HomeMy WebLinkAbout31181-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31051 Date: 07/20/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1700 VILLAGE LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 24 Block 2 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 6, 2005 pursuant to which
Building Permit No. 31181-Z dated JUNE 6, 2005
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 RELOCATE EXISTING ACCESSORY ONE CAR GARAGE AS APPLIED FOR.
The certificate is issued to PETER & CHARLOTTE DEUTSCH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 31181 06/22/05
PLUMBERS CERTIFICATION DATED N/A
0
A h riz Sign ure
Rev. 1/81
6 • ��� bio z.
v Form No.6
TOWN OF SOUTHOLD IrTr�BUILDING DEPARTMENT � (1`
TOWN HALL . °sl
765-1802 JUL
APPLICATION FOR CERTIFICATE OF OCCUPANCY
sri THO�_D
This application must be filled in by typewriter or ink and submitted to the Building Department with he following:
A. 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 1% 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 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. (T1_1 /
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: /70 0 4AAIC-7 �21Ei1�T
House No. Street Hamlet
Owner or Owners of Property: IPE77F� 4 46 V 7?C T>E U TSeW
Suffolk County Tax Map No 1000, Section Block 0002- Lot d
b 2�
Subdivision Filed Map. 7� Lot:
Permit No. 3//(61 Z Date of Permit. JTIL,6-6, 2120,%pplicant: 4F_1—&X
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
�9%5 L r Applicant Signature
�0
ro3�®.� I
� rncl��r�rJ�[,t[Pr..[r�rl�r��cJ�[J�[.rl[J�[J'cJ�[PCI�C.I�r.PGI�C1�Ll�C1�[.i77J�Gl�rJ�[J�[1�[PC1�GlCl�[1[1�[17[J�CJ'ci�rJ�r�rrJ�[l�r�[J7[J�Gf[J�[J�G1�r�rJ��cfar�cicl�r�J� �
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITER'S 5
5
BUREAU OF 'ELECTRICITY 5
5 u 5
5c 40 FULTON STREET — NEW YORK, NY 1:0038 5
5' CERTIFIES THAT5
55
5 Upon the application of upon premises owned by
REP S ELECTRIC PETER
P O BOX 6355 V LLAGE LANE 5
5 MATTITU,CK, NY 11+952, ORIENT, NY 11957' 5
5 5
SLocated at 1.700 VILLAGE LANE ORIENT, NY 11957 5
5 5 er 2058940 Certificate Number: 2058944 5
Application Num.b. c�
5 Section: Block: Lot: Building Permit: 31181Z B'DC: ns11 5
5 5 premises electrical system,consisting of S
Described as a occupancy.,.wherein the prem c I y m � g ej
5 electrical devices and wiring, described below, located in/on the premises at: C5
First Floor,garage only,Detached Garage,Outside;
re ises electrical s stern limited to electrical devices and wiring to the extent detailed
5 A visual inspection of the p my g �j
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5
5 promulgated by the State of New York, Department of State Code Enforcement and Adrninistratio,n, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the 22n Day of June,20051.
NameTYTY Rate Ratine Circuit, Tyne
5 Panels 5
5 1 5.0 4
C
Wiring and Devices, 5
Outlet 5' 0 Fixture.
Fixture 5 0 Incandescent 5
5 Outlet 9 0 General Purpose 5
5 Receptacle 5 General Purpose
5 switch 5 0 General Purpose
Receptacle 1 GFCI
5 5
S 5
5 5
5 ; Sear
5 - 5
of l 5
5 This certificate may not be altered in any,way and pis validated only by the(presence of a raised seal at the location.indicated'.
5 - 5
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FORM NO. 3
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)
PERMIT NO. 31181 Z Date JUNE 6, 2005
Permission is hereby granted to:
PETER & CHARLOTTE DEUTSCH
PO BOX 171
ORIENT,NY 11957
for
RELOCATE AN EXISTING ACCESSORY ONE CAR GARAGE AS APPLIED FOR. THIS
PERMIT REPLACES BP23392 .
at premises located at 1700 VILLAGE LA ORIENT
County Tax Map No. 473889 Section 024 Block 0002 Lot No. 017
pursuant to application dated JUNE 6, 2005 and approved by the
Building Inspector to expire on DECEMBER 6, 2006 .
