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HomeMy WebLinkAbout20194-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2104t Date SEPTEMBER 24r 1992 THIS CERTIFIES that the building. Location of Property 105 BRIDGE LANE House No. County Tax Map No. 1000 Section 118 Subdivision ACCESSORY CHTCHOGUE~ N.Y. Street Hamlet Block 3. Lot 3.5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2~ 1991 pursuant to which Building Permit No. 20194-Z dated OCTOBER 8, 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 INGROUND SWIMMING POOL & FENCE 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 Rev. 1/81 GEORGE M. & GERALDINE R. STORMS N-227203 - ~RC~ ~ 1992 -~~/'B"u~Jd~i/ng~I~n~nspector TOWN OF $OUTHOLD BUILDING~ DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 20194 Z Permission is hereby granted to: .~....~....~x~.........s~.~ ....~q.~ ....... ;~ ......... :.~ ....... ~_~..~. .... ,o ..~....~....~.~....~..~...~:~..~.....~.:......~ __.~-...: ............................ ~;~ ............. :...: ............ ~ .................. ~ ............. ~ ................... ? ..................... et premises ,ocotecl et ..~ ............. ~.~......d~ ............ ~~ ..~.......,. .................. ~.....~.~.~.....~.,......~ .............................................................................. County Tox Map No. 1000 Section ...... .]./....~.. ......... Block .....~ ............. Lot No.....~..:..~...-~.. ......... pursuant to application dated ...~:;~..~..~..~........~... ................., 19..~.~.., end approved by the Building Inspector. Inspector Rev. 6/30/80 JUL - 6 I(Lq?, Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filied in by typewriter OR 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 Nealth 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 bailding, 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 Vpre-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. ~. 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 5. Temporary Certificate of Occupancy - Residential $15.0~, Commercial $15. · 00  Date ...... ~ ...... . ..... 'J'': ................ aw Construction -'. Old Or Pre-existing Buildingo.~~~ IIouse No. Street Hamlet ~wer or Owners of Property .. ....~.. .unty Tax Map No I000, Seetion...~/~.~ ..... Block. .. ~. ......... Lot...3.,. ~ .... bdivision ........................ ............ ed ............ Lot ................. rmi t .Date Of Permit. .. can alth Dept. Approval .......................... Underwriters Approval ......................... arming Board Approval ..... quest for: Temporary Certificate ........... Final ~- Submitted: $ .................. ~e '.:''i'''__~____._ .... I ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS p~ ~ ],~,~[[~0~ IBUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT on(y the electrical equipment ~ ~scrlbed ~w and i~t~ueed by the applicant ~d on the e~ve appli~tlon number in the premises of was examined on ~/J~f~ ~{{{~ R ~ [ ~ '[ ~ ~. andfottttdtobeincompliancewiththere~letirementsofthisBoard. Lot OUTLETS DRYERS 2 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHE~ E R V I C OTHER APPARATUS: envtrv~ent,~ it l~ advisable to I~v~ f~q(~etit te~t ~ad/o~ r~pair~ made by a qualified per~om. GF. NERAL 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 cred~entlals. COPY FOR BUILDING DEPARTMENT. THiS, COPY. OF CERT FtCATE MUST'NOT BE ALTERED IN ANY MANNER. FOU~;DATION {1st) FOUNDATIONS ( 2nd ) 2. ROUGH FRAME & ~PLUMBING INSULA~IOH PER N. STATE ENERGY ~ CODE FINAL ADDITIOPIA'L COMME~;TS: INSPECTORS Victor Lessard Principa! Building 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 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 OFI~CE OF BUILDING INSPECTOR TOVqN OF SOUTHOLD December 6, 1991 Mr. George M. Storms i05 Bridge Lane Cutchogue, N.Y. 11935 Re: Premises at 105 Bridge Lane, Cutchogue, N.Y. Suff. Co. Tax Map %1000-118-3-3.5 Dear Mr. Storms: A 6'foot stockade fence located in the front yard has been constructed at the above property without a building permit. According to Article XXVIII Chap. 100-281 of the Code of the Town of Southold, a building permit is required for a fence. Please contact me as soon as possible so that we may resolve this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar INSPECTORS Victor Lessard Principal Building 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December fi, 1991 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 Mr. George M. Storms 105 Bridge Lane Cutchogue, N.Y. 11935 Re: Premises at 105 Bridge Lane, Cutchogue, N.Y. Suff. Co. Tax Map ~1000-118-3-3.5 Dear Mr. Storms: A 6'foot stockade fence located in the front yard has been constructed at the above property without a building permit. According to Article XXVIII Chap. 100-2B1 of the Code of the Town of Southold, a building permit is required for a fence. Please contact me as soon as possible so that we may resolve this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar o: Examined . (~.g-~..