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Home My WebLink About19303-Z Unit 13 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22061 Date DECEMBER 24, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 22355 COUNTY RD. #48 (Unit 13) CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 84 Block I Lot 26.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1990 pursuant to which Building Permit No. 19303-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 NO. N-130236 - MAY 22, 1990 PLUMBERS CERTIFICATION DATED N/A ing Inspector Rev. 1/B1 rossc ;wa s TdWN OF SOtITMOLD tiFILMNG DEMRTMMT TOWN NALL SOUTNOLD, N. Y. WILDING ?ERMtT fTH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permluion is hsnby prarM~d to: ....sq ..l~r.'~. ~ ....~:~,rJ~rlr~.~,~.........~.y... of premis~a.locat~d of ..~:~-.~.~t^~11.........5~.. ~~.....~~:::'f~^.:u.~i ,~e;L~i...~ ............................................................111.................................... J n.................. County Tox Mop No. )000 Section Block ......Q...~........ Lot No....~,.~ pursuant to application doted ......~.....t~r.~ )9.qa., and approved by tlw Building Iropector. I Fee S./..~ Rav. 6/30/80 Form No. 6 • ? 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...DBC:.9x.1992 New Construction.. Old Or Pre-existing Building J~"'z~~ 22355 COQNTY ROAD i48_ CDTCHOGiTE~ 1~N YORK Location of Property....... House No. Street Hamlet Onwer or Owners of Property...... CORPORATION . County Tax Map No 1000, Section.....~.......Block....~ ........Lot...26:? Subdivision ....................................Filed Map............Lot...................... Permit No.~~3Q3~..........Date Of Permit. Sf6/90_,,,,,,,Applicant...~~'Q$~~~Q~.......... Health Dept. Approval ..Underwriters Approval......................... Planning Board Approval , Request for: Temporary Certificate..........: Final Certicate........... Fee Submitted: • 50:00.. JAMBS GRAY SR D .APPLICANT c o z aao t~ ti c1::LD II:SP~C:IUa i+Un^.~ ~ C6NMENTS ' ro ~ 1. a W H Q ~ FOUI7DATI04 , f 1st y f- FOUNDATIOW (2ndy 2. r[r[ z o ~ ROUGH FRAME ~ 1q .PLUMBING H 3. ~ ItdSULATI0P1 PER N. Y. . • Oo STATE ENERGY CODE x a .J ~ 4. m H FI:JAL ~ ' I t z ADDITIOPIAL COMMENTS: • . c.~ • x w • r' M ~ ~ ly ...Q O ~y 2 1 ~ a~ S m a y . r C. • H Z C. m ^a H _ B0.1RD OF HEALTH 3 SECS OF PLAtiS FORMNO.1 SURVEY TOWN OF SOUTHOLD -.-CF3EC1; . eU1LDING DEPARTMENT STrPTIC FoRrt . TOWN HALL • $OUTHOLD, N.Y. 11071 NOT I r• Y I TEL.: 7G5.1802 CALL . . . EXatttinc(a . S:~?~ 19~p ~ MAIL T 0 . Approvrd~-sC•..1~.)'L°~.t.°., 19 1°. Permit No.4.93o3',Z. ~ . Disapproved aJc . .~A ~~`~i , (Building Inspector) A~~ - S APPLICATION FOR BlJ1LDING PERMIT L' "L°°--°-°-•""`°"` ~~c~. tis~rr. in TOWN riF.>i~iJ ~ li~'1..~... 15 . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the $uilding inspector, with 3 :cts of plans, accurate plot plan ttrscate. Fee according to schedule. b. Plot plan shoving 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- :ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upan 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 :hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ?uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?c;ulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. -lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections- . Pudge •CorP: . . (Signature of applicant, or name, if a corporatton)~ ~:4 :.~4~ .