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