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HomeMy WebLinkAbout18329-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18751 Date JANUARY 30, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1160 VILLAGE LANE ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 1 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1989 pursuant to which Building Permit No. 18329-Z dated JULY 27, 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 HANDICAP RAMP ADDITION TO EXISTING BUILDING The certificate is issued to ORIENT COMMUNITY ACTIVITIES, INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i B ilding Inspector Rev. 1f S1 r~osae< xa s 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) ~ ~ ~ G ~ ~ Dote . 19..0..1 Permission is hereby granted to• ~r~,M~ n f ~`42``''°B7?...L~ jl::`"7...J'~.........`f./~'`~' C.d~~••••:•:( ~,~rf~ "•~1"'Gr ..~....~1.../S/`9-s~ ro .....~'l.......-~~i. yr~..G ~ .......<.~.~~1,~~.. Ate. .~.~............U . . at premises located at ......~7.~.11........~~...,,~~af.~......~~:!.'.~ .......................................................~y~ ~t~sr~rr/• County Tox Map No. 1000 Section ........s~.2.~... Block Loot No...........~~...3... pursuont to application dated 19..Q../., and approved by the Building Inspect~o~r Fee 5....~~...`s,~ ~ G ..~,r Bull g t r~ Rev. 6/30/80 ~r~~,,~.~_~.` ~ ~ f,. dam.. TONN OF SOUTIIOLD yy~~ BUILDING DCPARTaENT M~~ ~ T011N QALL B DEPT SDUTIIOLD, NEN YORK 1 197 1 L~ 765 - 1802 ,i APPLICATION FOR CERTIFICATE OF OCCIIPANCY cy NEH CONSTRUCTION ._.....OLD OR PRE-EBISTI2IIG BUI/LDING. ~.VACAt1T LAND.... Location of Property..~~~4:,,_,:____r.'_/~n~P""'~k'~~- ©/~.l~~r. . llOUSE NO_ ~ STP.EET ?AMLET < ~ Oainer or Ovncrs of Property.... ~Leit?_~/Y?Z<c~vrl~-.~~7`<I/<~<.e°f............ CSUnty Taz Hap No. 1000 Section IIlock LoC Subdivision Filed Map ......_.LoC_..._._... Perait No. .~g.~,:~_`.Date of Permit .S'a/lEwSai_ f.~°~~z.T~i .[y• .•••---•••APPlicant . _ ~y. 0ealth Dept. Approval „ Undcruriters Approval.......,,___,_ Planning Board Approval Request for Temporary CerCificate Final Certificate Pce SubmitCed: $,_„~,S:QO APPLICANT..."~0'~~~Sa~.•C ~jC~4s(~~v~-~,~,~-.`.- ,a, rc~' 10/I4/BS CD's 1851 . , ,f _ . I FORM NO. 6 • TOWN OF SOUTIIOLD ~ ~ t ~ BIIILDING DEPARTMENT TOWN iL1L. 765 - III02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with [he following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual, natural ar topographic features. 2. Final approval of IIe,alth 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 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. 8. For eaisting buildings I(Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, ar other pertinent informatioj required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company shoving single and separate ownership of•the entire lot prior to April 9, 1957 shall also accompany the application. I£ 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 Duelling $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 duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential ' Commercial .P ' ern. ~a..~ ev, 10/14/S8 ~ ,,~~\E~~~ TEL.7C5-1E07. ,r O~:-./ '~k~l T'O~t'N OF SOTJTIIO~.Tl a,. (:~,•L14~,.~i~?'t ~ OFi'iCii Ol' SIUILUiNG ItSSPCCTOR ~ .+•ri. ~ ~ i'.O. UOX 728 ~ u~ ~:~~Ir~i'~Y T , ..P~,.c,• SOU"I'1IOLI),N.:. 11971 ~~nl .i£s '~y; January 26, 1990 Sorenson Carpentry, Inc. Box 253 Orient, N.Y. 11957 RE: ORIENT COMMUNITY ACT. INC. To Pihom This May Concern, 9'e Ire unable r_o complete your Certificate ofOccupancy becau ~c of the folloo-~ing reasons. /1,f" An rrp~lication Eor Certificate of Occupancy is not nn file. (ENCLOSED) /.