HomeMy WebLinkAbout19643-Z (Unit 6)
- FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22067 Date DECEMBER 24, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 22355 COUNTY RD. #48 (Unit 6 ) 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. 19643-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
~c.~l
uilding Inspector
Rev. 1/81
msac xa s
TOWN OF SOUTHOLD
lUILDING DEPARTMENT
TOWN HALL
SOUTNOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COVv1PLETION OF THE WORK AUTHORIZED)
N°- 1 9643 Z Date .....4-?~x
:.............39............, 19.~.~
Permission is hereby grontedeQto:
SL.~.~~..~
.....lc~S?~......1..~
to ..cd>.:.~rr.....~-~...
of premises located at .................~.ti~..........J..~:1a.......T.A..........5..~:!:1...!4.2,._.................
......T..s......~~~
...................................................................................................r......3
County Tax Mop No. 1000 Section ....Q.~.~........ Block ....Q.~............ Lot No..~.1a.~c...........
pursuant to application doted ~!:*.~`~.......~.w~ 19.~1..f°., and approved by the
Building Inspector. ~J
Fee 5.~.~.:...~ / ij
J
Bui ding Inspector
Rev. 6/30/80
Form No, 6
' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO[,TN HALL
765-1302
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 scare 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,
Addirions 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
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...DEC:.9r.1992
New Construction. Old Or Pre-existing Building
22355 COUNTY ROAD #48 CDTCHOGUE NEW YORK
Location of Property....... a.
House No. Street Hamlet
Onwer or Owners of Property...... PUDGE CORPORATION . .
County Tax Map No 1000, Section............Block....~...........Lot.,,26:?
Subdivision ....................................Filed Map............Lot......................
Permit No.....~Yf14~2......Date Of Permit...l/.31/.91......Applicant..PUDGE,CORPORATLQN,,,,,_,,,,
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: 50 00. .
.......JAMES,GRAYe.SR
~',It,C S3 a$ APPLICANT
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- BOARD OF HEALTH
~5 „ FORMNO.1 3 SECS OF PL.1YS
t TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT' ~>1GCI: .
TOWN HALL S1;'rTIC FoRrt , • • . .
• $OUTEOLD, N. Y. 11rJ71 NOTIFY I • • • • • • •
L.: 7G5.180~ ?
Examined . . ~ I., 199,x. CALL
q r-~[ MAIL T0: '
Approvrd~4: r:-~S . , 3~, 19 9.~. Pc J.~A.I, ~ .
rrrti[ No.~,
D~sapproveda/c
(Building Inspector)
APPLICATION FOR BUILDING PER1411T
• ~ Date I5 ~1.
• INSTRUCTIONS
a. Tltis application must be completely filled in b _
sets of plans, accurate plot plan t(rscale. Fee accordin y typewriter or in ink and submitted to the B,uildin~
b. Plot plan showing location of lot and of buildin~ schedule. ° Inspector, with 3
or areas, and giving a detailed description of layout of p operty mustsbeedra~ n on the dia~nin~
cation. ~ premises or public streets
c. The work covered by this application ma gram which is part of this appli-
d. Upon approval of this application, the Build~n
be commenced before issuance of Building Permit.
shall be kept on the premises available for inspection throupector will issued a Building
e. No building shall be occupied or used in whole or in parttfor anrk. ° Permit to the applicant. Such permit
shall have been granted by the Building Inspector. Y Purpose whatever until a Certificate of Occupancy-
APPLICATION IS HEREBY MADE to the Building
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin
:Ze;ulations, for the construction of buildings, additions or a!
erationso orhfor removaof a Building Permit pursuant to the
j lie applicant agrees to comply with all a ances of
admit authorized inspectors on premises andPlicable laws, ordinances, building 1 or demolition, as herein described.
in building for necessary inspectionsode, housing code, and regulations, and to
Pudge• Corp,• •
-(Signature or' applicant, or name, if a corporatton) ~ •
• • • • • •.....$;Q; Box 1465 Southold,,,IVX • •11971,
Mate whether applicant is owner, lessee a~ (MaiIing address of applicant)
°ent, architect, engineer, general contractor electrician, plumber or butlder.
Owner
Corp,- •
;ame of owner of premises Pudge, .
.
' (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 License No. , , , , ,
OtltcrTradc'sLicenscNo.
L~c.~tton of land on which proposed work will be done; Cox Lane Industrial P
' • ?2355 ark Unit
1(ousc Number ~ • ~ • • • • ' ' ,County Road, ,48, , , , . •
,,,~utchogue;. Ny
Street, • • .
