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HomeMy WebLinkAbout18872-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-25288 Date SEPTEMBER 30, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 2725 COS LANE CUTCHOGUS, N.Y. Hovae No. Street Hamlet County Tax Map No. 1000 Section 96 Block 3 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1990 pursuant to which Building Permit No. 18872-Z dated MARCH 14, 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 AGRICOLTURAL STORAGS BUILDING AS APPLIED FOR. The certificate is issued to GOERLER REV~'aRT TRIIST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Buil ing Ina ector Rev. 1/81 - - _ roes xo, s 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) 0 18 8 7 2 ~~.~1......1...~ 19.9.0 N _ Z Date Permission is hereby granted to: ro ....C'`M~1.!:K cam.. ..~.~rLs<s?~,~I..v~ at premises l~~oct ...R~...~.°~..5~........~.`.'.1:'.'....~~'.'.'!:!::.......... ~`.?~t..Ir:C.A,s:-~+s . County Tax Map No. 1000 Section ....,.a.9.~P........ Block .......A..Y~........ Lot No...~:..~ pursuant to application doted ...~.a-!5:.~:f......~ 19.1~.A.., and approved by the Building11 Inspector. Fee ;...w~~:. ~ Building Inspector Rev. 6!30/80 ~3y~S335. TOWN OF SOUTHOLD BUILDING DEPART4IENT TOWN HALL 765-1302 APFLICATZON FOR C~RTIFICATL• OF OCCUFaNCY a. This apolication must be filled in by typewriter OF, iris and submitted to the building inspector with the following: for new building or new ese: 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-° form). 3. approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1Z lead. 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. 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. G~ Fees Certificate of Occupancy - New dwelling 525.00, additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming gool 525.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - 5100.00 3. Copy of Certificate of Occupancy - .25~, Updated Certificata of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential 515.00, Commercial S15.00 Date New Construction........... Old Or Pre-existing Building ~ j ~~fj' / Location of Property. 3 ........................~~dMfL_............. ~~(!/.L.~(/c~. ,I~.F House No. Street Aam_et Onwer or Owners of Property........../°./ County Tas itap No 1000, Section....7,b........B1oc4...~...........Lot.../.~.J . Subdivision \ ................................Filed ~fap............Lot... ?ermit Vo ................DateJOf Fe~it................Applicant............................. Health ~t. agntoval.....~! ~ ...............Underw-riters P_noroval...~~/..~............... ?lapping Board :approval. 3equest .or: Temporary Cart if icate........... Fi,.a c=te.~ ?ee Submitted: 5..°?:5.~ - ~ }^lI0 "`mil / E, S3~(Sd aPPL1Ca,~. o~oSUFFO~~-~o Gym Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 >w Telephone (516) 765-1602 Southold, New York 11971 y ~ col ~ Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 8, 1997 Ronald B. Goerler RFD 2 West Shore Rd. Oyster Bay, N.Y. 11771 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)~25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on £ile. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18872-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. F• a iC ' ° F / J C O i ~ C N , ~ 6. X ~ ja' ~ lT SJ.[r3ivvf00 '1tfId0ISIQaU 1 O I 7Bf:I3 ~ / ~j C----~ L ~ ~ aao~ I I I `J83td3 aSVSS F , , I 'z ' N kr3d rdOISy'InSf u m C F N or;Iar~rnZa~ ~ 3cavxa xnn r nO ~ r-- - o-~, - - f` t puz ~ r:ol.t~rarrn ~ c~~~i ~rol.t~acrn = II L1- - _ 765-1802 BUILDING DEPT. INSPECTIQN [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ~]'/FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 3 DATE ~ INSPECTOR BOARD OF HEALTH F~.~I d..... SURVEY 0 /PLANS FORDA N0. 1 } TOWN OF SOUTHOLD CHECK tl~.. 7(•~D BUILDING DEPARTMENT SEPTIC FORPf TOWN HALL $OUTHOLD,N.Y.11971 NOTIFY; Z.2`.1-Q~$~ TEL.:7G5.1802 CALL _ n MAIL T0: Examined .