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Home My WebLink About12458-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y0 CERTIFICATE OF OCCUPANCY No Z17982 Date APRIL 28, 1989 THIS CERTIFIES that the building ADDITION Location of Propert~ 2405 PVT. RD. #7 DIEDRICKS RD. House No. Street County Tax Map No. 1000 Section 018 Block 03 Subdivision Filed Map No. ORIENT Hamlet Lot 027 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1983 pursuant to which Building Permit No. 12458Z dated AUGUST 1, 1983 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. The certificate is issued to MRS. ARTHUR TRUCKENBRODT (owner, of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ]gO~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12458 Permission is hereby granted to: ..... ................ ....... ~.~..~a..~...../Z~.. ............................... __--- ~ .......~.~...~.~..~.6.t%...M.:.L/... ....... ~ ,o ....... z.~. ........ ~.~.~..~.¢...~. ...... ,,O~-c,~.....,,~.~.~..~..z.a~......./....~.......~.?~_~/,c~ ~.w..~.~z..,,~.h .......... ...:~.~..~:.. ........ ~. ~ ~.,~.....~..,:=.~.~.~,~.~.~. ..... ~ / ' at premise, located at ....~..~..~..~.: ........... ...~..~..~..i..Z~........~Z....~.......~../..~'~....~.~-.,5.../~.J) ~ ...................................................................................................................... ~..~:.~ County Tax Map No. 1000 Section ..... .~.~.~... ..... Block ....~...~.. ........ Lot No..~.1~..~.. ......... Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 in duplicate 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 featu res. 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 peoperty 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: 2.1' CertificateCertificate of°f occupancy $5.00 / occupancy on pre-existing dwelling (~r land use ,~/~/~5.00 3. Copy of certificate of occupancy $1.00 Date...~..~.. ,~../ ..... ~..~..~..~.. New Building ............. Old or Pre-existing Building .. ~ ....... Vacant Land ............. Location of Property ~.~..~).~'. ....... .J~,.V.~....~..~...'.~...~. ............... p~.~..~..1~..~. ........ House No. Street Ham/et Owner or Owners of Property .. ~ ............................. County Tax Map No. 1000 Section ..... l.~. ....... Block .... ..~.. ........ Lot...e~ .7 ......... ~ ' Subdivision ........................... Filed Map No ........... Lot No .............. Permit No. J.~..~--~.. Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .... , .................... Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate ...... ~ ............. Fee Submitted $....~.~'..~....~..~...~. ?.~l ...... Construction on above described building an~rm~/~e~a~pli~blecodes and regulations. Applicant...~,~,f.4.~L~.~/'~'¢C~'...~(J ........................... VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR {$16) 765-1802 FAX (516) 765-1823 Town ttall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD This vlolatlon of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. LOT ~7 Building Permit has expired. You are now Yours truly, Victor G. Lessard Principal Inspector FIE~D INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G,ODE FINAL ADDITIONAL COMMENTS: HORTON CONSTRUCTION CO. INC. CONTRACTORS & BUILDERS P.O. BOX 1442 MATTITUCK, N.Y. 11952 PHONE (516) 298-5531 Town of Southold Office of Building P.O. Box 1179 Town Hall Southold, NY 1197i Inspector To Whom This May Concern April 26, 1989 Please find the enclosed check #4921 this is for Arthur Truckenbrodt. Please mail the C.O. to us and we will get it to the job site of Truckenbrodt. Thank you for your understanding. EllC . amh S.i..n.q e r e 1 y, / Hubbard Secretary/Bkkp. TOWN OF SOUTL!OLD OPFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTIIOLD, N.Y. I 1971 TEL. To Whom This May Concern, V;e are unable r.o complete your Certificate of Occupancy because .of the followin9. reasons. /_--/ An application for Certificate of Occupancy is not on file. /_--/ 'NO Underwriters Certificate on file. /~ Thc; check i:;(outdated/not on. file.) ~?6~ao' /~/ No tlea].th Dept. Approval on file. /-_'/ No final inspection has becn made. Please contact cur office on this matter. Thank you for your cooperation. ..... Dui lei inf~ Dept. ***/~/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,19B4 ) ~'"'~ 'DAVID $. HOflTON HERMINE HORTON NEW SUFFOLK AVENUE NEW SUFFOLK, N, Y. 11956 ORDER OF 1727 --DOLLARS TEL. 765-1802 Sept.26 ~1984 !To Whom This May Concern, We are unable to complete your Certificate 'of Occupancy because of the following reasons. 