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HomeMy WebLinkAbout18271-z w l FORM NO. 4 SOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18467 Date OCTOBER 16, 1989 THIS CERTIFIES that the building ADDITION Location of Property 3630 ORCHARD STREET ORIENT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 0?_7 Block 03 Lot 3.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3J 1989 pursuant to which Building Permit No. 18271-Z dated JULY 6 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 2ND STORY DECK ADDITION & SKYLITES TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HAROLD BLOOMENFELD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. SEPTEMBER 27 1989 - N-093911 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 1P08M NO. 0 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 8 2 71 Z Date 19.. Permission is hereby granted to: n to ..4,~~,;4s!.W.!:1:5:C.c~.....a-..l[1~...ASdi'.~1.. ~:../"~^~!1.~S.~.G..C~'J,R.:.{,~^%"-......~'0.......... at premises located at ....4~..~..??Y.........!~.....~~!~-grx~!...,.....~ . ~ l .P....... County Tox Map No. 1000 Section ......QZ.]........ Block .......5~ Lot No....rr~.:~ pursuant to application dated .....~.M...:!:1~......~ 19~.~..~.., and approved by the Building Inspector. Fee S.•~~:..~.. . . Building Inspector Rev. 6/30/80 TOWN OP SOUTIIOLD ~ ~ ...~.a~ii(~ BUILDING DEPART2lENT SEP «.g TOWN IIALL fiLOG. ['SEPT. SOUTIIOLD, NEW YORK 11971 YOWNflFSOtfTHOLt~~~n 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. =~~fi,~,..L~~~ NEW CONSTRUCTION OLD OR PRE-E%ISTING BUILDING...._.VACANT LAND........ Location of Property. , _~6 3 ~ • - • o UOUSE NO. (~~~J~............ STREET IIAMLET Ovner or Owners of Property...CT~D(C~. ~~D •-•---.....4 m en ~l~....----••--••--... County Taa Map No. 1000 Section 3 Block Lot 3,-~_.. Subdivision.. Filed Map ........Lot........_. Permit No. ~~O?71-'~,-Date of PermiC 7~~j/~...Applicant V~F1/,l.~i=1~/:~I,-C7•~Ci'.1ne~ Health Dept. Approval Underwriters Approval Plaaning Board Approval Request for Temporary Certificate . Final Certificate Pee Submitted: $--p~s•~ p ~C~~~[~/C~,f~~ @$ -SEP `61989 `j~!~j APPLICANT..~~~{lc~c; ~oa~~ ~ K ~ n ~ r ~ ~ 8"o a~,cvea-~ ~,ti_, rev. 10/I4/88 R L• y , a~ I FORM N0. 6 ' TOWN OF SOUTHOLD ~ ' BIIILDING DEPARTPIENT TOWN BALL 765 - 1802 APPLICATION FOR QERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ' I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual~lnatural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 farm). ' 3. Approval of electrical installation from Board of Fire Underwriters. ' 4. Sworn statement from ,plumber certifying that solder used in system contains less than 2/10 of IZ lead.'' 5. Commercial buildings, industrial buildings, multiple residences and similar. - buildings and installations, a certificate o£ code compliance from the Architect or Engineer responsib'ile 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 prlperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separ~te ownership of the entire lot prior to April 9, 1957. If a Certificate of 0 cupancy is denied, the Building Inspector shall state the reasons therefor in v~iting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vafant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and ' separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasofis therefor in writing to the applicant. D. FEES: I. CERTII'ICATE OF OCtiIIPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over S years - $10.00 4. Vacant Land Certi€icate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial 'i Ili `'ov. 10/ 14 /S8 ~I - THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~<>h°~ x 2~0"i0tl BUREAU OF ELECTRICITY 85i~JOHN STREET, NEW YORK, NEW YORK 10038 ~ Dale SP: P'T~FsIf13C81,7rJ~C.Sa APPlicationNo.onfile ~47h~~fi9f~~ ~ f}93~'~:i. THIS CERTIFIES THAT only the electrical equipment as described 6ebo and introduced 6y the applicant named on the above application number in the premises of f3LC)(~M}'~N~~~LTi, 'ib3p C7FCfIt1,Mt) S'f'la~,'3"i'; OfiTF.;P!'Pr t~.Ya in [hefo/!Doing Inca E g, as en ~ 1st Fl. ? 