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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