HomeMy WebLinkAbout19932-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20447
Date JANUARY 3, 1992
THIS CERTIFIES that the building ADDITION
Location of Property 205 CEDAR POINT DRIVE WEST SOUTHOLD~ NY
House No. Street Hamlet
County Tax Map No. 1000 Section 90 Block 2 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 1991 pursuant to which
Building Permit No. 19932-Z dated JUNE 6, i991
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 REPLACE AN EXISTING DECK TO AN EXISTING ONE-FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to
RENATE & LOTF~kR HERTEL
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED
DECEMBER 18~ 1991
Rev. i/81
! Building Inspector
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)
No- 19932 Z
Permission is hereby granted to:
...~..~...~....~ ~.
...................... ....
...;.~.¥~...~ ....... ~.: ................................ ... ..........
~ ...~~~....~..:.~.,....u...~..~.~ ......
,oC~....~.....~...~.~.~...r .~--- ~- - ~ ~
r . · ...... ,._. ............. ~. . ~ .~..,.:~........c~.~..,......T~.....
at prem,se, located at ...~.....~ ...... ...~9,~-~....~..~.~....~....~........~....J~...~.~. ....... ~L
County Tax Map No. 1000 Section ...... ~ ............. Block ...... ~..;;1~ .....Lot No.....-~.....~... ...........
pursuant to application dated ........ ...~.....~.. ................... , 19..~..L, and approved by the
Building Inspector.
Fee $...~...~..~ ....
Rev. 6/30/80
TOWN OF SOUTUOLD
BUILDING DEPART~IENT
TOWN HALL
SOUTHOLD, REV YOHK
11971 .',
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DAT~
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING -.-VACANT LAND .......
UOUSE NO. STREET HAMLET
2 ·
Owner or Owners of Property.. . . ........
County Tax Map No. 1000 Section .. . Block . ~ Lot' . ....
Subdivision[ ...................... Filed Map ........ LoC .......
De-C. A - - ~ ~ ~ '
"ealCh v pprovai .................. Und'eruri~ers Approval. ~.~-.~..~.~..
Plaauin[ Board Approval ................
Request for Temporary Certificate ..... Final Certificate
Fee SubaicCcd: v .........
FOSH NO.
TOW OF SOUTIIOLD
BUILDING DEPAKT~ENT
TOWN ID%LL
765- 1802
APPLICATION FOR ~:ERTIFICATB OF OCCUPANCY INSTRUCTIONS
This application must b~ filed in typewriter OR ink and submitted to the Building
Inspector with the foll0wxng, for new buildings or new use:
I. Final survey of property with accurate location of all buildings, ~roperty lines.
streets, and unusualinatural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form).
3. Approval of clectrlc~l installation from Board of Fire Uuder%rriters.
4. Sworn statement fromlplumber certifying that solder used in system contains less'
than 2/]0 of ]Z lead~
5. Commercial buildlnBs~ industrial buildlnEs, multiple residences and similar,'
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (Prier tn April 9, 1957] mom-conforming uses, or buildings
amd "pre-existing" laud! uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completedI application, a consent to inspect signed by the applicant
and a certified abstkact of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
. If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing ~ode or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
I. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified
abst~ract of title issued by a title company showing single and
separate ownership n!f,the entire Iht prior to April 9, ~957 shall also aceempany
the application, I~ a Certificate of Occupancy is denied, the Building Inspector
shall state the reaslons therefor in writing to the applicant.
FEES:
L CERTIFICATE OF OCCUPANC~ -- New Dwelling $25.00, Additions ~o Dwelling $25.00,
Alteration to DWelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
Certificate of Occupancy on pre-existing dwelling - $100.00.
Copy of CertifiCate of Occupancy - $5.00 - over 5 years - $10.00
Vacant Land Certificate of Occupancy - $20.00
3.
4.
5.
6.
Updated Certifi~
Temporary Certi:
ate of Occupancy - $50.00
'icate of Occupancy -$]5.0,0 Residential
Commercial
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUT[IOLD, N.Y. 11971
December 26, 1991
Ms. Renate Hertel
205 Cedar Point Drive West
Southold, N. Y. 11971
TEL. 765-I 802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because.of the fel~owing reasons.
An application for Certificate of Occupancy
is not on file.
/5/ No Underwriters Certificate on file.
The check is(~cd~k~x~/not on file.)$25.00
/5/ No lfealth Dept. Approval on file.
/_/ No final inspection has been made.
Please contact our office on this matter.
Thank you far your cooperation.
Building Permit tt .1 -9- 9 3 2 Z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
all permits involving plumbing being
issued after April 1,1984 )
COMMgNTZ
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
h
( v'/~A~ t' )
GARRETT A. STRANG
architect
Main Road P.O, Box 1412 Southoid N.Y, 11971
516- 765 - 5455-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]~NDATION ;ZND [ ] INSULATION
~/]~FRAMING [ ] FINAL
DATE
765-],802
BUILDING DEPT.
INSPECTION
~FOUN~p~ON/ IST [ ] ROUGH PLBG.
[ ] FOU/ND~A~ON ZND [ ]INSULATION
,, JL/I~ - 51991
xamincd ......
.pproved ....
