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HomeMy WebLinkAbout20270-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20649 Date APRIL 15r ]992~ THIS CERTIFIES that the buildin~ Location of Property 46925 MAIN ROAD House No. County T~xMap No, 1000 Section 63 Block 6 subdivision Filed Map No. ADDITION TO ACCESSORY SOUTHOLD, NEW YORK Street Hamlet Lot Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6~ 1991 pursuant to which Building Permit No. 20270-Z dated NOVEMBER 12, 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 EXTERIOR ADDITION OF STAIRS WITH LANDING TO EXISTING NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MIlL KORT~ & ELLEIq WIENER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · // Building Inspector FOR.~ NO. 0 TOWN OF SOU'DIOLD 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 20270 Z County Tax Map No. 1000 Section ....... .~...~ ........ Block ..... ..~..:..~.. ........ Lot No ...... 4~.....~... pursuant to application dated ...../,~ ........................................ , 19.c~../.., and approved by the Building Inspector. Fee $,,.~....~.... Z .x~. Rev. 6/30/80 ~q /I ', .... No, 6 = V ,-[ Form APR I1992 ;}! TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 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 unnsual 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: 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 I. 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 $15.00, Commercial $15.O0 Date A~ril 14, ~ .................. New Construction ........... Old Or Pre-existing Building.ggg ............. Location of ~ .... r~, 46925 Main Road Soughold House No. Street Hamlet Micheal Kortchmar & Ellen Wien Onwer or Owners of _~vv~ ~ ...................................... ~.~?~t,, .. ................... ... . County Tax Map No 1000 Section P~ ' Siock O~QO Lot PqZvP~q Subdivision .................................... Filed Map ......... ... Lot .................... . . Permit No.~a279.%~ ..... Date Of Permit.~.q~YPJ. A~licant Dwayne H. E~rl¥ Health Dept Approval .... Underwriters Approval Planning Board Approval %UiLL . .. Request for: Temporary Certificate ........... Final Certicate...gN~ .... Fee Submitted: $ ~,00 ...... /2 ~ q 3 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD MARCH 20, 1992 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 DWAYNE H. EARLY 310 THIRD STREET GREENPORT, NY 11944 RE: MICHAEL KORTCHMAR & ELLEN WIENER 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 ~~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ai'i permits involving plumbing being issued after April 1, 1984). .'20270-Z BUILDING PERMIT Please contact ouT office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: MICHAEL KORTCHFL~R & ELLEN WIENER FOU~;DA TION ( 1 s t ) FOU:~DATIO~'; (2nd) ROUGH FRAME & .PLUMBING I~;SULATION FER N. STATE ENERGY CODE Fi;;AL ADDITIONA~L COMMENTS: I H1L _.. ,, ' u, ~ 81991 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y.. 11971 TEL.: 765-18'02 Exa fired///~2~ , Disapproved a/c f ...................................... . (Bui~ing In~ctor) APPLICATION FOR~BUiLDiNG PERMIT BOARD OF HEALTIt ......... 3 SETS OF PLANS .......... SURVEY, ... ~ ............... CIIECK . . ~ ................. SEPTIC FORH .............. C^L'.. Y22:Y0.~.7 ......... FLAIL TO: INsTRu,6TIONS a. Tj~is application must be completely filled in bp typewriter or in ink and submitted to the Building Inspector, with 3 .ets of plans, accurcte 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 givkng 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 cbmmenced 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 ha{l bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the iuilding Zone O.rdinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinancei or <egulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7b¢ applicant agrees to comply with ali applicable laws ordinances, building code, housing code, and regulations, and to · dmit authorized inspectors on premises and in building for necessary ~sl~itions ' (Signature ~!t_applicant, or n,3.me, if a c~porationj · ' (Mailino address of applicant7 ~"'' 5rate. beth.e; ~pHca~nt is owner, lessee, agent, architect, engineer, generaI contractor, electrician, plumber or builder. · ................................... ,....,. -, ' ' .................. .................... (as on the t~ roll orlatest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. 