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Home My WebLink About22224-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23145 Date AUGUST 5, 1994 THIS CERTIFIES that the building ADDITION Location of Property 45845 COUNTY ROAD. #48 SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 2 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1994 pursuant to which Building Permit No. 22224—Z dated AUGUST 1, 1994 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 A SHED ADDITION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR AND TO THE CONDITIONS OF THE SUFFOLK COUNTY HEALTH DEPT. The certificate is issued to PETER & DIANE LUHRS (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. ,l BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........................ ... d /................., 19...(.. N® 22224 Z Permission is hereby granted to, �.......................................................................................... OL ......�.�..� f��5'.......�. � ./ ..... - ,.....� �............. , �i ` ........ .....�..... .... :..... ...1 a ... ...... ..... ................. ... .f. ..... O. ....... . 1 ...�`� . .................................................. ......... ., w... ... at premises located at.. .�, .......CG ' ��.... ... ..... .. / .................................... 0. . -moo.. . ................................................ County Tax Map No. 1000 Section ..... ......... Block.......9�............. Lot No. .�.*7................... pursuant to application dated ....................... . y....1. ......., 19... .. .. and approved by the Building Inspectoorr. Fee$.16-P............ r ,......... ................ ...... V ......., Building Inspecto Rev. 6/30/80 D R Form No. 6 -70 •- ';�7Zq L5 r T014N OF- SOUTHOLD ' JUL p S N4 BUILDING DEPARTMENT TO[dN BALL 7 6 5-18 02 •�-m�sMt17LAt n APPLICATION FOI: CERTIFICATE OF OCCUPANCY A. This application must be .filled in b inspector with the following: for newtbuildingrorPnewlcused submitted to the building 1. Final survey of property with accurate location of all buildin s streets, and unusual natural or topographic features. g ,. Property lines, 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-confor pre-existing" land uses: ming uses, or buildings and " 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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, Accessor buildin Additions to accessory building $25.00. Businesses $50.00. y g $25.00, 2. Certificate of Occupancy on Pre-existing Building - $100.0.0 3. Copy of Certificate of Occupancy - $20.00 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. . . . . Location of Property. . . „ • , , • s G. . . ..7. . . . . . . . . . . . . . . . . . . . . . . . . �.�. �-r:,J . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . � ��, . . .;�.. . . �' . . . . .��. !.��! . . . . . . C. . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . • . . . . . . . . .Lot. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . . Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . .. . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters A , pproval. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . . . . . �.�. . . . . . . . . . . . ..? . . . . . . . . . . . . . . APPLICANT 62 F� q- ra-,oL 1 - 76s-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL , REMARKS: i DATE d IN8P L I_L,7 COMMENTS II - R: ?OUIIDATI0-11 ( 1 s t) - -� --------------------------- FOUNDATION c� (2nd ) v�p 2. - . . c7 °OUGH FRAME o _ 3. ca INSULATION PER N. Y. m STATE ENERGY II CODE I ••(� r' m FINAL ADDITIONAL COMMENTS - x ------------- ----------------- H V . � - •moo � ' ..'+.�iafY.i.�.��r-..wr.��_c..;r,eJ,si:--•.rs ...ef fv'ij7c:, �l"y..- . .. , .. ... ., .. __ ... .. ... .. ."'� r:h..iLrlf. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 15 HORSE BLOCK PLACE FARMINGVILLE, N Y•.--1 1 738-1 222, This PERMIT Shall be F'ERMANEIVTLY DISPLAYED Expire$ on = and VI SABLE ll'SI�E"tip 'acid it�r Id Na. 10—(7121 SHORELINE TRUCK AUTOMOTIVE SER 45545 NORTH RD No '.o f Tanks Total Vol SOUTHOLD... NY- . 1,1971 55� Owner•..Phone.,_ ...,.. ! # e Discard` Rt rn .Enye.l,oPe tt#�r#gee CIWNER : ' lO 0121 �j�! T . 9 � ITORIN :. �U PETER Dei LUHRS Ail r • ,.,., t•,+.. be maintained in GOOD wotrkins order. �2055 ANCHOR LN' Admittance to facility shall be 'provided SOUTHOLD NY 11971 to SCHDS between the hours of SWO am andi 5a UO em on,. any clay REQUESTED. BLDG S�UNOLD s To NO - - S 3 "cal. led _ Irnderr frees , '30 cr#orf" �--� �yt:_.•-y__-.�—c=7C--. y� •�+r�L'.rnnSY"""'n'.-.r-y..'.-.'+^2�("�'ft`-aft � y-�°'-l►y�i+"14"'�_��-„�.�� , �'. -• _ . ._ - --_=`'.fir�-1:---:-- - - • -i --__-__ - --- �' Irk, J r b +/aC r .rr.?ls�;ti of✓'r•4rt (. T h�Qr'7'brf q�iNGr^ � ; n.w, i �- �___ wh;ye pure _ f • sf Vd ir all Cato, n �• Y� BOARD OF HEALTH . . . . . . . . . U FORM NO. 1 3 SETS OF PLANS . . . . . . . . _ TOWN OF SOUTHOLD !SURVEY . . . . _ _ _ _ . . . . . . . . . . 13 1.994 1 BUILDING DEPARTMENT CIIECh - TOWN HALL SEPTIC FOR:, _ _ _ . . . - BLAO_DEPT. !! SOUTHOLD, N.Y. 11971 TO OFSOUTHOLD C TEL.: 765-1802 NOTIFY - Examined . . . 