HomeMy WebLinkAbout35639-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34783
Date: 01/07/11
THIS CERTIFIES that the building STAIRS
SOUTHOLD
Location of Property: 620 TRAVELER ST
(HOUSE NO.) (STREET) (HAMLET)
Co%~ty Tax ~4ap NO. 473889 Section 61 Block 1 Lot 13.1
Filed ~4ap No. __ LOt No. __
subdivision
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 11, 2010 pursuant to which
B~ilding Permit No. 35639-Z dated JVJNE 11, 2010
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 STAIRS INSTALLED IN BUILDING ~6, UNIT #3, IN AN EXISTING COMMERCIAL
BUILDING AS APPLIED FOR.
The certificate is issued to FHV, LLC
of the aforesaid building.
( OWN E R )
SoFMOLK COUNTY DEPART~4ENT OF HEALTH APPROVAL
ELeCtRICAL c~TIFICATE NO.
PLD]~ERS u~TIFICATION DA'r~u
N/A
N/A
N/A
~ed~ure
Rev. 1/81
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. 35639 Z Date JUNE 11, 2010
Permission is hereby granted to:
FHV, LLC
PO BOX 1295
CUTCHOGUE,NY 11935
for :
BUILDING 6 UNIT 3 INSTALL STAIRS IN AN EXISTING COMMERCIAL
STRUCTURE AS APPLIED FOR. THIS PERMIT REPLACES BP 20899.
at premises located at 620 TRAVELER ST SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0001 Lot No. 013.001
pursuant to application dated JUNE 11, 2010 and approved by the
Building Inspector to expire on DECEMBER 11, 2011.
Fee $ 100.00
ure
ORIGINAL
Rev. 5/8/02
lvOB~ NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
~HIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO-N? 2089SZ Dote ...... ~.~.~. ........ /..~. ............. , 19.~...-1=-..
Permission is hereby granted to:
~,oX' I
.... .......
........................................................
at premises located at ...~'.....~.~.~......,~.~.~...~. ....... ..~..~ .....................................
pursuant to application doted ....~.~.....~Z.~. ............... ,
Building Inspector.
County Tax Map No. 1000 Section ....... ..O....~...~. ....... Block ...... ..O...../. ........ Lot No....t..~,./. ...........
19.~...~..., and approved by the
Fee $ .......................
Rev. 6/30/80
Form No. 6
TOVVN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCI~
BI. DG I)EPI
~.a~mNC¥ TOWN OF SOU;HOtO
This application must be rifled ia 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, street& and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water sapply 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 installation~, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requn-ements.
B. For existing.buildings (prior to April 9, 1957) non-conforming uses, or buildings and -pre.existln_g,, hud 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. Certific?e of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelliag~25.,[}([
SwlmrrUng pool $25.00, Accessory building $25 00, Additions to accessory building $25.00, Business4~ $50.0~'~
2. Certificate of Occupancy on Pre,existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate ofOceapancy - $50.00
5. Temporary Certifieate of Occupancy - Residential $15.00, Commercial $15.00
Date.
Old or Pre-existing Building: Y (cheek one)-
House No. Street i~iaml~
06l 81o k PI Lot I
· New Coristmcfion:
Location of Property:
Owner Own of 'rope ty: .
· Suffolk County Tax Map No 1000, Section
Subd/vision '~'):~a '~0 K~4X.PA~3~ !/~
l'ermitNo. 7_ DateofPermit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ .ac'0' ~
Filed Map. .
~/~//~ U- Applicant:
Underwriters Approval:
Final Ce/tificate: Z,'/' (check one)
· ' pliff. ant Signff{u{6
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: June 25, 2010
To: Town of Southold Building Dept.
Re: Stairs
Feather Hill Village
Building 6 Unit 3
Southold, NY 11971
Permit#20899
To Whom It May Concem:
An inspections was preformed at the above-mentioned Building, and in this area the
stairs were installed as per plan and meets all state and local building codes. Any other
questions please call.
~j ~,ely
Deerkoski P.E.
JUN 2 5 2010
BLDG. DEPT.
TOWN OF SOUTHOLD
FOUNDATION (is'r)
FOUNDATION (~ND)
. ROUGH FRAM:lNG &
n~ST~.,A~ON ~ER N. Y.
STA~ E~ cOD~
~D~ION~ COUNTS .
~ O
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
..?. TEL.: 765-1803
Examiued ./..~.., 19~. ~
4pprovet~4~ .~:~...WT'...1..~., 19 ~. ~ Permit No..~.O. ?..~ .~..'.'.~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY
CIIECK
SEPTIC FOR,'! ..............
