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HomeMy WebLinkAbout11470-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. UPDATED CERTIFICAT~ OF OCCUPANCY No z-23043 Date JUNE 16, 1994 THIS CERTIFIES that the building. Location of Property 1995 VILLAGE LANE House No. county Tax Map No. 1000 Section 25 Subdivision ALTERATION Street Block 3 Filed Map No. ORIENT, N.Y. Hamlet Lot 12.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/5/81 & 12/31/87 pursuant to which 16733-Z Building Permit No. 11470-Z &/ dated 11/21/81 & 2/10/88 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 ALTEP/%TIONS TO ~ONVERT MULTIPLE DWELLING TO ONE FAMILY DWELLING & A NON-HABITABLE ACCEssoRy STRUCTURE & SHED * The certificate is issued to TIMOTHY & NINAFROST (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - FEB. 11, 1988 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z--16646 & CO Z-16647 DATED FEB. 11, 1988. I *ffector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy No. Z 16647 Date February I 1 , 1988 THIS CERTIFIES that the building . .A..1 .t.e.r.a..t .i.o.q .................................. Location of Property 1995 Village Lane Orient h3bs; bio; ....................... 's't/e3i ....................... County Tax Map No. 1000 Section . ¢.5 ......... Block 3 .Lot 12,. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated ·..A.u..g... 5, I 981 pursuant to which Building Permit No. I 1470 Z dated . .N.o.v.....2.1. ,...1.9.8. ! ........... 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 ......... ...R.e..m.o.v.e..p.a.r.t.s...a.n.d...a.l.t.e.r..a.t.i.o.n...o.n..r..e.m.a.i.n..i.n.g. one family dwelling. The certificate is issued to Pierre Gazarian (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ N./.A ............................... UNDERWRITERS CERTIFICATE NO. N/A PLUNBERS CERTIFICATIOR DATED: N/A Bmld~ng Inspector Rev. 1/81 BUILDING pERMIT (THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL R~ULL COMPLETION OF THE WORK AUTHORIZED) No. ~147o Z Permission is hereby granted to:, ~0 ............ ~.~, ................... ~ .............. ~ ............................ ~: ......... ~" .......... ~ ................ ................ ~ ............................................................. ~: ................ .-~ ............ : ....................................... . I ~ ~ .~ /~1~,~ ot premises Io~ated ot ................. ; ........... ~] .................... : ........ ~ ........ :;; .................. : .......................... ................ :.: ................. ...... Cou~ T~ Mop No. 1000 'Section . Bilk ,...~ ................ · .......... :~u~ ~. ,, 19~}.., and approved by the pbrsbant ~o application dated .............................. ~ ....................... , B i lng Inspector. Fee ~ ........ i ............... nspector 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 the building inspector with the following: for new building or new use: 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 electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial 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 Vpre-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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....J.~.n.e...1.3.,.. ! .9.9.~ ...................... . Update CO ~Z16647 New Construction ........... Old Or Pre-existing Building .... Ob%'.'f&~'i'I!>'dwelling & shed %$9.5 yi.~l~l.a, qe. Lane orient Location of Property ............................................................. House No. Street Hamlet Timothy Frost and Nina Frost Onwer or Owners of Property ............................... County Tax Map No i000, Section..P.A%',q9 ..... Block 03.00 ...... Lot. 012. 001 Subdivision .................................... Filed Map ............ Lot ........ Permit No..[~2Q.~. ..... Pate Of Permit ................ Applicant ....................... .. . Health Dept. Approval ............... .. ~ ........ Underwriters Approval ................. . .. .. .. . Planning Board Approval ........ Request for: Temporary Certificate .......... . Final Certicate ........... Fee Submitted: 50:~p ................ ........ .................. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. 