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HomeMy WebLinkAbout17777-z FORM NO. 4 TOWN OF SOUTHOLD , BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220189 Date SEPT. 6, 1991 THIS CERTIFIES that the building RENOVATION AND ADDITION Location of Property 5545 SKUNK LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 138 Block 02 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 23, 1989 pursuant to which Building Permit No. I7777Z dated JAN. 24 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 RENOVATE 1ST FLOOR; CONSTRUCT A 2ND FLOOR. The certificate is issued to CATHERINE & MICHAEL PERLMUTTER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N103131 NOV. 15 1989 PLUMBERS CERTIFICATION DATED N/A _ l uild ng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220190 Date SEPT. 6, 1991 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property 5545 SKUNK LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 138 Block 02 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 23, 1984 pursuant to which Building Permit No. 177772 dated JAN. 24 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 ACCESSORY GARAGE. The certificate is issued to CATHERINE & MICHAEL PERLMUTTER {owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N103131 NOV. 15 1984 PLUMBERS CERTIFICATION DATED N/A ~ ~ 1//C,/ _ uilding Inspector ` Rev. 1/81 n~oeaz xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU57 BE KEPT ON TtiE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nfl 017777 Z Date ....~~~:«:~....a:`~..........., ti9.89 Permission is hereby granted to: ..~.t.. ~~..z Z.~ to .fl.'....f.s0....P.y....~~~~'tc~.~.c.1~:....Q....ct~/4.SF..y.....If.~~:kP.S~r........ nn ~ s .ll~a:::~.~.v~ .~»...i:L.GIR?aas!-!-,~, .....~~..4....r..9h-°....Q*~..~4:~-•r.....s~?.......A.:.....~~ Sl / yr 1 n ('t C-~-n ct premises located of ..~~..`.l.-..~•,t`~.......~ ~..C..S.'.~'.:bra.!~:..,,1.•.trtr~:c•.•••••~,+''~0.•zl•tW!"' County Tax Map No. 1000 Section Block ~ Lot No.... 0.~............ pursuant to application dated ...~..Q-.islk.4la,•Y~j.•••~•~••••••••••••••, 19..1.., and approved by the Building Inspector. i ~ Fee $..ct"..85.:.......... Q,a/U~d. a4~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD D ~ a ' BUILDING DEPARTMENT TOWN HALL pg ~ AU~ 2 ~ k~ 765-1802 3~ g~ i1~~;~ ~ _ ii i,.rl 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. ' S. 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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 a. ~oyo/'~° of ~~:~g` SvOT+f© Date :Iew Construction........ Old Or Pre-existing Building Location of Property..s~~y~..~~C.Z.b~ri~..~:~~..~~~P~...~..~45$s",-.~`?2~.~c;t.4~-Y1Q~~L'- House No. Street U Hamlet L1 Onwer or Owners of Property.~~r.1.~~16~.r County Tax Map No 1000, Section..... ~ ....Block...., ~......,Lot..,..` Subdivision . ................................Filed Map............Lot...................... Permit No.~~.~.~.~...~.~Date Of Permit ................Applicant............................. f(ealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Pee Submitted: $f..a:s C'tlZ F~ 1~°".evu.Ze' ..~~~~`;~.6:2:-,.;J-,';~_9tiIL1 dv . APPLICANT Form No. 6 7~~j~G TOWN OF SOUTHOLD ~ C~ I .rr, BUILDING DEPARTMENT f!~ j TowN xALL AU6 2 91991 765-1802 q~ ~..,a..~L"::> BLL7Ci. (JEPT. APPLICATION POR CERTIFICATE OF OCCUPANC TC1V+ifV OP S©lSTF?C7Li3 .1. This application must be filled in by typecariter OP, 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 Deft. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of sire 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. i3. 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-exi--sting Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 P. a. ~U~ 'Z zq v Date .`b.'.o~.°~.`~'l ~ `:ew Construction.... Old 0r Pre-exi~s`ting Buildin Location of Property..~.~~.~...~kA-~C~1~-..,..~~e.~~~:~..~~.?