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HomeMy WebLinkAbout18776-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18870 Date MARCH 12~ 1990 THIS CERTIFIES that the buildin~ Location of Propert~ 6565 BRIDGE LANE House No. County Tax Map No. 1000 Section 84 subdivision SYLORETT EST. ADDITION Block 01 Filed Map No. CUTCHOGUE Street Hamlet Lot 6.9 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 29, 1990 pursuant to which Building Permit No. 18776Z dated FEB. 7~ 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 AN EXISTING ONE FAMILY DWELLING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEkLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MICHAEL & CYNTHIA CAPRISE -~~' '~B~ng Inspector Rev. 1/81 l~ow~r NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL CON~PLETION OF THE WORK AUTHORIZED) N9 18776 Z Permission is hereby granted tg: , ............ ..~..~.~.~....~.../~'~.../~ .............. ~,,~,., ,~,.~ ~ ....... .~.~ .............. ~~//~ ......................................... ~o..~ ~o. ~o~ No. ~ooo ~,,o. ....... :.~/: .... ~,~ ........... 1 ....... ~ .o ........ ~,.~. .... pU~uent ~ ,pplic,tion d~,~ ...~ ..................................... , ]~:~ ond ~pprov~ by the Building Inspector. Fee $.~~ Rev. 6130/80 TO~N ~ALL 765 - 1802 1197I APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING~..oUACANT LANi) ........ Location of Propert~ ............................... uousn No. s~ UA~ o~= o= o~=~ o~ ~o~.~~/~ .......... Subdivision.. Filed Map ........ LoC ....... Permi~ No. ..Date of Permi~ . .App[icau~ ........ ~ Health Dept. Approval .................. Under~citers Appcoval .............. Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ ............... Final Certificage .-~- - .... APPLICANT 10/14/88 FOl~t NO. 6 TOWN OF SOUTIIOLD BUILDING DEPAK'i~IENT TOI~I ~LL 765- 1802 APPLICATION FOK CEKT~F~CATE OF OCCUPANCY ~NSTKUCTIORS Ao 'I"bis application must be filed in typewriter OR ink and submitted to the Building Inspector with thc following; fac new buildings or ne~ use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of ~ealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Uuderwriters. &o S~orn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences aud similar_' buildings and installations, a certificate of code compliance from the AreNirect or Engineer respof~sible for the building. 6. Submit: Planning Board Approval of completed site plan requiremeuts. B. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land uses: [. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2~ A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company vhich shall show single and separate ownership of the enclre lot prior to Apc£1 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~r£ting to the applicant. 3. Date of any housing code or safety inspection of buildiugs or premises, or other pertiuent information required Co prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company sho~ing single and separate o~raershlp of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is deuied, the Building Inspector shall state the reasons therefor in ~ritlng to the applicant. I. CERTIFICATE OF OCCII~AI~CY - New D~elllng $25.00, Additions to Dvelllng $25.00, Alteration to Dwelllug $25.00, Swimming Pool, $25.00. Accessory buildlag$25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 ~acant Land Certificate of Occupancy - $20.00 Dpdated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy -$}5.00 Residential Commercial er. 10/1~/$8 · OU~ID=T-O.; ( ls t) FOU:IDATIO,U 2. (2nd) ROUGH FRAME & -?LUMBING INSULATION PER N. Y. STATE ENERGY CODE Fi::AL ADDITIONAL COMMENTS: TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR I".O. BOX{ 179 TOWN HALL SOUTIIOLD, N.Y. 11971 Hatch 9, 1990 TEL. 765-1 ~o. 2 Michael Caprise 6565 Bridge Lane Cutchogue, N.Y. 11935 To Whom This May Concern, we are unable to complete your Certificate of Occupancy because.of the following reasons. /_--/~ An application for Certificate of Occupancy is Ilot on file. (ENCLOSED) /--/ Mo Underwriters Certificate on file. /.._ The check i:~(oax~X~i~l~,ot on file.) $25.00 /--/ Mo Health Dept. Approval on file. /-~/ No final inspection has been made. Please contact our office on this matter- Thank yot] for your cooperation. Building Permit I! I 8 7 7 6 Z Building Dept. ***/~/ Ilo Plumber solder Certificate on file. ( all permits involving plu~)ing being issucd after April 1,1984 ) N OTI FY .' 