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HomeMy WebLinkAbout20268-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20954 Date AUGUST 19~ 1992 THIS CERTIFIES that the buildin~ REPAIR Location of Property 990 BEEBE DRIVE House No. County Tax Map No. 1000 Section 97 Block 7 subdivision Filed Map No. CUTCHOGUE, Stree.t Hamlet Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 1991 pursuant to which Building Permit No. 20268-Z dated NOVEMBER 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 REPAIR ~ON-HABITABLE STORAGE BUILDING CAUSED BY FIRE DAMAGE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES S. & ALICE G. LEVIEN N-221153 - JANUARY 20~ 1992 Rev. 1/81 · 'OR.H [qO. 0 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) N_O 20268 Z Permission is hereby granted to: ~.,~ ~~ ,,.,.. ; .~ ..... ~.~.-.. ---,-, TF":'"TZt' .,.--. ............ .]. ....................................................................................... o,,remises Io¢ot~ ot ..... ~.~...O......~..~.r.. ........... ~..~__.. ....................... Co,~n~, 'ro,~ M,,p No. ~000 Section ....... m..~.-'l ........ B~ ...... ..~...'1 ........ Lot No.~e~.....~..~... ,u,~,,,nt to op~,,'o,on dot~a .... tO....~.....b~. ...... ..~. ............ , ~.~..I.., on,~ o,,~o,,ea by ,,. Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OP 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 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 1% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicJtion 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 - $100.0'0 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 $15.00, Commercial $15.00 Date ......~.~ ........... .... .... .... ......... · Locatioa of prope ' ~ House No. Street Hamlet Onwer or Owners of Property. .~ ' '~ .... C ........................... 000, ..... ..... ............... ii Subdivision... '~- .Filed Map .... Lot ............... Permit No ............... oate Of Permit ...... Applicant. k ..... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... (peP Fee Submitted: $ ..... .~...~..: ................. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Padlding Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD AUGUST 12, 1992 BURGER CONSTRUCTION, liNC. 2515 PINETREE ROAD CUTCHOGUE, NY 11935 ALICE LEVlEN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xxx The check is g~--~a~3~-_~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued~ after April 1, 1984). BUILDING PERMIT ~ 20268-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: ALICE LEVIEN THE NEW YORK BOARD OF FIRE UNDERWRITERS : )0 ~1 i"t BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK JOO3B Date ~ ~,~L~ ~ ~ ~ ( ~ , ~ 9' ~ ~ Applicatio~ No. on Jile THIS C~RTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and inrroduc~ by t~ applicant ~med on the above application number in the premises in the follow~ng locatlon; ~ Basement ~ I st FI. ~ 2nd FI, O[jr{~ S~tion Bl~k Lot wasexamlnedott ,) ~i~}~]~ ~t ~ ~,/t '~ ~79~ attdfoundtobeincomplianceu.iththereqttirementsofthlsBoard, DRYERS IULTI-OUTLET SYSTEMS NO. OF FEET COND PER ~' NO OF HI-LEG OF HI-LEO OOFNEUTRA[$ A,W,G. OF NEUTRAL h)ITVt~O'.JL. NV,. 1. i971 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. FOUNDATION {lstl FOUNDATION ( 2nd ) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST l- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR~ 3. Nature of work (checlg, which applicable): New Building .......... .~..ddition .......... Alteration .... Repair Removal .............. Demolition ........... Other Work ...... ... 4. Estimated Cost .}.. i~]O.r.QO.~' .~C90 (Description) .......................... Fee ............... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...'..r_p~.. ........ Number of dwelling units on each floor ...... 6.' If garage, number of cars .......... . ' ' ' ' ' '~ ' 'i ' ' If business, commercial or mixed occupancy, specify nature and extent of each type of use ................. 7. Dimensions o~1[~2~41ng structnres if any' Front He ght . ' ' . ............ Rear .L( .57 De ........... Number ofStones. ~./..~..~.. (4ff ~.zcc~c~lt ........ pth ..C~ ........... Dimensions of same structure with alterations or additions:Front ................. Rear ......... Depth ... &2 ~ · tteight ............ ................... Number of StoNes ..................... 8. Dimensions of entire new constn etlon: Front . . ',7 ........... ~oea~j .......... Depth .......... ' Height ............... Number of Stories ....... ~,.( ..... 9. Size of lot: Front .. . I~X~>~.. P' Rear ' · Depth I0. Dateofeurchase ............................. Nameof~t~onnerO(vner D'~ ~.'-.~.~ ............... I 1. Zone or use district in ~vhich premises are situated (~/~.-%. / O ........... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~ .......................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of O~vner of premises . 5..Or'T,/~ .......... Address ................... Phone No '~. Sq. 7.~..c/..~..~... Name of Architect ............................ Address ...... ; · · · Phone No Name of Contractor .~...(,~..~. C~9a ..... Address '7,.,~51SOv.' .~.' _~_'~'' ~_)' Phone No' 15. tidal wetland?' '*¢'e'~' '~ .... i; ........... ~I$ this property within 300 feet · 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 descNption according to deed, and show street names and indicate whether interior or coruer lot. 05 OCCUPANCY FATE OF'NEW ~K, .......... c. (Name oFindiv~ual signing co~ac0 '~ :~' ' 'ore named. NOTIFY BLHt.OING OEPAg'FMENT 765-1802 9 A~e! TO 4 PM FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION TWO REQUIilED FOR POURED CONC[{ETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4., FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant ~'~ ( ntr)c(t~r~int corporate officer, etc.) ............... sa~d owner or owners, ,md Is dh4.g.g~honz~form or have performed the said work ~nd to m~e and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,rk will be performed in the manner set forth in the application filed therewith. om to before me this .................... . ..... , FORM NO, I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ....................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII 3 SETS OF PLANS SURVEY CIIECK SEPTIC FOg}l CALL NAIL TO: INSTRUCTIONS letely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 e. Fee according to schcdule. · , a. Tiffs application must be comt .ets of plans, accurgte plot plan to sca ,~b.. Plot plan showing location of !lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed descrip!ion of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by th.is appli!cat{on may not be cbmmenced before issuance of Building Permit. d. Upon approval of this applicat{on, 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 Occupan;y hall have been granted by the Buildin~ Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the iuilding Zone Ordinance of the Tow~ of Southold, Suffo k County, New York, and other a lJcable Laws, OrdNances or (egulations, for the construction of uildings, add tions or alterati ns PP t? o , or for removal or demolition, as herein described. Fhe applicant agrees to comply with ~li applicable laws, ordinances, building code, housing code, and regulations, and .dmit authorized inspectors on premis? and in building for necessary inspeckions. ( .to (Signature of applicant, or name, if a corporation) State whether appIicant is owner, les[ee,0ge~nt, architect, en~jj;lger, general contractor, electrician, plumber or builder (as on the t,ax roll or latest deed) ;f applicant Js a corporation, signature of duly authorized officer, (Name and title of corporatd officer) Builder's License No. [ IM?.~. P1 tuber s License No ........ :. ............... Electrician's License No ...................... Other Trade's License No ....... , ............... Location of laud on which proposec Ilouse Number ' work will be done t .¢.0.. ................... .o..3..u..e_. .......... Street Hamle, t County Tax Map No. I000 Section ............... Block ................ Lot ............/-"~ ~ ~.,5 . .C-~..'~ .e. SubdMsion .~O0 ~ .. Filed Map No..~Z~Q. Lot .... '~.~ ...... '" (Nmm) ' :'" '"' State existing use and occupa~cy of ?remise~and intended use and occupancy of proposed constrfiction: =. occ. = y .... vee b Iht d d ndo upancy '