Loading...
HomeMy WebLinkAbout20224-z i~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23499 Date FEBRUARY 16, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 24775 MAIN ROAD CUTCHOGUS, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 1 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1991 pursuant to which Building Permit No. 20224-Z dated OCTOBER 22, 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 ie INSTALLATION OF 6 NEW WINDOWS & ENCLOSE OPEN 5TOOP ENTRY AS APPLIED FOR. The certificate is issued to THOMAS fi VIRGINIA BESBE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ild'ng Inspector Rev. 1/81 F08ai NO. A TOWN OP 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) N 2 0 2 2 4 Z Date ....5~ .c...~.... z.?- 19. ~L1 Permission is hereby grant~e-dQto~: ~ ~ ~~..Y.:. ~A1::~.:~:0.:.....1.~~.....:?l.':'.~...... ..a ~??~........~i.~,:....~1 ne ta ...t:~^c~Al.S.i.~.....A~-~:...s~.:4-K~ hU~~~-~t!Ii'~.......~~'t'!~-'~-R:.....~''? V at premises located at V . .........................................................................qq....................................................................................... County Tax Map No. 1000 Section .....~.~..1......... Block Lot No.....~..~ pursuant to application dated ....~..!~l..'.....~.~ 19~..~..., and approved by the Building Inspector, Fee ~ CSI t~-i. Building Inspector Rev. 6/30/80 Form No. 6 ~..M.»..a. rr'' 17 TOWN OP SOUTHOLD ~ u.~ I~r!^ i.' BUILDING DEPARTMENT F; TOWN HALL ~ ~ FfB G ~OC'~,~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled 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 Appr~~val 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiarl~$Q1p5.00•,pCommercial $(~1(5}.~0"0 Date ...C.~-yW~.I~~~J?~~.. ~~~...!.t7:!........... New Construction........... tO,ld Or Pre-existing Buildping.f.l Location of Property..~.~ry.~z~ ...............m~IIN,,,IC;IJ,AD,,,,,,,,,,,,,CU)C,~,(~,~~~;,,,,,., House No. Street Hamlet Onwer or Owners of Property.. ~Wl f ~`J, , l~,~, f ......1 County Tax Map No 1000, Section..!0~.........Block....!..,....... .Lot.. Subdivision.qq.yy~~.....ec~.~...``.~~ ........................Filed Map............Lot................pp...... Permit No...`.'~!~~.L:'.Y..Date Of Permit ................Applicunt..~~aM~S`~.. ~..~?~~5,:.... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.!?........ Fee Submitted: ?.rJ,• a~ ___e„ C ~ a ~j N APPLICANT ~~o~~SyFfO(,~~OGy o ~ Town Hall, 53095 Main Road y Z Fax (516) 765-1823 P. O. Box 1179 ~ ~ Telephone (516) 765-1602 Southold, New York 11971 Oij. ~ Ot- ~Ip! ~ ~a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ` February 8, 1995 Mr. Thomas E. Beebe 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 # 20224-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING FINAL REMARKS: i` DATE INSPECTOR BO,1R0 OF BEALTii , y FORMN0.1 3 SETS OF PL\aS 1:......... TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CIiECK .1f . TOWN HALL SEPTIC FOR:1 . . . SOUTHOLD, N. Y. 11971 ~~~pp TEL.: 765-1802 ttOTIFY~ Examined . ©~!I.t?~~ ~-Z- CALL . • 1991. YCTAIL T0: •.~O..U r~`~~~c.S`. Approved J.2, 199 ~ .Permit No. a.4.=`t.=~--~1',~L-.- . ' ' . ~ Disapproved a/c ~ ~ ~ ~ .~!/J i _Y C~ C~C~~~C" rr ~...P....~... a (Building Ins ector T r, 3 "1 APPLICATION FOR BUILDING PERMIT Date 19 a3!.t~~:~:'€st~s~~t'. ~ ~ ~ INSTRUCTIONS 1'x.10/+ti~i f,;; biJ'st )G':f 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 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 2egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Clie 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 necessa inspections. ~ /J~ .G~~wrv~..~.~~!> - ~ (Signature of applicant,/o~r name, if a corporation/) (Mailing address of app [cant) State whether applicant is owner, /lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. LV.~2.. ° ..G.~/V.4t'c? r` . C.. o N ~:Y:~fe..~: q 12 . Xame of owner of premises~mmot;I k. f ~4?~ . (as on the tax roll or latest deed) (f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. :~.9a2 . y:= . Plumber's License No. . Electrician's License No . Other Trade's License No . . 