HomeMy WebLinkAbout32301-ZN'UKM NU . 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31848
Date: 09 25 06
THIS CERTIFIES that the building ALTERATION
Location of Property: 6374_ MAIN ROAD
(HOUSE NO . ) SOUTH--
County Tax Map No. 473889 Section 56 (STREET)
k)4 Lot 17.1 (HAMLET)
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
Pursuant to which
Building Permit No. DlOt-Z dated
JUNE 4 1991
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 4 MULLION UNITS TO AN EXISTING SINGLE FAMTT.V r).v,rrte-
The certificate is issued to THERESE M. SCHWARTZ
of the aforesaid building. (OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
0
g t
iz Sig ature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31848
THIS CERTIFIES that the building ALTERATION
Date: 09/25/06
Location of Property: 63745 MAIN ROAD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 4 Lot 17.1
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
pursuant to which
Building Permit No_ 19918-Z dated JUNE 4, 1991
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 4 MULLION UNITS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to THERESE M. SCHWARTZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
W
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32301 Z Date AUGUST 22, 2006
Permission is hereby granted to:
THERESE M SCHWARTZ
161 WEST 75TH ST APT 9A
NEW YORK,NY 10023
for :
INSTALL 4 MULLION UNITS TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. REPLACES BP# 19918
at premises located at 63745 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 056 Block 0004 Lot No. 017.001
pursuant to application dated AUGUST 17, 2006 and approved by the
Building Inspector to expire on FEBRUARY 22, 2008.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT SEP 2 2
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:
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 l % 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
New Construction:
Date. 9/14/06
Old or Pre-existing Building: X (check one)
Location of Property:_ 63745 Main Road Southold
- —
House No. Street - hamlet
Owner or Owners of Property: Therese M. Schwartz
Suffolk County Tax Map No 1000, Section 056.00
Subdivision
Permit No. 19 918 Z
Health Dept. Approval:
Planning Board Approval:
Date of Pennit. 6/4/91
Request for: Temporary Certificate
Fee Submitted: $ 25.00
C6�
I,? yr,
Block 04.00
Filed Map.
Lot 017.001
Lot:
William H. Price, Jr.
Underwriters Approval:
Final Certificate: X (check one)
'Applicant Signature
William H. Price, it.
8/17/06
Therese M. Schwartz - SCTM#1000-056.00-04.00-017.001
Building Permit #19918Z dated 6/4/91
Pursunt to our conversation of this date, enclosed please find a check in the
amount of $150.00. Please contact Lee Beninati of Beninati Associates at
765-5333 to arrange for an inspection and issuance of the Certificate of
Occupancy as soon as possible.
Thank you.
F Town of Southold Building Dept. 8 WILLIAM H. PRICE JR.
TO P.O. BOX 1179 ATTORNEY AT LAW
Southold, New York 11971 PO. BOX 2065-828 FRONT STREET
GREENPORT, N. Y. 11944
L PHONE: (631) 477-1016
FOPS[ N0. 1/ J
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)
N° 19918 Z Date ...............I ...................,
Permission is hereby gronteda to:
a� �..... .............
.....................................................
►� ..`.:�. .. P. -Y: .....1 �.9.s.....
t _.. 1n adrAX.K .......: i..G�?p4t il�.. A ......J at/KI S!L W....Yn..c?....Sp^!1...�?
....4...... j7 QS? ................................................................
...... ........ ....................
111. 22 cctt` ............� V ......... .......`..n..,.{.A./...
at premises located at ...�.�l. �..1.. ^^ e.....1 ........ ....5 - ...................
..............................................................................................................................................
..... :! ..............................................................................................
County Tax Mop No. 1000 Section �'... ........ Block ..... ......... Lot No.
............
pursuant to application doted ....... �4rAr�....
�.Z................. 19.1L, and approved by the
Building Inspector. v
Fee5..:......
Rev. 6/30/80
Inspector
Jy3ol �
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLUG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ]
FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
"Al i&VAV
3',2-3,o1z
�OF SOOTyo�
0 f s ��
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
7-3o- o,6
INSPECTOR
c 1cLll L.J�Li.11 Uig
A
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G
FOUNDATION _ (1st)
FOUNDATIOW (2nd)
2.
ROUGH FRAME &
PLUMBING
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3.
INSULATION PER N. Y.
STATE ENERGY
CODE
fr
m a -
-mi
x
a
4.
FINAL
1 T-3021
4
Cp .
VO
ADDITIONAL COMMENTS:
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-A „_ _ TOWN OF SOUTHOLD PROPERTY -RECORD CARD
OWNER
STREET
VILLAGE
DIST. SUB. LOT
ietese-�
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WNF�R
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ACR.
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S,lnn_
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TYPE OF BUILDING
R .
SEAS.
VL.
FARM
COMM. CB. M!5a.
Mkt. Value
I
LAND
IMP.
TOTAL
DATE
REMARKSzf
DD O
2 Gz
l r
0'019
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oa
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oEa
�r�d
BUILDI
DTI N _ 7
N N
NORMAL
I BELOW
A[36VE
FAM
Acre
Value Per
Acre
Value
Tillable 1
%iio
D (may LQ
e �tif
Tillable 2
`j
Tillable 3
/ 3 /n
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
House Plot
DEPTH
V —
^
BULKHEAD
Total "'
DOCK
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A;�
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ..►� 19
Approved ....YA*V4 . ..., 1991. Permit No. a. 1p p.I, p,
Disapproved a/c/ .............. .
....................
....................................
(Bur ing Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ........
3 SETS OF PL.I.iS ..........
SURVEY ...................
CIIECR ....................
SEPTIC FOR:I ..............
CALL
PIAIL TO:
Date ...5/.z%........... 192'!.
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.
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
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
>uilding 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.
'lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
Jr',o o p .............
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... ft. lt-� ... " ev:-, (Z 7-.T. c> 2
...........................................................
dame of owner of premises ..... T.4r-4FO.S.f? ..........................................
(as on the tad roll or latest deed)
f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ...! g'. 5,? 9 , &..:
Plumber's License No . ........................
Electrician's License No . ......................
Other Trade's License No . .....................
Location of land on which proposed work will be done.
................T,yoL�
...........
House Number " " " " " "
Street Hamlet
County Tax Map No. 1000 Section -5-(, .... /�/
............ Block ...`� ............. Lot ..
. ...........
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 ....... �?m�! ... 41rj
..........................
b. Intended use and occupancy ..................
..................................................
3. Nature of work (check which applicable): New Building
.......... Addition .......... Alteration
..Re air•••••••....... Removal .............. Demolition ..............Other York .......••••... •
(Description)
4. Estimated Cost ......./.J. ° o, .'... , • . , • ... _ ....... • , , • . Fee
......................................
(to be paid on filing this application)
S. 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 type of use r 11:1:... .
7. Dimensions of existing structures, if any: Front ............... Rear epf�jj
th............. .
Height ............... Number of Stories ..........'F'ro'
............. .
Dimensions of same structure with alterations or additions: Fro..nt.
Depth ................... Rear .............
8. ............. .... Number of Stories .................. .
Dimensions of entire new construction: Front ..... RDepth' ' •
ear ...............
Height ...............Number of Stories .............:. • • ' ' ' ' ' '
. ............................
Size of lot: Front •--••---•••••.
- ...................... Rear...................... Depth ......
10. Date of Purchase
'•••••••••••••• -•••••-•...... Name ofFormer Owner
11. Zone or use district in which premises are situated ............. .
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .
13. Will lot be regraded e
....................
..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 within 300 feet of a tidal wetland? * _ " " " " " " "
No.........
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
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.
DEtie�i7 T'o iNs77z;�v2- Al Mu«lore moa �
UNXTf j IiLF 16ne-= a.
FATE OF NE Y C,
OUNTY OF y1 �. , S.S
' ' ' ' ' ' K t � f •Cti !� C y�9f... • • • .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
)Ove named.
is the ...........0 O!`. �1GfJ. Q 'TU�2
.....................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
Plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
rrk will be performed in the manner set forth in the application filed therewith.
Oren to before me this
............�. /..........day of . .'. ? C �f ........, 19 T(
tary Public,"J . bC.... ..unty
:2ary
HELENE D. HORNE
NotPubli4 State of Newyork • • • • •«
• • c = • • • ... —
No. 4951364 7i�
Qualifiein Suffolk County ignature of applicant)
c.
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