Loading...
HomeMy WebLinkAbout22528-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-23483 Date FEBRUARY 6, 1995 THIS CERTIFIES that the building Location of Propert~ 7645 ALVAH'S LANE House No. County Tax Map No. 1000 Section 101 Subdivision ADDITION TO ACCESSORY Street Block Filed Map No. Hamlet Lot 14.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECE~BER 6, 1994 pursuant to which Building Permit No. 22528-Z dated DECEMBER 9, 1994 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 AN ADDITION TO AN ACCESSORY WHOLESALE GRMEWHOUSE AS APPLIED FOR. The certificate is issued to ERNEST & JEAN SCHNEIDER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N340567 PLUMBERS CERTIFICATION DATED (owner's) JANUARY 25, 1995 N/A /~/Bui~ding Inspector Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENt' TOWN HALL $OUTHOLD, N,Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22528 Z Permission Is hereby granted to.~ (,,"~,~ , ~ ..... ~z~......,4.~.~.~..~.-'.... ~,.... ~...~.,.. ................ ~.~.~.(~.....~...,.~.,. ..... ,o ...... ~ .,~.....~..... '~. ~ .. ~:~....'~....~.,~..~.~.~.~.~ ...~...~._.~..z~.~...~..~ ........ ~..~ .......... ,~..~.~.././..~.~.....~. ................... ~.,~,/~ ~:~..~ ~.~, '. ......................... CountyTax Map No. 1000 Section ...... Z~../..,... Block .......... Z ............ Lot No. ...../'...~.~....,~ ........ ~ ~ and approved by the pursuant to application dated .............. ~,,,.~-~ ,.,,,,~.. ............ 19,. ,,,~ ,~,.,,,, Building Inspector. F e e ~; ~.'...., .'~. .... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 buildings 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00' Date ........ ........ New Construction ........... Ol~d Or Pre-exi~tingABuildinK .............. ~. Location of Property .... ~ig/~ .......... (?.~,<~.~. Id~. .... ~ .......... C/~d. m,.~.~,(.~.~'S~%'' ...... House No. Hami~t/'' Street Onwer or Owners of Property .... ~ ............... County Tax Map No 1000, Section../ ........ Block ............... Lot ......... Subdivision ..................................... Filed Map ............ Lot ............ Permit No ........ ~. .... D_t Of Permit...~ ..Applicant Health Dept. Approval ................. ........... Underwriters Approval ....................... Planning Board Approw~l ................. FeeRequest fOr:submitted: Temp~a~ Certificate'!! !!i! ii Final Certicate'''$ ~T~.~-..~ ........ Town Ha~l, 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 January 11, 1995 Mr. Ernest Schneider 915 Lakeside Drive No. Southold, NY 11971 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 xx xx not on file. (Enclosed) No Underwriters Certificate on file. 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 ~ 22528-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ]LATIO~! STATE EHERGy CODE · · Oo THE NEW YORK BOARD OF FIRE UNDERWRITERS 10~O378 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Da~e JANUARY 25,1995 ~ppHcat~on ~o. on file ~6849595/95 N 340567 THIS CERTIFIES THAT ~ SCHNEIDER GR~EN-HOUSF, S, 7645 ALVAH'S LAN~, CUTCHOGUE, N,Y. in the foHowlng foc.~ion; [] Basemen~ [] ~st Ft. [] ~nd FL SecHon Block ~s examined on J?~rOARY ~L9 t 1995 and found to be in compliance with the National Electrical Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FtUORESCENT OTHER 2 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C AWG, OF CC. COND. NO OF NEUTRALS OF NEUTRAL STEV~ ' S ~L~C / S . ALBgRTSON P.O. BOX 1268 $OUTHOID, NY, 11971 LIC. #3494~E GENERAL ~MAHAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT FICA,T,~M~J,ST, . <,~ ~ NOT BEALTERED IN ANY~ MANNER. ' OF ...... -.. To N TowN. ~OUTHOLD, N.Y. Ex,mined...... ' CALL ~ ............. Disapproved' a/c ............. . ' ' I DEC - 6 1994 LICATION FOR BUILDING'PERMIT '~ " '~ INSTRUCTIONS a. Tiffs applioation must b~ completely filled in by ~pew~ter or in ink and submitted to the BulldOg Inspector, with sets of plans, accurate plot plan to scal~. Fe~ according to schedule. b. Plot pl~ show~g looation of lot and of bulldogs on premises, relationship to adjoining premises or pubic st~eet~ or ar~as, and giv~g a det~led d~scription of layout of property must be drawn on the diagram which is pa~ of this app,- cation. ~. ' The work ~over~d by t~s application may not be commenced'before issuance of Building Pemit.. d. Upo~ approval of this application, th~ Building Inspector will i~sued a Bufld~g Pe~it to th~ app~cant. Such pemit sh~l b~ kept on th~ premises available for ~spection ~roughout the work. e. No building shall be occupied or used in whol~ or in p~t for any purpose whatever until a C:~ificate of Occup~cy shall hav~ b~n granted by the Building Inspector. A~PLI~ATION IS ~EREBY MADE to the Buitd~g D¢p~m~nt for the issuance of a B~lding Pe~it pumuant to the Build~ng Zon~.Ordinanc~ of the Town of Southold, Suffolk Oounty, N~w York, ~d oth~ app~cabl~ ~ws, Ord~ces or ~egulations, for th~ construction of bufld~gs, additions or alterations, or for removal or demolition, as hcr~ d~scfib6d. Th~ app~cant agr~s to comply with all applicable laws, ordinanoes, bufld~g ¢od~, housing ¢od~, and regulations, and to ~~I~N ~ ~me, if a co~orat~) .... ' ~ . (Mailing address ~f applicant) / ' ' State whether applicant is owner, lessee, 'ag~t, architect, engineer, general contractor, electrician, plumber or builder. ' ~:' ~ (as on the. tax ton jr ilt}~t jiij) ....................... If. applicant is a corporation, signature of duly authorized officer. ~PP~O~ED . .............................. ]. DATE: B.R . (Name and title of co~orat~ N~ ~UILDtNG DE Plumber's License No ................. 