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HomeMy WebLinkAbout18772-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18911 Date MARCH 21, 1990 THIS CERTIFIES that the building. Location of Property 2860 SKUNK LANE House No. County Tax Map No. 1000 Section 97 Subdivision ALTERATION & REPAIRS CUTCHOGUEr N.Y. Street Hamlet Block 8 Lot i0 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2, 1990 pursuant to which Building Permit No. i8772-Z dated FEBRUARY 2r 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 ALTERATION & REPAIRS TO UNHEATED PORCH ADDITION OF A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RANDALL FEINBERG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF F32kLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 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) NO- ~18772 Z Permission is hereby granted to: .................... : ......................... ,o ...~...~.~~...~.~ ~~......~....~.....~,~ ~~.....'~~...(.,..~_...' -- .... ~..~,...,. ~, ,,,,.~'~-~;~ .................. ~./~.~___~,~/~~ at premises located at ...~....~..~.~. ....... C~,~:'~......~.~ ................................................... County Tox Mop No. 1000 Section .... .~.,.,~. .......... Block .......... ~,.,. ..... Lot No ........... ./......~,. .... pursuant to application dated .... ,~/~ .............................. , 19..~...~?and approved by the Building Inspector. Fee $.~~ Rev. 6/30/80 TOWN OF SOUTIIOLB OFFICE Ol'~ BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUI'IIOLD, N.Y. 11971 . ~arch 19, 1990 TEL. 765-I 802 WILLIAM MANN BOX 1010 CUTCHOGDE, N.Y. 11935 RE: RANDALL FEINBERG To Whom This May Conrern, We are unable to complete your Certificate of Occupancy becau3e .of ghe following reasons. /_~/An application for Certificate of Occupancy is not on fil~. (ENCLOSED) /--_//?Io Underwriters Certificate on file. /__~The check is(DRX~c%%X~not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ ~:o final inspection has been made. Plea:;e contact our office on this matter- Thank you for your cooperation.' Juild';.nq Permit ti I 8 7 7 2 Z Building[ Dept. a**/_--/ No Plumber solder Certificate on file. ( all permits involving plumbing being is;;ued after April 1,1984 ) FOU~DAT!0:! (1st) r OUJDAT_0,! 2. (2nd) ROUGH FRAHE & -PLUMBING IIISULATION PER N. STATE EIlERGY CODE Fi::AL ~/~ ~/~ "/'/ /~ 7.] ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FINAL REMARKS: ~/..-."FO- ~ 4'"~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/]INSULATION [~FRAMING ~r ] FINAL REMARKS: DATE TOWN OF SOUT~OLD BUILDING DEPAKT}IENT TOWN HALL SOUTDOLD, NEU YORK 765 -- 1802 11971 TOWN OF 'SOUTI':IO APPLICATION FOR CERTTFICATE OF OCCUPArlC~ NE~ CONSTKUCTION ....... OLD OK PRE-EIISTI~G BUILDING..b~....VACANT LAND Locatiou of Property ........................ HOUSE NO. STREET UAMLET 0uner or Owncr~ of Property.. .-~f~-...-~/~. ~ .' .............. County ~ax Hap No. I000 Section .Y. 7'.. Block 'ivisioa Subd ....................... Permi~ ~ealth Filed Map ........ Lot .......... ~o. Y.F. 7:Z.A'.~te o~ Pe~i~ ...... App~ic~ ~ Dept. Approval ............. Underwrieers Approval ..... Planning Board Approval ................ Request for Temporary Certificate . .. Fiaal Certificate ........... Fee Submitted: $.. o7.~% .~.. ......... rev. I0114/88 FORM NO. 6 TOWN OF SOU/qlOLD BUILDINC DEPARTMENT TOWN IL~LL 765- [802 AFPLICATION FOR CERTIFICATE OF OCCUPANC~ INSTRUCTIONS This application must be filed in typewriter OR ink and submitted to the Build~g Inspector with the following; for new buildings nr new use: !. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/]0 of IZ lead. . . 5. Commercial buildings, industrial buildings, m~ltiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Eogineez responsible tot the building. 6.Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, [957] uon-couformlng uses, or huild~gs and "pre-existing" land uses: [o Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed appiication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall shew single and separate owmership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor iu writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, amd a certified abstract of title issued by a title company showing single and separate ownership of the entire 10t prior to April 9, [957 shall also acc~,~wany the application. If a Certificate of Occupancy is denied, the Building I~pcctor shall state the reasons therefor in writing to the applicant. D. FEES: CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling $~5.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory huild/ng $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $[0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$]5.00 Residential Commercial FORM NO. 1 TOWN OF: SOUTHOLD BUILDINO DEPARTMENT TOWN HALL $OUTttOLD, N,Y. 11971 TEL.: 765.1802 Disapproved a~'c ..................................... BOARD OF HEALTH ........... ]3 SETS OF PLANS SURVEY .................... CHECK ..................... SEPTIC FORH ................ CALL ....... · .c.'. ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building I~'pector, with ,~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.adjoiniug prcmisc~ or public street or areas, and giving a deta/led description of layout of property must be drawn on the diagram which L~ part of this appH 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 perrni 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 a.ny purpose whateYer until a Certifir. ale of Occupmac~ shall have been granted by tile Building Inspector. APPLICATION IS HEREBY MADE to the Building Depmrtment for the issuance of a Building Permit imrsuant to tht Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for {'emoval or demolition, as hr.~in described The applicant agrees to comply with ali applicable laws, ordinances, building code, housino~ code, and reo~.tions, arid admit authorized inspectors on premises and in building for necessary i~t~pectioj3s · · (Signature o~ applicant, or name, if a~ corporanon) .-, / (Mailing address of applicant) State wh~ther applicant is owne~ent, architect, engineer, general contractor, electrician, plumber or builder. .... ............................................................ (as on the tax roll or latest deed) If applicant is a C/orporadon, signature o£duly authorized oflicer. , · · Builder's Lmense Nu..~~..a?~-wc ~L~ Plumber s Lmense No; ~ .: ........... Electrician's License No ........ , ~ Other Tradc's License--N-oi -- Location ofland on whic roposud work will be done, _.~ ,. ..__ ............ ,~,.,. , -~.~ .......... :~ ..................................... House Number Street. Ham[et C tyTa M N IO00S ti .... BIO L oun x ap o. oc on ............ · ck ............ ot ..... / Subdivisi~ Kilcd Map No "~ Lot ' (Name) State existing use and ~ccupancy of premises and intended use aud occUp~cy of proposed construgtion: . ;. Nature ofw~,(check which applicable): New l]uilding .......... Addition .......... Alter~tk~ ..... ~ .... ~ ............. Rbmoval .............. Demolition ......... ..... Sw~.mra~no' ' ~ poo~.z' 4 ;~.'..'; .' ..... ~Cou~t~ ....... Accessory Building .......... Fence ....... Other Work~ .......... :. Estimated Cost~. ~f~ ~. ~ .~ ...................... Fee ..................................... .~ (to be paid on filing this application} i. If dwelling, number of dwetling units ............ Nnmber of dwetling units on each floor · ...~...~ ...... If garage, hum bet o f 5a~ i. If business, commerci~ mixed occupancy, specify n~ur~nd extent of each type of use .................... ..... · z. D~mens~on%ofex~stmgst~ctures, ffany: Front.. ~ear ~.(( ...... Depth .... . ~ /~ ~'--' . ..~ ~ ..... He:ght ~...ff ......... Number or Stories .t ................... Z .... ~ ..................... ~ .... - - ' D~mensmns of ~me stature wtth alterations or additions~ront .. ~.~ .... Re L Sixe oflot: Front .~~ .......... Rea: ...................... Depth ..................... ). or .... 6.te.q ................... Name or Former Owner .............................. ~;. ~=~,.,,.c or use d~trict in ',v~ich premises are situated... ~ z .............. ~q.~ ................... 2. Does proposed conxtructionyiolate any zoning law, ordinance or regulation: .. Z.~.~ ..... . ................. 3, WDI lot be regnded ..... ~ 0... ~ ' . ...... Will exce= fiIl b~ffemoved from premises: N~e of Architec~ ........................... Address ............. ;: .... Phone No ................. N~e ofeontnctor . . ' ..... Addrc~ ........ · · If ~es, Soutbol'd Town Trustees permit may be required. PLOT DIAG~M Locate cle~ly :d dis~ctly MI huHd~, whether exixting or proposed, ~d. indicate ~[ set-back d~ensions from ropeNy Hnex. Give street ~d block number or description accord~g to deed, ~d show street n~es and ~di~te whether ,~terior or comer lot. . J ffOI'RRY PUBL~, ~ af New ~ N~, 4"/078TL ~ Cemsl~k~,. · Te~ D,~pire~ M~rch 30, 1~ (/. (Signal-are of applicant) STATE OF NEW YO~ COUNTY OF .~.~ ~.. S.S ........ ~- ~ .................... being duly sworn, deposes ~d says that h~ ~ the applicant (Name of individual signing contract) above n=~ed. ~ i~ the ............... 4 ..... ~ ~ ~ ' (Contractor, agent, corporate officer, ctcJ ~ of ~id ~wner or owners, ~d is duly authodzed to perform or have perfo~ed the said work and to m~ and file tBi* ~pplic~tion: that ~11 statcment~ contained in this application am true to tire best of his knowledge and belief; and that tBe work will be perl'onned in the m~ner set forth in the application flied therewith. ' Sworn to before mc lifts ":', · · ........ ..... ... dayof. .' ................ 19 Rota~ Public ..... ~ ....................... County