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HomeMy WebLinkAbout19490-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19557 Date DECEMBER 4, i990 THIS CERTIFIES that the buildin~ Location of Property 3000 BEEBE DRIVE House No. County Tax Map No. 1000 Section 103 Subdivision ADDITION Street Block 3 Filed Map No. CUTCHOGUE~ NEW YORK Hamlet Lot 16 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29~ i990 pursuant to which Building Permit No. t9490-Z dated OCTOBER 30, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT The certificate is issued to LESTER SEAMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-019358 - NOVEMBER 27, 1990 N/A Rev. 1/81 'Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BI:: KLEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORI(AUTHORIZED) N~ 19490 Z Permission is hereby gragted to: ..................... ...~~.. ....... ,~~~.....~:x...~~_......~.......~'. ................... at premises located at .,....'~..~ ...... '.~........~,.~. ~,,~......,,.~..~..r ................................................... County Tax Map No. I000 Section /~ '-~ Block ~ Lot No. pursuant to application dated .... .~..~ ................................ , 19.~',~.., and approved by the / Building Inspector. Rev. 6/30/80 Form No. 6 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 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 1% 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.' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. ~ 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 October . few Construction ........... Old Or Pre-existing Building ................. ocation of Property 3000 BERBE DR. CUTCMOGII~, N.Y. House No. Street Hamlet )nwer or Owners of Property LESTRR SEAIqAN - :ounty Tax Map No 1000, Section. .. 103 ~ 16 ........... Block ............... Lot ...................... iubdivision .............................. ... .. . Filed Map ............ Lot ..................... . - 19490Z ~ . '0/30/90 ~ermit No ................ Date Of rermlt ................ Applicant....I~.~.T?~.~...~.. ............. [ealth Dept. Approval .......................... Underwriters Approval ........................ . lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $ .... 25.00 ~ ~. CO Iq557 APPliCaNT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~0~,(} /C):~ BUREAU OF ELECTRICITY ~- B5 .JOHN STREET, NEW YORK, NEW YORK 10038 Date ~()VI~'~'~'~ ~''?' '1 ~'~0 Application No. o. fte '7't ~'~(~ [ 90/~ ~ ~ O:t g'~q~ inthe/ollowDtgloca~ion; ~ Basement ~ IstFI. ~ 2nd Fl. Section~0'~ Bilk'{ Lot ~(~ ~s examined att ~('F~ ~i~¢~'~ ~]~ ~i r~ ' j ~) '){) and found to be in compllat ce u' th the requirements ef this Board. FIXTURES RANGES OVENS FIXTURE SWITCHES DRYERS E R V I C NO OF CC COND A.W,G, NO OF HI-LEG A,W.G. NO. OF NEUTRALS A.W G. PER ~' OF CC. COND OF HI-LEg OF NEUTRAL OTHER APPARATUS: GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their ~:redentials. COPY FOE BUILDING DEPA$~TMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED iH ANY MANbIER. DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET TOWN OF $OUTHOLD OFUICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN HALL SOUTIIOLD, N.Y. 11971 Hovember 1, 1990 TEL.~ O~ ,65-18,_ P.O. Box 705 Cutchogoe, ~.Y. 11935 To Whom 5his 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. /~ No Underwriters Certificate on file. /~/ '['tie check i:;(ouhdated/not ou file.) /~/ No tlea].th Dept. Approval on file. /-~/ No final insDection has been made. P]ease contact ()ur office Thank yon for your cooperation. lh~[l<lir:g Permi. t l! I 9 4 9 O Building Dept. I;o Plumber .Uoldcr Certificate on file. ( all [)eri',llts involving plumbJ, n<j being issued after April 1,1984 ) 11935 on this matter. cc to: Gary Olsen, Arty P.O. Box 706 Main Road Cutchogue, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~,~ULATION FRAMING [ pi/FINAL INSPECTOR FOUNDATION (1st) FOUNDATION 2. f2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONAL COMMENTS: GARY FLANNER OLSEN COUNSELLOR AT LAW P.O. BOX 7o6. MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK December 3, 1990 Re: Seaman to Goettelmann Our File # 5126 Property: 3000 Beebe Drive Cutchogue Gentlemen: I understand that this is all that you are waiting for to issue the updated Certificate of Occupancy applied for by Mr. Seaman. Please foward same to my office as attorney for Mr. Seaman. Very truly yours, GFO:lmk Enclosure Southold Town Building Dept. Main Road Southold, NY 1197I Exanfincd FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHQLD,,, LxL¥' 1.1.971. TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS .... c acs ......... CALL .................... MAIL TO: Disapproved a/c ........... ...... AS NOTED_ / ', 765-1802 9 AM ~ 4 PM FOR THE A / ~ ' ' FOLLOWING ~NSPECTIONS: PPLJCATION F~R BUILDING PERMIT 2 ROCJGH - Ff~AM~G & PLUMBING · 3 ~NSU[ ATIf)N IN--RUCTIONS ~- ~:ff,~lgs ap~l{~j~letcly filled in by ~pew~tCr or in ink and submitted to ' ' ' sets ~.'p~~{3~[3~ to~e. ~ a~o~in~ to c :~' iPl~t~l~C~in~l~t'~E lot an . r. s heduI¢.. or.a~41~i~a_~lR_l~ ~. d 9f buildings on premmes, relationshi yr-?~--.