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HomeMy WebLinkAbout18824-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18855 Date MARCH 2, 1990 THIS CERTIFIES that the building. Location of Property 235 HOLDEN AVENUE House No. County Tax Map No. 1000 Section 110 Subdivision ADDITION CUTCHOGUE~ NEW YORK Street Hamlet Block 2 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 31, 1990 pursuant to which Building Permit No. 18824-Z dated FEBRUARY 28~ 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 EXISTING ONE FAMILY DW~LT.INGAS 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 GEORGE & MI/RIEL SCHWAB Rev. 1/81 TO~N OF SOUTHOLD BUILDING DEFARTMEHT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 18824 Z Permission is hereby grante~d to: /~ ,t ,,~ ,~ .L~./...~....-..~.~...~..,.~, ............ ..... .~..~...~/.~ ....... .~..~. ............... .................... at pretrnises Iocat,~ at ..~ .~,...~~4~.~.....~ .......................................................... County Tax /v~ap No. 1000 Section .... ~...,~:...O.. ........ Block ........... ~ .... Lot No ....... .5 ............. pursuant to application dated ......... ././~.~/~,, .................................. , 19..~...~..., and Building Inspector. approved by the Rev. 6/30/80 TO~N 02' SO~TrrOL~ SOUTDOLD, ~tE~ YORK APPLICATION FOR CERTIFICATE OF OCCUPANC~ DATE .... NEW CONSTRUCTION -~..OLD OK PRE-EXI,~TIt{G BL!'~]ING ...... VACANT LAND ~ " Couuty Tax Map No. lO00 Secciou .~.~O... Block ...... . Lot:' . ..... S~h~o.. ~% .............. ~o~ ~p%.~ .... Lot.~. Pcrmi= No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Plammimg Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: FORM ~O. 6 TOWN OF $OUTIIOLD BUILDING DE ~A~.T~'~NT TO~ I~LL 765- 1802 AFPLICATION F0K CEKTIFICATE OF OCCUFANC~ INSTRUCTIONS This application must be filed in type~rrlter OR ink and submltEed to the Buildin~ Inspector with the followinb; for new buildings or new use: l.' Final survey of property with accurate location of all buildings, property lines, streets, aud unusual natural or topographic features. 2. Final approval of ~ealth Dept. of water supply and sewerage-dlsposal(S-9 3. Approval of electrical installation from Board of Fire Under~rriters. 4. Swor~ statement from plumber certifying that solder used in system contains lesS' than 2/]0 of IZ lead. 5. Commercial buildings, industrial buildings, multiple resldeoces and similar.' buildings a~d inscallatioms, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit PlanniuE Board Approval of completed site plan requirements. For exlscinE buildings (Prior to April 9, 1957] non-conforming uses, or buildlugs and "pre-existin~" land uses: ]o Accurate survey of property showing all propert~ lines, streets, buildings and unusual natural or topographic features. 2. A properl~ completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title compan~ ~hich shall show single and separate o~r~ership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~ritinE to the applicanc. 3. Da~e of any housin~ code or safety inspection of buildings or premises, or other ]. An application for vacant land Certificate of Occupancy shall be submittedm and a certified abstract of title issued by a title company showing single and separate o~r~ership of ,the entire lbt prior to April 9, 1957 shall also the appllcaZlon. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~iting Co the applicant. FEES: I. 3. 4. 5. 6. CERTIFICATE OF OCCUPANCY -- New D~elling $25.00, Additions to D~elling $25.00, Alteration to Dwelling $25.00, Swiunming Fool, $25.00. Accessory building Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - Copy of Certificate of Occupancy - $5.00 - over 5 ~ears - $I0.00 Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Ocanpancy -$ ~5.00 Residential Commercial er. IC~/ ·OUND~,T.ON FOU~DATIO~; 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE E]IERGY CODE FilIAL ADDITIO~L CO.~4MEL~TS: FORM NO, 1 FOWN OF SOUTHOLD JILDING DEPARTMENT TOWN HALL ;OUTHOLD, N.Y. 11971 BOA~,D OF NEAL'rlt.~- ..... · .. 3 SETS OF PLANSu.~<~ .......... SURVEY SEPTIC FORM ~ ._~ -' TEL.: 7GS.1B02 Examined ............ Disapprove ate .................................... APPLICATION FOR BUILDING PERMIT NOTIFY: ~ ~.' /] ,",~, LZ O~ ~,'a~''''- CALL ~.