HomeMy WebLinkAbout18989-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19359 Date September i3~ 1990
THIS CERTIFIES that the building. ADDITION
Location of Property 305 CARRINGTON ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section Ill Block ii Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated ~RIL 25, 1990 pursuant to which
Building Permit No. 18989-Z dated APRIL 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
JILL BURKE
JBildingInspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19360
Date SEPTEMBER 13, 1990
THIS CERTIFIES that the building.
Location of Property 305 CARRINGTON ROAD
House No.
County Tax Map No. 1000 Section 111
Subdivision
ACCESSORY
Street
Block
Filed Map No.
CUTCHOGUE, N.Y.
Hamlet
Lot 16
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1990 pursuant to which
Building Permit No. 18989-Z dated APRIL 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 ACCESSORY METAL STORAGE SHED AS APPLIED FOR.
The certificate is issued to JILL BURl(
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALT~APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
f B6ilding Inspector
FOBM NO. 0
TOWN OF $OUTHOLD
BUILDING DEPAI~TMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ .~'55 I~AIN STt~ET
.......... z' ......... '::'"'~'- ~ .~_;"~"t':'""t~)~z,~,"'
-- _ ~ ~,~~~..~ ~.- ~
Cou,~ Tax Map No. 1000 Section ......... /~Z ...... Bilk .......~K ......... Lot No .....~..~ .............
pursuant to application doted ..........Z. ~ ........................ , 19.~, and opprov~ 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 u~e:
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 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
$. 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
New Construction...~ ..... Old Or Pre-existing Building ................
Location of Property ....... ~..~. .... ~...~.. ~.~.~...~..~5.~..~..}..~.~. ~ ~.~..~.~ .~..-r .......
House No.~\k Street Hamlet
Onwer or Owners of Property.......~.,,,.~ ..... .~..~...~v.~.~ ....................................
County Tax Map No i000, Section .... ~>.5 ...... Block ...... ).~ ....... Lot ..... ).~. ..............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ......... Final~~k~}~
Fee Submitted: ~ ...........................
7 , . ...........
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 ~o 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 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 - $i0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.0~, Co~rcial $15.00
Date ........... ~.~ ...........................
New Construction ....... ~.. Old Or Pre-e~isting Building ......... m ....
Location of Property.....~....~/~..~...~....~..~..57).~.j%~'1 ..~?'~'~'.~.%-.~.... ·
Hgu~e No. li_~{ ~ $~r~e~' ' S reet ''' Hamle~'~ ......
Onwer or Owners of Property ..... ..~..~.~......~.~.~.~. ..........................
County Tax Map No 1000, Section .... 5.~.~...iBlock..i .... ~.'ii .... Lot...~.i.il ..... iiiiii
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant ........................... ..
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary ~tificate ...........
Fee Submitted: $...~...~. .....................
TOWN OF SOUTHOLD
OFFICE OF BUILDING IN~'PECI'OR
P.O. BOX 728
TOWN HALL
SOUTttOLI.), N.Y. 11971
SEPTEMBER 6, 1990
TEL. 765~1802
MS. JILL BURKE
555 MAIN STREET
NEW YORK,. N.Y.
10044
To Whom This'May Cogcern,
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
/Z/ An application for Certificate of Occupancy
is not on file.
/5// No Underwriters Certificate on file.
/~/_ The check is(o~nd~/not on file.) $50.00
/?
No llealth Dept. Approval on file.
No final ins.pcction has been made.
2 co's required
@ $25.00 each. one
for Accessory Shed &
One for Deck Addition
Please contact our office on this matter.
Thank you for your cooperation.
Dui]ding Permit ~ I 8 9 8 9 Z
Buildint.l Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
FOUNDATION (1st)
FOUNDATION (2nd)
HOUGH FRAME &
-FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI~AL
ADDITIONAL COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-!802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 1 1971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 27, 1990
Gary Flanner Olsen, Atty
P.O. Box 706
Main Road
Cutchogue, N.Y. 11935
RE: Premises: 305 Carrington Rd., Cutchogue,
Suffolk County Tax Map ~1000-111-11-16
Owner: Jill Burk
Dear Mr. Olsen:
Pursuant to our telephone conversation of today, I return
herewith your check 915327 in the amount of $125.00.
Please send us a new check in the amount of $75.00 for
building permit ~18989-Z. $50.00 representing the fee for a
deck addition to existing one family dwelling, and $25.00
representing the fee for an accessory metal storage shed.
There will be an additional fee of $50.00 when construction
is completed for the Certificate of occupancy. There will be
two separate CO's issued.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Georgia Rudder,
Secretary
FORTY1 NO. 1
lJ~ 2'5 J{~J0 TOWN OF SOUTHOLD
BUILD NG DEPARTMENT
TOWN HALL
~OUTItOLD. N.Y. 11971
~ TEL.: 765.1802
Examined ......... 19 .~..
........ 19 · Permit No .....
Disapproved ale .................. . .
BOARD OF H£ALTIt ............
.3 SETS OF PLANS ............
SURVEY .....................
CtIECK
.................
NAIL TO:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ........ 19 .~.
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to tile Building I/~spector, with
s=ts 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
cation, olvmo a detailed description of 1,~yout of property must be drawn on the diagram which is part of tiffs appLi-
¢. The work covered by tiffs application may not be commenced before issuance o[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 Certificat~ 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 Law~, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, ~ herein described.