`1o Undnr.;oritcrs Certificate on file. • fhe check .is (oxiX:xXi/not on file.) 525.00 P:o health P,ept. Approval on file. /V! N.o final inspection ha.^, been made. P7 case contact our office on this matter. Thank yoi.r for your. cooperatian. Buildinr, I'crmit II 1 8 3 2 9 Z IIuilciing Ucpt. d*k/_/ tlo Plumber Solder Certificate on file. ( all permit:: involving plumbing being issued after April 1,.19II9 ) _ m'lELD i;:S:'?O: iU;~ ~~UAia q ~OtKMENTS ~ . ~ ~ 1. m _a I--I `n1" _ H Vl rOUWDATION (1st) - m~ OU1dDATIOW ( 2nd ) - ~ ROUGH FRAME & PLUMBING ti~ H J• m C~7 IIJSULATIOf7 PER N. Y. y STATE ENERGY CODE x 4 . !I ~ ~ ~ y FI;JAL ADDITIOPJAL COMMENTS: ~ U • H N m H H ~1~\ O ~ . ~ A r, • - x y d m H . , ~ . ~ TATS LR~3'S CaT IN WA4M r~ - ' MwN, ~ ~itr tNwntK ~ , ' 1111/a b e 4Et F; 49 ti ~ ~ ~ F " ~ ~ i+i m4y" i P ~ t ~ y1 q 0},1 ~ a ~ ~Yl ~ oh ~ d ~ e o ~ u v y ° ~ o _ -r- ~ +d ~ k' tV f tP>5' t~~~tr/tiS.Yt';" C+= h,,~~y t„ F,,P~ 2 Axwy,E i4!R~ xH,;.<~ 9c.4 S __11... 2--as~y yi, ~a • v _ v Yf ~1 iYr ' M rrw I posT N.64~°qb':~ ~ 90..65" 1.'~k. :r~EJU~~~ i ~ ~ Ndr~>P ~Df PF~O~~'t~.'7"'~` . I OF NE~~ tt ~ q ~P Q,~CK V,y O L.J ~i t ~'v ~ ~ ~ ~-,~'t va f"1 ~ J~,~`+j. 00 'j'~' 9F ~ ~a G, ~ ~3 j ~'l;l~"~`~~k~' CC.IwE~tvT~'s' 2sFOCaNOS~~~, t~l e Y: i Unaothesgzed alteration or additfoA ' { tr. this survey is A viMaNon of j ~ 5ocuon 72(13 of the New York Stet! k ro-ucatlon taw. }1 ~f Lt hlr I~'FhR}1'7"'iwaac' P Q r CoplAS o9 this sAnrey me;l not Waring ~ ~ F ~ ~ ~ G the lend surveyor's INCeo sae{ o: ~ ~ ~ Q-~ ~ amboasaA seal shat! not be a+neidered .rI to be A valid true Dopy, ~ .yC ~ (fir Q{'S,(„r.~ d Q/t..'E~i ' Guaranteos Indiretsd hereon shall run L ~ ~~r y' ~ N ~ G.~~~f X.• .~Q only tc the preraon for whom the aunrel'. ~ -,t,fir.4 ~R" 7s prouareq, And an hfa bohalf to the ' F' NYIB compAny, govarnmentoi agency ant4 - ~ ~ ! ~ ~~^Y'"` . lending tnsbtntion bated horeop end ~ ' f to 4he aeaignoea of the lentling Insti-. ~ ~ ~ ,~~hh" ~y~i~y~y ~:g~~"}~~` y~~fd't" ~y~ ~ 1~. [Y~~rt i"~\'~s~~rJ~~'~ ~t/ ~ tattoo. GnarantAas Ar8 not t(aneFarBAiB ki t'Y rM'•`?'M', Yyt?7(~t ' P V'Cn 1`~:>• ~ R~+"r°~ r\ b adgltlOaal InatltUtlOM qr SA iwajugtlt P ~ ffiL. ~ ,e - s G a f ` ~ e, , ~ .,m 2..3~.._4.{k, rs.na.r..,rr~x rt...., to ~ , E..., - n 3 ? 1 A S '..,0....x • r .=2 .test``, i~::a 56~~ J'~I-~~~~ T/ Ulric-' jII ~ ~It I, I~ ji I ill a x ~-~1~~,~ III li / I~ i i I~! III I it I i I III it I I I I I~ i I~I i II BOARD OF HE.ILTH 3 SETS OFr PLANS?............ FORMNO.1 $tJRVEY TOWN OF SOUTHOLD CHECK ~ I~$(O . . . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL. SDUTHOLD, N.Y. 11071 NOTIFY TEL.: 765.1802 CALL C-xamined 1~` / AII. T0 . Approved ...',1.~!~........, 19~,.. Pcnnit No.,I.Q~~9. Disapproved a~~/c ~ va S LI L~...m flea ~ JUN 2 6199 uddin nspector) BLDG. Dc PT. TOWN OF SOUTHOLO APPLICA ION 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 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of this appli- 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 permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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, housinti code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ///~(wSi~gnature~/of applic`a~nt, orQnaGme, f a c~or/poratron~)q ` •C (Mailing address of applicant State whether/applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. l~w!rl.~~~ Name of owner of premises .~6!f~!<:?~f.T. ~~?.`.l`.4T C'S _L ~--C~ • .......s (as on he tax roll or latest deed) If ap l~ica~nt~/is a corporation, signatu of duly authorized officer. (Name and title of corzporate officer) Builder's License No. ~ ,.3.a..~..