HomeMy WebLinkAbout24517-zFORM NO. 4
TOWN O~ SOUT~OLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26817
Date: 12/07/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3580 STILLWATER AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 137 Block 1
CUTCHOGUE
(HAMLET)
Lot 15.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 9, 1997 pursuant to which
Building Permit No. 24517-Z dated DECEMBER 2, 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 ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to PETER & GERTRUDE BELL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 065863 10/05/99
PLUMBERS CERTIFICATION DATED N/A
//uil~ng InSpector
Rev. 1/81
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAM.
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE ~VORK AUTHORIZED)
24517
Permission Is hereby granted to:
........ .............................
3580 STILLWATER AVE
CUTCHOGUE~NY 11935
tn CONSTRUCT A SHED IN REAR YARD AS APPLIED FOR.
at premises I'ocated at ................. .3..5...8..0.,...,,.S.?.~ ~.~..W...A.~.~.,.A...V.~ .............................. .C.?...~..C...~..O...G.U...~. ........
CounfyTax Map NO, 473889 Section 137 Block 0001 Lot No. 014 /,..,~"~
OCTOBER 9 97
pursuant to application dated .......................................................... 19 ................ and approved bythe
Building Inspector,
35.00
Fee $ .........................
Rev, 6/30/80
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 buildin;
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 buildir
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, oK ~uildings an
Vpre-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
I. 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 Butldinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..../..~. ~: ..~...~.~.gC ..................
/
Location of Property .................. ~. .......... .~..~ ..............
House No. Street F~I et
o,er or O ers of
County Tax Map No 1000, Section .............. B c .................... ~...
Subdivision ....... Filed Map.
Permit No ................ Date Of Permit ............ Applicant ...... ? .....
Health Dept. Approval.. ..................... . . . Underwriters Approval~ ....................
Planning Board Approval ...
Request for: Temporary Certificate ........... Final Certicate .......
Fee S~bmitted:
~C-- ~q~ APPLICANT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPAR~i'MENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
November 16, 1998
Peter & Gertrude Bell
3580 Stillwater Avenue
Cutchogue, New York 11935
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)
XX No Underwriters Certificate on file.
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 # 24517-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN~.TION
[/~Fi~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~//~
DATE
INSPECTOR ,//~/~'~
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
NLARPJAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O, Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
CERTIFIED MAIL
RETURNED RECEIPT REQUESTED
Mr. & Mrs. Peter Bell
3580 Stillwater Avenue
Cutchogue, New York 11935
December 16, 1997
Dear Mr. & Mrs. Bell:
Please be advised that your check number 1989, dated October
6, 1997 in the amount of $35.00 given to the Southold Town Building
Department for Building Permit No. 2~517Z has been returned by the
bank unpaid due to insufficlent funds.
This office is required to collect the money for the check and an
additional $15.00 charge for a returned check. Payment must be
cash, money order, or certified check. The total amount due ~s
$50.00 and must be received no later than 4:00 P.M., Thursday,
December18, 1997. Please be advised that your permit is considered
cancelled by the Building Department, until such time as the $50.00
cash is received.
Failure to pay this amount within the specified time will result
in referral to the Town Attorney's Office for collection.
Thank you for your anticipated cooperation.
Very truly yours,
Judith T. Terry
Town Clerk
Enclosure
cc: Town Attorney
Building Department
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
$outhold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
! BEt I
I
!31.OG. DEPT.
~, uN OF..SOUTHOLD
'CERTIFIED MAIL
RETURNED RECEIPT REQUESTED
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 16, 1997
Mr. & Mrs. Peter Bell
3580 Stillwater Avenue
Cutchogue, New York 11935
Dear Mr. & Mrs. Bell:
Please be advised that your check number 1989, dated October
6, 1997 in the amount of $35.00 given to the Southold Town Building
Department for Building Permit No. 2[t517Z has been returned by the
bank unpaid due to insufficient funds.
This office is required to collect the money for the check and an
additional $15.00 charge for a returned check. Payment must be
cash, money order, or certified check. The total amount due is
$50.00 and must be received no later than u,:00 P.M., Thursday,
December18, 1997. Please be advised that your permit is considered
cancelled by the Building Department, until such time as the $50.00
cash is received.
Failure to pay this amount within the specified time will result
in referral to the Town Attorney's Office for collection.
Thank you for your anticipated cooperation.
