HomeMy WebLinkAbout19698-Z (Unit 4) FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22068 Date DECEMBER 24, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 22355 COUNTY RD. )F48 (Unit 4 ) CUTCHOGUE, N.Y.
Rouse 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 ,I[ILY 30, 1990 pursuant to which
Building Permit No. 19698-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
uilding Inspector
Rev. 1/81
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TOWN Of sOUI'NO~D
~YILDINti DlfARTMtNT
TOWN HALL
iOUTNOLD, N. Y.
WILDINd PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COAAPLETION OF THE WORK AUTHORIZED)
No 19698 Z nar......~...7 19.9/
P.nniuian r: h.nby pror,t.d co:
D
ro ......r~.dtfl~~cl~rtkcR.rrl......~?Y / ...,11.~'
at premiss IocaNd a .........r.?~.3 SS.._., ~..:7~~.~.......~:`.~::`.:lZP~Slt6r.Sa......
Co~a+ty Tox Mop Na 1000 Section ......4..T Blxk Lot No.......°.~'P..~.
w,~,t to c~plieation datd ...................4?~~?........................, 19.Q1., cnd opproved by ehe
B~udlno Inspector.
Fee S..IOO:.~......
..~n0 Inspsetor
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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 OF, 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 [opographic 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:. 9r.1992
New Construction........... Old Or Pre-existing Building
u'~"~ * 4 22355 COiJNTY ROAD i48 CUTCHOGUE NEW YORK
Location of Property........ r.
House No. Street Hamlet
Onwer or Owners of Property...... PQDGB CORPORATION .
County Tax Map No 1000, Section.... ,.......Block....~...........Lot...26:?
Subdivision ....................................Filed Map............Lot......................
Permit No....~9698.-?.....Date Of Permit..3~7J91........Applicant..PUDGE.COItPQRA~IQN,,,,,,,,_,
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Reques[ for; Temporary Certificate........... Final Certicate...........
Fee Submitted: SU:00 _ .
James Grap, Sr.
~'i'I 5 3 o~g - ...............APPLICANT
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FOUtJDATIO"J (1st)
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FOUtJDATIOtJ ( 2nd ) m
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ROUGH FRAME & W
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IIJSULATION PER IJ. Y. ~ ~ 4
STATE ENERGY
CODE
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ADDITIONAL COMMEIJTS: s
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Building Layout for (Customer's Name) > . ~ r .i ~ . ~ i~~
Ventilators, insulation, and vapor barriers will reduce but not eliminate cond sation. Sliding door openings will be 4 t/2' to 7 t/2' less in width (except sliding doors
located in sidewall corners may be 10' less in width) than door panels and opening height will be reduced by thickness of concrete floor if concrete Roors are poured.
Ysqueen vapor barrier in Energy Performer rr Buildings CANNOT be removed!
Over ea Door O emn In ormatlon
- Endwall Sidewall Vented P g
Overhang Overhang O.H.D. Manufacturer °'~anr~wm urn... w~
Width Width Non-Vented
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~ (Grcle One) ~y
D~V.~OR ~or~ww o..~
Attessory Sky-Sidelile Interior Liner Partition Soffit Gutt ~ a/,~¦pvfGrare~~ wa ~.TWTW Oa.. w,w ~ t -
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One Squue Equals Feet Date• Customer's Signature
yl~ ~ I BOARD OF HEALTH •
3 SETS OF PL.\NS • • .
~ ~ FORh7 IV O. t SURVEY
TOWN OF SOUTHOLD -.-~rICCI: ~..~47~~
i'~',` I! BUILDING DEPARTMENT SEPTIC FORCI
aLDa. DEFT. TOWN HALL
TOE"'i+J CF SCOTHOt_O fOUTHOLD. N.Y. 11071 NOTIFY
TEL.: 7G5-1802 CALL ..7.(a~ : {if `J ,
7 .......,I9.9~ MAIL TO
Examined q
Approved ~~7......, 19~~ Permit No.. f.~r.~ l~.z.2. .
Disapproved a/c
ddinglnspector)........ .
APPLICAT/(ION FOR BUILDING PERMIT Z 1 q
Date 15.1.E
INSTRUCTIONS
t •
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the $uilding Inspector, with .
sets 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 street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation. _
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, [he Building Inspector will issued a Building Permit to the applicant. Such permi
shall be kept on the premises available for inspection throu~ltout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall 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
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
te=ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as txsein described.
