HomeMy WebLinkAbout19924-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-24318 Date MAY 1, 1996
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property. 75 NASSAU POINT ROAD ~UTCEOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 8 Lot 6.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 30, 1991 pursuant to which
Building Permit No. 19924-Z dated J~3NE 5, 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 LARGE BAND BOX WITH ROOF OVER 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
CUTCHOOUE NEW SUFFOLK PARK DISTRICT
N/A
N/A
N/A
Rev. 1/81
/JB~ildin~ Inspector
~vOK~ NO. ~
TOWH 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)
NO_ 19924 Z
Date ..~ ............................. ,
Permission is hereby granted to: ~
.......... ................
· ~'/7,J~ '"/7' ~. ~
at prem,ses I~at~ at .................. ~ .................. ~~.~ ............ Z~ ..................
................................................... ............................
~,~ ~ ~o. ,ooo ~,o~ ...~..~...¢ ..... ~,~ ...... ~ ........ ~o~ ~o...~.....~ ......
Building Insp~tor.
Fee $...~
Building Italy:tar
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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. Fin&l 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:
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 Buildine - $i00.00
3. Copy of Certificate of Occupancy - -..25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate
~ew Construction ........... Old Or Pre-existing Building .................
=ocation of Property.. Si~.~..~n (O.+...~*~. ~ .......................................
House No. Street Hamlet
)nwer or Owners of Property.~<~.~QO.~q~.~.~.~.~~.-~.~l.~-~-.-.~t...~- j-~-~'~'.~...
~ounty Tax Map No 1000, Section .............. Block ................ Lot ......................
lubdivision .................................... Filed Map ............ Lot ......................
?ermit No.~flg..~.~.~....Date Of Permmt ................ Applicant .............................
~{ealth Dept. Approval .......................... Underwriters Approval .........................
'lanning Board Approval ........................
:equest for: Temporary Certificate-. .......... Final Certicate.....~.. ....
-ee Submitted: $.~...~.~. .......
....
FOUNDATIO.~! ( ls t)
FOUNDATION ( 2nd )
ROUGH FRAME &
-PLUMBING
iNSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1996
Cutchogue New Suffolk Park District
Cutchogue, NY 11935
Re: Building Permit #20882-Z & 19924-Z
Premises: 9430 Skunk Lane, Cutchogue
surf. Co. Tax Map #1000-104-8-6.1
(gazebo & accy)
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
EC-99 The sensitive skin of young ihildren should be pro-
tected from the sun. Available in two sizes, the sun shelter
sandbox accommodates groups of ~hildren and provides
bench surfaces for sitting and sand ~lay. (Check your local
requirements for shade provision in play areas.)
Play Activity / ~x.,
1 Sun Shelter (16'× 16~)
1 Sandbox With 8 Benches
Structure size: 16' × 16'
Space required: 32' × 32'
CCUPANCY OR
SE IS UNLAWFUL
'ITHOUT CERTIFICATE
OF OCCUPANCY
EC-95 This economically priced set of
moving tunnels delight children~ Safe
and m~re playable than spring ani-
mals, hours of joy result as children ·
hide amd spy, crouch, crawl, climb,
straddle, reach, bounce, and jiggle with
their fri!nds.
Play Acl
4 Moving
Structure size: 4'× 19'
Space required: 20' x 35'
ivity
letalr~nnels
EC-91 The adjustable height
BigWheel stands alone to be sur-
rounded by whatever the child's
mind envisions. Addition of loose
play props creates different imagi.
nary modes of transportation from
airplanes to buses to boats.
Hay Activity
1 BigWheel
Structure size: 2' x 2'
Space required: 18' x 18'
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
'xamincd ................. 19...
,ppro,.e~...,-,x~...., 19'~/. Permit No./..~...~'..~..~'/ ~
qsapproved a/c .....................................
BOARD OF HEAL. TIt .........
3 SSTS OF P '
Lok,tS ..........
SURVEY ...................
CIICCK ....................
SEPTIC F 0 R,'I ..............
tlAIL :
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
· ........ ,197./'.
Date . ?..¥ . 0
a. Tiffs application must be completely filled in by typewriter or in iuk and submitted to the Building Inspector, with 3
s 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
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appki-
ion.
c. The work covered by this application may not be c})mmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the'applicant. Such permit
ill 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 l~urpose whatever until a Certificate of Occupancy
:11 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
qding Znne Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
:ulations, for the construction of bu;ldings, additions or alterations, or for removal or demolition, as herein described.
