HomeMy WebLinkAbout20863-zFO~ HO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hail
Southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-24282 Date
APRIL 16, 1996
THIS CERTIFIES that the building
Location of Propert~ 32005 MAIN ROAD
House No.
County Tax Map No. 1000 Section 97
Subdivision
ALTERATIONS
Street Hamlet
Block 5 Lot 8
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7, 1992 .pursuant to which
Building Permit No. 20863-Z dated JULY 29, 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 REPAIR WINDOWS AND A ~ DOOR TO AN EXISTING C~%S STATION
A~ APPLIED FOR.
The certificate is issued to
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
(owner)
N/A
N/A
N/A
Rev. 1/81
lvO~,M NO. 0
TOWN OF SOUTHOLD
BUILDING D£PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
NgN,o 20863Z
Permission is hereby gronted to:
....~.~.?...~..~-.......~.~.....~ .......................
..... ~~~....~..;.~.;....~..;..~.~.~.. ....
_.~- ......... ~......~...:~ ......... ~.......;....; ....... :....~ ............... ~-.-.;~...; ....................................
at premises located at ..ea~..~...c2..~..~......;~f..~3d~, ............ : .............. ~~---w ..............
County Tax Map No. 1000 Section .... ...~..~....~. ...... Block .....(~....~.. ........ Lot No......~....~.. ...........
to application dat~ ....... ~..~......~. ..................... , 19.'.~ and approv~ by the
pu~uant
Building InSpector.
-Building Inspector
Rev. 6/30/80
i . TOWN OF SOUTHOLD . :~ ......
A~PLICATION FOR CERTIFICATE OF OCCUPANCY ~
I~LDG. DEPT.
TOWN OFSOUTHOLD
A. This application must be filled in by typewriter 0R ink and submittedl'~o ~ne oullczn~' .....
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 Eealth Dept. of water supply and sewerage-disposal(S-9 form).
3.Approval of electrical installation from Beard of Fire Under~riters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% 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') ~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 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 w-riCing 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 Buildinm - $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
Oate .... ~.F..~.(..L. ........................./:CJ t /99(o
New Construction ........... 01d Or Pre-exi~.~ng Building ................
Street gamier
.................. . .
Oounty 000, ..... ......... ...............
Subdivision .................................... Filed Map ............ Lot ................... .,. ·
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Carticate....~. .....
Fee Submitted:
Town Hall, 53095 Main Road
P, O, Box 1179
Southold, NewYo~k 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1996
Cutchogue Realty Corp.
1320 Stony Brook Road
Stony Brook, NY 11790
Re: Building Permit #20863-Z - (alt)
Premises: 32005 Main Road, Cutchogue
Suff. Co. Tax Map #1000-97-5-8
File under George Mostupanick.
During a review of our
building permit has expired,
never been issued.
files it was noted that the above
and a Certificate of Occupancy has
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 Occupand¥ 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.
Town Hall, 53095 Main Road
P. O. Box 1179
Southoid, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 8,
Cutchogue Realty Corp.
1320 Stony Brook Road
Stony Brook, NY 11790
1996
File under George Mostupanick.
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.
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 # 20863-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
:OUNDATIO:! (2nd)
IOUGH FRAME &
.PLUMBING
~NSULATION PER N.
STATE E?;ERGY
CODE
FI;;AL
ADDITIONA'L COMME~;TS:
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved ., 19c~.~. Permit No.q:~.~..~ ~ .~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF tIEALTII .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK
SEPTIC ....................
FO Ri'I ..............
CALL ...............
HAIL TO:
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:e{s 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 appli-
:~tion.
e. The work c'overed by tiffs 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
hall 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
hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to tile Building Depaztment for the issuance of a Building Permit pursuant to the
~uilding 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 inspectionf~a/}
·
~ -- (Signature of applicant, or name, if a corpora'~ion)
(Mailing address of applicant)
Ctate whether applicant is owner, iessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
qame of owner of premises . .(~,S;~..Q/~.~.~ .... J~..~.~.?'.O.~..'~.. i.~.~....~. ~ ...................................
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly autt}orized officer.
(Name and title of corporate officer)
Builder's License No ................. i ....
