HomeMy WebLinkAbout30365-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31255
Date: 11/03/05
THIS CERTIFIES that the building ADDITION
Location of Property: 29325 MAIN RD
(HOUSE NO.) (STREET)
Co~ulty Tax Map No. 473889 Section 102 Block 2 Lot 12.1
subdivision Filed Map No. Lot No. __
CUTCHOGUE
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 27, 2004 pursuant to which
Building Pel~nit No. 30365-Z dated MAY 28, 2004
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 ELEVATOR SMAFT WITH ELEVATOR & EXTERIOR METAL STAIRS AS APPLIED FOR &
AS PER CERTIFICATION OF GERARD p. LUNDQUIST, P.E. DATED 10/18/05.
· ~he certificate is issued to DEPOT ENTERPRISES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUI~I~f DEPARTMENT OF ~{E~J~TH APPROVAL
ELE~-£~ICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'rmu
N-26944 03/11/93
~ u ature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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:
For new building or new use:
1. Final sur~ey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topograplfic 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. Comlnercial building, indnstrial 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 cmnpleted site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Acctuatc survey of property showing all property lines, streets, building and unusual natural or topographic
fealm'es.
2. A properly completed application and consent to inspect signed by the applicant. If a Ceitificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant
C. Fees
J.
3.
4.
5.
New Constr0cti{m:
Certificate'of Occupancy- New dwelling $25.00, Additions to dxvellmg $25.0tL Alteratiuns to dwelling $25.00,
Swinmdng pool $25.00, Accessow building $25.00, Additions to accessory bnildit~g $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Cop5' of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporai~ Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date /~_ff/r~/~--
(check one)
Itamiet
Location of Propel~y:
~- Old or Pre-existing Buildiug:
House No. Strbel
Suflblk County 'Fax Map No 1000, Section _ _l 0,~ Block
Filed Map.
DaLe of Pemfit._ Applicant:
Subdivision
Underwriters Approval:
ttealtb Dept. Approval:
Lot:
Plaming Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ _
Final Certificate:
Co -¢ 3 Id_f5
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. 30365 Z Date NLAY 28, 2004
Permission is hereby granted to:
DEPOT ENTERPRISES, INC.
DEPOT LANE
CUTCHOGUE,NY 11935
for
CONSTRUCT AN ELEVATOR SHAFT WITH ELEVATOR, AND EXTERIOR METAL
STAIRS AS APPLIED FOR. (THIS REPLACES BP#21087Z)
at premises located at 29325 MAIN RD CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0002 Lot No. 012.001
pursuant to application dated MAY 27, 2004 and approved by the
Building Inspector to expire on NOVEMBER 28, 2005.
Fee $ 100.00
ORIGINAL
Rev. 5/8/02
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. 30365 Z Date MAY 28, 2004
Permission is hereby granted to:
DEPOT ENTERPRISES,
DEPOT LANE
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ELEVATOR SHAFT WITH ELEVATOR,
STAIRS AS APPLIED FOR.
INC.
AND EXTERIOR METAL
(THIS REPLACES BP#21087Z)
at premises located at 29325 MAIN RD CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0002 Lot No. 012.001
pursuant to application dated MAY 27, 2004 and approved by the
Building Inspector to expire on NOVEMBER 28, 2005.
Fee $ 100.00
COPY
Rev. 5/8/02
FIELD INSPECTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLIYNIBLNG
DATE
COMMENTS
INSIfLATION PER N. ¥.
STATE ENERGY CODE
FINAL
ADDITIONAL COM]Vf~ENTS
ICOR~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TQWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.; 765-1 BO2 CALL
Examined ~..~. I-J , 19~--
.................- ~, ! ~l) ~ [] \~/_~ ~w~ [ ~ r
Appro,,ed 19 p e rm i t N o. .O. 7. .
............... . ............... ......... /../
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CtlECK ......................
SEPTIC FORH ................
a. Tiffs application must be completely filled in by typewriter erin 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 th.is appli-
c. The work covered by th/s application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector wLll 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 untiI 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 Bu/lding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, OrdNances or
Regulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/becl.