1. Location of land on which proposed work will be done . e . (louse Number Strceet ) Hamlet County Tax Map No. 1000 Section .....J Block Lot 1 ~ . Subdivision riled Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~.i.Ui. n,~ ~ " . ....ct.ar..~..r.S y b. Intended use and occupancy ...~J.Ct,»°m~ 3. 1\ature of work check which a Repair ( Rempplicable): New Building ~ • • • • • • • Addition Alteration . ,oval , . ~r3C~ mac. Demolition Other Work GU (Description) 4. Estimated Cost B,,Q,rj,C~, Fee . . . (to be paid on filing this application) „ number of dwellin I 5. If dwellin° g, units . Number of dwelling units on each floor , If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7 He shCsions of existing structures, if any: Front ; , ,Rear . . . Depth , . rofStories Dun e t tt alterations or additions: Front , . Dep Rear • • Height Number of Stories . 8. Dim s of entire n n ion: Front . . . . . . Rear , , ~ • • Heig ~ ~It of Stories . Depth . . 9. Size Front ! Rear I~ De th"... . 10. Date fP pp eTI_,.ty' f • t, r 1, . . ...............Name of Former Owner S i4N.g~„~?.2(02 ~~!r,,. B p es are situated . . . 1 1. Zone r us u„ ~ ate any zoning law, ordinance or regulation: I3. Will lot be re°raded ° p ~ ' • • • • • • • • 2 • • • • . • . , ,Will excess fill be removed from premises: Yes No Name of Architect struction viol, ~ ~ , ,Phone No..~,3.C/. c. Fi 14. Name of Owner of remises am. QS . t•'~ , , , .Address ~t~;hp ••••••••.•Address Phone No. Name of Contractor"~yer»?g8, ,~~.P--!',ye • , , , , , , , ,AddressGwl;Lli© ~i~e' • • • ~ • ~f 3~ ..,5'8'd~ 15. Is this property within 300 feet of a tidal wetland? ~ " " " •••Phone No. Y-..l....... ~ Yes........ No.. If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all i,buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block riumber or description according to deed, and show street names and indicate whether interior or corner lot. I'I, OCCUPANCY OR USE NS UNLAWFUL 1NITHOUT CERTIFICATE OF OCCUPANCY APPR01fEp A~ NOTED DATE: /v ~ z 9 8.1~ dt~~a~o ~~a_ I FEE: " - k3Y: ti I NOl'IFY t3t.11LDINl; DEPARTMENT AT I 765-1802 9 AM TO ~9 PM FOR TI-0E F'OL.t.DWINC'i INSPE.CTIC)NS: j ~ 7. FOl1NDr'aTiON - TWO flEC)UIRED FOR POt1RED CONCRE'[E ! 2. RC)C1GH FRAMING tit PLUMBING ~ INSULATION 4. FINAL - CONSTRUCTION MUST ! I3E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE• CONSTRUCTION rat ENERC;Y CODES. N07 RESPONSIBLE FOR TATE OF NEW ~ORK, 3.S DESION OR CONSTRUCTION ERRORS OUNTY OF . ~rt:~ ;,f~.,s-~,,.~-- , • • Om/./.S /,~e•n..~3~, , , , • , i, , , , , • • • , . , , , , , . , , being duly sworn, deposes and says that he is the applicant (Name of individual signing, contract) ~ovc named. cisthc (Caitractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pllcation; that all statements contained in this application are true to the best of leis knowledge and belief; and that the >rk will be performed in the manner set forth in the application filed therewith. +orn to before me this ~.,.~.~.~.d~ay~of I~C`r~a'-~"G~U........ , 199, Mary Public, f~C~~a~7`~''cY... County JUDRHB.WURTZ .f~+!l/.~C+YJ.~.~y~t"^.',t:-!, NCTMY PUBLIC, Sole d New Yak 1~4~re f~ uegt _ ! . .Z.~ (Signature of applicant) a OCT 171991 E, IT 12 GE !V LANE O DV R c,[„ 2r to - IL c N c1 sm -� w ANT 2� Iv 1Fp o — - - - - 2.1x1i'�z Mlc¢a-LANs ---. �E- 2.<8" 8o11i'o �-o Mng�.� �✓H -- - - - ---- - ��%11"b'.F'CEl. 1.TFL T� IIZ CD-4 —_— R.3o _ a 3 - '2A"± ovEF2HAwG R-ts : - r D soFt�s T5AO WINDOW "GEb/+R JHINGLic'> A sxlst. IjcHen� o @ Y AV-; AMI - U� � tf N G.+4uTLlLNEe$v fiiAY W4D2i.1 o' Sore AFJEAi .LVAD * 91 N- UNTIL IA`AG4 --ILL SEALER 2'w 10"' I�"ac R- l4 2'k Qj' CLh "P 15 --- T^CF tV LoN rieFZA1 s 4SGp �5 -zo -EXtST �iv, RM, r Cas -(Qs-c la 2o72'Pfl. A:lo' 3�; (45 -C14.2o)' 2N° FL. d ' E 18 JL9ovF-a5ev oncH �_ �4C FFkAhhE Ei IUSLJLA-I-E - .4s .68 Yb NEtN WINDoW3 ALr Y-A _ 1 is, f -- FL - -- - - - y - �rPeoveD Dv: v. sne: DnewN er 1. E DATE: g-9' i nEvisen BLDG.DEPT. 1i1'1 � I'S O .. A TOWN OF SOWHOLD I A ^ µ �:a ITIO^ I. DRAWING NUMBER ^ oil Axxa, JMMID ON N0.IDCYN CU,Y1M11R• - � � � -