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Home My WebLink About20975-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22574 Date SEPTEMBER 8, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1145 STILLWATER AVENUE House No. Street County Tax Map No. 1000 Section 103 Block i Subdivision Filed Map No. CUTCHOGUEr N.Y. Hamlet Lot 16 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1992 pursuant to which Building Permit No. 20975-Z dated SEPTEMBER 23~ 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 SCREENED IN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY CHARNEWS & EVERETT GLOVER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2ILTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-254418 - OCTOBER 22~ 1992 N/A Rev. 1/81 ~uilding Inspector IFO~-M NO. ~ TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) No-N°. 20975Z Permission is hereby granted to: .... ............... , IIq~.'-' ,o .~..~....~.~..~L~.~.......o~..~.~....~...........~..... at premises located at .J./...~...~......~....~...~....: ......... ~~~ .................. ..... .~..~.~....~~..~.....e...~......g..~ ................................................... County Tax Map No, 1000 Section ..... i...~..~ ........ Block ..... .,.C~..J .......... Lot No ....... .).~. ............ pursuant to application dated ..(~..~.....!..'J ................ , lg.C~....~w., and approved by the Building Inspector. ~.~...,/ Fee $ ..................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · 765-1802 : APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR i~k 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 ~nd similar buildings and installations, a certificate of Code Compliance from arch{~ect or engineer' responsible for the building. 6. Submit Planning Board Approval of completed site plan requirsments. · 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, Addit_ions 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 - $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5.' Tempokary Certificate of Occupancy - Residential $15.00, Oommercial $15.00 Date ..... ,-,- r ..................... Jew Constructzon ........ Old Or Pre-existing BuiLding ............ .~ .... Location of Property ..... ~ ~,~ House No. ' .... HamletStreet Oower or Owners of Property...[~?~O~ ...' ~F'~]{ .~ ~- County Tax Map No i000, Section .... /.~.~ ..... Block...! ............ Lot...~ .... bdi · ~7~ ~ ......... Filed Map ............ Lot .............. Permit No . o~ ; .......... Date Of Permit. · .... Applicant. . ........... . Health Dnpt. Approval ...................... Underwriters ' ' Approval Planning Board Approval ' Request for: Temporary Certificate ........... Final Certicate ........... Fee Subm e : .. . --APPLICANT · INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 NOVI~IBER 16, 1992 S & Z BUILDERS BOX 722 CUTCHOGUE, ~ 11935 RE: DOROTHY CHARNEWS & EVERETTE GLOVER To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 20975-Z Please contact our office on this matter. cooperation. Thank you for SqUTHOLD TOWN BUILDING DEPT. CC: DOT & EVIE · BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT only the electrical equipment in the following location: ~ Basement ~ Ist FI. ~ 2nd Fl. ()lit Section Bilk Lot ~sexa~nlnedott 0 (] ~'() ~ ~ ~) andfoundtobeincompllancewlththerequirements~fttisBoard FIXTURE [ RXTU~ES RANGES [C~KING DECKS } OVENS IDISH WASHERS ~XHAUST FANS OTHER APP&RATUS: cove~s compliance at the date of inspection only, Because of unusual ~v{ronmcnts it ls adv'ls~ble to GENERAL MANAGER Per 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. Jill ~[] .r~v r,," r¥,[~4!,,? '~' ~'~1' t',Of 5~ AL'Tf'~SD IH ANY H~NS~2. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 1.~'~ ~'~ BUREAU OF ELECTRICITY 85 .JOHN STREET, NEW YORK, NEW YORK 10038 "' < ~ ~ "' ~' Application No. on file Date THI~ ~ERTIFIES THAT o~ly the e[eetr~ceJ equipment ~ ~scribed below and int~duced by the appllcont ~med on the o~ve ap~ication number in the premises of in the followlng location; ~ Basement wasexatnlnedon 0 [' ~h,) ~ ~P FIXTURE OUTLETS ECEPTACLE.~ SWITCHES DRYERS FIXTURES FI. 0 [|'{' Section Block Lot and found to be in compliance with the reqt~iretnents o.( this Board. OVENS DISH WASHEES EXHAUST FANS SYSTEMS OTHER APPARATUS: E R V I C OF CC. CONO NO OF HI-LEG NO, OF NEUTRALS P,O.BOX I 1 9 1 5 GENERAl. MANAGER This certificate must ~ot be altered }~ any manner~ returo to the office of the Board if incorrect. I~spectors may be identified by their credentials, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~MING [ ] FINAL REMARKS-. ~ DATE //~/~/.~/2_ iNSPECTOR ,/~~/_~ OUNDA~ION ( ls t) OU~DATIO:; (2nd) tOUGH FRAME & -PLUMBING 2NSULATIO~! PER N. STATE ENERGY CODE FI;;AL ADDITIONR'L COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 \pproved ~...~.~ .~.'~.., 19 ~.~. Permit No ~.