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Home My WebLink About16951-zFORM NO. 4 TOWN OF SOUTHOI~D BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17112 Date JULY 22, 1988 THIS CERTIFIES that the building Location of Property 550 WEST CREEK AVE. House No. County Tax Map No. 1000 Section 103 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 13 Lot 5.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office datedAPRIL 18, 1988 pursuant to which Building Permit No.Z-16951 dated MAY 10, 1988 was issued, and conforms to aL1 of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to CHRIS KARB (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building ~nspector Rev. 1/81 FO~ NO. ~ TOWN OF $OUTHOLD llUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 169~1 Z Permission is hereby granted to: ~ _ . ...&..~.~......N..~..~..+.~....~ ~~£.,..~.:~.,....u..t..~.../. ........ .~o ..~.~........%...~....~..~o....~..~....~.. ............... .................... at premises l~ated at .~ .......... ~.~ ....... ~...~ ......... ~~.~ ...... co,,w T~ M~p No. ~000 S,~,io,~/.9..~. ........ ~,~k ....... J...~ ....... Lo, No...~.,..~ ....... pursuant to application dated ..... ~ ........ ~..~ .................. , 19.~., and approv~ by the Building Inspector. Re~ 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ BLDG. DEPT. TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted mlaama,a~m to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of an,/housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00 ]. Certificate of occupancy New Dwelling $25.00, Accessory ~$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 .~. 5.Updated C.O. $ 50.00 Date .... .// ..... ~ .............. NewCons t~'uction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property J.c~. ~/.-2~ ~ ~' ~ V e ~/~ House No. Street ; Hamlet Owner or Owners of Property .. ,/~,, .~, .¢../~., .'~,.. .,/'T./.J. ......................... County Tax Map No. 1000 Section . ?;.~. ~. ........ Block . ./.~. .......... Lot ...~a..'.~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, ...... ~-/~ Date of Permit Applicant . .... ~q~-~,~, Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ...... ~ ................ Planning Board Approval ...................... Request for Temporary Certificate ....... ."~ ............ Final Certificate .... ~- .................. Fee Submitted $ .~...~,. ~ ................... Construction on above described building and~.~rmit meets all applicable codes and regulations. Applicant .... , .... /. .................... Rev. 10-10-78 Co:A TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 T s~ May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ~/An application for Certificate of Occupancy .i.~; not on file. /--/ No Underwriters Certificate on file. /~The check is (ouhdated~not on fil~.) /~/ No Ileai~h Depe. ~pprovai on /~/ No final ins.pecgion has been made. Plea£;e contact our office on this matter. Thank you for your cooperation. Bui]dSng Permit tt / A ~ ~- / Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY. CLEAR lip THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT IlAVE TO BE TAKEN. Thank you. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: Dc I''--~. FINAL DATE FOUNDATIO~ (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING e INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTH,,,~..O.~[;? ..... FORM NO. 1 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... .aTg)..~3~/..O.., Approved .... ~ .~. 9q,4_~ ( .0.., 19~.~.. Permit No..1.~.~ ~)..~. Disapproved a/c ..................................... (Building Inspector) BOARD OF HEALTH CHECK .......... SEPTIC FORM ---'--' CALL -- - MAIL TO: APPLICATION FOR BUILDING PERMIT IN STRUCTION S a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 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 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, the Building Inspector will issued a Building Permit to the applicant. Such permit shall 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 Certificafe%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 pursua~ft6 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessar~ipspections. (Signature of applicant, ~ name, if a co poration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .¢,; , /,,(.: ...................................................................... b Name of owner of premises ./~..t-f ~...g~..~.Y.. .~5. ~..a.~ ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. /. '~'O' '-')' '~' '~'~ .... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ............. ..... ....... I~; 'u;e' ~4~ir .......... Street ; County Tax Map No. 1000 Section ./.O...~. .......... Block. /.~.... Lot ~ ~St-..~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t- $ ! ~e *a ~ z b. Intended use and occupancy . ff..~, v~, ~ ~ 3. Nature of work (check which applicable): New Building ..... ' ..... Additio . . Alteration .i ...... :. Repair Removal Demolition ~ Other Work ,.--- (DesCrip~tion) 4 Estimated Cost ~ )-'~O.. O ~ (to b~ paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use ..................... 7. Dimensions of existing structures, if any: Front ............. .. Rear ...... i ........ Depth ............... Height ............... Number of Stories ........................... ; ............................. Dimensions'of same structure with alterations or additions: Front i Rear Depth ...................... Height ...................... Number qf Stories ...................... ' pth Dimensions of entire new construction: Front .......... . ..... Rear ....... ~ ...... De ............... Height ............... Number of Stories ....................... 9 Si flot F R iD pth · zeo : rent ...................... ear ...................... e ...................... 10 Dar of Pu chase Name of Former Own i'. ................. 11 Zone or district in which premises are situated · use ...................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: '..i ............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address.... ....... .........~ Phone No. ............... Name of Architect ........................... Address .............. ~ .....Phone No ................ Name of Contractor .......................... Address .... ; ........ . .. Phone No. 15. Is this property located within 300 feet of a tidal wetland? *Y~s ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM , Locate clearly and distinctly all buildings, whether existing or proposed, and~ihdicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sh6w street names and indicate whether interior or corner lot. ''-8. STATE OF NEW YORK, COUNTY OF ............ S.S (Name of individual signing contract) above named. He is the ........................................ being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc[) of said owner or owners, and is duly authorized to perform or have performed the .!said work and to make and file this application; that all sfatements contained in this applicatiot~' are true to the best of h'is knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ..................... ,19... Notary Pub/it, : ...... ::'" ............. County ~~~~ 1[~t i natureofa can ~ (Sig ppli t) N/o/E EMERY OLD PASTURE ROAD ROaD SOUTHOLD,N.Y. 1197[ NY.S. LIC. NO. 49668 ENGINEERS RC. Prepared in accorc~nce with the mlnlrnum~ ~andar~s For ti~!c su~eys as established by the LI.A. LS. a~d approved and adopte: for such use by The New yorF St ' CERTIFIED TO: AMERICAN TITLE INSURANCE CO. TITLE NO. 07-111035 PRUDENTIAL INSURANCE COMPANy OF AMERICA , AND/OR ITS SUCCESSORS AND ASSIGNS CHRISTOPHER W. KARB , JR. EILEEN F. KARB SURVEY OF PROPERT. Y AT C UTC H OGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. IOO O- IO,~- 13 - 5.2 SCALE: I": 40~ JAN. 8, 1987 .J OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. I. FOUNDATK)N - ~ REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 81 PLUMBING 3. INSULATION 4.. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONb~I~UCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS -2, "~'"'"'~;?tNOy ',,c APPROVED AS NOTED 1. FOUNDATION . ~OREQUIREO 2. ROUGH - F~MING & P~MBING BE COMP~ FOR C,O. ALL CONS~U~N S~ ME~ ~E RE~R~ OF ~ N.~ STATE ~ & ~ ~D~. N~ ~ ~R DESIGN OR ~ ~