HomeMy WebLinkAbout19372-Z (Unit 8) FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22063 Date DECEMBER 24, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 22355 COUNTY RD. #48 (Unit 8) 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 JULY 30, 1990 pursuant to which
Building Permit No. 19372-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-160246 - NOVEMBER 9, 1990-
PLUMBERS CERTIFICATION DATED N/A
O.t
uilding Inspector
Rev. 1/81
fOEM N0. f
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)
Na ti 37 Z Date ....°.V...?:~-::~....Z >i9.g.4
Permission is hemby granted to:
...~I,,..o 45....x.
ro ..~~^:At1/.4~4:sr~:....5~»....0:
~.~,rLS.b...'t1.... .....9n.... ~?~CA.~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . .
-.t~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at promises located at Z:~:~.~~.,~........
.~3.......
.
County Tax Map No. 1000 Section .....5?.:Q.~....... Block Lot No....s~. ~I
pursuant to application dated ...........~4R~' 19.Q'~., and approved by the
Building Inspector.
Fee S..L~.:..
~,~dL
uildinp Inspector
Rev. 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 ...DSC:.9r.1992
New Construction........... Old Or Pre-existing Building
w-n.~ v 22355 CODNTY, ROAD #48 CUTCHOGURr. NSW YORK
Location of Property..........
House No. Street Hamlet
Onwer or Owners of Property...... PUDGE.CORPORATION
Gounty Tax Map No 1000, Section..... ~.......Block....~ ........Lot...26:?
Subdivision ....................................Filed Map............Lot......................
Permit No...19372
.Z ......Date Of Permit.9/7/90 ,,,,Applicant..PDDGE,CQRPQRATIQN,,,,,,,,,,
Health Dept. Approval ..Underwriters Approval.........................
Planning Board Approval ,
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: SU:00
_q,C, N_$3~8' - ......JAMBS.GB.4Y..S&.
Ln ~ ~^O~~ APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ;
1.0(11.:181. BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Date NOVEN6ER 09.].940 APPlicotionNo.unfile 7111.J090J9Q N ]fi02~6
THIS CERTIFIES THAT
only the electrical equipment as deacrihed 6ektw and introduced 6y the applicant named on the ohoee applicatittp numher in the premiaea of
COX LANfi IND[JSTAZA[, nPARK, COK LIANE. I1N]T ~8, C]1TCHOGtJF:, N.Y.
in thefollotcinq luca•'g~~NAu BU~,I$N~~ lat F'l. ? Ynd Fl. .Section Block Lo[
was examined on Nil)) ~I~i FHf U~ YN andfound to 6e in compliance with the reyuirementa of this Buard.
FIXTURE RXTURES RANOES COOKING DKKS OVENS DISH WASNlRS EXHAUST FANS
OUTLETS EPTACLES SWITCHES INCANDESCFNi FtVOREECENT OTNEn MIT. K. W. AMi. K. W. AMi. K.W. AMi. K. W. AMT. N. P.
1R 7 "L Jh J t'
DRYERS RJRNAGE MOTORS FUTURE APPUAt[CE FADERS SPECIAL RK'PT TIME CLOCKS EEII UNIT HEATERS MUlll-0U1LET DIMMERS
AMi. K. W. OIL X. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ ~ T AMT. WATi5
1 2D
5lRVICE DISCONNECT NO.OF 5 E R V 1~ C E
AMi. AMP. npE MITER 1 % tW 1 p tW 3 A' 7W 3 F eW NO. OF CC COND. A. W.6. NO. OF NbIEG A. W. G NO. OP NEVTRA6 A. W. G.
EOWP. PFR1 Of CC.COND. Of NI-IEG Of NEVTIIAI
OTHER APPARATUS:
G,F.C.L:-1
.IODY PIJMTLLO J,IC.~2300F G/~~~
/
PAT LANE
MATTiT]JCK, NY, 1.].452 Op~gµ MANAON
1]
Psr
This certificate must not be altered in any manner; return to the office o4 the Board if incorrect. Inspectors may be identified by their crodsntiOls.
COPY FOR BUILDING DEPARTM6IT. TIRS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'rIc:LA i;:S:`~C:iU;7 IIUn;s CONMENT~
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FOUI7DATION (1st) ~
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FOUNDATIOIJ (2nd) -
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ROUGH FRAME ~ rl
PLUMBING ff//~~
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IIISULATION PER N. Y. -3
STATE ENERGY
CODE x
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FIiJAL
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ADDITIOPIAL COMMENTS: a~
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BO,1RD OF HEALTH . .
3 SETS OF PL,lYS
FORMNO.1 SURVEY
TOWN OFSOUTHOLD -.-CHECK
BUILDING OtPARTMENT Sl;PTIC FORM .
TOWN HALL -
$OUTHOLD. N. Y. 11071 NOT I FY ~ G~ 11 ~O
TEL.:7G5.1802 CALL ~.......I~...........
EXasnines .c~~-osr;4~_
...~i 19 9 v t~ MAIL T O • .
Approved ~ !9 g~. Permit No.~. 9..?`t. ! a'. . .