Ti~e applicant agrees to comply with all applicable laws. ordinances, buddhng code, housin~ code, and regulations, and to
necessary ins ections.
(Mmhng address of applicm'/rt~ ' ~,z ·
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...x .........................................
(as on the tax roil or latest deed)
If applicant is a corporation, signature of duly authorized officer.
~ (Name ~'tle of corl~orate officer) d
Budder s L~c~nse No ...................
Plumber's License No .........................
Electrician's License No .......................
Other Tradc's License No ......................
Location of land on which proposed work will be done. ' ....... '
}louse Number Street.
County Tax Map No. 1000 Section .................. Block .................. Lot ...................
Subdivision ..................................... Eih:d Map No ............... lot ............... (Name)
State existing use and occup:mcy of premises and ir] tended use a,d occupancy of proposed construct/on:
a. Existing use and occupancy ....
b. Intended use and occupancy . --
ppli ' ~
3. Nature of work (check which a cable): New Building .......... Addition ..... /alteration ..
Repair .............. Removal .............. Demolition .............. Other Work .............
(Description}
4. s,im= 'd Cost Fcc / ' -
(to be paid on filing this application)
$. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ...............
If garage, nun ber of cars .......................................................................
6. If business, commercial or mixed occupancy, specify nature and extent o f each type of use ....................
'7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ....................................................
Dimensions of ~me structure with alterations or additions: Front ................. Rear .............
Depth ...................... tleight ...................... Number of Stones ......................
Dimensions et' entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories .............. ; .........................................
9. Size of lot: Front ...................... Rear ...................... Depth ......................
10. Date o£Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate an)., zoning law, ordinance or regulation: ................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address ................... Phone No .... J ...........
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phone No ........ ' ....:...
15.Is this property located within'~O0 feet of a tidal wetland? *YES .... NO ....
mil yes, Southold Town Trustees Permit mny be required.
PLOT DIAG RAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
' 8.
T,\TEOFNEV',,~¥QRK~ r- ~
OUST¥ O~ :.~ ~ ~ !,~. (~. S,S
~/me ofi~al si~/ng contract)
· ..ff ............. ...................... ; ............................
~2~ .... ~ ' -- (C~n r agent, corporate officer, crc.
~ald owner or owncrs. ~d is duly antborizcd to perform or bare performed the said work and to m~c and file thi~
~lication: Ihat all statements contained in this application are true to the best of his knowledge and belief; and that the
'rk will be o~rfo~ed in the m~ner set forth intl~e a~pbcation' filed therewith.
om to before mc [bis
.......... {..,~;~ ....... day of.. · .~'~N~ ....... 19~/
:apl Public ............ ~ ..... ~-~ County /~ .; .
No. 52-8125850, Suffolk Cou~W
"'m ~ires O~o~r 3L 19~
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
October 6, 1986
Dr. Joseph Lizewski
320 Depot Lane
Cutchogue, N.Y. 11935
RE:
Recreation Center
B.P. #12861Z issued 2/7/84 Front part
B.P. #14481Z issued 12/24/85 Recreation part
C5-1 classification Type 5a (wood frame)
1. Two stories not allowed in a wood framed building.
Part 705.4 Table VII 705
Building must be
handicapped.
Part 1100-1100.1
accessible for the physically
a, 1100.2 a,b,c,d,e.
3. Hallways etc. must be a minimum of 7'6" ceiling
height. Presently only 7'3".
765.2 a
Many changes in construction not approved by the
Building Dept. Need a new set of drawings, stamped.
Ch 45/8-d.
5. Where is the central alarm and smoke system located?
Part 791--1 & 2.
Barn must be removed before recreation center can
operate.
770.3a5.
7. No work shall be done on the 2nd floor until the
state grants relief.
Do not attempt to open the building until all nec-
essary papers are complete and a Certificate of
Occupancy is issued.
Ch 45-15 a 7 b.
CH:hdv
Curtis W. Horton