The URL can be used to link to this page

Home My WebLink About6677-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICAT~ OF OC~UPAN~ No Z-23626 Date MAY 11, 1995 THIS CERTIFIES that the building Location of Property 3075 I~NNYS ROAD House No. County Tax Map No. 1000 Section 59 Subdivision ACCESSORY SOuT~OLD~ NEW YORK Street Hamlet Block 6 Lot 25 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JIINE 20, 1973 pursuant to which Building Permit No. 6677-E dated JI1NE 20, 1973 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EDWARD & JACQUELINE MAIDEL N/A N/A N/A / ~/ Buil-~i~ Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6677 Z Date .......................... ,~,,~,.....~ .......... , 19~..~... Permission is hereby granted to: nt premises located at ..~.~...~. ................... ~ .................................................................. .................................... .[..t..n.~..~lg~l ................... ~ mzt~b.~3.~i. ...... I~Z. ............................................. pursuant to opplication dated ......................~1'321~ .......... ~.~. ......... , 19.~,~..., and approved by the Building Inspector. Building InspLaC'for Form No. 6 TOWN OF SOUTIIOLD BUILDING UEPARTHENT APR I 7 ~ TOWN IIALL 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 contairs less than 2/10 of i% lead. 5. Commercial building, industrial build5ng, 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 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, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildine - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occnpancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00., Commerci · Date, ................... New Construction ........... OJd Or Pre-existing guizd'~g..?..~ ...... Location of Property .... ~.~ .~.. ............ ~/~...~. ~.~¢ .~..<~.~z.~.~. House No. Street Hamlet Onwer or Owners ,.,f Property... .. County Tax Map No I000, Section...O~.~' .... Block...~.~ ........ Lot .................... Subdivision .......... . ...... ........... Filed Map Lot Permit No ..... Date Of Permit. · ..... can .. llealth Dept Approval · ' '' Underwriters Approval Planning Board Approval ..................... Request for: Temporary Certificate..~....N. ~ Final Certicate .......... ~ , Fee Submitted: $ ........ ./~ ...... ~..~.kj'~) ~=- /~!~.?~ ~ _~-3 · ' .... .. 1 .... . ........... .............. . APPLICANT _ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 31, 1995 Mr. & Mrs. Edward Maidel 1587 West Dry Creek Road Littleton, CO 80120 Re: Accessory Storage Building Prem: 3075 Kenny's Road, Southold **** SECOND NOTICE **** To Whom This May Concern: NY We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed)** No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 6677-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO ~HE CODE OF ~HE ~O~1 OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job,under building permit no. ~]~2 issued to on ~01~ for a~ ~Of~ 0~6~, ~01~¢1/~ is completed and a fina~ i'nspection has ( )lhas n~t (L/'~) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for ~/0~I payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly yours, Victor Lessard Executive Administrator VL: ~ encl. Approved .... ~,~ BUILDING DEPARTMENT TOWN a.I~K'S OFFI~ ~UTH~D, N. Y. 77 .... ~pplic~tion No...; ............. .~.. ...... APPLICATION FOR BUILI~ING PERMIT -.~ oto ................... , INSTRUCTIONS a. This application must be completely filial inby .typewriter o~ in irt~ and submitted .in triplicate to the Buildi Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plansho~r~g"~ocation of lot and'of bUi~lingS'on premise~,' i'elatiod~hip to cidjbining premises or public streets o~ ~rea$,.~nd giv!n.g_ a c~_ ta!!ed description.of layout of_pr, qpe .r~y must be drawn on the diagram which is Part of this applicatior~ c. The work covered by this application may not, be commenCed before issuance of Building Permit. -. d, .Upon apl~roval .bf' this application, the Buil~ling Inspector will issue a Building Permit ~o the applicant. Such permit~ shall be kept o~ the premises available for inspection throagh~ut the work. ' e. No building shall be occupied or used in whole or in part fo~ any I~rpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY N~DE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuffolkS'County; New York, and other applicable Lows, O. rdinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here,n 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 ir~ buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Addr~' of applicant) Builder's License No ..................................................... Plumber's License No ................................................. State whether applicant is owner, lessee, agent, architect/engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~......~....'...~.~~...ii ............... i ..................... ~ ........ '. ................. ii~....i If applicant is a corporate, signature of duly authorized officer. Electrician's License No ............................................. Other Tmde's License No ............................................... Location of land on which proposed wor.k will be done. /V~.~o_No.: .................................... ~,~. Lot No ........................ Street and Number ..... ~..~.~..~....~~Z.~ ...................................... ~ .............. c/ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: , o. Exisiting use and occupancy .~ ............................................................................................... b. Intended use and occupancy .~~.....~.~....'~..~..~i~ .... ,,, 3.' Nature of work (check which applicable): New Building Addition Alteration Repair .................. Removal .................. Demolition .................... Other Work ~.~..~. (De~ription) 4. Estimated Cost'~.../...~...~'.....~..~.: ....................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ 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 ......~...-- .~... ....... Height ~...~.~...:: ..... Number of Stories ..... ./. ............................................................................................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Na~q 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 regradecl ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..~ ............................. Address ................................ Phone No..~...~..~..?...~..~ Name of Architect .............................................................. Address ............................... Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block number or des,cription accprding to deed, and shaw street names and indicate whether interior or comer lot.~Pe e / S~oro ~ e 5b · (~ ~ STATE OF N~ORE I-- COUN OF ................... ~~....~:..~:~ ............... being duly sworn, deposes and says t~t he is the applicon, (Name of i~ividual signing contracf) able name. He is the ...................... ~.~.~.~ ................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and'~s duly authorized to perform or have performed the said work ~d to ~ke end file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~k will ~ perfor~d in the manner set forth in the application filed therewith'. Swam to before me this {$i~n~tur~ o{ oppllcont) ~RRI ~E ~ ~A~ PUBLIC, State ~ N~ Ym~ ~ua died in SunoiK County ~issm~ Exp~es March 30, 1~ ~ ~