Fee $ 75 . 00
u ri ed Signature
ORIGINAL
Rev. 5/8/02
"7
FORM NO.3
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)
Date .................. 19 ..
��R- 23392 Z
Permission Is hereby granted t
...............
....... .a...G�. ..../...7... .........................
to . ...... ' .. ... .. ... ..... ... - '
. ...... ... ....&...... . . .. ..
t./ ....... ......�-' .. 1!` .�.�.. .................
.... .. . ..f.............................................................................................
...................... ........................ .............................. ...... ....................... ...........................................
at premises located at...........1...xqa.. . .' ....................................
.............I......................Si )I
,r
County Tax Map No. 1000 Section ......... .......... Block.........�........... Lot No. ./....�................
pursuant to application dated ........ cT ......, 19.. .4E?...., and approved by the
Building Inspe>0.Fee$. .....
Building Inspec r
Rev. 6/30/80
765-1 802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: C�,,V' r- 7
11-n Z
d
DATE �' ��Lac INSPECTOR
lit I
ij
V U11 I I DAT I Oil
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STA]*R
..........
CODE
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-------------- AI)1)1,t,iOlIAI,
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JENNIFER B. GOULD
Attorney at Law
210 Main Street • P.O. Box 177.• Greenport, New York 11944
Telephone 631-477-8607 • Fax 631-477-2601
F JUN - 7 2,00S
LH)"
June 3, 2005
Ms. Connie Bunch
Southold Town Building Department
PO Box 1179
Southold,NY 11971
RE: BP#23392-Relocate existing one car garage
Premises: 1700 Village Lane, Orient,NY 11957 SCTM# 1000-24-2-17
Dear Connie:
I represent Peter Deutsch and Charlotte Deutsch,the owners of the above premises.
Enclosed is my attorney's check in the amount of$75.00 for the renewal of BP#23392.
Please schedule the final inspection for this garage relocation.
If you have any questions,please do not hesitate to contact me.
Very truly yours,
C2fifer B. ould
Enclosure
cc: Peter Deutsch& Charlotte Deutsch
i
i
1 RN EN IN FC Mh-T l o N T A j< E r4 FJ�CM M A-f-
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} VJLLA6E LAWS
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APR 2 2 1996
IWd. UP _ .
TOWN . r SOUTHO.L[>.
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C>l cf{ 5. 1 !> s N c
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C-qA C-4 �,
BOARD OF 11EAi,fll . . . . . . . . . . . . . . .
PORM NO. I /- SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUT1101.D '1- 1RVEY . . . . . . . . . . . ..... . . . . . . . . . .
]11IILDING DEPARTMEN'r /^1113CR . . . . . . . . . . . . . . . . . . . . . ..
TOWN iIAi,I. / SEPTIC FORM . _ . . . . . . . .
861ri'II6LD, N.Y. 11971
TEL: 765-1802 NOTIFY: cc//
Isxarmir ..` ..., 19�I.)<! s� MA 11. To
Approved. �., 19� Perri t No�® S.!� ........................._...........
Disapproved /c ...................... , ..... _ ........ ...................... .
...............i ................ ..... .. ...
- l
ri Id, 1nsltector)
APP .I ,ATION FOR'-iIJI[A)i NG PERMIT
INSTRUCTIONS
I a. 'Ibis application must be cagilet:ely filled in by typewriter or in ink. aril submitted to Llte Ikrilding Inspector wilh
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
19 h. Plot plan showing location of .lot arx] of lnildings on premises, relationship'to adjoining premises or lxiblic
streets or areas, and,giving a deLailed.description of layout of proherLynust Ue;drmki on the diagran which is part of
(his a'rpplication.
F. 'Ihe work covered by this application Puy not be ccnmenced before issuance of Ikrilding Permit.
d. Upon approval of this application, the ikAlding Inspector will issue a Ikrilding Permit to the aplil icant. Such
permit shall be kept on the premises available for inspection throxrglxxrt the raork.
e. No lxtilding -shall be occupied or used in whole or in part-for any purpose whatever until a Certificate of.
(coin-anc:y shall have been granted by t.lre ikiilding Inspector.
