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HomeMy WebLinkAbout18928-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR%~4ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18955 Date APRIL 4, 1990 THIS CERTIFIES that the building Location of Property 2570 WUNNEWETA ROAD House No. County Tax Map No. 1000 Section ill Subdivision ACCESSORY Block Filed Map No. CUTCHOGUEr N.Y. Street Hamlet Lot I7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 1990 pursuant to which Building Permit No. 18928-Z dated APRIL 2, 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 ACCESSORY BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 EDWARD & CAROLEE DIAMOND /Buying 'Inspector FOIIM NO, II 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~ 18928 Z Permission is hereby granted to: · ..m~......~.....~....~ .... . ,o ..~~.....~.....~.~...~....~...~..~..,. at premises~l alocated at ....~..~'..~..O........~.....~.O~f...........~.....~ ....... ~...~.......~./~ / County Tax Map No. 1000 Section ...... .~.!..~ ........... Block ...... ..~...~. ........ Lot No ......I...~1. ............. pursuant to application dated .... ~ ~C~r...~......~... ................... , Building Inspector. 19..~..0..., and approved by the ~-ik~lding Inspector ............ Rev. 6/30/80 #6'0,006 TO~N OF SOUTROLD BUILDING DEPAKT~iENT TO~N HALL SOUTNOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.. 3/28/90 NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. ~ .VACANT LAND.. 2570 Wunneweta Road Location of Property ................... HOUSE NO. STREET HAMLET Edward H. and Carolee N Diamond 0uner or Owners of Property ......... · County Tax Hap No. 1000 Section ..11~. Block ..~ .... Lot' ..~ ..... "Map of Section D, Nassau Subdivislon.%o~.~.Properties, Inc." ............ Filed Map --~q~...Lot ..... Permi: No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: Certificate ................ DOLLINGER, GONSKI, GROSSMAN, PERMU~ & HI~$CHB~RN, Attorneys for Owners .... ~O~D ~. ~oss~"' -'~~, rev' FORM NO. 6 TO~N OF SOU~IOLD RUILDING DEPARTMENT TONN UALL 765 - ]802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS This application must belfiled in typewriter OK ink and submitted to the Building Inspector with the followlng; for new buildings or new use: ]. Final survey of propeVty with accurate location of all buildlugs, property lines, streets, and unusual natural or topographic features. 2. Final approval of Uea~th Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrlca~ installation from Board of Fire Underwriters.' 4. Sworn statement from ~lumber certifying that solder used in system contains less' than 2/]0 of IZ lead.I 5. Commercial buildings,i industrial buildlngs, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responslb!e for the buil'ding. 6. Submit Planning BoardlApprova! of completed site plan requirements. For existing buildings (prior to April 9, 1957~ non-conforming uses, or buildlngs and "pre-existing" land ~ses: ]. Accurate survey of property showing all property llnes, streets, buildings and unusual natural or tolpographle features. 2. A properly completed iappllcatlon, a consent to inspect signed by the applicant and a certified abstr!act of title issued by a tltle company which shall show single and separate ownership of the entire lot prior to April 9, ]957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing ~ode or safety inspection of buildings or premises, or other pertinent informatiod required to prepare a certificate. For Vacant Land CertifiCate of Occupancy: ~. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lbt prior to April 9, ]957 shall also accompany the application. Ilia Certificate of Occupancy is denied, the Building Inspector shall state the teas%ns therefor in writing to the applicant. FEES: J. CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dw~lllng $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to AcceSsory buildings, $25.00 - Businesses $50.00. 2. Certificate of O~cupancy on pre-existing dwelling - $~00.00. 3. Copy of Certificate of Occupancy - $5.00 - over ~ years - $~0.00 4. Vacant Land Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.0.0 Residential Commercial er. 10/14/88 .' I~LD I.S..~ION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & ~PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL !!DATE ADDITIONAL COMMENTS: #60,006 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT 3 0 TOWN NALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exalnincd ... Disapproved a/c ............. ........................ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK NOTIFY~ CALL INSTRUCTIONS Date March 28. 90 .................. 19... a. Tiffs application must be completely filled in by typexvriter or in ink and submitted to the Building Ihspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoxving location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and -' ' ,, cation. ,,tvmo a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~emoval or demolition, as herein described. The applicant agrees to comply with all applicag}e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. DOLLLXlGER~ GONSKI, GROSSMAN, PERMUT & HZRSCHHORN, Attorneys for Owners .... ,.Or~e Ol_d_Coun,try Road, Carle Place,~1514 State whether applicant is owner, lessee, agent, arcnlrect, en,,ineer~~-'lp u~-be~~ .... Name of owner of premises EDWARD H.. d CAROLER N ..... an DIAMOND (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No ........................... Plum bet's License No ......................... Electrician's License No ....................... Other Trade's License No ................ i ..... 1. Location of land on which proposed work will be done; 25 70 Wunneweta Road Cutchogue House Number .................................. Hamlet Street ........................................... County Tax Map Nol 000 Section ... 111 . .- ' BlOck 7 17 ,,,. "Map of Section D, Nassau .................. Lot ........ Subdivision Point Club Promrties, In.q.." ...... Riled Map No. 806 8 (Name) .............. Lot ............ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and One Family Dwelling occupancy ................................................................. b. Intended use and occupancy Shed , . 3. Nature of work (check which applicable): New Building .......... Addition... g. ..... Alteration ............ Repn,r .............. Rl~moval .............. Demohtmn .... ........... Swimming pool. · ......... .......... ....... : ~:)~, -~ : *25.00 · 4. Estimated Cost ..... t.~.-~- · · · i ....................... Fee .......................... . (to be paid on filing this application} 5. If dwelling, number of dwelling ugits ............... Number of dwelling units on each floor ................. number of cars ~ ' If garage ....... ; ................................................................. commercial or mixed 6ccupancy specify nature and extent of each type of use 6. If business. , ...................... 7. Dimensions of existing structures,if any: Front.., ............ Rear ............... Depth ................ Heir, bt Number of Stories ..... Dimensions of same structure with alterations or additions: Front Rear ............. ~ ' of St ri Depth ..................... i'He'ght ...................... Number o es D'pt:'.e Il 8. Dimensions of entire new construction: Front ............... Rear ....................... Height Number of Stories ' 9 Size of lot: Front ~ Rear Depth 10 Date of Purchase . Name of Former Owner 11. Zone or use district in which premises are situated ...................................................... 12 D prop d ti i I ~ y ni gl din gui ti .... · ocs ose construc onvoaean zo n aw, or anccorre a on: ........................ · · · .. 13. Will lot be regraded .: ........ i .................. Will excess fill be removed from premises:. Yes .... No.. ' Phone No 14 Name of Owner of premises ~ Address Nameof Architect ~ Address Phone No · .. : ' Phone No s~ ' Name of Contractor ' Address ................... 15.Is this property locatled within 100 feet of a tidal wetland.* mYES .... NO .... · If yes, .qouthold TownlTrustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descfipt'on according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, :S.S COUNTY OF ..... M~M.S.~U ..... FLOYD G. GROSSMAN ' g dly d ppli ............................. : .................... bein u sworn, eposcs and says that he isthe a cant (Name of m&v'dual s'gW ~g contract) Attorneys for Owners, Dzamond (Contractor, agent, corporate officer, etc.) ' of said owner or owners, and ~s dull 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 trve to tile best of his knowledge and belief; and that the ~vork will be performed in the manne? set forth in the application filed therewith. , · Sworn to before me this ·. ~ ?~.O day 0~ · March ...... 19 90 NOTARY PUBLIC, State of New Yodl , _ · 4707878, SUffOlk , , ,. .. ~ -~... .. ,~.. . --~ ~. ~1.~'~ ' ~ DATE: 0 B.P t/ NOTIFY BUILDING OEPARTME~T 765-1802 9 AM TO ~t F~T aOR~THE ~ TI S t. FOUNDATION Tw'O REQUIR~D "FOR POURED CONCRETE 2. ROUGH - FRAMING 8¢ PLUMBING 3. INSULATION .... 4. FINAL' - CONSTRUCTION 8E COMPLETE FOR C.C .... ALL CONSTRUCTION SHALL MEET,?; .THE REQUIREMENTS OF THE ' STATE CONSTRUCTION & ' CODES.' N~ 'RESPONSIBLE FO~.,:2 DESIGN OR CONSTRUCTION:~..