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HomeMy WebLinkAbout20495-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20787 Date JUNE 12~ 1992 THIS CERTIFIES that the building. Location of Property 160 p~Lv.P~ COURT House No. County Tax Map No. 1000 Section 88 Sabdivision ADDITION Street Block 5 Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 35 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1992 pursuant to which Building Permit No. 20495-Z dated MARCH 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 DECK ADDITION TO EXISTING ©NE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 R, ALICIA WHITAKER PENDING - JUNE 8, 1992 N/A ~gOBM NO. ~ TOWN OF SOUTHOI.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NgN? 20495Z Permission is hereby granted to: ' ,,?~.~...~,-~ ........... ~./.~? .. , ~'...~?~,~ '....~ ........ ..... ,..~.~ ........ ~ ............................................................................... at premises located at~ ..,.~',,~.,.~....~.~....~..~,.....~. ...... ~.,,,~.~ ............ ~.~.~..,,~. ........ .('../..,z..........~ ........................................................................................... County Tax Mop No. 1000 Section ...... ;~.~. ........Block ...... .~ ........ Lot No. pursuant to application dated ...... i'~../../.~. ................................... , 19.?...~.., and approved by the Building Inspector. ~ee $...~..~.~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This appiication'must be filled in.by typewriter 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 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. a~ 5. Commercial building, indus, trial 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 ali 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 o£ 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 - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Location of Property..~..~. .................. ~2~.~ .C~ ..... [[ New Construction .... ~ ...... Old Or Pre-existing Building ...... ~. ''''~'''~'-~ ........ ' House No. ~treet Hamlet County ~ax Map No I000, Section ........ Block ............ Lot...~.?. .............. Mealth Dept. Approval ..................... Underwriters Approval ....................... lann~ng Board A rova Request for: .Temporary Certificate ........... Final Certicate..../..... Fee Submitted: $.~.~ .................. ~ THE NEW YORK BOARD Of FIRE UNDERWRITERS '~.{~O(~J.~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THI~ CERTIFIES THAT o~y ~he electrical equlpmen~ ~ ~scrlbed be~ a~d introduced by t~ applicant ~ed on the a~ve appllcat~on number in the premises of in the followlng locatlon; ~ Basement ~ ist Fl. ~ 2nd FL Section Slik Lot wasexaminedon ~}~ ~9~99~ andfoundtobeincomplianceu'iththerequirementsQfthisBoard. DRYERS FURNACE MOTORS FIETURE APPLIANCE FEEDERS iPECIALREC'PT TIMECLOCKS BELL OTHER APPARATUS= UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET c A. W. G NO. OF NEUTRALS OF HI.LEG EXHAUST FANS DIMMERS $O~T{IOLO, NY~ 1197! GENEIA~ MANAGER Peri 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Buikling Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCO'IW L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (5t6) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOXVN OF SOUTHOLD JUNE 8, 1992 ENVIRONMENT EAST, lNG. 3075 INDIAN NECK LANE PECONIC, 1~ 11958 RE: ALICIA WItlTAKER 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) xxx No Underwriters Certificate on file. The check is ~k~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificat~ on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20495=z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ?OUNDATIoN ( 1 st) FOUNDATION (2nd) ROUGH FRAME & -PLUMBING e INSULATION FERN. STATE ENERGY CODE FI;;AL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ['~F~MING [ ] FINAL DATE Environment East, Inc. R. R. No. 3 3075 Indian Neck Lane Peconic, New York 11958 5167734-7474 April 13, 1992 Southold Town Building Dept. Town Hall Southold, NY 11971 Re: Permit ~ 20495Z, R A. Whitaker Dear Sirs, At the owners request, I would like to amend tile above mentioned permit to include the installation of a skylight and two 5' ~oors. Enclosed are plans detailing installation. If Lh~re ~_,re ~questions or additional fees, please lei me ~ ~.burgh mt, Inc. BLDG. DEPT. · .. .... No.~ .~-. ?. ~.~-~ Approved . . .,.,.~.~ ., 19~Permit Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 BOARD OF HEAL'rll ..,,,..~.. :::: CIIZCK ..-.¥ ........... SEPTIC Forth .............. c^,.L .?3.ff.-. 7.. qt ? ~. ........ HAIL TO: · (Budding ~pector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Th/s application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 · ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ~appliz;~ :ation. ,..~ o-~;,< c. The work covered by tlfis appfication may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .hail 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appLicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :dmit authorized inspectors on premises and in building for necessary inspecnons. ...~.u~ .~. ~ .e.~..~,~x .. ~ N .......... e, ..... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) I [q.~<~ . 5rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ..... \'amc of owner of premises ~. ~ Ck. (as on the trr. x roll or latest deed) if applicant is a corporation, signature of duly authorized officer. .................. ..'. ................. (Name and t~tle of corporate officer) ~'~ Builder's License No .... .~.. Plumber's License No ........ '. ................ Electrician's License No ....................... Othcr Trade's License No ...................... Location of land on which proposed work ~vill be done ................... · Co t ................. ....... 1¢.o or ' llouse Number Street Hanfle, t County Tax Map No. '000 Section ' .~ ........ Block -' ~-~ ..... Lot .... ~.~ .......... Sub~,,~o~ ...... 'I~rq ~~s ....... I.~ '''~'(k'a~) ....... Filed Map No..~ 0 { ..... Lot .......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: .~ ~ , ........ :~.[... ~~ , · ..... ,.~,F,~.~;~h~v~ ........ 2.: , ~.~ . ~~,~ ~ : ,~ ~ , ..... ,.. . . ......., m,.~ ~"~~.~ 3. Nature of work (chec,l~whichlapplicable): New Building ......... . · , Repoar .............. Remora ..... ' Addition ~,.. Alter~.t,qn ...... 5. ~ uweumo, numberofdwe in. gunits ~ · Numberofdw, ' . Ifgarage, numberofc~s ..... - elhn~umtso Ep~l~0oro~ ~,.,~ ... . 6. If business conun~w~,~ ~ ' '" '. ..................................... ' .... ~ ' ~. . , ...... ~, ~r mlx~ea occupancv, specify n~t.vo ~-~ ..... ' ........................ 7. wmensmns ofgxis~jng structures, if an,,. F~-; ,~-~-~,u extent mea~ type qfuse ................ v~ensmns of same structure With alte--~ ......... L ' ' Z ' ' ' ~'~'~'. ~.~. · ..... ~ ........... Depth .. ~ ~. ' ............ :... nmght ..... 3' '~'~ ~ ........ Number~of ~ones ........... 8. vxmensions ofeptirfi3ew construction. Front Heght [O-O ,. '_ "~'~.~.~.... Rear..~9.:~ ... De~th ~LO~e"- ............. ~um Ocr of atofies 9. Size oflot: Front I/~(~ Ot~~ ...... ~w':~': · " ~ ............... 10. Date of Purchase , I I, Zone or use district in which n~em;eo ...... Na~e of ~q~er 0wn~ 12. w . .~ ............. ~es proposed Constructmn wok v zn-;-, ~ ...... ' ~' "'x5 ~ ...... · .~ ....................... 13. Will ot be regraded ~)n ....... ~ ,.w, ormnance or regulation . - '' .' = , '~,' · '--., ......... Wfllexcess fill be removed fro premises: Yes No ...... ~..'~x · · . ~'~o~ ~o, .I.w~. ~.~ ~.. N~e of Architect , N~e - , ~ · · . · Address of Contractor ~G~.CD6~ ~ (._~, ~ .... ,' · '. ...... .. · ~. · Phone No .......... Is thzs property w~th~n 300 feet of a txdal wetland. *Yes..~ .... ~tf yes, SouthoZd ~own Trustees Permit may be requtred, o ......... .... : PLOT DIAG~ Locate clearly and distinctly fll~ build~gs, whether existing or proposed, ~d, indicate ~I set-back d~ensions from prope~y ~nes. Give street ~d block humber or description acoordNg to deed, and show street n~es and indicate whether interior or comer lot. TATE OF NEW '/:ORK,_p, ...... ~' '~"~". c~o~'~' ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing[ >~mac}5 ..... )ore named. : a gent, corporate officer, etc.) .............. said owner or owners, and is duly ~orm or have performed the saul work and to make and file this plication; that all statements containe~ in this application are true to the best of his knowledge and belief; and that the )rk will be perfo~ed in the m~ner se{ forth in the application filed therewith. 'om to before me this /¢~ ? SURVEY OF .PROPER I Y A T BA YVIEW TOWN OF SOUTHOLO SUFFOLK COUNTY, N.Y. I000 - 88 05 - ,36 Scale I" -- ',30" Nov. 21, 1988 CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE COMPAN: TITLE NO. ¢35SII61 RHINEBECK SA VINGS BANK TERRA MA RE A BS TRA C T INC. N. AL/CIA WHITAKER LOT NUMBERS REFER TO MAP OF TERRY WATERS FILE~ DEC~ £9, 1959 FILE 2901 IN THE OFFICE OT THE SUFFOLK COUNTY CLERK. Prepared Iff accorda~ce w/Iff life mll~lmum standards for rifle surveys els established by the L.I.A,L,S. and approved and adopted for such use by The New York Stole L~fld Tlfle LIC. NO. 496~ -~YORS, P.C, ?0 88 -Ill- .! ~1 i, ~,~