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