HomeMy WebLinkAbout9577-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22737
Date NOVEMBER 22r 1993
THIS CERTIFIES that the building STRUCTUP~E
Location of Property 1330 TRUMANS PATH House No.
County Tax Map No. 1000 Section 31 Block 12 Lot 9
Subdivision Filed Map No. ....Lot No.
EAST MARION, N.Y.
Street Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 7, 1977 pursuant to which
Building Permit No. 9577-Z dated DECEMBER 7, 1977
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 NON-CONFORMING STRUCTURE *
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*SEE DEMO PERMIT #21666-Z
Rev. 1/81
DAVID & MARY GUIGLIANOTTI
N/A
N/A
i[ding Inspector
BUILDING !PER~v~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9577 Z
Permission is hereby granted to:
................ ~..~:~:~.~..: ..........................
·
at premises located at ~
pu suan appti ation ed ........................................ 19 .., and opproved by the
Building Inspector.
Fee $./, .....................
Form No. 6
TOWN OF SOUTttOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
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 1% lead.
5. Comraercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Cod~ 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-existing" land uses:
i. 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
i. 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.O0
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.O0
4o Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0
Date .... ::.: !:. f~ ......................
~e ' . .... 0~1~ ~ ~e e~istin -~{i~~ .... ' ' '°'
, w Construction ..... _ .............. g__~ ............
· oca tion of ~roper ty ...... Z'~ Mi ........... (~'~ '~Z~ff. · · ~.~ ~ ...... ~i¥..~a~Z ~A....~: .~ ....
.
House No. Street Hamlet
)nwer or Owners of Property ........ ~ ........ ~ .....................................
~0unty Tax Map No 1000, Section.. .3~ ..... Block .... / ~
ubdivision .................................. · · Filed Map ............ Lot ................... .. .
'ermit No .... ~J.~.~.~..~..Date Of Permit .... ~/~. ..... ....Applicant..........~l~
ealth Dept Approval Underwriters Approval
lanning Board Approval. ..
equest for: Temporary Certificate ..... · · .... Final Certicate. ~
Submitted: $ ...........
APPLICANT
]~V'f.~P OF LAI-4D
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R0 Wieczorek
Ordimtnce Inspector
Robert Fisher
Assistant .Fire Inspector
Telephone (516) 765-1802
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P,O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 24, 1992
George & Helen Langjahr
31-68 35th Street
Astoria, New York 11102
Re: Building Permit ~ 9577-Z
Premises: 1330 Trumans Path, East Marion,
Suff. Co. Tax Map 91000- 31-12-9
N.Yo
Dear Mr. & Mrs. Langjahr:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTt{OLD TOWN BUILDING DEPT.
VGL:gar
Victor Lessard,
Principal Building Inspector
GEORGE & HELEN LANGJAHR
1330 Trumans Path
East Marion, N.Y. 11939
TOWN OF SOUTHOLD
Of:[:ICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN tIALL
SOUTIIOLD, N.Y. 11971
FEBRUARY 21, 1991
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because.of the fol~owin9 reasons.
An application for Certificate of Occupancy
ls not on file. ENCLOSED
/~/ NO Underwriters Certificate on file.
The check is(~~not on file.) $25.00
/Z/ No llealth Dept. Approval on file.
/5/ No final ins.pection has been made.
Please contact our office on
Thank you for your cooperation.
Dui]ding Permit ~ 9 5 7 7 Z
Building
***/5/ No
this matter.
ADDITION TO
DECEMBER 7,
Dept.
Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
DWELLING
1977
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
~OUTHOLD, N. Y.
Disapproved o/c ............................................................................................
Date :~ ~
........... ;..:..~ ........................ , 19 ....
INSTRUCTIONS
Application No. /..u ........ ~ .................
a. This application must be completely filled in by typewriter o~ in ink and Submitted in triplicate 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 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 work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until o 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 buildings for necessary inspections.
.......... .......
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of pram sas
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .....................................................
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ............................................... /~ -7 ~ ') _J ~: ~ L ,-- ,h,
Location of land on which proposed work will be done. Mgp No.: ...~..../.C~.....P..~:.../..:~.~..~.. Lot No .........................
Street and Number ...... .~¥.?..~..':.~.';:~.:;::.~:::, ....... ~/~...¢4..:.~+~.,~, ............... ~..:i.....~..¢%.(2.~.,~.,~.<;..;,~ .................................
Municipality
State existing use and occupancy of premises ond intended use and occuponcy of proposed construction:
o, Exisiting use and occupancy ................................................................................................................................
b. Intended use and occupancy '~.~;~ ~? '//~/~- ~ ~
/
3. Nature of work (check which applicable): New Buffdir~g'. ................. Addition .................. Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work ................................................ ...
(Description)
4. Fstimated Cost ............................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ /.. ............. Number of dwollin0 units on ooch floor ..... , ......................
I{ ~oro~e, number of cots ............................................................................................................................................
6, ff business, commerciol or mixed occupancy, specify noture ,nd extent of o~ch type o{ uso ............................
7, D~mens~o~s of exi*tin~ structures, ff ~ny: Front ............................ Ro~r ....................... , ........ D*pth ....................
Ho~oht ........................ Number of Stories ................................................................................................................
[)~mens~o~s o~ same structure with ~lterotions or odditions: Front .................................... ~ear ..........................
Depth ................................ Height ............................ ~umber o~ 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 ........................................................ Name of Former Owner .......................................................
11. Zone or use district in which premises are situated ..~. ..............................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ~J
13. Will lot be regraded ......~ ............. Will excess flit be removed from premises:
Yes
No
'
N~me of ArcHitect .............................................................. Address ................................ Phone No .......................
N~me of Contractor ............ ~: ............................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate ctear[y and distinctly ~1 buildings, whether existing or proposed, and indicate ali set-~ck dimensions from
property lines. Give street ~nd block number or de,trip,iota ~ccordi~g to deed, and show street names ~nd indicate
whether inter/or or corner
STATE OF NEW YORK, lc c
COUNTY OF ................................
................................................................................................. being duly sworn, deposes and says that he is the
(Name of individual signing contracf)
above named.
He is the ...............................................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fik~
this application; that ell statements contained in this application are true to the best of his knowledge and belief; and
thai' the work will be performed in the manner set fo~h in the application filed therewith.
Sworn to b~ore me this
....... ,., c, . . ...............
~,, '; ............. I 1 ...................................... 7 (Signature of a~t)
/~A~, DAWSON
~OTARYPU~C. State o( New York
-~64372~. Sulfolk
~, ....... ires ~rch 30.