Loading...
HomeMy WebLinkAbout23066-zFO~M ToWN OF $OUTHOLD BUILDING DEPARTMENT 1OWN HALL SOUTHOLD, N.Y. BUILDING PERMIT [TH~S PERMIT MUST B£ KEPT ON THE PREMISES UNTIL FULL COMPLEllON OF THE V~)RK AUTHORIZED) N? 23066 Z CountyToxMop No. 1000 Section ....... /./..7. ...... Bloc ........................ LotNo..~ .................. pursuant ,o application dated .............. .~...~.........~... .............. 19....~...~nd approved bythe Building Inspector. Rev. 6150/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25585 Date: 03/13/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1275 FANNING RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 4 Lot 30 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5~ 1995 pursuant to which Building Permit No. 23066-Z dated OCTOBER 13, 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 RENOVATE GARAGE INTO HABITABLE SPACE, ADDITION & HEATING ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY C MEISEL of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-377128 02/06/96 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF SOUTHOLD ! APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building 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 building~ 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. 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 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 dwelliug $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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ........... New Construction ........... Old Or Pre-existing Building...e~.. ......... Location of Property .... t?'--~-. .......... ~U--~. --.~-.' ....... -~-'--~---~- -~--~- ............ House No. '-Street "Hamlet Onwer or Owners of Property..~~....~.~,. ~..~.. County Tax Map No 1000, Section //C~ .Block....~. .5ot...~ ............. Subdivision Filed Map Lot . .. Permit No ..... Date Of Permit.. .'%. ~ Applicant. Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ..................... . .. Request for: Temporary Certificate ........... Final Certicate....~..J....'~ Fee Submitted: co 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 March 5, 1998 Anthony Meisel 227 Park Ave. Hoboken, New Jersey 07030 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 #23066-Z SEE ATTACHED Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS [ 1~519'7 ~ BB JOHN STREET. NEW YORK. NEW YORK ~0038 Bate ~Y THIS CE~IFIES THAT ~n the following location; ~ ~,ement ~ I,t FI. ~ 2nd ~'~. ~'~tT ,~t~on Bl~k Lot FIXTURE OUTLETS SWITCHES DRYERS OTHER APPARATUS: FIXTURES RANGES S E COOKING DECKS 1 O~EHS IDISH WASHERS I EXHAUST FANS R V I C E %~fkB~AT ELECTRIC LZC, ~92~4 E 50 PAT LA~E QENERAL MANAGER Per _ Thi~ ce~ificate must not be olter~ in ~ny m~nner; return to the oS(ice o( the Board ii incorrect. Inspectors moy be identi[ied by fheir credentials. COPY FOR BUILDING DEPAR'TMEN~ THIS COPY OF CERTIFICATE MUST NOT BE ALTEREO tN ANY ~AN~E~. 765-1802 BUILDING DEPT. INSPECTION DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND RO~UGH PLBG. INSULATION [ ] FRAMII~G [ ] FINAL ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-].80Z BUILDING DEPT. INSPECTION [] FOUN..~.ION 1ST [ ] ROUGH PLBG. i] ~~~M~ION2ND [[ ]] IF~'ATION [] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. ~INSPECTION [~" FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY · [ ] INSULATION [ ] FINAL DATE /0//~//? ~'~INSPECTO" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/BOUGH PLBG. [ ] FOUNDATION 2ND [,/] INSULATION [ ] FRAMII~G [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~ DATE 765-t802 BUILDING DEPT. INSPECTION [ ] FOUND~,TION 1ST [ ]/~)UNDATION 2ND [ ~]~ FRAMING [ ] FIREPL~CE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL REMARKS: DATE INSPECTOR ~ /~ ? ..::C:,']' )',i ' .: (.:Z],,]pROv ED ] F OAE3 \ SUFFOLK COUHTY DEPARTMENT OF HEALTH ~ERViCES FOR APPROVAL OFCONSTRt;C'i'IOH: ':' ' Of tLY DATE 14S REF NO TIlE WAIER SUPPLY & SEWAGE DISPOSAL FOR Tills RESIDENCE WILL CONFORM TO THE STANOARDS'OF 'TtiE :.'~ SUFFOLK COUNTY," ,~" DEPARTMENT OF .. ?IEAL'f H ~ER"/ICES : APPROVED . DA1UF't ^SSU,'3ED ADDRE'SS/{~7' TELEPHONE --F..&JARANTEED ONLY TO 5AG HAP, ESo~ 5A'in-~5 I~/,,,-qt< ' ' ' HAROLD g TRANCtiON dR PENN LIC.NO· 211'i5-E 'JOB NO; 7&--'2~o~ FILE. NO. ?-I~,F SURVEYED FOR .ANTONio 4 lJJl ['~A .-J lV]llqF7 SITUATED AT; ~x4 ~. \r'¢ 5O J'- F' 0 L '¢,, TOWiN OF S~UTIIOI_D - SLIFFDLK SCALE I''= ~O' DATF: FILED MAP NO. DATE, B, OOK NO' ~1 PAGE: HAROLD E TRANCHOH JR P,C. LAND S LJ,r? VL yOR ' SUCLCESSOR fro WILLIAh~ NORTtl COUfITRY ROAD-'WADING RIVEI,I NY ' 929--I 695 ' ' ' 4;'3-3620 ALT. CALL 1995 i~"' ~O.M NO., TOWN OF SOUTHOLD BUILDING DEPARTMENT: ! ~..~ TOWN HALL m,-,~ D55T. _BLDG ~ ._.~. ' SOUTHOLD, N.Y. 11971 ' ~ ~~ TEL.: 765-1802 BOARD OF ll£ALTlt ......... 3 SE'rS OF PLANS ......... SURVEY .................. CIIECK ................... SEPTIC FORH ............. l)isa ~ )roved a/c ...................................... ................................ (Buildhh, Inspector) .. INSTRUCTIONS a. This application must 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 sbowiug location of lot and of buildh~gs on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed desc'fipfiou of layout of property must be drawn on the diagram wbicit is part of this appli- cstiou. c. The work covered by tlds application nray not be commenced before issuauce of Building Permit. d. Upou approval of this application, the Buildiug Inspector will i~sued a Building Permit to the applicant. Such permit sfiall be kept on the premises available for inspection throughout the work. e. No building shatl be occupied or used in wlxole or in p~t for any propose wbateve~ until a Certificate of Occupaucy shall bare been granted by the Building luspector. APPLICATION IS HEREBY MADE to the Buildiug Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southdld, Suffolk County, New York, and other applicable Laws, Ordinances or P, egulations, 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, buildiug code, housing code, and regulations, and to -- (Sionatur~ of applig'~nt, or name, if a corporation) (Mailing address of applicant) NauJe of owner of premises .......... .~..~.~.C-~.'. ~ ............................................. (as on tile tax roll or latest deed) If applicm~t is a corporatiou, signature of duly authorized officer. (Name and title of corporate officer) m, Uder's Uee,,se ~o. . ./&Y..d~. . . .tr.Z ......... Plumber's License No ............... .......... Eect ca~sLicenseNo ....................... Other Trade's License No ...................... ,. ~o~a,on of ,and on w,,,c,, ,,roposed work wi,, be ~,o,,e... ~.~. O ~. ~..~.~...~X~'4¢..'~ ...... ~d'. ..... ~..%~ ~o//<. ~.C ....... ' ....... ~¢.~-.. ~F~& ...... : ............. ltouse Number Street tlamlet co,,,,~ ,,, ~',~, ~o. ,ooo s~,~,,,, ...//.7~... ~,o~ .... g ....... :.., Lo,...~e ............. Subdivision ........ .' ....... ................... '. Filed Map No ............... Lot ............... (Name) . 2.. State existing use aud occupancy of preudses and intended use and occupancy of proposed constructiou: a. Existing use and occupancy .... [ge~¢~ ...... ....... ~:N~'~tat~;,a :esda~.~ ................ 3. Nature of wo~k (check which applicable): New Buildieg .......... Addition .......... Alteration ......... Repair .............. Removal .............. Demolition .... : ......... Other Work ............... · ..... '.i..' .............. (Description) 4. Estimated Cost . . Fee ...................................... (to be paid on filing fids application) 5. lC dwelling, number of dwelling units ..... t/. ........ Number of dwelling units on each floor ../ .............. · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent ofeachtype of use . ..... ' " Depth . .~... ~' .......... 7. Dmlenstons ut ex~stmg structures, ffany: Front ..... ..~'-/ ...... Rear . . f~ ........ , ........... ': ........ 1 leigbt ............... Number of Stories .... t ................................................... Dimensions of shine structure with alterations or additions: Front .... .,.,~-. / .......... Rear . . .J"-,.Z ............ Depth .......... ~).~ .t ......... l leigbt ...... L~.~, . ........... Number of Stories ...-/. ...... : .......... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... lleigbt ............... Number of Stories ........................................................ 9. Size of lot: Front .......... . .~/..~.~ .~ ...... Rear .... ~/-tt.t? .......... ' .... Depth . .,'~..~..., .............. iO. Date of It urcbase ............................. Name of l, onner Owner .~./y'..//.x.t'¢O..~. ~'.e'~/.~.~".~..... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... P/O ...................... 13. Will 10t be regraded ....... '..Z'~/~ ........ ; ...... Will excess fill be removed from premises: Yes 14.Name of Owner of premises .. '~.d~'f.. ('~:t.2'¢/~.. Address ................... Phone No ................ Name of ~rcbitect .......................... Address ................... Phone No ................ Name of Co,, actor.. .... ^d ress ................... l,one No ............ ' .... 15. Is this property wltbin 300 fe~ of a tidal wetland? *Yes ........ ~ ' *If yes, Southold Town Trustees Permit may be required, ....... · PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street nmnes and indicate whether interior or corner lot. ~TATE OF NEW YOjIYa,-. ~_ S S :OUN-rY o? ....~L, ~.r-- ..... · ~ .... ~ .~)~ ................ · ......... being duly sworn, deposes and says that be is the applicant (Name of individual signing contract) bore named. le is the .......................... ~~ .................................... ' .............. (Contractor, agent, cor'porate officer, etc.) ¥ said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi~ pplication; that all statements contained in this application are true to the best of his kn. owledge and belief; and that the ~ork w~l be performed in the manner set forth in the applicalion filed therewith. ,worn to before lne this ............ .................... ¢/ ~I~8~ $''~ N.Z ' (Signature of applicant ~. 472~9, S~ol~ , , ~rm ~i~ M~ 31, ~9~* P r' 0