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
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........~~~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 & ~
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~PLUMHING
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m
IdSULATIOPI PER N. Y. y
STATE ENERGY
CODE
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FINAL
~
ADDITIOPIAL COMMENTS: x~`~
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71
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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.
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' 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)