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-, "
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