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HomeMy WebLinkAbout24650-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31885 Date: 09/29/06 THIS CERTIFIES that the building ADDITION Location of Property: 900 FIRST ST NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 8 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 1998 pursuant to which Building Permit No. 24650-Z dated FEBRUARY 9, 1998 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 A NEW GARAGE DOOR IN EXISTING BUILDING AS APPLIED FOR. The certificate is issued to PHILIP LORIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c u or' ed Si ature 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) Date.....FEBRUARY........9........................... 19..48.... 24650 7 Permission Is hereby granted to; PHILIP LORIA THERESA DRIVE ...........................................................I.................... MATT I TUC K ANY...1.12.52...................................... to ......INSTA94...0...NEW...QARAPE..P.QoR...�N...gN...EX.T.9,11N.Q...901-D.T.NQ...05..APP1,.T.E.D..FOR .................................................................................................................................................................. ......... ............................. ............................................................................................................... ...... . .................................................................................. ..................................... . ................ ......................................... .. ........................ ............................................................................. 900 FIRST ST NEW SUFFOLK at premises located at........................................................................................ ............. ..................................................................................................................................... . ....................... County Tax Map No, ....473889...... Section ...1AZ............. Block ....0008........ Lot No. .0.1.7................ pursuant to application dated ....�ANUARY 16 , 19 98 , and approved by the Building Inspector. Fee$......150...:.0..... r .. ....... .................. ........ ....... Building Inspecto Rey. 6/30/80 Form No.6 F, � TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL i.:ry SEP 2 7 2006 '' 765-1802 f APPLICATION FOR CERTIFICATE OF OCCUPANCY- 1", '- 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 1% 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 100 5-f- House No. Street ; Hamlet Owner or Owners of Property: l I I n Suffolk County Tad Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. q 6S_6 Date of Permit. Applicant: �' /,0 , Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ c�3, u 6, 0a ie�, Applicant Si ature 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �INSTION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE -f l U INSPECTOR �� I l I,I.II I 1I il'I:1.I I1111 Ill�l'11111 IliT V rIllIIIIIA 'I(111vi t n nlnnal t`ttnln; !, n I'I,ItIIII I II(; (�� __ .. ...__.__ .__ .� _.._.. _.�..... ... ... .. T_ --------------------- -------------------- 1 I:I1111! I' I IIA(. ' U -..___.. i- -.._._.._ ----.-- _,__----- ---- ` 1 I'I'I : (;1111111 ---II t , L 1 - I ' 1 O -- -t --- --'- - -ICI-•• 6- � G -BOARD OF HEALTH . . . . _ . . . . . . D FORM NO. 1 ;(J3 SETS OF PLANS <- . . . . _ . . . . . . TOWN OF SOUTHOLD `SURVEY .(,/. . . . . . . . . . . . . . . . . . . . I BUILDING DEPARTMENT 4CHECR -dk . . . . . . . . . . . . . . �A N TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 MW 81.OG bEFT. .,; TEL: 765-1802 NOTIFY: N F S H �t CALL �y:G 54:�... . . . . . Examined .�.......... 19 9G MAIL TO: . . . . . . . . . . . . . . . . . • . . Approved J-....... 19A—e Permit No. .�� V .................................... PP .. ., Disapproveda/c .................................. .................................... ...................................................... ... . -(Building In tor) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . 10 INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wit: 3 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. c. 1 he work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICKrION IS 11EREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 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. 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 necessary in tions. (I Z • ..4 ................... (Signature of applicant, or name, -if a corporation) (Mailing address of applicant) /(9A. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, lumber or builder. 