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HomeMy WebLinkAbout21774-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23873 Date SEPTEMBER 14, 1995 THIS CERTIFIES that the building ADDITION Location of Property 39395 MAIN ROAD PECONIC, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 2 Lot 7 Subdivision Filed Map.No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1993 pursuant to which Building Permit No. 21774-Z dated NOVEMBER 12, 1993 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 ADDITION TO EXISTING AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to C.J. VAN BOURGONDIEN, INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-309238 - MARCH 31, 1994 PLUMBERS CERTIFICATION DATED N/A r Building inepq for Rev. 1/81 i FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) q Date..~d./~.~~ 19,./....~~... N2 21774 Z Permission Is hereby granted to: ' ..............1.......... 4 11 at premises located at... s ..9 lv.Z-0~....... 40c.-'e.-f.! . ~t~1?.s............................................................................... County Tax Map No. 1000 Section ...........4f~... Block Lot No7 pursuant to application dated 19...1n tea....., and approved by the Building Inspector. rd Fee .1.K~ / Buil.ding Inspector Rev. 6/30/80 Form No. 6 TOWN O SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL 765-1802 e t. "'V APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 19 lead. 5. Commercial building, indust=rial 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. B." 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 Building - $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..... Old Or Pre-existing Building Location of Property./'?40...6o,,2-?... /V','7 ?1?/ !/tt.. R"P , rep.!(?! 1louse No ~J `~9~"~ Street Hamlet Onwer or Owners of Pr.operty.ClFh. /A:lc~~~. AM . . . County Tax Map No 1000, Section.... 4:G'.d'e Block.... Oral......... Lot.... ~.Q.7......... . Subdivision ....................................Filed Hap............ Lot.......... Permit No.A,-7 Y. 7? '..Date Of permit ................Appl Leant............................. Health Dept. Approval Underwriters Approval......................... Planning Board Approval kequest`for: Temporary Certificate........... Final Certicate.... Fee Submitted: $.y~.y/` C3~pc. sela 9 Co3S 3 APPLI NT o~~SUFF01.t O o~ Gym ce 2 Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 18, 1995 C.J. Vanbourgondien Inc. P.O. Box 2 Main Road Peconic, NY 11958 SECOND NOTICE 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 # 21774-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard pS1dfFO(t O~ COG Principal Building Inspector Curtis Horton y~A SCOTT L. HARRIS, Supervisor Senior Building Inspector o 4 Thomas Fisher x Southold Town Hall Building Inspector W- P.O. Box 1179, 53095 Main Road Southold, New York 11971 Bu da g InFish spector Fax (516) 765-1823 Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD February 2, 1994 Windsway Building Corp. 1020 Glenn Rd. Southold, N.Y. 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 not on file. (Enclosed) XX No Underwriters Certificate on file. p/ 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 # 21774-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 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[ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: DATE INSPECTOR =1EL i::S!'EC :iON COMMENTS ^o ~ / y~^'I H `h FOUNDATION (1st) ~,„11~ FOUNDATIOY (2nd) 2. ROUGH FRAME & ~9J PLUMBING' ) y.1 3. ra jy I1ISULATIOCI PER N. Y. y STATE ENERGY CODE x t © N~ r 4. ~ H K FINAL z ADDITIONAL COMMENTS: x cn _ roe 0 c~ ' x • a • r~ x O . [7 b a 025- J 00 ~vHl ~n , MIS tyliY 1 i~t 7 P hN N( ,s ty. . C7 / rsv:. it V 2tz - + 9y nra V All I ~ ~ < r . r w ' ~ eYyy~ w I ` s t pydd - r.~ 1 Dmus x !°SI '117(1 '~~u \ : v;~ a, ~ t~ i~r©rl r~ra~ . O„v71Vi / ;3~I ,st c 7.4 hY „ 'LVO W r I i elf ,V r < 1 p - r- i + 1 J ~ "t~'fGi;~ , . Q I ~ it tlXOlr 96 0 ~ s ~ 7 BOARD OF HEALTH ' . FORM NO. 1 3 SETS OF PLANS . ll~ TOWN OFSOUTHOLD- SURVEY O 2191993 - BUILDING DEPARTMENT EIIEC. _ . <.33.; TOWN HALL SEPTIC"P=oar! _ y),Y,~~ SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY: CALL Examined ? . . . . . . . 