HomeMy WebLinkAbout20558-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24297 Date APRIL 19, 1996
THIS CERTIFIES that the building ALTERATION
Location of Property 41155 COUNTY ROAD ~48
House No. Street
County Tax Map No. 1000 Section 69 Block 7
Subdivision Filed Map No.
SOUTHOLD, N.Y.
Hamlet
Lot 33
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 15, 1992 qpursuant to which
Building Permit No. 20558-Z dated APRIL 16, 1992
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 REMOVE SECTION OF WALL & PUT BACK FOR REMOVING & ~EPLACING
EQUPMENT ONLY.
The certificate is issued to
WARREN & ~T3.RN ~uW~
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
· ORM NO. ~
TOWN O~ $OUT~OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°N? 20558Z
Permission is hereby granted to:
........................................ ~.~........~., ...........
~ , Il
.~..~ ......... :~. ........... ~..~...1 ........ ,
,o.~~....~. ............. ~ ....... ~ ....................... ~...~. .............. .~ ....
· ........ ......................................
at premises located at ..~...1../.~.~. ......... .~i......u~...~. ........ .~~ .................................
County Tox Map No. 1000 Section ....C~.~..~ ........ Block ....,,(~,.,,~, .......... Lot No...,,~,,,~ .............
pursuant to application dated .... ~ ......... I...~...' .............. , 19.01,~., and approved by
the
Building Inspector.
Fee $../,...~..~. ...........
Buil~ng Inspector
Re~ 6/30/80
PyCATIO
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN FALL
765-i802
FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by cypewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
i. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2.Final Approval from Uealth Dept. of water supply and sewerage-disposa2(S-9 form).
3.Approval of electrical installation from Board of Fire Underw~:iters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial builffing, industrial building, multiple residences and sJ~ilsr 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 requireme~tSo
B. For existing buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings 'and
'3pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
, unusual natural or topographic features,
.2. A properly' completsd 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 ~o the applicant.
Fees
t. 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-~xistin~ 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 $15.00
New Construction ........... Old Or Pre-existing Building .................
Location of Proper~y ........ .~.~.~. ...... ~...~..~. ............. .~.~.~f.~.~ .~./..~./.~.
~ouse NO. Stree~ ~a~et
...... ........ / ...... ................
Subdivision .................................... Filed ~ap ............ Lo~ ......................
~e~i: xo..~PJ.~.$.L...Date 0f 2e~it...Y/~/~ .... Applicant .............................
Uealth Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate. ~
Fee Submitted:
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
April 15, 1996
Mr. & Mrs. Warren Hufe
C/O Future Screw
Wells Avenue
$outhold, NY 11971
To Whom This May Concern:
We
because
xx
xx
are unable to complete your Certificate of Occupancy
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. $50.00
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 # 20558-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
?OUNDA'TION (1st)
'~OUND A T I 0~'.! ( 2nd )
FRAME &
·PLUMBING
IOUGH
-~NSULATION FERN. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 1197~
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 29, 1996
Mr. Warren Hufe Jr.
41155 CR #48
Wells Ave
Southold, NY 11971
Re: Building Permit #20558-Z & 22173-Z
Premises: .41155 CR#48, Southold
Surf. Co. Tax Map #1000-59-7-33
(repl wall & add)
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
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, 1
BUILDING DEPARTMENT
/ 4¢~-7 ~ TOWN HALL
TEL,: 7G5-1802
D[s~ppmvcd =/c ..........................
(~Uddmg Inspector)
APPLICATION FOR BUILDING PERMIT
BLDg. DE~.
~TOWN OF 50~L~
IN'RucTIONS
BOARD OF HEALTH
3 SETS OF PLANS .........
SURVEY ..................
CIIEGK ......
i';o? I PY ~
C^LL fg; ................
MAIL ·
a. Tiffs application must be Completely filled in by typewriter or in ink and submitted to the Building Ik~peetar,
sets of plarm. =,se. Orate plot plan to scale. Fee aCcoreing to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c sire
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap~
cation. '
¢. The work covered by this application may not be Commenced be '.
-d. Upon approval of this apolication ,~o,~-:,~- · . . fore :ssuance of Building Permit.
shrill be kept on the premises available for inspection throu-_hout the work.
........ ,umg inspector will issued a Building Permit to the applicant Such peru,
e. No buildiqg shall be occupied or used in whole or ~n part for a0y purpose whatever until a Certificate of Occupan
Sh, all have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu/lding Permit pursuant to
Building Zone Ordinance of tke Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applica~e laws, ordinances, buS/ding code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspecti,gns'
· - . (S~gnature ot applicant, o/~h~e, ira co;po'r~l:idd)'
..... ¢. ?...
(Mailing address of applicant) ~ '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of o~vner of premises . .!~. .&. r t/6 rl ~ ..........................