~46~ ...SnuthgLd,..rIX ..1.19.71.. (Mailing address of applicant) :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. '~me of owner of premises Pudge, CoFP, . (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. • • ~ • ~ • (Name and title of corporate officer) . • • Builder's Liccnsc No . . Plumber's Liccnsc No . . Electrician's Liccnsc No . Otl~cr Trade's License No . . Location of land on which proposed work will be done; Cox Lane Industrial Park .Unit 1~ 13 . •2355, County- Road. 4$, , , , , , Cutcbo~ve, .l`PC . . (louse Number ~ Street Hamlet ~ i County Tai i11ap No. 1000 Section Block b Lot 26.. , Subdivision F.ilad Map No. , Lot . (Nauic) . Stzte c~istino use and occupancy of prcmi,~cs and intended use and occupancy of proposed Cons[ntction• A. Existin ~~t+L.SrnuCture,./,;~&L Irrigation ~ use and occupancy.,.,. B. Intended use and occupancy. Office Buildout.~ , Naturc-of work (check which applicable): Ne~v Building Addition Alteration - Re air Removal Demolition ..............Swimnin ; pool . Tennis Court Accessory Building........ Fenre•..••~,. ...Other [fork........... . . Estimated Costy. Fe~f ~ {to be paid on [dins this application] If dwelling, nutnber of d~vetling units Number of dwellins units on cacti (loot . ICgarace. number of cars . IC business. commercial or mixed occupancy, specify nature and extent of each type of use , . Dimensions of existins structures, if any: Front . Rear Depth . . Hci^!tt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Depth IIeisht ......................Number of Stories . Dimensions of entire new constntction: Front Rear Depth . Hci^Itt Number of Stories . Size of lot: Front Rear...................... Depth . Date oC Purchase .............................Name of Former Owner . . Zone or use district in which premises arc situated . . Does proposed construction violate any zoning law, ordinance or resulation : . . Will lot be regraded 1Vi11 excess (ill be removed from premises: Yes . , No . . Name of Owner of premises ..~vdge Cora., , , , , ,Address Bflx. )455. S9ptb4~d ..Phone No..7,65 :18~Q , . Name of Architect .......Address . .Phone No... . . Name of Contractor ....Gray Construction . , , , ,Address Box, 1145 Southold , ,phone No..765, ;).$5,0 • ; , .Is this property looted within 300 feet of a tidal wetland? ^Y1;S....NO.X.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildinss, whether existing or proposed, and. indicate all set-back dimensions from ;petty lines. Give street and block number or description according to deed, and show street names and indicate whether =riot or corner lot. APPROVED AS NOTED ~ / DATE: ~~B.P. #~3•~- 4;C~L~€1~~GY FEE: ~ NOTIFY BUILDING DEPARTMENT r^aT ~ :,`,g'„; 765-1802 9 AM TO 4 PV FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION - TWO REOUIREO FOR POURED CONCRETE ~ ~ Q 2.-ROUGH - FRAMING R PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O ~0 ALL CONSTRUCTION SHALL. MEET a~`tipJ~~~ ' THE REQUIREMENTS OF THE N.Y. .<';'a~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR v`'v DESIGN pR CONSTRUCTION ERRORS '~TL• OF XE~V YORK, S S ~ U;iTY OF : . • • ..t.~ M`~.~~....... bcins duly sworn, deposes and says that he is the applicant - - • .(Idamc of individual sisnins contract) ;vc named. - islltC ~ (Contractor, ascot, corporate officer, ctc.)~ :aid owner or owners, and is duly authorized to perform or Itavc performed tltc said work and to make and Cile this Iiration: that all statements contained in this application arc true to the best oChis knowledsc and belief; and that the, will be pcrCotntcd in the manner set forth in the application Glcd therewith, t ~rn to bciorc me th/is ~ ' .............!:......day of....-........... 19.9 ~ / ary Public, . , , /w~}5 ; , , ~f~r ,,.(i/,~. County d~~~` (Signature o . pplicant) Tend 4E><pires A4ereh 30~ 1~~--•~•/