~~~,~„~„~(~~~~u~t~S4- House No. Street Hamlet ~ 11--- Onwer or Owners of Property...e<<~t~r1vv~~~.r County Tax Map No 1000, Section.~~.o.......B1ock...Q .~.'.'•.......Lot...v ~ Subdivision ....................................Filed Map............Lot...................... Permit No.~..1.~.1.?..~:.Date Of Permit ................Applicant............................. health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval RequesC for: Temporary Certificate........... Final Certicate.....`...... a~ t'ee Submitted: $ APPLICANT I~ "":utJ I~llAiE ~ i;OMMENT° i'b,., ~S .J ~~vlil~ C 1::LD ~ J 'r OUt3DATI0N _ t ~~'L t ~ !_~g ~~~~v - " ~ ~ nr d> N ~ A. FOUNDATIOtd ( nd) ,jp z~ 2. ,wb ~ r/) ROUGH FRAME & .PLUMBING ~ ~tJ ~ x m m 3. y IidSULATION PER N. Y. STATE ENERGY s CODE'S„ r cis ~-a 4. FSNAL 0 E z ADDITIONAL COMMENTS: ~ n x ~ J w ~ ~ N >-3 ~ ti O 2 ~ d x as ~ ~ • r ~ y b m •,r .-a T65-1802 BUILDING DEPT. fNSPECTItJN [ ]FOUNDATION 1ST ( ] (ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~fNAL REMARKS: ' l DATE ~ INSPECTOR ~ 7 7 ~ 7 765-1802 BUI4DING DEPT. INSPECTiUN [ ]FOUNDATION i5T (~~~LBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING ( ]FINAL REMARKS: ~ li /o DATE ~ 3~ INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [b(] FINAL` REMARKS: ~ 1l- .y r1-"~ ~~w~~ DATE ~ ~ I ~ ~ INSPECTOR 1 ~ ~ . 4~ 765-1802 BUILDING DEPT. INSPECTI®IV [ ] FO//~~UN TI N iST [ ] ROUGH PLBG. [ ] F'~U~~N 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~C~~~ D.~- ~ DATE CJ INSPECT ~ ~ ~>>7 Y65-1802 BUILDING DEPT. INSPECTION [ FOU ATION i5T [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ~ INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: ~~r~ DATE INSPECTOR - 765-1802 BUILDING DEPT. INSPECTION [ ] FO A ON 1ST [ ] ROUGH PLBG. ] TION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: I'l~~~-~-~ DATE ~ l INSPECT611 k . ~ '195112' THE NSW .YORK BOARD OF FIRE UNDERWRITERS PAGE z BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK f003B pum NOVEMBER 15,1989 gppticationNo.onfle 61390589/89 N 103131. THIS G6RTIFIE3 THAT only the akTCtrkal equtpmant a dsecriked beloto end Introduced 6Y the applicertt named on the akooe application numker fn theprotnises of MICHEAL P~NUTTER, 102 SKUNK LANE, C.UTCAOGUE, N.Y. ` in eke Jollominp locution; ®Bueentent ® 1st FL ®Ynd F1. GAR. Section Block Lot _ uaa examined on NOVEMBER 06 , 19$9 ` and ound to 6e in corn f pliance with the reyuirements of this Buard. RXiWE RXTUEes RAEKieS COOKING DECKS OVMIS qSN WASNgS EXMAUST FANS OUIIETS SYRTQIES INCANDESCENT rIUDeESCENi OTHER NAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.I. 30 56 34 `I ..DeYNS RMNAQT MOTORS R1TWE AMIIANCE EewEes EMCIAteK'?T TIME ClOC114 Eltt GIXE HEATERS MULTI.OOiIET OIIAEWf NAT. K. W. tMl N.I. GAS N, I. AMT. NO. - A W. G. AMT. AAV. 1JAT MV&' TR~ttS. AMT... N.I. NO. M AST AMT. WAlt6' 3 F 1 30 flRVKE DISOONMCT NO.OE 'S E R V 1 C E AMT. AMr. TTIE I,a tw T i aw t s sw a,a Aw NO. or cc. coNO. A. w. G. No. a NI.IFG A. w. G. NG. of NEUnAIb A. w. c. EGUN. ree s of cc. conc. a n-uc of NEDTTUI OTfIRI AMARATUS: 30 AMP GEi18RATOR TRANSFER SNITCA-1 i FLOOR ADDITION AND GARAGE ADDITIW9 S PANELBOARDS:1-20 CIR. 100 G,F.C.I:-8 SMOKE DETECTOR:-2 ~ a SAGE & LADENANN INC. LIC./3635-E P.O.BOX 1768 , 3011TAOLD, NY, 11971 oENRAt MANAO! 11 Per This nMificah mwf not be oNered in o tttpnner,. return ro tM office of the fkwrd if intorretl. Inspectors may bs identified by - h. ` wl. ~e la BOARD OF HEALTH 3 SETS OF PLANS......... FORM N0.1 SURVEY . TOWN OF SOUTHOLD CHECK ~ •I3.~~3. • . BUILDING DEPARTMENT sEPTIC FoRrt TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ¢ q TEL.: 765-1802 CALL ~JY.'.~ i,? , , , , . Examined ~4te4 a.i., 19~ .I. MAIL T0: r" Approved 19~9.PcrmitNo..~.7,~;1;7,;~ ~rla°tl~ f~fl ; Disapproved a/c 4~ . JAN 2 31A~ HLOG. DEPT. TpVViV OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 INSTRUCTIONS ' a. Tltis application must be completely filled 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 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 Buildin; 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, I~iew York, and other applicable Laws, Ordinances o Re=ulations, 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 tc admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporauon) . (Mailing address of applicant) State whether applicant is caner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises S~C~~ C~.1.G-C.~...J. 1.m.4'-~~r . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer)$Q Builder's License No.. ".'"t:~• T Plumber's License No.~,Q~ -q Electricimt's License No. ~Q•yP~ ~.'~seF~+'^~!'t~:'!~'"• ` Ot~h,e,.r~ T-rr~ades Licen~se NIo. 0 V. ~~.i. .G'w- '~.tArrr_c~.. ~MAV.OA~Aww V 1. Locati)o~n of land on which proposed work vvi11 be done. ' SS ~ 5 ip House Numbe ~ Streets ~ Hamlet Q County Tax Atap No, 1000 Section 3•~ • • • . Block LotQ .l . Subdivision ...~.~C1-~d..~. ~~:~M.S........... Filed slap No. ~ 1.`l........ Lo[)~ ~ ~ . (N;une) State esisung use and occupancy of premises and in [ended use and occupancy of proposed construction: a. Existing use and occupancy ..~O.Yrn.~- b.lntended use and occupancy ..~0.~1.Q. 3. Nature of work (check which a{yplicable): New building Addition • • Alteration . Repair Rempval Demolition Other 14ork . (Description) 4.' EstimatcdCgst ~..~~.i.PQl7- ..................-~~775 ~ (to be paid on filing this application) 5. If dwelling, number of dwclling,units Number of dwelling units on each floor . If garage. number of cars ' . . 6. If business. commercial qr mixe 7. Dimensions of existing structure occupancy, specify naturc~~and extent of each type of use . rr . 's, tf any: front ....~•a..`.(...... Rear .pZ. ~..`.1; Depth . a3 . ~ Hci~ht Nuttiber of Stories L , ' . . Dimensions of same structure with alterations or additions: Fro t a~i~ . ~ • • • • • • • Rcar . Depth ..r.y Ilcight ...L ~Q. 'LP, .i'F4~?P~.~J~'L~7umbcr of Stories .....Z.. . • .Rear . De • 1. • 8. Dimensions o n~bw.constntctron: Front ..a.~J a1 ~ ~ . pth c~.:.$.~:..... . Height fib:......... Nwrlber of Stories ...o~ r . 9. Size of loC: Front . ~ `.'i9~ . 1 Rcar L `f. a~ Depth c~raQ............. . 10. Date of Purchase ..1.1.L°a.~....' . Name,of Former Owner .CT rP~:~Or.'~............... . 1 Zone or use district in which pr~mises are situated . (Z e-`.i tG(.2~C+.'ta4+-Q . 12. Dges proposed construction violate any zoning law, ordinance or regulation: ..Cl.ta . . 13. \Vill lot be regraded n~! . ..........Will excess G 1 be removed from premises: Yes No 14. Name of Owner of remises;a!?X:Lff\v...'~~":. .....Address l:~a. .R~?e-.~wfGhPhone No. `I tv~: rw7.14~.1..... p Name oC Architect ~ICL'~.0..'~,~..17)a~~t:>:$err~ Address ~7r2~f1(JRt;~-... • ...Phone No . 15.Ismthisontraopert loco.......:....'"'•Address Phone No............: p y cited with in 300 ~feeC of a tidal wetland? *YCS....NO.~~ *If yes, Southold Towz? Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all~l 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. I 1 II! i . I I STATE OF NEW YORE, ~ COUNTI' OF tS.S being duty sworn, deposes and says that he is the applicant (Name oC individual signing contract) above named. ' He is the (Contractor, agenf corporate officer, ete•) of said owner or owners, and is duty authorized to perform or~havc performed the said work and to make and Gle this application; that aI] statements contained in this application arc true to the best of his knowledge and belief; and that the work wAl be performed in the manner, set forth in dte application f71cd therewith. Sworn to boom nee this I Notary Public, ~`Y'~:-~?`.'..J 1, : •~'a: • • • • • • County ~ . HELEN K. DE VOE (Signature of applicant) NONo~aT07878,SuHolktCauwgb 9 term Expires @Axrch 311,19