~V. . .v:-~ ............. tlouse Numbcr St rcct Ham [et · County Tax Map No. 1000 Section ........... · ck .. ... . Lot Subdivision ...................... cd Map No. . . Lot (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: '% Existing use and occupan% .......... '' ' -- · · Intended use occupa--J - OCCUPANCy OR [/SE I$ UNLAWFUL / qTHOUT CERTIFICATE OOCUPANCy Other Tradc's License No .................... Electrician's License No Plumber% License No INSTRUCTIONS a. 'llds application must be completely filled in by typewriter or in ink and submitted to the Building t~'l~ector, svith 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 premise~ or publ/c stree, ,or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par[ of th/s appl cation· · c. The work covered by th/s application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pe~nit to the applicant. Such perm shall be kept on the premises available for iaspection ,tl~o.~out the work. , e. No building shall be occupie~ 'or u~d in whole oi: ~n'Part for a.ny~purpose w,.tt~iever until,a.Cer~ific.~t~: of,Qccupanc shah have been granted by the Building Inspector., APPLICATION IS HEREBY MADE to the Building Department for the isSuanc'd~a B'~lding Permit pursuant to th Buildino'"'Zone Ordinance of the Town of Southold, Suffolk County, New York, an/other appIicable Lam. Ordin:mces o Regulations, for the co~,~t~ctio, n of buildLngs, a~ditions or alterations, or for ~er~val 9,1' d,,emolitiol~, as he.in describe,, The applicant agr~ees ~d~.~0{'nply wi~ all .apo icabie laws, ordinances, budding c~e, ho~s~ code,~nd regulations, and t, admit aurH6I-izcd'.i.g~.Ili~s ~l,n'~'If/-emise~ ~i~d 'ih building for necessary inspectionS.. ' "[.////~, / / ..~/ · r~:-.~,, . , . (Signath'r~/o~ .hp~licgnt, or n~me, State whether a~p~i'~i J~ ~wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............. ; . : . :v ).". .'.?X% .................. ., ..... , ................... ¢ ~;~ ~ :,,.: (as on the tax roll or latest deed) If applicant is a c~ral~'Si~ature 6f duly authorized officer. ........litil ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Rep~r .............. Rl~moval .............. Demolition ........ ~ .)-SS}t ~ng P o°~ -~[~_h ...... Tennis Court ....... ~ Accessory Building .......... Fence ....... Other Work: ..... ~.~.,...~ ~ '/ . Fe 4. Estimated Cost . ~...-G'-~.. ............................. e ................................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If parsee number of cars ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7 Dimensions of existing structures ir any: Front . . . Rear ....... Depth . Height Number of Stories ............ Dimensions of same structure with alterations or additions: Front Rear ............. · Depth Height .... . Number of Stories .......... $ Dimensions of entire new construction: Front Rear ...... Depth . . . Height Number of Stories ' 9 Size of lot: Front Rear Depth . .. :O. Date of Purch~e ............................. Name of Former Owner ............................ i 1 Zone or use district in which premises are situs*ed .......................... [2. Does proposed Construction violate any zoning Iaw, ordinance or regulation: ............................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes .... No 14 Name of Owner of premises .... ' .... Address Phone No ..... Name of Architect ........... Address ................... Phone No ................ Name of Contractor ................. ' ........ Address ................ Phane No ...... IS.Is this property located within f00 feet ~}'a tidal wetlaod? *¥ES...;NO.-::'' · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and block number or description accord.lng to deed, and show street nmmes and indicate whether interior or comer lot. APDRO~D ~S I~OTED .. '/ NOTIFY [IUIL~D~IG OEPAR"i'*~'~CT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING ~NSPECTIONS: ~. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR OF, SIGN OR CONSTRUCTION ERRORS STAT COUNTY OF ...... _. .w~..t~..,O.h ..... S.S ................................................. being duly swam, deposes and says that he is the applicon: (Name of individual signing contract) above na~ed. He is the ........................................... : .......................................... :. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application: that all state~nents contained in this application are true to the best of his knowledge and belief; and that Work will be performed in the manner set forth in the application filed therewith. ' ...... day of ...... 19 .~ Notary Public ....... fi. ...... County ~: -, // No. 4707~78, ,5a~l~ Coast/f/ (SignatUre of applicmat Ten~ Expires Match ~, 1~.