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HomeMy WebLinkAbout17804-z • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18497 Date OCTOBER 25, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 5475 SKUNK LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 138 Block 2 Lot 8 Subdivision M/o NASSAU FARMS Filed Map No. 1179 Lot No. 110 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2, 1989 pursuant to which Building Permit No. 17804-Z dated FEBRUARY 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 ALTERATION TO CONVERT ATTACHED GARAGE INTO ROOM. The certificate is issued to ROY C. SCHOENHARR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-012119 - OCTOBER 3 1989 PLUMBERS CERTIFICATION DATED AUGUST 29, 1989 - Building Inspector Rev. 1/81 Foau xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nfl o~78O~ Z Date .Q...,.~...........~ 19.~1...~ Permission is hereby granted to: ....~.9 c~~.~~~/..~........~.......:~:r...~....r.... ct premises located at ru . ~ . . . . . pp........ . . . . . . . . . . . Caunty Tox Map No. 1000 Section ...~..~.~7........,. Block .....~r`......... Lot No....~a pursuant to application dated ......ll.? 19~ and approved by the Building Inspector. Fee U '.:~~.~,.....,~s~~ Building Inspector Rev. 6/30/80 TOWN OF SOUTUOLD Mw,r~~ BUILDING DEPARTaENT YY~ ~ TOWN IIALL 9l.DG• F SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY G' DATE../.~~0_/6 NEW CONSTRUCTION .......,{OLD OR PRE-E%ISTING IIUILDING..~ .pACANT LA/ND..__._,_ Location of Property.S:'Y.~.~~..,,,:,Slvf~~,}'~.•~rs~[.. (~~J'~C~QQ(f~y~ IIOUSE NO. STREET ~ - IIAMLET ; ~ C4 Ovncr or Owners of Property.~C)y. ~ a. ~~~..~®~.~j.~~•AA4 County Taa Map No. 1000 Section Block 7:^~- Lot Subdivision~~~.4~.~~SSr~U,~._ Filed Mapp~.I.~.7q..Lo\~t_'f.J~.l~~.._. Perri[ :io.I-(.~~4.._Date of Permit 2'16,~~,J,ApPlicant~jQY,~:,a~s,~©~Il~{~~R~ Ucal[h Dept. Approval Underwriters Approval..........._. PLanninII IIoard Approval Request for Temporary Certificate • Pinal Certificate Pec Submitted: APPLICAN~I//y~~i.~~C?/C:'~'A~ _ . rCD• !0/14/88 3g50~, C n ~ 18497 L ~ II l~~ ~ ~ FORM N0. 6 ° jFiS,! i . , ~ ~ ~ . TOWN OF SOUTNOLD BIIILDING DEPARTMENT i dd' ~nw,.. i TOWN BAL. _ ~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the follgwing; for new buildings or new use: ~ 1. Final surve of y property with accurate location of all buildings, property lines, streets, and unusual'inatural or topographic features. 2. Final approval of Be 'lth Dept, of water supply aad sewerage-disposal(S-9 form), 3. Approval of electrical installation from Board of Fire Underwriters. 4_ Sworn statement from ,plumber certifging that solder used in system contains less than 2/10 of !Z lead .j 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 Plannin Board A g pproval of completed site plan requirements. B. For existing buildings {prior to April 9, 1957] RoR-conforming uses, or buildings and "pre-existing" land 'uses: 1. Accurate survey of property 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 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 vritiag to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, ar other pertinent information'',required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. 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 oflithe entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE DF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe}ling $25.00, Swiffiing 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 $50.00 Commercial rev, 10/14/S8 oOc~~FF~L(,CO~ TEL. 7G5-1802 TO'~N OF SOYJT~Ob.D f ~ • . < OFFICE OF BUILDII.IG INSPECTOR ; P.O. BOX 728 O/M~l SOUTHULD, N~ Y 11971 C E R T I F I C A T I O N Date Building Permi/t~ No(.~ ~ ~Q •jF. Owner ~nc1 C c.)c:~0 ~G~haa/~ (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1, lead. (plumber's signature) Sworn to before me this ?day of T ' 19g~ ~ Q_/J' ~ ~//1 n p Notary >u lic Notary Public, plll.~•~-O~ County JAMES J CORCORAN N07ARY PuR' ~C aat•, .~t New York Nn S~ ~ ~logi QUaldicU ..-oun• QD(IIIl11S310?I-%r,. i, /94c~ ;,.~~~4 ; To~rri or souz~oi,~ l•'+M'~76[<~,.,;i~ r~4 OPl'IG? OF IIUILDING INSl'F.CTOR ~ TOWN ilALL ~;4y~ ~~t' SOU7-IIOLD, N.Y. 1 1971 r /~/a6~~y 'J'o Lvhcm Thin May Concern, 47e are unable r.o complete your Certificate of occupancy because pf the follo;oiny reasons. An application for Certificate of Occupancy ~ i s not nn f i l.c . Dio tJnderc•rriters Certificate on file. 'i'hc checF: .i:;(rnit.dotcd/not on filc.)'8a5 i`io t!calth Dept. 1lpproval on file. P:o final insl~~ect:ion has heen made. Plea:;r. r_ontact: our office an this matter. Thank you for your cooperation. IkiildincJ Permi_t'. U / .7 ~ U ~ Z ~~ke IIuildinq Dept, do I'lumhcr Solder Ccrt.ificate on file. ( .11.1 perr.~its involving plumbing being i~succt aFtcr ,1pri.1 1,19A4 ) 9s ?~ia~z ~ ' ..n .-~st34eoG'p~;'tr lELD Ii:SPECTIU,G ~ (llATE ~ COMMENTS ~ ~ m~~1p 1. 3 e H_ w H FOUIJDATION (1st) N w FOUNDATIOtJ (2nd) _ ~~1~ rL(~sp O-~ 2. z / o ROUGH FRAME ~ ~ ~ ~PLUMBII~ S ~ H 3. ~ N~ ra cn ItJSULATIOPI PER N. Y. ~ STATE ENERGY CODE s a c' 4. ~ "3 FIiJAL ^~l o J E z ADDITIONAL COMMENTS: x ' x ro• H~ ~ ~ H H ~O.\~\(~ l C+7 S+ r H S d b H l 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND ~f~ULATION [r~FRAMING [ ]FINAL DATE ~ ~ INSPECTOR y~ I ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REI~,~RKS: ~ ~>r~ ~~J~ ~-~r DATE ~ ~ INSPECTOR 1. THE NEW YORK BOARD OF FLRE UNDERWRITERS f~:~cz!: ~v~~a~~~ BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 Date I)Ct'f'~SC17:,R t73 r ~f ~(~n APPlication No. on file ~2~~~~'i tx~a~Pi' L'3~~~>,{ f THIS CERTIFIES THAT only the electrical equipment as described belaae and introduced by the applicant homed on the above application number in th¢ premises of Rf)Y C`. St;fSf)A;NFCAAli. „eECI)~Y, I~ZwI+IA:, f"CETC'J{(1G:UT+:, 1+Y.Y. , in thefollou:ing location)~r Basg ent ~ lat FT. ? 2nd F!, Sertion Block Lot SEa'1k~1Vkl~{It 1„~i,2`~Jtir vas examined mL andfourtd to be in compliance with the requireneenRS o(this Board. FIXTURE ECEPTACtES SWITCNE$ FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUOREJCENi OTHEH AMi. K W. AMi K w. AML NW. AMi. K.W AMT. N P. 1l 1 £S } DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEIt UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W OIL H. P. GAS M. P AMT NO. A. W G AMi AMP AMi AMPS. TRANS. AMi H P SYSTEMS qMT WA1I5 NO.OF FEET ,3 t1 Ei9Q SERVICE DISCONNECT NO.OF S E R V I C E ' METER NO. OF CC. COND A. W G A W. G A. W. G AMT AMP, ttPE EOUIF 1 ~0' iW 1 q JW 3,a 3W 3,9' 4W pER 9 Of CC. COND. NO OF HbIEG OF H4LEG NO OF NEUTRALS Of NEUTRAL OTNE0. APPARATUS: z,x2raT't~:rc,r>t urrcrrrc-7 EL>;C. RfSt1kS N);ATLR:S;1-7. ii.4f,.1-.i.~5 3C.N. Sfit7ltF: Illi'F'h:t:'f'OR a 1 R~}Y C. SCHGRNNr~taR G~~~~ SKF)fl1K 7,AP•fF~ CO'I'CHOCUli, IVY, 7,19;15 GENERAL MANAGER 14 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by the i credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED"1 9M NNER. BOARD OF HEALTH . FORM N0. 1 3 SETS OF PLANS , , • SURVEY TOWN OF SOUTHOLD CHECK • ~ • • • • • ' BUILDING DEPARTMENT SEPTIC FORD1 TOWN HALL • • • " " " • • • • • • SOUTHOLD, N.Y. 11071 NOTIFY TEL.:7G5-1802 CALL L-xamined :"...t~/ 19(,7 ~ dd ~y ~j P1AIL T0 • . . Approved 19~Pcrmit No..G. ,19,~ ~ _ . Disapproved a/c t"? f l \~r~_~~.`'• I ~ EE ~ FEB 2 i9€S9 (Building Inspector) T0:".?~ t}r .m.,M,,.t_,_.~,.._,~ APPLICATION FOR BUILDING PERMIT ~q Date , 1~~ INSTRUCTIONS a. Tlus 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 app! 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 pet7rt 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 Permit 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 describec The applicant acrces 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 ctions. /~ry/~~,, _ (Sty a[ure of applicant, or name, if a corporanon) (Mailing address of applicant)'~~93~r- • State whether applicant i owner lessee, agent, architect, engineer general contractor, electrician, plumber or builder .?~..E~.M..:r:H.~..9.w.N.4.(~..~..A. ~:tc~nr.s~.~...?,E.~".~qRd~..x.?>yT~~rp.:~o~t~~;:rti~.. Name of owner ofpremises Wo~l'< My5+vL}= W ITt'}' ..1~aY...~...S~F.i,gE~-1 !•lra.At~-.t........... H~~e.~~.nM.wi~+.S~N~.=...... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~~.t~ OF (Vph, Y .........j. ~ * SCNp O (Name and title of co orate officer F Builder's License No. ~5'cti/, ~O r° o~ ~a~ Plumber's License No. ~ , • { o~°m°~~~~,/ Electrician's License No. ~ 285° ~~01°i®~d~~ °~~ssloNa~ ~`1 ~ Other Trade's License No. ~ 1. Location oCland on which proposed work will be done. ' .e, ..•.r.~.:7~...BA~!..~~rItiU~ ,~v;re.y~6~1E ~1.,~!. ,II,~g......... House Number ' Street ~ Hamlet County Tax ~1lap No. 1000 Sccuon ~ 3~ , „ Bock a • Lot..g Subdivision .~'M(~.P..ol= ..ASSPr.U„~({~M~ F,ilcd ntap No. II:l9. (Name) FILCi) 3I28~35'-,$~FFo4.Y G°ouuTY C1.GRtCt .'l~~ State existing use and occupancy of premises and intended use and occupancy of proposed construction; a. Existing use and occupancy s7 N.C..~('1 M1 Ly.. , to&~ gyp. N ~ 7.11+.t-...... _ _ _ b. Intended use and occupancy ~ • • ...............t:4~ ~ ~.4 fJti R.............. . 