2nd F'l. Section Bloek Lot ~~z~f>;r~.~ gm,,~~ti:. was examined on and found to be in compliance uith the rerluirements q(this Board. FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DI'iH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER pMi. K W. AMi K W AMi KW AMT K.W AMT. H P I. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULiI.OUTLET DIMMERS AMi. K W On H. P GAS N. P PMT. NO A. W. G. AMi. AMP. AMi AMPS. TRANS. AMT. H P SYSTEMS AMi WATTS NO.OF FEET w SERVICE DISCONNECT NO.OF $ E R V I C E AMi. pMP TypE METER ~ ~,YW ~ ~ 3W ~ W 3W 3 B 4W NO. OF CC COND. A. W G NO Of MLLEG A' W G' NO OF NEUTAAlS A' W' G' EQUIP. PER .e' OF CC COND OF HbIEG OF NEUTRAL OTHER APPARATUS: r & S CONTRA!"~'ox x,f.O.~5?t1°~S ® ti3C~$ 27 5 $t~tl'I'HlJTIf~; NX, 1.39'i.i. JGENERAhA1~NAGlR Per 4 W~^ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ztlr'?"`'`. TEL. 'GS-1802 ~S~FfOC,~{~C/ T0~'N Or SOUTIIOI,I3 c,/ ~~~h~`;~•~~y ~ ~ (+~6i,:+i'1~• , M OI'FiCE OI' BUILDING iNST'ECTOR A~o~~t, ~ I'.O. UO!( 1 1 79 !JM,,*~ ~ cc~e .r,+~ ~ TOWN IfALL ' ~.4y~ SOtJTItOLD, N.Y. 1 1971 ~ ~z ~ August 31, 1989 JOHN BERTANI BUILDER, INC. 1380 OAKWOOD DRIVE SOUTHOLD, N.Y. 1]971 RE: HAROLD ELOOMENFELD 'I'o tdhcm This, May Concern, PTe are unable r.o com lete P your Certificate of~Occunancy because of the follo~•~ing reasons. An application for Certificate of Occupancy is not cn fi].c. (ENCLOSED) /_~DIO Underwriters Certificate on Eile. / / 'Phc clux:}: .i:: (~~It~3NM~~d/not on file.) $25.00 No 11cal.th Dept. Approval on file. Nc final inst~ect:ion has been mace. Please contact our office on this matter. - Thank you for your cooperation. 11u.ilding Pcnn.it. 1! I g 2 7 I Z Building Dupl. Uo I'lumbcr ;;older Cert.ificatc on file. ( a7.1 permits involving plumbing briny issuccl aft.cr :1pri.1 1,1)84 ) r 1n::.D li: .C.: ~.:lU: IDni I i;GMMENT~ ~ e"' ' 1. m pq a ~ _ J - - - H OUtJDAT20N ( 1st ) o ,fit 'OUNDATIOIJ (2nd) - _ - C z o ~ ..°,OUGH FRAME ~ PLUMBING 3. D, y~ m INSULATION PER N. Y. y ~ 4 STATE ENERGY CODE I ~ . > . r 4 , m H FI;JAL O . . p ADDITIOIIAL COMMENTS: m S x ~~j . ' x ~0 . H A ~ y H O 1 m r ~ y b m ^o H ff ,S4G. ? 2U,P~ ~L. ATTORNEY AT LAW 828 FRONT STREET. P.O. BOX 2065 ~ - GREENPORT, N.Y. 11944 ~ ~ ~ ~ ~ - Phone (516) 477-1016 a p ~ ~ i~,~ . ;?u June 27, 1991 Southold Town Building Department Southold down Hail Main Road Southold, New York 11971 RE: HEE BOK BLUMENFELD KANG 3630 ORCHARD STREET, ORIENT, NEW YORK SCTM 1000 - 27 - 3 - 3.4 Gentlemen: Please provide the undersigned with certificate of occupancy covering building permit #1827 for the deck addition and skylight. I have enclosed herewith my check in the sum of $5.00 representing fee for same. If you have any questions, please feel free to contact me. Very truly yours, r'~/~ 64illiam H. Price, Jr. i9HP / lmt enclosure BOARD OF HEALTH FORMN0.1 3 SETS OF„PANS SURVEY l~~ TOWN OF SOUTHOLD CHECK , ~ ' ' ' ....t~..... BUILDINGDEPARTMENT SEPTIC FORM TOWN HALL .riOUTHOLD, N. Y. 11971 NOTIFY TEL.:7G5-1802 CALL Exanrincd... 19.1. MAIL T0: approved , 19~.I Pcrmi[ No..~. 9.a7I ' (p Disapproved a/c ~ ~ ~ V (S ......................}.~,,,GI,cM. ti '0 (Building Inspector) ~ ~ ~ ~ BLDG. DEPT. TOWN OF SOUTtriOLD APPLICATION FOR BUILDING PERMIT Date e.l.