HomeMy WebLinkAbout19302-Z Unit 5
~ .
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N. Y.
CERTIFICATE OF OCCUPANCY
No Z-22060 Date DECEMBER 24, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 22355 COUNTY RD. #48 (Unit 5 ) CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block 1 Lot 26.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NLY 30, 1990 pursuant to which
Building Permit No. 19302-Z dated AUGUST 6, 1990
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 CONSTRUCT WORKSHOP & OFFICE AS APPLIED FOR.
The certificate is issued to PUDGE CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-130236 - MAY 22, 1990
PLUMBERS CERTIFICATION DATED N/A
Bui ding Inspector
Rev. 1/81
1'Oi![ N0. ~
TOWN OF SOUTHOLD
fIIUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
ilUILDING PERMIT
(THIS PERMIT MUST 8E KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 0 M1 y 3 ~ Z Date ~,i'~.,lr.4rA~.......~ 19..~.A
Permission is heroby granted t°: i~
Cl.~.~o~t~D~'~ l_a~r`U ao+
f0 ..4!~`:.`.'~(S/.1Ad.~..~i 'CA......~ JIt1:t..Sr..~ ~ - n .n
W ....Qfrv..... .V
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J
J
J
J
. . . . . . . . . . . . . . . . . . . . . .
of remises located at ......2:....
.....~G......~R...... ~l .....................................................................5/.-.w..~~:.~~5"..............
County Tax Map No. 1000 Section ....Q..$.~....... Block ......Q..~......... Lot No....tas~,.~I
pursuant to application dated ...........~.....r~ 19.~'.f~t., and approved by the
Building Inspector.
Fee St•`••'•'•..:...:~...
Building Inspector
Rev. 6/30/80
Form No. 6
.s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 17 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent 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.
C. Fees
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-existing Euilding - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...DRC:.9?.1992
New Construction.. Old Or Pre-existing Building
"U'r'^~ • 22355 COUNTY ROAD. #48• CUTCHOGI/El, VIEW YOR&
Location of Property.......
House No. Street Hamlet
Onwer or Owners of Property...... PUDGE CORPORATION
County Tax Map No 1000, Section..... ......Block.... ........Lot...26:?
Subdivision ....................................Filed Map............Lot......................
Permit No..~9302-Z ,,,,Date Of Permit., 5/6/90 Applicant..p~~E.CORPQRATIQN,,,,,,,,,,
Health Dept. Approval ..Underwriters Approval.........................
Planning Board Approval ,
Request for: Temporary Certificate..........: Final Certicate...........
Fee Submitted: , • SU :00 .
JAMES GRAY SR..
~.et.y 5 >>115 - ...............APPLICANT........................
~o ~ 24(00
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE
1.001387.
BUREAU OF ELECTRICITY
8S JOHN STREET, NEW YORK. NEW YORK 10038
Dote NOVEMBER 04,1990 ApplieeHonNo.onfife T11131911J90 N 1G0247
THISCERTIFIES THAT
only the electricd equipment ae described 6elou+ and introduced by the applicant nomad on the o6oos eppficetion number Jn the premtsta of
C()X LANE INDUSTRIAL PnnARK, COX LANK, tINTT 45, COTCH6Gf1E, N.Y-
in thefollouinq lacgljyts~NB4.J. BEgemf'pt 11~ /xt Ff. ? Pnd Fl. Section Block Lot
,sas examined on RRVVVV GGGGRRK!( U~ A `J Y and found to 6e in cornplianre with the reyuiremenG of this Buord.
f
AXTUN KpTApE9 SWITCIRS RXTURES RANGES COOKING DKKS OVENS DISH WANIERS EXHAUST FANS
OUTIETS INCANDESCEM~ilUORESCENT OTNER AMT. K.W. AMi. K.W. AMi. K.W. MIT. K.W. AMi. N.P.
