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HomeMy WebLinkAbout20083-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26030 Date: 10/14/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 5855 ALVAN'S LANE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 2 .... Lot 14 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1991 pursuant to which Building Permit No. 20083-Z dated AUGUST 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to ALVANIAMASTON of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A u/ding Inspector Rev. 1/81 TOWN OF SOIJTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDIHG PEEMIT (THIS PERMIT MUST BE KEPT ON THE PREA41SES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) 20083 Z / /uildinglnsl~ctor Rev. 6/30/80 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 buildin~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 s~m~lar buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, oK ~uildings an Vpre-existing" land uses: i. 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 Buildin~ - $100.00 3.Copy of Certificate of Occupancy - ~ .~5~ 4.Updated.Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .., .................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property.~.~.~.~ .... % ........................... ~ouse ~o. County .o 1000, Section .... k.O. ...... Bloe .... '¥ ......... ..... ........ Subdivision .................................... Filed Map ............ Lot ........... ~ ........ Permit Ro,, , ate 0£ ?erm~t ................ Applicant ................... '.. Health Dept. Approval....... .............. . .. .. Underwriters Approval ....................... Planning Board Approval ....... ~ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submltted: APPLICANT FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ,PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765~1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 7, 1998 Mr. & Mrs. William Maston P.O. Box 237 Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20083-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. /] /,B~UILOING DEPT. INSPEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~FINAL ,~ [ ] FIREPLACE & CHIMNEY DATE INSPECTOR ,~.~ ~"'~ '~amined, IOLD 'MENT 11971 Pproved .......... 19 ~. Permit No ......... ,sapproved a/c ............ -'_-- .............. APPROVED AS NOTEO / ..... ~-. Ih?.TIFY BUttiNG OEPAR,T. MENT AT ' ' ':;~/.~.'' '.~('/'~' .'--. ~,, ~. .... 765-1802 9 AM TO 4 PM FOR THE , ~uddin~nspcctor) FOLLOW NG INSPECTIONS' APPLiCA~l · um PUN BUILDING PERMIT ~. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRA~41NG & PLUMBING BOARD OF HEA. LTIt ......... 3 SETS OF PLANS .......... SURVEY CIIccK SEPTIC FORtl TO: ............... , .!5) )cation of land on which proposed work will be done .............. ~z~ ~.C.~.~ ~.s ca--~ .................................... .... ................................................. )use umber Street .............. Han)let ,,,Iy ra.~ ~,~p No. 1000 Section ..... /~./. ..... Bloo~ .... ~. ~...~. bdivision ..................................... Filed Map No. (Name) .............. Lot ............... te existing use :md occupancy o£premises and intended use and OCCupancy of proposed construction: !xisting use and occupancy ....... L'....l~.'".,'~.. e~./..L.~. .... ~.~..d/c~. ~.' ntended Use and occupancy ..r~...O~.A .~./.{~. :9~;~-,?,, ' '~.:. ,~ ' · ........... · ..... ~t~,~O.~k,~.,~?.,~[! ...... (Name and title of corporate officer) Builder's License No. Plumber's License No ......................... Electrician's License No. 3tber Tradc's License No ...................... OCCUPANCy OR USE iS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 3. INSULATION INSTRUCTIONS " 4. FINAL - CONSTRUCTION MUST .a. TIdsEIP--I~MiBilErROR{3~Ocompletely filled in by typewr/ter or in ink and submitted to the Building Inspector, with 3 , of PJit.