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HomeMy WebLinkAbout19555-zFOR~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19725 Date FEBRUARY 13, 1991 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 36925 MAIN ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 02 Lot 12.03 Subdivision Filed Map No. Lot No. conforms substantially %o the Application for Building Permit heretofore filed in this office dated NOV. 27, 1990 ~ursuant to which Building Permit No. I9555Z dated Nov. 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 ACCESSORY GREENHOUSE. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOAN & ANTHONY STURCKEN H020260 JAN. 29, 1991 TOWH OF $OUTHOLD BUILDING DEFARTMIENT TOWN HALL SOUTHOLD, H. Y, NO. BUILDING PERMIT (THIS PEI:~VtlT MUST BE KEPT ON THE PRF_.~IS~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gran~ to!/1 / . t -_...:-:.:..::~ .... ..~:..::.: ....... : ...... ~.~.~ .............. ~...~..7..~..~ ....... ./...~.~ ...... ..~.......~... ............. ~7 .................................. ';"';'"~'::'::: ...... ;7~"'~';' ............. ~£'"::: ........... . ....... at premises located et .... ~;~-.~..7..~.,,~. ........ ~..~/ .............. ~ ..............~~..~ ................ County Tax Map No, 1000 Section ........................~. g~'~ Block .... ...~.....~.. ........ Lot No. ....................... I ;~ ,<3..~.. pursuant to application dated ..... ~...~.~ ...... .,~....-/ ....... , ]9.~.~..., end approved by the Building inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPDRITMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN£ 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: 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 $25.00, Additions~to dwe~ll~_$_25.~_~ Alterations to dwelling $25.00, Swimming pool $25.00~g~c~ry~uilding-$~fi60~, Additions to accessory building $25.00. Businesses 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 ...! [~.~..19. [ ........................... New Construction... ~ Old Or Pre-existing Building ............. House No. ! Street Hamlet Onwer or Owners of Property~~./[..~..-~...~..~..~......~~ .......................... County Tax Map No 1000, Section.O..~?.~..~..©. .... Block.O..~. f.O..~. ...... Lot.~.[.g.:.~...~..~. ....... Subdivision .................................. Filed Map ............ Lot ..................... Permit No.[ .~..~.. ,~.. ..... Date Of Permit Jl t~...[.~.~. .... Applicant ~.~..~.. '~' '~' ~ '~' 'l .... Health Dept. Approval .~. ,~.~...~..~.' .......... Underwriters Approval ~. ~...: .~._.}~...~..~. . ....... ' ........ Planning Board Approval ~ . \/ lequest for: Temporary Certificate ........... Final Certicate.~ ........ . , . ............ z i¢74f- rr . CAm- - ' THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~<~: ~ ~07.~ ~¥(, BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No, on file THIS CERTIFIES THAT only the electrical ~uipment ~ ~serib~ ~w a~ int~duced by t~ applicant ~med on t~ a~ve application number in ~he prem~es of in t~ following laca~g~ ~ ~se~t, ~ Ist FL ~ 2nd Fl. Section Bilk Lot FIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER SYSTEMS NO. OF FEET S E R C NO OF HI-LEG GENERAL MANAGER rhls certificate must not be ohered in any manner; return to the office of the Board if incorrect. Insp, ectors may be identified by their credentials. COPY F~R BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOTBE ALTERED IN ANY MANNER. TOg~N OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR Is.O. BOX 1179 TOWN IIALL SOU'TIIOLD, N.Y. 11971 JANUARY 30, 1991 TEL. 765-1802 ANTHONY & JOAN STURCKEN 36925 MAIN ROAD CUTCHOGUE, N.Y. 11935 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /_--//~An applicatio~ for Certificate of Occupancy /F'/ 'Ihe check .[:;(~t~.~[~ot on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. P]ea'.;e contact ()ur office on this matter. Thank you for your cooperation. lh~ildin(j Permit t! I 9 5 5 5 Z Building Dept. ***/~/ tie Plumber Solder Certificate on file. ( all permits involving plumbing being issued after AprJ. 1 1,1984 ) THE'NEW YORK BOARD CE FIRE UNDERWRITERS DO NOT WRITE HERE - FOR OFFICE,USE ONI;Y'~ ~, LIST BELOW ALL EQUIPMENT WHICH YOU INSTA~LLED Loca. I NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS 6RANCH Lamp Receptacles CIRCUITS Ceiling Wall Recep'ls Switch Pendant Bracket No. Type Each NO Each NO Gauge I i OUT- I -- I THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE iNSPECTiON AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANZ [] CONCEALED DATE COMPLETED SI~ OF SIGN (NOMBER) MANUFACTURER OF SIGN PRINT NAME AND ADDRE8S ~ ALBANY, NY 12207 [] BUFFALO, NY 142G~2 ROCHESTER,217 Lake AvenUeNy 14608 ~1~ SYRACUSE,202 Arterial ROadNy 1 85 John Street 41 State Street 570 Delaware Avenue [~ 3206 THE NEW YORK BOARD OF FIRE UNDffRWRITERS BUILDING DEP'E COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. Eli F THIR COPY WITH BUILDING DEPT. WHEN REQUIREr) . - . - . ~/~~ 76S"'t 802 UILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ANTHONY C. STURCKEN u ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & -PLUMBING e INSULATION PER N. STATE ENERGY CODE FINAL FORM NO. t TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHQLD.. ~,L¥. 