HomeMy WebLinkAbout19622-Z (Unit 7) FORM NO. 4
TOWN OF SOUTHOLD
BUILDSNG DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22066 Date DECEMBER 24, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 22355 COUNTY RD. #48 (Unit 7 ) 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 SULY 30, 1990 pursuant to which
Building Permit No. 19622-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
Building Inspector
Rev. 1/81
1051[ N0. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
lUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 19 6 2 2 Z Dote .....C.,l.%f~ 19...~~/
Permission is heroby gna to:
Gy~....Lr
(/~,~......l~~t,~
et premises located at ..~..r~.~.:J.l..s`T
. ....e..l~.~..........~/,~..,~•..
...............................................4'.°l'."' 'G~~~........................................................................
.
County Tex Map No. 1000 Section ..../.0.~......... Block ...........l.......... Lot No............Q.~~..:.,?
pursuant to oppiication dated ....~.{1.~ 19~~, and approved by the
Building Inspector.
Bs
Fee i.~~ ~`J"
.e~
. .
Builds nspeetor
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 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 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 $15.00
Date ...DEC:.9x.1992
New Construction. _ Old Or Pre-existing Building....
AAiM.t~!° 22355 COUNTY ROAD #48 CUTCHOGUE NEFT YORK
Location of Property........... a.
House No. Street Hamlet
Onwer or Owners of Property...... FUDGE CORPORATION
County Tax Map No 1000, Section.....~`.......Block....~ ........Lot...26:?
Subdivision ....................................Filed Map............Lot......................
19622-Z 1/14/91 PP PIIDGE CORPORAT N
Permit No ................Date Of Permit....... ........A licant.. ~Q „
Health Dept. Approval ..Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate..........: Final Certicate...........
Fee Submitted: SU;00
_ JAMES GRAY, SR.
QS-t•~~S 3oR$' ...............APPLICANT
CU ~ ad0(~fv
r'lELD II:SPcC:i0:7 ~~UATc ~I i;OaYMGNTS
,1 ~ l
3
H
_ _ y
FOUIJDATION (1st)
FOUNDATIOIJ (2nd) m
C~
2.
Z C
0
ROUGH FRAME 8c 9J
PLUMBING
G1 V
H
3.
y
y
IIJSULATION PER N. Y,
STATE ENERGY `\V
CODE
x
4. /e .o ~
FI:JAL l1
o
z
ADDITIOIIAL COMMENTS: x
~~,,,a.,,i.... _
C.e, _
c»
x
-o
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~
9
y
z N
x
m
a
• r p
o
t~ ~1•~
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~ 1
' B0.\RD OF HEALTH
1 ~ FORMN0.1 3 SETS OF PLANS
y`~U TOWN SURVEY
OFSOUTHOLD _~.CHEC1:
t;LD~i• o=~T• QUILDING DEPARTMENT ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' '
TO\NNOFSnUTNOI.O S1:PTIC FORrI •
TOWN HALL ~ " " ' •
• $OUTHOLD. N. Y. 11D71 NOTIFY ; i o'rn
/ ~ TEL.. 7G5.1802 CALL ..765:-1 `/.6~,
Exatttincd . 19 .
MAIL T0:
.lpprovcd 19 ~ Permit No...~~'6,~ 2~ .
Disapproved a/c .
dt~ . .tea.. .
wilding Spector)
APPLICATION F R BUILDING PER1411T
Date 15
INSTRUCTIONS
:cts of plans, accnrat plot plan tCs aleetFee according typewriter or in ink and submitted to the $wilding Inspector, with 3
b. Plot plan showing location of lot and of buildino schedule.
ar areas, and givin^ ~s on premises, relationship to adjoining premises or public streets
_atian. .
a detailed description of layout of property must be drawn on the diagram which is pan of this appli-
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
.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
!wilding Z~~ne 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 removal or demolition, as herein described.
Elie applicant agrees to comply with all applicable laws, ordinances, building code, housin^ code, and regulations, and Lo
dmit authorized inspectors on premises and in building for necessary inspections.
P~d.B.e. CorP:..... _ _
(Signature oi' applicant, or name, if a corporation) •
• .....P;Q;.l3ox,1465;,.Southold, NY 119.71
(Mailing address of applicant) • • • • • • ~ -
:ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..............................Owner..............
ameoCotivncrofpremises ......,Pudge Corp.._•.••.
_
(as on the tax roll or ]atest deed) ~ • ~ ~ ~ ~ ' • ~ ' ' '
applicant is a corporation, signature of duly authorized officer.