~, ~gltl~lli~l~la~SH1Mulal~e according to schedule. b. ~ pll~lUIlll~ll~ffi~aO~nTJffio~13{ad of buildNgs on premises, relations fi- to .... , - ~reas~i~m~~n~v .... p aajmnm= premises or pubic streets on. CODES. N~ 8ESFFINSIB~8 Y or property must be drawn on the dmgram which is part of this app~- c. ~t~ffi~~~ may not be c;mmenced before issuance'of Building Pe~it. d. UpCmgwproval ~so~cat~, the Building Inspector w~l issued a BuildN~ Peri [be~e~i~Jhe p~em,ses ~3flable for inspection throughout the work ~ t to the appUcant. Such pe~it ~; 2~'~~~n whole or in p~t for any pur ode whateve u ~ na;e o~e~ "ra~e~mdlh'~,~. P r ntil a Certificate of Occup~cy APPLI~Ni~ ~~DE to the BuildNg Dep~ment for the issuance of a B~lding Pe~it pursuant to the ding Zgn~t~f~hg~lS$~hold, Suffolk County, New York, and other apphcable ~ws, OrdN~ces or ulations. ~tt~~buildNg,:' additions or alterations, or for removal or demolition, as hereN deschbed. appli~n~.l~ ~i~UM~cable aws, ordinances, building code, housing code, and - it authgh~~ on premises a-a in h. Hm. r ........ ' .. - re=ulations, and to BE COMPLETE FOR C.O ........ ~... ~ ...... /-. ~ .~ ............... -ALL CONSTRU~ON 8~ ~E~ (Signature of applicant, or name, if a corporation) COD[8. ~ ~8~818~ ~O~ (Mailing address of applicant) ' '[' ' ' DESIGN OR ~NS~U~ON ERROR8 e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the t~ roll orlatest deed) plicant is a corporation, signature oFduly authorizcd officer. ,' 3. Nature of work (check ' ~ which applicable): New Building . . Repair .............. Removal ............ De~nolition ,1. Estimated Cost ...... /. ~ .... 'F''j .................... .... Fee · Addition ........... \lteratmn .......... .............. Other Work. ;, : (Descnptmn) TE OF NEV¢ Y~ R.K~. (Name of individual s~gmng con[tract) ~ named. : the ......................... ~ ............................ :d owner or owners, ~nd is duly anflm~fized to ptffon~ or ]rove performed the smd work m~d to m~ke and ~e this ~tion; tlmt all s~tcmen~s contained in~ this ~ppHc~tion am tree ~o the best o~his ~nowlcdge and belie~;~nd that the will be pcrro~]cd in the m~nncrset ~o~th in tim ~ppiic~tion ~led thcrewifl~. ~ to before me this applicant iting or proposed, and. indic¢te..albs~)MSl~ck ""~ ,: ' : dtm ens~6ns from :cording to deed, and show 'street names and indicate whether . (to be paid on filing this application) 5. If dwelling, number of dwelling uiits ............... Number'of dwelling umts on each floor · If garage, number of cars ...... ! ................ , .................... 6. If business, commercial or mixed 6cct pancy specify ature 'md extent o ' ,rah t · t s . ' .... 7. Dinlensions ofexistin~stn,-+.,- b~ ' ' ' -' ¥ e o' 'e .... ".', . _ ..... ,u,es. lrany Fro t .. p ..... ' ............ nm,,nt ............... NumbSr of Stories ...... ' ...... ~eptn ............... Dimensions of Same structura witi3 alteratmns or add tio'n's: ........ Front ~D.epth .. ....'. ............... i He ght ... , ................. Rear .................. ~. I-Jlmerlslons of erttir~ new cons'-- i.. _ ' ................. Number of Stories ................... . · ~r- uucvon: pront ..... [;Z-.P--r..'~'-7.. Rear ...l.Z-.~...Y77 ....Depti~ ../.~. ~ ' ~" ....... Number of Stones ..... [... · - · · 9. Size of lot: Front ' .......... Rear ' ' ' · '). Date of Purchase ~ ..................... I)cptb .... ' ...... ' ................ Name of Former Owner ...... ' ..... ' ............... 1. Zone m' usc district in Which 13rmnl~e ~ *~ - - -. Docs proposed construcno i~)~ ' . ........... , ..... " ................... · Will lot be regraded .n v any zomng law, erdman, ce or regulation: ..... ~..~ ...... ~ :,, ......... j }~' 'i4' ~11 e b~e. remoy~ed'frbm'ptemise:/ ' Yes ......... -.w-waaress . ~0. ¢ ~../'J'L&t a.[q~t .CO. Phone No "2. ~.5/~. ~"Z :77. Name of Architect · · · ~(a-.c~.~.<~' .. .... · "-' ; .......... Address ~--- ~ ~. r,t. x r Name of Contractor ..... .~.o,~ .............. -,,one c~o. . · . '' ' '" .............. Address .... p, .~" ~ · Is thzs property w~thin 3001 feet of n tidal wetland* '',~'~'- ....... ;:~U ,~.~,e~. :._...~...... ..... · If yes, Southold Towh Tr - · z=~ ....... ; ~o ~' ' · ... LOTDIAGRAM ~ ':'"':' 0 ~,'~ '~'', Locat.e. clear.? ,'md distinctly all buildings whether exi ..,)..~:, ~r4' ~t ~ .~, "~ .. operty lines, t~,ve street and block number or~descriptioh a terior or comer 1 ~ --~