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HomeMy WebLinkAbout19574-z . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT O€f ice of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20599 Date MARCH 18, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 830 NEW SUFFOLK ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 6 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1990 pursuant to which Building Permit No. 19574-Z dated DEC'ti?MaFR 12, 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 RECONSTRUCT ROOF: SIDING & WINDOWS AS APPLIED FOR. The certificate is issued to LAWRENCE & ANN MILIUS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-228094 - MARCH 12, 1992 PLUMBERS CERTIFICATION DATED N/A D- Building Inspector Rev. 1/81 I rosti xa 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) N~ 19 5 7 4 Z Date ..a.~,.. .........1.. 19.9..a Permission is hereby grouted ...~4.K...~.~..~ 0 of remises located at g3 D ~V.~ p p ....llS...d ~r"~f. .N~~ . County Tax Mop No. 1000 Secti^on~......~.. Block ..1D........ Lot No...0...~ pursuant to application doted ......I..~.~.S.A.C!:~!^Sn.~...~ 19.~.~, and approved by the Building Inspector. Fee s.S":7~.:... -~.....~..~.~:t... . ding Inspector Rev. 6/30/80 Form No. 6 . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 o£ 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 2J10 of 17 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: ~E 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 - Residential $15.00, Commercial $15.00 Date iVQ/! P.'~!i3.~f~~.-...~. l New Construction..... Old Or Pre-existing Building.... Location of Property.: ~ 3:C~..........."~ C;ti.z5,r1.y`°J.`Q~-!`~ ..~~...\:L.~-.'~:T-~Ff~~.~.~~,_,. - , House No. Street Hamlet Onwer or Owners of Property~5?~i~C-.:~/..K".E:.. ~...!~!~1.:!~..~?l.~f.-./..5........... County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision/ ....................................Filed Map............Lot...................... Permit No 5..~.~.,.Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~.... Fee Submitted: ~ (.0 ~ ct 8S ~ ¢ APPLICANT z INSPECTORS ~~gUFFO(kco (516) 765-1802 O G VICTORLESSARD,Principal 'yam SCOTTL.HARRIS,Supervisor CURTIS HORTON, Senior °w Z Southold Town Hall VINCENT R. WIECZOREK, Ordinance p ^r P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire 9,h ~ 0!~ Southold, New York 11971 Building Inspectors #t Fax (516) 765-1823 Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 27, 1992 LAWRENCE & ANN MILIUS P.O. BOX 187 CUTCHOGUE, N.Y. 11935 To Whom This 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. (Enclosed) XX No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19574-Z (ALTERATION) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~nc,~ 1(f9@17.1. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate HXtft(:!I 12,1792 ApplicotionND,anfile 79922~5L/91 N 22b0ur4 THIS CERTIFIES THAT only the alectricol equipment as deacrihed helow and introduced by the applicant Homed on the shove application numher in the premises of sn~~v ~Iti:,zlr;;, 6.'Jrn tacr>r sag>?ol,~ a~nnra, Co~rcS[~ar,,.5>a, u.°t, in thefollowinp locationg ? Basement ? /xt FY. ? 2nd Fl. ~~lil~ .Ser[ion Block Lot uws examined on MAl2Clf 0~~r1992 orcdfoundto he in coneplimar with the requiremenLx q(this Board. fIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT.FWORESCENi OTHER AMT K W AMi. K. W AMi. KW. AMi K.W AML H P. `t 1. 7. ^ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. On H. P. GAS H P. AMT NO. A W. G. AMi qMP AMT AMPS TRANS. AMi H. P SYSTEMS AMi. WAiiS NO.OF FEET SERVICE DISCONNECT NO. OF S E R Y { C E AMT. AMP, yypE METER ~ YW ~ A~W 3 A3W 3,e' 4W NO OF CC. COND A. W. G. NO OF HbIEG A W' G NO Of NEUTRALS A' W G EQUIP. PER % OF CC. COND OF H4LEG OF NEUTRAL OTHER APPARATUS: PAUY., R. B1JttNS f,l'C> 562132-hi C/~~~ / l75 'l°QYdtd !iAh~p~ IrAS~FI u QDTH(JGL1, NYr 11371 GENERAL MANAGER r 11 ~Y Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. j COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' INSPECTORS Princiha! Building Inspector o~pSVFFO(~~OG Curtis Horton a yj2 SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ = Southold Town Hall Thomas Fisher v. P.O. Box 1179, 53095 Main Road Building Inspector ~y ~ Southold, New York 11971 Gary Fish '~Oj ~ ~`a Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF Bi)ILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOL3THOLD August 14, 1991 Larry & Ann Milius P.O. Box 147 Cutchogue, N.Y. 11935 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) XX No Underwriters Certificate on file. XX The check is (NOT ON FILE) $25.00 No Health Department Approval on file. - - - No,~£ina-1- inspect-ion has-been made. - - No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19574-Z ALTERATION Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. /~s~s~ ~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU ION (]FRAMING [ INAL REMARKS: DATE INSPE~TOR INSPECTORS PrincipaltBuilding Inspector Q~pSUFFO~~COG Curtis Horton y~ SCOTT L. HARRIS, Supervisar Senior Building Inspector H Z Southold Town Hall Thomas Fisher t++ P.O. Box 1179, 53095 Main Road Building Inspector ~ • y,~ p! Southold, New York 11971 Gary Fish O,( ~ ~0 Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspectrn OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 14, 1991 Larry & Ann MiliuB P.O. Box 147 Cutchogue, N.Y. 11935 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) XX No Underwriters Certificate on file. XX The check is (NOT ON FILE) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19574-Z (ALTERATION) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU ION [ ]FRAMING [ FINAL REMARKS: 4 i ti f DATE INSPECTOR `~G ~ "I c lELD Z;:S:`?~TiU;J IIU6:5 II ~O.M~'NENIS ' ~v _ ~ m j ?v _ y FOUtlDATION (1st) ' A~ _ ~ ~ ~ '1' c ~.l ti~. m FOUtlDATTOtJ ( 2nd ) _ - / 2 . 1 ~ ~i z off, P,OUGH FRAMI's & o P1.UMHING p~ L y y 2,~ 3. y ItJSULATIOM PER N. Y. STATE ENERGY ~ CODE a r m y 4. FI;JAL ' ( m ADDITIONAL COMh1ENTS: x~ lrt,,_. L o c~ x 77 A y H ~ O Zr s m x~ 0 m y ~~s~~ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ J FO NDATION 2ND [ ]INSULATION [ FRAMING [)FINAL REMARKS: DATE ~ ~ INSPECTOR BOARD OF HEALTH J SETS OF PL.1N5 fORM NO. 1 SURVEY . • TOWN OF SOU7HOLD x,CiIECI: . BUILDING DEPARTMENT SEPTIC FORtI TOWN HALL - ~ $OUTIit1LD^L~Ly_lL`1IL t7OTIFY TEL.:7G5~tII02 CALL } 2.19 9 V MAIL TB:~ 1 • . • Ezantincd ~ 4J`~d ~ Approved tiLJ.°.~~^."~.. ~ 19 ~k Pctmit No. 19 5 7 ~ ~ : :^i . Disapproved ajc . I I rr~S :Y.~~'~- ~ (Building Inspector) . ` BLUG Dt. . APPLICATION FOR BUILDING PERl41I7 TOWN OF SCUi!sCa : Date IS . INSTRUCTIONS a, This application must be completely ffllcd in by typewriter or in ink and submitted to the Building Inspector, trio sets of plans. atrttrate plot plan to scale. Fee ac~otrtin; to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stye: of areas, and giving a detailed description oC layout of property must be drawn on the diagram which is par[ of this apF cation. c. The work covered by this application may not 6e commenced before issuance oC Building Permit. 'd. Upon approval of this application, [he Building Inspector will issued a Building Permit to [he applicant. Such perr. shall be kept on the premises available Cor inspection throu^_hout the work. e. No building shall be occupied or used in whole or in par[ for any purpose whatever until a Certificate of Occupant sFtall have been granted by [he Building Inspector. APPLICATION IS HEREBY hfADE to [he Building Department for the issuance of a Building Pezmit pursuant to t~ Building Zone Qrdinance of the Town of Southold, Suffolk Count ,New York, and other applicable Laws, Ordinances < Rc_ulations, for the construction of buildings, additions or a ration or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, finances, b ildin~ code, housin, code, and rcoulations, and t admit authorized inspectors on premises and in building f necessary j(+_soec*_i^^s. (Si, azure of ppliclnt or name, if a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...................../.........n...J......................................................... Name of owner o[ premises l.