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Home My WebLink About12330-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16054 Date August 14, 1987 THIS CERTIFIES that the building ...A.L.T.I}..R.A.T.I.O..N..O.F....E.X.I. 8.? .[p.O. .D..E.C.K. ............. IX) *' ~eP .... + 530 Sunset Way Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section 09 I .Block 0 I ..... Lot 0,0 9 Subdivision..M./.o..C.e.d.a.r..B.e.ag.h' .P.a.r.k .......... Filed Map No. , .9.0 ..... Lot No.. ,1.6.3 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 27 1983 pursuant to which Building 12330 Z ........ .' ............. Permit No ...................... dated .....................May 16, 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 ......... ALTERATION PART OF EXISTING DECK TO ENCLOSED LIVING AREA The certificate is issued to LAWRENCE & GLORIA SIMON ..................... ................... of the aforesaid building, Suffolk County Department of Health Approval ............. N,/, A, .......................... UNDERWRITERS CERTIFICATE NO. N 8 2 2 5 0 4 N/A PLUMBERS CERTIFICATION DATED: Building nspect Rev. 1/81 TOWN OF $OU'~'IO~D BUILDING DEPARTMi~N'~ TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE/'~I~ES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) !12330 Z Oat. Pe .rmissior): is hereby granted to:._. ........ '~..~../..~...~ ........ ,o..,~~..~~.m(,(~.~ ...... ~,...~.... ~.~'.~.~¢..~ .......... ......~.~.~.....~.~...~ ....... ...................... ......~.,.? ........ :..., ................. co~ ,~X ~o~ uo. ~oo0 s,~,o~ ...~.~ ........ ~ ~:..,~... ~to~ ~o....~.~ ......... pu~bant to application dat~ .. ~ ........... , i9 and approv~ by the Building Ihspector. · Rev. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP~ Instructions This application must be filled in typewriter OR ink, and submitted -, ~ 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: Additions $25.00 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory.,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $i(~.00t 4.wc t c.o. 2o.oo 5.Updated C.O. $ 50.00 Date .......................... New C on s ~. r u c ~. i on ......Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................... ~,,, ~, .................. House No. ^ Street uwner or uwners o~ Property .................... ~. ............................... CountyTax Map No. 1000 Section ............... Block . ~/ Lot... .... ~,..Applicant Permit No ..... -.,;,., ua~e of Permit ................................. Health Dept. Approyal ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ....................... Construction on above described building and~~pplicac~od,~es, zd r,~ge u~lations. Applicant ..~..'.. ..... ./...~.j..:.;;.-f;;.'..'~. ........ Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS Lawr%~nce 8i~o~ Sunset WaY off Cedar Beach Road~ 8outhold~ in thefotio~,ing location; ~ Basement ~ Ist Fl. [] 2nd FI. Section Block Lot FIXTURE OUTLETS DRYERS 2 1 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET E R V I C OTHER APPARATUS: This certificate must not:be altered in any man~er; return to the office of the Board if incorrect. Inspectors may be identified by ~7 credenti~s. ~ C~PY F~ BUILDING DEPARTMENT. THIS COPY OF ~ERTIF CAT~?U~T NOT BE ~LTERED~ N ANY ~NNER ~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_--~/ An application for Certificate of Occupancy is not on file. ~/--~/No Underwriters Certificate on file. /J' The check is(cure,ted/not on file.) ~c~O /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit #. ~. ~ ~ ~ .~ g Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Memorandum from.., BUILDtNG INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y. 11971 765-1802 NEW YORK STATE D[PARTMENT OF ENVII~gNMENTAL CONSERVATION' PERMiT , 10-83-0791 Larry Simon Sunset Way, Cedar Beach, NY 11971 Cedar Beach Harbor, Sunset Way Construction of a 6'x30' deck along Northwestern side of house. Deck to be an extension of existing one on southwestern side of home and to be n_o _- closer than 45' from landward edge of High Marsh Vegetation. COMMIJNiTY NAME (City, Tbwn, ViHage) JTOWN Cedar Beach ~ Southold ~U~ .......... FIA COMMUNITY NO, DAM NO. ~£RMIT EXPIRATION DATE Suffolk ~ept- 30, 1984 95-20~ (9/75) GENERAL CONDITIONS g. That lhe State of New York shall in no case be liable for any damage or inJury to the structure or work herein author{zed which may be caused by or result from future operations undertaken by the Slate for lhe conservation or ~mprovement of navlgal~on, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 9. That H the d~splay of Hghts and s~gnals on any work hereby authorized ~s not otherwise provided for by law, such ,lights and signals as may be pre- scribed by lhe Umled States Coast Guard shall be inslaHed and rdaintamed by and at the ekpense of lhe owner. tO. All work camod out under this permit shah be performed in accor- dance with established engmeenng practice and in a workmanlike manner. 