~.1..~.~., l9 q.~ ~pp Approved ..~.~`:':iY f : [ 19 94 Permit No.. ~ ~ 71.?? Disapproved a/c Y Cp~fy(Buildino Inspector) APPLICATION FOR BUILDING PERMIT Date - 6 IS`h INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witi 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 stre~ or areas, and giving a detailed description of layout of property must 6e drawn on the diagram which is pan of this app ~;ation. 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 peril shalt 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 Occupam 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 t= Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspecti s. (Signature of up Iica~ e, i a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builde Name of owner of premises , f~: .7+':'. !~N. /~Y~~:..~c7~~fe< . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate of~flicer) Builder's License No. ...f31.J.~b~. FT•~-........... Plumber's License No. . EIectrician's License No. !~:4 . Ot}terTrade's License No. 1. Location of land on which proposed work will be done; House Number Street. Hamlet County Tax tap No. f 000 Section ~ BI'ock Lot.. y-.r........ Subdivision Filed ~fap No. Lot . (Name) State existing use and occupancy of premises and intended use and accupancy of proposed construction: a. Existing use and occupancy ...Y:~~y!`k~.Q b. Intended use a ~M.. ~;~~~T ,S7C~+4CE nd occupancy 3. Nature of work (check which applicable): New Building Addition .Utera[ion . Repait Rf:moval Dcm lit- n ..............Swia~ning pool........... Tennis Court Accessory Building...~...Fehce .......Other Work..... • 4. Estimated Cost/y, ~1.~... C14~~~~~ . rFee ([o be paid on Oiling this application 5. If dwelling, number of dwelling units Nttmbcr of dwelling units on each floor . If garage,numbcrofcars 6. If business. commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front .....-s~-.-r-.... Rear Depth . Hcialrt Number of Stories . Dimensions of same structure with alterations or additions: Front • - • . Rear . Depth FIcight ......................Number of Stories , 8. Dimensions of entire new constntction: Front 6y~........ Rear f`i`./.~........ Depth ..,~Z-~1.~ , Hcigttt ~y~........ Number of Stories ....~:t?~:..~7~.1?~_! . 9. Size of lot: Front 7z... N Rear Depth 10. Date of Purchase 6.. !~.:1~18,Z, , , , , , , , , , , , ,Name of Former Owner , Zone or use district in whit}[ premises are situated :G . IZ. Does proposed construction violate any zoning law, ordinance or regulation: . . . 13. Will lot be regraded . tiVilt excess fill be removed from premises: Yes , e 14. Name of Owner of premises .Q Address Pktone No...... , Name of Architect ~ . Address Phone Na..7.~7: • . Name of Contractor .~r~. Address ~~~`•~'~~i .Phone No..7.?2,'.°~~- . 15.Is this property located within !00 feet of a tidal wetland? *YES... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frotta property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corn l.extlt SSe+9>:3D ~j~©~}p , g5ts` D ~ , 75 AcRf.S z9`x6y ~j~ s~. ~ ~ z4` t~T~ g6-3-x,1 a' b ~ yes ,y~o, x 3 7' STATE OF NEW YORE, S.S COUNTY OF . 1~u4?-!~!V~ Kf~L:~{ being duly sworn, deposes and says that he is the applican (A'amc of individual signiug contract) about named. He istfte.A (Contracto , agent,• rporate officer, etc.) of said owner or owners, and is duly authorized to per orm or have performed the said work and to make and Gle thi application; [hat all statements contained in this application arc true to the best of his knowledge and belief; and that th work will be performed in the manner sci forth in the application filed therewith. Swam to before me this ................~.-3 .....day of S~-~:~.r 19~s~ Notary Public, ,~:r?, ~ County ~ G~~ IRIS R. BE RA _ _ Notary Public, State of Now York ' ' ' Na 48447bt (S' ure of applican QuelRied in Suffolk County Commission E~iresJan.3L tY~.