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