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HomeMy WebLinkAbout19601-z w: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20270 Date OCTOBER 9, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 1370 HIGHLAND ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 8 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 1990 pursuant to which Building Permit No. 19601-Z dated DECEMBER 21, 1990 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 ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to EDWARD J. COMMENDER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-129 - SEPT. 25, 1991 UNDERWRITERS CERTIFICATE NO. N-206399 - OCTOBER 3 1991 PLUMBERS CERTIFICATION DATED SEPT. 26, 1991 - WM. KNOGERNSCHILD ItIll Building Rev. 1/81 1 108M NO.$ 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) O Date ...Ir' "1.LkA ~ 19.9 v N- 19601 Z Permission is hereby granted to:.. .Q,... S{ ..t1...... 5?ti.~'~ 41k. Q ql&n.......... :d.~t e~SA Q amel-fi . mt raises located at ..~...=).........h.lr~^..... ..........~ar~ . . Y.....k# ....4lCr YJ f%rCl.el ................................................................1....................... County Tax Map No. 1000 Section ....W.4--AP Block Lot No.....~..4 pursuant to application dated .....1.).F? G.F~Y . 19..a/.A, and approved by the Building Inspector. Fee S.S ......0-4 Bu ng inspector Rev. 6/30/80 " Form No. 6~ TOWN OF SOUTHOLD TOWN HALL 0.APPLICATION BUILDING DEPARTMENT 765-1802 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 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 l% 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. Eor 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 - Residentialqll ~$15.00, Commercial $15.00 Date 'r~/9j New Construction....Y...1... Old Or Prei-~x"is~t/ing Bfuil ng...... Location of Property...~s C ~U..........WtICn . ¢ House No. /1 Street Hamlet Onwer or Owners of Property.. C (Q LA'?!<, County Tax Map No 1000, Section./../ P.k.....Block.....0. R....... Lot- 11 Subdivision..pl:/.i d ~ ~ ST~x rS,.J. .Filed Map...........~.ryLot..... ;3.).....J......... Permit No../ W Date O^f Permit..A!G..Applicant..C?~~..~~~~`.'l~dl`s.~~G Health Dept. Approval.. . ..1 Z.q.......Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final Cert'"a te...... Fee Submitted: $ o?,4c.9.2 70 CO 2~aoa 70 APPLICANT INSPECTORS Victor O~pSUFFO(~COG Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector o re Thomas Fisher W3 x Southold Town Hall Building Inspector O P.O. Box 1179, 53095 Main Road Southold, New York 11971 Gary Fish Building Inspector Fax (516) 765-1823 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 September 6, 1991 Ore Assoc. Inc. 11 Seacliff Place Miller Place, N.Y. 11764 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) 6,k 1/3 d XX No Underwriters Certificate on file. XX The check is (not on file) okq/30 $25.00 XX No Health Department Approval on file.e f136 No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). X gl3D BUILDING PERMIT # 19601-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. cc to: Ed Commender 1370 Highland Rd. Cutchogue, N.Y. 11935 S~~F~(J~ C TEL. 765-1802 < O? TOWN OF SOUTHOLD T < OFFICE OF BUILDING INSPECTOR Iti rn P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 2 /a Building Permit No._ t Z Owner COIF, iM d nl e (please print) Plumber _~vr? k^,ogri,, cll,e (please print) L~e C zo P I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this day of ( 19 ddI Notary Pu is Notary Public, County IIARSIIt1A MaeQRApy fi wrt Puft Store of New Ya# No, 01-MA4701822, Suffol Co Commission Expires M-1802 1 BUILDING DEPT. INSPECTION [/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~Gsy, DATE_,S/-~ 7/9/ INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ` L DATE 4 INSPECTOR 0 So/ C~U.A~~ 01A~ /7z 6f4- 765-1802 601 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [Al ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [pl"FRAMING [ ] FINAL REMARKS: OIL ~al~ rte' - 71 DATE LG INSPECTOR ` Mo 1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION [GAMIN [)FINAL REMAR S. IN . 004 d_ 00- - i DATEl INSPECTOR A&A M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: DATE INSPECTOR r1E~D I;:SVE0710, JJllA;.E COMMENTS FOUNDATION (1st) a ~ m~ FOUNDATION) (2nd) _ m b ROUGH FRAME & O PLUMBING le A& :11 CA y 3. D1 INSULATION PER N. Y. STATE ENERGY CODE .171511 4. a FINAL ADDITI NAL COMMENTS: q -L, ~3 ? - c~ -am - ~3 ' x •h H O 2 .df N ' r O ~ N Cy . O to ~ v ti a ..A BOARD OF HEALTH k. FORM NO.1 3 SETS OF,,PLAN5 .t~......... SURVEY l~ .1 , . TOWN OF SOUTHOLD CHECK . ~ . I lz~ .l , , , , , BUILDING DEPARTMENT SEPTIC FORM J` . TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY: --II p TEL.: 765-1802 CALL Examined i~?f~?.... 