~ ~ _~.u eu ' t~o p to adjoining premises or public stree cafiaffj' t:C)~ST~?C~I(>~P~ E~[~¢ n of layout of property must be drown on the diagram whichis pa~ of t~s appl c. ~he~ r ~ ' ~ j;~ cr~~ cat °n may not be commenced before ~ssuance of Bu~ . . ~A~v~~i~, the Buildin- ~ ........... -.. . ~ . .dm~ Permit. ~ -,,ov~ wm msuea a Building Pemat to the app~e~t. shall be kept on the premises available for ~spection throu~ O Such pe~: ~E[~.~vh~ - ..... . ~out the work. ~, ~ used in whole or in part for an ~-L~'O~;~By MADE to the Build~o Buildin~rg$fig~anc '~ ~i*~l~a ....... ~epmment for the issu~ce of a B~lding Pe~it pu~uant to th ~ygulat~~C~,q~.~f,}~fld~gs, a~ditions New York, ~d other ~pplicable ~ws, Ord~ees or alterations, or for iemoval or demolition, as here~ deschbed the ap~gl6Oag~t~]~,f~4~B~l~i~1 applicable laws, ordinances, bufld~g code, housing code, and regulations, and t~ dmi$ a6~fiflfi~spe~o~ ~n premaes and ~ buitd~g for necessa~ inspections. '4. F~NAL, ~ CO~4STRUcTIO~ MOST ALL CONSTRUCtiON SHALl. MEET . .. .- : ...... : ......... . ~(Sz=nature o~ apphcant, or name, ff a corporation)' ' THE: REQUIREMENTS OF THE N,E ~ . ......... ........... CCCDE$. NOT RESPONSIBLE FO~ .. DESIGN OR CONSTRUCTION ERRORS (Mahng address of appHc~t) State whether applicant is owner, lessee, agent, ~chi~ect, engineer, general contractor, electrician, plumber or builder. ......... ............ ...... (as on thc tax~dll or J~ applicant is a corporation, signature of duly authorized or~cer. Budder s L No... Plumber's License No ................... Electrician's License No. ...~.~..~.._-~-d. Other Trade's License No ................... I. Location o£1and on which proposed work will be done; llouse Number Street, OCCUPANCY OR USE UNLAWFUL W IHOUT CEPJ F CATE . OF OCCUPANCY Hamlet P' - ' *" ............ County Tax Map No. I000 Section .... .--v. ...... Block ............. Lot. ... ,' Subdivision ..... :- -. ..................................... Eilcd Map No. (Name) .............. Lot . .. State existing ............ use and occupancy of premises and intended use and occupancy of proposed construction: B. Intended use and occupancy ..... ~''~ ~~[ff[[[['[i''i[[[' 3. Nature of work (check which applicable): New Building .......... Addition .... .~. ~. · Alteration .......... Repair.' . ............. Rhino,vel .............. Demolition .............. Sw£mmlng pool. ........... Tennxs Court .~ ...... Accessory Building .......... F~nce ....... ,~o,~} ......... 4. l=,~timated Cost . .6'.~". ~--~....,~.~. ~ ................ Fee . .~.~? ......................... '''''' /$~ he paid on filing this appJicat!on) 5. If dwelling, number o f dwelling units .... Number o f dwelling units on each floor ...... ~ ........ If garage, number of cars ........... ii::.i:i:::.: ........................................ i: ..... 6. If business, commercial or mixed occupancy, specify ri.att, re and extent of each type of use ........... i ......... 7. Dimensions of existing structures, if any: Front'h,..~. ;,. ....... Rear ............... Depth .............. Height ............... Number o f Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ........ i' ~ ....... Depth .................... .. Height ...................... Number of Stories ............. ~. ....... 8. Dimensions of entire new constnlction: Front ............... Rear ............... Depth .. t ............ Height ............... .Number of Stories .............. : .......... ,. ................. .' ........... ~5.~ ~i~ Droperty located withln'300 feet of a ~If yes, Southold Town Trustees Permit may be PLOT DIAGRA~ 9. Size of lot: Front ........... . ........... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 I. Zone or use district in xvhich premises are situated. ........... : .......... 12. Does proposed construction violate any zoning law, ~tfn'a'n~ dr'r~la'tfo'd:' i ~ ~-~. ~ ~ . ~i~ ........ 13. Will lot be regraded ............. ' ............... Will excess fill be removed from premises: Yc: .... Lc 14. Name of Owner of premises .,., ................. Addresx ................... Phone No ............... Name of Architect .......... ' ................. Address ................... Phone No ....... ,. ........ Name of Contractor ................. : ........ Address ................... Phone No.. · .': .......... tidal wetland? *YES .... NO .... required. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimemio.".~ :': property lines. Give street and block number or description accordhag to deed, and show stree~ names and indicate wh: ::. interior or comer lot. STATE OF NEW YORK, ' S.S COUNTY OF ................. , (Name of individual signingcontract) above named. being duly sworn, de,poses and says that he is the applica:: H~ is tile; .................... ; ..................... ; ....................... ~ .................... (Contractor, ageqt, corporate officer, etc.) of said owner or owners, and is duly authorized to pe.rform or have performed the said work and to make and file th: application: that all statements confained in this application are true to the best of his knowledge and belief; and that th Work will be performed in tile manner set forth in tile application filed therewith. Sworn to before me this ............. .4. ....... day ............. Notal7 Public. ~,, .~.'. ~) ~-~ U~w~L" County NOTARy H~tEN lC DE VOE: PUBU~ ~e of New Yo~ mm ~pi~ ~rch 30, 19~ (Signature of applic:nn: