HomeMy WebLinkAbout19443-z
I
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 220191 Date SEPT. 6, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 5545 SKUNK Lane CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 138 Block 2 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 28, 1990 pursuant to which
Building Permit No. I9443Z dated OCT. 5 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 isALTERATION TO FRONT ENTRANCE OF AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to CATHERINE & MICHAEL PERLMUTTER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
xroaas avo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALE
SOUTf#OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 19 4 4 ~ Z Date ...?..,D.r.~:' ~9.
i
i
Permission is hereby granjed
of premises located at ....~ti~7..~.
i ............................................................................~~.rr..--................................................................................
County Tax Mop No. 1000 Section ....~~.Lt...... Block Lot No.
C ~
~ ursuant too licatlon doted ~
F P PP ~ 19.~....., and approved by the
Building Inspector.
1
Fee S.•~•
i
i
P
t
{ • .~......eooues...
Bu g Inspector
k
Rev. 6/30!80
k ~
s
~jJ{/~/ Form No. 6
Y~~ BUOLDING DEPAROMENT o~.=
1 ~ ~
zowN xALL
76s-lao2 AUG 2 91991 ' i G
APPLICATION POR CERTIFICATE OF OCCUPANC Fi~i;.z_ fJL:i':~, 1
TCxt~;r(i C ';a'F~~tii
.1. This application must be filled in by typewriter OF, 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 l~ 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.
i3. For existing buildings (prior to April 9, 19s7) 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 $2s.00, Additions to dwelling $2s.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2s.00,
Additions to accessory building $25.00. Businesses $s0.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $s.00 over s years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1s.00
P. D. ,~o ~ ZZ~ Date ..~~p~.+~,
:;ew Construction........... OLd OGGr~~ Pre-existing Buildin ~
Location of Property.~~J.`~~...1.~~~:~:~~:.~~-S~-Q.:....~'~:? ,
House No. I ~-n1 Street Hamlet
Onwer or Owners of Property-~l~J~~~~//1~' : ...............................qq.................
County Tax Map No 1000, Section..~~.4......:Block..~~'..........Lot..~~...1
Subdivision... .11.'' ...............................Piled Map............Lot......................
Permit No.l~ ~ 7.~......Date Of Permit ................Applicant.............................
flealeh Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate..
, ~
~'ee submitted: . 5
C'c~~61 J/ ~a.e~ualvru .~u-1~.~~9.-~~:`:'.ls-;..;/;.?~9~ IVVIL~~~_........
APPLICANT
MELD I::~: E~:'_.::; ~~J;,;S i{ ws`4~4 f~Ni'_. ~
~
m
a
_ I~ - - y~
'OUtIDATION (1st) ~
c
ti
'OUNDATIOid (2nd) - ~
- ~
o I~ d
I o
:oocx FRAI9E a
.PLUMBING
y
H
3. m
IJISULATI0;1 PER N. Y. ~ ~ y
STATE EPIERCY
CODE _~T~
4 . r
~II
. ~ -
o
ADDITIONAL COMMENTS: x~
_
M i
. x ~
b
H \
9
' H
f~
O
. i
x
m i.
• r
• - m
' m `]J
-n
' a
TEL. 7G5-1802
\p~~FF~L1~ O~~ TOWN OI' SOUTIIOLD
=c UI~PIC[:OrBUfLDlNG INSPECTOR
~ ~.rf ~ .cif ~ P.O. BO\ 728
~ T01VN HALL
~~~yf/~''MM.. SOUTIIOLD. N.Y. 11971
~l "1~ ~ March 6, 1991
Mrs. C. G. Perlmutter
P. 0. Box 229
Southold, N. Y. 11971 -
To P7hom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
i.^, not on Lile.
/ X~c No Underwriters Certificate on file.- ~ 77`7~~'
/ y,$, The check is (zt~i2~~/not on file.) $25.00
IJo IIca1L-h Dept. Approval on file.
/ / N~ final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Buildi.n~I Permit II 1 _9- ~ G 3 2
Building Dcpt.
! No Plumber Solder Certificate on file. ,
( all permits involving plumbing being
.issued after April 1,19II~ )
vz:formll6
7ss-iso2 `7
BUILDING DEPT.
1 NS~PECTION
[ ]FOUNDATION i5T ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
,FRAMING [ ]FINAL
REMARKS: TI`~~-. ~o ~ w
DATE ~ 1 B ~D INSPECTOR ~
D 2 ~ ~i~ r ~ BOARD OF•HEALTH
,~,~°~9 3 SETS OF PLANS .Q..t~`,~ ;
~i FORMNO.t SURVEY .i.~•~.
SEP Z $ I99D E ~ TOWN OF SOUTNOLD CHECK a~I'io, , ,
BUILDING DEPARTMENT SEPTIC FORPt , , , , ,
"""»-"i`"" ~ TOWN HALL
~~~~,rast~~t_t7 $OUTHOLD.N.Y.11971 NOTIFY
/ X ~V P.(~.~ TEL.: 765-1802 CALL ...1.3~..`,I~-S.S'~.....
