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HomeMy WebLinkAbout21864-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICAT~ OF O~mANCY No Z-24229 Date MARCH 25, 1996 THIS CERTIFIES that the building Location of Property 56025 MAIN ROAD House No. County Tax Map No. 1000 Section 63 Subdivision ALTEEATION SOUTHOLD, NEW YORK Street Block Filed Map Ho. Hamlet Lot 26 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 23, 1993 pursuant to which Building Permit No. 21864-Z dated JANUARY 6, 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 ENCLOSE PORCH OF EXISTING ANTIQUE STORE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 EDMUND & JOAN PRESSL~R N/A N-323162 - AUGUST 10, 1994 N/A Building Insplct~ FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No 21864 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~/~ . ,.. ~,,~,.~,.~,,.,..~.~_...~ ................... .... .... ............ ~.~ ....... ~ ........................................................................................................................ Coun~yTax Map No. 1000 Section ...... .~,.~. ......... Block ,.~ ................. Lot No ..... ,.-~,..~_.. ............. pursuant to application dated....,./..'.~.. ',,~/.,~.., ................................ i., 19...~ ..... and approved by the Building Inspector. Fee $...,g~....~...~....~.. ~~ec or , Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOID BUILDING DEPARTMENT 765-1802 ! ............... ~LIC~TION FO~ ~TI~I~T~ O~ O~Y ............ Bo 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 build'ina, 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) ~on-conforming uses, or buildings and Vpre-existing" land uses: i. Accurate s~rvey 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. i 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 $15.00 Date .. . . ................ .- . . New Construction ........... Old Or Pre-existing Building ................. Location of Froperty...<~ ............................ .C.~ ......... ~ouse No. Street Hamlet Onwer or Owners of Froperty .... ...~-~.//f ~ ~.~,~.~-_C~cc~ ....................... County Tax Map No 1000, Section .......... Block. Subdivision . .. Filed Map ~ Lot Permit No~../~./.~..~.?-~....Date Of Permit.../."~..~. .~.~.'~... . . .Applicant .......................... . . . Health Dept. Approval .... ..~/~ .................. Underwriters Approval....~..~'?.../.f~../."~..6.6. ...... Planning Board Approval ..... .~/.~. ............... Request for: Temporary Certificate ........... Final Certicate ........... ~.~.~ ~ ?~ APPLICANT THE 1001071 PASTIME ANTIQUES, in the follo~ving lacatlon; NEW YORK BOARD OF FIRE UNDERWRITERS PAG BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Applleation No on file 84553294/94 N 323162 be~w a~ int~u6ed by t~ applicant ~ on the a~ve appl~ation number i. t~ premises of RT.25, SOUTHOLD, N.Y. [] B~,eme.t ~ Ist Fl. ~ 2nd FL Section Block AUGUST 21,1994 and found to be in compli~ce with the NaHonal Electrical Code. Lot fiXTURE OUTtETS IE i. CAraOESCe~T FIXTURES EPTACLES SWITCHES FtUORE$CEN? OTHER 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OrL H.P. GAS H. P, ART, NO A, W. G. OTHER APPARATUS: MOTORS ~ l-P H.P. TRACK LIGHTING~ -'16 RANGES iPECIAL REC'PT OF CC. COND COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET ~V,T ~V~pS RANS. ~ N So.YSoTFE FMiSE, V I C EXHAUST FANS DIMMERS G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC. #578-I~ GENER~,L MANAGER This cedificate must not be ~lte~ed i~ ~l' m~nner; return to the office of ~he Go~rd ii i~correcL I~spec~ors may be identified bl, thei~ crede~ti~ls. COPY FOR gUILDING DEPARTMENT. THIS COPY OF CERTIF~CA~G ~$T NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 29, 1996 Mr. Edmund Pressler Grove Drive 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 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 # 21864-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 76S*J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~ ] IN. ION [ ] FRAMING ~ FINAL [ ] FIREPLACE & CHIMNEY. DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I ]R~GH PLBG. / FOUNDATION 2ND [/XINSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION ] FO~DATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 7~.1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CO'DE FINAL ~DDITION~L COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 12, 1996 Mr. Edmund Pressler Grove Drive Southold, NY 11971 Re: Building Permit #21864-Z Premises: 56025 Main Road, Southold Suff. Co. Tax Map ~1000-63-3-26 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-~S02 A. 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 Vpre-~xisting" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural o= 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building.~.~.<~. Location of Property - House No. Street Hamlet Onwer or Owners of Property ...................................................... County Tax Map No i000, Section .... .~.~. ..... Block.. ~ .... Lot..?.~ Subdivision ................................... '.Filed Map ............ Lot ...................... .Permit No ................ Date Of Permit .............. .. Applicant ........................... Health Dept Approval (,~/l~, Underwriters Approval Planning Board Approval ~/~. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: .......................~ APPLICANT ENERGY CODE CALCULATIONS {Fcr Non-Electric Heat) Design Criteria 6,000 Degree O.A. 10"F I.A. PER: ...................... DESIGN ' THERMEL ,qUBSYSTEM AREA "U" RATING REMARKS ;xt:erior Walls {OpaqUe) /&Z ,DJ~ :eili. ng/Roaf (Opaque} / ~7 , O~3 ;kylights ,,, % - / ~ .053 ',mnda/ion Walls lab Insulation Notes: HVAC Syste~ls'-tO'~9~.,~equiremonts 0f.~.616.12 ventllatio~ls '8~8 ~0 mee~'=oqutr~n~g of 7815.14 J:neulatio~ of Pi~ '~stems-%0 ~[:~Ee~lrem~nts of 7815.15 Service war:er: Hea~nq. Systems & Eq~i~n~ to meet requirements of 7815.21 [;lectrical &'.,~ght~ng Systems & Equ~ent to meet requirements of 7815.3l ? TO thLe besb of~y knowledge, beliefv &'p~Ofese~onal judgemen~%~_t~heso plans are In compllin~e~th~the Code. '" / / // ? / '4 DEC 2 3 1993 ' Examined ?~ ............. 19 .~.~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH~LD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... / (Bffildinl~fispector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH CALL ................... HAIL TO: INSTRUCTIONS a. Ttfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 setts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets oF areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be c~)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ord:inance of the Town of Southold, Suffolk County, New York, and other applicable Laws.. Ordinances or 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 to admit authorized irtspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~-~,4/cr/t, ZO.~. ~Jc'~,'~' (as on the taxx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. u ' ' PI tuber s L~cense No ..................... Electrician's License NO..,~.....~.~T. .......... Other Trade's License No. I. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ....... .~..~.3 ...... Block ...... ~ .......... Lot .... .2..~. ........... Subdivision ..................................... Filed },lap No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' b Intended use and occupancy ..................................................... 3. Nature of work (check which apph~able): New Building ...... Addition, Alteration Repair .............. Remova~ .............. Demolition .............. Other Work ............... '~ ' ~ "'~ '~ (D~os~ription) 4 Estimated Cost Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling unks ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercml or mixed olccupancy, specify nature and extent of each type of use ~.~ 7. Dimensions of existing struetures, ~f any: Front .... '.2~. ~.~. ·*. ... Rear , ,7. ~/27 ~ 'Z' '. .... ~;?'~,']r .... . t~eptn.../. ......... Height . ~....?q ........ Number of Stories ... .~'./~. ~ ....... Dimensions of~sa/ne,st~ucture withi alterations or additions: Front ' ~'~"~'~' ........ ~2~,' · ~ 't'~'~ ........ vepm ...... /.~. .............. , Height . .C> .(~ ............. Number of Stories .... .~.~...~. ............. 8. Di .mensions of entire new construdtion' Front Rear Height ............... Number of Stories ............... 9. Sizeoflot:Front ~ff ~ Rear ~/1~ ............ ~- 'f' ~'~;,;~ ............. ..... "'?,~7~' · · y~,~'; ............. ' .............. ~epm ,z~)~.r:~.7, ~ ........... 10. tJa[e orrurcnase ../:-... e¥../.~.~. ............. Name of Former Owner/~.Z~'~.~./~ I I. Zone or use district in which prem.~ises are situated... ~. ~..J~../p{~.~.®[rfl;~ , . . ' ................... 12. Does proposed construction vlolat~ any zoning law, ordinance or regulation: . .~/~.,, i ......... 13. Will lot be regraded .~.d... l ...... ~ ................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~/7.~-Cz~ ..... Address ................... Name of Architect ~ ' ........... ~ ............. Address ................... Phone No ................ Name of Contractor .......... , ............... Address ................. Phone No ......... 15. Is this property within 300 feet of a tidal wetland? '~'Yes.. '. ..... No. ~/~.. .... ' ...... · If yes, Southold TOWn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail ~uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or descripfioh accord~g ~o deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF $.S (Name of individuai signi ~g contract) being duly sworn, deposes and says that he is the applicant above named. ~e is the. ~ (Contractor agent corporate officer etc ) ........................... · f smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner, set forth in the application filed therewith. ~Wom to before me this ; ......... da ell ..~..~ ~3 P'{ ' Y I ........ " ......... ,19... qota~y Public ..... .~g., ~..~., .~... ,/~../' ' "cJTTL-7-' ' County ~ ~ /~ Yor~ ~ ' ' Term E,,qolres June 12, 1~..~ ''i pp' 'ri'ti i",\ DEC 2 3 1993 IT Phone 47%0400 Main Road GREENPORT. N Y 11944 S'[~ZE CO~JST~LICTI,ON & ENERGY CODES. N~ RESPONSI~LE~ FOR DESIG[~ O~ CONS'~O~ION ERROHS UI~DER~IfER$ IERi'IFI~'IE £P Z~ ', 1