~. . Plumber's License No. . Electrician's License No. . Other Trade's License No. 1. Location of land on which proposed work will be done. ' Ilouse Number Street, Hamlet nn~ County Tax Map No. 1000 Section .....~Y~~........ , Block L Lot , , , , , , , . Subdivision Filed Clap No. Lot . (Name) State existing use and occupancy of premisesRand 5intended use and occupancy of proposed construction: a. Existing use and occupancy U~~3~~A.,~............p . b. Intended use and occupancy ~PL~~..w'..~~,~g~, f;~lMrJ . 3 Repair of work check w•hiah applicable): New E3uilding ' ( • • • • • Addition . rUtcratio~ •~noval Demolition Other 1Vorkl.%~~?N~%~!~1F'~ / a ~ (Dcscriptioti) 4. Estimated Cost ? Q , , , , , , , Fee..................................... 5 If dara,lennumber of carswellin (to be paid on filing this application) g units , , , , , , , , Number o(dwclling units on each floor . r. g 6. if business, commercial or miffed occupancy, specify nature and extent of each ty a 9f use . • • • ~ • • • 7. Dimensions of existing structures, if any: Front . 3;~, .Rear , , , , 3 ~ ~ ~ ~ • Height 3 . Number of Stories . ar • • • ~ • • • • • • Depth . s,~~~, • • , • Dimensions of same structure • ~ • r' ' ' ' ' ' ' ' ' ' ' with alterations or additions: Front ,~;G Yo' Rear . Depth ......,Sf. . Ilcight ....3. Q. ~ . . Number of Stories . • • • • • • 8. Dimensions of entire new construction; Front . , z{; P•` • • • ~ ' ' ' ' Height ' Nujnber of Stories ~ Rear .....3.~....... Depth rf, ~ . 9. Size of lot: Front `......~a ~ Rear . ./0 :5. r ~ . Dep}~ ...:y. 10. Date of Purchase /1~` i',3 / 4 6 ~ p • Name of Former Owner ......7.".. , ?:~eq ~7, ~Sr'eC'r 11. ZaneP r posedsconst ucthonrvi remises are situated • 1Z. Does ro 41at~e any zoning law, ordinance or regulation: !yd • • • • • • ` lot be re~mded r p ' ' ' ' ' ' ' ' • • , 1Vill excess fill be e oved from premises: Yes ? o 14. Name of Owner of remises , .G~!,C; ~i• . ,Address Us' Name of Architect ' 0 2. j,';bk3Phone No. ~!a, Name of Contractor .-Sd~!ERS??~ ~of~ .F ' ' • Address ~'r ''Ph onr. No. . . IS.Is this property located wi~.n~'Address~d-!3cxaf'3DiPi~honeNo.,3?3•.3~~°.~.. *If yes, Southold Towia Trustees Permitemay bearequiredetland? *YES....NO.... 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 deed, and show street names and indicate whether interior or corner lot. ~~I _ ~~I . STgTE OF NE1V yORI:, S.S COUNTY OF . (Name of individual signi ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant Irg contract) above named. f le is the , (Contractor, agent, corporate officer, etc.)• • • • • • • • • • ~ ~ ~ • • ~ • ~ • ' ' ' ' of said owner or owners, and is duly! authorized to perform or have perforred the said work and to make and file this 1Pplication; that all statements contai~red in this application are true to the best oChis knowledge and belief; and that the work will be performed in the manner set forth in the application Gled therewith. sworn to before me this ../..,,......day of • • 19 votary Public, ~'~1,C,o-,;tJ...7Y . ~Qr. County NELEN K. DE YOE • f • . NOTARY PUBLIC, Stets of New York • • • • ' ' • • ' ' ' No. 4707878,SutfolkCounty (Signature o~'applicant) Turn Expires A9xrch 30, ~ .1.~ i I ~ 7 W yF2{ (puck.',' ~ U I I ! ` os~2¢Z - o QW •o- zS~~ ~~cc l ~vaipzga oW t-n I ~r.C~~,/Kr ~1~/ 'e~j mZQ~ffF Vay~Z Pi i ~ y °..0'o Rugg>>aoc~w o - - i ..~~ooooZZWuaW J LL W N LL pL.LL. m F - _ ~ I ~ I I G LL~n LL~ NPj V QFN O I ~ I ~ i CT s ~X~~~~ _-V-- ~ n I~ Ili ' ~ ~ , ~ I ~ I ~ ~ ~~16 ~ _ 5~ 4 I' ~I I~ I ~i _ i i~ b ~ ,Jc- I I ~ - - - _ - N - l `J AA .S~ -~j-_Q-'p-iJ.- e`_~! ~ ,~~s ~ I. 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