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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 ~ /~ . ^ / -