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HomeMy WebLinkAbout23391-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24360 Date MAY 14, 1996 THIS CERTIFIES that the building Location of Property 355 ~ES LANE House No. County Tax Map No. 1000 Section 109 Subdivision RENOVATION uuTCEOGUE~ NEW YORK Street Hamlet Block 6 Lot 2.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1996 pursuant to which Building Permit No. 23391-Z dated i%PRIL 25, 1996 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 RENOVATION TO HISTORIC BUILDING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED INDENPENDENT CONGREGATION SOCIETY N/a N/A Rev. 1/81 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLETION OF THE WORK AUTHORIZED) ...................... .............. 23391 Z / Permission Is hereby granted to: ................................. ~-~.~r 2~1 ...... ;~ .................................. ,.~ ~ ~..,~,f, r.~.~_, ,,,c/',~. ...~.~..,.~ ........ ~,..~..:......:...:..~.:~. ................. ,{. / to.....~,t..~m/.. ~'.~..: .,~x .~..'-=....... ,'./ ........ ~, ~.,.'..,.~,~..~ ..................... .j ......... ~" ............................... Oo,n~,~ax Map No. ,000 Sectlon....Z..O...~ ........ ~loc~ ....... o~. ......... ~ot,~o.......2...,.../.. ............ 19.....~..~.., and approved bythe pursuant to application dated ........... . ..~..>~ ......................... Building Inspector. ~ee S.....,~...'..~ ...... "~ ' B~r~spector Rev, 6/30/80 i. '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-disposai(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn snatemen~ from plumber certifying that the solder used in system.contains less than 2/I0 of 1% lead. 5. Com~ercia! building, indus=rial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible' for =he building. 6. Submi= Planning Board Approval of completed sine plan requirements. For existing buildings (prior to April 9~ 1957) non-conforming uses, or buildings and "pre-existing" !and uses: i. Accu=ate survey of property showing all proper=y~ 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 ~iuing to the applicant. 2. Fees ~. Ca ....... ~e of Occupancy - New dwelling $25.00, Additions co dwelling A!taracions no 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 ?re-existin~ Bui!din~ - $100.00 3. Copy of Carrlficate of Occupancy - .25C 4. Updated Cer~ifica:e of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential Si5.00~ Commercial S!5.00 Bate .S.'/.% .~.e. ............................. ~ew Construction ........... Old Or Pre-existing Building ..... .'~..'. ........ ~ocanion of Property. Oi -~...~- · - · -~-..~':.~ ......... '~' ~ ~' House No. Street nwer or O=ers · · ........ :ounty T~, Map No i000, Section .... /~.~ ...... Block .... m.~ ........Lot .... O'.I ............. juoc~vlsion .................................... ~la~ Map ..... Loc ...................... ~ermi: ~o..,g. ~q I.'Z.'..~a:~ Of ~ermi:. "-/J:~.~ .... Ao~iica=.~:U~-.~-?~'~''~' ''~-- -te~=.n Dept. Approval .......................... gnde~gri:e:s Approval ......................... 'iannin~ Board Approval ........................ :eques~ for: Temporary Certificate ......... i. Fi_,;~ca~te.....