The URL can be used to link to this page

Home My WebLink About11006-zFORM NO. 4 TO, TN OF SOUTHOLD BUILDING DEPARTMEN~f office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17557 Date NOVEMBER 30, 1988 THIS CERTIFIES that the building ADDITION Location of Property 345 WILLOW POND LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 Block 09 Lot 065.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 4, 1980 pursuant to which Building Permit No. l1006Z dated JAN. 2r 1981 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 ADDITION TO EXISTING DWELLING AND ALTER EXISTING PATIO. The certificate is issued to GEORGE & SANDRA BERRY (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/23/88 PLUMBERS CERTIFICATION DATED N/A 'Building In~pe~t~o~r ' ' Rev. 1/81 (~HIS PERMIT MUST BE KEPT ON THE PRE IS S.UNTIL EULL COMPLETION~OF THE WORK AUTHORIZED) N°. 11006 Z Date .....~'~r,Z~i~.(-,-F~/~:~...;....~.:: ........... Permission is hereby granted to: ...... .~.~r~....~.~.~. ~. ................ ~o..~ .~J. zm~.c.~ ....... ~,~ ~z2 .......... ra...~.~z.~..,.~x.z~, [..~4~....~z...~=~:~ .......................... r'~?'"~ ...... ~ ....................................... ~,,r~,~e~,o~,e~ ~...~.~ ....... ~z~...~z ......... ~ ....................................... counw Tax Map No. 1000 Section .~./.~. ...... ;. Block '~;..~..~. ........ ~Lot No..~.,..~.. ........ pursuant to application dated .~ ....... ....~......;....~....~....~...... 19. ... and approved by the Building laspector ~ ................... nspecto~ 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 al{ 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 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory,,,$|0.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New Cons t r uc t i on Old or Pre-existing Building Vacant Land ...... .5. Location of Property . ~. ~.~ .5-; .~f.,~'///J.-%~! ?. ~.~'<'~f~'.,i~ . ./.~. ~. f/.~ ....... Owner or Owners of Property .~ .~.~ .~'~. ~ .//.~.-~!...~ ~'/.~,~./....~.~..~f.~.../.¢J..~.//. q?. County Tax Map No. 1000 Section .......... Block ............ Lot .... , ....... Subdivision ~- Filed Map No -- Lot No Permit No. ~'~/~ .,~.Date ofPermit y~t~/~..Applicant. ~.O~-~C~-, .~.'~..~-~.d/~'~,-C.JI .... Health Dept. Approva ........................ Labor Dept. Approval ..................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cerlifieate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and per~ me.ets all appl?~ble_codes and regulations. Applicant '~~' ' ' ~'~'7~/~/t/~ .................... ,o- o-7e O.d.z. I? FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 approva~ 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, ot buildings and "pre-existing" land uses: 1, Accurate survey of peoperty 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 $5.00 2, Certificate of occupancy on pre-existing dwelling or ~and use $5.00 3. Copy of certificate of occupancy $1.00 Date ....... New Building ............. Old or Pre-existing Building(:~) ........ =/Vacant Land ~ ........... p 'cy .......................................... ~ ........ ~, Hous~ No. / --~ Street Owner or Owners of Property . ,~/ ~ ..... ~. . . County Tax Map No, 7000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No. Permit No. ~,/. ~.¢'.~--.Date of Permit .//.~,~.~...Applicant ~i(-,~, .~,~-~ ~.~.~ ......... Health Dept Approval Labor Dept ~,pproval Underwriters Approval ........................ Planning Board Approval .................. ~ ,., Request for Temporary Certificate ..................... Final Certificat~ ., ,~,...- ......... · Fee Subm}tted $ ............................. Construction on above described building and jC.~rmit'meets all app~cabl~23des and regulations, Applican ..... Re~. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 peoperty 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. / Fees: 1, Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.O0 Date.. New Building ............. Old or Pre-existing Building(X), _~~ .... =/Vacant Land ~ ............ Locat on of PropertyHouse'Z'~'"'No. '~' /-//'~' '~' ' ' ' '~' ' '~' ''' ........ Street/- ' ........... ~ '~' .7-~t ¢~t;~n~e,t Owner or Owners of Property .. ~.~, ~...¢~: .-.- ............. County Tax Map No. 1000 Section ............... Block ............... Lot ..... ~ .......... Subdivision ............... Filed Map, No ........... Lot No .............. Permit No. /?,~¢,~.'~ .... Date ofPerm,t ?~.~/~./...Applicant ...~.~)~-~/..~/~ ........ Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. for Temporary Certificate Final ~eques[ ..................... Certificate ,, Fee Submitted $ ...................... Apphcant Rev. 10-10-78 FI~n~. ,D I~NSPEC~ION, EOUNDAT%ON (~st) FOUNDATION 2. ROUGH FRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765~1802 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 22, 1988 Mr. & Mrs. George Berry 345 Willow Pond Lane $outhold, NY 11971 Re: Building Permit #l1006Z George & Sandra Berry Dear Mr. & Mrs. Berry: In reviewing our files we find that the above numbered building permit was issued to you on December 26, 1980 for an addition to your dwelling and alteration to an existing patio. A final inspection was made on July 23, 1981, but a Certificate of Occupancy was never issued because an Underwriters Certificate was never received. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please return a check in the amount of $25.00 payable to the "Town Of Southold", along with a copy of your Underwriters Certificate. 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. SOUTHOLD TOWN BUILDING DEPT. VL:smw Victor Lessard Executive Administrator VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) V65-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 10, 1987 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Mr. & Mrs. George Berry 345 Wi[iow Pond Lane Southoid, New York ]1971 Re: Building Permit #]1006 Z George & Sandra Berry Dear Mr. & Mrs. Berry: In reviewing our files we find that the above numbered building permit was issued to you on December 26, ]980 for an addition to your dwelling and alteration to an existing patio. A final inspection was made on July 23, 1981, but A Certificate of Occupancy was never issued because an Underwriters Certificate was never received. 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 in the amount of $25.00 payable to the Town of Southold, along with a copy of your Underwriters Certificate. Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that action does not have to be taken. legal Thank You. $OUTHOLD TOWN BUILDING DEPT. Victor Lessard Executive Admidministrator VL:gar TOWN OF SOUTLIOLD OFUICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL SOUTIIOLD, N,Y. 11971 May I I, 1988 TEL. 765-1802 Mr. & Mrs. George Berry 345 Willow Pond Lane Southold, N.Y. 11971 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. (ENCLOSED) /~ NO Underwriters Certificate on file. /..~_ The check i:;(~g~.~/not on file.) $10.00 /~/ No Health Dept. Approval on file. /_-[/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. 4 1 9 Z Building Dept. ***/_--/ Ilo Plumber Solder Certificate on file. ( all pe. rm~ts involving plumbing being issued after April 1,1984 ) T~ephone 765-2193 SOUTHOLD, N. Y. PECONIC PLUMBING ~ HEATING CONT. GEORGE J. BERRY, PROP. SOUTHOLD, N. Y. TOWN OF $OUTHOLD BUILDIHG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. STOP ALL WORK ORDER TO REMEDY VIOLATION Date December 23, 19 80 GEORGE J. BERRY (owner or authorized agent of owner) 345 Willow Pond Road, Southold, N.Y. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: ART. XIV Zoning Ordinance ............................................ Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ............................................................................................. (state character of violation) Dwelling being reconstructed - NO BUILDING PERMIT - in violation of .~ec. 1.0..0 - 141 (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the AT ONCE, 2-3 day of ...D..e...c..e..~..~.e...~. ............................... , 19..~...0... STOP ALL WORK The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 345 Willow Pond Road, Southold,NY~ . ................................................................................. ~.ounty of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of may constitute an offense punishable by fine or imprisonment or both. FORM NO. 5 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOt-ATION TO George J. Berry (owner or authorized agent of owner) 345 Willow Pond Road, Southold, N.Y. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ART. XIV Other Applicable Laws, Ordinances'or Regulations .......................................... '.. at premises hereinafter described in that ............................................................................................. (state character of violation) Closing in Porch - No Building Permit in violation of Sec 100 - 141 . (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the ...... .1.?..,~,.~,. ...................................................... December day of ...................................................... , 19....8..0.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at thg. .d .......... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. . DATE: ~ FEE: ~.