The URL can be used to link to this page

Home My WebLink About17420-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26187 Date: 12/24/98 THIS CERTIFIES that the building ALTERATION Location of Property: 630 OAK STREET CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 136 Block 1 Lot 42.1 Subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 1988 pursuant to which Building Permit No. 17420-Z dated SEPTEMBER 14, 1988 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 CHIMNEY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELENE S. WECHTERMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A / /Building Inspector Rev. 1/81 FORM NO. 0 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~ 017q20 Z ...... ~_~.~...~...,,..~..,....~,;.....x..x..~.~o-'-' _ __.- ,o .~_..~.~.......~..~.~,~.....~~.'...~;~.~.~~..~.. County Tax Map No. 1000 Section ....... ./....~...~...., Block / Lot No. pursuant to application dated ....... .~.....-m..... ,'~-,~... ............................... , 19.~', and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uaes, or buildings and '?pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consen~ 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. 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-existln~ Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... ~1 ./.~/..~t· ........................ ,¢,tio,, of Frop rty... House No. Street Hamlet ~nnty Tax Map No 1000, Section .............. nioc~ .... ~bdivision ......... Filled Map ............ Lot ............... / ....... · -rmit No.J.'7.~.~.~iiii~i~i g~ ~i~iiiii~-)~-~- ...... mpplicant...~...?. ....... ~.alth Dept. Approval....... ................ . . . Underwriters Approval ......................... lanning Board Approval ..... ~quest for: Temporary Certificate ........... Final Certicate ........... Submitted: $ .....--.~.~.O ?'iELD I~S[~'~' FOUNDATION {1st) CO~NgNTS FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · SOUTHOLD, N.Y. 11971 TEL.: 765-1802 190"Z. Permit No..4 ........ Disapproved a/c ..................................... . ~n~iici '" APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: iNSTRUCTIONS a. This 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 Ih. your of property must be drawn on the diagram which is part 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 issmince of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other Regulations, for the construction of buildings, additions or alterations, or for/'emov~l The applicant agrees to comply with all applicable laws, ordinanc~g cod~,~{~ admit authorizeS mspectors on premmes and m buildmg for necess~s~...~ James E. htzgerald, Jr. P/~3'~. -Box 617 // P.O. Box 617, Cutchogue, NY ' Phone: {516) 7a4-$800 '-'~'~'~'~"~'~' (Mailing address of applicant) applicable Laws. Ordinances or .~_ olition, as he. cr. qin described. _'code, and~tions, and to r narn~, if a c~poranon) 55 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...A..pp.l.ip.a.n..~..i.d...a.n..a.g .e.n.t..o.~..~.h.e.. 9.WqOr., .................................................... Name of owner of premises ...Dr....]~270-..'e/~¢llJ;.~27rllg/q. .................................................. (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... .~/4:-.-~-f. ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ......... : ...... ' ................. : ................ 650 O~k. $.l;~.e e .t;. . Cu.i.c2qo gl&e. House Number Street Hmnlet County Tax Map No. 1000 Section ..... ~ 3~ .......... Block ...... 1 ........... Lot....4JY.42 .......... Subdivision ................................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Sin~.le .f.a.n~ily .resilience Same b. Intended use and occupancy ................................................................. 3. Nature of work (check which applicable): New Building .......... Addition ...... ;. · :. '-t~.3q.*~9)~.ud~/¥;kh -~:~,? i ~ ti' Repair ... ,XX ........ Removal ......... Demolition ............ ~)ttier Work ........... 4. Estimate'd Cost ...... SJ ,5.0.0 ...................... Fee ... .... . '.'.~ ... . ...... ~Q..~. t (to be prod bn filihg tll~s.aPl~ti~,~tli~Sh) 5. If dwelling, number of dwelling ~units .1. Number of dwelling units ' - ............. . on eaan neet...x't~.q' .......... If garage numberofcars : N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... ~1'/~. ............. 7 Dimensions of existing structures if any: FrontS..e.e 8.1,).r?.e.~. Rear ~ Depth Height Number of Stories Dhnensions of same structure with alterations or additions: Front ................. Rear ...... Depth ' Height Number of Stories · 8. Dimensions of entire new construction: Front '~.. N./.A ........ Rear ............... Depth ............... Height Nun~ber of Sto~es 62 52..: .... , . ~, '"~k;' ,"'~ 09.' 9. Size of lot: Front .... · t~ear ...u.J .................. Depth . .1. . .Ya. ile. ....... 10. Date of Purchase .. g, pprox .Teb..~.~1~1 .......... Name of Former Owner .... tlgkll.o.w~t ................ 11 Zone or use district in which pr~mises are situated Resi.d. er/.ge fi, 12. Does proposed construction viol~ate any zoning law, ordinance or regulation: ....Np ........................... 13. Will lot be regraded ........ Np .................. Will excess fill be removed from premises: lq'/A Yes No 14. Name of Owner of premises ~l~l. I....Weeh~t.~ma~ Address Pi;. ~T.~ffOr,.~or~ ..... Phone No.3.~'[£~56.~2 ...... Name of Architect ' Address Phone No Name of Contractor........ ~.. Address Phone No ' 15.Is this property located within 100 feet of a tidal wetland? *YES.~[..NO .... · If yes, Southold Totat~ Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alllbuildings, whether existing or proposed, and. indicate all set-back dimensions fro~ property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. , See attached sur~ey. Existing chimney! is pulling away from house near ridge and must be repaired or replaced. STATE OF NEW YORK, COUNTY OF ......... ............ Jame,. J~...F~..'b~g~g,1..d.,. J?... ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. : Heis the A~ent (PROPER-? SERVICES) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyI authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the Work will be performed in the mannerlset forth in the application filed there'~ith. -Sworn to before me this Notary Public,...,~bgO.,. ~ ,.. ~. ~ ........ County [/. JANE R. UINERVA ...... q .... ttNOTARY PUBLIC, State of Nov,' York No. 4853108, Suffolk County/'i. (Signature icant) Commission £xp*res February 18, lff",..~