(as on the'ta'x '
rolt-~r.lal~t deed) , ' ....
If applicant is a corporation, signature of duly authorized officer.
........ r' ...................
ltle of corporate oftScer) '
Builder's -i=nse No -
Plum ~er's License No .......................
Electrician's License No ......
Other Tradc's License No .....................
I. Location o£land on which proposed work will be done;
Street, ....... fl;,'.',;; ...................
[louse Number ·
County Tax Map No. lO00 Section ,5~c~ ' Block ~. ~...
' ' ........... Lot. ,'
Subdivision .... · .............. ....
........................... Eikd Map No
(Name) .............. Lot .........
tZte existing ......
S nsc and occupancy of prcmises and intended nsc and oCcnpancy of proposed construction:
A. Existing usc and occupancy ........ ,52'0 C~ ~,~ ,
......................... V ~'~D;J ~.R~',~,2;'.~ .... ~ .............
B. In~ended use and occupancy.' ~0~-,9') C_
3, Nature o£ work (cheek which applir-abie): New BuiLding .......... Addition .......... A/teration
R psi r bmo%- .................. , . · " '.' .... "" '.
e r' . ............ ~ DemoN[mn ............. Swztm~ing pool.
Tennis Court ........ a& ,-...,.~,. Aqcessory Build£ng .......... Fence ~ ...... Other Work; ..........
4. Estimated Cost...}~.,.%..~.~?.~... i
~ ~t.a ha paid on filing this application}
5, Ifdwelhng. number of dwel ing re'its ........... · · · · Number of dwelling units on each floor ...............
If garage, number of cars ......
· . commercial or mixed occ'u';a'n'c;] i;;cii; ~=;t:r; a'r~d ;.~ t'e'n't o'f each .................
7 Dimensions of existing structures ['if any: Front Depth
· ' ............... Rear .............................
Height ............... Number of Stories ..............................
Dimensionsofsamestructurewitl~alterationsoradditions:Front .:::::::.::::.::: I~r':iii ...... iii ....
8a Depth ..................... '. Height .................... Number of Stories ...............
Dimensions of entire new constn ~tion' Front .... ~>
,, ,. - ' ............ .car .......
nmgqt ............... Number of Stories ...... . 't,i ~ :~,' [I '~ ,:" ....
~ize o~I ..... · .....................
9, o · ~,. front ............ , ........ Rea-. .................. ~ag~r ............ ' ....
10, Date of Purchase ... i' ' ' .. .'d '" ~ rl}l~l- ' :.' .......
.... '. '', ...... ,,. ...... .. ......... rmmempormeruwner .t,~.u;i..II~lIl.~-I~ ..........
11. z, one or use mstnct m winch presses arc situated ............ ~ 1.~.! . .!~..,~. .~...~?. .
Does-ro-osedc -u ' ' r ............. ''' ~' ' ........
12. ~' p onstr etlon wola~.e any zoning law, ordinance or re-ulation' ...1 . .{.. .................
13. Will lot berenraded . .. I ' , ..... =' ' ' ~ .... . ,, ' .....
Name o~'''' o ....... i ............ . ...... wm excess fiI1 be removed,, frolr~pre, mu~: , . tee .... :,~
14, t ~wner of premises .... I .... " Addrt. e~. "
Name of Architect ' Phone No
..........- ' ................ Address ..................................
Name of Contractor ; -
......... 4 ................ Address ................... Phone No ...............
lf~.l.a this llroperty Located wlthin'300 feet of a tidal wetland? '*YES .... NO ....
· If xes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, :md. indicate all set-back, dimcn=ionc ::
property lines. Give street and block fiumber or description according to deed. and show street names and indicate we:,'::.
interior or comer lot.
~O'¥{FY, 81.1ll.D~NG '9~'¢.aRTiVIEN'f AT
I, t:OUND,[fI()r~ 'IV*IO
FOR POURED CONCRETI::
4, FINAl.
8E C('I~PI.ffFG FOR
ALL CONS'FRUCTfON
THE
ICTtON
ENERGY
&lOT RESPONSIBLE FOR
Of'{ CONS'FRUC"ftON ERIIORS
STATE OFNEW'~L, ORIC/)--~ // :
COUNTY OF .~-.'~ ( .f13~.S'S
.................
· . (Name ofindividual signing contract) '
above named. ,
OCCUPANCY OR
USE {S J ID3 Ft t
iTHO JT CERIIFtC/ ' '
being duly sworn, depose~(~Ct'~a~gi~ the applies:'
(Contractor agent corporate officer etc)
of said owner or owners, and is duly cut or:zed to pc.flare or ):ave performed the said ~vork and to make and file
application: that all statements contained in this application are true to lite best of his knowledge and belief; and that
Work will be pcrlbmmd in the m~fler set forth in thc application filed therewith.
Sworn to before me this
............ ....
No. ~TB~ ~ appllc~