DisapprovedaJc
. , i
n
~ f,~o 2 2 ,
(Building Inspector) 4
APPLICATION FOR BUILDING PERMIT BLQG'SOUTHO~
WH
Yo... _ 1S l~
INSTRUCTIONS
3. This application must be completely filled in by typewriter or In ink and submitted to the $uildin~ Inspector, with 3
:cts of plans, accurate plot plan ttrscale. Fee according to schedule.
b. Plot plan sho~vin~ 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 mtut be drawn on the .diagram which is gars of this appli-
:anon.
c. The work covered by iltis 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
:hail be kept on the premises available for inspection thraugltout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificateflf Occupancy
.halPhave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
luilding Zone Ordinance of the Town of Southold, Suffolk County, Ne~v York, and other applicable Laws, Ordinances or
:c:ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
lie applicant agrees to comply with all applicable laws, ordinances, }wilding code, hausin~ code, and resuiations, and to
dmitauthorized inspectors on premises and in building for necessary inspections.
Pudge•CorP.
~i~~~~ ~ ~ r~C~ ~R - • •(Signature of applicant, or name, if a corporauon) •
_ s~;~~•~€~~~~~• P.O. Box 1465 Southold, NY 11971 •
~E ~+~~r~~4C+~;~ • - • - • , • - • (Mailing address of applicant) • • • - ~ • • • • • -
CF QCCi3Q~l~CY
;ate tivhether applicant is owner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner ~ :r
_ ...14PPid(~1Et)• A~ tf'i:~:.f1....... .
ame of owner of premises Pudge Corgi.. • . • • • • . • . • • • • . • • .DATE: p •7i
(as on the tax roll or latesfp~eed~ / ~ . r,v G a-•
NOTIFY BCi1LI?INC; L:f _
applicant is a corporation, signature of duly autfwrizcd officer. 7fi5-1$02 9 AM Tit -
FOLLOVtiING tN;-.Pr C~!' : •
• (Name and title of corporate officer) FOR POUREO CONS'=~~'.
Builder's License No . . 2. ROUGH • 1=RA~1ttvG P, !"-!.:.3~;~= ;
. • • INSULATfON
Plumber s License No . 4. FINAL - COPMSTRUCTtON ,~At; ST
• BE COMPLETE FDR ~.O
Elcctritian's License No. 1: ~t~~t~(.~'-~ ~ ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
• : • • . STATE CONSTRUCTION & EE'dERGY
Otltcr Trade's License No. COOES. NOT RESPONSIBLE FL)R
DESIGN OR CONSTR~TlON ERRORS '
Location of land on which proposed work will be done; ,.Cox Lane Industrial Park Unit JJ
...........?2355•~ounty Roac}•4$ „ • Cutcho~ue.,NY••
ll~u
o se Number Street. Hamlet • ~
i
~ounty Taa ,1fap No. 1000 Section $4...:...: Block • , , , , 1, , • , • • , • • • , , Lot ,ZG
iubdivision . ~iicdlclap T7o. Lot .
(Name) .
,txte existing use and occupancy of premises and intended use and occupancy oC proposed construction:
~
A. Existin ......New. Struairutew•:;«.:.`R••••••
g use and occupancy..........
Office 13u~.~~bu,~t,~ +i •
B. Intended use and occupancy. ...;MM,Ir
. P
A'a{u•rc-of work (check which applicable): Ne~v tluilding Additicn .Uteration .
Repair • , , , , , , , Removal Demolition ..............Swi:nnin ; pool .
Tennis~Court•. ~ Accessory Building..........Fene•e•-+••ti,.....Other IJork.
Y ?
Estimated Cost . Fec
(to be paid on filing this application)
• IC d~vciling, nu~nbcr of dwelling units Number of dtivclling units on each (7oor .
iC garacc, number of cars
IC business, commercial or mixed occupancy, specify nature and extent of each type of use .
Dimensions of existing structures, iC any: Front . Rear Depth . .
Hci^ltt Number of Stories • • . .
Dimensions of same structure with alterations or additions: Front Rear . .
Depth lIcigttt Number of Stories
Dimensions of entire new construction: Front Rear Depth • • ~ • • • • • . •
Hci=1r2 . . . Number of Stories .
Size oflat:Front Rcas...................... Depth .
Date of Purchase .....................Name of Former Owner .
Zone or use district in which premises arc situated .
Does proposed construction violate any zoning law, ordinance or regulation :
1Vill lot be regraded _ . _ _ ,Will excess fil] be removed ftrmt premises: Yes . , No . .
Nuts of Owner of premises , pudge . CorB......... Address .$o~c 146• Southold, , Pltone No... 765-1850 _ • • •
Name of Architect .....Address . .Phone No....... .
Name of Contractor Gray. G4nstruction • • • ,Address Box _1145 Southold• .phone No...Z65-16~Q . '
. . . .
~.Is [his property located within 300 feet of a tidal wetland? ~Y>:5....NO..~.
~If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ail set-back dimensions frnrr
~perty lines. Give street and block number or description according to deed, and show street names and indicate whether
d
.rior or corner lot. -
9
• O
~ -
~l-~
~T[ OF ~E\V YORK, S.S
J;1TY OF V
• • • • • • • • • ••~•~S •v'+~~~~... v being duly sworn, deposes and says that he is the applicant
. (Name oC individual si~nino contract)
.e named.
s tttc
(Contractor, agent, corporate officer, etc.)
yid o+vncr or owners, and is duly autltorizcd to perform or have performed tltc said work and to make and file this
.cation; that all statements contained in this application arc true to the best of his knowledge and belief; and that the..
will be perfomted in the manner set forth in the application Glcd therewith. ~
~t to before me this
19 ~y
ry Public, .:~I. SY~~oI~
County ,
nrei
cSO°~i
~ Kr. .
~~g•yt~( (Signature of applicant)
. "M ¢~Z