./•~f"•• 191:: MAIL TO
Exatttined • • • • • .
APProved .~~,~s'........., 197.. Permit No. J7.~~.~~ .
Disapproveda~c
P
(Boil ng In~e
or
' APPLICATION FOR BUILDING PERMIT
• Date .<~.'.}..`~.-Q.-~-~~ 15~1~
INSTRUCTIONS
a. Tltis 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. [Spon 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 issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporatton)
.~~.s3~~~.aaq..s.~:~~~~u ~?:~..isa~~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . ~ 1 C;Y,~Ca~-~• , , , CC~a'hC'r f i'~ ~ \_T,~~
.~~-.Y 1:m \ e .
(as on the tax ra1L or Latest deed}
If applicant is a corporation, signature of duly authorized officer.
(Name and title of cQOrpo~r/at~e~officer)
Builder's License No, ...N~l'.1~J?-'~ .
Plumber's License No . .
Electrician's License "lo . .
Otter Trade's License No . .
I. Location of land on which proposed work will be done;
(louse Number Street. ~ Hamlet
County Tax Dlap No. 1000 Section j ~l ~ Block t~.......... Lot ~ . .
Subdivision . Filed 1\Iap No. Lot .
(Name)
2. State existing use and occupancy of premise's\and intended use and occupancy of proposed construction:
A. Existing use and occupancy..NOi~I~~
B. Intended use and occupancy...~~m~~••••••••••••••••••
. P
a ~!'d'i
3, Nature of wort. (check which a li ' .
pp cable): New Building , . , Addition Alteration . ~
Repair R~movaf Demolition ..............Swimming; pi5o1.. . , .
Tennis Court Accessory Building..........Fehce .......Other Work:. .
Q. Estimated Cost c?U~ , . . Fee
S, If dwellin number of dwellin un (to be paid on frliag this application)
g fits Number of dwelling units on each floor , , , , , , , , , , , , , , , ,
If garage, number of cars . . ,
6. 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 . , , , , , , , , , , , ,
Hcigltt . Number of Stories , •
Dimensions of same structure with alterations or additions: Front Rear .
Depth . . j Height , Numbct of Stories . .
Dimensions of entire new constntGtion: Front . Rear Depth .
Height Number of Stories .
9. Size of lot: Front . P.car . . Depth
10. Date of Purchase ,.1a,'.Yz~,,,,,',,,,,,,,,,,,,,,,,NameofFogncl'owner GrQ-s~~is'.'~~:~~...........,,
11. Zone or use district in which pretttises are situated . `C.'4 ~14~.t-'~t1~ ~c}~ , '
12. Does proposed construction vioia~e any zoning law, ordinance or regulation: . C14~ .
l3, Will lot be regraded . \Vill excess Cill be removed from premises: ,Yes No . .
l~. Name of Owner of premises . . . . . ....Address ...................Phone No............... , .
Name of Architect ...............Address ...................Phone No................ .
Name of Contractor , ......Address . .Phone No.. , , , ,
15.Is this property located within 300 feet of a tidal wetland? *YRS....NO....
*If yes, Southold Townl,Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicata all set-back dimensions from
property lines. Give street and block t}umber or description according to deed, and show street names and indicate whether
interior or corner lot.
i
~ APPRAVED AS NOTED
DATE: Ci.P /R
FEE:.--------._..._. BY;
N07'fFY 8UILDJNC, DEpgRTM~`~ FN
qj'
7fifa-9$02 S AM TO tt PM FOR THE
FQL9.t)wtNr., rNSPECTIQNS:
Y. fpUNDATtON TINA REQUIRED
t=OR POURED CONE:RETE
2. RQUCaH - FRAMING ~ PLUMBING
8. tNSULATIf.)N
'4 a=1'91paL - t;ONSTRUCTlQN MUST
i tiE COMPLF'PE FOFi C'.O.
raLL CONSTRUCTtQN SHALL. MEET
1'HE REOIJYREMENTS OP THE N.Y.
~TaTI; c4N~TRU:;TrQN ENERC;Y
E:i~t7r S. NQT RESPQNSlBLE FOR
DESlt~N t7R t;ONSTRtJCT1ON ERRORS
I
OUNTY OFE1V YORK, ~ S.S
, being duly.. P Y PP
. , rworn de osptJ"did"s"ac's that he is the a licant
(Name of individual sigEiing contract)
above named.
Fk is the i,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and 6le this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the mancjer set forth in the application filed thercwitlt,
Sworn to before me this
..............4~~,...,..dayof....,?..........,19?d.
Notary Public, , ...11`~P!K~:. /1 S/a:.!!(///Y.~.... County Q~,p ~p~
kIfI,EN K DE VOE • ~~'1.l VV.-t.AJC,t.7.-~ ; .
N87ABY PUBLIC, State of New York (Signature of applicant^
No. 47Q7878, SuBolk County4q~~
Term Exp os March 30,19.._G.