Very truly yours,
Judith T. Terry
Town Clerk
Enclosure
cc: Town Attorney
Building Department
THE NEW YORK BOARD OF FIRE-UNDERWRITERS
8073518 BUREAU OF ELECTRIC~ITY ·
40 FULTON STREET., NEW YORK', NY40038 · ·
~-Date OCTOBER 05,1999 Applicaao. No. o. ~le [72373~8/98 H 065863
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant na~ed, dn' ~tire' above appHcation number is in the premises of
PETER BELL, 3580 STILLWATER AVENUE, CUTCHOGUEi NY
in the following Iocatio~ ~] Basement [] 1st FI. [] 2nd Fl. OUT , Section Block Lot
was examined on SEPteMBER 27~ 1999 and found to be in complian~ce with the Natiqnal Electrical Code. ,
FIXTURE I E I I FIXTURES I RANGES I COOKING DECKSl OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACL S SWITCHES INCANDESC~ ~IT FLUORESCENT OTHER ,MT. K W. , AMT. K,W. AMT, K.W ~MT. K.W. AMT. H.P.
~ 1
DRYERS [ FURNACE!oMOTORSoF FUTURE APPUANCE FEEDERS SPECIAL REC PT,, "TIME cLOCKS,~ ~ ~ : I" BELLt' ir; I MULTI-OUFLET DIMMERS
OTHER APPARATUS:
G.F.C.I:-2
3580 STILLWATER AVENUE
CUTCHOGUE, NY, 11935 llGENERAL MANAGER/,~
This certificate must not be altered In any manner; return to the office of the Board if idcor~ect. Insp%~ctors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE ,MUST' NOT BE ALTERED IN ANY MANNER·
'~: :
~,-
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This applicatiommastbe'ca~letely filled inbytypewriter or.in
NOT~'FY =, , ' j
*~ :.P. ~. fr.5. 7. 5 ~ ....
HAIL TO: .... ' ................
:'
iuk and submitted to ~ l~lilding Inspector witl
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot p an slx~rlng lacat]o~ of lot a~d of ~lldlngs o~ pre, rises, relatzonablp to ,adjoining premises or
streets or areas, and giving a detailed description of layout of property mast be drm~n an the diagram ~ich is part of
c. 'Cae ~rk covered by this application ~ay not be c(mmenced before issuance,of l~ildiag Permit.
d. Upon approval of this application, the l~ilding InSpector wil~ issue a l~ildlng'Pemit to the applicant. Such
permit shall be.kept on the premises available for inspection thrcoghant the ~rk. ~ ·
e. No bailding shall be occupied or used in M~ole or in part for any purpose ~atever u~il a Certificate of
~ccupancy ~all have been granted by the Building Inspector.
APPLICATIC~I IS ~ ~ to the Building Uepartn~nt for the issuance of a l~ildingPemit paranant to the
Building Zone Ordinance of tbe Town of Southold, Suffolk Camty, New York, and otbe?~p.licable Laws, Ordinances'or
Re~ulati,~ ~9r the constriction of buildings, edditious or alterations, or for raroval or demolition, an herein
U, E tS UNhelpFUL
, ~ (Signature of applicant, or maue, if a corporation)
State wtmdmr applicant is owner, l~ssee, agent, architect, engineer, general contractor, electrician, Plumber or b~ilder.
~ "~( s o. m~ t reu or l~test de~)
If appllca~t is a corporation, si~mature of duly antt~rlzed officer. NOTI~I/~UIU)IN(~ DEPARTMENT A~
785.!802 B AM /O 4 PM FOR THE
.J
(Nane and title of corporate offJcer)
Builders License No ..........................
Pl~bers License No. ~
Electricians License No ...... ~ ............
REQUIRED
~ID~R~
PUJU.ING
4. FINAL ~ CON$'rRUCTION MUST
$~ p~mxm ;OR C.O.
AL[.CON~TRUCZqON SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE
CONSTRUCTION
&
ENERGY
Other Trade's Lisetme NO ...... =... ............
.. . . .~
I. LocaL]an of land c~ ~wh~ch propased work will be dane ............
· : ' .. ~' //~
...... ............... : ...... , .... .....................
llotme Nt~her ' Street ' ' }la~leJ~ .
co~,ty T~m~NO. ~mO .Secdan -.--. Rlec~ ........ rot ..A~h.~..~....,. '
2. State existi~ ~ ~ ~/of Mires ~ inte~ ~ ~ ~ o~ pm~ ,c~st~ti~:' ~
ff;~ture nf ~ork (clmck v~dch appiicable)-"I ~ I~dlding .......... t~dition
Repair .... '...~ .... l~moval , ............ 1 l}erolltion ............ Other
Estimated Cos( , .... , .......... ? ........