191.V MAIL TO: Approve...... zI 19cl 4. Permit NoJ. 1.4 . Disapproved a/c I- . Fr ®EC 2 019 (Building Inspector) L D I3EPf APPLICATION FOR BUILDING PERMIT Y0WN'0OF G~ THO1-D p Date . /Eq, 1-0 15~r? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building, Inspector, with ~ sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 shall 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 ,Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Of'R ~S~c1<'l~S~ /tJC (Signature of applicant, or name, if a con orarton) . ll, ~E~G~t!r;F' n1E /tiJ/Gtr? (Mailing address of applicant) 1 176$4 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~t?!'G=295 ..~1U7~`~d Name of owner of premises MnIN t,l (as on the tax roll or latest deed) If applica Ss a corporation, signature of duly authorized officer. (N i nd title o corporate officer) Builder's License No. q x Plumber's License No. ,&jq,,,,,,,,,,,,,,, Electrician's License No. Other: Trade's License No . 1. Location of land on which proposed ~work ~will b done; 13`10...4..x. House Number Street, Hamlet County Tax Map No. 1000 Section . 1 a Block d$ , , , , Lot 3.1. , FSYxIY S , Subdivision . ~.IPK"av 0.. Filed slap No. ~-I l3......... Lot 3y....... ` (Name) Z State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy.. B. Intended use and occupancy. StNf~ttiLcr ~j~!1y(1~sz'"$;:z i 3. Nature of work (check which applicable): New Building 1/...... Addition Alteration Repair RRmoval Demolition ...............Swimning pool............ . Tennis Court Accessory Building . . . . . . . . . . Fehce .......Other Work............ 4. Estimated Cos¢~j/ t`* QQ~.. Fee (to be paid on tiling this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars ' . . , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures,i if any: Front . , , • Rear Depth Height Num bier of Stories Dimensions of same structure with alterations or additions: Front Rear Depth .....................I,. Height i Number of Stories . . Depth r h......... 8. Dimensions of entire new construction: Front ..7.', Rear .3.. P Iq.. 7 • . Height ...S:.... Number of Stories . i< . 9. Size of lot: Front .?-03t..... R`e'ar ..~0.3 Depth J.9,................ . . 10. Date of Purchase Name of Former Owner . 11. Zone oruse district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: .6R 13. Will lot be regraded .NQ.. Will excess fill be removed from premises: Yes , No'. . 14. Name of Owner of p emises p.' CoMMC'Q~~.... Address Phone No. N Y: JAI P Name of Architect .Px.rf-A. u'~~_'," Address Phone No. • 16l6. , , . Name of Contractor P ?!Z, . $xx :.1.c Address Phone No..°2!'l 15.Is this property locaCed within 100 feet of a tidal wetland? *YES NO;/. , *If yes, Southold Town, Trustees permit may be required. PLOT DIAGRAM Locate clearly and distinctly all I uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or corner lot. o-u-A-b 7 UAza- I I 5o r LoY 3 r tA) r>A to(Z ~r STATE OF NEW YORE, S.S COUNTY F . ,R.being duly sworn, deposes and says that he is the applicant i........... (Name of individual sighing contract) above named. . He is tltc , 1-. CJ~ti.~?a~, . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fled therewith. Sworn to before me this n dayo ~Rcew6n?~ 19 Notary Public, County \~f ROB RT1 NpTAt~ IofNY (Signature of applicant) T~6tgA 1~~9' ~ . 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ALLM D F R POURED CONCRETE BING WASH p" UGH -FRAMING & PLUMBING ALINES NEE _3.~ ULA7ION OOpp ~ 1~ WSnNG SEFORECO Q., FINAL - CONSTRUCTION MUST - for COMPLETE FOR C.O MMMK 9P111114 "1 be _ ALL CONSTRUCTION SHALL MEET L2LdL THE REQUIREMENTS OF THE N.Y. - STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR O O~„ L Iv " DESIGN OR CONSTRUCTION ERRORS _d2R ASSOciA,TcS, INC. - OCCUPANCY ON' 4oM MEty DEl2,. PG~iU USE is rE W TROUT aftlifdC'a Of OCCUPANCY i I I i I I~ ' ~ ~nY~ ti la lid I c ~ TJ6 Zv.d F~~ I'+. ~TUBI I i LAV ~ P7 ~ K~ I Cf LT-1 I ~ v F,a.Y, (c \v~~cl• w,cJ~ SWOw sL \S~FL. m • 6 ~i R X .Q a ~ ~ 0 c ~ m m r,~e \+E~s.=1~ Ho~se_ per--:> ~L V 1~"~~• A;^d, `.r - - 0 i ow a~xix~ti 7. L. FT h. 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