~. ..... .................. ~o ~ 51~ ~ / ii ...... ::~. :_' :~u ............. f~ ' · ' Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 7, 1996 Environment East Inc. Indian Neck Lane Peconic, NY 11958 Re: Old House Society - SCTM#1000-109-6-2.1 Prem: 355 Cases 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 # 23391-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INTERNAL R£VENUE BERUICE DISTRICT DIRECTOR B.P.1). BO:~ 1.6BO BROOKLYN, HY 11.02 1997- OLD HOUSE S[)CIETV INC BOX 361 CUTCHOGU[". VILI.AGL GRN CUTCHOGU[, NY 1:L935 DEPARTMENT OF TI4E TREA!)URY Employer ]dent Ifica't~c,n Nurnl,er: 11-:3071713 Contact Person:: VINCEHT URCIUOLI Contact Ieleph,'.)ne Number: (71:~) 488-~223 Accountin.q Period E'nding: December 31 F,:,undat~or, ~tat;ua Ctas;sif~c-atio'n: 509 (a) (1) Adwance Ruling Period Begins: August, 12, 1992 Ad~/ance Ruling Period E))ds:: {)eo~mber 3i, Addendut~ App I No Dear Applicant: Based on informabion you suppl~ed~ i~nd a-ssuming your op, eratio;~s ~4ill be as stat~d in your application for recoil;~itic:'u of e):empticm~ )ae have determined are exemp't from fedet'al income tax under section 501 (a) o'[ the I~tern.a] Revenue Cc, d~ as a'n orga~izati,:m desc~'ibed i~ sectio~ BecauSe you are .~ nelqly crea'bed ,~rgauiza'tic,u~ ~ are nog moll mak i~] a final det.,>rn~i~a~i,:m o'f your fouudat~,:m s~;atus under section 509(a) of the Code. HoNever~ }~e have determined that you (ah reasonably ~)xpec'~ to be a publicly supported or'gaui:catio'n clescr ibed iu sect ions 507(a) (1) and ~.70(b> (1)(A) (v~). ~c(:(:,Fdin~iy'~ durin~j au advam:e turin9 per~od you Hill be tr~ated al, a publicly suppc, rt~d or'ganiza'Li°~ a]~[t noL as a p~'lvat~ fou'ndaticm.. Chis advance Kuli~l9 period be~}ius .and ends c,~1 'th[~ dat~ ~h,:,Hn N[Shiu 90 days a'fter th~ e~d ,:4 y,:,ul' adv.a~ce ruling per iod~ you }~ust send us the information needed t,:, detcrm e iqhet;her ~/ou have met the requirc-- megt.~ of '~h6: applicable supp,')rt .~st. during ~hv advance ruling period. If establish that y,:)u ha'ye be err a pul) liciy ~upported orqanizati,:m, ~v u i ti c las'sm- ~y you as a secfil,:m 509'a (~;, or tSOg'(a)(~) ,)rgahiza(i,)~ a'~ long its you t', meet the r.equireme'nts of the al)pt icable SUl)l,,:,rt t~st. If you do ~*:,t itleet the public suppoFt reqvifements during the ad.vance ruling period, ue classify 'fou as a private foahdatier~ tor f~ture periods. Also~ if ~e classify you as a private foum~atio~ ue ~4ill tre~tt you as a priva'te fo[~datio'~ from your begi'n~i~g date for purposes of scctton 5OTLd) and 6ran'toT's a~d cc,~'tributoFs may rely (:,~ our deterr,~i~ation that you ar'e ~c,C a private f,:,undatic, n un'bil 90 days aft.er the end of your ad'vaT, ce rtlling pc:rio, d.. ~i you ~e'nd u~ ~he required information Hi~hi'n the 90 days~ grantors .and coni;~-ibut,:,rs may cc, B~)~ue ~o re)y oT) ~))e aVva'~c(', de~()rmin.a~ic, u un,il t.m make a final (le~ermin,')~ic, n of you~' fou'nda~icm Letter 1045 (DO/CG) FORM ND). I TOWN OF SODITIIOD.D IIUII,D] HG DEPARTMENT TOWN SOUTIIOLD, N.Y. 11971 TEl,: 765-1802 BO^IDI) (DF IIEALTll ............... CUECK ......................... SEPTIC, FOEH ................... HOT [ FY: CMA ................... HAll, 3'0: .................... (Ik~{ Id ~6~/l~4l)ector ) APPI.ICA'J'ION FOlD BUII,D1NG PIr. IIHIT Date ................ , 19 .... I N,qTRUCT D ()tis a. 'lhi. aiq)lieatio~ .~st 1~ cc~q)letely Filled in by tyl~.~rlter or ]u {sd~ m~l m~l~itt~{ to the ~ilding lns~cCor with 3 ~ts oF plons, ~waCe plot Idm~ to .cole. Fee occordi,~ to ~ch~lole. b. PIoL plnn ~i~ l~oti~, ef lot ~s~ oF Ix~il~ling. ~ prc~nises, rel~rionship to ml.ioinlng praise, or iRd)lic str~t9 or areas, m~l glvh~ a ~tnil~l ~kscripti~ at l~t: o[ prol~rty .