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HomeMy WebLinkAbout18651-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE of OCCUPANCY No 219174 Date JUNE 26, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 4560 VANSTON ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section Ill Block 10 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit hereto€ore filed in this office dated NOV. 14, 1989 pursuant to which Building Permit No. 186512 dated NOV. 17, 1989 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 INSTALL HINGED DOORS TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ARNOLD BLAIR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A -'~'S~ Bui .di Inspect f Rev. 1/81 Fosas 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) N O 8 6 J Z Date ~.1~,7 19~.,C/.. Permission is here~bj!_gr ted to• //939 to . ......G`.:.`.f.....1.l~.....~aZ~~~~:. Gr~i~~ ~'L... fey .....Q.~ of premises located ot .....:>v~..~.?....G..I~Z~P~./.......1T.~ ~~y( ...........................................~".-u..-.f......... County Tox Map No. 1000 Section .......j~~~....... Block .........~~......cc~~Lot No........~~.......... pursuant to application dated 194/...,, and approved by the Building Inspector. Fee $..~.:°.~.L?.y,~ y 00 ~s~000 ~'~~a`~• d g Inspector Rev. 6/30/80 y D J Form No. 6 TOWN OF SOUTHOLD Z 6 ~ BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 TOWN OF SOUTHOLD 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-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. 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 S. Temporary Certificate of Occupancy - Residential $15.00, Cpommercial $15.00 Date ~`~.°~J.t? . New Construction......... Old Or Pre-existing Bu,7'-lding.. Location of Proper.ty.....~.r'J..~~ Y.~~.~ ~'7 tihd'D C-s'u-~.... House No. Str©eet Hamlet Onwer or Owners of Property.......1T~:N DL-,~..~jl;A;lr\,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section....~d1:......Block....l,® .........Lot.../ Subdivision ....................................Filed Map............Lot.... Permit No...I~~.~.~......Date Of Permit...~~~l~~D.~...Applicant....['::"~^ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. Fee S/u~bmitted: $........~.Sr C 0 Z/9I~c/ APPLICANT...... ~/a~~9~ r'lELD II:SPECTiU;d ~~llATE ~ COr(MENI ° ~o OG~ 1 . . 3 \ H _ - _ y \ FOUNDATION (1st) _ , N - a FOUNDATION (2nd) _ m z . ~ o o C~` P,OUGH FRAME & C PLUMBING H 3. ~ rh IfJSULATI0P7 PER N. Y, • • 'j STATE ENERGY CODE m a y FI;JAL o E z , ADDITIOAIAL COMMENTS: x .2 ,t r t~ ' a H H O 2 1 . ~ Cs] `p A • r H d [+1 H R ~~\E'• U k~' TE• L. 765-I E07. ~i ~ ~ ~ 7'o~trrr «r snvzuo~,~ r+-~?(',~'4 ~,:n~r~' Orl~iCliOt~ IfU1LUiNG fiJSPECTOR ~ ,rl _ t1,,0~~" r '!'Ot, iJ I IA~LL ¢f ..cc~ SOtII'ItOLU N...11971 J~ ~ . <~ll ~Y' .vrzL'i~ April 12, 1990 JOAN C. BORN BUILDER BO% 208 EAST MARION, N.Y.Y 11939 RE: ARNOLD BLAIR To P1hom This May Concern, t•7e .ire tlrtablr_ to compl.^.te your Certificate of/O/ccup.znry because of the following r~ason~. I_~/ An application nor Certificate of Occupancy is not nn file. (ENCLOSED) ;lo undcr~.ariters Certificate on file. it 1'hc cl:ec}c .is ( not oa file.) $25.00 I:o 'tealth Dept. Approval an file. C:o final inspection has been made. Ple,ir;e contact our office on this matter. Thank yoi.r for your cooperation. i3uild.nr, I'exmit II 1 8 6 5 1 Z Duilclinry Dept. ( f!o C'lumher Soliier Certificate on file. ( all permits involving plumbing being .ia:;uc<1 afL•cr April 1,19II4 ) . ri / 0 `y ~ ~ 765.1802 BUILDING DEPT. INSPE~TIC~N (]FOUNDATION 1ST ( ] ROUGH PLBG. FF UNDATION 2ND [ ]INSULATION ? FRAMING (]FINAL REMARKS: .~--z°.,~.~~`` DATE I d INSPECTOR R BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK Qg~~: AL-$Q~G~........ . 6UILDING DEPARTMENT SEPTIC FORM • TOWN HALL EOUTHOLD, N. Y. 11971 NOTIFY TEL.:7G5-1802 CALL MAIL T0: Examined •l~,l 19~~ .\pProved • 19~Permit No. ~s~.("..~~. D Disapproved a/c ~ BLD DEP (B ing Inspector) APPLICATION FOR BUILDING PERMIT fie, • Date ..~D-V • 1 „ 15 .v'. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 HEREB~i' 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary-i-gn-spections. ~7-' (Signature of applicant, or name, if a corporation) ..i~.'~.:.~ox..~a.8.. ~:.~~Rto~ N,y.~.tg3q. , (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. flr~o~.?~........~ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signat re of duly thorized officer. ( me and title of corporate officer) Builder's License No. ~ ~ ..k}:1 • Plumber's License No . . Electrician's License No. h10I)~?n1 • • E'.I,£?;??~* Other Trade's License No . . 1. Location of land on which proposed workwilll be done. • . ...~S~.t7 VAN.Bar.1..~?~ ................~1;'~Tc-j~{-¢~u~................. House Number Street• Hamlet County Tax Map No. 1000 Section ~ ~ ~ • • • • • ~ • • • • ~ Blvck ....~.0............ Lot !'(P...........'. • Subdivision Filed 1<1ap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ 1/L~ . . b. Intended use and occupancy 3. Nature of work (check which applicable): New Quilding Addition tVteration . . Repair Removal . Demolition Other Nork . (Description) 4. Estimated Cost.........b3.t~?? Fee (to be paid on filing this application) 5. If dwelling, number of dwclli'ing units Number of dwelling units on each floor . Ifgara,e,numbcrofcars 6. If busineg~, cotnmcrcialor miffed occupancy, specify nature and extent of each type of use . 7. Dimpnai~tys (ifr'~Sstiris`struetures, if any: Front . Rear Depth . Hcigltt~` •i` Number of Stories . Dim'i~s'ons e' with alterations or additions: Front Rear . Dept~t€. ~~~.~F.r,+, .Height Number of Stories . ~ ' 8. Dim$Lc3~s~f „anti;eM,new con~tiyrction: Front Rear Depth Hcig tt .~g~N ~7~~i;i?~" ~"~~x~mber of, Stories . 9. Size °lcrt~'Yi"ofl'..c:'~~:...`q:~:.''..... Rear. Depth 10. Date of Purchase ...................Name of Pormcr Owner . 12. Does ro osed construction remises are situated . . . 11. Zone or use district in which Will excess fill be removed from premises: .Yes Nc 13. 6Yi11 lot be regraded , , • +olate any zoning law, ordinance or regulation : . 14. Name of Owner of premises .'i Address ...................Phone No.............. . Name of Architect ~ .Address ...................Phone No............... Name of Contractor .......li . . . . : . . . ...Address ..Phone No.. a.........:. . . 1S.Is this property located with in,'~00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Topn Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly Fall buildings, whether existing or proposed, and, indicate all set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate wttethe: interior or corner lot. ' I I . i I i i i STATE OF NEw YORK, S.S COUNTY OF being dulysworn,deposcsandsaysthatheistheapplicant (Name of individual sig ing contract) above named. He is the . . (Contractor, agent, corporate officer, ctcJ • • • of said owner or owners, and is duly authorized to perform or have perfoivrted the said work and to make and file this application; that all statements contgmed in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannef set forth in the application filed therewith. Swom to before me this ' ! J ~ NataryPublic,(~~~"~,,c;~- /~-,W,(~!fu-.:...sE~~~~~°~.4County C ~ C . (Signature of applicant) I i o ~N ~iivB Gancc..~raGen' - - ~xrrr~ ro - _ /1 Sa PPc2~ _ ~ - F2~R~,.iS _ V f~GG~.G~2GG -~~~~~~,,UZOCic~ y~ra-~rc, i-- - - U _ L'a`trl/N~i ~r~ ~l D,~ F'" G/.t~ -1N~1,9u ~ - - Ham: ~ n~ ~ ~ ~ ~ ~ p ~ ~ way era' a , , „ gpafu~p r7 ~c lz I~~~ w~ ~i - ~W ~~,TCu 0 ~ ~ alas-r~a~ - a-:-- - - - DoO~ - ~ ~ t y~rvti~v ~ ~iili~a 9~/IC~At,~ ire ~ ~ ' - ~ ~i l O ~ . - . ~"'_I'0N1~W65+7D/~F.' ~I s l ~ ~ i ~i o ~ a~ as MorEa %~~~~~.:~D(/7 ` DATE: o~ , B.P.N ~~~5/ ` K ~ - ' - - NOTIFY 8UI 1NG OEPART'~r' IVI ~ I . - ?61i-1802 9 AM TO 4 PM FOR THE ~ . FOIL0WINGfNSPEC71ONS: -q- _ 1. FOUNDATION - TWOREQUIREO FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING _ _ 3. INSULATION m FINAL - CONSTRUCTION MUST ~ 8E COMPLETE FOR GO. ` ALL CONSTRUCTION SHALL MEET ~ THE REgU1REMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ~ ~ i COIr+ES. NOT RESPONSIBL`~ FOR ` ~ 3A7~ US~SdGN OR CONSTRUCTION ERRORS Y