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HomeMy WebLinkAbout20857-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24275 Date APRIL 11, 1996 THIS CERTIFIES that the building Location of Property 32180 M~RO~%D House No. County Tax Map No. 1000 Section 103 Subdivision FO%FNDATION CUTCHO~E, N.Y. Street Hamlet Block I Lot 19.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~LY 23, 1992 pursuant to which Building Permit No. 20857-Z dated JULY 28, 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 FOUNDATION UNDER EXISTING FARM BUILDING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PECONIC VINEYARDS REALTY, INC. N/A N/A N/A Rev. 1/81 7/i~ding Inspec or FO~ NO. S TOWN OF SOU'FHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO-N°. 2085TZ Permission is hereby granted to: ~ . ~..,..~..~.~.....z~.~ ........................... · ~ _ ...... ~~/~ ....... z..~.g~ .................. Coun~ To~ Mop No. lO00 Section ..../..~..~.. ........ B~o~ ...... Z ............. Lot No../...~../.../.. .... Building Inspector. Building InspeCtor Rev. 6/30/80 $ '~ TOWN OF SOUTHOLD ~ BUILDING DEPARTHENT TOWN HALL , 765-i802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter 0R ink and submitted to the building inspector with she following: for new building or new use: t. 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/I0 of 1% lead. 5. Commercial build'ina, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comp-liance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of.completed site plan requirements. For existing buildings (prior to April 9, i957j ~on-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. k properly completed application and a consent to inspect sit, led by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state ~he reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - Yew 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 Buildin2 - $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 ~ew Construction ...... : .... Old Or~'~-~istimg B~il~.: .............. Location of Property....~..L~k.~. .... . ./~ d<.~ ~.~.. ...... ~ 7.<q .~.~.~: .~J. ~: .,.../~...~. -//. ~.~ ~'~ House No. Street Onwer or Owners of Property..~.~.~?//~.. ~/~/f~S County T= ~p ~o :ooo, Section../.~.3 ....... Bloc~../.. Hamlet Lot / -~ ~-'~ ...... Subdivision ............................. ....... Filed Map ............ Lot ..................... Pe it of Pe it.. ?.' ..Applicant .... ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Cercificata ........... Final Cer~icata. / APPLICA~NT THE NEW YORK BOARD OF FIRE UNDERWRITERS  951.~5 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ','J'~J[~¥ ~}J.~]992 ApplicatlonNo. onfile 62804390/90 N 244995 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by tlw applicant named o~ the above application number itt the premises of ia thefollowing location; ~ Basement ~ Ist FI. ~ 2nd FI. 0~ Section ~,asexamlnedon ~C~[B~ 24,t99~ a~tdfoundtobeincompllancetclththerequirementsqftbisBoard. Lot DRYERS MU~.ThOUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: DLC UNIT S E R NO. O~E RCC~.CON D, AWG OF CC. COND I C E A W G NO OF NEUTRALS A' w' G OF HI LEG OF NEUTRAL 35 COURT COPI~G~,, ~, 11.725 GENERAL 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 10, 1996 Mr. Reynold Blum Box 709 Main Road Cutchogue, NY 11935 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 # 20857-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. '~OUI~DATIO~! (2nd) ~.0UGH FRAME & .PLUMBING :I~SULATION PER N. STATE E}!ERGY CODE FI;lAC ~DD]~TZOi~!A'L CO~N.N~ENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1B02 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD March 26, 1996 Mr. Reynold Blum Box 709 Main Road Cutchogue, NY 11935 Re: Building Permit #20857-Z (agr. bldg.) Premises: 31320 Main Road, Cutchogue Surf. Co. Tax Map #1000-103-1-19.11 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 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH ......... ? ... SEPTIC FORH .............. Examined ................. 19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT CALL ......... HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 sfiall be kept on the premises available for mspechon 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i3~spections./)j/ /.Y ......... , . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ .~. ....... / ..... Z ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auth. orized officer. (Name and title of corporate officer) Builder's License No ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be' done .................................................. 3)5&o . .... /::9<" . .... .................................. }louse Number Street Hamlet County Tax Map No. 1000 Section .../..~..~ .......... Block ............. Lot.../.~.,iI .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ (.ct..L/k ............................................. b. lntended use and occupancy..... ... . ' .. , - ' : 3. Nature of work (check w~h a plicable): New Building ........ Addition Alteration . Repair .. · em vel .............. Demolition Other Work 4 Estimated Cost . ..... 1 ....................... Fee ............................... ] (to be paid on filing this application) 5. If dwelling, number of dwelling gnits ............. Number of dwelling units on each floor ................ If garage, number of c~s ..... ! ........... 6 Ifbu ine rci 1 ormi ~ occupancy ....................................................... . s ss, comme a xe , specffx~a~ure and extent ofeac~y¢e of use .................. 7. Dimensions ~feiistingstmcture~ if any: Front ~ '. ~ Rear . n~,h 3o / .... H 'ght ~ Num[b r of Stofi ~ ~ .............. v .................. D~ nsions of~m~ structure width alte atio r additi F '" ~¢ ~ ........ ~21; .... ~'/""'"'' ''" D pth ~ H ~t .... ~' b fSt ..... Q~e"' ........ ................... :. · el ..................... um er o ofiese . .. 8 Di sio fe tire n onst& ti F Rear ....... ' ....... . men ns o n ewc c on: ront.. ........................ Depth ....... Height Number of Stories 9 Size of lot: Front ~ .'; ' Rear ................. Depth I0 Date of Purchase ' ~ Name of Fomer Owner 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violfite ~nv zonin~ law ordinan ........ ~,~-. 13. Wall lot be re raded ~ · . ' ' ' ,, g ..... ~,u.. · · · .~ ........... Wall excess fill be removed f~om~remlses: Yes N~e of Contractor . ........ ., ................ Address ................... Phone N~ ....... 15. Is this property within 300 feet of a tidal wetland? *Ye~ u~ ~ ......... · If yes, Southold Tbwn Trustees Permit may be required. -. PLOT DIAG~ Locate clearly ~d distinctly ~1 bulldogs, whether existing or proposed, ~dJndicate ~I set-back d~ensions from prope~y ~nes. Give street ~d block fiumber or description accord~g to deed, and show. street n~es and indicate whether ~tefior or corner lot. ' :' STATE OF NEW YORK, ~ COUNTy OF S. ....~(./".~..~..~.Z) ....... ~ .L..z...~...i ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract above named. [{e is the ................................................................ ; ................. (Contractor,agent corporate officer etc ) )f said .owner or owners, and is duly ~ uthorized to perform or have performed the said work and to make and file this tpplicat~on; that all statements contain ~.d in this application are true to the best of his knowledge and belief; and that the · york will be performed in the manner sot forth in the application filed therewith. ~worn to before me this ...... (5~'..~../'2.~. .... dayof .I..~.~ ........ 19 cfio2-d ('L)'c'7'c ' c,, r~-~ · ¢ ..... ..... ...... .. Notary Pubii~,, Stateof NewYo~k ff (Signature of applicant)