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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