The URL can be used to link to this page

Home My WebLink About18781-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20462 Date JANUARY l0w 1992 THIS CERTIPIES that the buildin~ ACCESSORY Location of Property 320 CASES LANE & 27320 MAIN RD. CUTCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5, 1990 . pursuant to which Building Permit No. 18781-Z dated FEBRUARY 8{ 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 HISTORICAL CARRIAGE HOUSE ON VILLAGE GE~F~ USED FOR INFORMATION AND TICKET OFFICE. The certificate is issued to CUTCHOGUE NEW SUFFOLK HISTORICAL SOCLETY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-177284 - MARCH 5r i991 N/A Rev. 1/81 / ~uilding Inspector TOY~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMII' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18781 NO- Z Permission is hereby gr~nted to: ~ , ....................................................... County Trax Mop No. I000 Section ..... */..(~..3 ......... Block ..... ..~.~... ....... Lot No.....~.,.l ............ pursuont to opplicotion doted ..~.~~.....,~[ .................. , ~9..~..~., ond ~pproved by the Building Inspector. Rev. ~/30/80 Form No. 6 TOWN OF SOUTI~LD BUILDING DEPARTMENT TOWN t~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter DR 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 to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. 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, Swinuning pool $25.00,~A~ce~so~y building $25.00[~ Additions to accessory building $25.00. Businesses $5--~.O0. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. 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 .... ............................ .... :;ew Construction ........... Old Or Pre-~xisting Building .... .~ .... .ocation of P oper ty ................. ............ House No. Street Hamlet County Tax Map No 1000, Section..l~.g........Block..~...... ..... . .Lot...~'./.. .............. Subdivision Filed Map Lot . . Permit NO ................ Date Of Permit ................ ApplicantC~7~.%.~.~.~.~-~.~.~ 6 Health Dept. Approval ...................... .. . , Underwriters Approval..,.~.~'~ ....... Planning Beard Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~...... ~ee ~mi~ted: * ............................. . .~...~ .~.~..... . ~, H3 ~& .................... APPLICAI~T FOUNDATI0,~ (2nd ROUGH FRAHE & .PLUMBING !NSULATTON PER.N. Y. STATE ENERGY CODE FI~AL ADDITIO~L COMHENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ~ I~ATION FRAMING [~I~NAL REMARKS: A~ ~ppro~d ....... ~ .~,..., iP ... Pc~ No ............ (Building Inspector) '; APPLICATION FOR BUILDING PERMIT NOTIFY~ CALL ..................... MAIL TO: Date ................... 19 .. INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building I~'pector, with - sets 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 street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part Of tlfis appli cation. ¢. The work cOvered by ttfis application may not be commenced before issuance of Building Permit, d. Upon approval of this application, the Building inspector will i~und a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for a.ny purpose whatever until a Certificate of Occupanc'~ 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable La~, Ordinances Regulations, for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as her~in described The applicant agrees to comply with all applicab~te laws, ordinances, building code, housing code, and reo-mlations, and tc admit authorized inspectom on premises and in building for necessary inspections. (S~gnature or apphcant, or name, Jf a corporation) (Mailing address of 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 or latest deed) If ap~rlh:ar~{ is ~cnorporatigtr~--~grlature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ; .... ; .......... .. Plumber's License No ' Electrician's License No Other Tradc's License No I. Location of land on which proposed work will be done: ..................... ii;;['v .... :: ................................. tlouse Nun her Ha~nlet o'.1000 10.. " ' .o7'.. I. County Tax Map N ection ............. Block .............. Lot ....t .......,~.. Subdivision...... Eiled Map No. Lot (Name) '. State existing usc and occupancy of premises and intendcd.?e and Occupancy of proposet.