1.1.9.71,. TE~{: 765.18D2 BOARD OF HEALTR ......... SETS OF PLANS SURVEY CllECK .......... N'A'q; L ?0~ Approved..~.~..~,~0., I P .~.0. Permit No./. Disapproved a/c .... (Building Inspector) APPLICATION FOR BUILDING PERMIT FOLLOWING INSPECTtONM 1. FOUNDATION TWO REQI.JIR~D FOR POURED CONCRETE 2, ROUGH . FRAM}NG & PLUM~ING 3. INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. I. ' Location of land on which proposed work will be done: STATE CONSTRUCTION & ENERGY · . ~ RESPOI'~$1BLE FOR .............. · ... ....... llousc Number Street, ' Hanflct ' ' ........... .· ..... Subdivision . · .................. Filed Map No. ~" ~';" "" ' State e" ' (Name) ..... ~,,,-, · ,~; · · LOL.~. ~. XlShng .sc and occupancy of premises and intended usc and occu , 7, - ' '. 'f- ! ~ z Panc y of p/:o_posed .cor~st'tuc tion: ~ B. Intended use and occupancy ~7~.~.[_~g~_- B alder s Lzccnse No ...... Plum b~r's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... INSTRUCTIONS a. This application must be completely filled in by typewriter or itt ink find submitted to the Building ~m.aectm-, sets of plans, accurat~ plot plan to scale. Fee ~ccord'ing to schedu!c. b. Plot plan shelving location ut lot and of buildings on premises, relationship to adjoining premises or pubLic stre~ or areas, and -' ' o~vmo a detailed description of layout of property must be drawn on the diagram which is par/of this apl: t, cation. . ' c. The work Covered by this application may not be commenced before issuance oF Building Permit. -cl. Upon approval or this application, the Building Inspector will issued a Building Permit to the applicant. Such perr~ ~ shall he kept on the premises available for inspection throu~out the work. e. No building shall be occupied or used in whole or ~n part for a.ny purpose whatever until a Certificate o£ Occupam shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to ti Building Zone Ordinance o£ the Town of Sou,thold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe; The applicant a,,rees to comply with all applicable laws, ordinanc' '· admit authorized respecters on premzses and m buildin- f .... 'e.~s.:_build~,~g code, housing code, and r~ulations and · o ornec~..,~,~ {r.~ ~__~,,~ ~_', t . . . · ta,gnature of a~phcant, or name, ii; ii' ' ........ t (Ma n,,a f applicant) · = tess o ppli . State whether a cant is ~wner, lessee, agent, architect, engineer, general contractor, electrician, umber or builder ............. (as on the tax'~ll ~r lat~ "~ ~{~"":"'" ~' ....... t --- .................. ' FEE' ,'~_'"~ ,' "-- Rv Y/ C' 1. (Name end title of como ,,,,, ~c~.~'J..'~ ......... ~ _N~TIFY 8UtLDING DEPARTMgNT · ~- r,,,~, ~.cs) 1U5-1802 9 AM TO 4t PM FOR THE 3. Nature of work (check wh ch apvhcab[ol. , ..... ~ . epmr' . ............. R~moval .............. Demolition ............ Swiping obbl.. ~l~ (t~ he paid on filing 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 e f e . 7. Dimensions,ofexistingstmcm~es, ifany: Front..,.,..,....... Rear ............ ... Depth. ...... . Nu~ber of Stories Height ............... . ................................................ Dimensions of same structure With alterations or additions: Front ................. Rear ........... Depth .................. [ Heieht . ~ ........ X~u2 ...... ' 9 Size of let: Fiont ~ Rear ' ' ......... : ............. · · Depth 11. ~;~ or use d~tnct m wl}tch ~[emises are situated ........... 12. . proposea constructmn ~mlate any zoning law, ordnance or regulation: . ~. ....................... 13. W~I lot be re-rn~a ~ >~ ' .. ._ * ........ *~ ~.z .......... ~ ...... Wdl excess fill be removed from pr~O. Ye; .... N~eN~eofcontmctor..°fArchitect ..~.O~ ~ ........ 2.........Address ................... PhoneNo .... 7'~'~'~ .... l~.La ckis property loc~ted wlthxn'i~0 feet of a tidal weelaud~ eYES .... ~If yes. Southold Towin Trustees Permit may be required. PLOT DIAG~M Locate cle~ly md dist~ctly ~'I bu~d~gs, whether existing or proposed, ~d. indicate ~1 set-back d~en:ion: :; · prope~y ~nes. Give street ~d bloc~, number or description accord~g to deed, ~d show stree~ nmos and re&cate' ' interior or corner lot. . ~ .I ' . occ.a cv OR " I OF OCCOP Cy 70. oo I o0 STATE OF NEW YORK, i S.S COUNTY OF ................. I '-"-- ' ~' ...................... being duty sworn, deposes and says that he is the applica:. ('Name of individual sig~ing contract) above named. He is the ........ (C ffi ) *" ontractor, agent, corporate o cer, etc. of said owner or owners, and is du,ly authorized to pe.rform or have performed the said work and to make and file th application; that all statements con~ained in this application are true to the best of his knowledge and belief; and that work will be perfommd in the manner set forth in thc application filed therewith. Sworn to be'ore me this .~ ,.. ' . ....... .....