County Tax ~0fap No. 1000 Hamlet • .
Section 84 k
Subdiv' Bloc .......1.. i'
ision - . Lot .....26 ; 3
State ex '(Nantcj Filed Map No. •
istino use and occupancy of premi~cs and intended use and occu ' ' ' Lot . . .
Pancy of proposed construction: •
A• Existing use and occupancy.........H~~t,Stzuctute. '
Int
ended use and occupancy.. , , , , • • .Office Buildout l) ' ~r,,
Nature-of work (check which applicable): Nett' lluilding Addition .Uteration ,
Repair • , , , , , , Removal Demolition _ ,Swimnin ; pool .
Tennis Cour[ ~ a Accessory Building • . • , . ~ ~ ~ '
`TK Fence- .Other Work. _
Estimated Cost Fec ......~(~Q...
(to be paid on tiling this application)
• IC dwelling, number of dwelling units Number o(dwclling units on each floor .
ICgaraze, number of cars ' ' ' • • • • '
• ICbusincss. commercial or mixed occupancy, specify nature and extent•of each type of use ~ • ~ • • •
. Dimensions of existing structures, if any: Front . ~ ~ • ~ ' ' ' ' ' ' ' ' ' ' ' ' ' '
Hci^ltt Rear Depth..............
_ • . Number of Stories . _ _
Dimensions of same structure with alterations or additions: Front ~ ~ • • • ~ ' ' ' ' ' ' ' '
Depth Rear.................
. Height . .Number of Stories . _ _
Dimensions of entire new constnuction: Front . Rear . .Depth ~ • ~ • ~ ~ •
Hci;lt[ Number of .
Stories
Size of lot: 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, ordinancc•or regulation: ~ ~ ~ ~ ~ • '
1Vi11 lot be regraded ,Will excess fill be removed from premises: Yes . • , No
Name of Owner of premises . P4t$ge, Qorp: • . • , , ,Address 1}ox 1465 Southold , Pltone No. 765-1850 • •
Name of Architect ,Address . • .Phone No..
Name of Contractor sszay, construction • • ~ ,Address ,$os 1145 ~ Southold, phone No.. 7b5: ~$5Q. ,
. .
~.Is this property looted within 300 feet of a tidal wetland? *Y>;5....NO.,S.
~If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinetly.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.
~ ~
'x.-!°+ \
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.q h'-iir~'Y t ~.S'I i~ihif. ~~"~6s'~TiL~Eh!' ria
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1 . hC),1Nt~A7!C~ti' T'Jt'f ~.il+~! =D
. r{}n POtJREC; CONC'Ri:Ti'
2. R;)iJGF-! FR.4M!r~'~G B+ J"_U!M1Ff3l~"+iG
3. INSULATION
F!NAL GONSTRUCTION fV1UST 1\Q _
13e COMPLETE FOk C.G`
A.ll 1".C?t^lTRi!t;T!ON ~,~cA! L MEET
Ti-iE REC1UlREMENTS OF THE N.Y.
STATE CONSTRUCTION Be ENERGY
COnES.. Pa OT RESPONSIBLE FOR
t7~S!GN OR GONSTRUCTION ERRORS
w.......,,,,.
--r~~-- -
'~TEOF\E1VY R', l
?.~~-S s : M rC-+~-!~-~y
• • • ~ • ' ' ; ~ ' ' ' ' ' ' ~ ~ • • • • • • • • • being duly sworn, deposes and says that he is the applicant
(T\amc oCindividual signing contract)
eve named.
~s the ................................~:6.~n`~
(Contractor, agent, corporate officer, etc.) ~ ~ • ' ~ ' ' ' ' ' ' ' '
:aid owner or owners, and is duly autltorizcd to perform or ltavc performed tltc said work and to make and Gle this
liration; that all statements contained in this application arc true to the best of his knowledge and belief; and that the,
k tvdl be perCarntcd in the manner set forth in the application filed therewith.
~m to b~forc me this t
..........~s t... / i
may, ~ .day~of 19 q,
ary Public, , , ~/>~~y~• ~ .ounty
No1r~? PubNa, S't
is of
~rbk
No. 4879506 . • • . . • .
QwliHsdinSutfotkCouM1? / . •i,nature oCapplicant)
Oonrniafsfon Ettpir~s D~c~ntbrir 8,1 fLi! ,
. .