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HomeMy WebLinkAbout12365-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19342 Date SEPTEMBER 7, 1990 THIS CERTIFIES that the building Location of Property 54300 ROUTE 48 & House No. County Tax Map No. 1000 Section 52 ADDITION 75 RUCH LANE SOUTHOLD~ N.Y. Street Hamlet Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 1983 pursuant to which Building Permit No. 12365-Z dated JUNE 6, 1983 was issued, and conforms to alt of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is WOOD DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ELEANOR RUCH (owner) of the aforesaid building. SUFFOLK COUN%~f DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N.o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~6~ z ~,ote ......... ..~a.~.~.......4 ................... , ,,.~.~ Permission is hereby granted to: .......... ~/_~.,u.7.../.~.....~.c~ ......... ...... ...~...~...~..~ .... z~.o~ .T.~......,,.~..o~.~ ...... ...... _~,~...~...-z..,~..~..~.. ....... ~ ......... ~... ~o ......... ~.~.~.~.....~.~ ....~:~....~_~....z ~...~ .......... ........ ~....~.~....~~. ....................................................................... et premises I~oted at ...'~.~ ......... ~.~..~ ................................................ ................................................................................................................. co~,~ ~ox Mop No. ~000 S,~o, .~ ....... ~k ...~ ........ Lo~ No..~.Z ........... Building Inspector. Fee ,..~......~~~.' Rev. 6/30/80 Form No. 6 TOWN HALL . 765-1802 · APPLICATION FOR CERTIFICATE OF --' ' ........... · OCC~ANCY~ · %. 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 %lectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contm~,s ~ less than 2/10 of 1% lead· 5. Commercial building, indus, trial building, multiple residences and sJ/nilar bui/dings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements· B. For existing buildings (p~ior to April 9, 19~) 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. ,.o 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. C, Fees 1. Certificate of Occupancy - New dwellin~ ~25.00 ~,,~, Alterations to dwelling *25.00, Swimmino -oo7 *~~.'~J~ 6 ~ ~ ~zo.uu, 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 C~r=ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.90, Commercial $15.00 Date September ~, 1990 ::ew Construction ........... Old Or Pre-existing Building .... ~ ........... Location of Property... p~ppp .~..~. ~.c~.~.~qq.t~.qld, NY 11971 ~ouse No. Street Ha~tlet Onwer or Owners of Property.· Eleanor L. Ruch ~ -' * ' - ~- 052.00 ,, 03.00 County Tax Ma'p No 1000, ~ec~on ...... · ........ ~lock .......... . -001.000 ' N/A ' N/A ' Su sion ................................... Filed Map ............ Lot ...................... Permit No 12365 .............. Date Of" ~- 6/6/83 .. re ...................... Applicant. Valemkime.R~w~.V ............ N/A ~lealth Dept. Approval .................. N/A ........ Underwriters Approval.· ,, Planning Board Approval.. N/A '!', Request 'for: Temporary Certificate ...... Final ..XX. ..... · · .... Certicate... Fee Submitted: ~ 25.00 " ........................ . ...... ouu7. . ....... ~PLIC~,NT ~le~.or L. Ruch - FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ?DE FINAL 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. 12365Z issued to V. Ruch on ~/~/8~ for ~d~i~n is completed a final znspection has ( ) 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 enclosed form, return same to the above office with a check for $25.00 payable 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 to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly yo~, Victor Lessard Executive Administrator VL:gar encl. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P,O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: NAME: VALENTINE RUCH ADDRESS: RE: FEBRUARY 2, ]989 54300 NORTH ROAD SOUTHOLD, N.Y. 11971 BUILDING PERMIT # 12365Z DECK ADDITION ** SEC. 52 BLOCK 03 LOT 01 This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Yours truly, Victor G. Lessard Principal Inspector Requires inspection and Certificate of Occupancy. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 7654802 Examined ~ .~.~.A4ZS.....~...., 19 .~. Approved . ~../q'..~7.....~. ..... 1~..'~. Permit No.~q'~. ·z Disapproved a/c .... ~ ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. ~'/.~..~..~.~.~. ....... a. Tins 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 tlie 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 building for necessary inspections. \1 IF3 ~x (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....cp..04 ~ ?.R, ..... .B.c..~.~.. ~.>...~Z. .............................................................. Name of owner of premises (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 ...... ~..~...Z/~..~. ......... Plumber's ~icense No ..... .....~ ............ Electrician s,License N6. ~. ................ Other Trade s License Nfl( ................... / 1. Location of land on wjiSch.proposed/__ ---~ -- ~-w°rk will be done .................................................. . .S.4.?. ~ ...... . .~q.~.'.r.~... !~..e..~.~. ....................... .S.o. ~ ~a..o. ¢.? ....... ./. ............ House Number Street Hamlet ......... - ! ..................... County Tax Map No. 1000 Section Block .................. Lot.. / / Subdivision ....... ~. ............................ Filed Map No .... ¢ .......... Lot . · ~ ......... ~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...O..M.~....~...tB. i,/_.X..' .~..~..~.L./-.I./? .~ .................................... b. Intended use and occupancy . .~..D.p.E-. ~......W..0.Q.W'd.....D..E.Ce..~ ...................................... 3. Naturelofwork (check which applicable): New Building .......... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work .~4.0(?. ?....O~.C..l~.. ~> iO .~.. ~ (Description) 4. Estima[ed Cost ...................................... Fee .: ........................... ~ (to be paid on filing this application) t : 5. If dwelling, number of dwellingiunits ............... Number of dwalling units on each floor ................ If garage, number of cars .... i .............................. 6. If busifless, commercial or mixeld occupancy, specify nature and extent of each type of use ..................... 7. Dimemions of existing structurqs, if any: Front ............... Rear .............. Depth ............... Height i ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .............. Depth i ................... ~.. Height ...... . ........... Number of Stories ...................... 8. Dlmen~ions' of,entire new constrUction: Front . .I. ~..~ .C?. i'. ..... Rear ... !].~ f~ :' ..... Depth ..~..C/. ~..(~>. :,. . . Height[ . .I. ~ ........... Number of Stories ................ ........................................ 9 ~ize ofilot: Front ~ Rear Depth 10 Date of Purchase : Name of Former Owner 11. Zone o[ use d~stnct ~n winch premises are s~tuated ..................................................... 12. Does p~oposed construction violate any zoning law ordinance or regulation: ....~. 13. Will lotl be regraded ....~..O.~r ................... Will excess fill be removed from premises: r?, Yes a ~. 14. Name c f Owner of premises .~/~.L~..~.'r'.(~.~../.~.0.c.~..AddressX.ffd~o ~,P,p . . .PhoneNo Nmne c f Architect ......... i ................. Address ................... Phone No ................ Name c f Contractor ........ ~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate Clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. G~ve street and blockmumber or description according to deed, and show street names and indicate whether interior or c~ ,rner lot. !A cr c ......... ~.~i. · .~ being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contra'l~) 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; {hat 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 manne~ set forth in the application filed therewith. Sworn to before me this .......... · ..~-~. .... day of.. ....· ./. · .'..] ~ ...... 19(~.~ No~rg..Pu~ic .............. /::~.xC~r-/~.. ~?~-/f.¥.... County 0 ~. ~' ~01~y PUl~ttC, State ~!. ~w ¥o1'1~ ........................................... , Tsro} [xpires ~tarch 30, 1~ (Signature of applicant) <: --I Il: !1 il