The URL can be used to link to this page

Home My WebLink About18293-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19438 Date 6CTOBER 11, 1990 THIS CERTIFIES that the building ADDITION Location of Property 945 BROADWATERS ROAD CUTCHOGUE NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section I04 Block 11 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1989 pursuant to which Building Permit No. 18293-Z dated JULY 12, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELIdNG. The certificate is issued to JEROME H. & LOIS K. PARMET (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ui1 in~ector Rev. 1f81 roans 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 ° .L O G ~ .3 Z Date ~ 19.9 Permission is hereby granted to: .1..~.7...~.~~~.~ ~ at premises loeoted of ..;/.i.::.~`.r....:9~~:4%T~u!J..C~... .r County Tax Map No. 1000 Section Block .............~...~.gLot Na...........G~........... pursuant to application dated 19A and approved by the Building Inspector. ov Fee $..:~D~.. /f~//~~j g / l6. i . 7`~~ i in I for Rev. b/30/BO ' Form No. 6 • TOWN f'r SOCTHOLD ~ <'`"N.~G?,,>~~~'_ryj~~`S!"x..91-`,e.i^~~, BUILD' ~ ARTMENT ~ ~ ~ ~ ~ ~ ~i~~ s3-18C . ~ BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OFSOUTHOLD A. This application must be filled in by typewriter OR ink and submitted to Che 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-dispQSal(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 cr 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. s C. Fees T 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, Commercial $15.00 Date October 5, 1990•••.••• New Construction........... Old Or Pre-existing Building.. XX••••••••••••• Location of Property..945 ,F~roac~c,~at~ers, ,Rgad , , , , , ,Nassau Pointo , , , , , , , Cutcho~e, , , , , , , , , , , , , , , , , House No. Street Hamlet Jerome H. & Lois K. Parmet Onwer or Owners of Property County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision ....................................Filed Map............Lot...................... Permit No,18293•Z Date Of Permit•,~/12/89 Applicant.J,•Parmet••••••••••..••••••• Health Dept. Approval ..........................Underwriters Approva Planning Board Approval Request for: Temporary Certificate........... Fi al erticate.. XX . Fee Submitted: 25:00•• 5(Za.C. ~ dto Jr~ $ l~~........... . eo~19Y38" APPL C TEL. 7G5-1802 • 45~FF//0~~(k~oG~ TOtiVN OF SOUTIIOLD ~na~~ OPI~ICL• OP BUILDING INSPECTOR ~ ;YSr, ~~~~s rn P.O. BOA 728 p~ ~ TO1VN IIALL yfo1 ~ ~,aa~" SOUTIIOLD, N.Y. 11971 9/y~9o To S4hom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. nn application four Ce"rtificate of Occupancy i s not o n file . ~Mc.eo-a_e.~ / / No Underwriters Certificate on file. Tlie check is ~'dS c, - (/not on file.) / / No flcalt-h De t. A ~C. _ p pproval on file. - ; No final inspecCion has been made. ~a.. ~ a, % C" y ^ ~~'U"'V Please contact our office on this matter. ~ ° ,'1 Tliank you far your cooperation. P ' r" Bui]di.ng Permit II ~ ~ a 9 3 Z ~,5~ Building Dept. \ No Plumber Solder Certificate on file. ~l ~ fJ l ~,P, ( all permits involving plumbing being r- ~ ~ .issued after April 1,19II4 ) i a '7 c~ut,~lz~, ~-e Div , h, i/ ~'3Y g ys _(dzw~~~~~ ,~~H~ ~i. 119 3 s ~JF F ~lk~~, TEL. 7G5-I 802 ~p OG~, TOWN OF SOUTIIOLD (,~;aa~i ~ OFFICE OP BUILDING INSPECTOR ~ ~ .~r`'; ~ ,z P.O. BOY 728 0 ~ r TOWN f[ALL y1j~1 ~ ~,~p~ SOUTIIOLD, N.Y. 1 1971 9~y~9~ To P7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy i s not o n file . ~~-c-20-a.e„Q /Y/ No Underwriters Certificate on file. The check is ( /not on file.) '~`~s j`i No Itca1L-h Dept. npproval on file. /y/ No final ins.pecCion has been made. Please contact our office on this matter. 'I']iank you for your cooperation. Ilui] d.i.ng Permit If / ~ a 9 3 Z ~~m-~ t3uilding Dcpt. No Plumber Solder Certificate on file. ( all permits involving plumbing being .p .issp~ued~~a~ft~cr npril 1,1984 ) q vs ~.-~~u-y-~ j~ S -1c:LD I::SPEC:iUti ~~'Ji,ia ~08iMENT° \ -a m IJ` 1 . a (p y W 'OUt1DATI0N (1st) ~ a TOUNDATIOiJ (2nd) _ _ m b~ z ~ SOUGH FRAME & o PLUMBING ~ y 3. ~ m H IlJSULATION PER N. Y. STATE ENERGY COpE L 4. / w Gi G . .e. F I!J A L d, • o ADDITIOPlAL COMMENTS: x t. _ X . ~ ~ ~ ~ - ~ ~ x Al b \ ~ 9 • H o d m~ a _ r H ' ~ x o m b H r T6S-1802 BUILDING DEPT. 1 NSPECTI®[ei [ ]FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ] IN ULATION FRAMING [ FINAL [7 REMARKS: i .