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Home My WebLink About19304-Z Unit 17 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22062 Date DECEMBER 24, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 22355 COUNTY RD. #4B (Unit 17) 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. 19304-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 PURGE 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 Bui ding Inspector Rev. 1/B1 !'ltil[ NA ~ TOWN OE ~OUTYOLO WiLOiNO OLfARTMENT TOWN HALL . SOUTNOLD, N. Y. WILDING PERMR CTHIS PERMIT MUST BE .KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N~ i 9 3 Q Z Dat....~!".:!l.~...... ~ 19.~.Q Permission is hereby prarKed t@o; I , - - _ ~ .......t.«?.Q.~....~i .~t~~ ta ..~.~r?..r.~::...~a....a..~F.....~.~....~...~~a. ar promiaa•kxwted ot .z~.'r~..a~~".....~..~.'~?.........(;~n~!:'~`s--a Coun Tax Ma ~ ion ...,Q Blaek ty p No. 1 4. Lot No.... Si~..~t........... punwant to opplicotion dated ..........1'~r.0 19.~.°.., and apprawd by tM Buitdin//p inspector. Pee i•1.•~..../ Rw. 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 OP, 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 lZ 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 $15.00 Date ...DSC:.91.1992 New Construction.. Old Or Pre-existing Building Un~ct+~ ~"1 • 22355 COi1NTY BOlilf /48 COTCHOGITSr, IiBW YORK Location of Property....... House No. Street Hamlet Onwer or Owners of Property...... PQDC6 Cp$pORATIOH County Tax Map No 1000, Section..... ~.......Block....~ ........Lot.,,26:2•••••• Subdivision ....................................Filed Map............Lot...................... Permit No. ,19304 .2. • • • • „Date Of Permit.. 8x6/90 • • • • •Applicant.. ~Q~Q~$'~Q~......... . Health Dept. Approval ..Underwriters Approval......................... Planning Board Approval , Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: , • SU :00 • JAMES GRAY, SR. , y 5 3 ~ - APPLICANT c o ~ aao c~ c1c:LD I1:S:'EC:iUt7 ~~Ub:F. ~I COMMENTS _ s ~ 'o ,p m ~ . iai 0 FOUi7DATION (1st) a • y FOUNDATIOW ( 2nd ) _ ~'3~.Lr~ 2 . J('~ o N N P,OUGH FRAME & W PLUMBING y H .C. 3. ~ m ~O m It7SULATION PER N. Y. ~ • • STATE ENERGY CODE x a 4 . y FIidAL ' I ~ ~ ~ z ADDITIOP7AL COMMENTS: LYr41lL~Jll~ • ' x ro M ~ ~ . H O zr : i M a • r ~ • '•3 x o m H _ ~ B0.\RD OF HEALTH - 3 SETS OF PL.1NS - FORMN0.1 SURVEY TOWN QFSOUTHOLD ,-~HECf: BUILDING DEPARTMENT' SEPTIC roRrt . TOWN HALL - . $OUTHOLD, N.Y. 11'J71 NOTIFY TEL..7G5.1802 CALL - ' TO r ~ MAIL ' Examined r~?`.~o.., 19 O Approvcd6~~..~?.., 19'.4 Permit No.I. 9'.~d7. ~ .11~.~' ~ 4v . Disapproved a/c =~G - ~ [9~ ; ~ ~t,C~• o-c. ~ TO B O SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ulY. 30.,........, 15 9Q . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the $uilding Inspector, with 3 ~~ts of plans, accurate plot plan ttrscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~r 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. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .hall 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 .`call 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 luildin~ Zone Ordinance of the Town of Southold, Suffolk County, Ne~v York, and other applicable Laws, Ordinances os ':~ulations, for. the construction. of buildings, additions or alterations, or for removal or demolition, as herein described. -;:e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .:mit authorized inspector on premises and in building for necessary inspections. Pudge CorP.