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: