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HomeMy WebLinkAbout18303-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218392 Date SEPT. 7, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 31320 MAIN ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block O1 Lot 19 Subdivision Filed Map No, Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1989 pursuant to which Building Permit No. 183032 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 REPLACE EXISTING ATTACHED CONCRETE PATIO (ABOVE GRADE} WITH WOODEN DECK. The certificate is issued to HERMAN BLUM--IRWIN KRUGER (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO, N/A PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 FOEM NO. 8 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 18 3 0 3 Z Date f1../y 19.9. Permission is her by gr~ d to: / w-ff.........,1....~r ' ,..a.~....~'a...~ ..............................................iI9~ ........~~~e~ ........r..~r,,~...... t f ta .l.G!'r~.,e!!~~.:....i~f.~~.=~r'.'?w . rte:. at premises located at .4y~...... ..,,.~f.. ,J County Tox Mop No. 1000 Section ~~~.yyy....,/..~~... Block Lot No.......~/...ffi. pursuant to application dated .......1.~~~ 19~, and approved by the Building Inspector, / 1 a® Fee 1Q. ildi g Inspector Rev. 6/30/80 TOWN OP SOUTIIOLD q SEP S ,,f ~ BUILDING DEPART2SENT D. ,t"~v-,~ ~~4 _a....~ ~ TOWN UALL 'Q`'~~~`~'`~~, 3}. CJC~Wil'~f'~f. ~ SOUTIIOLD, NEW YORK l 1471 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.A~~_ ~/r /9~ NEW CONSTRUCTION ...OLD OR PRE-E%ISTING BUILDING._....VACANT LAND..._._.. 1 Location of Property..r'~~a,..~~_~~ /~~~~®~~4G UOUSE NO.//~~ STREET NAMLET Owner or Owners of Property_.l:~.~~". ..,~~YU'1 County Taa Map No. 1000 Section Block Lot~..~( Subdivision Filed Map ....Lot.......... zr ~ 1' Permit No./~~a~.~` 7/~ ~ RC~/4/Q°`~ ,~C ....Date of Permit Y ..Applicant Bealth DepC. Approval Underwriters Approval.............. Plannins Board Approval Request for Temporary Certificatcc~~e Final Certificate Pee Submitted: ~5,,,_,.~~,I_a~_. APPLICANT./`~.... ~ z I~35~ G Q a?`7~~ y/~/~~ rev• 10/14/88 FORM NO, 6 TOWN OF SOUTBOLD BIIILDING DEPARTMENT r TOWN BALL 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 following; for new buildings or new use: - 1. Final survey of prope;ty with accurate location of all buildings, property lines, streets, and unusual patural or topographic features. 2. Final approval of Health bept. 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 solder used in system contains less than 2/10 of 1Z 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. B, For existing buildings (Prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land gses: 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 writing 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: 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 accompanq the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. 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. Updated Cettificat~e of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. 10/14/S8 b~c~~,cr~1~'{,n~ VICTOR LESSARD y~ t x' Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ } ~g ~ P.O. Box 1179 .u rn ~dT'' Southold, New York 11971 (516) 765-1802 ~y ~ _ ~ ~ FAX(516)765-1823 ~~1 ~s OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Oct. 25, 1989 Herman Blum P.O. Box 709 Cutchogue, N.Y. 11935 Dear Mr. Blum: I called you in September regarding your Certificate of Occupancy. As I mentioned due to an error the number of the C.O. was wrong. I asked you to mail it back or stop in wiCh it and I would give you the correct one. I am enclosing a return envelope for you to mail it to me and upon receipt of it I will send you the correct one. Thank you. ~Q~ K.,~ Yours truly, IN" y UVV ~ n Secretary p~3°~~~ ~l Y e~ c~~rrliL'~~-' K ~ - VICTOR LESSARD ~ ~ ; ~r ) . ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ t ~ ~ P.O. Box 1179 (s15) 755-taoz sa'~ ''°'~t ~ Southold, New York 11971 FAX (516) 765-1823 e~,,, C OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Oct. 25, 1959 Herman Blum P.O. Bog 709 Cutchogue, N.Y. 11435 Dear Mr. Blum: I called you in September regarding your Certificate of Occupancy. As I mentioned due to an error the number of the C.O. was wrong. I asked you to mail it back or stop in with it and I would give you the correct one. I am enclosing a return envelope for you to mail it to me and upon receipt of it I will send you the correct one. Thank you. Yours truly, °1 Secretary 1ELD I::S:'c~._J:~ i~J;,:E ~OMMLNT° 'ate -o °~~J • ` H ~/`~W _ O OUt7DATI0^! (tst) ~ OUNDATION (2nd) _ _ ~ ~1( o~ OUGH FRAME & ~ . tJ ~PLUMHING ti y • m m IdSULATIOPI PER N. Y. y STATE ENERGY CODE x a ~ r Q Y . H FINAL ~ ADDITIOPIAL COMMENTS: x~`~ • J ' ~ x ~ ~ . H~ 71 A H H \ O m a H • x o~ m ro H • ea r 3 j X65-i84Z BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ] iNS TION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTOR i"~'~t K ~~'n• 1 3 ~.Da THE NEW YORK BOARD OF FIRE UNDERWRITERS ''At't'~ 1AOOGQ7 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 _ ff;E8R1iARY 0$,t!a9t# APPlicationNo.onfile ti3?)7:i'189/85 N 17x4`1.2 THIS CERTIFIES THAT only the s4ctrical equipment a described 6ek]to and introduced 6y the applicant named on the shove application number in the premlms of - N}':RMAN BIAJM, MAf.N Rll., fU7,f;,7.74N', Ctt'Tt'Fli)UUE, H.Y. in thefollotcinq loco6i gaae LJ iat Fl. ? Ynd Fl. t)Li•I .Section Block Lot F~I~ku A~rBb"fi','~7fJo u~os a:amined on and found to 6e in compliance with [he reyuirernenla of this Board. pXTURE R%TURES RANGES COOKING DECKS OVlNS DISH WASMlRS !%NAUST WTIlTS BTACU!S SWITCHES INCAND!]CENT FLUOIIESCENT OTHER AMT. K. W. AMT. K. W. AMi. K.W. AMT. K. W. AMT. '"TM. P. 9 7 DRYERS RIRNAGE MOTORS NTURE APPUANC! IRlDERS SPEOAL RECPT 11M6 CLOCKS YLL UNIT t1EATERS MULiMOUitiT DIMMERS AMT. K. W. Oll N. P. GA$ N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. M. P. ~ ~T AMT. WATTS ~ 9 SlRWOF DISCONNECT NO.OF 5 E R V 1 C E AMT. AMP. TYPE METlR 1 R tW t ,e ]W 3 H ]W 3 F ~w NO. OF CC. COND. A. W. G. NO. Of NLLEG A. W. G NO.OP NEUTRAl3 A. W. G. EOUI?. PER! OP CC.COND. OP MFIEG OP NEUTMI a, ?.Ut? cR 7. It 250 2 'I.50 OTHER APPARATUS: ' C.'F. CAAINf;T:-1 NANkS,B(>ARDS:1-3 i'1R. 7OU - 1 f E JAMES A. MURAN L7:<;,Ah3'7f 3993ti MAIN Rt). PEC.ONLC, NX, 119~i13 WNIItAI~tELAGlR Pert 1 V This certificate must not ba altered in any manner; return to the office of the Fbard if incorrsd. Inspectors may be i ied by 1Mir cndantiah. u COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE AKlST NOT BE ALTERED IN ANY MAl~IER. JiA tr~~11r ~ { .Y rl VICTOR LESSARD ~ ' .bf=.; ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ o P.O. Sox 1179 3~ .ax (s16) 76s-leo2 `',~P~~'.. wA ~y Southold, Naw York 11971 FAX (516) 765-1823 ~ ry' gym" ,.,,,~;;'a;3' {(,7~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July Il, 1959 TO WHOM IT MAY CONCERN Mr. Raymond Blum applied to the Building Department for a permit to replace a cement patio with a deck. Mr. Blum spoke to an inspector and after reviewing the application our inspector saw no problem. SUFFO);R COUNTY TAR MAP 0103-01-19 31320 MAIN ROAD, CUTCHOGUE, N.Y. Y T G~ ' ~e°~ i i ` ~ k N I V ~ J .]L.. c~ ~ ~ ~ ~ ~ ~ o? x~ G p a ~ ~ r i~ ~ e C n~ • ~ ~ C ~ 2 A., " ~ ~G ~ ^ ~ ~ l ~ C ~ N y. P. >C ~ v~ ~ C `t`om ~ vti ~ ~ ~ ~l v~ ' B0.\RD OF HE.\LTH FORMNO.1 3 SETS OF PL.\N$ _ SURVEY " ' • TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FOR:I • • • ~ ~ ~ ~ ~ ~ ~ ~ ~ • • TOWN HALL uOUTHOLD,N.Y.11071 NOTIFY TEL,: 7G5~7302 CALL 7•~,5~-:7~'~,~p~ • Examined , , 19 ~ t•1A I L TO • ~ ~ ~ ~ • Approved ~ Q/~„Y.y ~==V ~j' y • • 19~~. Permit No.1~~05./, ~ • Disapproved a/e ( a I spcctor) APPLICATION FOR BUILDING PERMIT • Date . ~ u.~ ~ / / 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,accura[e 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 scree: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of this appL -ation. 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 permi 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 hfADE to the Building Department for the issuance of a Building Permit pursuant to tht 3uilding 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 described. iite applicant agrees to comply with all applicable laws, ordinances, buildine code, housing code, and regulations, and tc 'dmit authorized ' emises and in buildin^ for necessary s ecti s (~~~1I ay44 Lft~tf~~ ~ I~+~p ~ . 9 '~[a ~JZ 1,i ; (S. ature of applicant, or name, if a corporanon) ~ ~ • .=;ti~4 ,1 `~sl. '.Aye V,~'S ..af. `y. ~[l;Ea ~...9. y. Gu. _ a~,• ^'s=: a!%' (Mailing address of applicant) States r ~ a ent, architect, g Ylrg;ik~4?;3pplicant i$°o~ViieY• es ee ~ n contractor, electrician, plu _ ~ ~.~d.°: ~ r.. engineer, e cral mbar or builder. ryJ ~7 ......x ~~~7~fs 4T.~L:c~14:'.. f(~tl°~ ~~E~~ • ~ e... \ameo(•ost'nerbfpremises ../°Qcl/r/ •ll?e.~f.~1,..~t,F~!?rr(.~l ~G!r,~ ~~a: ~ (as on the tax roll orla~cs[ deed) ~ • • • • ~ ~ ' ' (f applicant is d co~~poration, signdtu7e of duly authorized officer. r: 4. ._,..~<E it i . • • . , 1. . (Name apd~ti•tle of corporate officer) " Buiidcr's Liccnsc No . . • Plumber's License No . Electrician's License No . OtJtcr Trade's License No . . Location of land on which proposed work will be done. Ifouse Number ~ ' • ' •F • • • • • • r~°j~~ Strcct. Hantlct • • • ~ • County Tax ,1fap No. 1000 Section ~ U3....... , : Block ~ Lot..... Subdivision F.ilcd ~fap No. (N:unc) Lot....... ' State existing use and occupancy oC premises and intended use and occupancy of proposed construction: . • . • . a• Esistmg use and occupancy ~Z.S~~f~ee , ` r ,hw y~ fl mr, • ~vM~ s~?.atlk,, . . b, Intended use and occupancy IL.