..................................................... (Signature of applicant, or name, if a corporation) ........................................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... Name of owner of premises ��!1:.... �U� ............................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriml officer. .........................................I............... (Nave and title of corporate officer) Builders License No. ..l.,l:.l.�...A I....... Plumbers License No. Electricians License No. ..................... Other Trade's License No. .................... I. location of land on which proposed work will be done..............•....... ............................ . ��S I 111 vic,`^o N House Noduer Street Uanlet County Tax Map;No./1000 Se5�1;ion ... ...... Block ...Z ......... Lot .;!�......... Subdivision .. SA 1'�2MS..........., filed Mop No. Lot ...... (ti.•me) 2. State existing use and occupancy of premises and intended use and occupancy of: proposed construction: a. Existing use and occupancy .........K X51 i t f�1 r........................................... ... IN. Intended use and occupancy ......,. S. rY4SF ' 'r,4ryUL?3 , 1. N,Ulre of work (check whi(JI sllllrlicuble): N r Iknilding .......... &Ill ition ..,....... Alteration .......... ............ DamlILIoil ............ 01her Work ........ .............. ••.(Description) h. g8tiaknte(1 CAat .......... fee ... .............................................. .• (I,o be paid on filing tills application) 5. If dwelling, nnier of. th4e113{q; units ..,,......., tinier of ckaellin% units on each floor Ifgarage, mm lher of cars ,,.b.................................. b. If Ixhsirhess (xnrrerciel or nli '�ae(l ocahpancy, specify nature aril extent: of earl type of use...................... 7. Dillensions of 1 {In / leiglu ....... fires, if any: lTrarl ..... QJ...... Rear ............... Iept6 ...t I........... . ••.. g•••••••{.. N(nier of Stories ..�..I/Z•.............. Dimensions of smelstructu structure alterati( or rxklitions: Front .... ....... Rear ............... Depth _-SA-m-r.......... i:L-II IL .V,1,l,',,,• tirdxer of Stories R. Dllhhel"Ialala OE entire new coast Front .......... ...... Rear ............... Depth .............. IIeiI;IhC .......•..............:.. umixer of Storics ..................... 9. Size of lot: 11"rnl:..... . Rear .......1.1.6....... Depth � or Owner ..A..l.i-!........... 10. Naha of Purchase ...1 1.1 7. .... Nof Former Owner .... �t �,�✓L t l 1 �'" ... N 1 I M Prenisea are a$fuatedl .... .._S�. .��....rll�cl...f�.)................................ 11. Zane or use district m On vi late any zoning law, ordinance or regulal.ponl ...., .6............... 11. Ices oro sed cnrhsl:r(rr.Llar villi', •• - ••...I.,.... Will excess fill he rcnoveil honprelises: 14YI?S N(1 btr� . Names of Owner of prermises ZS'V C,{v��j......... Acklreas ,5 :�(n ............. phone 1:1. Will hoc be regraded Nine of Ard911[ect .. ....... I................... Aoklreas ......... ..................... pone No. ........ .1.,.. ..... e Of CAMAractor rh .H Pr � K1 �. 5(��hEIL: Acklress ............ ... .............prone 15, Is this property within 300 feflt .......... of n LTtlal reclalxl? * YhS *IF YIi.4, millli m -low" 'I'=IVmq PRRMI•r MAY IV3 RL'. 11m). PLOT DIAGIIAN locate clearly and distinctly 'all Ixhildings, uletlher existing or proposed, and inipcate all set-back dimensions front properly lines. Give street and block nniner or description according to deed, and allow street flames arxp Indicnte ulether interior or corner lot. r �I SIAM (Hr "M YAW (Xl11NIY (M+ C,l, (Nal l ilxll ra nil con )���•�� � ��• --Ixeint; duly sworn, (jLpoaes mol says that lie is the applicant- above ranledl, lk± is (.lie ........�. i....................................................................... (Contractor, agent, (corporate offi(:er, etc.) Of said Owner or owne.ra, nix] is dnl.y ruthorized to perform or have perfonhed the said work aal to make and file this applicaLioap that. all scaLellents conic itxA in this appl ical ion are true to the beat of his luowle(Ige aw Ixilicf; and that: the work will be performed in Ihe; n4hner set forth in I.he application filed therewith. fhworn Lo I fore ......���S.x(la Notary 14 hlic ..�.... it ... ..... App, i .ant), 2u1� �rr NORTH ae. �`X/ST NASOHAAy 50Pl4WY I � i Rk'PERENGC ORA1w�'N6.$ Ab 7/TLf I SH Y CFS ,BASEMENT a FnaNPA r14* P4 ,v '- SHRovs F/RSr iLOON ,pIE,O// ' .I. SX 9 OFS R Na (EMR_ AO-or ARFq SX 4 OAA NAR7'N { JM#W ELdYAPPAPS A cmw/ ;,PACM!'NT k 'i SH 5 ors 4,vrp tY. N'vT ELEI:/ jeemN V * Foo SEN/AA4 W;r& JEIP ShWr7R Orf - I. .lctes5 � I 4 I E7�/57- b/15E/YE1v7- i C e4mc r n' TYNGIL AOE H 34,4AIY,Cbt 461E A+ A AEAx/N'6 [rb/T y I �' 9 coAx..t�txk voN. � 0� I WARREN A.SAMBAC H 5,00 NT CONSULTING QVDALICIN ■�—r-- y N wM.. P.O. BOX 1093 COX LANE . . CUTCHOGUE.MY 616-734-7402 A T I z. t� f iM y NORTH WfAii L NOTA !• ALL cONTRAcTaRS Td V/f!T 406 51rii CMdYN .r 'snA14 CONOITIONS - AGAINST PROMSr ADDIT,M'N, ! R. REff0l"e EW4"#0 CAOSFr WAALS, DOORS ert.. _ 7V MOV/DE /'40,005{O A6CESS N+IK, p c,k AREA 3. REAOvE rxlSF/N6 ,*AAD toil ecaNvurn ' 4ac6'a1' 0W P4dIdsEQ A,d dlTNN 4, 64)YOW E7U57/N6 µMADSr*Vr-2VTF-.*&7A0vR jl''' sNOtvER. ..,BASi'ArrNT Dace -.Slzc I-CONVEA7 A'EYEQ ONYRY 6. WINDOW NONOERS lNDICAMP ARC ANAtEAG PN ' IjIII 11"A41"WAMNA', DaI,ORE'NUNa Mii A!.9,09W. ` 7 W/NOOWs 7Y! BE gzil l ;rrvr A'DR tt3kl" m* SXAf*/oR ,-ACrA4 WA1YL 77%y n. 8.P7/VLSN /NT£RlOR MUS WiTN C3YPSVIY AM4,90. l/V/MGI' R&wkr MNIAO/NOS, DO T1P /AK� W AW.9, .fXilii J#Af t69 YV IWYC.V "157,'N6 -A/PAOVElJ /D. 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