HomeMy WebLinkAbout18992-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32678 Date: 10/18/07
THIS CERTIFIES that the building ALTERATION
Location of Property: 8050 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 118 Block 5 Lot 2.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated pursuant to which
Building Permit No. 18992-Z dated APRIL 27, 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 ALTERATIONS TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. THIS CORRECTS
C/O Z-18994 ISSUED 4/27/90 FOR LOT NUMBER ERROR.
The certificate is issued to JOHN & KATHLEEN SPICER
(OWNER)
of the aforesaid building.
SDFFOLR COUNTY DEPARTMENT OF HHALTH APPROVAL, N/A
ELECTRICAL CERTIFICATE NO. N/A
PLLiMBERS CERTIPICATION DATED N/A
_
Autl rized S' nature
Rev. 1/81
rr~?
~u~; 2 3 ~9$9 tU FORMNO.6
TOWN OF SOUTHOLD
- Building Department
TOWN
OF
3OUTHOLD Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and wbmitted w rr.~rri to the Building Inspec-
torwith the following; for new buildings or new use:
1. Final wrvey of property with accurate location of all buildings, property lines, streets, and unuwal
natural or topographic features.
2. Final approval of Health Dept. of water wpply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installs-
bons, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
~ B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
S 1. Accurate wrvey of property showing all property lines, streets, buildings and unuwal natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25:00 BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling Xk9(),~~X $100.00 -far garage
3. Copy of certificate of occupancy $-5.00, over S -years $10.00
4. Vacant Land C.O. $ 20.00
S.Undated C.o. $"50.00 Date ,.October.20,,1989,,,,,,,,
NewConstruction,,,,,,O1dorPre-existing Building ...X........ Vacant Land
Location of Property , $050. Nassau, Point. Road...... . . . . . . . . . . . . . . .
House No. Street Hamlet
Owner or Owners of Property Ff'~4Gg$. N.. FCl $41~ .
County Tax Map No. 1000 Section Block ....`J.......... Lot..P~P.~.........
Subdivision....Nassau.Point .Club.Properties,FiledMapNo, 156 .,,,,Lot No. ,105
Permit No.... , Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Planning Boar pproval
Request for Temporary Certificate inalCe~ificate „Pre:Certificate of Occupancy
fdr'garage'
Fee Submitted$.100:00
ffC~ons((truction on above described building and permit sal ablg codes and regulations.
l ~0 f (e,c.~2Gl ~ ~ ~ 3 0~ ~a7o gPPlicant . .
No ~-e~ Gary planner n, Esq.
aa~. io-io•~e P. 0. Box 706 '
Q-2c 39 r3~g-~ Cutchogue, NY 11935
itro]SDI 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 u Z Date 19...9.0
189~~
Permission is Hereby granted to•
to .L%.t'u.~r..•.•.~n4Gdw~-..........~..~ ...rah. ~.~P..~.~~---
........a.~:..........
at premises located ot
County Tax Map No. 1000 Section ......~~:G~....... Block Lot No......~r..c...Z......
pursuant to application doted 19../7.., and approved by the
Building Inspector.
~ ~ v
Fee 3...~`•:,l..a ..~y}!1
%~r. • • •
B (ding for
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18994 Date APRIL 27, 1990
THIS CERTIFIES that the building ALTERATION TO ACCESSORY
Location of Property 8050 NASSAU POINT ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 5 Lot 2.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SANUARY 13, 1990 pursuant to which
Building Permit No. 18992-Z dated APRIL 27, 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 ALTERATIONS TO EXISTING ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to FRANCES N. FRISBEE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
~
Bui ing Inspector
Rev. 1/81
BOe1RD OF HEALTH .
3 SETS OF PL.1NS
FORM N0.1 SDRVEY
,x+13 i19~1 TOWN OFSOUTHOLD CHECK
6UILDING DEPARTMENT SEPTIC r•oRrt
BLDG. DEPT. TOWN NALL
TO~NPIOFSOUTtit)LD $OUTHOLD, N.Y. 11971 NOTIFY o
TEL.:7G5.1802 cnLL
v MAIL T0:
Examined 7. 6 19'x:`. / cCj .
APProved 19~fa Permit No./. t~~ .
Disapproved a/c
..............................`~~:~~t, may!. ~/~i~+'.[f. .
( uildi Inspector)
APPLICATION FOR BUILDING PERMIT
Date 15 . k~!
INSTRCICTIONS
N~ '
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wish ~
sets of plans, accurate plot plan to scale. flee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streees
zor areas, and Giving a detailed description of layout of property must be drawn on the diagram which is pan 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 issuance of a )3uilding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, other/applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for ie oval orsdemolition, as herein described.