APPI.ICK11ON IS iIERIKBY MADE to Lite Ikrilding Department for the issuance of a Ikrilding Permit pursciant to the
Ikrilding 7kne Ordinance of Lire Tam of Southold, Srrffolk County, New York, and other applicable Lavas, Ordinances or
Regulations, for the constniction of Ixiildings, a(kliticns or alterations, or for remcwal or demolition, as herein
described. 'ihe applicant agrees to cagily with all. aplilicable laws, ordinances, Ixiilding code, housing code, and
regulatioxts, arx] to admit andtorized inspectors on premises aml in lxiilding for necessary ins ctions.
... ..... .........
-• (. gnature of applicant, or name, if a corporation)
*X 171 4PAWyl- Ny
(Kailing acklress of applicant)
Slate c-hetherraaiplicant i, owner lessee, agent, architect, engineer, general contractor, electrician, plrnber or Ixiilder.
. w.tv !
-. ...................... ......... _..�............................ ...... ...... ...............
Nape of owner of premises .... 061 :/3..44V_ GI�0'7WI,0 T�A�T�" .......:..............._.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
...................................... ................
(Name aril title of corporate officer)
APR 2 21996 t
iktilders License No. ..........................
,i IU--I3 IT1113 ?i3ai{fik`Jr`t, (°ii' LDG.DEPT
nir . .......................
9
Phers i.icense No. .....................1i j r 1 TOWN OF SOUTHOLD
Electricians I.icense No. a
Ol.her Trade's I.icense No. ....................
1. Incalion of land on which proposed work will. be (Ione......1!.............................. ......................
/-?400 V� �..�. t....................... ...... .... . .......D i ".... ..........
Ikxrse Umber Streets ikinlet.
C:cxinty Tax Map No. 100(1 Section ........ .. itIo k ................ Int .l •...
Subdivision ...................................... Filed V)1) No. ............... iot ...............
(Kim)
2. State existing use aril occupancy of: prenises aril inLerxled use arx] occupancy of proposed construction:
a. Existing use arxl occupancy .. ....., �........... .........
b. inLerxled use arxl occupancy .............
:). li of ►anlc (dweck %,Alice► alrl)licahle): R-w Ikrildirlg . .. ..... . . Afklition . .. ...... Allerat'
Ilf!Iu►ir .....1�... Ite►IwaI ............. Iloml iLion .. .......... 01Ler lJork
j� (Vescrihl:ion)
/J. list.illiate(1 (rose: � ............. fee ._ ✓.l................ ......................
((.o Ire paid on f I int; Ibis appl icaLion)
:i. 1 f rkx!l I inl1, rx>srlrer of A) I l int; units .. .......... IAnI>er of: cl.ael l int; unila oil each Flcx►r ... .............
If garfrge, ►xnd►er of cars . .....® .. .. ..... ............ .
6. If: Ixrsir►ess, conllercial or mixed rx.cupancy, specify',n<►Llire awl extent of each ype of use.........:...... ...
7. Ilin,ensions, of existirlti sLl"1K_tUres, if any: 1?rcxll.. ..,1 ^. . . .... . Mar .. 1..�.. . .... . Depth .,/...
Ik!i0l1L ......... ............. tkiliber`of Stories ..... ........... ....
I)imxensims of sl ❑els nit-tire with alteral}cx y/)r I , ions: l�ront .... . ` -_.J Rear /2.......
Deplll .._.._,�..�...-- lleil4it: ......f.`.......... HLxiIx_r of Storee!; .. . . /...._..... //Q�//
(l. I)imxensicx►s of: entire rx'w ccx►sCrlrrlicx►: I?r(xIL ......�Z....... Rear .. .. .�'�./... hepl.h ..off......
Ileihl►L .....� /&..... tl;erl)er of Stories ....�.. ... . ...... . //
'9. :iixe of loC: IrcNlt :: T /........ (tear' --.Ga � .. .. .. .. Ikplh .../�7 -/
...........