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. B. For existing buildings (prior to April 1957), Non*conforming uses, or buildings and "pre.existing" tand uses: 1. Accurate survey of p~toperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, 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 $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C,O. $ 50.00 Date .. Newc°nstruct~°n ~ Old or Pre-existing Building .,~.. VacantLand Location of Property 1995 Village Lane "Bay House" Orient House No. Street /-/am/e t Owner or Owners of Property Timothy and. Nina Frost (formerly Pierre-Andre Ga~ari~n) County Tax ~ap No. 1000 Section 25 Block 3 Lot 12 Subdivision ................................. Filed Map No ........... Lot No .............. Permit Date of PeCm , )..App,icant.~t ~ ~? ....... ~.%~ . Health Dept. Approval .~/? ........ .~.., .... Labor Dept. Approval ~. t ~ ................... Fee Submitted $ . ~ ~d Construction on above describ0d building and permit meets all applicable codes and regulations. Applicant Michael J. Hall Rev. 10.10-78 SCTM 1000 - 025.00 - 03.00 - 12.1 1995 Village Lane, Orient, New York Please provide the undersigned with one (1) photocopy of certificate of occupancy ~Z16647 (bldg permit #11470Z). This certificate was issued converting a multiple family dwelling to a single family residence. Kindly provide the undersigned with a copy of the application for the building permit as well. have enclosed my check in the sum of $20.00 representing f~e for same. TO G or ia Soutkold Town Building Dep~i$~/'~'~i WILLIAM H. PRICE JR. Town Hall, Main Road '~' !~ ,,,;,, ^ .- //' ATTORNEY AT LAW Southold, NY 11971 . '.,~/,1~,¢ ~ ~ 1~9~ ~] P.O. BOX 2065 -- 828 FRONT STRE~ ' ~_~ ; PHONE: (516) 477-1016 FIELD INS?ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qODE o FINAL ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD ) BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No/ ............................... Date ............. . .~..~..T'.....( To .... T.-'. /. .~: . .l !?. k,. '. [:: ..... .~',.~..,~...~../~.. ?~ I ,,EX, ix/ .............. ~z~>.).- .... .v:o..,~..x ............................. ~I.~.N ? l~,~ ,'/ PLEASE TAKE NOTICE that your application dated ............ for pemit to~t.. Location of Property ..... ~.C.: ........ g! ¢.~ ~ .~ ..... g.e ........... ~7~¢.~.7 ..... House No. Street Ham/et County Tax Map No. I000 Section ~ ~'' .............. ~o~k ........ ~ .... ~t .~.'/ ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds.. IQ.. ~.7 !.. ~.0. 6t?....~. .......... P..~,~-L~....US~ (0~'~ t:l~'~t.'/) ~s NuT ^-i'~x ~,~e:~ .u,?: ..^~-r...._L.~.(~ Building Inspector RV 1/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~t'~-- ~,,,~ ~ ~c~, ".~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................ , 19... Application No .............. Approved ................ ,19... Permit No ............ Disapproved a/c ~./'¢.~...: ............................. (Building Inspector) ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ........... , t a. This application must be completely filled iu by typewriter or in ink and submitted in triplicate to the Buildi 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 stret or areas, and giving a detailed descriptiou of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon apprcval of this application, the Building Inspector will issne a Building Permit to the applicant. Such porn shall be kept on the premises available for inspection throughout the work. e. No buildiug shall be occupied or used in wbole or in pa~ for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. ~PLICATION tS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pnrsuant to t Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply ~ith ~11 applicable laws, ordinances, building code, hous~g code, and regulations, ~d admit authorized inspectors on premises and in buildings for necessa~ i~ections, ff ~ (Signature orion) - :. ,ff State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild, N~e of owner of premises ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nanre and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................ .... ~.(.L L. ~ ..... /~..~.~'. ................ . .O~.../.~ Hamlett House Number Street County Tax Map No. 1000 Section ~ b ,'~ t/o.