1) The check is out dated. 2) No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit #12458Z for Truckenbrodt. Please find check #1727 for $5.00 enclosed. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765.18O2 This is Lo advl, es you that the lob' under bu~Idzn' ' - g permit no, 12458Z issued to Arthur Truckenbrodt on _.~/1/~ ...... for Addition is completed n f{nal Inspection Ila~ ( ) has not ( X ) been done, and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclo~ed form, return same to the above office with a cheek for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occnpancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certlficnte of Occupancy. Please. help us to clear up this matter so that legal actlon does not have to be taken. Thank yea for your prompt attention. ~'~ul.--Very trul!~,~ Victor Lessard Executive Administrator VL:gar encl. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~L REMARKS: INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined · .~../~/~../. ...... 19.~..~'~ Approved ...?/~...~., 19:~..~.PermitNo./(~- .~....~./ Disapproved ale -~ ~ ......../'~'~' - ~'~'.~~ o.... (BuiRlifig Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No../.~.~.~.; .'~-. E ..... Date~.~..... J.[ ........ , 19 .q'..-~ a. Ttfis application must be completely filled in by typewriter or in ink and submitted 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 of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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. APPLICATI6N 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, build~g~code, housing c~de, and regulations_, and to admit authorized inspectors on premises and in building for necessary inspeCt/Is. ,~f/~/ ~ i ~( ~ r: ~:i~e~s~ ~ff~)~/~:: ~n.)~.~.,..-f~/~' '~ ............... State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . .~).F.{.[qlA/~.. ' ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~4r~ .~. ~9.nZ . ~ ~..~7. ...... Plumber's License No ...... ~ ............. Electrician's License No ..... ' .................. Other Trade's License No .... · .-~-~. · ~ 1. Location of land on which proposed work :will be done ...... ~ ....................................... 5, .... House--Num ber Street Hamlet County Tax Map No. 1000 Section .... [ ~'' Block ~ Lot .2~ ~7 v(...~ Subdivision ................................... Filed a ............................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... *'[...~__fr3c~...:.~.~ .............................................. ~~ b. Intended use and occt[pancy ...... S ~ ................................................ 3. Nature of work (check which applicable): New Building .......... Addition.. ~ Alteration .......... Repair .. ............. Removal .............. Demolition .. Other Work ............... 4. Estimated Cos : .............. 5. If dwelling, number o f dwelling units .......... If garage, number of cars ................... (Description) .......... Fee. ....................... (to be paid on filing this application) .... Number of dwelling units on each floor ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. Depth .................... '.. Height ...................... Number of Stories .................... 8. D~mens~ons of entire new construction Front .... ~ ....... Rear . 3. [ [ .......... Depth .... .~.q; 'c Height .~ .L..O. ......... Number of Stories ........................................................ 9. Sizeoflot: Front ........... i ........... Rear ...................... Depth ...................... I0. Date of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: ................................ 13. Will lot be regmded ............................ Will excess fill be removed from premises: Yes No 14. Name Of Owner of premises ...i ................. Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ......... : ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~ umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEgf~'Y~R.K,,~ /~ o o COUNTt,W ~~- ~.;,~ ,.4L / ~-.~_~ ....... 'o.o ~ . (Name~d ~ - ' t~otin iviaua signing conract) above named. Heis the ...................... ~......~ ......... ' .......................... r ................ ~ ~r, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements cont~i~d ~ this application are true to the best of his ~owledge and belief; and that the wbrk w~l be perfomed in the m=ner set forth in the application filed therewith. Sworn to before~ 7~is . ......... /.~7~ ..... dayo~...~ ......... 19~ TlCm ~xoires March 30, 1~