[constrt,ction: ,. .,ls,in, use · .... o ancl occupancy ....... ..* ~ '~E~, ~ ........... n-.-- .............. n~ occupancy . · ,. ,... .... ~ / ***....~.....o .... ~....... · ¢ ' . ' val . ~ .... " '-'- S~i,'r~xn o · .. pair ............. Rgmo · ~ .......... uemomzun .............. ,.,.,,,,~,o P ~ =~,,; ~';= · · · enn~s Court ......... Accessory Building .......... Fence .... ~3~O~e~' ~ork z . .: ,{.,'.... . -~ .~ '~ ~tima~ed Co~t ...................................... Fc~ ................ = ................ 4, !~ · · (to be paid on If dwelling, number of dwelling ,nits ............... Nnmbcr of dwelling ,nits on,ach floor ...... ... t; ~,... {. If garage, number of ca~ .................................................. ~:, ................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............. ~.;.; }. D~menszo~ of existing ~mcturcs. ~f any: Front .. ~/..~ ..... Rear . ..~7. ~ .... Depth .~ ~..~.... ~d=ht ~[~4~..// .... ~u~ or Stod~ ...... / .................................. .,..., ......... Dimensions of same structure with alterations or additions' Front ...~7. ~ ...... Rear ...~. ~... . u~pt~ ...... ?.. S ........... mi~t..~ .~. ~ .... '. ~,,,~ or sto,~, ...... /... Dimensions of entire new construction: Front ..... '.~ ....... Rear ...... ~ ........ Depth Height ...... ~ ....... ~umber of~tofies: ....... ~ .... ; ........................................ Size of lot: Front ........... .O.~fl~..~ Rea- Depth .. . ..~ ~... EC ....... ../.Fa ~.~.V~... ~ v~ or ~.m~ ............................. ~m~ or Fo== O,~.~r /~A..G~. ~ ~e~..o~.~ Z~ne or use d~tfict in which premises are situated ........................... ~ t ........................ Dc, es proposed co~struct[on yiola~e =ny zoning law, ordinance or regulation: ...... ( ~ ................... ,.. ,. · W~I lot be reg~ded ...... ~fl. ................ Will cxce~s fill be rcmovedffom premises: Yes ..... No. ~e or Owner or pre~is~ C~z ~.. ~C. C~oa~= .~ ~. ~Ao~one ~o.. 73 ~..~ .... N~c of Architect ........................... Addrc~ ................... Phone No ................. N~e of Contractor ' ....... Phone No ...... 5.ts this property t~a~a'~thin I~'*ddre~ ........ tl~ yes~ Souchold To~n Trustees Permit may be required. PLOT DIAG~M Locute cle~ly ~d d~t~ctly ~1 bu~d~, whether existing or proposed, ~d. indicate ~1 set-back ~ensions from ope~y Hnes. Give street ~d block number or des~ption accord~ to deed, ~d show steer n~es ~d ~di~t~ whether tefior or comer Io~ TATE OF NEW YORK, S.S :OUNTY QF ............... ............ .... .. (Name of individual signing contract) bore named. APPROVED AS NOTED DATE: ~ B.R # FEE: ~:> BY ~' ~ 'j''' · NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1.FOUNDATION - TWO REQUIRED =FOR POURED CONCRETE 2.ROUGH - FRAMING & PLUMBING 3.INSULATION 4.FINAL CONSTRUCTION MUST SE COMPLETE FOR C.O ALI. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, .. . being d~T,~'l~v,c~~ s~'ysr:~¥~ is thc applicant CODES. NOT RES ,PONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS is thc . . ' . (Contractor, agent, corporate officer, etc.) -' said owner or owners, and is duly authorized to pc,r£orm or havc performed thc said ~vork and to rn:dre and file this pplication: that all statements contained in this applic:ltion are true to the best of his kno~vledge and belief; and that the · ork will bc pcrfommd in the manner set forth in th~ application filed therewith. ' worn to before mc this ,:~ ~-~ , ....................... d~y of ......... 19. ...... ................. .vd. .... co..fy ................ I/