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Home My WebLink About21324-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23188 Date AUGUST 31, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 20905 COUNTY ROUTE %48 CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 96 Block I Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1993 .pursuant to which Building Permit No. 21324-Z dated APRIL 8, 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 i~ RENOVATE AN EXISTING ORE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N323164 PLUMBERS CERTIFICATION DATED Rev. 1/81 JAMES & LINDA WOLBERT N/A AUGUST 10, 1994 N/A .-- y /Bu l i g nspector 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) Permission is hereby granted to: ......-, ,-~~.......,~ ....... ~.~.~ ...... k:). .~..._,~. II'~.~z..... ,o ..~.....~...~....~..:.~~.:.._~..~ .... ot premise~ located .................................................... ......~.~ ............ County Tax Map No. 1000 Section ..... ..C)..CJ'...~, ........ Block ..... .¢3..I ......... Lot No ..... ~ ........... pursuant to application dated ...... ~......~q ...................... , 19~..~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTI1OLD BUILDING DEPARTMENT TOWN IIALL 765-1802 ~I ~ !2'6 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPAN~ TOWN OFSOUTBOLO 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: Final survey of property with accurate location of ail buildings, property lines, 2. streets,~ and unusual natural or topographic features. Final Approval from'~ealth Dept. of water supply and sewerage-~isposal(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. 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 unusoal 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 reasous therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, AddltLons to wellzng $25.00, d ' 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-existin~ Buildinm - $100.00 3.Copy 6f Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5. "Temporary Qertificate of Occupancy - Residential $15.00, Co,mmercial $15.O0 Date ............. .~. I.~ ,(~.(.~. l .............. ['[ew Construction.~ ......... Old Or Pre-existing Building ....... [~. ....... ~,ouse ~o. S~eei''''"' ......... ~;~et ~ .......... ~,+W, ision .................................... F~_,.,~.d ~,a~,...~f~. ..... ~ot ..... //,: if~ ............ ............ ace ut I-'c~.mtt.. lea LLh Dcpt Appl oval.'. · ' ....................... Underwriters Approval ................ , ........ >lanting Board Approval ........................ 'equest for: Temporary Certificate ........... Final Certicate.. V/ . . 'ee So m:tted: .. . ........ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [.] FOUNDATION ;ZND [ ] ~J.ATION []FRAMING [/,:']"FINAL . L~ .,~;~/~- ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-~.7~(~)3 E~UREAU OF ELECTRICITY ~'- 85 JOHN STREET, NEW YORK, NEW YORK 10038 O.~ AUGUST 1~,~994 ~pplicationNo. onfile ~502e93/93 N 323[64 THIS CERTIFIES THAT JAMES & LIN-DA WOLBERT, 20905 trt the following location; [] Basement ~s ~x.,.i.~ o,~ AUGUST ~4 ~ ~994 CTY ROUT~ 948, CUTCHOGU~ ttL ¥. [] t,t FI. [] ~.d I.'L ATTIC/OUT Section Block and found to be in compliance with the NaMon~l Electrical Code. Lot fiXTURE i FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 25 25 DRYERS DIMMERS SYSTEMS HO, OF FEET E OTHER APPARATUS: MOTORS~I-1 H.P.,3-F H.P. G,F.C.I,-5 SMOKE DETECTOR ~ -2 R V I C 2/0 OF N~UTRA£ 1 2/0 Q.C. ~L~CTRIC INC. P.O.BOX 518 LAUREL, NY, 11948 LIC,#3823 E GBNEI~AL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FO~ ~UILDJNG DEPAFIT~,/~ENT. TH~$ COPY OF CE~TIF CATE ~[35T NOT BE ALTERED ~J ANY ~ANNER. Town HalF, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (5t 6) 765-1802 OFFICE OF THE BUILDING INSPECTOR ';~ ~ '~:*~' TOWN OF SOUTHOLD Mr. James Wolbert P.O. Box 558 Mattltuck, NY 11952 August 23, 1994 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 # 21324-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DE~T. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 23, 1994 Mr. James Wolbert P.O. Box 558 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 21324-Z Please contact our office on this matte~. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ~OMMENT~: o~ APR -6 1993 TOWN OF · · .(~.. 1~..., 19 9.9 Exanlined Disapproved a/c .... . (Building~lnspector) . APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK · ;;~ ............... SEPTIC .............. CALL NAIL TO: INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the B~ilding Inspector, with 3 sets of plans, accurate plot plan to scale Fee accordin to schedule lb P ' g ' ' ' · lot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public streets or 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 w6rk. 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessar~nspections. '/7, /~ ~e ,/,,~ -- f/(~i~;i~r'e-of applicant, or name, if a corporation) · . . ../,/~/~..77 ~o ~ ~ /~.~./.z. ~.,Z.. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Namp of owner of premises .... ./~..l..~.~.~....~,.. '. '7 ....... .d~..~..~. ~ .77. .................... '.. (as on thc tax roll or latest deed) If applicant is a ~orporation, signature of duly auth~orized officer. ........... ~//.~. ............................ (Name and title of corporate officer) Builder's License No ...... ~../../2. .............. ...~ lq Plumber's License No. ~ ................. Ele'ctrician's License No...~.,~../r~ .... Other Wrade's License No.. ~..,-~..d ............. 1. L0caUo,n of land on which proposed work will be done~ ....oq'r...~../.~./.~. ................................ · ....... ..... .... t Iouse Number Hamlet County Tax Map No. 1000 Section ...... ~7. G ........ Block /' Lot Subdivision .............. .~/_...4 .............. .~./j.~... ·(k'ai,i~)................ Filed Map No. . ./~./.'~. Lot ..... 2. State existing use and occupancy of premises and ~tended use and occupancy o.f proposed construction: a. Existing use and occupancy ..... ~'~_7v -. '- b. Intended use and occupancy ....... ~.. .............. ¥~,~,,,.,., ,-...:. ~ ~,~..~,,-. ............ ~ ............. Remi°val .............. . Demolition .... '-'. · · ~ her Work .. ........... ~ ! '" ~J (Description) 4. Estimated Cost ....... ~'~' '~'''. '. '~.//.4~.. ?. · .~. · .~P~..~. Fee .... ~.~ 5. If dwelling, number . ~ . (to be paid on filing this application) of dwelhng~umts ..... ~. · · Number of dwelling units on each floor... ~ ..... . If garage, number of c~s .... ~ .~ ~ ' ~. ~(buslness, commercml or mi~e~ occupancy, ~pedi~ na;~re and'exton~fea~h typ; of;;'~ ~ ~ ~ '~ '. ..... -. o~mensions of existing ~tmctur~s, if any: Front ..... ~'.... Rear ....~ ..... Deoth .. ~ .... . H~ight ...~).. ~.... Ntu~ber of Stories ..... ~ ...... ' ...... . ~mensmns ~ffi~stmcture w~th alterations or additions: Front ~-' ~ ~'' '~ ........... ~epth ..... ~ ~... u~:~. ~ ~K ,~ ............. z '. v~ ......... o ~. · ~' ' 7 .......... ~*~m~[ ' · ~( ~ .... m ....... '..Number of Stories .... ~ o. °l~ens~°ns°~eP~0ewconstmction:Front . . . ~/~. . .. ~, x ~ / ~ ~ ., ~: ;} ~ .......... V. Sizeoflot:Front. .~ ~~ ~--- ' :~'~;'~'~' ................ ;"':;.~ .......... I0 Dat-~r~--~-- ' "~J~J~'/2 z 'V~ ..... z.~ ........... Depth ...,~.~. ....... . ~ ~. ~one or use restrict m which pr6mises are situated ~Z~O~/~ .................... 12. Does proposed constructmn wolate any zoning law ordinance or regulation. ~q~-. ~ ~ ~t~ '~' ' ' ' ~ ........... ~ Phone No Nme of Contractor... ~/~ ............ ~.~-~- "~ ........... ~...;... ~ i..r '?: ' ' ' PLOT DIAG~ ' Locate clearly and distinctly ~1 iSuild~gs, whethe'r existing, or proposed, ~d. indicate ~1 ~et-back d~ensions fro~ prope~y Hnes. Give street ~d block ~umber or description accord~g to deed, and show street nines and indicate whether ~tefior or corner lot. ;TATE OF NEW,.Y-ORK.("(-"/,(,' o CA (Name of individual signin, contract) hove named. being duly sworn, deposes and says that he is the applicant is the .. ,~ ........... ~... .. . i (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly outhonzed to perform or have performed the said work and to make and file this >plication; that all statements contained in tlfis'application are true to the best of his knowledge and belief; and that the ork will be performed in the manner s6t forth in the application filed therewith. ~vorn to before m~.t/his Ouel~ied