Loading...
HomeMy WebLinkAbout18848-z s FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19704 February 4, 1991 THIS CERTIFIES that the building ADDITION Location of Property 8305 COX LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 3 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1989 pursuant to which Building Permit No. 18848-Z dated MARCH 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 ROOF ADDITION OVER CONCRETE LOADING DOCK AS APPLIED FOR. The certificate is issued to PRIME PURVEYORS, INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A v c_ZG~7l !C/ / C4/~~" Building Inspec~ J Rev. 1/81 w nosac xo s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COM~PyLET~yION OF THE WORK AUTHORIZED) N 0 1$ O 4 O Z Date ~.l..1...~lr......41 19..C~.(~ Permission is hereby granted to: .~~t~:~a~.......1.a.~cc~: t~t~.~~~..'~2~-~t~~..~-~ .........P..O.....Y.......~ ..a..~:.........~.~1.......... .......l. ~'-s~ ro .......tc~,~~~`:-..~.... ~ .........~~..-r~........... at premises located a~.C~..~ ~~~!!.'k~ ~..1. ~'1~T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / . . . . J. . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section .~L7o..'..-/............ B2lock/....~,....1........... Lot No...~.L..I............ pursuant to application doted ........4/.....,,,,1....` 19.~~and approved by the Building insupector. Fee 5.....~..:.{.:3t.YJ.~ Building Inspector Rev. 6/30/80 , Form No. 6 a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR 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-4 Eorm). 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 Cude Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 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 - Residenti~ailJ $15.00, Com/meGGr~~cial /$15.00 Date P.,r(~..i,I...4..[..~~./.. 'few Construction....7...... Old Or Pre-existing Building........~/....... . n ~ Location of Property. a ~ .~:5..........~lG~.G~.. ~:ln'!i^:C ~ L~ ~~:?~V.E.... House No. Street Hamlet Onwer or Owners of Property........((/~~S-.~~.~.~... ~U~.i/.L~~~..j..p.....~1~1C.://....// County Tax Map No 1000, Section.. Q..f(.......Block....,l...........Lot....S.!..( Subdivision./.~.Q.'...[./.Q ....................7...~.{..Filed Map............Lot..........~//.//,/.... Permit No..I.LU.~.[.rl. Date Of Permit.?~/~...~.~~•.Applicant.~_ f~f (~?..7:~^'l~~a-[~l'~.~II. !iealth Dept. Approval ..........................Underwriters Approval .l,?/.(~~.(~~,(........ Planning Board Approval Request for: Temporary' Certddificate........... Final Certicate.,., Fee Submitted: ~~i:.a ,,//~A C D ~ ~ 9 7~ ~ APPLICANT - _ _ ! m I, ~ _ II - - i OUI7DATZ0f! (tst) ~ ° - ~ ~ ~*R ?OUIJDATIO:J (2nd) ~ - p. ~ - 30UGH FRAI~SE & ~ 'C •PLUT`IBING N .-7 3. I ~ cL :I7SULATIOJI PER N. Y. ~ ~ ~ ~ STATE EJJERGY r CODE II x 1 ~ rn 4. v FZ;IAL • I o ; cn . ADDITID1fAL COMMEIITS: x r - ~ m . x 'b: ' H ~1 H O~ m c- y f7 'i ~ z'~ ° sn T' ~,y N ~ CS ?r1 ..S mOp~r' ~~~G~ 2 ~Nh ~ O OG~v' p~r+m C7 f<~~ 9Z~y~rn Zs~p~ ti G~4 y. ~~OONZ C'iG 7°T~D u~'~•p+ rmJ' O N (10 T .p O G G ~ ~ 7] ~ ~ "'~a 1--?- ~ ~ , r..< c.._~ _ ~ ~ ~ ~ -tip., , h>~ ~i V ~ nu'u"f 4 (y K~ .r ~T , cx. a ~ _ ~ 1 ~ -a., _ - . { ' ~v • ~ ' Cn t.:... 's ~ . r ~ r- ``4 80~\RD OF HEALTH 3 SETS OF PLANS ~FORMNO.t SURVEY TOWVOFSOUTHOLD CHECK BUIL"D.INGDEPARTMENT SEPTIC FORDt TOWN HALL NOTIFY , EOUTHOLD, N.Y. 11071 CALL ~ TEL.:7G5~1802 MAIL T0: - - - Examined .................19... Approved./.lj~//..~/......,191.(/.PcrmitNo.~~~~L7Z ' Disapproved a/c ~~~.~~ti~-- (Building Inspector) APPLICATION FOR BUILDING PERMIT Date I9. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public str<- or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 Fermi[ to the applicant. Such pe~ 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 gurpose whatever until a Certificate of Occupa~ shall have been granted by the Building inspector. APPLICATIOi`I IS HEREBY h1ADE to the Building Depaztment for the issuance of a Building Permit pursuant to 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Re~tilations, for the construction of buildings, additions or alterations, or for removal,or demolition, as herein describ The applicant a:rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on remtses and in building for necessa ~ ,{sections. p ry~6`C 16Q~ ~ft KUF~eGS...:~'~~.. (Signatttre of applicant, or name, if a corgoration) ...P .o. ~o~- l~'F.-e4..~«:.: ti.Y ~QJ~. - (hfailing address of applicant) State whether~: //a''pp~~]icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build .........OWI!'~~...... :v`ame of owner of premises /~lu!m:e ~ . (as on the tax roll or latest deed) If appii nt isja~co~ ra 'on, signature of~iuly authorized officer. (Name and title of corporate ofFiccr) ALL COtiTRACTDR'S MUST BE SUFFOLK COUNTY LICENSED Builder 5 License No . . Plumber's Liccnsc No. Electrician's License No. . Outer Trade's License No. . ~DlLJ G~tiiG 1. Location of land on which proposed work will be done. . . House Number Stpre~et , Hamlet County Tax 1<tap No. 1000 Section , . U..r7./"...... Block Lot , , , , , ; Subdivision Filed \tap No. , Lot (Name) State existin; use and occupancy of premises and intendednuse sand occupancy of p aposed construction: 3. EXISIIng use and occupancy ~ V.6 ...~~~i~~. yn'~"~`~•, b.lntended use and occupancy ~ C . 3. Nature of work (check which applicable): 1~'e+v Building ` Alteration , Addition s•3 • • • • Repair Removal Demolition Other 55'ork , , , pip / (Dcscripiio 4. Estimated Cost ......4~Q©0 . . . Fee ..(..~%.i~~~.................. ` (to be paid on f-cling this application) 5. If d~vclling, number of dweIting units Number of dwelling units on cacti floor , . If garace, number of cars . . 6. If business, commercial or mixed occupancy, specify na, tu; Fatnd extent of each t~}'pe of use . . 7. Dimensions of existing structures, if any; Front Rear ....<5 AFT.... Depth ..~c.'S'. . Hcigltt ~r .....Nuntber of Stories ~ i; Dimensions of same structure with alterations or additions: Front Rear Depth Height ......................Number of Stories 8. Dimensions of entire ne+v construction: Front Rear ...............Depth , Hei_hi ................NutttberotStories...................................................... 9. Size of lot: Front Rear Depth 0. Date of Purchase, ~.'.L.. 1. ~ ~ :3 Name of Former Owner k''~:'Y. ~~:'~':'L.. C°O~ I. Zone or use district in which premises are situated . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: !UG . 3. 55'ilI lot be regraded \Vi11 excess fill be removed from premises: Yes 4. Name of O+vner of,premises ....................Address P}tone No.............. Name of r\rchitect ...........................Address ...................Phone No.. Name of Contractor . ...Address ....:..............Phone No. . 5. Zs this property located within 30a feet of a tggidal wetland? *Xes No *If yes, Southold Town Trustees PermitP~aOvrDIAGiZAMed. Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frc roperty lines. Give street and block number or description according to deed, and show street names and indicate whech :tcrior or corner lot. ~a ' i x 'ATL• OF KE55' PORK, S.S ~G\7X OF . , , , , , , , ,f~~~G~f(. . being duly sworn. deposes and says that he is the applica: (lame of indi+idual si_ning contract) ore named. f~,~ ~f~~~~ isihe.........~ (Contractor, agent, corporate officer, etc.) said owner ar ovners, and is duly authorized to pcr(orm or have performed the said work and to make and file t!' ~lication: that all statements contained in this application are true to the best of his knowledge and belief; and that ti rI; u•ilI be performed in [tic manner set forth in the application filed therewith. orn to before me this ..........3.~.. day of 6~1 ...............19~~ tart' Public, , . ~ i.0~-... , . County /~J Gj ..............1! :~l:l~~~~ . . 1°OTHRY ~t0~tdewYOtk (Signature of applicar Xo. X70787$, Sutfofk Caunb Tmm Expcea Akrch 311,19~r