~S u • • . ~ G~',•"~"'~ • . • • . ,r.. ~+h,.t 1 3. A'atutc oCwork '~t~~t/~t=F' Repair , • • • • (check evhich applicable): New UucWing~~~~~ ~'~?~o Wr~ -~r~~ Removal ~ ddition .Vtcrat[on • , ' ' • • • Demolition .Other 1\'ork . • 4. Estimated Cost ,~9°. ~ • • • . (D:sct:... . Fec.... ppor 5. If dwcllin~ pg units (to be paid on filing this a „number of dwclli pplication) If gara;e. num bcr of cars • • • ' • " " " Number of dwelling units on each (loon , , , , , , 6. If business, commercial or mixed oceupancl', Specify nature and extent of each t • • • 7. Dimensions of existing structures, if any; Pron[ , ypc of use . • • • • • • • • • • • • " " Hcicht . Nutnbcr o • Rear Depth . ' . Dimensio f Stories . , , • " • • • • • • • • • , , , , ns of same structure with altcratio • • • " ~ ° Depth, nsoradditions: Front ' 8. Dimensio • • IIciJtt ' Rear • • . ns of entire new construction: Front , • Y" " " • • • • Nutnbcr o~Storics . ~ Hci_ht Nuinycr Rear . . 2.~.. .Depth ../d 7 9. Size of lot; Front..., ?~d of Stories.';,,,•..::.~.., 10. Date ofPurchasc . Rear......-~.7A.t................... .....y.......... 1 1. Zone or use district in [t•hich ~ • • • ~ ' ' ' ' ' ' • • • Narn~ of Former Owner Depth ...~,7.,?, , , • ! 2. Does ro nrcmises are situated , , , ' • • • • • • • • • • • • • • P Posed construction violate an . • • • • • • • • ~ ~ ~ ' ' ' ' ' ' 13. \\'ill lot be recraded 1 zoning law, ordinance or regulation, , ~ ~ • • • • ~ • • " • • 14. Name of Owner of prc:nises • . L ~ ' ' ' ' ' • • • • • • . 1Vi11 excess Gll be removed from premises: Ycs • N Name of Architect ~ ~ " " " " • • Address . .Phone No. . Name of Contractor ...Address ...................Phony, No.............. . 15.Is this property located •~~•••"'••.Address.. ••.•~•~~~~~~••~,phoneNo...••~~~~•~•~•~ *If yes, Southold Tocin Trustelesnp00 feet of a tidal i+etlaud? *ygS,•;;,ttOY•• mit may be required, PLOT DL\GRAc11 Locate clearly and distinctly all buildints, whether existin or ro oscd, property lines. Give strut and block number or description according g P P and.indicare all set-back dimensions fror, interior or comer lot. o to decd, and show street names and indicate whcthc Np p AE NOl'ED DATE: ~ 8.p N .303 FEE ~S`v ~ ~ BV: NdTIFY 9 I G , DEPARTM AT • 766.18D2 9 AM TO d PM FOR THE FOLLOWING INSPECTIONS: . FOUNDATION - TIMDREQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 9. INSULATION Q. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY COPES. NOT RESPONSIBL"•E FOR DkSiGN OR CONSTRUCTION ERRQR§ • T,\TL• OF XER' y0 ..m.: • ~ ~ ~ • • amc individual sirnim ' ' • • • • • • • • being duly sworn, deposes and says that he is the aPPlicant 'ove named. o contract) =isthc.., [;~NT2~~i~2, rQGrNi . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform ar have pcrCormed the said work and to make and•file•tltis ~hcation; that all statements contained in this application arc true to the best of his knowledge and belief; and that the rk wd] be pcriom[cd in the manner scat forth in the application filed thcrcwrtlr. om to bciarc me q[is • ...da}'of/~_.•,~`-L~1;~(/j,...... , 191 a,^; Publi., ~ " " ounty MIE VY,'i `t NEtL W. TON jYe~ per, ~r11 YOr,4 NoWY Pudic, Stale d New York ICP. ' 11o,181tf62 . QwliAd YrMY Qus1lNNed M Tel' Coumy . Commt~n ~~I19g7~ COmmisdonErt~"~" 3t10/1~0 (Signature oCapplicant)