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HomeMy WebLinkAbout19540-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20758 Date MAY 28, 1992 THIS CERTIFIES that the building ADDITION Location of Property 5535 OREGON ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 1 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 1990 pursuant to which Building Permit No. 19540-Z dated NOVEMBER 26, 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 INSTALL NEW OIL BURNER REPLACE PIPING & INSULATION The certificate is issued to A.C.M.T. EQUITIES, INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 30, 1992 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 roam NO. s 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) W 19540 Z Date ... ; ...................................... 19.2v 16 ? , 6/42!� Permission is hereby granted to: :--4. .. s� ..�... j�........ ..... to � � � � � .. . . . ......... . ....... `bt premises located at .. 3-�WZ1 ... . . ..... ..................................................... ...................................... . ......................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .........91.. ... Block .............1.... Lot No. .....Q3.......... pursuant to application dated A. 2........... 19.E8., and approved by the Building Inspector. ,r ///y v1aFee .. . ito .... 7u!id# ... ............... Rev. 6/30/80 I FORK po. s 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) Na 16786 Z Date b.......................................... Permission is hereby granted to: �� , ...C3� ... ...�1.....�...9.... "'. ...................... s�1.............................................. to /za.............. ........ ... .: : .X . ..y..�. .�$TL.G ......... ...... .. . .. of premises located at .. /?��...:�(. � ............................................................... ..................................................r..... .I.•�(/�................................................................................ ................................................................................................................................................................ County Tax Map No. 1000 Section Y�.... Block ........!? ..... Lot No. .......a3......... pursuant to application doted ............ ............................. 19s�� and approved by the Building Inspector. Fee $..S%.`..° ... ................. Pz-...... ..1... � . �`�.......... , uil!�P/Inspector Rev. 6130180 1''', Form No. 6 PX>/ /V TOWN of souTlwLD f�te�a 11g6 � i , MAY 2 z I(�t"9 BUILDING DEPARTMENT TOWN HALL C �%'" G116 g _ 765-1802 APPLICATION 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 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. B. For 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. I£ 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 $15.00 Date . . . . . . . . . . . . . . . . . . . . . . ew Construction. . . . . Old Or Pre-existin B uilding. ,Y//. . ocation of Property. .�5 � � o/2�G0/o :ad . r , U C'� o E House No. /Street Hamlet nwer or Owners of Property. .0 C.Q,?T, . .� c� (JI TI'C.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ounty Tax Map No 1000, Section. . . . . . . . .Block. . . . .C.7./. . . . . . . . .Lot. . . . U . . . . . . . . . . . . . . . . ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . :rmit No. . / ��t/o ,. . .Date Of Permit, W� �j` / �� / �1�7 �C, U1 7e.$. . . . . . Applicant. . 1„ ,alth Dept, Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . .anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . quest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . e Submitted: co t.? APPLICANT s � • THE NEW YORK BOARD OF FIRE UNDERWRITERS WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATIO IQI'ED BELOW., APPUCATIONNO G� IOCATfON VJ } INSPECIO _DATE 18D(0EY W901 MAC ,a 219q�- IUN I VL I V V a 111 L. BULLDING DEPARTN1ENT Cl U Town Clerk'[ Office Southold, N. Y. Certificate Of Occupancy No. Z5739. . . . . . Date . . . . . . . . . . . . . . . . . . .1 . . . ., 19. 74 THIS CERTIFIES that the building located at . W/.S . Or.egon. RQad. . . . . . . . . Street Map No. Xx. . . . . . . . Block No. . .XF. . . . ...Lot No. N.Y.. . . . . . . . requirements for one family dwelling & bousine co !�{?Rlrlrme-ct hcfar eij':J L�lc. :ti6AAil7idlg�lla[ [.IiIMx built Certificate Qf Occupancy dated . .be*ors . Apr_ . ,23 . . 19.57. pursuant to which XCjaW-.b'9T.r 4''o.Z5739- dated . . . . . . . . .Jan . . 14 • . . . 19.7�., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private one family .dwelling . • and three Accessory. Buildings The certificate is issued to OVTLer./ . . . . . . . . . (owner, lessee or tenant) ttf the afuresaid building. Suffolk County Department of Health Approval . pTOn ATUtlne . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pre. ..-. .4xix.t1ug . . . . . . . . . . . . . . . . . . . . . . . . . . 11OL'SE'NUMBER . . . . . . 55.75. . . Street . . ,.rvgon JtP&d . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ' . . .� Building Inspector SCIIEDUL.B B TICOR TITLE GUARANTEE #T1285-2090 i G - c FOUNDATION ( 1st ) C FOUNDATION ( 2nd ) 2 . J z oq ROUGH FRAME & Cu PLUMBING 3 . �i S �. IJJSULATIOfJ PER 11 . Y. STATE ENERGY CODE x 4 . G --i O' - FINAL + o ADDITIONAL COMMENTS : s � m - k H a H M m 9`p Z d m .a VEL CONSTRUCTION CORP. 1138 William Floyd Parkway Shirley, New York 11967 (516) 281-2646 November 21 , 1990 Office of Building Inspector L (j u Town of Southold PO Box 1179 , 53095 Main Road Southold, New York 11971 OLD RE : Renewal of Building Permit #16786-z Premises : 5535 Oregon Rd. Cutchogue , NY Suffolk County Tax Map #1000-95-1-3 Dear Inspector : As per our conversation , enclosed please find a check for fifty dollars ($50 . 