The URL can be used to link to this page

Home My WebLink About19928-z . r_._ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22200 Date MARCH 19, 1993 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property 5880 MAIN BAYVIEW ROAD SOUTHOLD,_ NY House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SUNE 4 1991 pursuant to which Building Permit No. 19928-Z dated SUNS 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 ACCESSORY TWO-CAR GARAGE AS APPLIED FOR. The certificate is issued to THEORDORE H. SCHROEDER & WF (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H 033679 MARCH 4 1993 . PLUMBERS CERTIFICATION DATED N/A Bui dl in~ector Rev. 1/81 St08![ NO >f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH04D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 1 9 92 ~ Z Date .................~s.~e...5..................., 199.!. i Permission is horeby grunted to: ...~~:...~.......5 a.~re at premises located at ...w~.~~~.....I•?1•~a...(.~.~...:.`.'~.Y.~1.~:~......... ..1..e,.... County Tax Map No. 1000 Section .....Sa..7..~........ Bulock ......Q.~......q.. Lot No...d..~............ pursuant to application doted ~..~~R.......( 19..4...., and approved by the Building pnspector. Fee 5...~...!? ' Bu Iding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 Approval from Health Deft. 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 - $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 l L~`1,~^z Vew Construction...... Old Or Pre-existing Build/i~ng.../..,............ / / vocation of Property.....J.B~v .............~~4 :h . Nom. Y C.o.d........ ~ u,~4Ph~..... House No. Street Hamlet lnwer or Owners of Property..,l~(F~.c,2vof~'....JG~CCtt~c~Sl:' ;ounty Tax Map No 1000, Section. 70 .~......Block..Y.. ........Lot..~,1~.-~ >ubdivision ....................................Filed Map........... `.Lot. 'ermit No~f,/`,!2,Q.,,.,,,,Date Of Permit.JsJrLS•,,S „S,~„Applicant~I.~~~:':..~rr.~rp?-~er',,,,._. (ealth Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval ' / request for: Temporary Certificate..........: Final Certicate....Y ' 'eJe~'.~S~uybym~/fitted: $,,,,_~5..,,,,.,.. .p. / ~ `1~'~p`~""> _ ' APPLICANT INSPECTORS y Victor Lessard ~~,UFFD(~-~' - Principal Building Inspector . V"p Curtis Horton tip` . c° G~'~ SCOTT L. HARRIS, Supervisor Senior Building Inspector o Thomas Fisher x ~ Southold Town Hall ' ' ~ ^r ' P.O. Box 1179, 53095 Main Road Building Inspector ~ ` ~y ' ~ y Gar Fish r~idj~ St- Southold, New York 11971 Y ~ ~ ~ Fax (516) ?65-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 15, 1993 THEODORE fl. tt RAREN J. SCHROEDER 5880 BAYVIEW ROAD P. 0. BO% 994 ~ SOUTflOLD, NY 1197) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ffi No Underwriters Certificate on file. The check is (outdated/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 # 19928-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~ - THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ k3@3$661 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~`r'~~f~13 ~~F1~rI~ Application No. on file ~'~~~~6~~~~u ~'+°i Jfif ~3 THtS CERTIFIES THAT only the electrical equipment as described below oral introduced by the applicant named on the above oppfication number in the premises of ;.'C?'U CftftOEiDISB, 5t18~ BRY V'LMiR RUPv.fSF .St?UTF6(tLr~t N.P, ~ in [hefollowInq kwationp ? Basement ? Ist FI. ? 2nd FI. ii~i1j411~ Section Bloek Lot was examined mt h1J112 r l1 h 1' f l r)'.)'3 ared found to be in contplimRee with the requirements q(this Roard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHEH AMT. K W. AMT K.W AMi K.W AMT K.W. AMT. N.P 41 2 fi DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEtt UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. Oll H. P. GAS H. P. AMT. NO. A. W. G. AMi AMP AMT AMPS TRANS. AMT. H. P. SYSTEMS AMi WARS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V I C E MIT. AMP. rypE METER ~ ]W i S. 3W 3,0' 3W 4W NO OF CC COND A. W G NO OF HbtEG A. W G' NO. Of NEUTRALS A. W. G EQUIP. PER B Of CC. COND. OF H~iEG OF NEUTRAL OTHER APPARATUS: 24tYF{I~i119tIf1D3:1-a C1: [t. LO~i G.F,C.:C:.2 - ~~~4%cc-cif-i -t'~ ~~Ea sctil~ol nei: 5Uf10 EiA.Tnt f1fl% VSGpl ~;belA SQ UTH(JL11, NYf 11.9?1. GENERAL, MANAGER 11 Per t=~ _ y This certificate must not be altered in any manner; return to the office of fhe Board if incorrect, Inspectors may be identified by their credentials. CA E MUST N® BE LTERED IN ANY MANNER. I~ / L~~l/`D 765-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: ~I DATE INSPECTOR c'IELD I;:SP°CTiU;7 ~~UA;E ~ t;OMMENT.S - - - - i ai FOUI7DATION (1st) ~f FOUNDATIOIJ (2nd) _ _ m~ ° ~i P,OUGH FRAME & a PLUMBING . ,.3 3. m~ m IIJSULATIOfJ PER N. Y. y STATE ENERGY CODE x r- 4 . y _ o FI;JAL N o z ADDITIOf]AL COMMENTS: ~ x ' x ~ ro H ~ 9 H H Q Z ~ i - ~ p m -o ` ~ - H 1 ~~l_~~\"J BO,1RD OF HEALTH !