~.t-:-y.. , .hz t~t kf . (as on the tax roll or latest deed) if applicant is a corporation, signature oCduly authorized officer. (Name and title of corporate officer) IIuildcr's Liccnsc No.... QLVLeCl: . Plumber's Liccnsc No . Elcctr.u.;;; ~ Liccnsc No . . Otlicr Trade's Liccnsc No . 1. Location of land on which proposed work will be done; JJ UL~ ~'J Strcct. flousc Nuntbcr Hatnlct • 1 County Tax \tap No. 1000 Section • • • • • • • • Blue:k • • , , • , , , , , , , Lo[ . . . , , Subdivision Filed Alap No. Lot . • ~(Namc) Sixte esistfno use and occupancy of premises and intended use and occupancy ofproposed constnction• A. Existing use and occupancy... SIAyI~ ~tnv~.,~\'. ..`t~C.SIC~Cnc.` s B. Intended use and occupancy.~ r e 3. Nature of work check which applicable): New building Addition Alteration Repair RFmoval Demolition ,Swimming pool......... . Tennis Court q (Accessory Building, .........Fence .......Other Work:. 4. Estimated Cost y~,•IOI(~t]+J~; Fee . 5. If dtvclling, nutnbc~rllloC dwcllino (ta be oaid on filing this application ~I units Number oC dwcltin~ units on each Cloor . IC garacc, number oC cars • • : . : . 6. If business, commercial ar miscd occupancy, specify nature and extent of each type of use , . , , , , , . , 7. Dimensions of existing structurFs, if any: Front . Rear Depth . Hcigltt Nuriitber of Stories ...tf ~~i... . Dimensions of same structure tgith alterations or additions- Front . . Rear . Depth Flcigltt . Nurttbcr of Stories , . Dimensions of entire new constntction: Front Rear............... Depth , Hcicltt , Number of Stories , ~~~~jj • 4. Size of 14~,tk~ tlrror na ~ • j Rear ...~,Ge.~.6 Dc •Tj, h . , N..~s~ ~ r ;!s a F,(; G7 lp, Date of Purchsse .....1~ (zl,?„~, , • • , Namr_ of Partner Owner ~(•CC 1~... r . . Y 1. lone or use district in wlticlt premises arc situated , 12. Does proposed canstrdction vio.h~l1te any zoning law, ordinance or regulation: /1/t~, • . • • • - • • • • • • • • !3. 1Vill lot be regraded ,IY.V . . 5Vi11 excess (ill be removed from premises: 1'~s - • 14, Name of Otvner of premises . _~.4VY-Fi;v}s~., , jll~iui-Address ..trc~.~ cft~4 ~ .......Phone No. : ~'~.-f ~ • . Name of Architect , .......Address ...................Phone No.... . Name of Contractor ~ ~ ' .Address . .Phone No.. • . 1S_Ls this property-located within •300 feet of-a.tidal•wetland? ^yCS-••.2t0!5,•• *IE yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAti1 Locate cleazly and distinctly al~ buildings, whether existing or proposed, arid.indicate all setback dimen;ior.'.:: ' property lines. Give street and block number or description according to deed, and show street names and indicate w::c:'. interior or corner lot. ~es~e~~1~1 1J . s~rt~ ~ ~d~~~~ ~~~sS lb~, • 1la c.l~ ~ Q~~r~~~ • wJ ~(p~w/~ - ~ ~ l.tJr~,<~ot.~s . ~lPPRt~U~I.D AS i°dt3'(~D DATA: ~?~Yo l3.P ~J .L`LS`2.~..~. ' NOTIFY t31i6!_C?VNC; t~E:F'ARTt\AEN'P lti' 766-1£402 t3 AM TO 4 P(Vi i"•Ofe 7'HE FOl.LOWLNC; tN>F'F.CTIONS 1. FOIJND,41'I()N - TtNO REC!UIRED ' p~~G~l qR• FOR POURED CONCRETE - ACC S ~~~'P~~ CA~~° 3. INSULATION AM1NCi & PI.IJMBtNG HO~~ ~UppNCY ~ aE COMPLETE FOR C.O tON MUST QC Alt. CONSTRUCTION SMALL MEET THE REQUIREMENTS OF THE N.Y. - STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATG OF NEN YORE, ~IS,.S CnuU-rv ttr- - - ~ , • ~ • (T\amc oCindividual si~ti ' ' ' ' • bang duly sworn, deposes and says that he is the appiica~ ing contract) above named. Iii llcisthc (Contractor, agent, corporate officer, eteJ• of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl: application; that all statements contained in this application arc true to the best oChis knowledge and belie(; and that t:•. work will be pcrforntcd in the mannc'Ir set forth in tltc application filed therewith. Swom to before me this • ...............:5.. .,.~d~ay~o(''!......~?-~/;` .......,19%0 Notary Public, 1:~'•~ ..I~...~~4!Y~ . County HELEN K DE VOE ' ' H~gy0187A, Su~tfolk C un ~ • • • • • • • • • - , • • ' TermEMpiresMerch30,19~ (Si;namrcofapplic~'