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HomeMy WebLinkAbout20104-z M„ r FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20364 Date NOVEMBER 20, 1991 THIS CERTIFIES that the building ADDITION Location of Property 1235 STERLING LA & 31095 MAIN RD. CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 2 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1991 pursuant to which Building Permit No. 20104-Z dated AUGUST 26, 1991 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 ADDITION TO AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. The certificate is issued to S.H. FRIEMANN & OTHERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-025561 - NOVEMBER 13, 1991 PLUMBERS CERTIFICATION DATED N/A -cti~ln~~BuilG~ In~o~-a[KF~G~-~ Rev. 1/81 108M NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~j / No 2 01 0 4 Z Date ...G~ c......~..~ i9..f.... C f~/c ,~~f~~~ ~ o~~~ Permission is hereby granted to: to ..,.rZ~~~~~~....".71.(. ~ . . ' of premises located of ^.~......~1...~~...-:...................................... County Tax Map No. 1000 Section 'O~c`r~,,''.'.'.. Block Lot No...~...~.~...,...... pursuant to application doted ...........~~e~ 19..j~...~and approved by the Building Inspec~torr. Fee 5...~tr..lJ.,~.~.`l.~. Building Inspector Rev. 6/30/80 i ~ Form No. 6 ~ ~ e='~i.~. is •>k 1~ a~~- ~.~~t..~ TOWN OF SOUTHOLD ;g!! r_;,.?,,~; BUILDING DEPARTMENT ~ ~ „ ~ p~ i! , ~ TOWN HALL J fi 765-1802 k;t~';y~.s,.~,~_~,__~--~~~ fa4.Lf~. 9`~HS~T. n, 7'C1VUaJ Cis= ~S3if°f'~SI.3L~ . APPLICATION POR CERTIFICATE 01' OCCUPANCY - This application must be filled in by typewriter OF, ink 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 17 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) 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, 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 - $10.00 4, Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date l//.99~~~ ::ew Construction... Y..,.,,, Old Or Pre-existing Building.....1..~.......... . Location of Property...~z3-`.~...Sii'."2c.i':/~ L~ f.CI7Gl~i7C~c/~"z House No. Street Hamlet c uu i Unwer or Owners of Property..?:ff.~. Fi~i~.~A~./iy.,~~',~TF~F/'5 County Tax Map No 1000, Section.... ~ G::~'....Block..... ~:'........Lot....:'.~. Subdivision .Filed Map............Lot...................... Permit No. ~ ,Date)l Of Permit...~,l.:~G~~ l .Applicant.... s9~ ~ !iealth Dept. Approval....../v~~ ,/,~...........Underwriters Approval...~7..._.V:.`!'L ~S , Planning Board Approval...../~? i:equest for: Temporary Certificate........... Final Certicate... ~'ee Submitted: ~5:,~~..~J Q.~.,~ag ~s ~ . ~ , . eo-~ ao.36H APPLICANT ao~o~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS F'el.>i~r Pf7`,•;j iS liS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Pfi'1T x:Dilt1L;R 1i„ft?97 Application No. an (ity ~`~'?.ixQ/, 13:1 /9a. g t't }rj~h~. THIS CERTIFIES THAT k'NiNT•f 3"P iVO, ;?{}:(4)f1i only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of f~'TPIr',~~I<)1) PF,H,I~,R;~i.CAta 6AR7)7i4, ;t't')?,k1,TN'(> IrFai'dt~:, Pt)l'.,t~,p"1'1, C(I`S"i`1#tat.tl(;, ~inY. Y fr~~II en the following Gmottoni ? B Bement a Ixt Ff. ? 