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HomeMy WebLinkAbout18563-z i FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18479 Date OCTOBER 18, 1989 THIS CERTIFIES that the building REPAIR & ADDITION TO ACCESSORY Location of Property 310 DUCK POND ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 2 Lot 19.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 1989 pursuant to which Building Permit No. 18563-Z dated OCTOBER 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 1s STRUCTURAL REPAIRS & WINDOW ADDITIONS TO EXISTING ACCESSORY SHED AS APPLIED FOR. The certificate is issued to PHILIPPE MAUCOTEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A / Building Inspector Rev. 1/81 msas tm. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTlL FULL COMPLETION OF THE WORK AUTHORIZED) N a 8 5 6 3 2 Date 1 y~ ....Q/la 19[.l./.. Permission is hereby gmnted to• k.r...... ..3~d...7z.....f.. to ~ . at ~iiemises located at ....531........r~ ...........T./.................................... ~r~~~~.~~~..46........................................................................... . County Tax Map No. T000 Section Btock Lot No.....,1~: pursuant to opplication doted .......,1.~1..~~ 19.~J, and approved by the Building Inspector. ov Fee 5..~~ .~!L.~:......... uil g inspecto Rev 6/30/60 TONN OF SOUTHOLD BUILDING DCPART?fI:NT T04(N HALL SOUTHOLD, NE41 YOtiK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCBPANCY G' DATE Lf I- - ' t NEN CONSTRUCTION __._._.OLD OR PRE-E%ZSTZN~G..BUILDING......VACANT LAND......_.` Location of Property...-~?.~~ ...~1.~~,~r~...`S ~:'1~?Y~..~4~~r>....~:ul_C~-(~ ~,<.1~ HOUSE NO. STREET HAMLET Ovner or Ovaers of Property....M'{Q~~C~.t ~ L;._.~:`_~_t~. 1~~......__ County Taa Map No. 1000 Section .U_~. Block Q.~.--. Lot .`~:.~.1_. Subdivision Filed Map ........Lot.pp......... Permit No. ..........Date of Permit .._.......Applicant /.:1~sl...l~.~.~~-.~.,,.._ Health Dept. Approval Underwriters Approval.____.___..__. Planning board Approval Request for Temporary CertificatC Final Certificate Fee Submitted: $..4 APPLICANT.... t~~,/" } U J ~ L:-: 1--..~`~"~',~-; C~~ rev, lOll4/88 (~2c.38y55 ~n ~ 18~l~q L 4 ~ FORM N0. 6 TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALT. 765 - 1802 APPLICATZOH FOR CERTIFICATE 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: 1_ Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2_ Final approval of Health Dept. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Undervriters_ 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 of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. S. For eaisting buildings (Prior to April 9, 1957 nonconforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property shoving 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 separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in vritivg [o 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: 1_ An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - 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 5 years - $10_00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $SO.nn Commercial rev. IO/14 /S8 i~-.G l::°. .J:. I~''i+: II .:tea.'^.LNT~ -n=-r.-~ _ II ?OUIIDATI0:1 ( 1st ) ~ _ 1 i~ 'OUIJDATIO:J (2ndl I ~ ~OUGH FRA1•fE & ~ PLUMSIiJG y 3, I ~ m n IIJSULATIOPJ PER N. Y. I STATE Ef1ERGY CODE i~ O 1/ FI:]AL ` • i - ' ADDITIOPIAL COMMEt1TS: `x m x~ H H H O m - r` _ f a 0 m ^v WI.ikUe.D ~ ~C~ ~ ~'I~Cc.c.~PP- 3l0 ~ u c ~ Pa fZ.o i4-1} 765-1802 CU-Ce~j~~~~~~ BUILDING DEPT. g3-z-~~•~' INSPECTION [ ] LINDA N i5T [ ] OUG ~ PLBG. [ ] FO ATION 2ND ~ ] iN CATION [ FRAMIN [ FINAL REMARKS: A-CG~ ,55012. U t L.~ (L~L~~ SL~BULL~ ~.~~5 DATE 3 $ INSPECTO BOe1RD OF EiEALTH 3 SETS OF PLAYS FORM NO. i SURVEY . TOWN OF SOUTHOLD CHECK • • • • - • - - - - BUILDING DEPARTMENT SEPTIC FORPi TOWN HALL NOTItY . ~OUTHOLD, N Y. 1'1971 L . TEL. 765 1802 • f Q MAIL T0: Examined la.f6........., 19~/. Pv/ ~~J~( `T~~ Approved ~d/~0.. 19~PermitNo.l~:~~.