8 UII'.,I~I'~IG DE~~AT ~5-1802 '9 ~ ~ 4 PM~OR ~E FOLL~ING INSPE~ONS: 1. FOUNDAT~N ~ REQUIRED FOR ~URED CONCRE/E ~ ROUGH - FRAMING & PLUMBING 3. INSU~ION 4. FINAL CON~UC~ON MUST BE ~MPL~E FOR C.O. ALL CON~T~CTION SHA~ ME~ ~E REQblREME~ OF ~E N.Y. ~A~ CONS~U~ON & ENERGY CODES. ~ RESPONSIB~ FOR ~SI~N OR CONSmU~ON ~RROnS TOWN OF SQUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 Examined ........... 19 ~..~ Disapproved a/c ..................................... INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC EORH ................ CALL ......... BLDG. DEPT, TOWN OF SOOTHOLD Date ................. 19 a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihxpector, with se..'.s 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. Upon approval of this application, the Building Inspector wi/l 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 a.ny 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 applicabje Laws, Ordinances or Regulations, for the construction of buildings, ad. ditions or alterations, or for i-emoval or dem~lltio-n, is herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regttlations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ot al~licant, or name, if a corporauon) (Mailing address o f applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......................... (as on the tax roll dr latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plmnber's License No ' . ............ Electrician's License No Otlmr Tradc's License No ........... 1. Location ofland on which proposed work will be done: . /f '.... ...... : . ' .... ~ ,~l~t ................... Street Number . Subdivision . ed ap o. . .... (Name) :. State existing nsc and occupancy of premise~ =nd intended use and occupancy of proposed construction: a ExixHng u~e and occupancy .... ~ ' '~ · · b. Intended use and occupancy ......................................... 3. Nature of work (check which applicable}: New Building .......... Additicnd,~.."X. ..... Alteration ........... Repair ........... .. . g~moval .............. Demolition .......... ....Swimming pool ....... ....., Tenni Court ...... aeoe ,o=y uildlng .......... Venue ....... 4. ~timated Cost..~4~ ~ .......................... Fe, ..................................... ', (to be paid on filing this application) S. If dwelling, number of dwelling units ... ~ .......... Number of dwelling units on each Eoor ........ lfgarage, numberofcars .... /~ ............................................ .. .. · . . ...... . .... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing stmctures, ifany: Front. . . Rear ..... Depth ............ Heieht ............. .... Number of Stories ................................ Dimensions of same structure with alterations or additions: Front .......... Rear . . Depth .......... , ........... Height ..................... '. Number of Stories ..................... s. ............... ............... ............... Height ............... Number of Stories .............. i ......................................... 9. Size of lot: Front .... ~.~ .......... Rear .... A~( .......... Depth . .~ ~ ............ 0. Wt~ of r~:~:,~ ....~ ................ N~ or ron,~ Ow,,~ ]. Zone or use district in x~Ich premises arc situated., ~~. ........ ............... ~ .......... 2. ~ocs proposed construction violate any zoning {aw, ordinance or regulation: . ~ ....................... 3. Will lot be rc~dcd ........... (~ ........... Will cxc~s l]lI be rcmovcd from premises: ~ Ye~ .... ~. 4. N~e of Owner of praises . ~<g~...'.. ' ' ~ · ~< N~c of Architect ........................... Address ................. .. Phone No ................. N~c of Contractor .......... ' ................ Phone No ...... ,~:..~. 15.Is this property l~ated' ..Addrc= ...... ~ithin'['~0 feet of a tidal vetland? tlf yes, Southold Town Trustees Permit: may be required. PLOT DIAG~M Locate cle~ly =d dis~ctly ~1 bu~dM~s, whether existing or proposed, ~d, indicatc MI set-back d~e~sions from prope~y ~nes. Give street ~d b~ock number or desc~ption accord~g to deed, ~d s~ow street ~a and ~dicatc ~nte~or or 0R ' USE IS. UNLAWFUL WITHOUT OF OCCUPANCY STATE OF NEXV YORK, S.S COUNTY OF ................. .............................................· ... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above nam'cd. (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 contained in this application are true to the best of his knowledge and belief; and that the work will bc perl'om~cd in thc manner set forth in thc application filed therewith. ' S'..vom to before mc this ,, ;'a, S~ff0lk C0~nt~ ~ (Signature of applicant)