~-f E.. Z 8...., 1589 INSTRUCTIONS a. This application must be completely filled in by tgpewriter or in ink and submitted to the Building Inspector, with 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 stree ' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm: 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes The applicant aarces to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t; admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ...~3Y>o ©!Ax'~A'o,~ fJ!?Cr!4...~".©~i7Noca~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,L~r~r, C ~~~2 . Name of owner of premises .../~?~2~ ,t~(ilrU~E,e/~ .6 /r.~.............. (as on the tax roll or latest deed) If applicant is a eco~rporation, s~i-g-nature of du~ly7aut/h~orized officer. (Name and title of corporate officer) Builder's License No. ,i,Q 9~, , ,{>L~ Plumber's License No. Electrician's License No. . O[lrer Trades License No . . Location of land on wtrich proposed work will be done . o 36.: 3.U.......... ®2ci~ Sri.. ^ . HouseNumbcr ~ ~ """"",e'~e2lL°;~./T••••. ' S~t/rcet\~ Hamlet ~ ~ ~ ~ ~ County Tax Map No. 1000 S~CIIO? P.~.. Block ' / Lot.~;~`-; Subdivision Filed slap No. . (Name) ti. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....Q~~..~.'~... ~~-~...~1.~?E/iCG~ b. Intended use and occupancy o!~. , ~G.UEL.(~. ~ ~ ' ' _ , . 3. Nature of work (check which applicable): New Building Addition Alteration , . Repair Remo',val Demolition Other 1Vork .~G(~: ~ •'f' SK~4q~C-~ ' (Description 4. Estimated Cast ....~Q/. ~Z.?~.' Fee . (to be paid on filing this application) 5. IC dwelling, number of dwelling [knits Number of dwelling units on each floor . Ifgaragc,numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existin sttuctures g ,if any: Front. Rear Depth............... Height Number of Stories . • Dimensions ofsatri'e, s~incture with alterations or additions: Front Rear , , , , , , , , Depth .height ........Number of Stories . . . 8. 'H`m~y,prls~f tre ncw'constt•t~ction: Front .....!,3;'.....: Rear .....13.'......Depth ...14........... . Numtter of Stories . . 9. Size of lot: Front ,`3'; i Rcar ' Depth . 10. Date of Purchase ,Name of Former Owner 1 1. Zone or use disfr-icf'-n~xvh~ch premises arc situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ . 13. Hill lot be regraded ! ?~4.......... 1Vi11 excess fill be removed from premises: Yes ~ No Name of Architect • ~ ' • ' • ' ' ' ' • • • • • • Address ...................Phone No............... . 1G. Name of Owner of pr~ tses ~ Address ...................Phone No............... . Name of Contractor 4~?!. ~4,~k'7.~N.! ; ,8.G!J', , , , ,Address /3f.U .4.AF~1?b?..47~ Phone No. ,'T'od",-+iJ"?~.~ . lS.Is this property located within 300 -feet of a tidal wetland? *YCS....NO.X': *If yes, Southold 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 description according to deed, and show street names and indicate whether. interior or corner lot. f I STATE OF 1EtV PORK, COUNTI'OF....~tl.~F.ct!~C.. S.S • • • • • • • • • • • • being duly sworn, deposes and says that Ite is the applicant • • • • • • •(1\amc of individual signing contract) shove named. Efeistlte .'y. ~ (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 this application; that all statements contaittcd in this application are true to the best of his knowledge and belief; and that the work will be perlbrmed in the manner set forth in the application tiled therewith. Sworn to before me this ...............JU .....da~]y//oC(.~1,.. 'I:.......... , 19~~. Rotary Public, K...l1,•, p..o?/Jef~. , County ~ , , , . NOTARY PU l CK§tOate o0 New York ~ • No.470787R~ SuNolk Coun (Signature of applicant) Tenn Expires Mpreh 30,19