00) in order to renew the above permit . The application is exactly the same as it has been originally applied . If you have any questions please call . Thank you . Sincerelz ACMT Equities , Inc . Box 149 Shirely , NY 11967 ns/ACMT enc . ('�Anf., fK\..R,GJ'•.. i* � rkJ - H fD_'��;..i �`,s,� e .} J � o INSPECTORS o�OSpFFO(�-c (516)765-1802 VICTOR LESSARD,Principal OG SCOTT L.HARRIS,Supervisor CURTIS HORTON,Senior =� Z� Southold Town Hall VINCENT R.WIECZOREK,Ordinance C P.O.Box 1179,53095 Main Road ROBERT FISHER,Assistant Fire CA Southold,New York 11971 Building Inspectors Fax(516) 765-1823 THOMAS FISHER ?°��• ��0�� Telephone(516) 765-1800 GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 30, 1990 ACMT Equities, Inc. Box #149 Shirley, N.Y. 11967 RE: Building Permit #16786-Z Premises: 5535 Oregon Rd. Cutchogue, N.Y. Suffolk County Tax Map #1000-95-1-3 Gentlemen: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any alterations or additions to an existing dwelling, and it is unlawful to occupy said dwelling until the Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar Af ��. /�� � ✓'vim-- ,�'-�-� APPROVED AS NOTED OCCUPANCY OR ,n:*7401g B.P # 167f6 USE IS UNLAWFUL NOTIFY DEPARTMENT AT '765-19 AM TO 4 PM WITHOUT CERTIFICATE FOLLOWING INSPECTIONS: FOR THE / FOUNDATION TWO REQUIRED FOR POURED CONCRETE OF OCCUPANCY P ROUGH FRAMING & PLUMBING S. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL M Copper hV IS UNd THE REQS T REMENTTS OF E N.TRUCTION SHALL Y LU for STATE CONSTRUCrioN & ENERGY �bI CODES nt1T RESPONSIBLE FOR 8y8tw: PIPSd shah be �GslrN r'.inuSTRuCTi(?At =RRQRS: of typ" K os nr a 1°^ BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . ; TOWN HALL NOTIFY ;SOUTHOLD, N.Y. 11971 TEL.: 765.1802 CALL • • • • • • • . . ..{. %. . MAIL TO : ,� Examined . 29 . . . . . . . . ., 1 Approved . . . . . . . . . .. I Permit No.1474A . .Z 1 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uildi nspector) APPLICATION FOR BUILDING PERMIT �� Date . ` . �� . . . . . . .. 19 l INSTRUCTIONS r a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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. c. 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`-issuariFe,,,of a Building Permit:p nt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New\r%k,and other applicable Lav7�� ' ances or 2ofapplica?nt, a l Regulations, for the construction of buildings, additions or alterations, or 9name, , as li�� �scribed. The applicant agrees to comply with all applicable laws, ordinances, builds' - d regulations, and to admit authorized inspectors on premises and in building for necessary ins pe .c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signant, orif a corporation) State whether applicant is owner, lessee, agent, architect, engin4f,',i6f eral,cont o;a electrician; plumber or builder. ° t „ i ���c'��/.1�. . . ./. ✓9/� . . . Ju—yl—`�' ?-1. ... . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . !./. . . /. . . . 4 (as on the tax roll of latest deed) If applic , is a or oration, signatur f duly authorized officer. CY - . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's Licensll 1 Plumber's L ill . . : . .`. 0 Electrician's License No. . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . f5 S 2,5 r 1. Location of land on which proposed work will be done. �L G`. . . t. . . . /,�� . . . . . . . . . .. . . . . . . . . . .LC. /. !. . . . . . .C17.TC+ EQ.CaQE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number � Street Hamlet County Tax Map No. 1000 Section . . . . . / .S.. . . . . . Block . . . . ./. . . . . . . . . . Lot . . . .: . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . ,1—. 7. 3 Y. . . . ® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy�lZ(. . `r'1. . .` 4 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alterafi0 Repair . . . . . . �. . . Removal . . . . . � . . . . Demolition . . . . . . . . . I . . . . Other work w 1 (Description) 4. Estimated Cost . .�/.��7 /�.�*RG. t . . . . . Fee . . ®® ` (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . .�. . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o. If business. commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . NuntbgrofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . f: �.'✓� Rear . . . . . . . . . . . . . . . . . . . . . . pt 10. Date of Purchase f . ��. / ��./'. . . . . . . . . . . . . Name of Former Owner .K � �%`. . . 75 ?? t> 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . "W�) 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . Will excess fill be remove from premises: Yes No 14. Name of Owner of premises . .S'. J7 �� �' . Phone No. r i:.'. .': .<-..4i l.�. T . . . :. . `.. Address /. .'-f . .� P . �:-' Name of Architect . . . . . . . , . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . Name of Contractor ? ? /j�. . .e-': . , . . . Address 2 :'. e1�iG.'f�`' . : ¢hone No.��.�f 15. Is this property local d withi 300 feet of a tidal wetland? *Yes . . . . . No *If yes, Southold Town Trustees Permit may� be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. PLUME - .^`RTIFICATION `-J- LEI. ,);VTENT BEFOR / H r ON �.. CEArlFic.: . ;t Of OCCUPA --- CY OR ie tNI �VVFUL WITHOUT CERTIFICATE $ c SYS USEDlNCA vNOT OCCUPANCY EXCEE 12110 1% LEAD. 1 BER"1611E AIM STATE OF NETS' YORK, S.S 0 COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners. and is duly authorized to perform or have perforned 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 filed therewith. Sworn to before me this pp . . . . . . . . . .°Z. . . . . .day of. . .. . 1�.�44. . . . . . . . . . .. 19 p� , 4otary Public, . . . . . . '• '. Kk .(I/d . . . . County HELEN K DE VOE . . . . . . . . . . .'' . . . . . . . . . . . . . NMM�i88,&" tgnature of applicant) Term Expires IAereh 30.