Plumber s License No ....................-- -~- -
'
Electrician's License No ........... , .......
Other Trade's License No .................
, Location of land on whicli proposed work will be'done... ~x,~.~..~ ~ .... ~.~d.~-.~ .~5o.~.U. 7~-~....
llouse Number .........................................................
Street Hamlet
County 'Fax Map No. 10go Section...,.....,........ Block . ·............. Lot.... ...............
Subdivision ..................................... Filed Map No .... Lot
(Name) ..........................
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
,' ~ :'~ 4'?)q'. ~.i:5 ..............
b. Intended use and occupancy .......
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..... ,.
Repair .............. Removal .............. Demolition .............. Other Work ...............
: . .~.~..1~. ~. (Description)
4 Estimated Cost Fee '
(robe paid on filing this application)
5. If dw611ing, number of dwelliug units ............... Number of dwelling units on each floor ................
number of cars
6 ' If garage .........................................................................
If business commercial or mixed occupancy specify natur}: and extent of eachltype~ of use /t~O ~.o. ~.o.~ ~.~ !'.~.,.,.,.,.,.,.,.~..
· Dimension's of existing structures ' ,~" '
7 if any: Front .~5 ,,.~¥. " '
............ Rear ........... Depth ...........
Ir e~gh .... l ff. ........ Nmnber of Stories ....
· ' ' ...... i ..... : ........ ~ "~:~ '
Dimensions of~sa~n,m structure with alterations or add[lions Front ~','
D~,nth ,')~.~ ,, . , ~ ~t "-" '~ · ' ~ .......... ,.~ .................
,,. , . . /lelgllt ....... ~.,. v ........... Nmnber of Stones .... /. ....... ,
8. tJmmnmons of entire new construction. Front . /~/..g- . ~, ..... ' .......
.... ~ ...... ,,,~ar ............... tJeptn .............
Height ............... Number of Stories ................
9. S~ze of lot: Front .... /~'"].' n~,, /-v,,--< e ....... ~, '.' ' ' ' 5bh' '~z .............
10. Dateol~'urchase ,, - ~ ~' ..r ...................
Z .... '" ...................... ~ame oI former Owner ............................
I 1. one or use restrict in whmh premises are situated .... ~Qii.[VI ff,._c5 .... i ~. .... ,..
12. Does proposed construction yiolate any zoning law ordinance or regu'lation' ~Q~. ...........
13. Will 10t be regraded M~ · -. ' ' ...............
, · · · · ,% .................... will excess fill be removed from remises'
14. NamelofOwnerofpremises {~flOff, t~. ~T.thot~.~[c~l~
-. .... ' ...... '~"'~°° ~',~;-I .'~;'~- · .~. ~.'~ ./.,. rnone i~o.., l ~>,~'ro.,~ ~...
mame 'oi ^rcmtect ........................... Address . .~.q'0.~.~/~/./¢~..~. ~f.. Phone No ................
~. ~7~;iy%to%t~ol. a,m, .'r~.: ~,..~..~ .... ,...: ~ddre~,s. CoZ. ~ .~.'a,.,....: Phone No. 7~. ~- a~. ....
' *1'~ yes, Soul:hold Town Trustees Permit may be required.
.". PLOT DIAGRAM
Locate 'clearly and distinctly all buildings, whether existing or proposed, and,:indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street nantes and indicate whether
interior or corner lot.
,}
gTATE OF NE~T~?DR~IiU','[~ ti / '
,.: ....... .i...~. ~c~ ~. s..x../¢. ~.%. ............
(Name of individual signing conffact)
tbove namedl
being duly sworn, deposes and says that he is the applicant
'otary p ici -31,3 O " '
(Contractor, agent, corporate officer, etc.!)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
,'ork will be performed in the manner set forth in the application flied therewith.
worn to before me this
n°L~T~- ~LP~S'5
L FOUNOATio~t~ ~ TWo a '
J
/\
BE
THE CON~r~UCT~O~ SHALL ~fEET
Rt~Ou~F~EMENTS OF THE
,;~TATE CONSTa~ ,-
CODES a .,-. JC Y~O~ ~