Loading...
HomeMy WebLinkAbout9505-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14504 Date June 13 8..6 THIS CERTIFIES that the building ..... .D.e.c.k. ...................................... Location of Property 955 SOUNDVIEW AVE EXTENSION SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 050 .Block 02 ...... Lot 0[ [ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Oqt. 20 19.7. Tpursuant to which Building Permit ~q~ 9505 dated . 0~.%.... 2.0 ................... 19.7.7., 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 dwelling as applied for. The certificate is issued to JOHN A. SCOURAKIS ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N/A Rev. 1/81 Buil~ng Inspector FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~i~II,--,I. 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 safety inspection of buildings or premises, Or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ :[ 5.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 "-~,'~,~ ~Z), 7-/o,~/ ~// Date... ~ .': ~ ............ New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~ ~X ~'-~-/ <~. Hou~ No, Street Hamlet Owner or Owners of Prope~y .~. County Tax Map No, 1000 Section ~ Block ~ Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. .~. Date of Permit .~'.'.~..Applicant ..... ~,:~,[~(~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...~. ................ Fee Submitted $..~¢[ ...................... Construction on above described buildin~ permit meets all applicable cod~es and regulations. ?. ........................ Rev. 10 10 78 FIELD INS~ECTION FOUNDATION (1st) FOUNDATION (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDIT COMMENTS RUDOLPH H. BRUER RICHARD F, LARK WILLIAM D. MOORE BRUER AND LARK ATTORNEYS AT LAW MAIN ROAD ~ P. O, BOX tO~9 ~OUTHOLD, NEW YORK ~I071 July 29, 1986 Mr. John A. Scourakis 168 Soundview Avenue Extension Southold, New York 11971 Dear Mr. Scourakis: This office represented the Southold Savings Bank in connection with your 5/29/86 second mortgage loan. In connection therewith, you requested that this office, on your behalf, make application to the Town Building Department for a Certificate of Occupancy covering the deck constructed at your property. As a result of said application, the Building Inspector made a personal inspection of the construction and determined that no C.O. could issue as the lack of handrails did nqt conform to the building code. Our connection with this matter ended at that point, as the Southold Savings Bank waived the C.O. requirement for your loan. However, because our firm appeared as applicant for said C.O., the Building Department has contacted us regarding their concerns in this matter. They tell us that they cannot allow this matter to go unresolved, ie. building permit issued, C.O. denied. I suggest that you contact them directly. You may call (516) 765-1802 and ask for Helen, or write to her attention at: Building Department, Southold Town Hall, Main Road, Southold, N.Y. 11971. Sincerely, Rudolph H. Bruer RHB/df cc: Southold Town Building Inspector BUILDING INSPECT/OrN~ FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FOlg]~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~OUTHOLD, N. Y, Application No. -.~...~..'.-..~...~..-~. ............. Approved /' '' ~'~ .~.-...~..~...~....~.,~....?..~... ........................................ , 19 ........ Permit No ........ Disapproved a/c ....... . (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sate 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 o~ areas, and giving o 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 a 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, ordinangps, build nB, code, h~t~s ng ~;ode, and regulations, and to admit auth°rized inspect°rs °n premises and in buildings f°r n~,e, TrY Jn/~/cti°n~ Store whether opplicont is owner, lessee, ogent, architect, engineer, generol contractor, electrician, plumber or builde/ If applicant is a corporate, si~f~ature 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. '-~ ~--~.. 1. Location of land on which proposed work~ill be done. Mop N~.: ..~: .......... Lot,~qo .-, . Street and Number .-~.....D~....~...-i ~.~..~ ................. Municipali~'";7'' 2. State existing use and occupancy of premise~s and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...,,~:'~,~,¢...M:~'Z¢,~....~..~r~..~..~ ............. '~ ........ b nen ///1 ~ ' t dad use and occupancy ~...~..~,..~.~.~.....~ 3. Nature of work (check which applicable): New Building,. ................. Addition .d~+~.~J~. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ .... (Description) 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 ............................ [f garage, number of cars ............................................................................................................................................ 6. [f business, commercial or mixed occupancy, specify r~ature and extent of each type of use ......... 7. Dimensions of~ex~sting structures, if any: Front ....../'/h"~'~'~'/'"~'""(~'"" Rear .....~......~...~.~....~:.. ........ Depth*<.Z...~/...~.?© leight Number of Stories ................................................................ , ..... Dimensi~n~' of ~e'~ruc~re with olteratic~s"~'~i'~i:>~'~: ~';~ ' ~' ~i.~i Rear ~' Z--~) Depth ....~...~....~...C~../.~...,~.-.~'~-teight ...... ./...~...f.~...~.~ur~be(~f S~t~ories ..... ' '~" '"';~-'~"~;i" 8, Dimensions of entire new construction: Front .......... .{...,.~., ................ Rear ......... ,L...~.C~. ...... Depth ......c~.....~.....~,,_2. Height .....:,...',: ....... Number of Storie~ ........... .--.. ................................................................................................. Size of lot' Front ~ -~C~~ar ................... De~th · 9. Date of Pi:chase~:....:.:...,.:::.~:;.]._.~.:::.::::]:::.:-~.~~ Z ".~..~ ..................... ::::::~:~e o~'~%rmer~ ?~wner~.....:..~...~..~.~.'.~..~.~...: ........ 10. 12. 13. Will lot be regraded ........ ./...~....6...: ........ 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 .................:i...--~.. ................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ c ¢ COUNTY OF ................................ f'~'~ ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. Fie is the ........... ~.L...~. ....................................................................... , ....................................................................... (Contractor, agent, co~porate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; tha~ all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the applicati~ filed t/herewith~, Sworn to before me this ,_A~ ~_ / / ~" .// ,/x/ /' of ..... ............. . ,c./.'/.. /,;. nl :? :""':': :":'":': .................... ......... ................. ¥ I ~. , , ~ -~ , . ~.~- . . ~, ~ ~ ,~.~'-:,' ,.~,.,~ t :.L: :~ , ~ ~ ~.~:~ ' ~,~-.' .~-': I .';. 't:", . ~