The URL can be used to link to this page

Home My WebLink About11581-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20444 Date JANUARY 3, 1992 THIS CERTIFIES that the building Location of Propert~ 2695 COX NECK ROAD House No. County Tax Map No. 10O0 Section 113 Subdivision ADDITION MATTITUCK, N.Y. Street Block 7 Lot Filed Map No. Lot No. Hamlet 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1982 pursuant to which Building Permit No. 11581-Z dated MARCH 19, 1982 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM A. LINDSAY~ JR. H-025794 - NOVEMBER 26~ 1991 N/A /Building Inspector Rev. i/Si BUILDING DEiPARTME~T TOWH HALL $OUTHOLD ~ Y, BUiLDiNG FE~IT (TH S PE~IT MUST BE KEPT ON :THE PRE~IS~$ CO~PL~ION OF THE WORK AUTHORIZED) UNTIL FbLL N9 11581 Z Dot~ z Perd ission is hereby granted to: Qt p~emise~ located at F ~ To~ Map ~o. ,0Oo.s,,,o~ ..Z.Z~ ......... : "'o~' :i4~........' ~o, ~o. ~ ......... pursOant tb application dated .... i.../...~...: ...ii....i 19 and approved by the Buil lng Ir~spector. i: .... Fee $ ............ ~..,-~... Rev. i6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDINg DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the bnilding. 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. ~. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . .... ?: ...................... Location of Property.. ~.~.~..~. ............. '~:~°'~''' ~'~"7~:: ~ :':'::::: .~//~..~d~ . House No. Street ' ' ~amigt ....... Property.....~. cI~ Pnwer or Owners of . .~ ............. ounty Tax No 1000, Section.. Subdivision .................................... Filed Map ............ Lot .................... Permit No J~5~ k.~.. ......... Date Of Permit. .. Applicant Health Dept. Approval ........................ ..Underwriters Approval ......................... Planning Board Approval ....................... lequest for: Temporary Certificate ........... Final Certicate ........... 7ce Submitted: $ ............................ ..~...~~.~...~/.,. +_. .... . ............ TOWN OF SOUTIIOLD OFFICI~ OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOI. JTIIOLD, N,¥, 11971 MARCH 27, 1991 TEL. 765-130,2 WILLIAM J. LINDSA¥, JR COX NECK ROAD MATTITUCK, N.Y. 11952 To Whom This May Concern, Ple are unable r.o complete your Certificate of Occu~pancy because .of the following reasons. / application for Certificate of Occupancy ( NCLOS ,) /2~/ The check ~t;(c~/nut on f~le.) 025.00 /~/ No llea].th Dept. Approval on file. /-~/ No final inspection has{bceu made. Please contact ()ur office on this matter. Thank you for yo~?: cooperation. lh~[l(lir;g Perm[t: l! I I 5 8 I Z Building Dept. *'~/_--/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSPECT~ON FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL DATE COMMENTS ADDITIONAL COMMENTS: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 January 18, 1991 S~a~nle¥ J. Fliss Jr.~ Mattituck, N.Y. 11952 Re: B.P.911581Z William & France Linsay Addition to existing dwelling Dear Mr. Fliss: In regard to the above permit, please be advised that this permit has not had all the necessary inspections. on 4/27/82 the framing passed inspection but you have never called for any other inspections. Please call our office because a Certificate of Occupancy is required. Yours truly, Secretary BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FRAMING [~FINAL REMARKS: ~ ~/~ /~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo E om,ned ~proved ~...¢....:C~ /..?.. Ig~..~ermit No../.~..~....~./.....~... ~ ~' ........ , i' .................. ...... ................... Application No. //~-~/ . APPLICATION FOR BUILDING PERMIT / Dote... ....... Z ........... INSTRUCTIONS o. 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 Buildihg 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ..... ~ ~"~'"'/g~/pl'i'~'~'r~c~"'~"m~', ,~"i"';'c~;'l~'o';'~'J';'r~i ........ ...... .......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ , ...... : ......................................................................................................... __ ....... Name of owner of premises ...... ~,~..l.././.~.,.~ ...... .t~_.,......,~ ~...~.......~.~.....lg...~...~. ....... ~8 ...... ~.(.~.~.~ .................. ff Gpplicont is o corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No .......... . .:~......~....v~... .......................... Plumber's License No ....... ~f~47../...~. ............................. Electrician's License No .... ,/,/,,~,..~.Z ......................... Other Zrade's License No ............ .~..~.Z .......................... 1. Location of land on ~hich progosed work will be doo~. Mop bio.: ........................................ L~ot No ......................... Street and Num ebebebebebebebebebe~'~..ff.'~...C.¢~.)C....~...¢.~.~......'.~..~..~.~....;~': ........................................... .~..~...~.~,..:.'..~.f,~-.~ ...... Municipality 2. 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 ..................................................................................... .~... ................................. 3. Nature of work (check whlch~ applicable): New Building'. ................. Addition .................. Alteration ................ Repair .................. Removal · ................. ~ Demolitior~, .................... Other Work ................................................... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelllng units ...... ~./~.~-~ .......... NL. mbe' r 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 .............. ;";,;';i ...... 7. Dimensions ofce~is~i~g structures, if any: Front .......~..~'. .............. Rear ......... ~..~. ................ Depth ...~*~'~. ........... Height ~.~..~/~,?~r. Number of Stories (:~'~,~'. ........................................................................................ Dimensions of same structure with alterations or additions: Front ........... .~..~...' ............... Rear ....... .~..~..~. ........... construction: 8. Dimensions of.,en~j'e new Front ........... ................. Rear ....... ............ Depth ..... ............. 1 1. ~one or use district in which'premises are situated ..................................................................................................... 12. Does proposed construction violate any zonin§ law, ordinance or re§ulotion: .............. ~...O.. .................................. 13. Will lot be regroded ....... ~..0. ............... Will excess fill be~removed from prem~ses: ( )~Yes ~ No Name of Architect .............. ................................................ Address .......................... ~ ..... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all se't-back dimensions from property lines. Give street and blpck number or description according to deed, and show street names and indicate whether interior or c:orner Iol, S'FA*I'E OF NEW YOP, I<,~, f~ ~,,~ i c c COUNTY OF ............... .~..~ ..~..*.././~..'. f ~ '~ ....................... ~.'~/.~.¥....~.....,/~../.f.'.~.~; ....... ~/.i~ ................... being duly sworn, deposes and says that he is the applican~ (Name of'inHividual~' signing contract) above named. He is the ........... ~.~,..~.~.~..~ ..................................................................................................................................... (Contractor, agent, corporote officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to make and file this'application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed Jn the manner set forth in the application filed therewith. Sworn to before me this __ ~ ~ ~ ~ No[~ Public,. .............. ~ ......~.. C~ ~ ...,~.~.-:X:.~..)......¢~.~:t..~ .......... : ........... , ~'[~y PUBLIC, ~ate of Hew Yor~ , ~ ~o. 52.8125850, Suffolk Cou~ Term [xplre~ March 30, 19..~