2nd Fl. Sectionl'~' Bloek? Lot uws examined mr and fourzd to be in cornplianee with the requirements of this hoard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER A/AT K.W. AMi K.W. qMi KW. AMi K.W AMT. H P + ~1 %1, 7 .7 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K. W. On H. P. GAS H P pMT NO A. W. G. AML AMP. AMi AMPS TRANS. pMT. N P SYSTEMS AMi WATTS NO. OF FEET ~ 5L! - SERVICE DISCONNECT NO.OF 5 E R V 1 C E AMi. AMP TYPE METER I 2W 1 9 3W ] b' 3W J,e 4W NO OF CC. COND A W G. NO. Of HI-LEG A W G' NO Of NEUTRALS A. W G EQUIP. PER .e OF CC.COND Of HbLEG Of NEULRAL ~ OTHER APPAgATUS: Ph NTP:1,Rt)AftP'ra1 i'1'lt_ l(16) I i "e H Sc .ri FIST''>OS`]'A1'L~S ~^~C~ -P~ ~ Si'F7RSII'!~G Ltl1VF1 C; (7`('Cf(nCCIF:, i.V'Y, 21.93 tt pENERAL MANAGER Per ~ y This certificate must not be altered in any manner; return }o 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. r'1ELD II:SPECiii~:it, ~ • ~~DAiE ~ i;OPiMGNT° ^a Q 1 . ~ HO _ - - FOUIJDATION (1st) T c FOUNDATIOt1 (2nd) _ 2 . - z o ROUGH FRAME & ~ PLUMBING 3. m I1ISULATIOPt PER N. Y. • • STATE ENERGY CODE x a ~V r 4, y O~ _ FI;JAL z ADDITIONAL COMMENTS: x m H may` m ice'. H 2 1 x ra • r "3 x r~ . M ro H n ~y U O ~ ° BOARD OF HEALTH FORMN0.1 J SETS OF PLA:rS ~I99I TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIIECI: _ _ q,~ ~ , , , , , 81.D DEPT: 70WN HALL SerTic FORr1 _ . ?.~~lp:.... . F SOUTHOLD, N.Y. 11971 TEL.: 765.1802 t:OTIFY~ CALL Examined 19 r1A I L TO Approved .~~L~ ~ 19~/Permit No. ~/G..c%`~~.. / ~ . . Disapproved a/c ..~j~~ ` (Building Inspector) APPLICATION FOR BUILDING PERMIT I Date r~/'?.~., 19 9/ INSTRUCTIONS a. This 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 appli- ~ation. c. 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 ;hall 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 HERESY 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. I'he applicant agrees to comply with all applicable laws, ordinances, building co ,housing code, and regulations, and to idmit authorized inspectors on premises and in building for necessary inspectio t'`-ter- . /f (Sig ppture oTgqapplican~ name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . Sr.:F9.~e. ~22ri~.H.4~~,.s 4~7"/~,~}', ,~p,e, ~~,s' , , ,Cu ?Gf~,o~ y~"/r!7!., , , (3s on the tax roll or latest deed) ~I~ [f applicant ' corporation, sig1 ture of duly authorized officer. ame and titie of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . 1 a 3 S~ I. Location of land on which proposed work will be done. .S;7r'.e, ,ui?.~G ~,<f;a~!fy , , , ©.~F, ;S ~'1;7iz.. 27/~ q~' (louse Number Street Hamlet Coun[y Tax Map No. 1000 Section Block Lot o? '~'/t.`...... . 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 ./.7f?~CUL:T~'~~.Z . b. Intended use and occupancy ....!7~'•~.~:!CVG rv/L ,,~?~G ~'-Tp~2~g-6~y ,r ,mnarx....vvxx w. . rr, S.. l~ a...~...,.._..,. , 3. Nature of work (check which applicable); New Building P.... , Addition ~a ; Alteration . Repair Removal Demolition ° ; °°`1 r (Descripti~pn) 4. Estimated.Cost ~:~,.c~?y'f? ~ Fee . . S/..U.~Q..' ~;.w..,......,,,...R,,,.. ..99 g •'i~0•.iutll~....... ( . , , .~w.,,.5 g (to be paid c~n ~ijif~. 1 • 5. If dwellin number of dwellin u'pits Number of dwelling units on each floor . g If garage, number of cazs . , , , , , , , , , , 6. If business, commercial or mixed occupancy, specify nature find extent of each type of use : . . 