~GL~_ - i - f4 i 4 i it x DATE / INSPECTOR t r 765-1802 BU{LDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] !ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [)FRAMING ( INAL REMARKS: ~ d ~ DATE INSPECTOR~~ s V n .~4.' ~ Y n I i ` ' s.S2.at4'~1mT .-8909 'f1'~.~.n D R Off' ~ A~ ,:7/" ~ i~t`1 ~ .r , lpp:J :~F . ;fit ~y-" - G L ° ~ ~ \ ~ ~ ° 9rc yc, v a ` !1_ ~ o : 1 `Cj op Q~~~ ~ ~ '`fie ~1 ----N~ t Q ~ ~ ~ ~ Q~ q°~'~. ~ L°{ ~ X95 t I ~ ~ ~ ~ a 0 tto sH~ 1 N"5i~a '~D'W. 04 ' ~r~jr r 1 ~9.T~9 { Ir 333.a; t ~x 1 ~ . Lo+ X94 , ~ ~ , BOARD OF HEALTH 3 SETS 'O F/ LANS „ FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK .?.~.aJrl . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY V Ts~~ / TEL.: 765.1802 CALL V s~ l MAIL T0: Examined .7 19 pG~ pp : ,,afaaae Approved 1941. Permit No.~P.~~~.c3 . "=3 . , D ~ Disapproved a/c . JlA. " 7 (589 ~ .,~,;ir~~ TOW;v OS' r ,'~;Cii [7 uild' Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS - a. This 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 HEREBY 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 i 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 inspections. r~ (Signature di applicant, or name, ~f a corporation) • (Mailing address of applicant) `i ~ State whether applicant, i~/s owner, Sessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . Y.' h.!~. t~:"~' . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officeLr)~ Builder's License No. ~ .d. 1~• Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. r . ,f . -....9.~~~ ~~.s~~~ ~.i~:9Jc'tr't r.~Q'~ House Number Stree Hamlet e ~ County Tax Map No. 1000 Section Block t'~. , . , , • • , • • • Lot . ' Subdivision Filed blap No. Lot . (Name) 2. State existing use and occupancy of pre ices and intended use and occupancy of proposed construction: a. Existing use and occupancy :E'.~ . b. Intended use and occupancy • • • ~ • •l •~Z~~~'-~J~-?~....-..: Lc.r~,tyw,......... . ~s~- I i 3. Repuarir of work (check whicRh~applicable): New Building Addition . , Alteratio . . • , . ioval . Demolition ..............Other Work , , . , (Description 4. Estimated Cost . Fee , . (to be paid on filing this application) • dwellin number of dwellin g, units . Number of dwellin units on each floor , , . $ g garage, number of cars 6. Ifbusmess,commercialormix~ ' ~ d occupancy, specify nature and extent of each type of use . I 7. Dimensions o$ t qes, if any: Front ,a.. , , ,Rear Depth . ' Height , Wumber of Stories . Dimensions of same structure tbith alterations or additions: Front Rear , , , , , , , , De th :1• . p • ......Height , • Number of Stories . . 8. Dimensions of entire new construction: Front . . Rear , ...Depth . Height Number of Stories 9. Size of lot: Front . . . . . Rear , . , Depth , . 10. Date of Purchase ....Name of Former Owner . i i 11. Zone or use district in which p; emises are situated . , . . 12. Does proposed construction violate any zoning law, ordinance or regulation: 11/:Q . . 13. Will lot be regraded ........I, , , , , , , , , , • , , , , , • ,Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ..:..................Address ...................Phone No.....,. , , , , , , , , • , Name of'Contractor • • • ' ' ' ' ' ' • • • • Address ...................Phone No............... . 15.ISthisrproperty loc~'••...,.•.."""••Address Phone No. $ted within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly aal buildings, whether existing or proposed, and, indicate all set-back dimensions from property Bnes. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. j I i STATE OF NEW YORK, S.S COUNTY OF being duly sworn, deposesandsaysthatheistheapplicant (Name of individual sigping contract) above named. He is the ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dNly authorized to perform or have performed the said work and to make and file this application; that all statements con)ained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . , .........day o;f ..y~.~c-~~ 19 Notary Public, County UNDA,J, OpppSp i (Signature`of applicant) Notary Pubtfc, State of New YwiC ~ term E~i2as December a~o i c~ ~ - ~ r r cc m ~ ~ z ~ p 0"a'°' y~ ~ ~ ~ ~ w ~ p ~ ~ w ~ Vim,/ a~ arc~iriaw~ ~O~u.°riinO ~ ! ® ~9 ~ ~ ~ ~ .~.-.~(..''e.e. x a 0.z ~ua3 yO zF C7Fa z"'Fgwjawcu~i ~ ~ ~`QF1 @~LJ' an o me.,Zq°xg~oaa°vZp ~ 'J '~'.o ~ ~~~~~acaN7v$owcwvSz ~ ~ t d uwiO~ JODa~LL~~whOw O LL b h ~ tV fh tl' Q r VD U ~ ®~p g_,,,__ . ~ ~ ! C~ ~I ~ ~ ~ ~ ~ ~ . C C yy ~ Jf mil, _ 1 ~ ~ ft, , ~ ~ r ,,,~c-,, ~ ~