Loading...
HomeMy WebLinkAbout22664-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No S-23673 Date MAY 31, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 1775 BEEBB DRIVE Eouse No. County Tax Map No. 1000 Section 103 Subdivision ACCESSORY CUTCHOGUE, N.Y. Street Block 4 Lot Filed Map No. Lot No. Hamlet 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1995 pursuant to which Building Permit No. 22664-Z dated APRIL 6, 1995 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 GAZEBO FOR EXISTING ONE FAMILY DWELLING IN REAR YARD AS APPLIED FOR. The certificate is issued to HILDE VILLEZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 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] Building Inspector. ~ee ~.~..X.....~. .... Rev, 6~30~80 Building [nspe~ T(}UN OF SOU'I'IIO1,D g U 1. LD 1 b"(; I)EPA[ITIIErlT 'fOWtl IIAI,L 765-1802 : ;< ~ ,,I 2 6 1995 !,i · ,, NAY APPLiCATiON FOIl CERTIFICATE OP OCCUPANCY A. This applicatiou must be filled in by type~riter OR ink a.d submitted to the building inspector wi~b the following: for ne~ building or nm~ use: 1. Final survey of property with accurate ]ocation of all buildings, properly lioes, 2. Finul Approval ~rom Hehlth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electricm[ installation from Board of Fire Underwriters. 4. Sworn statement fromtplumber certifying that the solder used in system contairs less than 2/~O of 1% lead. 5. Co~ercial buildiu~, industrial buildiug, multiple residences aud sir, i ' ' and ins~allatious,~a certificate of Code Com,)l~ .... f~ · lar.bu~ldlngs responsible for th6 building. , ......... om arceltect or eug~neer 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 1. Accurate survey of property showing all property lines, streets, building and unusual uatural or topographic features. ~ 2. A properly completed application aud a consent to inspect signed by the applicant. If a Certificate of Occupancy is deuied, tba Buildieg Inspector shall state the reasous therefor in writing to the applicaat. C. Fees i. Certificate of Occupancy -.New dwelliag $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additious to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existiog guildine - $[00.00 3. Copy of Certificate of Occupaucy - $20.00 4. Updated Certificate of Occupaecy - $50.00 5. Temporary Certificate of Occupancy - Resideutial $t5.00., Co~ercial $15.00' New Construction ........... Old Or Pre-existing Building .............. '" Location of Property .... ~l ~?-~ ..... ~ ~ ......................... ttouse No. Street llamlet Onwer or O~uers Subdivision .................................... Filed Map ............ Lot .................. ............... Uedetwriters Approval ....... Planning Board Approval ..... ~ ....... '~equest for: Temporary Certificate ........... Final Certicate.,~~ c0 z 3 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 11, 1995 Mr. Thomas MacLeod 2105 Camp Mineola Road Mattituck, NY 11952 Re: Prem: Hilde Villez BP#22664-Z 1775 Beebe Drive, Cutchogue TM~1000-103-4-8 To Whom This May Concern: We are unable to complete your Certificate of because of Occupancy 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 # 22664-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ROUGH FIh~'tE & PLUMBING FINAL 7GS-Z80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND/[ ] INSULATION FRAMING J~~INAL DATE 765-X802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FRAMING FOUNDATION ZND [ ] INSULATION [ ] FINAL BLDG, DEPT. TOWN OF SOUTHOLD Exan Approved FORM NO. 1 TOWN OF SOUTHOLD BU!LDII'~O DEPARTMENT: TOWN HALL SOUTHOLD, N.Y. 119771 TEL.: 765-1802 gOt\RD OF HEALTH c.:c ................ S~PTIC FORH ............ C^LL ,'7..t.R -.¥ y.,,?. ' .¢.: ..... HAIL TO: Disapproved a/c ~ .................. · //. (Building, Inspector) ~' - ' ' FIC,~,TION F0a BUILDING'PERMIT Date . 19 INSTRUCTIONS a. This ap~lica~n must be c~mp~ete~y ~led in by typewriter ~rin ~nk and submitted t~ the Building Inspect~r~ with sets of plans, accurate plot plan to scale· Fee according to schedule· b. Plot plan showing location of lot and of fiuildings on premises, relationship to adjoining premises or public sti'eet or areas, and giving a detailed descriptioh of layout of property muJt be drawn on the diagram which is part of this appk cation. c. The work covered by this application may not be commenced befoi'e issuance of Building Permit. . , d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such penni _shall be kept 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 Occupanc' :shall have been granted !,y the Building Inspector. APPLICATION IS HEREBY MADE to the Building DepartmeJt for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South61d, .Suffolk County, New York, and other applicable Laws, Ordinances o 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 laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessaryi~s~ectionk . ~ . (Signature of appli~or name,'Trf~ . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generaJ 'contractor, electrician, plumber or builder. ' ' X/ILLEZ ' ' Name of.owner of premises . (as on the tax roll or latest deed) If. applicant is a corporation, signature of duly authorized officer. i (ame and title of corporate officer) Builder's License No....~..t..dc.I. 7..~' j ........... Plumber License No ' Electrician's License No... ..................... Other Trade's License No ...................... Location of land on which proposed work will be 'done House Number Street Hamlet Cotmty Tax Map No. 1000 Section ... '.l.C~..'~ .....Block ..... ~..~ ......... Lot..O.~. ............ (Name) ................ State existing use and occupancy of premises and intended use and occupancy of proposed construction! a. Existing use and occupancy . ' % ~/~CwL ~ l~'4x,,xlOd L ..~..~. !'~!,? J ~fi:;d3 b. Intended use and occupancy ~"T .~. ~--'b 1~.2 / ................. . .... property lines. Give street and blocklnumber or description according interior or corner lot. h ~pp ) ildi~ ,iddi ' · 3. Nature of work (check whic cable . New Bu g tion ..... Alteration ..... Repair .............. Removal .............. Demolition ...... : .......... Other Work...- .......... ~. [0. 000 I .... (D ipti ) .00~ , . Fee 4. Estimated Cos .......... ~ . . . escr on i (to be paid on filing this application) 5, If dwelling, number of dwellin~ units'. ........... ... Number of dwelling units on each floor ........ . If garage, number of cars .... i .................... ' ............................... 6. If business, commercial or mixed o ............... ~ .... ~ ~ - ' ...... '.. · · . ~ ,..,,uput~cy ~pct;Hy nature aaa extent or.each type of use ................... 7. Dimensions et existing structures, if any: Front ....... : ....... Rear ....... Depth ............. . Height ............... Number of Stories ' ' Dnnensions of same structur,, with alterations or additions: Front ............... Rear .............. : Depth .................... i. · · Height ........... . ......... ,.; Number of Stories .......... '. ~ i i ...... 8. Dimensions of entire new const:ruction. Front ~ ~ , 6oo, /~__ ,, -- -- , . , ' ......... "~'- .......... l)e ~n J ~ .... H c, , P . er~,ht .... I..~. ........ Number of Stones ....... l ............................. .;. . 9. Size ofl6t: Front I ' ' ~e-- ' ' o,, ' ...... ..... ., ........................... D~,,th 10. t~ateotl'urcnase ..... ....I .......... . ....... . x~ .... ~,-,___ ,, - ' ................. 11. Zone or use district in which prbmises are situated ' ' ' ' ' ' ~: ..... ,12. ocs proposed construction we,late any zoning law, ordinance or regulation ................. ~ .............. 13. Will lot be regraded ....... ;J,,.., ... ,~ .......... i.. Will exc. ess fill be remdved from premises: Yes 14. Name of Owner of premises , ,¥J..L:. ,L-,C: ,Z-r.. ........ Address . .~..~.tg."~h, .~...'~.~ .... Phone No. 7.3,~.'; .~..~[~"~ · Name of Architect ~ " Address ................ , .......... Phone No · · Name of Contractor ........ , ............. Address ........ . ...... Phone No ................ 15. I.s this property within ~00 feet of a tidal wetland? *Yes ........ No ......... ' *If yes,'Southold %own Trustees Permit may..be required· " P!~OT DJAGRAM : Locate cIearly and distinctly alli buildings, Wheth'er existing or Proposed, and, indicate all set-back dimensions from to deed, and show street names and indicate wheth¢,r STATE OF'NE~"OIR. KOZ /~- o.S (Name of individual Mgni~g contract) ~bove named. ~ APPROVED AS NOTED . ,' FEE, _q2_~. ~.-..-BY: f t.:.,~,r,~-/~ -~ , NOHFY BUILDING DEPART 7654802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: .1. FOUNDATION * ~0 REQUIRED , FOR POURED CONCRETE 2. ROUGH - F~MING & PLUMBING 3. INSULA~ON 4. FIHA[ CONSTRU~ION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREME~S OF THE N,[ STATE 'CONSTROCTION & ENERGY CODES. N~ RESPONSIBLE FOR'. DESIGN OR CONSTRUCTIQN EBRORS being duly sworn, depose9 and says that he is the applicant elsthe.,, ................ :..,f,.,,,..~, .. : ...................... · ' ' f (Contractor,)agent, cor'porate officer, etc.) ..................... · )f said owner or owners, and is dui l au"ther!z~d ~' Y, ..... ~a-p~orm or have performed the said work and to make and file this ~pplication; that ail statements contaibed ~n this'application are t'rue to the best of his knowledge and belief; and that the ~ork will be performed in the manner ~et forth in the application filed ttierewith. ............ . ~lualified in Suffolk Couflty i c~ [.~ {..'/' ' (Signature of applicant) Commission Expires December 8, 19.,L. r O0$E ;rep-amd in accordance with the mbimum :k-~nda~ds For title surveys as established by lbo LI.A, Ls. and approved and adopted far suc,~ u~o by The Now York State Land Title Association. 36,3' SURVEY OF LOT, 33 MAP OF MOOSE COVE FILED AUG..~0, 1960 FILE NO. 3230 ' AT EAST CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY N.Y, I000 - 103 - 04 - 08 Scale I" = 30' Sept. 25, 1987 DEC, 17,1987 .... ~ LANE FAWN CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE 83,] LHI N.Y.S. LIC. NO. 4966~ /p-ECONIC~:S~RVEYORS & ENGINEERS~ P,C. (.516) 765-5020 P.O. BOX 909 MAIN ROAD SOUTHOLD~ N. Y. 11971 87.- 783