11 4,4 Name of owner of premises ....l'.!!1.�. �1. .......�`:.�.��:.. ....................FEW (as on the tax roll or latest deed) - P . NOTIFY BUILDING OEPAR'TME�AT If applicant-,is a corpora on, signature of duly authorized officer. 785-1W2 R AM TO 4 PM FOR THE FOLLO�VYfNO MISPEC1fONB: ........ .. ............. �':`.R�:..... 1- FOUNDATION - 1WO REQUIRED (Name and title of .rporate officer) FORP �RE1'E 2. ROUON • FRAMING & PLUMBING s. INSULATION Builders License No. ......................... 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. Plumbers License No. ......................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Electricians License No.. ..................... STATE CONSTRUCTION & ENERGY Other Trade's License No. .................... CODES. NOT RESPONSIBLE` FOR ���� 8El1 OR�O6N�S�I�C�TION E�(iRUFtS 1. Iocation of land on whhich proposed work will be done........... .... ..... ... .......:....... ......o. ..... �cs ... ...�.Lw ....57`'................. rV .... �i/................................ House Number Street '• Hamlet County Tax Map No. 1000 Section ........ Block ...... ....... I.ot ..... �....... Subdivision ...................................... Filed Asap No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...............a........ .�.1�.�C.......��. d ............................... b. Intended use and occupancy .........__• -....._...Q:v!.��....�C. G(/s � ,�® i ,�:/Gle'�C'l�s ' .i:1'7't'Y$'l'tl�'�':'i°-''..7:m?9�w'�.�•iyl�a`�S',g•lj` .__,..: .._.....�5°..bs'4U`.�'��:0<')11.4�'$F.',•ei!�I`h,�` 3. Mature of work (check h,dhich applicable): New Building .......... Addition .... i Alteration. Repair ... ...... Removal ............. Dermlition ............ Other U)rk (Descri ..OM I 4. Estimated Cost ... ..................... fee ...........................�... (to be paid on filinga licatXon?):i -c't this I?P .�,� tom] 5, if dwelling, hxniner of dwelling units ............ Umber of dwelling units on eacli°"'1?loor. ................ If garage, hxniher of cars ...................................... G. If Ixhsiness, commercial or mixed occupancy, specify nature and extent of eadh type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileiglut Umber of Stories ...........i.......... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Uniher of Stories ............... 8. Dimensions of entire new construction: font ................ Rear ............... Depth .............. lieiglht ......................... Nuhiner of Stories ..................... 9- Size of lot: Front .................... Rear .................... Depth .................... IO- 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: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ........................... Address ............................... Phone No. .............. Nameof Architect .................................... Address .............................. Phone No. ......... ... Name of ('.ontractor ................................... Address ...............................Plhone No. .............. IS. is this property within 300 feet of a tidal haetland? * YES .......... NO .......... *IF YES, SOIJ11UD MM 1RUSIP IS PERMrr MAY BE, MGJIRED. FIAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nid>er or description according to deed, and show street names and indicate Mnetlher interior or corner lot. Ali „MU9 "TOO ."=�.. RICO PAIN 4 OT fM 0 SM-881 SUNIE (V MV, YO(?K, OOIJNIY (3l''_.. ;1 ."i•:s ":rir� i; :'3 ..... ... .� ��.............being duly sworn, deposes and L' h says Lha: y a is Une applicant (Naihe of 'ihxltviclua c.sigiiing•conitac il t� above tyxre , Ileis Llhe ................. .............................................................. . (CAmiLractor, agent,-corporaLe of:f:icer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all staLements contained in this application are true to the best of his knowledge and 1)61.ief; aix] Lhat Lhe work will be performed in the manner set forth in the application filed therewith. Sworn to be/f 1 e me this --------• �C ay ..... 9 Notary Pub is ...... ... .... ..... ... - -- .. y �„ New (Signature of A 14cant) { 1 Oht0.8rV . . - .. . - . -- . . � - . � . . 1. . . . . .. . . . - . . I . . . . . . . I . F * . � . .11 � .. ; . �,. ... .--.'. :, . . I - ! - . . . . .. . r'�` /�� . . - . . . _ . - ' � . . , - � - '. , . I � .-. -�,-iL- �, t , � % :.. .. �. 53. v r E iL J oI. o 00 y ti �rf ` a J -� ! W b . v - n 1. �+ t `��� p " 'r- .j 911 - r r ... O j ti r... f ! �S' ... y h .:'' 9 0: V t 'c ti.. �sf x NQ r t0 a1+' '� _ - 3 j. +Q�.t p .ta = i�. �qg:= U 0 Sho _ to -'zs171111:1111, p 'fo tr �sh' . 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