1. FOUNDATION ........ FOR POUi~E5 CONCRETE E · . , . 2. ROUGH. F~AM{NO ~ PLUMBINO lectriclan s L{cense No ............. : .......... 3. {NSOLAT[O~ , ~ -" 4. F~NAL C ~ ' - O'&~TFtUCTION MU~T Other Trade's License No ........ ,.~ · .'. ~ ......... 8E COMPLETE FO~ C,O, ' ALL COBST~UCT{O~ SHALL I. Location Ofl~nd on which proposed ~ork will be'done. ~HE REOUi~M~NT~, OP..T~. .... ~ ..... ,.' ........ Street ~~f~t CONST~U~ION gRR08~ ltouse Number DESI~NO~ ' ' · County Tax Map No. 1000 Section ... i.[.O J ......... Block ...[ ........... ' Lot../.~t~ ........... Subdivision ..... ........................... '. Filed Map No. '' '"" (Name) .............. Lot ............... 2; State ex~stmg use and occupancy of nremises , ' de'~ ~co nanc ~ - ' ' ' " ........ ~ ~ ,~. y otproposeo construction: a. Existing usc and oc:upancy .~~:~~4 ~ o lnienoeo use and occupancy Mm .., o .... ,~ ~ ;, ..... ~ ~ .... , ............. .' ..... . . ',' · ........ · 3. Nature of work (check which an,-,l;....~-, ,. ,. - ' " · ' / ' . Repair .............. 1~'~[~'~'.' '7e7 ~.uildmg,, .... Z'. .... Add,t,on .-...l.:fT.. ' .... Alteration ....... ; ' ' ,5~' > .,,.....~.: ~emontmn .. .... : .......... OtherWork ............. 4. Estimated Cost ./~,f,/~f)O '. ' (Description) 5 Ifd Iii in ' (to be paid on filing this application) b fd I it : N mb · ifgWe ag, hum ero well gun ............. u erofdwcllingunitsoneachfloor ........ S · arage, number of cars ' . ...... 6 If business commercial ''I .... .) ... ................................ or re!xed occupancy specify nature and extent of ............ ~' ' ' 7 D ..... ' .each type of use . xmenmons ot emStmg stmctyres if any: Frbnt Rear ............... ' .... Height Number ' '": ......................... Depth · ' of Stories ' .............. Dimension~ ............ ' ................................................... Depth ~ ....... · Height i .................. Rear .... o~ shine stmcturi with alterations or additions: Front ................. 8 Dimensions f entirenewcofistruction: FrOnt' ................ Number of Stories '. Rear ....... ' ....... Height N~mber of Stories .............. : ............... Depth 9 Size of lot: Front ~ ....... .......... ' 10' Date of Purchase ......... i, ........... · Rear ......... Depth .... ' ....... 11' ' .................... ' ......... Name of Former Owner ............ . Zone or use district in which premises are situated .............. ' ...... i .................... :: ....... .12. Does proposed construction violate any zoning law ordinance or regul'ati'¢~l: i i .................. ' 13 Willl6t be regraded ' Will excess fill be removed from 14 Name ....... ~ ...................... ' ............... · of Owner of premises premises: Yes No Nam~ of Architect ............ ~ ........ Address . Phone No ........ I ................. Address Phone No 15. ' Nlame of Contractor ....... ~. ' ' ' .............................. ; .... .s this property withi~ · If yes, Southol~ ~',,;, ........: ....... Address ... ·.. . ' ph,,,~ ~,~,, . uu feet o~ a tidal wetland?' ~v'~'~ ........ l-''''~''~. ~'~' ................ Town Trustees Per~ -~.. ~ . -¥0.~ ...... ~o...4<. .... PLOT DIAGRAM Locate clearly 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 names and indicate whether interior or corner lot. i being duly sworn, deposes and says that he is the applicant COUNTY OE .... '¢ ' ' ', ....... i ' ' i;mame of individual sign?g co, ntract) ....... above named. -lc is the . :~ [ " (c .... I ontra or, agent, corporate officer, etc.) ~f said owner or owners, and is dulM authorized to iperform or have performed the said work and to make and file this pplication; that all statements contained in tfiis application are true to the best of his knowledge and belief; and that the i ' york will be performed n the manner!set forth in thelapplication filed therewith. ' ,worn to beforeme this I , .......... .... ..... · . ' Notew Public, S · n ) ~f~, ~' . ate of NewYoI~ .,.. ~ r~'.~ '...'.~.~v. ~..~-. g~..~.v. ................ No. 4879506 Qualified In Suffolk~CounW ~4 (Signature of applicant) Commission Expires December 8, I 9 ~..,/ · ,:t-:, fy-, " , , r" ,,TF'"-