The applicant agrees to comply;with ali applicable laws, ordinances, building c , ho •'n., code an regulations, and to
admit authorized inspectors on premises and in building for necessary inspectio ~
• ~ (Siena ure pp~nt, or name, co~rpo~atibn)
~ FF
~~1' (Mail' g addr ss ap c t)
State whether appl{c~ ~ p'2vner, lessee, agent, azchitect, engineer, general contractor, electrician, plumbet or`~iuilde
Name of owner ~~~m;'.~~ssi~: '..•`'r'~',~tR1~'hi'i+'+{',.'i ' . . .
Y ~ 9id'C ~tD ,~,,y a'~E"`t+ttda"i~x`s (as on the tax roll or latest deed)
IC applicant is a l~ots~i'bt~[idh, is+`A~tiarUfieio'f'duly:authprized officer. g~
• . , . , , • • ~ t~lp{4~~ It°erJ~l St~'P~t ~ r:~1I,~{Y. .~S'1-i~.Y~.. . . •
(Name and title of corporate officer)
Builder's License No . . r~,f ~
Plumber's License No . u ~ ~i
'y`
Electrician's License No . . ~g ~ /
Otlicr Trade's License No . .
1. Location of land on which proposed work will be done;
flouseNumbcr•~•....•..•.~..~ ~....Strcet. ~ ••.•~.Hainlct~~•~•••~~•~
~ Block . Lot . 1!`~5•: ~ ~
County Tax \tap~rNo. 1000 Section
Subdivision \.P15~1°WV~~.D~~~ Filed ~Iap No. Lot ...1Q~
(None) '
State existing arse and occupancy of premises and intended use and occupancy of proposed construction: ,
b
a. Existing use and occupancy .....................i~~i.....pp.........................................
b. Intended use and occupancy .••~C~~~~""'\~'l r
3. Nature of wor}, (checl. which aPPli, ~~Ce~'1
cable): New Iluilding Addition Alteratio •
Repair RPmova~ . Demolition ..............Swi:nning 1.6 .
Tennis Court Accessory $uilding..........Fehce .......Other Wor .
4. Estimated Cost .~J.~~p~ Fee • .
(to be paid on Glirig this application-
g g
S, If dwcliin~ number of dwellin unfits Number of dwcllin units on each boor
If garage.numbcrofcars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: C•ront . Rear Depth • , , , , . .
Heicht ...............Number of Stories . .
Dimensions of same structure with,alterations or additions: Front Rear . .
Depth Iicight ......................Number of Stories .
8. Dimensions of entire new constntction: Front Rear Depth , ' ,
Hciht ..............:NumbcrofStories............ .
9.: Sizr oP lot: Front . Rear Depth
10. Date of Purchase ; : . .......:.Name of Former Ocvner _ . .
i i. 7_.c~ne ar use district in tVhicie premises are situated . . .
1~.. L~ocs proposed construction violate any zoning law, ordinance or regulation : . .
l3. 1Vi.11 lot be regraded . . . . . ..........1Vii1 excess 611 be rernovcd from premises: .I Yes « , . No .
14, Name of Owner of premises ....................Address ...................Phone No.... , ,
Nante of Architect . , . .....Address , ......Phone No.... .
-Name of Contractor . , ..Address . .Phone No... • .
15.Is this property ,located within (00 feet of a tidal wetland? *YSS...,:NO....
*If yes, Southold Tpwn 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 linos. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
-
' _R A AS NOTE 9 2
I'Pfi,1'E• ~I S.P. M
d BV.
6~FE:
NOYI UILDlNG DEPARTME AT
7G5.19D1 9 AM TO 4 PM FOR THE
' FOLI.ANNNG lNSPECTBONS:
1, pQtINDATION - TWO REQUIRED
VOR POURED CONCRETE
2. ROUGH • FRAMING & PWMBING
3. INSULATION
A. FINAL. - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
THE REQUIREMENTS ~ THE N.Y.
STATE CONSTRUCTION r1t ENERpY
DESIGN OR CONSTRUCTION
E RORS
STATE OF NE\V O S S
COUNTY F ...•2 . . .
, ~ r~~~~.. ~ :^.1 1.. being duly sworn, deposes and says that he,is the applicant
• (Name oC individual signing contract)
above named. \\nn ,
• ` (Contractor, agent, corporate officer, etcJ
of said owner or owners, and is duly authorized to perform or have performed the said work and to mane and file 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 manner set for tin the application 61cd therewith.
Sworn to bciorc me this
Notary Public, ~y~,~~~.. .Count r'
p~~.~ . .
HELEN K. OE VOE T
NtlGRY PU9LIC, State of New Yak (Signature of applicant)
TeNm•E
D~res
March
39,hunty-„
pnx (631 ~h5-9502
'pele4hppe (631)'165.1802
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