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HomeMy WebLinkAbout5645-zNo Z18988 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building. Location of Property 2355 BOISSEAU AVE. House No. County Tax Map No. 1000 Section 55 Subdivision Date APRIL 25~ 1990 ADDITION & ALTERATIONS Street Block 05 Filed Map No. SOUTHOLD Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, 1971 pursuant to which Building Permit No. 5645Z dated NO--ER 26~ 1971 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 ADDITION ON EXISTING DWW3~.ING (ALSO MAKE ALTERATIONS) The certificate is issued to ~w3~N CASE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. WAIVED PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 2 TOWN OI~ SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ri'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5645 Z Permission is hereby gr~nted to: ................. .~[e,;Te~..~.,..~.e ............................... . ................ :..... ~,.,~.~.e ~,te~e .................................... at premises located at ..]ll[~...~-%ct;:~.~.a~.e.~.~l,.~.e ................................................................................... ................................................ f~.e~t~ ......... lt~. .......................................................................... pursuc~n~ to application dated ................................. .[q~II'.....~--6 ......... , 19.~.~..., and approved by the Building Inspector. Building Inspector m No. 6 TOWN'OF SOUTHOLD 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 inspector with the following: 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 i% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existzng" 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 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. 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 - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................................. Construction ........... Old Or Pre-existing Building ......... Ceuse No. Street He, et Onwer or Owners of Property...~~....~.~.Q~... .......................................... uo 00o, ..... .... ......... ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~.~..~....~-r..Date Of Permit..?..~.~ ...... Applicant ............ :...~..~.~. ..... Health Dept. Approval .......................... Underwriters Approval ........ Planning Board Approval ........................ Request for: Tempos/fy Certificate ........... Final Certicate ........... Fee Submitted: $ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 April 19, 1990 Mrs. ~elen B. Case: Cutchogue, N.Y. Re: Building Permit 95645 (1971) Suff. Co. Tax Map ~1000-55-5-15 Premises: Boisseau Ave. Southold, N.Y. Dear Mrs. Case: The above building pezmit has expired and a Certificate of Occupancy has never been issued. You are in violation of the Code of the Town of Southold as this building permit has now been voided. Please contact this office immediately to avoid legal action. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VL:gar Victor Lessard, Principal Building Inspector TOWN OF SOUTHOLD -~/~.~ BUILDING DEPARTMENT ' · /' TO N CLERK'S OFF:CE SOUTHOLD, N. Y. ........................................ , 19 ........ Pemit No .................................. Disapproved a/c ........................................................ ............................................................ ................. .............. ................................. APPLICATION FOR BUILDING PERMIT . ......... a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Bu!lding Inspector. 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 ofproperty must be drawn on the diagram which is part of this applicatiOn. 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 issue a Building Permit to the applicant. Such permit~-~ shall be kept on the premises available for inspection throughout the progress of 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 N~ADE 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~ Stanley Case (Signature of applicant, or name, jfa corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................... ~t,1~ et~ ~;...o ~'...0~.na~. Name of owner of premises ..... We.l~z~..]~.....C~6e .................................... ~..w~,.~. ................................................................ If applicant is a corporate, signature of duly authorized officer. .................. ......... 1.Location of land on which proposed work will be done. Map No.: ~ ................................... Lot No ....... ~ .......... Street end Number ....... Y/./.$..~B~.~ea~....A,~e .............. ~e~,~el~ ....... ~.Y.~ ...... : .......................................... n~ipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.* a. Exisiting use and occupancy dwelling b. Inten~ded use and occupancy ...... aame...~ltk~a~.te~a~.i, ez,..&.~%d4.i.t.ien ............................................... 3. Nature of work (check which applicable): New Building .................. Addition ~ ........ Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....D~ ................. Number of dwelling units on each 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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~. ...................... Rear ............ ~.~. ........... Depth ....2Lk/...1.(~ ..... Height .................... Number of Stories ..o~e...;~.~. .................................................................................................. 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 1 1. Zone or use district Jn which premises are s~tuated ..r..A... ....... ~J.~.~ .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... .~g. ............................................ 13. Name of Owner of premises .~...e.~..e.~....~.~....C..~.~..e ......... Address .....C:L~tCbO&V,e .................. Phone No ..................... Name of Architect .......................................... i ........... Address ............................................ Phone No ..................... Name of Contractor ..~a~e ........................................ Address ............................................ Phone No ..................... property lines. Give street and block number inte,,~Tr.~A.- c~,~,~lot. '~ ~f, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ond indicate all set-b~ck dimensions from or description according to deed, ond show street names and indicate I Swam to before me this 26 ~. _f . ~.vern~e . Notary ........................ Public,~.~..~..a ~,~ .............................. ;...., ELIZABETH ANN N~/LL~ NOTARy PUBLIC, Slate of New Y0rg No. 52'8125850, Suffolk Cou,~y,, Term Expires March 30, County~ (Sil~nature of applicant) STATE OF NEWoY_QP~K,,, t S S COUNTY OF ...~...l~...z...o...._~.. ............ ~ · .................................... ~i&~-~G.v.-~l~.Ge ................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................................. ~,~G~.~..tD~.-.O9~Z',e.Z' ..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners[~ond is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge end belief; and that the work will be performed in the manner set forth in the application filed therewith.