~. ~., .................. Block . -- Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~.~...~.../._..~..2. ................ .................................... Nature 6fxvork (check whict, applicable): New Building .......... Addition .......... AltkrJ'tion ....... ' ' I Removal Demolition Other Worh RepairI .............. , ..................................... i , (Description) Estinla { .... ~ ................. . Fee.. .......... . . ... ., ,. ..... .~ ........... " I /. (to be paid on filing this application) If dwelling, number of dwelling units.. ~)..~..C~.. ...... Nuinber of dwelling units on each floor ................ If garage, number of cars .... '. i ................................................................. If busin,lss, commercial or mixed occupancy, specify hature and extent of each type of use .................... Dimensi,ons of existing structure4, if any: Front ..... J ......... Rear .............. Depth ............. Height ............... Number ol Stories ...................................................... Dimensions of same structure wl~h alterations or add~tlons: Front ................. Rear ................ Deptti .................... .. Height ...................... Number of Stories .................... Dimens'ons of entire new construction: Front ............... Rear .........." '' Depth ............. Height I ............... Nmnber of Stories ...................................................... Size of !ot: Front ........... : ............ Rear ............... - ....... D~p.th ..................... Date 6f,Purchase . .~..~.Q~...qr..~..f. ~..~..o ........ :.. Nmg.e of Former Owner ~ Zone o~ use district in which premises are situated, t~['.. ~,~..-:/.. ............. : .....' .............. Does prbposed construction viol&te any zoning law, ordinance or regulation: .... ' ' ' . i ' . . i. Will lot be regraded ......... .................. ]Will excess fill,be remov~e~t from premises: Yes .. No ? Name qf Owner of premises .t?L'.c~. g.~...17.Pl..Z..t~..t.,~-.-.~ddress ff.: .O.,.~'..~....or~. ..... Phone No,~.Z..,,Y..-r.7..~..~..g.7.z. - Name 0fArchkect .......... :: ................. Address ................... Phone No ................ Nme of Contractor Address Phone No PLOT'DIAGRAM Locate clearly and distinctly all i buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block Oumber or description according to deed, and show street names and indicate whether ,ter/or or corner lot. , rATE OF NEW//I~O.Rt~, /a/ ? ~. OUNTY OF~., ~.~ (Name of indMdffffl signi ~g contract >ore named. being duly sworn, deposes and says that he is the applicant e is the .. i .................... : ......... ' (Contractor agent corporate officer etc ) f said ow3er or owners, and is duly authorized to perform or have performed the said work and to make and file this >phcatmn, that all statements cont~ed in this a 1 · ' '! ' · ' ' ppicat'on are true to the best of his knowledge and belief; and that the 'ork will be perforined in the manngr set forth h~ the application filed therewith. worn to before me this .............. day o[ ........ --/-~ County ~tary P u b t m ~..~,Z.,4~ .~: .... .... JUDITH T. TERRY i Notary Public, S['ate of New York · ~- · Commission, Expires March, $0, 19.~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;3 E. amined ....... '. . ., i9 :Y ^pplioat,o. No.. / vTo Approved ......................... Disapproved a/c ................................. ' ~¢~ .... ,.:. .... (Buikting Inspector) ~ APPLICATION FOR BUILDING PERMIT Date ... ............... 197 ( INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[ 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 issue a Building Permit to the applicant. Such peru 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 Occupan shall have been granted by the BuiJding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. .. ............... (Signature of applicant, or name, if a corporation) · .~k..~.....~.~..c..~..~. ?.....m?:.~...-:. ?.¢:5~. ~. ~.~. (Mailing address of applicant) t/¢J- '7 State whefl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Nmne of owner of premises .. P~, ,~'.- .... .~,"-,~,. ,~,, ,/~,,, i,~,. ,~, ....................................... (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. [.'