14~s7.' MAIL TO: Approved /.7? 19.9-e. Permit No. ?G?~ 7 7~. . . . Disapproved a/c t (Buil in. Ins tor) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se.ts of plans, accurate plot plan to scale. Fee according to schedule. I b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stieets 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 commenced 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 Ordinance 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 de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect•o s. ~%~.I (Signature of applica, or "name f a rporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..G:.. ,as on the tax roll or latest deed) If applicant is o tW,sig ture of dVly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. . !!fit.QLh f . ?T' . P~_.C.D.wl c House Number Street YwJ _~'k Hamlet e Gu J County Tax Map No. 1000 Section Block Lot *7 Subdivision Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occ ancy of proposed construction: a. Existing use and occupancy 7..................................... b. Intended use and occupancy ..0.~~•R G.y ~itl5r m...'°e 40" Kxy~9sras„OB.a.i : r a > I 3. Nature of work (check which applicable): New Building . , Addition , . t~ Alteration . Repair Removal , Demolition . . . . . . . . Other Work , . 4. Estimated Cost....... (Description) ~ Fee............,.....,................. (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height . . . Number of Stories . . Dimensions of same structure with alterations or additions: Front . Rear , . , , . , , , , P 8. Dimensions of..... new construction: . ' Height y , Number of Stories . Front , U/~ . f..... , Rear . Depth . el Y Hei ht ~ , Number of Stories A', . . . . . . . 9. Size of lot: Front Rear . Depth . . , 10. Date of Purchase p . . Name of Former Owner , 11. Zone or use district in which 4 late ' ' ' ' ' ' ' . ' 12. Does construction yr emises are situated . . . proposed elate any zoning law, ordinance or regulation : . . . . . . 13. Will lot be regraded 5 Will exce& fill be removed from premises: Yes No 14. Name of Owner of remises J" , P".'a° S , , ,Address w!! . ! Phone No. ),?!-4 s'~ Name of Architect i . Address , Phone No................ . Name of Contractor . . Address . . Phone No. , 15. Is this property within 300 feet of a tidal wetland? *Yes.., No.tr *If yes, Southold ,Town Trustees Permit may be required. 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. APP Q ED AS NOTED r E:_ Z?CT FEE: FAY: Nal'IFY B It.: ING DEPART AT 9'F'r,''v1 E$Ok 9 AM TO 4 PM FOR THE FOLL(_)WING INSPECTIONS: I. FOUNDATION - TINO REQUIRED FC1R pl,)UREiD CONCRETE 2. ROUGH - FRAMING fire PLUMBING a, I,isLII_ATION i. 7INi_~I.. - CONSTRUCTION MUST BF COMPLETE FOR C.O. ALL C:OmSTRUCTION SIAALL MEET THE REQUIREMENTS OF THE MY, STATE CONSTRUCTION S ENERGY CC3tlrc . NOT RESPONSI131nE FOR DESIGN OR CONSTRUCTION ERRORS I i STATE OF NEW YORK, S COUNTY OF . . (Name of individual signing . ' ' ' ' ' ' . • being duly sworn, deposes and says that he is the applicant contract) above named. He is the.... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manneri:set forth in the application filed therewith. Sworn to before me this ~ Notary Public, . ?jl0VUry_V1M.eWLklNS ay of . , 19 . County Notary Public, Stet.............................. . b of NewYork No. 4982243, SuffolkCour~y (Signature of applicant) Term ExpiresJuge 12, iS.L"~ I. l ~,s ~~5~~ ~~~e La lnEsw-- i ACNE ~ ~ Y ~ \ j~' ~alf~ I ~ ~ _r tti ' L_ y y 1~ ; ~f ~ 1 wn i ~~Y!LS~wn _ 3eaT o~ew iis, pCy~,oa OC Rn. tl ~ II - ?t'~ _ 1w: or ~ 1 4IV ..t~Uk~ I "v.~..~. - i r ~ ~ ~ ~ I ' /1r~q ( ^_~!-mil RoW-e'yn, ~.6 R^ 6~ P+c~W / f I __J ~ 1 ~~Y:l~~ 1^C =Frt. . ~U'~.C.3s l~~qf;( J f~ ~ I - - ~'A 4A 1 ~ }i W 1 f 1 j#f } W Fl~ ~1 I OCCUPANCY OR UPANCY OR I S UNLAWFUL 1 r I i , L`I~c wtCK§1 f USE IS UNL!4WFU' WITHOUT CERTIFICB T CERTIFICATE I' l OF OCCUPANCY ICCUPANCY rr J t 1 I I i ` i ~pIpE11y1p1iERS CERTIFICA RRRERS CERTIFICATE MWIRM ; VZ~Cir~ L_ ~ Ii ~ ~ ~ IIFgUIRFA { I~ 1 l~u,lb'~f. I ` 1 3 - S t^C I~J~,UL u y 1 ~I I 4 I- 1 3 1 I I ~ 1 All wr 1 9.LQ W.t'f' ppw ~ 1 J,~_..T,._. C?tl I 1 U 1 rv1 I