~sC Im dr~ c. '11~ ~)rk c~r~l I~ this .l~dlcol. ilm ~.y ,g)t l~ cl~,~l Imfore ismu~e of lkfilding Pemit. e. ~) txdhlitq~ ~mll I~ ~oq~i~l or u~l in ~ole or in l~rt for any ixtrl~se ~at~er .ntll a ~rtlflcate (~¢x~Dq~y emit have I~n grant~l I~ IJ~ ~ilding lnSl~tor. ,~.,1(~11~ 19 I~I~.BY k~ll~ to tim I~lchn8 l~l~rt~,en~ for the ~s~m~e of a ~ldlng Penn~t ~rmmnt to the lk~Hd~ig 7~e 0nli~mr~e of tim 'l'oa~ of ~tl~ld.. ~Efolk (~mty, ~ York, m~l other applicable l~s. O~i~es or ~gulati~s, ~or tim ~mtnetiu~ of lafilding8, mklltitam or alteratiims, or for ~al or d~lition, as I~rein ¢~scril~l. 'll~ applicant agr~s to co~ly with all al~llcable l~s, onllt~m~es, I~{lding c~e, I~slng c~10. a~l re~laticm., m~ to ~lult m~tl~ri~l i,ml~ctord tm preanlses a~ in laJildin8 for ,ecessary ...... .......... (Sig~ml.ure of appl leant', or mare. if a COrlx~ratia~) .......... SLate wl~ether applicant is ¢s~r, ]emqee. agent, architect, engi,~oer, genre[ contractor, electrician, phx~i~r or Isdlder. ............. ~¢,s~ .................................................................................................. ~,~ of ~r or l,r~l~ ). ~ ............................................. '...~ .......................... ~.. (~9 ~ t}~ tax roll or Inle~t It al]~IC~II[ 19 a corlx)ratl~l, ~xpffmtt,~ o[ d:Hy atithor:r~l or[leer. (~e o:~ tltDe at corlerate o~flcer) lk~ilders License I~) .......................... Elecl:riei~ns Licen?,~ ~ ...................... otl.r ~,.~'s Licen. ~, ..................... ~. ~) , ~~. I. l~aCim o~ la~ ~, ~,id, i~1~ ~rk will Im ~k,~e ...... .~.~.~.~ ~ ................ O~ /¢0~ C~ /~ ................ ~.~.~e .... .................. ~... ~ ........ ~..~. ~ <?.~ .... ~Z~ ........................... I~ R~l~r Strut IL~,fl et ~,,~m ~:,~. m, ~m~, .... /~.9 .... ...... o.k .... ,,,~ .~.,..l ....... ~dxlivlsi~ ...................................... Fil~l F~I~ ~ ................ lot ............... a. Exlsti,~Z ,,,~ aM ~c~,F,,~y ..... ~.J~.~{~.....~4...Y.~...~.~.~ ...................... II. 13. I:tc,u proper!~ |h~.a. (~,ive st'i~eL taxi block i~4uI)er st- (l~crlpL|(.~ e(:c:onlln~ I'o (leed,i m~l ~o,~ sLreet: n(ir~g N~h*~e uf ~.a)d.~,.-~:h¢:cl( ~Jdch ~q~91ie.hl~): f~n~ I~ihlinB .......... ~litio. ..... ; ..... AIt~r.tton .......... I~l~lir ............ ~ I~1 ............. I~)ljLjon ............ Other ~)l~ ,~ ................................ i,,~,t~l (~,~l: ~.e, ~ r~ .................. ' ............ t~llrtil[e~ llllt~r il~ I:tllfl ...................................... I)i.~m~i(~s ()ff exist lng sts~.:tm(~s, if olay2 I~i-(~ll I~er I I~l)th Ik~ll~lt ......................... ~,)lmr sE 8to~'ien .' ..................... .................... I~ll~lt .................... Bi,Imf of Bloriits ...... j l, o~ lot; I~zix~t .................... I~sr .................... l~l)th ...... J .............. or use ,listrlcC J. xJsi(J, p~o. l sos .re sTtuoted ..... ~.~g~ ~1 ~.~ ................................... l)rol~)scul (:(xml nx:LJ(a~ vlolme nszy ~(xlhsB h~, ()rdhmt~:e or rellulat. J(~l: ...i ............... ~o of (~,~r off pr~.i~o ....... . .................... ~Llr~.o .............................. ~s~ ~ ............ off ~z~ltr~ttor ................................... ~k]rtTos ............... ~ ............... l]~(}i~ ~) ............ ~ILr Yi(~, t~XlllkXJ) 'iTA~ '11~t;11~I~ lq~[~ltT F~Y IH~ PLOT Itx:ele clearly nl~l (llotis~lly nil I.ill(lil,sn, ~Jlelher exist'InB or prolx)St~(I, m~ll hvlle~ite nil ~et-lmck .............. ~ .......................................... I~h~l~ duly ~}rn~ del~t~e.~m~l sn~s theft Ihnl. lite ~)~1~ ,iii i~ I~rl:[~l,~l hi Ill~ i1~11 ig~[ oet~ follh in tho nppl iesl. loi) filed l~)in to imft))'O ,v., thin / ........ .... ~)tsry Ihll) C~IRE L. GLEW ~ No~w Public, State of Now York No, 4879505 Qualified in Suffolk CounW , ~mmi~ion Expires December (~Jil),.ntme si~ ^ppi' ~sll )