10 S 6 2 R ] I`'
DRYERS RIRNACE MOTORS NTURE ArR1ANC! R~ERS SNKSAL RICK 7KaE ClOCK4 NU IXRT MAINS MULT40UTIET DNAMEK
AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~
~ AMT. WAYS
SERVICE DISCONNECT NO.OF 5 E R V I C E
AMT. AIM. TYPE ~ 1,! ]W i l ]W ] / ]W ] / AW ~Mt`COND. ~ CC
COND. ~ NI-lEG Oi~IWMiEG/i NO.Or NEUTMI] ~ 'NWFUO!AL
OTHER AAARATUS:
ELEC. R00N NEATFRS:L-1..5 K.A.,1°.75 K.A.
c,.g.c.I:-1
JODY PUNILLO I.T['.g2300E
PAT LANE
NATTiTIICK„ NY, ].1.952 6YEIIRAL MANI10Bl _
11
Per
Thit certificate must not be alMred in any mdnnar; return to the office of 1M Eoord if incorrect. Inspectors may. bs identified by their crodsntials.
COPY FOR BUILDING DEPARTMENT. TINS COPY OF CERTIPICATE ANIST NOT BE AL Ni ANT MANNER. _
r1ELD IGS:`EC:iU:I ~~U++~ COMMENTS •
~v
1 , a Ie,,O''
H W
D
FOUt7DATI0N _ (1st) ~ N
- - - -
~r~
FOUNDATION ( 2nd ) ~ _ m Tf,
2. F
Z
oN
ROUGH FRAME & N
W
PLUMBING
ti
3. ~ ~
m p~
m
IIlSULATIOP! PER N. Y. • •
STATE ENERGY
CODE
x
~ 8 _fm
4. y
FI;JAL
pp ADDZTIOIIAL COMMENTS: s
I..oS,w.iAe.
L.L~~IUM.~ ,
_
e~ .
c*i
' x
b•N
F•i
70
~ ' b„
H
N
p wp
Z
~
2
M
y
• r
H
x~
v
^o
H
_ 60,~6D OF HEALTH
3 SL•TS OF PL,1N5
FORMNO.1 SURVEY
TOWN OFSOUTHOLD -,•~EIGCh
EUILDING OFPARTMENT SI;P71C FORri . . • • ,
TOWN HALL
$OUTHOLD, N. Y. 11~J71 NOTIFY
TEL.:7G5-1802 CALL
' MAIL T0:
Exzntinod . ./tb~. ~ 19 `~d .
Approved 1~:°Ct . 1990. Permit No. 1.9.~ ~ ~ .
Diszpproveda/c
OIOHlf105 = ' ' '-"+71
~.e.~._..,.. - ,
ti
~ (B I~ +ng Inspector) ~
APPLICATION FOR BUILDING PERMIT i~n
Date UU~.~ .:~::"i..~~ 15 . -
INSTRUCTIONS
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:cts of plans, accurate plot plan tCrscale. 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 part of this appli-
:ztion. _
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
~hzll 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
:hzll hive been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
)uildin~ Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
:caulztions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
-1;c applicznt agrees to comply with all applicable taws, ordinances, building code, housing code, and regulations, and to
emit authorized inspectors an premises and in building for necessary inspections.
Purge COPE•.... - - - ,
(Signature of applicant, or name, if a corporauon) •
P.9, . $4X . (465 ..Souttlold,. ..11971 .
• (b4ailing address of applicant)
:ste whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
'ame of owner of premises :.........>;udge. G.or~.• .
(as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Buildci s Liccnsc No . .
Plumber's Liccnsc No . .
Electricizn's License No .
Otl+cr Trade's Liccnsc No . .
Location of land on wftich proposed work tviil be done; Cox Lane Industrial Park Unit. # ,s
22355 County Road 48 Cutchogue, NY
. . . .
Ilousc Number ~ ,Street. ' " Hamlet • ~ • • ~ • • • • ~ • • ~
+ 1
County Tzx ,flap No. 1000 Section 8?~......... Block .......1 Lot 26, • „ '
SubJivision F.ilcd Atzp No. Lot .
(Name)
State vn+sting use and occupancy of prcmi~cs and intended use and occupancy of proposed construction:
P.Ir .ter c
A. Existing use and occupancy.:...... • 'S`~~•~~• • ~ • • • S••2~ r
• Office Buildout
H. Intended use and occupancy... ..c
Nature'of work (check which applicable): Ne.v Building Addition Alteration .
Repair • . , , , , , • Removal Demolition ..............Swi:nnin ; pool .
Tennis Court Accessory Building...... ...Fenre•.,-•,,,. ...Other lJork.
y •
Estimated Cost.1,~a Fee{G'D..........
(to be paid on tiling this application)
if dtvelting, nucnber of Swelling units Number of dwelling units on each Moor .
IC garace. number of cars .
IC business, commercial or mixed occupancy, specify nature and extent of each type of use .
Dintcnsions of cxistine structures, if any: Front . Rcar Depth . .
Hci^ttt Number of Stories .
Dimensions of same structure with alterations or additions: Front Rear . .
Depth IIeight Nuntbcr of Stories .
Dimensions of entire new constntction: Front Rear Depth
Hei;ttt Number of Stories .
Sizcoflot:Front..... Rear...................,.. Depth
Date of Purchase .............................Name of Former Owner . .
Zone or use district in which premises ate situated . .
Does proposed construction violate any zoning law, ordinance or regulation : . .
1Vii1 lot be re;raded , , . , 1Vi11 excess fill be removed from premises: Ycs , No . .
Name of Otvner of premises ,?udge •Corp.. , • ,Address . 8px.1!+b5. Southold .Phone No..zbS :18.~Q . .
Name of Architect , , , , , ,Address .Phone No.... .
Name of Contractor . ,Gray .Constructio~i • • . • . , Address , ~,ox, 11,4, Southold, phone No..~ii~:18~Q . : .
~.Is this property looted within 300 feet of a tidal wetland? *Y)rS....LiO.%..
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
~perty lines. Give street and block number or description according to deed, and show street names and indicate whether
crior or corner lot.
~~~~~°~r~C3~ APPROVED AS NOTED
t~SE 0S ~If~~jA~"/F~. 9 b U B.P. # ~ o ~
s3r~~•~~ ny ~ GATE' G • W
~~IiTIF~~~3'~ NOTIFY~IILDING DEPARTMENT AT ~
~'CCUPA~CY 3
7651$02 9 AM TO FIV FOR THE
FOLL.04titNG tN.~iPFC.TIO~SS. tN`~'
1. FOt1NDATION TVVO REQUIRED
FOR POURED CONCRETE ~ v
2. ROUGH -FRAMING & PLUMBING
3. WSULATION ~ ~
~\E~~. 4. FIPiP.L - CONSTRUCTION MUST
BE COMPLETE FOR C.O. ~ ~ _
ALL CONSTRUCTION SHALL MEET
8_t~U~~~ THE REQUIREMENTS OF THE N.Y.
v,~0~' STATE CONSTRUCTION ~ ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
'~TL• OF \ElV YORE, S.S "
U;1TY OF -
MM
• • • • • • ~~rn !::r • • being duly stivorn, deposes and says that he is the applicant
. • • • .(Name of individual signing conrract)
;vc named.
.s t11c i~"~~~ I
(Contractor, agent, corporate officer, etc.) ~ • ~ ~
:aiJ owner or owners, and is duly autltorizcd to perform or ltavc pcrformcd the sail work and to make and fife tltis
lication; that all statements contained in this application arc true to the best oC$is knowledge and belief; and that the,
1; will be pcrformcd in the: manner set forth in the application t-ilcd therewith. 1
~rn to before me this
~ , ~
• .day of 19 ~U
pry Public, , , , , , , ~ , !Ve'~r°,,,:'ti......County a
t
Nfl.ENKOEYOE
NOTAI?Y~ ..t1C,ShiGdNer+York
NS , i8, Sutlulkt~nbCj' ($1gnaLtl7G O lIC1n2)
Te~ . , as ?AuCh 30.199-++-- j