•~~ CU7-e/~©G/>~ Disapproved a/c l5 ~ U L5 II ACT ~uil g nspecfor) BLDG.OEPT. APPLICATION FOR BUILDING PERMIT OFSOUTHO[D Date I9.. INSTRUCTIONS a. Tlus application must be completely fiIIed in by typewriter 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 6udduios on premises, relationship to ad}oming premises or public stree~ lir areas, and giving a detazled description of layout of property must be drawn on the diagtam which is part of ttus appl cation. c. The work covered by this application may not be commenced before issuance of Budding Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building PeiTnit 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petmit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~ The applicant agrees t~mplxj% with alt applicable laws, ordinances, build evde;•frvcr• o code, and regulations, and Y admit authonzed mspector~o„gtpremises and in building for necessary i s coons ` r~r ~ ` `n : ' (Signature of applicant, or na e, if a corporation) ~..a of-; ~ i - _ (1tilaihng address of applicant) 1fp= Slate whether'ppphcanY iff oWneY lessee, agent, architect, engineer, general contractor, electncian, plumber or buIIde: - -M~~ls ~r: Qom! S ~.1.~'~'.~ Name of oume~ o£I7remtses.° .:.'.~1~`4''1^~ . 3N#` - (as on the tax roll or latest deed) If applicant is yr,~irpoir~atiati~signature of duly authorized officer. (Name and title of corporate officer) ~ 6 ALL COLtTRACTOR' S MUST IIE SUFFOLK COUNTY LICENSED UL~~~~ Builder's License No. r . , . I „}r~e ~ Plumber's License No. .?Y~,,,.,.•rr-'....... ;mod Electrician's License No . . •.~€.°1i~ rG'v Otlicr Trade's License No . 1. Location of land on which proposed work will be done . . House Number Street ee••~~ Hamlet County Ta~c hiap No 1000 Section Block . ~.4 . Lot ~1, Subdivision Filed J1ap No Lot . (Name) 2. State eruang use and occupancy of premises and intended use and occupancy of proposed construction a. Ecuting use and occu ant ~:':.ti • *i-:'M.:a.'.°i`. ~ ` ' ~ ~ , . b. intended use and occupancy ......,;,C':'.~""... . . 3. Nature of work (check h ch applicable). New Bt Idtng Addition Alteration v...... Reparr „~j.'~AAt,G1'-(ht Removal Demolption • Other 2ti'ork ~C C.s ~4 fk' t^,(1~°,'' S (Desenplion) 4. Estimated Cost~r?6~C7 ~ Fee . (to be paid on fihng this application) 5. If dwelling, number of dwelling units Number of dwclImg units on each floor . IC garage,numbcrofcazs 6. IC business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of extsttng structures, tf any. Front Rear Depth . Hci~hL ...............NuntberofStones... Dunenstons of same structure with alterations or additions• Front Rear . Depth Height ......................Number of Stones . 8. Dtmenstons of entire ne ctton Front Rear Depth . Height iberofStones 9. Size of loc~t~. Rear . . . Depth D Date of P rc rase ......Name of Former Owner . 1. Z~ne caz.~ e d3sirict m. h p miles are situated . 2. Does pr~iposed constri,>n v: late any zontnL taw, ordinance or regulauon• . 3. Pill tot be regraded" ' ~Yi11 excess fill be removed from premises: Yes No 4. Name of Owner of premises ....................Address P}tone No............... . Name of Architect ...........................Address ...................Phone No............... . Name of Contractor ....................Address ...................Phone No............... . 5. Is this property located within 300 feet of a tigidal wetland? *Yes 230 *If yes, Southold Town Trustees PermitPLOT DIAG1LAhSed. Locate clearly and distinctly all buildings, whether existtno or proposed, and Indicate alI set-back dunensions from roperty lines. Give street and block number or descnption according to deed, and show street names and indicate whether tenor or corner lat. t'~ ~~,Qcced` Q t APR D AS NOTED ~/,,,..,~s Jcn.~` 5. j'~~ ~ DATE:/4 6 ~ 9.P.11..L.._.=_'~ \y;, ~ ~ FEE: ' BY: NOTIF~~Y~y UI G OEPA AT ^~,.-h.-+ t FOLI,pW NG I~PECTIONS FOR THE C.3 7 F UNDATION - TWO REQUIRED f~R POURED CONCRETE O 2 R UGH -FRAMING 8 PLUMBING ~ ~ ~ 3 t SULATION 4 F NAL - CONSTRUCTION MUST B COMPLETE FOR C.O. S~ ~ ALL '~OtVSTRUC710N-SHAI.I. MEET_ _ v 7HE REQUIREMENTS Of THE N.Y J STATE CONSTRUCTION i ENERGY ® CODES. NOT RESPONSIBl~ FOR G~cSIGN OR CONSTRUCTION ERRORS iATE OF KE~~RICjY'~ S.S ~L\7Y OF I,~• . d.~.~ . , M G~~r~ • 4- • • • • • • • being duly sworn, deposes aiid says that he is the applicant (tiamc of mdn idual signing contract) ovc named. .istne .................b.t..L~z,,r............. (Contractor, agent, corporate officer, etc ) said owner or owners, and is duly authonzed to perform or have pezformed the said work and to make and file t}us alicauon: that all statements contained ui this application are true to the best of Iris knowledge and belief; and that the irk will be pcrfonned m the manner set forth in the application filed therewith om to before me this , .1 ..,..day of...... 19 itary• Public, ~.~,L/(„f~ , , . \.~C~: V. County / Notary Pudik. Stara d Naw York r . Na 4579606 ignature oI applicant) O.wlllbd in SuNo9t Cour+ry A Cflmtniaricn Eitpiraa DM~mbar S. 79~1L