J (to I',e paid on
' I
,
If garage, rainimr of c~rs 7"";,
If Ixtsi~mas, conmercial or mt~ ~m~, a~ei~ ~tore a~l ~tent of ead~ ~ of u~ ......................
Dil~nsi~s of ~lst~ng st~t~s, if ~y: ~t ................ ~ar .~.. . ~pth .................
I~i~t ~ '" ...'.~. ~r of Stories ~' '
Dimnsi~ of ~m stature wl~h alterati~s or ~itions: ~t . . w ..... ~ar ...~. .
mpth ............ ~';,..; i~i
8. Di,ensi~ of entire ~ ~st~ti~:. kt ........... kar ............ kpU~ ..............
· ,~.~ .. i.'- '. ...;
~/.,, ,,~ .. ~ ~
12.~ pro.mi mt~gt~ ~l~to
,,,. ..........
"{ ¢ PI.OT DIAGRAH
l~ate clearly ~ dxstl~tly fill Mildly, ~mflmr ~isti~ or ~o~, a~ i~icate all ~t-~ dt~nalons
~ p~rt~ li~s. Ox~ st~t ~ bl~ ~r or ~scripti~ aeeo~ing to"~, a~ ~ strut ~s ami i~icate
xdmtlmr interior or eo~r lot."
J.IA ................. I)ei[~ duly stx~nl, delx)~es taxi r, nys thnt he is lhe oppllcant
. :,',,,,,~ ~,.',, ati~'~:~*~ ~o,~ ...~... ~.' ......... ' ............................... ~ .....................
I~ ia the ............... ~,~.~.~ ·
(C~tractor, ~gent, cor~rate officer, ere.)
of ~id ~mr or ~ra, a~ is duly ~Lhori~ to ~rfo~ or h~e [mrfo~ tim ~id ~ at~ to nnke ~l file this
al~fl, lCatl~l} that: alt stat~nts c~la[~ in ~ds al~l. lcati~ are trim to
that the ~rk ~itt Im ~rfo~l~l ~n' tl}a mmmr ~t forth in
(S]gaata~re of Appl ~cant)
LO T 69
LOT 67
LOT 66
LOT 65
-I'o L
LOT
LOT 62
FiLE NO 1280
F/L ED MAY 12~ 1939
TMOn=lO00 - 157~1-14~/5
N 49 o 01' L~o"E
FENCE
CORNER
S 0.5'
E 2.5'
LOT
STOCKADE FENCE
,,, 22..5' ] ~' ~!
FRAME h
BARN
/09 /93. 77' J
LOT 108
LOT 107
IOZ5 ' .............
I
J ....... 1077'.
LOT 106
/
10,7~ :
CORNER
[ S 49o(, W
G~arantee$ Indicated here ~ ~IIZI~T 102
o.ly ~ ~e pe~ ~r w~m ~
is pr~pored~ a~ ~ ~s behaff ~ ~e
title compeny~ G.~ern entnl Agency~
lending instltution~ i~ listed hefeon~ end
to the os~gnees of the lending inslit~,
~ugre,tees are net frans',,r:$1e fo
additional institutions or ~bsequent owner~
~UARANrEED TO
PETER BELL
GERTRUDE d BELL
FIDELITY NATIONAL TITLE INS. CO.
TI TL E 2016B2i
TOWN OF SOUTHOLD
LoT 103
END FENCL=
.
TRACK AVE.
SURVEY OF'
LOTS /OZ,-/08 /nc/,'
tN
MAP of :SECTION Trwo;PROPERTy of
r M'S.''HAND
' ~ ~ BI TUA TE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK CO., N. Y.
Unauthorized alteration or addition to this
survey is a violation of Sectk~ 7209 ·t
the Hew '(ork State Educetlon Law.
SURVEYED FOR: PETER BELL
GERTRUDE d. BELL
Copies ,~f this survey map ~et boo,nil
the Land Surveyors embossed sod droll
i~t be con*idered to be a va#d flue
~:opy.
SURVEYED 17 AUGUST, 1996
SCALE: I"= .40'
AREA= 56,66B21 S F
I $009 Acre
SURVE'YE'O BY:
STANLEY ~l. ISAKSEN, dR.
P.O. BOX 2.94
NEW SUFFOLK, N.~, 11956
(516) ?.34-5835