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.; 765-1,302
BOAaO OF HEALTH
SURv£¥
CHECK
SEPTIC F 0 R,'I
,,0, ,FY i
CALL
;; .................
HA EL:
isapproved a/c . .... · ...................
· 'la'mg"~ rlTspec t or )
APPLICATION FOR BUILDING PERMIT
. D- ~'
INSTRUCTIONS ' '
. a. ~fis application must be completely fillcd in by Wpew~ter or in ink and submitted to the Building Inspector, with 3
s of plans, accurate plot plan to scale. Fee according to schedule.
b. Hot plan showMg location of lot and of buildMgs on premises, relationship to adjoining premises or public streets
areas, and ~' '
ion.owmo a detaled description of layout of property must bc drawn on thc diagram ~vhich is part of this appfi-
c. The work covered by tMs application may not be cbmmenced before issuance of Building Pemit.
d. Upon approval of this application, the Building Inspector will issued a Building Pe~it to the appEcant. Such pemit
11 be kept on th~ premises avaflable for inspection throughout the work.
e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Certificate of Occup~cy
11 have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the BuildMg Depmment for the issuance o ' ' g ~it pursuant to the
for the construction of bu;ld~gs, additions or alterations, or for removal or demolition, as herein described.
:ulations, ab ~ws, Ord~ces or
: app~cant agree~, to comply with aH applicabIe Iaws, ordinances, building code housin~ -
qit autho~zed ~spectom on premises and ~ building for necessa~ inspectious. ' __~ code, and regnlations, and to
.... q
--' (~n~u re o f appl,~: ~5~ corporation,
(~'failing address of applicant)
:e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnmber or builder.
........... ~/.
//Xa/.. 'j ......................................
leofownerofpremises ... ...
(as on the t~.t roll or latest deed) '
2plicant is a corporation, signature of duly authorized officer. ,'
(Name and title of corporate officer)
Plumber's License No ........... : .............
EIeclrJcJan's License No.
Other Trade's License No ......................
,ocation of land on which proposed work will be done.
a, h, ..................
~,~o~ ~ T ..............................
............. , ~'r ~ ~
ouse Number ................................................
Street Hamle~ '
~unW Tax Map No. 1000 Secdon Block ......... Lot. .
~bdivJsion ..................................... Filed Map No.
(Name) .............. Lot ...............
ate cxJslin~ use and OCCupancy of premises and in~cnded use and occupancy of proposed construction:' '
........... ~- .- ~;~
. .........
,,m .............. Remlval · . ......... Demolition ,a:~. ~..~¢(~. .... Other Work .~.~... ~[~.
4. Estimated Cost. ~O~ (Description)
~ to be prod oW~fl~lng this a plication)
5. Ifdwelling, number of dwelling finits Number of dwelling un ts on each floor .............
. If garage, number of cars ..... ~
6 Ifb ess, commerci I ' ~' '' ' ' ' ~. ..... .3 ........................................
· usm fl or mixed occ,,~ · .......
7. Dimensions or'ex stin ...... :., ,,,,m~y, specuy~mture aud extent of each tv ~e of
~'gt N ront ............ r .......... Depth
~ ~t.. .............. umlCer of Stories .......... · ........
of ith It .........................................
oUnenslons same structure w aerations or additions: Front .....
Depth ................. ~ ................. Rear ........
8. · · · · ~. Height ................. Number of Stories ....... ' ' '~ ......
Dimensions of entire new constmtctlon Front . ' ' ' '
Heig ~t ~ ~, -~ ~- "h~ ........ Rear ......
.......... ~umb[erolhtofies. t.~ . .. · ....... Depth ........... · ....
9. Sizeoflot: Front ..~.3 .. I . · .. ·
0. DateofPurchase ...~...~...~ ...... . ..... Nan-- .
I. Zone or use d~stnct m which premises are situs* ~ ' ' ~ ~f Framer Owuer ...........................
Will lot be re-rade,~ ~d~ r re,t latmn: ~ , ,, '
.......... ~maress~:ge:~7r.~te~one No .......... "~
Name of Architect ........... ~ .....
N=~o of COntractor .~q4~.....~ ......... Address ...... . Phone No
Ia this property wtehtn 300 feet or a Z5aal weeland? ~Yes. .'.. ''.'~ ........ "~''~''~'"~'
arf yes, Sourhoid To~n Trustees Permit may be requ5re~. ' .............
... [ PLOT DIAG~
Locate clearly =d distinctly ~1 bflildMgs, whether existing or proposed, and. indicate MI set-back d~ensions from
:ope~y lines. Give street =d lock number or descfiptioh accordMg to deed, and show street nines and indicate whether
b ~
~tefior or comer lot.
'rE OF NEW YORK, ',
JNTY OF .............
'' ~/(~. · '.~. ':~.q~ i>~, , .............. being du l Y s,vorn, deposes an d says that he is the applicant
e named(Name o~di~val's}~ii;~optract)
: tile ,
i (Contractor ................
agent corporate officer etc) ...... .....
id owner or owners, and is duly nut ~Orized t0 perform or have performed the saki work and to make and file this
~ation; that all statements contained m this application are true to the best of his knowledge aud belief; and that the
will be perforated in the manner set forth in the application filed therewith.
a to before me this
................. ..
//' - '
.