10. Nice of 1'lrrclume ..� . .-.90--.. . Claw of l,orrrx.r (t+r►er . .. .................. .
If. Zcxre or use district in xAiich prenises are situated .... .lei ........................ . ... .... I
12. I)oes proposed c0os1.rxw0cx► violate any coming I:rw, ordinalx.e or regulal:icx►: . ..1i'.K................ 5
I'). Will lot be regrxlled ......./Vo......... Will exc.ess frill Ix! rmuved frone�pr"fanises: YY.SS/6
E � 40 �
Ill. ttaties of (taxer of prerni ses J�..E00� � Acklress .�� .! ! .44 dslorvl R),303.VAf
Minx! of ArdilLect .................. ....... ........ ... Ackiress .... ... .. .... ..... . ........... 130. ........
Nave of ('cxlLrac t,or ............ ..... .................. tvklress .. ...... .......................I'1lorxe No. ..._ ... .. ..
15. is this pmlx.rt:y within WOO feel: of a Li(Lat x,,et:larxl•? * YES .... ...... IX)
*ll' YRS, xvi1CNl) 'lum MAY 1l1: ItUllllitl;l).
1'1.OT DIAGRAM—
locale clearly acxl dist:irx;l:ly all buildings, x.A►elher exisl:ing or proix►sed, aril irxlicaLe all set—back dimensions
Fran prolx-rty lilies. Give street aril blfx.k timber or descripticx► according to deed, and slow street' names and irxlicate
►,dlether interior or corner loL. ARO AS NOTED
Il DATE. 8.R
#,,3 3``�
- 'ly"D/.rkM-xlla L..�EIa lz t�T r
2'X(o''G Sl w FSE.'
BY.
NOTIFY BUILDING ISE
�� 'fr r1lZl; SHIi:L� 755-1802 S AM TO 4 PM FOR Tl
G'r Fl7b►7ivPoF v
FOLLOWING INSPECTIONS:
Ta e_- 1• FOUNDATION - TIAiO REQUIRI
e FOR POURED CONCRETE
2. ROIJIGH' - FRAMING �. PLUMBIN
FeW<L VDWE4-� 3. INSULATION
j�`l✓-i�'���` //%/ `/ �j f�\� � ��gQ•G�c 2 L{I�l� 4. FINAL - CC NIS i Rl9t✓'Tl(:N MIDI(
RE COMPLETE I OR cb,
5e;iL-ALL CONSTRUCTION SHALL Pisl`IE[
('EF� C,YR THE REQUIREMENTS OF THE N.
STATE CONSTRUCTION & ENERG
CODES. NOT RESPONSIBLE FC
- I �� " ' C► �a 15 F-1 PEI GN OR CONSTRUCTIQM ERROR
;I'KIl? (A' tel. t1C, • � 1� /� ?{45� �ti PNCY �
r~
/ ,UOiv
AP
MINI (>I fe+, Y- 3 /S UNDERWRITERS CERTIFICATE
/ ._F �C j . ..... ...... . . REQUIRED
UM� ,� �Q
Ix!ing duly sworn, (I r LA i1v u L
xrses aril says; l wL re i!; elle T
cani n " 1(1x! o irxlicluial. sil;nirlt; cont race.)
u
R �
'
(,�'// ,Lys'/G/w.� s 1g�{Q pyygy aaa���
Ike 1!i ,�/�_ /0�� ••••-•....... . ... . ........ ..... ............ ............. n j y�`3 �(p g�q
the ` wV, L V 'Zk ra i
(Q)w.rac;tor, agent:, corlxrrale officer, etc )
of said osier or (,.niers, mxl is duly nu(horized to Ix!rror►n or have lxirforrrxed elle said wotk nix] Lo mx►Ice .nil file this
upplicaLioo; Lhol: al 1. sta(orxenls contairx!d in I:his application are l.rlx_- I.o elle hese of his kwwledge arxl Ix!'l.ief; rrrxl
IhaL Lhe work will. be perfom"I in the n4mnxet' set: forth in LLe appLicaLion filed therewil.h.
`)warn (o lx!,fore are.�l l is
*4 91
.� Mly of: ........ ... ... ... ly.
lJoLary I.N11A c ... C ..
. . ........... .............. .. ... .��
C1_A►IRSL.GLEW (S' ,nal.c►re of Appl icanl.)
Notaly Public,St8te of Revd York
No.4879505
Qualifielk ircember 8
Commission E)OP