HomeMy WebLinkAbout7537-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Z16963 June 6, 1988
No .................. Date ................................
THIS CERTIFIES that the building d e c k a d d i t i o n
Location of Property 225 Island View Lane Greenport
House No. Street .................. I:t:,r~/e~
2 30
County Tax Map No. 1000 Section ........... 57 .Block ............... Lot .................
× X X
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
September 13, 1974 pursuant to which Building Pernlit No. 7537Z
dated ...... S.e.p..r .e.m.b.e..r..1.6. :..1.9.7.4.. 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 .........
Deck addition to existing one-family dwelling.
The certificate is issued to ....... PAUL & JEANETTE HRFFERNAN
.............. ......................
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
. ·
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7537 Z
ome ~ept 16 19...~
Permissia~ is hereby granted to:
.. gleaner a,, Hefferna~
Greenport
....B..a...2.shore Road ext & Island View Lane
ot
p~mise~
~t
pursuant to application datecl Sept 1~ ?b,
........................................................ 19 ........ , and approved by the
Building Impecto~.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5,Submit Planning Board approval of completed site plan requirements where applicable,
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p:operty showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safeW inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$I0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O.,/ $ 20.00
5.Upda~:ed C.O. $ 50.00 Oate ........................
NewC°nstruction . ..~... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~:::~c~ . ~ ~N,~. .~"~,~-~ ~_~,~.e,_...
House No. Street Ham/et
Owner or Owners of eroperty ..~.0..~ .~ ..~.~.~_ .~.~...~.~.~...~/x.)
County Tax Map No. 1000 Section ..... .~.-~. ...... Block ~ Lot
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..~.~.~.~. ...... ~- Date of Permit ...... C~l (~1~/.c7! Applicant . .~ .~...-~...M.~J.
App App -
Health Dept. roval ........................ Labor Dept roval ........
Underwriters Approval Planning Board Approval -
Request for Temporary Certificate ............... ~.~...Final Certificate ....... ~ ............
FeeSubmitted$..~.~...~....~.~..~.....~.~.......~ .
Construction on above described building api~mit rr~alfapp~jc~g~s ~ re.,,~;~..
¢ .............
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
This is to advise you that the job under building
permit no. ~3U~ issued to ~IC~d~ ~,
on q!~V~-~ for ~ d~%~ ~d{+,'~ ~ is completed and
a final ~inspection has '( ) has'not (~'~) 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 ~o !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 your~.~,
Victor Lessard
Executive Administrator
VL
encl .
FO/~M NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
.....
~ ~(o~wner o~ authorized agent of owner~,~
/
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance . .~../..~.. · '.'~..~ .~...
Other Applicable Laws, Ordinances or Recjulotions ..........................................
at premises hereinafter described in that .................................................
-------' (state character of violation)
m womr~on o'r ......................................................... ~ .......... ...... ..-' ............. .,. ...........................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and/,~O"remedy the
conditions above mentioned forthwth n or before)he ~.~....7~..,~.~...g~..,:.~.~.....,~
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
~....~.. ........................... .~.,.~....~..~ ................ /~ ............. County of Suffolk, New York.
Failure to remedy the conditions a~resaid and to co41y with the applicable provisions of law
/
may constitute an offense punishable by fine or imprisonm th.
B(Jildir~ Inspecior-
APPUC, ATION FOR BUILDING I~KMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Building~
Inspector, with 3 sete of plans, aocumte plot plan to male. Fee according to ~,,hedule.
b. Plat plan showing locatiOn of lot and of buildinas on premises, mlatlonshin to adio nrm =rem scs or ~ub ic streets
areas, and g'v'mg a deto led descnpt:on of ayout oflar~rb/must be drawn on- tl~e diagram wh'ic~h s part of
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 Bui]ding 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 hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a I~uilding Permit pursuant to the:
_Build!r~.. Zo? O .rdinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
.~geum;:,.ons, ?or the construction of buildings, additions or alterations, or for removal' or demolltim~, as heroin described.
· app:icant agrees to comply with all applicable laws, ordinances, bulldiqg code, housing code, and regulatlans, and to
admit 0uthorized inspectors on premises and in buildings for ~m~espary,,in~pectigns. ·
applicant, or name, if a
:: .
State whether applicant is awhile, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name o~ owner o{ premises ...El.~ ~'..~...~..~-~1~..~...-~1:.~.~1.
If *pplicant is a corporate, signature of duly authorized officer.
Builder's License No .... .~..~ ...........................
Plumber's License No .................................................
Electrician's License No .............................................
Other Tmde's License No ............................................... '~, .' ,~. __ ~---c~C) a~
Location of land on whi rk:v~l' be dc~e Map No
1.
c/~ w~o : .,.. -, ...........
Street and Number ..... ~.~ ....... ~r~.......~...~.~......~.....~....~...~..~...~)
2. State existing, use and occupancy of~.~,~ , _ ~'~ ~--'~-- ~premises a. nd inte_ed, ec~ use and occupancy of p~ construction:
a. Exisiting use and occupancy ..~.~..L.~.~I~. .................................................................. ' .................
b. Intended use and occupancy ...... ..~.~'.:~..~/.......I.~.~'~.~.. ...... ~..~J. .......... : ...........................................
3. Nature of work (check which applicable): New Building.. ................. Add,ban' ' . ............... . .' AIter~t'~o~
Repair ................ Removal ..... Demolition .................... Other Work .~..~..~..~.... '. .........................
~ (DeScription)
4. · 6- ..
Est,mated Cost .......~...O.......~ ...................................... 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 c~rs .......~.. ......................................................... ; ..........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......~. ....................
7. Dimensions of existing structures, if any: Front ...~w~.G~-. Rear ................................ Depth ....................
Height ........................ Number of Stories ..... ~..~l~JL.~t ............. .... ..................................................................
Dimensions~of same structure with alterations or addition~ Fron~ ..................................... f~r~ ~Rear ...~..~....~C...~1~ ¢lcZ~ ..........
Depth ....... ~ ........................ Height .i ...... ~ ......... ' ...... Number of Stories ........................ ~'"%'~5"~'/0'-r~
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................
10~ Date of Purchase ........................................................ Name of Former Owner ........................................................
1 I. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .......... .~..0. ..................... ~ ...............
13. Will lot be regraded ~[~ 0 Will excess fill be removed from premises: ( ) yes (~) NoA)O~
14. Name of Owner of premises .~.[-~fl~/~....~..~0~ ............ Address ...~ ........... '.. Phone No..~..~,'~.7..0....~....~,~'
Name of Architect .............................................................. ~J- Address ................................ .Phone No ...... ..................
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or Rroposed, and indicate a~l set-back dimensions from
property lines. Give street and block number or.description occo~ing to deed, and 'show street names and indicate
Whether interior or corner Iai. ~ ~ ....
L~
STATE OF NEW'
,COUNTY OF . , -'-
................................................................................................. being duly sworn, deposes and says that he is the applicant
(Nome of individual signing contract)
obove nemed.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to rn~ke and file
this application; that oil statements contoined in this application ore true to the best of his knowledge and belief; and
thar the work will be performed in the manner set forth in the opplicotion filed therewith.
Sworn to,bef~l~ me this ~ /~ . ^ / -