•... (Signature of applicant, or name, if a corporation} • P.O. Box 1465 Southold, NY 11971 ' - ~ ~ • (Mailing address of applicant} :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ~meo w ~ ,..Pud e.Corp f o ner of premises $ . (as on the tax roll or latest deed} applicant is a corporation, signature of duly authorized officer. - . . (Name and titlc'of`corporafe„officer) ~ - Builder's Lice'ns~~ No. r. -r' • • • • . • • • • - Plumber's Liccnsc No . . Elcetrician's License No . Ollicr Trade's Liccnsc No . . Location of land on which proposed work will be done; Cox Land Industrial Park Unit 4R 17 - ,,,,,,,,,„22~55,Countx,Road,48,,,,,,,, Cutc}~ogue~,NY„•,,,•• _ llouso Nuntbcr Street. ~ ~ • ~ • ~ • • ~ • Hamlet ~ i County Tax \1ap No. 1000 Section $4 • Block 1........... Lot ........26 Subdivision Filed Alap No. Lot •Wamej State cxistine use and occupancy oC prcmi~cs and intended use and occupancy oC proposed construction: ,I~ .T w • ~ ..New.Structuxe;,1.G~12~rFets Cotgg~ny A. Existin u " g se and. occupancy,..t.••••• . • Office Buildout B. Intended use and occupancy . t - Naturc~of work (check which applicable); Ne~v (3uilding Addition .Utcration . Repair Removal Demolition ..............Swi:nnin ; pool........... . Tennis Court• Accessory Building.......... Eenre~-,-•ti,. ...Other [fork........... . M i Estimated Cost Fec (to be paid on lilins this application) . If dwelling, nurnbcr oC d~vcfting units Number of d~vclling units on each floor . ICgarace. number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . Dimensions of existing structures, if any: Front . Rear Depth . . Hci^ltt Number of Stories . . . Dimensions oC same structure with alterations or additions: Front Rear . . Depth Iieig}tt Number of Stories . Dimensions of entire new constnrction: Front Rear Depth • • • • . Hci^ltt Number of Stories . . Sizcof{ot:Front . Rear...................... Depth . Date of Purchase ° ,Name of Former Owner Zone or use district in which premises arc situated . Does proposed construction violate any zoning law, ordinance or regulation : . . Wiil lot be re;raded ............................Will excess fill be removed From premises: .Yes , No . . Name of Owner of premises . Pudge. C4rB:........ Address .$ox 146, Sout)ioltl, , Plione No.. 765..-i$5Q . . Name of Architect .........Address . .Phone No.. . None of COntraCLOr . ~Fi3Y. construction. _ • , ,Address . ,Box .1145 Southoldphone No.. 765-1$50 ~ ; , , , , . . .Is this property loc~ited within 300 feet of a tidal wetland? -Y):5....NO_7C.. ~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 .rior or corner lot. - - GCC~lE'A~1CY OR - ~ USE IS U~ILAYIfUI. , ' - ~ WITHOUT CERTIFICATE . Of OCCU~ANCY~ APPROVED AS NOTED c~ ~ DATE: `'Ilo19n B.P. `N ~ 20 ~D FEE: ! ' "--BY: y • ~ - ~ ' IuORIFY BUILDING DEPARTMENT AT 785-1g02 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. fOUNDATION - TWO REQUIRED ' B~ FOR POURED CONCRETE ~ 2. ROUGH -FRAMING d~ PLUMBING \ ~ 3. INSULATION 4. FINAL. - CONSTRUCTION MUST BE COMPLETE FOR CA. ALL CONSTRUCTION SHALL MEET f ~ ~•(~E~~~ STATE ONSTRUCTION 8~ TENERGY ~O COOES. Ndf RESPONSIBLE FOR ~`~~>~N~~~ 1~~ DESIGN OR CONSTRUCnON ERRORS '.TE OF \E1V YORE, S.S • • • • • • • • ~ being duly sworn, deposes and says that he is the applicant • • ~ .(Name oC indrvrdual signing contract) , •~e named. ~stltc (Contractor, agent, corporate officer,•etC.)~ ~ ~ • :aid owner or owners, and is duly autltorizcd to perform or )tavc performed tltc said work and to make and file this ication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the, will be pcrfomicd in tltc manner set forth in the application filed therewith. r ~rn to before me this ..............rO.....day of ...f~............, 19 .~U ary Public. . , , , „C ! : , A./,.i-r:;,,,.~{,~:e: , County ' i IIELEII K DE YOE • • • . NOMRY PUBLIG State of Ne~~Ya~k- • • • • • • • • Si;nat' • • f applicant) ~rw Fspr~?Mirth 30,19~L ~ ` ' . 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