°°.i `1.7~ L.~ ~"J FORM NO. 1 ] SETS OF PLdNS ,i? , , , ' TOWN OF SOUTHOLD SURVEY 4l99! `I BUILDING DEPARTMENT C11CCl\ @` ~J TOWN HALL SEPTIC FORCI . ~~-»A-=~--~ m.....,...k{-~4 SOUTHOLD, N.Y. 11971 :'~'er.esl;~~r' r TEL.: 765.1802 r:aTIFY; ....a,.rnv~N47r.:r~~~~ra;t~t.1~_ t J . o CALL ~/.d~.. Examined X12, S..., 19 1.~, h1A I L T 0 : . • ' . • • . Approved l . ~ 197 Permit No. t' .q 9.aE,~., ~ • f Disapproved a/c . (BuiMingInspector) APPLICATION FOR SU1LDlNG PERMIT Date /°.~j........, 195 INSTRUCTIONS 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 appll- ;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 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Che applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to idmit authorized inspectors on premises and in building for necessa,~'~ inspections. ,~~ee.~.. `l~. ~ . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........~4?. h.e ~ ................../......Q...................:....................... . Vameofownerofpremises .~t4Ct~.~o.J'~.,,,,.~Cl~,/';~eefell (as on the tai roll or latest deed) :f applicant is a corporation, signature of duly authorized officer. (Name and title of~~co~~rpora®te officer) l / Builder's License No. ' ~~co n!Q.?. -~C ~''o e~c,/ 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 reet Hamlet /vo v County Tax Map No. 1000 Section . , . , , Block .........~f Lot , . . Subdivision Filed Map No. Lot............... (Name) , State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . b. Intended use and occu anc , . ~,Iliu P y f ~r $1&i[3 ~ ~ t, ~ a~ j t(u.G th ~ ~ r~1 fi t_ ~ ~ rsl~.,i~_., ._,,,.n.=,.._... ~..m5„-^v.a a,w~ua:l :.-nn vq..~},ar,~i: ~~n -~..w.~aa~.... .....an_'+.,. s...wa,~x ~aA~SGa...'w~ssi-..t, tS..,.~a~..:,. fie` . 'a`~'~wrY~sa~a~.~a;E 3. Nature of work (check which applicable): New Building . Addition Alteration . Repair Removal ~ Demolition ..............Other Work . ~ ~~t t, ~(19esci~ption) 4. Estimated Cost /.r~~Oz.. i Fee . (to be paid on filing this application) 5. If dwelling, number of dwellin u~'pits . Number of dwelling units on each floor . If garage, number of cars ~q,r-, , , , , , , , , , , , 6. If business, commercial or mixed 'occupancy, specify nature acid extent of each type of use . . g 7, Dimgensions ot'existin stru Numb ~f any: Front . Rear Depth . Hei ht ier of Stories . . . . p h alterations or additions: Front Rear . De th 8, Dmrienssons of enm esnewtconstnz Height . . .........Numb r of Stories . , Ction: Front a~.~.......... Rear Depth . Hei ht br of Stories ~...d',~u~..: ~f.. S~ e; . o?" 9. Size of lot: Front ....~•Z , , , , , , , , , , Rear ~vZS.... • • v 10. Date of Purchase , • • • • • • • • Depth 7 . Name of Former Owner 1 1. Zone or use district in which rem 12. Does proposed construction v olat uses are situated . ' e any zoning law, ordinance or regulation: U . . 13. Will lot be regraded ~.2?. , , , Will exc~gss flll be r move rom premises: Y s q P 14, Name of Owner of remises ,~f~ , SG~l:oerl.'CfAddress/G§~: 5s%. ~q«{~, , . , ,phone No..~~~ //G.' Name of Architect . ..............Address ...................Phone No................ If es Southold To •.••••••••.•••'Address Phonei~o................ Name of Contractor..•••••• Q feet of a tidal wetlandY ~yeS•,,,,• „ No.. 15. Is this ro err within 301 * Y wn Trustees Permit may be required. + PLOT DIAGRAM Locate clear]y and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nufinber or description according to deed, and show street names nd indicate whether interior or corner lot. i I _ ~I I C~" ^~-,z, =~w.x . ~ ~ ~ ~ ~ - _ _ . ~ ~ ~ C _ _ . ~ a STATE OF NEW Yo1~ I 'OUNTY OP 5.11 b l~ S.S - ' ' ' • ' ' • • • • • •S•~•~• C. a: c?QCQ.(~ 4 being duly sworn, deposes and says that he is the applica t (Name of individual signing c ntract) bove named. t~I e is the a ~^,r . (Contractor, agent, corporate officer, etc.) ~ ~ • f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this >plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith: +vorn to beforepme this . .day i ...:-1 c, w-?...... , 19 ~ 1, ~J~-- ~i otary Public, . , , , , . , County ' i ~ ' ~ . `~~i#Y~ ~ Y~BLI , a, . , . ~ GILT (S at Pp ute of a loan ~ } Y ) 2gW~.. i '~1(1 Ik 'gn at ,.md ,s1 ..i JYi ~az4.LM_„ .e-csz:-.v „~4ut~4atm.;lv~_.v„ . ,.4:L,.,..,...ar.,.,lswtylal.+b~h'.~'rTASN§tr~~i"/at .-•t