3. Nature of work (check which applicable): New Building , , , , Addition .Uteration . F': , , , ,Repair ,Removal . Demolition .Other 1Vork . R~SotU'o~2j,~ARAG6 DooRS~Abb r~a6T'AI'Tb TNtwGfoR E 2H 7"tN6 /i ~3A'T odrtl(Dcscription).. 4. Estimated'C-ost;rl~~~~~,Ag.pw,ooD~IJ F'inoft,:~Pt,IgeG ~~~T~~~ 3H AS Q~~~rD-No91zECNAaYGE ~!1/ , (to be paid on filing this application) 5. if dwcllin~ number of dwelling' u its ,$J1,I~M5.. Number of dwelling units on each floor .rIRST ,F~Qo2 oN,N If garage.numbcrofcars ....I:L:~ 6. If business, cornrnercia! or mixed occupancy, specify nature and c, tent of each type of use . , . 7. Dimensions of existing structures, if any: Front , j l/, g;~ ~ ~rgeyG~0.~Rcar~q~.Ct)G4 GAl>,~ Depth . , 35 ~ ,(f,,r. • • Height , J, ,ft1~P(~,mx , , , Number of Stories . . 2, , Dimensions of same structure s~ith alterations or additions: Front S BMA, , , , , , . , Rcar a: 3 raN ~g~-Air • • Depth,,,SPM~••,,,,.•,,;,,IIcight..,S,C}~~, .NumbcrofStories, SAMr 8, Dimensions oC'cntitp new constntction: Front . .N,A....... Rear , , ./!'~9-. , , , • .Depth l9. • • • Height ..Mr/R..........7arflber of Stories ..Gtp).S..~T4R,Y..~PP,R~N.:TY? ,('tE.Af4.4F, .PR8S~E3T. BA~~..'1.1L I~hA~g 9, Size of lot: Front . Rear , ,~p, , , , , , , , , , • „ • Depth ~ 56. 10, Date of Purchase ..~F.Q.~ J ~q• i F • • • • • • • , . ~{ame of Pormcr Owner ..T, l MP,SQ N . 11, Zone or use district in which premises arc situated , , ,1'C~$ti~,~/,1'[',Ir}4„ , , , • 12,' Does proposed constructio vio`ate any zoning law, ordinance or regulation: ii ~ ~ ~ • • l3. Will lot be re;raded ' • N~' • " " " " " _ • • • ~R • ; • • • • • . , , \Vill excess fll be removed from premises: N' p -Pdo 14. Name of Owner of premises Rll ,Gr SCJ~o~l.Il•1AA;f~, ,Address T . ~ _~S,f~ . Name of Architect l~ Phone No. .Address . Cyr, ~~3,~ ~ piY .Phony. No. . Name of Contractor A.v!1.(S~GR: .Address . .Phone No.. IS.Is this property located within 300 -feet of•a tidal•wetlaod? *YES,~C..NO..~' *If yes, Southold Town Trustees Permit may be required, , i 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 decd, and show street names and indicate whether interior or corner lot. ~ , ra'rrtCHb St~RV~~ +'~~r~a ?~ptl, 16,tgg8 ' l~~LaePr~"E !`BONY Doo(Z I i III' j w @~aa ~ ' STATE OF \EtV l'ORf;, ' COUtiT1' OF S.S " , ' • ' • • • • • • • • • . being duly sworn, deposes and says that he is the applicant • • • • •(1vam:: of individual•signiing contract) • ~ • ~ • • above named. IIc is the . (Contractor, agent, corporate oCCiccr, etc.) of said owner or owners, and is duly authorised to pcrforrn or~havc performed the said work and to make and file 21tis ~Pplication: that all statements contained in this application are true to the best of his knowledge and belief; and that the 'work will be performed in the manners set forth in the applicatiA.n.liled therewith, sworn to before arc this 1 .......................dayof~......,, , 19... rotary Public . 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