Tile applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspect?~op p?emisez and in building for necessary inspectmjas, r~ .
" ., ' · t~ign a t u rp'bf a pp'[ie'a, t ,'o r. alam e ] f'a' c'o;; o'r.~ tlo'd) ..... t.
..... ,. (M aili/~d d r, oss o f ay~nnt)~/.~/~, _
State whe'ther ap'plfottfff"is 'o'wner lessee ";,~2
Name of owner oJ;',i~remis~s~ . '.'. ' ' .. ' '. '
;:~ ?,~ ~ u,,~,,, . (as on thc tax roll or latest deed)
If applicant is a co~qra:[ig, n,,~gnatUre oFdul~ auth0iized officer.
(Name a~ ~;[tl~ Of;cOrporate officer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade°s License No ......................
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
.. OF OCCUPANCY
h Location of land on which pro~osed work will be done: . ·
.. - -' · "
.......... ...........
l.lousc Number ' ~[rcct ' H~nlJet
County Tax Map No, 1000 Section ..... } .... Blbck Lot...
Subdivision
................................... ~ilcd Map No ....... Lot
(Name) .......................
State existing usc and Occupancy of premises and in tended usc and occupancy or proposed consttuctio~--
b. Intended u~c and
occupancy . .
8. Dimensions of entire now constn,¢tion: Front ............... Rear ............... Depth .....
Height ............... ,Number of Stories .............. ; ...............................
9. Size of lot: Front ...................... Rear ...................... Depth ............
I0. Date of Purc,~nse ............................. Name o£ Former Owner ...................
11. Zone or use district in which premises are situated ...........................................
12. Does proposed Construction violate any zoning law, ordinance or regulation: ......................
3. Nature of work (check which applicable): New Building .......... Addition . · . Altcrat:on ...........
Repair. .............. R~moval .............. DcmolitiDn .......... S~iorai q.g pDot... .........
Tenn~.s Court ,... ...... A¢cesspry Building .... ~ence ..............................
Estima,edCost .... .............. Fee .................................. "
(to bc paid on filing this applicat!on}
$, [fdwe{iing, uumber of dwelling units ............... blumber of dwel[ing units on each floor ........
If garage, number of ears ...... ~ ........................................................
6. If business, commercial or mixed occu0ancy, specify nature and extent of each type of use ............
7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth .... ,
Height ............... Number of Stories ..............................................
Dimensions o£$ame structure with alterations or additions: Front ................. Rear ........
Depth ...................... Height ...................... Number of Stories ............
13. Will lot be regraded .; ........ .................. Will excess fill be removed from premises: . Yes .... No.,
14. Name of Owner of premises .... ................ Address ................... Phone No ............... ~..
Name of Architect ........... ... ! ............ Address ................... Phone No ..................
Name of Contractor ................. : ........ Address ................... Phone No ..... ,*'. .....i.. '..
lq.Ia this property located within IOO feet of a tidal ~etland? ~YES .... NO ....
~lf yes, Southold Town Trustees Permit may be required.
PLOT DIAG RJkM
Locate cle:~ly 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.
AP~It'OYED AS NOTED
NOTIFY ~UI'LffiNG DEPA~E~ AY
76~1802 9 AM.~ 4 PM FOR ~E
FOLLOWING iNSPECTIONS:
1, FOUNDATION . ~O REQUIRED
FOR POURED CONCR~E
2. ROUGH - FRAMING & PLUMBING
3. iNSULATION
4. FINAL CONSTRUC~N MUST
BE COMPLETE FOR C,O.
ALL CONSTRUCTION BHA~ ME~
THE REQUIREMENTS OF THE N.~
STATE CONSTRUCTION & ENERGY
CODEs. N~ RESPONSIBLE FOR
DESIGN OR CONSTRU~ION ERRORS
STATE OF NEW, YO,RK,\/
... ,
·
· '' ................... '~' 'X~'~' · · r · '~' .~.~-~- .~....gUrU. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Hr, is the '
'~(Contractor, agent, 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 this
application: that all statements cont,a, inc,'d in this applicati:o.,n are trne to the best of his know/j~ge and belief; and that the
work wiJl be performed in the manner set forth in tile application qled therewith. / I .;
Sworn to before mc this · . / / .
......... 'a / /
............... O got; ..... .~.U ........ 19'.~.~ /
................ 5;' .............. '
NOTARY PUBtlC, State of New York ... r... ,;.,/-;,,4'~."; c. ~ ...................
TITLE NO. 1282-$586
LOt ~0~
/Ot ~08
ROAD
Lot 395
(filed
/O£.Ou~....*--*'~
(fliedm°P
Lot 397
I. lB=MONUMENT FOUND
2. O=PIPE FOUND
· ~ AREA TO TIE LINE = 30,757 S.F.
4. SUBDIVISION MAP FILED IN '~;~. OFFICE OF THE CLERK OF
SUFFOLK COUNTY ~?; mAY ?, 1926 AS FILE NO. 806
~L'T,~- C~-'. lAX MAP~ DIST. SECT. SLK. LOT
I000 Ill II 016
SURVEY FOR
RONALD 8URK 6 JILL ~,URK
LOT :594, "SECTION D - NASSAU POINT CLUB PROPERTIES, INC."
AT NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE
SCALEr
NO.
I"= 50'
YOUNG e, YOUNG ER AVE.UE
GUARANTEED TO-
THE TITLE GUARANTEE COMPANY
RONALO DURK ~ JILL BURK