7. Dimensions of existing structures if any: Front : Rear Depth . Height Numbeer of Stories . Dimensions of same structure with alterations or additions: Front .Rear . e t P .Height ..........Number of Stories . 8 Heightsions o~f ~ tire new c Numb~tion: Front _ . Rear Depth , ~8 , . , , i t;rof'Stones.......f............ 9. Size of lot: Front 4/ Rear 3~/, yZ Depth , , I2 ~o , r.9,'....... ~ 10. Date of Purchase ~ . , , , , , , • • , • , , Namg of Former Qwner 1 1. Zone or use district in which pre ises are situated , . , , , , , , , , , , , , , i 2. Does proposed construction violate any zoning law, ordinance or regulation: /~(a . 13. Will lot be regraded J~p, , , , , , , , , , , , , , , , Will excgss fill be removed from premises: Yes No 14. Name of Owner of premises S/~l~?/~!?'~!~ ......Address . , , , , , ,phone No...7.?`( ~?9!?-, , , , Name of Architect ..........s9-?!•!t or v ...........Address ...................Phone No..... . Name of Contractor ~!y;'!'';~t, , . , , , , , , .Address N ............Phone No..... 15. Is this property within 30.0 feet of a tidal wetland? ~yeS,,,,,,,, No.. . *If yes, Southold 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 names and indicate whether interior or corner lot. I / ~ ~Y~. y'y i ~~l _ y,p+~~ ~ ' frv ,gyp P L 5 ~ z~ tr ~ /~iao~ ~k4Ar~r~6 GS?. yU STATE OF NEW YORK, S.S COUNTY OP j S 9NFmQD Namee o~i d vidual signing, • • • ' • ' ' ' • • • • being duly sworn, deposes and says that he is the applicant (contract) tbove named. 'ie is the CS??J7.2!9e-r?a.~ . (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly a~ithorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and"belief; and that the vork will be performed in the manner set forth in the application filed therewith. worn to before me this ~ :3...........day of..~~" lg9i Jotary Public, J/, `'`,"'",`--County • RICHARD NONCARROW ~ ' P,otary Public, State of New York No. 2902160 ..g..... Qualified in Suffolk Coubty ($1 nature of applicant) Term Expnes January 31,1992 p - - r - - - - - r - - - - - - - - as g" `R~~ ` - ~ - - - . - - - -i 4L- ~ ~ , ~ - ~ f- ~ ~ N ~ .9 !.'i ~ c ~ _ I ~ I - _ - ~ I_- F - I - - ~ I - - ~ a ~ ~ I - I - - I - - r ~ - - - - T - - ~ - - - a I - - - --~:--~s, . , - J cy ~ - U - - - ~ L, ~r - - - - - - - - o.- r-_-___~._. b - - ~ - ._a_. - _ - I `.4 4x4 t°o5T 12 I a~ Zx4 ii '~,i. ~ i~~r~ ~ METAL P~00FItilLa n v S~t~IrIL~ p y~p.~ ~ 9 ~ {ryi~ 2.~Co ~HEAcb~1e ~ ~ ! 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Fk - 0~'~' L Der-, ~°~ur~N N 'h" _OCCUPANCY OR USE IS UNLAWFUL SHIM As teec"rt~ WITHOUT CERTIFICATE ' STEM-L 1~E.k-FL,1NC~ T~DOYi 2x6 ~AM~ ~ "~`=;~r OF OCCUPANCY ;u;; ° Cex ~ e~wr~rl - - - - ~I - - - -rid: ~ FLOOP-> I5 ELY OI.JNEi'~ N - I.JOV~N WIP~~- ME~.~I-~ OIL k ~ 4" ,NIL riUN CaP~A~?EL ~ ~ - ~ ~-R" ~F - a. i, ~t3 ~ ~ fi U~-,SIN 4 ~Ur;o~ue~T LF.E,e, ~ r~ w r - T t"~~{';~ uw* ~ltia 4~2~'~~'' ~ r ms's *'~a~~s~"~ Y 'Se ir„ ~ ~ h_' - - ~ ~ I ~ - ` yi ~ _ - _ j 2± ~ a. ~ , n'~ z{c~ TP~iuSS ArJcNoP~ I n Y n f, _.t .:1 „`c _ fCo' COMMON ' ~ Gm ^o. 8 b ~ c`B b ~ S - P,p' N(111L. CVE ' is ~ zxq~xq ~If~D>?r~ ~ r~~c~, T~-,~.c.~. ~ ~ .~r,~, { s.. ri Qx 10 ~P~ _ ~ ~ONL . ~OOT~P~ ' ~-CesINV, 4N~ ~ r r a t ~ I I HF:~` ~iR ~upp~~>~T _ i .~s ~ i. ~ I zY.co ~ ?s . ti. ~ r~ ~ I ~ d. M~ n . , P ~ ~ ~ x` ~ ~ i n~ R f. _ i ~'~I ,r I' I x;;'~ T'ION4L ~c~P"~ `