HomeMy WebLinkAbout37448-ZTown of Soutbold Annex
P.O. Box 1179
54375 Main Road
Southoid, New York 11971
11/26/2012
CERTIFICATE OF OCCUPANCY
No: 36055
Date: 11/26/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
WINDOWS
54265 Route 25, Southold,
Sec/Block/Lot: 61.-2-12.2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/9/2012 pursuant to wldeh Building Permit No. 37448
was issued, and conforms to all of the requirements of thc applicable provisions of the law. The occupancy for
which this certificate is issued is:
window replacement to existing commercial building as applied for.
Lot No.
filed in this ofllced dated
dated 8/16/2012
The certificate is issued to
N F Bank & Trust Co
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37448
Permission is hereby granted to:
N F Bank & Trust Co
Date: 8/16/2012
PO BOX 8914
Melville, NY 11747
mo~
Alterations to a Commercial Building;
Window Replacement, as applied for.
At premises located at:
54265 Route 25, Southold
SCTM # 473889
Sec/Block/Lot # 61 .-2-12.2
Pursuant to application dated
To expire on 2/15/2014.
Fees:
8/9/2012
and approved by the Building Inspector.
NEW COMMERCIAL, ALTERATION OR ADDITIONS
CO - COMMERCIAL
Total:
$250.00
$50.00
$300.00
Fo~m No. 6
TOWN OF $OUTttOLD
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:
A. For new building or new use:
1. Final survey of property with acCUmtolocation of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board Of Fire Underwriters.
4..qw.om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% Icad..
5. Gommeroial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Complia~ca'from architect or engineer responsible for the building=
6.Submit plmming Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existingn land uses'/
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly ~mpleted application and c0r~sent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimmir~g pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~.
2. Certificate of Occupancy on Preexisting 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:
Location of Property:
k,~ Old or Pre-existing Building:
House No. Street
Owner or Owne~ of Pwpe,y: ~../~ ~AO a ~ T~ % ~ ·
Suffolk County T~ Map No 1000, S~tion ~ / Bilk Y
Subdivision
Permit No. ,2') '7 ~Lf ~f'
Health Dept. Approval:
Planning Board Approval:
Request for:. Temporary Certificate
Fee Submi,ed: $ ~"0 ~ ~/~_~tJ
Date of Permit.
(check one)
Filed Map.
/~ - /-,~ Applicant:
Undenwiter~ Approval:
Final' Certificate: ~
(check one)
Lot
Lot:
Hamlet
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (6.31) 76S-1802
FAX: (6.31) 765-9502
SoutholdTown. NorthFork. net
E×ami.ed g -- / {O ,:0 IV--
Disapproved a/c
PERMIT NO.
AUg - 9
~LOG DEPT.
L--. TOWN OF SOUTHOLO
BUILDING PERMIT APPLICATION CHECKLIST
Building Inspector
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date AU~/./57- ~ ,20 /~'-
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
c. The work covered by this application may not be commenced before issuauce of Building Permit.
d. Upon approval of this application, tbe Building Inspector will issue a Building Permit to the applicant. Such a 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 pag for any purpose what so ever until the Building Inspector
issues a Cegificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 montbs after the date of
issuance or has not been completed ;vithin 18 montbs from such date. If no zoning amendments or other regulations aft~cting the
prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an
addition six months. Therea~er, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Depaament for the issuance ora Building Permit pursuant to the
Building Zone Ordinance of the Towu of Southold, Suffolk Count, New York, and other applicable Laws, Ordinances or
Regalations, for the construction of buildings, additions, or alterations or fbr removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessmT inspections.
(Signature of applicant or name, ifa corporation)
(Mailing a~dress of applicant)
State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofownerofpremises W,'i~,-, ~/~'/~ b& -7'-f~'~ CO,
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade'sLicenseNo.
ToT, iL
Location of Jand on which proposed work will be done:
House Number Street
County Tax Map No. I000 Section 6 [ Block
Hamlet
Lot
~900 Oo
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use and occ~pancy of proposed construction:
a. Existinguseandoccupancy e:2 om
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work klJ//1/~ ~ lXd /~-/Y-d[te ~/y,~l/7-
(Description)
(To be paid on filing this application)
Number mS,welling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front '~.,2.,
Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size oflot: Front ~-I~' Rear /7_,v,3 Depth
Depth
~o/
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO t~
13. Will lot be re-graded? YES NO X/'Will excess fill be removed from premises'? YES__ NO
14. Names of Owner of premises/l(.fi7 fl,,4d/t(~- 7-,(q57'-Address Phone No.
Name of Architect Address Phone No
Name of Contractor ~J't/l'l~L c2o,'qTl~ttcl-114~Address I ~RITTdlN)/ ~/~Y Phone No.
R,o~,Koa,' f'~o~'lrt ) A/)/ 1177~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at l 0 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES__
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF
~r-~ ~q ~- toff C'~I ~q' 7° 0 being duly sworn, deposes and says that (s)l~e is the applicant
(Name of individual signing contract) above named,
(S)He is the , C- o
(Contractor, Agent, Corporate Officer, etc.)
of said o?'~[1~, iglO~2~s, and is duly authorized to perform or have performed the said work and to make and file this application:
tb -"" -''
at all s~~[l~ ~OJ application are true to tbe best of bis knowledge and belief; and that the work will be
performetO~i0'4~eI, forth in the"application filed therewith.
Comml~¢m IBq~lr~ ~ ~, ~
Sworn to before me this
tqlrH dayof /q-6(~"6~'~ 20
N~y Public