1. 19/ CALL . . : I tP t�1AIL TO Approved I9. . . .. .,1. . . . p� . . . . . . _ . . . . . . . . . . . . :, Permit No� Disapproved,a/c . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . - - - . . . . . . . . . . . (Building Inspector) P CATION FOR BUILDING PERMIT, J) I Date . . . .71.4 . . . . . . 19 l.T. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitt.pd'to the Building Inspector, with 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 must be drawn on the diagram which is part of this appli- cation. C. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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. APPLICATION IS HEREBY 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 inspections. � ..: . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder. . . . . . . . ?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . :. . . . . . . Name of owner of premises . . —(?'.F4•'&�� '� �(2 :.- 'D APPROVED AS NOTED c� (as on the tax roll or late If applicant is a corporation, signature of duly authorized officer. FEE: _ZV 8Y; NOTIFI' BUILDING DEPA ENT .AT 765-1802 S AM IO 4 P FOR THE (Name and title of corporate officer) FOLLOWING INSPECTIONS: 1. FOUNDATIO�ti. - MFO REOUIRED Builder's License No. I �F�O�R/yPOU ED,CO%�'CRF`I'E' p/p� �q/+ . _ 2. �1'1Juc 9:slf fb47 Plumber's License No. Electrician's Lice ALL a O£°STR�ai:TiO,, 5;-IALL MEET THE t OLi€tal-t A�-b s OF Tp;E H-V Other Trade's License No. . . , STATE yy Ci" °/STi �j a'T,O-- �E . _ 'LT3„S fZ)Ji .,ice 1. .Location of land on which proposed work will be"done. . . . . • 1 • . ,-louse Number, . . . . . . . . . . . . . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . Hamlet County Tax Map No. 1000 Section ;, , .� . . . . . Block . . . . . . . Lot . . . . 7 . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . Filed Alap No. . . . . . . . . . . . . . . Lot (Name) : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use-and occupancy . . . .. . . . L>. ` . . _ . . � .e f�- , • . . • _ b. Intended use and occupancy . . .0c+c, .,-. . . � • • �` •3. Nature of work (check which applicable): New Building . . . � _ " '� Repair . . . . . . . . . . . . . . Removal • Addition . . . . '. Alt'� eration . . . . . . . . . . • . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . • . • . . . 4. Estimated Cost . . (Description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling,number of dwelling units . (to be paid;on filing this application) ,' Number of dwelling units ori'yeach floor : ":: , If garage, number of cars .. . . . . . . . . . . . . . 6. If business, commercial or mixed • • " " " " " " " " ' • • • • • • • • • • • • • • • . . occupancy, specify nature and extent of each type of use , . : , • , , 7. Dimensions of existing structures, if any: Front.. ' ' ' ' ' ' . Number o Rear p . . - Height . . . . . . . . . . ... . . . . . . . . . . . . . . . . . Depth . . . . . . Dime f Stories . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .Dimensions of same structure with alterations or additions: Front � • � • • . . . . ' ' ' . ' ' ' Depth . . . . . Height . . . . . . . . . . . . . . . . . •Rear . . . . . . . . . . . . . . 8. Dimensions of entire new construe . ' ' ' ' ' ' • • -'Number of Stories . . . . . . . . ... . . • , Heightconstruction: . . . . . . . . . . . . . . . Re . . . . . . . . . . . . . . . . . . . . . . . Rear Depth . . . .. . Number,of Stories, 9. Size of lot: Front . . . . . . . .. . , , • Rear. . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . 10. Date of Purchase ' ' ' ' ' .'. • • - • • • • • Depth . . . . . . . 11. Zone or use district in which pre ' ' ' ' • • Name of Former Owner . . . . . . . . . . . . . . . . . . . • 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. Name of Owner of premises . . . . . . . . . . ... . . . . Address Name of Architect • ' ' • • . . . . . . . . . • • • • • Phone No. . . . . . .. . . . . . . . . . . . . . Name of Contractor . • . Address . . . . . . . . . . . . . . . . . . . Phone No. • • • • . . . . . . . Addr 15.• ess . Phone o. Is this property within �300 feet of a tidal wetland? � �cyes.•.• .. ' ' ' ' . . . . . . *If yes,- Southold Town Trustees Permit may. be required. No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. D blI- TANS STb 2R(orz_�I.1Z, I Sid®�� : 163 ro r ., 3a Zq ss a `7 STATE OF NEW YORK, COUNTY OF . . . S.S - being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. leis the . :�.:. . : ..:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) ' ' ' ' ' ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pPlication; that all statements contained in this application are true to the best of his knowledge and belief;and that the -ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . .�.J�.-C � . . . . . . .dayof. . . 19 otary Public, Qom,, . . . . . County UNDA A COOPER . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . Notary Public,State of New Yo (Signature of applicant) No.�4822563,Suffolk Cflunt Term Expires December'.' ?9 Y G � �r 4w. P