11. If granted under Articles 24 or 25, the Department reserve~.'tlm riBhl;~ to econside his approva at any time and ~fter due notice and, he~rin~ c~)ntmue, rescind or modify th~s permit in such a manner as may be found,l~ be just and eqmtable. I.Y upon the expiration or revocation of this ~Permit, the mod f ca on of the wetland hereby au hor~zed has not been compieled, the; app cant sba , wthou expense o he Sac, and o such exert and m time and m~nner as the Department of Environmental'Conservation may require~ remove all or any portion of lhe uncompleted structure or fill and restore'the site to its former conditron. No claim shall be made a. gainsl the State of 12. This pe m sba I no be construed ~s conveying lo the applJcant-an'~ to perform the PO m ted work or as author zing the impairment of any ri~hts~: provaJs, lands, easements and rights-of-way which may b~ required for ~thi~ project. ' 14. If granted under Article 36 lhJs permit is graoted solely on t~e bas~ of lhe requb-ements of Ar icle 36 of the Environmental Conservati'bn L~w' ami Part 500 of 6 NYCRR (Cons ruction m Flood Ham Areas having Special Hazards - Building Permits) and in no way sigmfles that the project wilJ be* free from flooding. (SE'EREVERSE SID£) SPECIAL CONDITIONS ' 1. Any further additions to home or construction on other parts of property will require written approval from this office. See additional conditions A-J Daniel J. Laz~kin~/;~. ~/ ~NYSDEC Bldq 40 SUNY Stony Brook July 21, 1983 cc: USACE FIELD I~$PEC~'ION FOUNDATION (lsd) FOUNDATION (2nd/ 2. ~OUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY o COMMENTS ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL, 765-1802 This is to advise you that the job under building permit no. ~J2/:13JlZ_ issued to Lawrence Simon on _.5/16__/~__3____ for Alteration is completed a f~nal inspection has ( ) has not ( X ) been done. and rn 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 cheek for $25.00 paynble 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 ~o clear up this matter so that legal action does not have to be taken, .: Thank yon for your prompt attention. Very truly yo~, Victor Lessard Executive Administrator VL:gar encl. I b"o' AP?ROVZD -,~S NOTED 765-1807 9 gM TO X P~ [OR TM[ FOLLO~/~MG !~-'gPECTIONS: f. FOUNDATION - TWO REQUIRED FOR POURFD CONCRETE 2. ROUGH - :RAMINO & PLUMBING 3. INSULA-~k' 4. FINAL - ¢~x'% ..... ~N MUST BE CQ~-*~' ~%~ ~mR C.Q. ALL CONC-~"C~I~N SPALL ~E~ THE REO~'o~MsK'TS OF THc N.Y. .S~ATE CONSTRUCTION & Ek'ERGy ~CODES. NOT RESPONSIB~ E FOR DESIGN OR CONSTRUCTION ERRORS. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This 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. 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, buildin$ code, hous~tg code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection. ,//~////2 .........,~]o~O~,/'~C,~.~/~_~ .,~..'./~....O~/d~.. ................... ~ (Sin ture ofapplic t, or name, if a tion) (Mailing'address of aPplicant) State whether applic~t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .... .......................................... Name of owner of premises ................. ~,x~.v.v~w,~ ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corpo~te, officer) Builder's License No..~ .~ ....... Plumber's License No. Electrician's LicenSe Nol '~ i ~ ~ Other Trade's License No ...................... Location of land on which proposed work will be done ..... .................................... .... ......... House Number Street Hamlet County Tax Map No. 1000 Section .... ~..~l ......... Block ...... 0. ~ ......... L~t...~..~. ......... Subdivisio,..~..i;~e~...r'.C~M~--' ~ ' "~-- ..... FiledMapNp....~.O. ........ ,.o~.~.~.5 ...... (Name)c), ',~, and in~nded use ao~i ogcui~ancy of~rel;u~eO couatruet~.. State existing use and occupancy of premises ~F~,~L~~,).,~ . <~, )v .,.)'~Y'~'~/~. a. Existing use and occupancy ..... ~.. -~~"" ' ' ' ' ~'~ ' i i~i~ ,~~ i/~. Nature of work ' ' ' (check which apphcable): New Building .......... Addition ..... Alteration .......... Repair ........ ~.. RemOval ............ Estimated Cost .. .~..0. :d. .... " If dwelling, number of dwelling hnits ........ (. Demolition .............. Other Work ............... ~fi~_~_. ~__~ (Description) ......... Fee .f ..................................... (to be paid on filing this application) .... Number 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 ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth Height' Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... !.. Height .......... ; ........... Numbe,r of Stories .......... ~ ............ 8. Dimensions of entire new construction: Front .... ./~... (~" ...... Rear ............... Depth ...~.. .......... Height Number of Stories ' ~.~.~ 9. Size of lot: Front ........... . ........... Rear ...................... Depth ...................... 10. !)ate of Purchase ........... , .................. N qaar]~ f F~e~r~n e.,r~ r ............................. 1 1. Zone or use district in which premises are situated ...... ~ff'.~.~/2Y/g?,-~ ................................ 12. Does proposed construction wolate any zoning law, ordinance or regulation ............................... ,¥. 13. Will lot be regraded ......... !...~. ............ Will excess fill be removed from premises: Yes ~I~..~ f P ' Add Ph 14. Name of Owner o remises ...: ................. tess ................... one No ................ Name of Architect ''~*r.~':l.''~ '" i~] i i i ..... Address~.~., .~,.~ ~.~je..~:~ ..... Phone No ............... Name of Contractor. i: ..... Addre ~ . Phone No..~..~?.."/.q ~..~.. PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. ~ve street and block :number or description accordmg to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK . COUNTY OF .~..L/..)~'F. b.~.K.., s.s ...~..2).o..D..o~...~..~.. ~ ...... ~. 0.~./~. ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannei set forth in the application filed therewith. Sworn to before me this °~ '7 '~x d yo£ ~. I~//~ 19..~. NOTARY PUBLIC, State of New ¥or~ ............................ NO, 52-45247~1 (Signature of applicant) Qualified in Suaoli~ Cour~t¥ / i Comralssion Expires Mar h