1 ~/..~.~./..'~.~./ .... Plumber s L~cense No ........ ~. ................ Electrician's License No. Olber Trade's License No. · Location of land on which propos_ejj work will be done .......................... t2...o'7.. '.,, Fd .X'. ,,dL,/. i!.. ' .................. Ilouse Number Street · Hamlqt County Tax Map No. 1000 Section .............. Block ........ Lot.. .'.. .. S bdi ii Fil dM pNo L u v '; OI1 ..................................... e a . '" ot ............... (Name) · State existing use and occupancy of premises and intended use and occupa?y of proposed construction: b. Intended use and occupancy '" ' ' property lines. Give street and block interior or corner lot. 3. Nature of work (chec~which applicable). New Build ng ' Add tie- ~ . Repair .............. Remo al ~,''' ',]: .... -. .......... Alteration ......... v .............. oemontlon .............. Other Wo'rk..'.:f] ..... 4. Estimated Cost'..~..g. .... ..~ ~ (Description) lit ........................... Fee ..... (to be paid on filing this application) $. If dwelling, nu'mber of dwelling units ....... ~ Number of dwelling units on each floor ................ · Ifgarage, numberofcars .... '. /. ........... . .......... 6. If business, commercial ormixdd occupancy, spec fy nature nd ex ~-- ' " ' 7. D~mensions el existin, s*,,,,-*-,'~ ;r _ . -, ..., rea~ tent ofeach types>fuse . .,. . height . .~.~,.. x,u ...... ~ ........... ,~ear .',~..-q-". ~.'X... Denth Lmnenslons of Same structure. ,~ith alterations or additions: Front 1,3~.'~ .~.. i ....... Relr . . ~ .7..,..~.. Dept I .~...~.' ..... ~.. '." . .............. height .... ~---..'~. 8. L-mensmns ote~jre new constructlnn ~-~-* ~'-'; .............. cqumuer_.of Stories...~."~'.. He ght '/J.: "'u-- .... ' ......... Rear ~ .... De-th 9. alze of lot: Front .~..~.1~.. .. - ,c ' .... ';~'~ ........... Date "" · '..~_.a,.. .}.,..~ ..... ..; Kear ~r~. ' ..... -:.,;'-'~,~ ............. 10. o~ t'urchase *~'~l~'..~l ~,Je~']' ''~; .............. Depth ~.~. 1 1. Zone or use &strict in wld~;~ -r~.,-'~,-o ., . . · .,~mame,,~of Former Owner ......... 12. D°es pr°p°sed construction violate any zoning law, or% ~o'r're*,u ' · 13. Willlot bare=reded /~/~ : o lation: ..~.IP ''' 14. - .......... Wall excess fill be removed from premise's; .... ~'s Name of Owner of premises ...-'.5'., Name of Architect . ,. ............... Address ................... Phone No ................ ........ l ............... Address ....... Phone No ......... Name of Contractor .~, ~'r.~/~ ~'+~...,... ...... .. Address .~l'/l~. ~ ~.'~'~'~,'~/i' Phone No~ 15. Is this property within ¢00 feet or a tidal wetland? *v~ i~'$r'~' ; e -.a.~.¢.' ..... · If yes, Southold Town Trustees Permit may be required. ... PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from umber or descr/ption according to deed, and ihow street names and indicate whet~er OUXVXOF ..... ,. J.&.. ...... (Name oe individual signing ~contrac~ ...... ~ove ~ain ed. being duly sworn, deposes and says that he is the applicant o ffi ) ................. ...... nt, corporate car, etc. said OWner or owners, and is duly tltl Onzed to perform or have performed tile saki Xvork and to make 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 sotI forth in the application filed therewith. 'om to before me thi,~ CLAIRE L GLEW · { · Not~rv Publio, Stere of New Ymk ..... NO. 4879506 ~ ...... · · · c, ommlaaion Expire$ De~ember oc_ · 0 0 E o ~ o