-:~.. ~' , 199 I. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ~..~.~.. ?..., 19~./. Permit No..~, .~. t. Received ........... ,19.., Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs 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. 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 shall be kept on the premises available for inspection thronghout 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, btfilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) (hx{ LL-~(0q State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .£c~. ~cs~ .~...c. ............................................................................. Name of owner of premises . (as on the tax roll or latest deed) If ap~rpor_~on, signs/.4---q~ I ~"~// turso, f duly authorized officer. ...(. :.. v (Na~ and title of corporate officer) Builder's License No....~Z5~ .~...~.C).."ag.~. .~. ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. · ................. % .............. . ......... House Number '-Street Hamlet County Tax Map No. 1000 Sectiou ...... J.~ ........ Block .... L~. ........... Lot ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .x._~ .- ...... . ,.. .O~' ,"'~., s .... ': :'.'. ...................... b, Intended use and occupancy ...... \ .... ~mu~;~,mo,,. ,. ~:.,. ,' ...................... 3 Natu f work (check which applicable): New Building 'Addition Alt ration · re 0 .................... e .......... Repair .............. Removal .............. Demolition ............ Other Work~x~.q. ~,~ ~ (Description),~o 4. Estimated Cost ........ .~. · .~.(~.~.....~. ................ Fee .................................. ~ *" (to be paid on filing this application) 5. If dwelling, number of dwelling'I units ............... Number of dwelling units on each floor ............. If garage, number of cars .... ~ .................................................................. 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .................... 7 Dimensions ' ' ' if any' Front Rear Depth · of ex~stmg structures ............................................. Height ............... Number of Stories ................................. ...................... Dimensions of same stmct~ure with alteratmns or addmons: Front ................. Rear ................. Depth .......... .......... i. · Height ...................... Number of Stories ...................... - 8. Dimensions of entire new construction: Front .~W.v~. ¢..k/~,~-,~,.. Rear .. ~ ............ Depth ............... Height ............... Number of Stories ~cxcv2'oco-~-r~ -aw.9 ~x-~ ~,~c~% ~-.>e, ~ 9. Size of lot: Front ...... .L.'. 7'~i ........... Rear ........ ~ ............. Depth . .LTL..~. , .~.(o ............ 1 0. Date of Purchase ...... ~ ...... Name of Former Owner .......... 1 1 Zone or use district in ' ' ' ' · whxch prermses are s~tuated ..................................................... 12. Does proposed construction viol~te any zoning law, ordinance or regulation: . .~.. I~ ...................... 13. Will lot be regraded ..... ~ .(~,. · · ..... Will excess fill be, removed from premises'. Yes 14. Name of Owner of premises C,z~e~..~ .~.V32r,~ Address .~¢).~L.~,.4~.eq~?~-..c~..Phone No..~l.~.q..~'~?..(9.~..... Name of Architect., ......... ~..." ............. Address .~..~'.k.??...~.~... ??.~.q~hone No ............. Name of Contractor ~q~.~..~.~LJ'x. ~9~ddress .e[.~ .~j,~.~-.~.~r Phone No "t~'[~7.~, [ .~7.~.,.. PLOT DIAGRAM Locate clearly and distinctly all ~uildings, 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. STATE OF NEW~YORq(~ .- S S ' COUNTY 9F~ .~.~..C~.. ' :i .... ..... 'e~-~DCgM~ .x..~_ ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing dontract) above named. He is the ................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly aulhorized 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 work will be performed in the manner set forth in the application filed therewith. Sworn to before me this · ....... ..... Notary Publie, Stateofl~Rl~Yol~ \ ~ .\ //~A./~'J~ - ¢ommi~lon Ex~JrelL.~_%o ~