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 ~ --~