~ _ NOTIFY 765-1802 FOLLOWIhJl FOR PO 3. INSULt 4. F~NAL BE COt ALL CON ~ATE C( cODES; D~IGN C ¥:D-AS 'NOTED BY: ~ ..~'(~-~G DEPARTMENT A AM'TO 4 PM FOR THE Ih'SpECTIONS: r'lON - TWO REQUIRED R~}D coNCReTE FRAMING & pLUMBING iON . UST TRUCT~ON SHALL MEET IREMENTS OF THE-N,Y, NSTRUCTION & ENERGY' qOT- .R~SPONSIBLE FOR CONSTAUCTION ERRORS, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examine~_f~_~,~./..~. .... .Z~...., 19.~f. Approved .t,/,¢7../..~... 7.~.' .... 19& Permit No.../../.~).' .~..~.. ~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No.//.~. '~ ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ~f prop, erty 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 issue 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 unfil 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 buildings for nece~.~~ (SignjtiputWof a~licant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ................................................................................. Name of owner of premises .G.~O~.~..~..~...5~.,~.~e~/~....~..~n.~. ................................... (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 .... (~q~.. .............. Plumber's License No... ~.. .............. Electrician's License No.. ,~..'.~ Other Trade's License No ...................... Po d e,. ................... 1. Location ofland on which proposed work will be done. . .h~'./. gL~.tg~. . ......... .. .............. . ............ ............... House Number Street Hamlet County Tax Map No. 1000 Section ...O.. 7..t?'. ......... Block ...O. ,.~. .......... Lot .... rT. ~.~,~.-7. ........ 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...~........~..O.~.. ~ ........................................... b. Intended use and occupancy .... ~..~..~ .~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . .,~'~ ...... Repair .............. Remoyal .............. Demolition .............. Other Work ............... o~ (Description) 4. Estimated Cost . i ................ ; .... Fee :. (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 ..... i .................................................................. 6. If business, commercial or mixed! occupancy, specify nature and extent of each type of use ........ , ............. 7. Dimensions of existing structure~, if any: Front .).~.~.,,~ ....... Rear .. ~. ........ Depth..~..~. .......... Height . .~:? ........... Number of Stories... ~.~ .................... ~ .... ' ......... _...,,.,~ ~,, ......... Dimensions of same structure wi~h alterations or acld~tions: Front ....~..~../~..~ ...... Rear...~..~'..~./'( ~ ........ DDepth: o~nns~o~/~i~rr ..... ~;... i. ~eight.. ~. f~. t. .............. Number of Stories . . ~. .................. 8. imensio ,ofent' enew nstruct'on: Front . .,,~'~'J~. .... Rear . .~..(~.~','J.~, .....Depth .~.~.~.1~. ..... Height ............... Number of Stories ........................................................ Size of lot: Front .......... ! ........... Rear ....... . ............... Depth ...................... Date of Purchase /.ll;~/~..... i .................. Name~of Former Owner .............................. Zone or use district in which premises are situated...~. ~. I~..~.,~.~. ................................. Does proposed construction violate any zoning law, ordinance or regulation: ~.O ............................ Will lot be regraded .. ~..~....' ................... Will excess fill be removed from premises: Yes ..~ Name Of Owner of premises . ~../~t/~.~., ........... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........................... Address ................... Phone No ................ PLOT DIAGRAM kocete clearly end distinctly oil[ buildings, whether exist[n property liges. Give street end blpck number or description according to deed, and show street names and indicate whether in erior or corner lot. 10. 11. 12. 13. 14. STATE OF NEWYOP,.K. --~ - ~ '" ........ n; do~;//t~ being duly sworn, deposes ~d says that he is the applicant above named. He is the..~ ~ .... ~ ] I (Contractor, agent, corporate officer, etc.) 0f 's~d owfler or owner~, ~d is duly authorized to perform or have perfomed the said work and to m~e ~d file this application;that all statements cantoned ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~n¢r set forth in the application filed therewith. Sworn to before me this , -' ' ........ ~.~ ............ dayo~ ........ 2 ......... ~.., 19... Notaw Public, ~ ,~.~~.'. Ccunt;~~ ~n , LINOA F. KOWALSK ~ WOTARY PUBUC, 8iate ot New Yor~ No. ~2-4~24771 ............... . qt, a,h~a m su:rro~ CountF ature of applic~t) ] ~o~misslan Expire~ March 30~ 19~-