~,O~ ~ FY:
CALL ...................
FLAIL TO:
Date .~.?. .... ~.,/~¢~ ,.- 19f..d__
a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts 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 cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
:~all 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
aall 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
.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he 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 fornecessarY(si~naturein,~ctions.~.7~.y2~.~,of .......... applica~ll~~('~ '....e~...~.if aa~corporation)" ........
(Mailing address of applicant) /
;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..... O..~'. m'. ~ .t'....--: ,g'?.,X*. ~ .......................................... : ........................
4ame of owner of premises .~?.~.~... ~. ~'.~. ~. ........................................................
(as on the taxx roll or latest deed)
f applicant is a ~oration, signature of duly authorized officer.
·. .. ...................
(Name andX/itle of corporate officer)
Bu lder s Lmense No ..........................
Plumber's License No .........................
Electr c an s L~cense No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done. ~..,~.~. ~1~.~... ~.A/)~... ~. O~.. ....
..........
IIouse Number r "'l~.~n'l;; ........................
County Tax Map No. 1000 Section .~.~/ .............. 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 .. ~. ~T~/.~.~.~.. ~. ~7~6~.,~. ................ .' .... 't' ";" .............
b. Intended use and occupancy t, ~
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . .~.. .....
Repair .............. Removal .......... ; ·.. Demolition .............. Other Work ...............
4. Estimated Cos .~. ~* (Description)
, ............................ Fee ......................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....
· If garage, number of cars ........... Number of dwelling units on each floor t ...............
If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................
7. Dimensions of existing structures, if any: Front .......... .. ~ ·. Rear ......... ..... Depth ... ...... '. ' '
Height ............... ~um ber of Stories ......
imensions of same structur~ with alterations or additions: Front ................. Rear .................
8. DD;pth" .... ~.. · :.. ............ Height ...................... Number of Stories ..........
menmons oI ennre new construction: Front .............. Rear ........ Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front ........ Rear ........... Depth
i0. Date of Purchase ......................... · .....................
............................. Name of Former Owner
11. Zone or use district in which premises are situated .............................
Does proposed construction violate any zoning law, ordinance or regulation: ...... ...........................
13. Will lot be regraded Will excess fill be removed from premises: Yes No
i4. Name of Owner of premises .~.~,~.$~f..~.~ .R/~... .... Address ~'~..~.ZP. ........ PhoneNo. ~..~.:st~'~..o ....
Name of Architect ' ' Address ................
...... ... Phone No .............
Name of Contractor .......................... Address ................... Phone No ................
5. Is this property within 300 feet of a tidal wetland? *Yes ........ No .........
· If yes, Southold Town Trustees Permit may be required.
.. PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, an&indicate ail set-back dimensions from
oroperty lines. Give street and block number or description according to deed, and show street names and indicate whether
nterior or comer lot.
FATE OF NEW ~ORK J~ f"~ 1 1.
..... ~ ' · '~ ........................... being duly sworn, deposes and says that he is the applicant
~ ~Name ofind~dual signing contract) .
(Contractor, agent, corporate officer, etc.).
said owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e ~d file this
plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
>rk will be perfomed in the m~ner set forth in the application filed therewith.
~om to before me this
~'.;dl .... ~./~dayof..~~:~*,19~
~. ~79~ - , ' ' ' ' ~ .......... / ....................
'~ in S~k ~ ~ ?/ // ~ (S~gna~u~c ~[ ~pplicant)
01: OCCUPANCY
APPROVED AS NOTED
FEE: ~BY: ~
NOTIFY BUILDING DEPARTMENT AT
76~-1802 9 AM '10 4 PM FOR THE
FOL LOWING INSPECTIONS:
1, FOUNO/~TION TVVO REQUIRED
FOR POURED CONCRETE
2 ~OUGH FR~.M:NG ~ PLUMBING
3. ~NSULATIO~
4. Fi~AL f~f-)F~STRUCTION MuST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION $HALL ME~
THE REQUIREMENTS OF THE NY,
STATE CONSTRLtCTiON & ENERGY
CODES. NOT RESPONSIBLE FOR
OES!GN OR CONSTRUCTION ERRORS
STREET
MAIN
O/A
f N.Y. ,S.
Rte. NO, g5 ]
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000- 81 - 01 - 12.2 & 13 '
dAN. 3~ 2001
./
I
AREA :' $. I482. ACRES