~ 2~ %' )isapproved a/c .... . ............................... ........... ~ ... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLA:iS .......... SURVEY ................... CIlECK CALL . . . . ....... HAIL TO: Date ......... : ......... 19.~. INSTRUCTIONS a. Tl~s applicati~n must be c~mpletely ~l~ed in by typewriter ~rin ink and submitted t~ the Build~ng Inspect~r~ w~th 3 ts 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 ' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- .fion. - c. Tile work covered by this application may no~ 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 all 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 all 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 filding Zone Ordinance of the Town of Sou!hold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for removal or demolitinn, as herein described. ~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. ...... .... .......... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · 'meofownerof rcmses ~..~ ~/~c ~'~ '~/ ............................................. i .... , p · . .... .... ...... (as on the tax roll or latest deed) applicant is a corporation, signature of duly auth?rized officer. (Name and ........................... title of corporate officer). Builder's License No ' Plum bet's License No ......................... Electrician's License ND Other Trade's License No ...................... Location of land on which proposed work will be'done ' ..... :..l./:z .JL'. .................. ................................... Ilouse Number Street Hamlet ?Ounty Tax Map No. lO00 Section/.~.w,~,.<::??. ........ Block . .~../. Q.O. ......... Lot..~./. f... ~.~.~... ;ubdivision ' ................ (Nani~) ................ Filed Map No ............... Lot ............... :!ate existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (cheek which applicable): New Building .......... Addition . .~ ..... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. 4. Estimated Cost ...~..~/. 1~..~.....'. ~..~. (Description) $ If dwelling number 6f dwellin~ units (to be paid on filing this application) · ' ............... Number of dwc~lling units each floor If garage number of cars ~ on ................ Ifb ' ~ ....... us,ness, commercial or mix.u ,-,~cupanc¥, spec~Iy~,a, t4~e and e ? ..... , . ...................~... . x R flmenslOnS o ~.l ......... · D tent o ~e of use . t ex,sting structures, If any: Front.. · .......... Height ..... Nu- ~-- . ~ · ..... ear · · · Depth ~ ..... q~ucr Ol 5torles ................ ' .... . ........ Di o; ~m With it dditi ....................... Fron .,~.~. ec~.. ~. ' .......... D mensions e structure aerations or a oas' t ....... Rear. epth . · .1.4. · · ~ · · ne, ....... . ....... 8 D' ' f · '' i "'ght ............ i ........ Number of Stories / ..... tructi ......... ' ...... · lmenslons o entire new cons on: Front ............... Rear ............... Depth ............... Height ............ >Number of Stories .............. - 9. Size of lot: Front .. ~./~.5 ............... Rear .../Od l~:.t~ '~_~ .................... .~ ........... 10. DateofPurchase , ..... Depth ~.fl~..,~/.~..i~'.'i/~.~...~, ~.'d · ' ' " ' . ame.o 11. Zone or use district: ...... ~ f Former Owne ..... in whic r mises are situated.../F.~,SC ' ...... gl ' ' .................................. 12. Does proposed construction rio ate ny zonin aw, ordinance, or regulation: ................ 13. Wi 1 lot be regraded .. ,~..E~. .. ' ............. .... fp ' ' i ................ Will excess fill be removed from premise~: Yes 14. aame oiowner o remises ...I .................. Address ................... Phone N O, Name of Architect .. · ............ ........ I ................. Addres!; ................... Phone No ................ Name of Contractor ......... i ............... Address ................... Phone No ............. tS. Is this proper~y within ~00 feet of a tidal wetland? *Yes ........ No ......... ''' · If yes, Southold Town Trustees Permit may be required. .... ! PLOT DIAGRAM Locate clearly and distinctly all'Ibuildings, whether existing or proposed, and, indicate all set-back dimensions from .prop?rW lines. Gl.ye street and block flumber or description according to deed, and show street names and indicate whether interior or comer lot. ,i . ,TATE OF NE~,~r~K./~>['h // ...... (Name of individual signing named. contract) being duly sWorn, deposes and says that he is the applicant · sa~d owner or owners, and is duly affth'arie-o~-J-¢.o~p~form or have performed the sam work hnd to m~e and 1 ' pi/ca/ion; that all statements contained in this application are true to thc best of his knowledge and belief; and that the' )rk will be perfo~ed in the manner set,forth in the application filed therewith. ' .'om to before methis ........... . . ' No. 4879505 t . · · .<. ,~.~. ~ ~/ ' ~ ' ~iree O~m~ 19~ (S~gnature of applicant) c ~5 '4 Z 0 C Z Z L