• . (Name and title of corporate officer) • • • ~ ~ • ~ ~~"?;?''t •
1, ~
. S
BuiWcr's Liccnsc No. ~
PlumbersLiccr~~' ;i_"'t ~s'~,.,, ~ E~y~py¦a µ{yq+t ~ @~
O,.a ! ` V . . . . . . . . . . . . . . . ~ ~ bpi' ~ ~~1(,~
Electrician's Y~, ~
License No. (a ~ g
OthcrTradc' ~ 9~
s Liccnsc No. ~
Location oCland on which proposed work will be done; Cox Lane Industrial Park Unit 4i '•"D ,
l louse Number . ~ ~ ~ ~ • ~ ~ ~ ' ' ' Z~~~S• County, ~ps?d. gg • • , • G@ri~hogue,• NY 11935
Street, ..Hatnlct......•..•...••...•.••
County Tax ,,\la No. 1 ~ ,
p 000 Section 84, , , , , , , , Block t
Subdivision ..........1 Lot ~6....... '
F.ilcd Afap No.
~(N1mej Lot.
Stxtc existing • • • • -
ouse and occupancy of prcmi~cs and intended use and occupancy, oCproposed construction:
A. Existing use and occupancy.......... New Structure . ~ '
8• Intended use and occupancy......... Office Buildout•.,••.
.:,,..e•
Nature'of ~vark (check which applicable): Ne~v Ouilding Addition .U[era[ion .
Re air Removal Demolition ..............Swimnin; pool............
P ..Other tJork....
Tennis Court Accessory Building .......Fene~e~.,^~,...
Estimated Cost Fec • .
(to be paid on filing [his application)
IC dtvcllin„ nutnbcr of d~vclting units Nttmbcr of d~vcllittg units on each Cloor •
ICgarace,numbcrofcars
IC business, commercial or mixed occupancy, specify nature and extent of each type of use
Dirttcnsions of cxistino structures, if any: Front Rcat Depth . .
Hci=ltt Number of Stories . .
Dimensions oC same structure with alterations or additions: Front Rear . .
Depth Flcight ......................Number of Stories .
Dimensions of entire new constntction: Front Rear Depth .
Hei;ltt Number of Stories .
Sizcoflot: Front Rca-...................... 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 :
Will lot be regraded ............................Will excess fill be removed from premises: Ycs , No . .
Name of Owner of premises ..Budge, Corp: • , • • ,pddress ,Box 1465 Southold .Phone No...7,65
;1850, • , , , , •
Name of Architect ...Address ...................Phone No................ .
Name of Contractor .....Ctr,~y, Construction. • • . •pddress Box 1145. Southold phone No...71a,5, :1.BSA..:....
..Is this property looted within 300 feet of a tidal wetland? =YES....NO. fit..
~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
tperty lines. Give street and block number or description according to deed, and show street names and indicate whether
crior or comer lot. • ~ ~ / •
I Ap RQ ED !4S N~ITED
oe
ii rEE. BY:
(3 P,f7TIFV IL .NG DEPART AT
- ?b:~- 7 AO? $ AM TO 4 PM FOR THE
i FOt_LOWtNG INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE '
~C~ 2. ROUGH -FRAMING & PLUMBING
~ 3. SNS!!t.ATION O
~=iht.:L CONSTRUCTION MUST ~
~ I BE COMPLETE FOR C.O. '
I ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y. ~
~ ~ STATE CONSTRUCTION & ENERGY
CODES. NOT _RESPONSIBLE F R
DESIGN OR CONSTRUCTION ERRORS
'ATE OF \EW Y~R[:~~•~U • • ~
UNTY OF 1, S.S ~W~~
M~ •S'•~~ being duly sworn, deposes and says that he is the applicant
• • • •(Namc of individual signing contract)
tvc named.
istltc .......................................TtIT~!~,r......................................... ~
(Contractor, agent, corporate officer, etc.)
:aid owner or owners, and is duly autltorizcd to perform or !taut performed tltc said work and to make and file this
lication: that all statements Contained in this application arc true [o the best oChis knowledge and belie(; and that the
k will be performed in the manner set Conk in the applicatimt ?Icd therewith. t
tm to bciorc me this ~ ~
.....r.dayof .19.1.
ary Public, , • , .
~~'Lf/~.. -L%. .County ~q,~ /,~t~~
CL,AIRELGI-EW .V~~•~ A: _v_.
~.ry publk:, State of New York 7 r / [ , , ,
No. 4879506 UU
Qus118sd in Suffdk County t;nature of applicant)
G,Int„,alon ~ntb.r 8,19 ~ ~ .