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HomeMy WebLinkAbout12509-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27047 Date: 04/19/00 THIS CERTIFIES that the building ADDITION Location of Property: 6005 HORTON LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 section 54 Block 7 SOUTHOLD (HAMLET} Lot 21.2 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 1983 pursuant to which Building Permit No. 12509-Z dated JULY 23, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET CONWAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. E-067620 04/12/00 PLUMBERS CERTIFICATION DATED N/A ~~ignature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ~,UTHORIZED) 12509 Z Permission is hereby granted to: (,.~..0..~ ...... ~.~......~....~ ................ _ . .~..~~.~..~.::~.?...~... ............... ~o ......... ~~ ....... ~ ........ .C~~....~ .................................... at premises located alt ......'.~....o...Q.~ .......... ~....J.~.'~.....~.....,C~.. ,~,.~..~ ....... pursuant to applic 'o d .............................................. r Building Inspector. ~__~,~ ~ ~ee ~....0...~.,.....~. ...... '~- . ~ ................. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, proI streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposa y ' es~ ~9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in syste~ qgnta~ns less than 2/10 of 1% lead. 5. Con~ercial building, industrial building, multiple residences and similar buildings 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. 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date .... New Construction ........... Old Or Pre-existing Building..Z~.. ....... Location of Property.. ~P~%~ ~-~ ~-~S House No. Street Ha~et Onwer or O~ers of Property...~~..~.~ County T~ Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................. .. Filed Map ............ Lot ...................... Permit No ............ Date Of Permit ................ Applicant ............................. Health Dept. Approval ........................ .. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Yee Submitted: $ ............................ (:.~ ....., ,, ~.~'/~ ~O~?OV7 ~ ~PLIC~T. ' Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD MARCH 9, 2000 4TN NOTIFICATION MRS. MARGARET CONWAY 6005 HORTONS LANE SOUTHOLD, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~3XX An application for Certificate of Occupancy is not on file. (Enclosed) XX xx No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 12509-Z* Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *THE ABOVE BUILDING PERMIT HAS EXPIRED.IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE C.O. SO THAT WE MAY CLEAR UP THIS MATTER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 January 28, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Margaret Conway 6005 Hortons Lane Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: XX XX Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The Check not on file. $25.00 Due No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 12509-Z Permit has expired Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. 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 March 26, 1990 Margaret L. Conway 6005 Hortons Lane Southold, N.Y. 11971 Dear Mrs. Re: Building Permit 912509-Z Premises: 6005 Hortons Lane, ~hold, N.Y. Suff. Co. Tax Map ~100'0-54-7~ Conwa¥: -'~ During a review of our files, it was noted that the above building permit has expired and a Certifieate of Occupancy has not been issued for your deck addition. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction of an addition to an existing dwelling. It is unlawful to use said addition until a Certificate of Occupancy has been issued. Your final inspection has been made. Your check that we have is outdated. We return it herewith. We have your application, but still have not received the Underwriters Certificate. Please send us a new check in the amount of $25.00 along with the Underwriters Certificate so that we may issue the Certificate of Occupancy. Kindly clear up this matter as soon as possible so that legal action does not have to be taken. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VRW:gar encl. Vincent R. Wieczorek, Ordinance Inspector Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1995 Ms. Margaret Conway 6005 HOrtons Lane Southold, NY 11971 Re: Building Permit #12509-Z Premises: 6005 Horton's Lane, Southold Suff. Co. Tax Map #1000-54-7-21.2 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According'to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. ELDG. DEPT TOWN OF $CUTHOt D FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Building InSpec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzroperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and COndition of buildings. 3. Date of anv housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: New Dwelling.S25.00, 'Accessory ,$i0.00 Business $50.00 1. Certificate of occupancy 2. C0rtificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Uodated C.O. $ 50.00 Date .......................... 6. Alteration $25.00 NewCons tr'uc %ion '~ ..... Old or Pre-existing Building ..., ......... VacCt Land ............. Location of Property ,~;~/~)~Oo.~.. ~. '.~ ....... i~.. ..... ~/'~" "~" ~'-~" '/"" '~/~/'e[ Owner or Owners of Property~ ~ ~..~ .~~ .... ~../~_. · Health Dept. Approval ........................ Labor Dept. Approval ..................... Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate Final Certificate . · Fee Submitted $ ............................ Rev. 10-10.78 FIELD INSPECTION FOUNDATION FOUNDATION (1st) (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~DE FINAL DATE COMMENTS ADDITIONAL COMMENTS: 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 NAME: ADDRESS: RE: BUILDING PERHIT ~ 12~¢? SEC. 5-¢ BLOCK LOT /? This Building Permit has expired. You are now violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Victor G. Lessard Princlpal Inspector TOWN OF SOUTHOLD OFFICF. OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765.1802 Th~s is to advise yon that the job under building permit no, 12509Z issued to Margaret Conway on 7/23/83 for Addition is c~'plet'ed and ;1 f'(~l'~ {nspection has ( ) has not ( X ) been done. rn order to complete this file, it is necessary chat a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrnn~e with this off~ce for an inspectio~ (late ,Occupancy or uae in unlawful without a CertlflcaCe of Occupancy. Please help us to clear up Chis matter so that legal action does not have to be takee. Thank you for yo.r prompt attention. Victor Lessard Executive Administrator VL:gar encl . THE NEW YORK BOARD OF FIRE UNDERWRITERS 80793-2 BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 12,2000 Application No. on file 20195500/00 1t 067620 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the,applicant named on the above applicalion number is in the premises of JOSEPH A. ~CONWAY, 6005 HORTON LANE, SOUTHOLD~ NY in the fbllowi~g location; [] Basement [] 1st Fl.. [] 2nd Fl. OUT i Section Blo,ck Lot was examined on APRIL 07 t 2000 and found to be in cqmpliance with the National Electrical Code. FIXTURE FIXTURES RANGES , COOKING DECKE OVENS DISH WASHERS EXHAUST FAN~ OUTLETS RECEPTACLES SWITCHES NCANDESCEN' FLUORESCENT OYHER AMT. K,W AMT. K.W. AMT. K.W. AMT K.W. AMY. H.P. 2 2 1 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL IUNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT, ~(.W. OIL H,P, GAS H,P, AMT. NO. A W, G. AMT. AMP. AMT AMP~$. TRANS· AMT H.P. NO. OF FEET AMT. WATi'S ~ ~SERVICE-DISc~NNEC~T~ · NO~OI ~ ~ ~ ' S~ ' '~-~ ~ ~!~"R ~ '~V~ ~ ~-"~l~': .... C~''' -~'~E ........... DECK-- 1 G.F.C.I=-I AMOUNT FEE PAID a PLEASE REMIT BY CHECK OR MONEY YORK BOARD OF FIRE UNDERWRITERS JOSEPH A. CONWAY AS CASH SENT BY MAIL WILL BE AT RISK 6005N HORTONS I~ OF SENDER, SOUT~0LD, NY~ 11971 11 Per TH~S IS YOUR BILl Examined..~~. Approved .. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 19 · .~.~.., 19~..~. Permit No..]..e~..~..~. ~..~ Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No...L .~....~7..O..C~ .... 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 Reguiations, for the construction of buildings, additions or alterations, or for removal or demolition, as herei~ described. The applicant agrees to comply with all applicable laws, ordinates, building code, housing code~and regulations, and to admit authorized inspectors on premises and in building for necessa~'~sl~ections. (Signatu¢~of applicant, or name, i5 a ,corpor...a~) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... ¥. r..!~,.~. (.,~ ~,. ~.".~.:{.....k,~,¢ yx..[~fi.(,k...~.:/,4 ............................... LIL (as on the tax roll or ~test deed) If applicant is a corporation, signature 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 will be done ................................................ / · .......... ........ House Number Street Hamlet County Tax Map No. 1000 Sectmn .... ~..~ ......... Block .... .~ Lot ..... Subdivision ................ '~ ................. Filed Map No..~ ........... Lot.. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed const~ction: a. Existing use and occupancy ........ ~)$~q. 7 ..... ~3'~'. ¢~ .' .~ (fi... ~:~q '.( .( f;~ ~ ..................... b. Intended use and occupancy ...... :{:.-.v...., :, ..... ~? .....:. ...... .;. :.. ~ ........................ 3. Nature of work (check which applicable): New Building .......... Addition ~ Alteration .......... .Repair .............. Removal .............. Demolition .............. Other Work ............... ,,o (Description) 4. Estimated Cost .......... Fee (to be paid on filing this application) 5. ~ If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars .... ' ........................................................ . ............ 6. If business, commercial or mixdd 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 .................... Number of Stories ........ 8. Dimensions of entire new construction: Front ..... ~..~tL( .... Rear ..... g .~.. ~. .... Depth i.°~ ~ Yl i i ii i ?Ieight ............... Number of Stones ............ ~ .......................... · ' ' iq.a?. 9. ,size of lot. Front ....... .~..Q ......... Rear .................... Depth [ ~" 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ....... ~ ............................................ 12. Does proposed construction vioilate any zoning law, ordinance or regulation: ........................... 13. Will lot be regmded .... ~.~.i.:.~.~. ............ Willexcess fill beremoved from premises: Yes. x,._~ ' ~') 14. Name of Owner of premises .~.t{[ ...(-~>:t4~.~ ..... Address ................... Phone No ............... Name of Architect ......... ; ................. Address ................... Phone No ................ Name of Contractor ........ i ................. Address ................... Phone No ................ Locate clearly and distinctly all property lines. Give street and bloct interior or corr er lot. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NFrA~OR~,.~_ /./~ S S COUNTY OF~~'.ff.[....ff ~ .... above named. // (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 applic-~,tion; 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 manner set forth in the application filed therewith. Sworn to before me this ' · ........ ~._.~._.~..day of;.....~.~,~.<~_.: ~..., 19.~. . $9)4ry Public,' ................... ~ouCrll~x (ff~/~ · . ~LI~ ~ ~w~ // (Signature of app, lic~nt) NOTARY ~LIC, ~ato of New YO~ ~ [ ~ being duly sworn, deposes and says that he is the applicant