3 applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and reguia'hons, affd to
,nit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if ;i coqSorafion)
(Mailing address of applicant)
te whether applicant is owner, lessee, agent, architect, engineer, general ~ontractoL electrician, plumber or builder.
................................
ne of owner of premises ...... .C..~.'~. ~.~..o[~/-w*,.....'NI.~: ~q .~ .~.'~.{ o ~:.].~ ...?Pr~.l.<....~.~.5...~.~ t.c..~.. ........
(as on the tq.t roll or latest deed)
pplicant is a corporation, signature of duly authorized officer. ,'
~N. ame and title of corporate
Builder's,License No. :-~l.c9.
Plumber'k License NO.
Electric art's License No
Other Trade's License No
-ocation of land on which proposed work w bedom ....
' __ · ........ :, ............. ..,. .....
.. .................
louse Number Street ~ ' ' ' 'C ' Hamlet ....
°unty Vax Mapt N°' 1000 Section .... /.. ,(~, ,&/ ........Block ...... ~. Lot.. 6.'.j ...
:lbdivision ..................................... Filed Map No ............... Lot ...............
(Name)
.ate existing use and occupancy of premises and intended use and occupancy of progoscd construction:
Existing use and occupancy .........
7~..o ~.
Intended ~. tx. ~.cl ' '
which apD
3. Nature et'work (check licable): New Building ...... Addition ........... \lteratmn ..........
Repair .............. Remoyal ...... Demolition .............. Other Work..
Es.matedCost ..... - (Oesc p,on,
· F
dwelling, number ofdwellin- ui (to be paid on filing this application)
If garage, number of cars o, i ................. Number of dwelling uuits on each fioor...
6. ' ' .... ;'"7 ; 'type
,business, commercial or m/xed ..................
7. ons of ex sting i ccu anc ,spe ynat reandexten Fca fuse
Dimensi structures if any: Front ..... Rear ....
He o it ........... ~ . . ' ' ' ..................... Depth .............
,... ~' . · · .Numb.er et Stones ...... ..
tJm~ensions of same structure wit 'o's ........................................
Depth .... h alterations or additi n: Front .......... Rear .......
............... ~ eight ..........
..... Ntnnber of Stories ..
8. Dimensions of entire new construction: Front .... I ~ ...... ' .......... 1, ........
Height · ~ .......... Rear J & ~ /.
..... · b ........ Numb r of Stories . - ......... Depth ........ . ....
9. Size of lot: Front ........... i Z ..... Rear ..... · ....
.0. Date of Purchase 'r'" ' ................ D.e.p, lh'
Zo~le or use district m which prcm~ises are situated, ' ' ' '
1. · . ': ........................ Name of Forlner Owner .
'~ Does proposed construction violat~ ............................
" any zoning law, ordinance · ' ' '" ..............
or regulation: ..... : .........
3. Will lot be regraded ......
's I ........ Will excess till be removed from premises: y N.o
4. Name of Owner of premi es ..... , ............... Address ................... Phone No. es .
Name of Architect
...................... Address ................... Phone No ................
Name of Contractor .........
5. Is this property within 30~' f;;'t' ;'f' ~ ..... Address ................. Phone ...........
tidal wetland? *Yes ~... - NO .....
· If yes, Southold To~n Trustees p · -. · · aD ....
errazt may be required. ' ....
..-. I PLOT DIAGRAM
Locate clearly and distinctly all bttildings, whether existing or proposed, and. indicate all set-back dimensions from
roperty lines. Give street and block nm 'lber or descriptioh according to deed, and show street names and indicate whether
~terior or comer lot.
TE OF NE~'C~r~) RK~ .~,""-S.S '
~NT¥ OF. ~.~ .'~.. !
Name of indivklual signing contract)
'e named. ,
being duly sxvorn, deposes and says that he is the applicant
~mll~ Publlo, State_of
No. 48705~
Qual~ In 8uff~k Cou~
; the ............. ... I . '
.. , (Con; ,'5orporate ofr, cer, oto., · ............
lu OWner or owners, anti is duly autblorized ~to t)e~.r.m.~'~ I " · · '
, ,~ vt,re;m-or nave pertonnen the said work and to make and file this
cation; that all statements contained itl this application are true to the best o ' -
)v)ll .be.performed in the manner set fort ~ in the an )licnt ~, ~ ,.,t t ,,, .... * f las knmvledge and belief, ant that the
n to bezore me this
Y Public .... ~. ~ · · · ~ ...'"r~,/M~.. County '
re of applicant)