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Home My WebLink About31358-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/~CY NO: Z-31219 Date: 10/13/05 THIS CERTIFIES that the build/ng WOOD STOVE Location of Property: 865 NEW SUFFOLK RD CUTCBOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 7 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 2005 pursuant to which Building Perm/t No. 31358-Z dated AUGUST 12~ 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 INSTALLATION OF A WOOD STOVE IN ~_N NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to JAN M. CHALONER (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPRO~i~L ELEu-r~ICAL u~kTIFICA~'E NO. CERTIFICATION DA'r~o N/A Authorized Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT T O V~N HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the 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 ffqm Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I 0 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. Fpr 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. 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, Additioos to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00. Access~)ry building $25.00, Additions to accessory build/rig $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 Old or Pre-existing Building: ttouse No. New Construction: Location of Property: Date. Block _ Filed M[ap. ~'~ 0 ~"- Applicant: Underwriters Approval: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision .embryo. t3g Z Health Dept. Approval: Plamfing Board Approval: Date of Permit. (check one) Hamlet Lot 0~'~ Request for: Temporary Certificate Fee Submitted: $ co % 3 o }q Final Certificate: (check one) 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. 31358 Z Date AUGUST 12, 2005 Permission is hereby granted to: JOH/~ J CHALONER 27 WASHINGTON SQUARE NO NEW YORK,NY 10011 for : INSTALL A WOOD STOVE IN AN ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT REPLACES 20624. at premises located at 865 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0007 Lot No. 003 pursuant to application dated AUGUST 12, 2005 and approved by the Building Inspector to expire on FEBRUARY 12, 2007. Fee $ 150.00 /~h~Signature ORIGINAL Rev. 5/8/02 ?OUNDATIO:~ (1st) ?OU~;DATIO:; ~,OUGH FRA~-~E & .PLUMBING ADDITIO~;A'L COMMENTS (2nd) INSULATIOn! PER N. Y. STATE ENERGY CODE FINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [,~FINAL /~ - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~/~ ~ ~ O/~ DATE / D-* / ~ "a_~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~ULATION [ r,/]' FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~' ~ ~'- Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631 ~ 765-9502 Telephone (63 ! ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 25, 2005 John Chaloner 865 New Suffolk Rd Cutchogue, NY 11935 Dear Mr. Chaloner: Please be advised that the accessory barn with deck is a non-habitable building. Please remove all beds and any other items used for living. When this has been accomplished, please contact us for an inspection. Respectfully, Southold Town Building Dept. George Gillen Building Inspector COHEN GOLDSTEIN & SILPE, LLP 505 PA~KAw3m~ N~wYo~R, N~1~YORK 10022 (212) 537-9000 Fax: (212) 537o~010 ]~ACSIMILE TRANSMISSION COVEK SHEET Octobex 6, 2005 C~orgia Rudder Gleam S. Ooldstein Jan Chalon~r 631-765-9502 4 Jan Cha/oner asked ~hat I fax you thc enclosed dc-ed. Thc Pcmfit No. is 31358Z. tOO/TO0~ I'Y-.'[ 9t:ZT ~ ~00~/90/0~ 200~ John J. C~aloner, resi~n9 a~ 27 Washington S~uare North, New York, N~ York 10011 Jan M. Chalo~e'r, res£~lng at 300 West 82n~ Street, dotters, paid northerly along said line from its intersection with the bounaary line On ~. 2, '7..d~,c:,,~- befM~ me. ~h,, be~'~e me, the underlignech On b~e ~e, the underf~fned. ~a~toL~, e~idence to be T~Je hdividui3(s) whole nnme(s) it (re) ty(ies), md ~hat by h~/he~.heir $~nlt~re(s) on the ~e individuul(f), o~ the p~soa upon behalf o£whic~t fha ~nd~vkhml made such nppesimneo be~or~ the undm-~igned in th~ he/she&he~ Imo~o) u~der~/g~ed ~ Title No. JOHN J- CRALON~R TO S~C~i(~ 109.00 ~LOC~ 07.00 LOT 003.00 COUntY OR TO~ 505 P&r~ Avenue New York, New YO~ 10022 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ....... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD Or' H~AL&H ......... 3 SETS OF PI.A~IS .......... SURVEY ................... ClIECK .................... SEPTIC F 0 R,'I .............. I:OT I FY i CALL ................... HA [ L TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. e. The work covered by this application may not be cammenced 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County.~l:~ York, and other applicable Laws, Ordinances or .~egulations, for the construction of buildings, additions or aircraft/s, o¥ for rem?Eal~.r de~,~plition, as herein described. Flie applicant agrees to comply with all applicable laws, ordinanlte~, buil~in~.Nhous!n~f$6de, and regulations, and to ~dmit authorized inspectors on premises and in building for neces~./.~/~ (Signature of applicant, ox [:.a.~ne, if.a_co.r~oration) ~0- 8o~ Iq~Iailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ~4~T.o. ~Ne.¥.s. .... ~ .o~...o..~.: .N .~.~. .................................. . ........................ >;amc or owner of premises .-~.. H.~.....C..L~.a.U. 9~..g-.~ ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· ......... ~.,.t4.,. .............................. (Name and title of corporate officer) Builder's License No..~. ~..K. La~...t~..N ............. Plumber's License No .... ~..: .~.: .............. Electrician's License No. /'0. }q - Other Trade's License No...~.:..~.: ............. Location of land on which proposed work will be done .................................................. .......................... /Y. F.~.,,, .~. ?.~q .~ ............... ~ ..... : ......... llouse Number Street Hamlet l.~.q .0.-7 C~ "~ County Tax Map No. 1000 Section ................. Block ............... Lot ................... Subdivision ........... .~.'..~..' .................... Filed Map No... ~..,..~..'- ..... Lot...~.'. ~.~ ...... (Name) Siate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy .......................... : ......................................... Building .......... Addition .......... Pdterat~n ..... Nature of work {check which applicable): New. ...... (Description) 3. Removal ....... Demolition .............. Other Work../'~-- ...... Rcpair ...... ....... i~,~r,.~ ................... .'': ....... 4 l~stimated Cost ....... / ......... ' l,~], Y'I- . .... wellin , number of dwelling~n,,',~ ........ ~ ..... . .............. j .... ~'¢:~-'~y,~fb' ... S. Ifd g . _~_~.~ ...~..~.'- ................. ~,~xtentofcachtYpeo!~U~S~e '2"jj~..~__"~l~q .. ~ Numar of Stores .... g~l~ ....... _ ~ ...H~i~t.-~ .........~;;r ~ ........ Depth .~ ............. ... . .......... .: ............. · t .............................. u ~ ....;..-:-~'~j'ae~u~T ....... "~;.22;~'i;~,o~*, '~-~-~t";'" . ........... Locate clearly ~d disrinctly'~l build~, whether existing or proposed, ~d. indicate MI set-back d~ensions from prope~Y line*. Give street ~d block number or description accord~g to deed, and show street n~eS and indicate whether OCCUPANCY OR USE IS UNLAWFUL ¥, iTHOUT CERTIFICATE rjF OCCUPANCY 76,~-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ;TATE OF NEW yORK, S.S {4qo~°~--~-~4~ -ou,'q'ry OF..~.~v,~ .... ...~..~.~..~... .. C, ~9~.~ ..... . being duly sworn, deposes ~~s the Name o~ mmwuu~ 2~;'2Y-~ppL~*~ ~ ~- ~,~ ~ ............................ ~ ::.~ ~: ~ file this ~ ~d is duly authorized to ~"~- of his ~owledge and belief;~ :,plication; that all stateme~ contained ~ this application are tree to the best ~b_ ' · · .· · xom to before me this da of ~ ....... , t9 ~;~ ..... .... ,or=. v~ui~....-:F.W.~' ~ ........ u ' ·/~ F~'~ :: ...... :'" / ' . , ~"~¢-(Signature of apphcant) TO~N OF SOtJTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. NO.No. BUILDING PEP. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ~'..... .................. , Rev. 6/30/80