Clte applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and r relations, and to
admit authorized inspector on premises and in building for necessary inspections.
Pudge. CozP.•... . .
•(Signature of applicant, or name, if a corporatton)
.........E.a...&ox .1,4.65. SouthAlA... NX.. ~~97~.... .
(T<tailing address of applicant)
:rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..............................Qwner............................................................
;ameoCownerofpremises .........1'udge,CorP:
(as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
(Name and title of c/~o~r/porate ofIIcer)
Builder's Liccnsc No. ..!::.~t~.! ~ir!~D~!'~S
Plumber's Liccnsc No .
Electrician's Liccnsc No . '
Other Trade's License No . .
Location oC land on which proposed work will be done; Cox Lane Industrial Park Unit IF ~ -
...........22~SS,County Road, 48,,,,,,,, „ Cutcho~uet.NY
[fouseNumbcr Street. ~ •Hamlct••-•••••••.~~••~~~~~~~~~
I
County Tao \lap No. 1000 Section .....84 Block • • • , , , • , , 1. • • • • • • , Lot ........eft '
Subdivision Filed t<tap No. Lot .
.
;-.(Name)
Stzte ecisting use and accuRancy~,of premiScs `nd intended use and occupancy oC proposed construction:
A. >:xisting use and occupancy New•Structure.•..•••.•...•••••••.••_.,,,,,,,,,,
B. Intende~[se and occupancy. ...4(~=~?.$uilc]out
.
- - - ~
X~
. Nature'of work (check which applicable): Ne~v Uuilding Addition .Uteration/ .
Repair Removal Demolition ,Swimnin ; pool.
Tennis~Court• . Accessory Building.......... Fenre•-,•~ .Other tJork..• . • • • • - •
• Estimated Cost .a~~ Fee
(to be paid on filing this application)
. If d~vcllin„ nurnber oC dwelling units Number of dwelling units on each floor .
ICbarace, number of cars .
• IC business, commercial or mixed occupancy, specify nature and extent of each type of use .
. intensions of existing structures, if any: Front . Rear Depth .
Hcigltt Number of Stories • • • • •
Dimensions of same structure with alterations or additions: Front , , . , . ~ • • • , • ~ ~ . • ~ .Rear . - • • • . ~ ~
Depth 1-icight Number oC Stories . .
Dimensions of entire new constnrction: Front Rear . Depth. • . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ •
Hci_ltt Number of Stories .
. Size oflot:~Front Rear.......................Depth....................... .
Date of Purchase .....................Name of Former Owner....... ~ ~ ~ ~ ~ ~ ~ • ~ ~ ~ -
Zone or use district in ~vhiclt premises arc situated • • ~ • ~ - ~ • ~ ~ ~ • ~ ~ '
Does proposed construction violate any zoning law, ordinancc.or regulation:. • • . • • . • • ~ ~ • ~ ~ ~ ~ ~ • -
\Vill lot be re;raded , , , , 1Vill excess fill be removed from premises: • , • .Yes • ~ • , No...
Name of Owner of premises .>;udge Corp., , , , , ,Address Box. 1465 ,Southold , Plrone No. 765-_1850
Name of Architect .Address • .Phone No.. ~ • , ti , , .
Name of Contractor ...Gzay. ,Coons truction , , , , , ,Address Box, 1145 ~ Southold , ,phone No..7.6,5
;1850 ~ ~ • , ,
..Is this property looted within 300 feet of a tidal wetland? *YPS....NO..X..
*If yes, Southold Town Trustees Permit may be required. ~ 4
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.
.
'ATE OF \ElV YORI:~ S S
' ~ • • • ' ' • • being duly sworn, deposes and says that he is the applicant
• (i\amc oCindividua! si;nirro contract)
eve named. 95~~/~
iT lI1C ~G ~ L~• -
(Contractor, agent, corporate officer,•ete.)~
:aid owner or owners, and is duly authorized to perform or !rave performed tltc said work and to make and file this
lication; that all statements contained in this application arc trot to the best of his knowledge and belief; and that the.
k will be perComtcd in the manner set forth in the applicatiat filed therewith. t
ern to before me this
p J
a 7.... .day o ~~L . 19 7!• ~~Y ~.I'"' I
. ~y' i d N.x
/ ~
ary Public, , , , , . , , C only @~ Suffo~
. .
•
. (SiSnature of applicant)