~..~. Plu nber s L~cens,. No ......................... Electrician's License No. Other Trade's License No ...................... ~ ~__ 1, Location of land on which proposed work will be done .............~//I , ,A~., .~, : ................................. House Number Street Hamlet County Tax Map No. 1000 Section Block Lot ' Subdivision .... .: ................................. Filed Map No ............... Lot .............. .~ ~ :~ (Name) State existing u~ff'and occupancy of premises and intended use and occup'ancy of proposed construction: a. Existing use and occupancy ................... ~ .................... , ............. Nature of work (check which apblicable): New Building .......... Addition .......... Alteration . Repair .............. RemoYal ........... Demolition .............. Other Work ............... I (Description) Es ~atedCost.. . ....-- ... ........... . . Fee .......................... ,.. ....... . .. (to be paid on filing this application) If dwelling, number of dwelling pnits .............. Nmnber of dwelling units on each floor ................ If garage, number of cars ..... [ ................................................................... If business, commercial or mixed occupancy, specify hature and extent of each type of use ..................... Dm~ensions of existing structures ~f any: Front. Rear .............. De ........ ,. 'ght ' ' ' He~ ~ . .... Number oI Stones ........... ......................... Dimensions of same structure w~ith alterations or additions: Front ................. Rear .................. Depth .................... .. Height ...................... Nmnber of Stories ...................... Dimensions of entire new constr~ction Front ............... Rear ............... Depth ~... w..~.~. Height i~ .~ ~ ........... Number of Stories .. J ..................................................... Size of lot: Front ........... ~ ........... Rear ............... - ....... Depth ...................... Date 6f Purchase . ~.~. g/'~' 1~0. .......... Name of Former Owner .~.~r. Zone or use district in which pr~mises are situated.. ~ T.[ ........................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded . · ~.Q .,.~ ........ ~ ...... ,~..; Will excess ~11 be r~moved fro~ premises: Yes ~ No Na ne of Owner of premises .~g~. ~4~.~ddress ~,O, ~ 5~ ~t~q~ Phone No J ~:~g/g2[ Name of Architect .......... ~. ................ Address ................... Phone No ................ Name of Contractor ~..~q~.: ..... Address ~.. O~.~Phone No. PLOT DIAGRAM Locate clearly and distinctly al i bt tidings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block num bet or description according to deed, and show sltreet names and indicate whether .terior or corner lot. rATE OF NEW YORK, ,IS.S OUNTY OF .................. ....... ~..l,....tf~-~.. ............. being duly sworn, deposes and says that he is the applicant . (Name ofindMdual signing contract) )ovel named. (Contractor, agent, corporate officer, etc.) f said owner or owne~, alld is du.ly authorized to perform.or have performed the said work and to m~e and file this )plication¢ that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth h~ the application filed therewith ,, , ,.- [a~gnature o~ appimant) ) 'Z 'PQ~Z:I,~N ,,CF i~ ,~''' APPROVED AS NOTED NOTIFY BUILDING DBPARTMENT AT 765-180~ 9 AM T© 4 PM BOR THE FOLLOWING INSFECT!ONS. ]. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGU - FRAMING & PLUMBING 3. INSULAT!ON 4. FINAL CONSTPUCTION MUST BE COMPLETE FOR C O ,~LL CONSTRUCTION SHALL MEh~' THE REQUIREMENTS OF THE N, Y. STAqE CONSTRUCTION 8, ENERGY CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS GAZAtWAN - -'--. BAT' CERTIFIED TO' TIMOTHY T. FROST NINA ~FOST FLA TBUSH FEDERAL SA VINGS & LOAN AS$OCIATION FIRST AMERICAN TITLE INSURANCE COMPANY OF NEF/ YORK 1'¢1-$-7990 ~ ~ $- 76°00~ ss' . ~' 13919' c~,-, N.84o35,50.W 145.22' SURVEY OF PROPERTY ORIENT "~' TOWN OF SOUTHOLD ~..~. SUFFOLK COUNTY , N.Y. The wolet ~upply & sewa I dl~ osM ~ys- 8' SCALE l" = 3 O' ~. A,~*d*ao. ~4' AREA~ 33,976 SO FT N.Y,$. UC. NO.49618' (516) 765 - 5020 P. O. BOX 909 MAN ROAD SOUTHOLD, N.y. 11971 B_EVA?IONS ARE REFERENCED TO AN ASSUMED DATUH, 88 - 133 '