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HomeMy WebLinkAbout12600-zPORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. Z-16530 Date December 22, 1987 THIS CERTlFIES that the building Construct Deck Addition Location of Property 2320 Yennecott Drive Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section ....0.5.5 ...... Block 04 .Lot 033 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 2, ! 983 pursuant to which Building Permit No. ! 2600 z dated............................September I5, 1983 . wasissued, 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 JOHN C. ROSS ..................... id~;n'o'r,'~seTe~l:~¢7~' ..................... of the aforesaid building. Suffolk County Department of Health Approval .... N / A UNDERWRITERS CERTIFICATE NO ..... N / A N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FO~tM NO. 2 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 AUTHORIZED) 12600 Z Permission is hereby granted to: ..~.~,...~ ...... ~..~,.~ ............... ....... ~.~..~; ...................................... ...... ~..~.-~L~..~..~:.~.:~. .................. ................................... at premises located at .~...~,~,..c~..o..O........~~.~..-.~.~it)...%~)..~;~¢...~~ ...... County Tax Map No. 1000 Section .... .?.,.~..~...~.~. ....... Block ....... .,~....~ ....... Lot No......~.....~..~.~ ......... pursuant to application doted ...... ..~~,~........'~... ........ , 19..~.,,~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - ]802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ,-, Jama,.=m to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal-(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 property 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: 1. Certificate of occupancy Neu I)welling.$25.00, 'Accessory tS10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ~ l ~? 5.U~dated C.O. $ 50.00 Date ...~3 .... ~.1. ,.].~ ..... 6. hlteration $25.00 New C on s t P u c % i on ...... Old or Pre-existing Building ~. ......... Vacant Land ............. Location of Property .................. ' ..................................... House No. Street Hamlet Owner or Owners of Property ~,~ ~ .';. County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision ............................ Permit No ........... Date of Permit.. .... Health Dept. Approval ................... Filed Map No Lot No . .. Applicant ~.. .... Labor Dept. Approval ........................ Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate ....................... Fee Submitted $ ...................... Construction on above described building and permit meets all applicable codes and regulations. ............................. R~v. 10.10.78 Co 1&55o FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE ADDITIONAL COMMENTS: TOW OF 50UTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 · town HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-! 802 Thls is to advise you that the Job under building permit no, ~ issued to John Ross ....... on _.~/~ff~.83 .... for A._~d~.~J~og .. , is completed and a final inspection has ( ) bas not '( ~ ) been done. rn order to complete thla file,'it'is necessary that ;, Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $25.00 payable to the Town of $outhold. Please indicate to ~hom tho Certificate of Oecupdney i~ to be mailed~ nnd arrange with tills office for an inspection date Occupancy or uae in unlawful without a Certificate of Occupancy. Please. help tls to clear up this: matter so that legal action does not havo to be taken, Thank y¢)u for your prompt attention. Very truly y~, Victor Lussard Executive Administrator VL:gar enc{. TOWN OF SOUTiIOLD OI.I'ICF OI.' BUILDING INSPF. C¥OI~, I'.O. BOX 728 TOWN IIA LL SOU FIIOLD, N.Y. 11971 November 27, 1987 TEL. 765-1807 Mr. Jobn C. Ross Box 560 Southold, New York 11971 complete your Certificate ?f tile following reasons. ' / Ail ,,I'~¢1 i,:;lt, i. rm for Certificate of Occupancy /x/ :i,> Iind,:t',;rit,~,~.5 Cc'~tificahe on file. /x'/ 'lbo (,hock i:;(ouLd,lted/~x~i~gB Returned herewith, plea: send new check in the amount of $25.00 / / ~:~, ~(:n'[lh Dept. Approval on file. / -/ l'.,~ fin,~l Jnsi)(,cf.ion has been made. ihlJ ]dj r/q 1'],,,~.,,, conlact, our office on this matter. for your cooperation. l'[umbor So]der Certificate on file. all p(~rluit.~; involving plumbing being J.r~s~ed ,~fter April 1,1984 ) ~ 0cc,qwmcy or use is unlaw[ul without a Certificate of Occupancy. ('.l(,;lr up Ibis; matter as soon as possible sO that legal action does not h;tvo £o I)e Thank ymt. TOWN OF SOUTIIOLD OFFICE OF I~UILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your certificate of Occupancy because ~of the following reasons. /Z/ An application for Certificate of Occupancy is not on file. _~- No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) /Z/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit # I 2~6 o..--0 Z Building Dept. ***/-_1 this matter. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y, 11971 TEL. 765-1802 LI ~L ................... ~LDCL l:!'{ ': TOWN (? ?"' 'this is to advise you that the job under building permit no. ~ issued to .... 'JQ~i~ ROss on __9./15~_8. _~____ for _--Ad~_d_i_tion is completed a il. hal ].nspection ha.,; ( ) has not ( X ) been done. and rn order to complete thin 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 tlde Town of Souehold, Please indleate to Whom tide Certificate of Occnpancy is to be mailed, and arrange with this office for an inspection date Occupancy or uae is unlawfnl without a Certificate of Occupancy. Please. help dis tO clear up this. matter so that legal action does not have to be taken. Thank you for your prompt attention, Very truly y~, Victor Lensard Executive Administrator VL:gar encl. BUILDING and REMODELING ROOFING end SIDING ROBERT L. HYATT, INC. SOUTHOLD, NEW YORK 11971 ($16) 79S-3390 /89 TOWN OF SOUTHOLD BUILDIN~ DEPAFtTME~T TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined..~ '~.qv.~..r...1......,~ 19 Approved .... ~.~...}..~'.., 19~. ~. Permit No. ]..~ .6...t~.... Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received .......... ,19... a. Tlfis application must be completely filled in by Wpewriter 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, building code, housing code, and regulations~, and to admit authorized inspectors on premises and in building for necessary ~cSo_~ns~7~ ,..~Z ~.~::~~ · ~.' .~,,~. g. ~t..r...,,~.,. (Signature of appJ~cant,/o5 r/nme, if a corporation/) / (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ;2}'~[ownl; ~f premises.,-~'..?~..~. "'.~.~ .............................. ~ ............ ~ (as on the tax roll or latest dee ) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporat~e 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 .................................................. .)&~ ........ .v.5 ~ ~?.o...T~.....~ ~. ~..e. ........ ~?.o. ~..~. S ..~. ~.... ~:7.: .............. House Number Street Hamlet County Tax Map No. 1000 Section ...... O..~.,~. ...... Block .... .~..OC. ......... Lot,, ,.0, .~., ,,~, ......... S d v sion. 7. .......... ' Filed Map No .... $.1..~..~. .... Lot ¢./. ?..~&-..~..~.. (Name) 2. State existing use and occupancy of p..remises and intended use and occupancy of proposed construction: a. Existing use and occupancy ZM~J ~C z_ l,,x/~ b. Intended use and occupancy .............................. ..... ' .... ............................ 3. Nature of work (check which ap!blicable): New Building .......... Addition~.~., .E~./.~.. Alteration .......... Repair .............. Removal .............. Demolition 'v ............ Other Work ............... 4. Estimated Cost .... .Z-..~..~..,..~! ................. Fee.'~.~..~/ ~..o (Description)* ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... : ................................................................... 6. If business, commercial or mixed occupancy, specify nature ired extent of each type of use ..................... · ' ' ' .~.~..~. ~..~fl..~. Rear Depth 7. Dimensmns of ex~stmg structure~, ff any: Front ............................... Height ............... Number of Stories ........................................................ Dimensions of same structure wi!h alterations or additions: Front ................. Rear ................. D.epth .................... i' · Height ................ ~ .... Number of Stories ..................... 8. Dimensions of entire new constr~ction: Front .,~..~. ~..~,L../t.. Rear ............... Depth ............ Height ............... Number of Stories ....................................................... 9. Size of lot: Front ...........I ........... Rear ...................... Depth ..................... 10. Date of Purchase ........... i .................. Name of Former Owner ............................ I 1. Zone o~' use district in which pre. mises are situated .................................................... 12. ' ..... Does proposed construcUon v!olate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded .... /~.'.0.i .... ~ ......... Will excess fill be removed from premises: Yes No 14. Name of Owner of remises J~.~.N ~5~ aaar~ ~'ovT'~ ~ t-D ...................... , . .................................... Phone Nop Name of Architect .......... ......... ,.~ .......Address ................... Phone No ..... iii i~ ii"' Name of Contractor ./~?.0~(~7-../~.~. ~.~.~..~. ~ Address .~,~.P.q .T~.*..t_~ ..... Phone NoYf. ·~. 3 3 o PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y~e:~K,~/.,..~ ~ e COUNTY OF..o...'~;~-d~,'~l~..~.o -- ........-~'~-"~ff~~.~'o-'-~-,r~5~~ '. .......... being duly sworn, deposes and says that he is the applicant (Name of individual ~ 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 confained 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 ~ I Notary Public, of New Yor~ S~ate . .o. §~-oa44ooa Suffom Count,z:.~ liia'n'ti OOmmission- Expires March aO,