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Home My WebLink About13112-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~NT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26866 Date: 01/03/00 THIS CERTIFIES that the building ALTERATION Location of Property: 950 MILL CREEK DRIVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 135 Block 3 Lot 43 Subdivision Filed Map Nc. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1984 pursuant to which Building Permit No. 13112-Z dated MAY 10, 1984 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 ALTER ~XISTING PORCH TO LIVING SPACE ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES A. VANDUZER ~ WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 680102 02/25/85 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 dang Inspec~r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT O'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13112 Z Permission is hereby granted to: ..... ,,~.o.×......~¥~ ........................................ ..... ~-~,~,~.~. 'A = .~.... ~ ....... zz~..~./ ............. .z~a~.....~...~...z~.~ .~.~.....~5,=~.. ................................................................. at premises located at .., ,~,,,~ ...... ~.~.C...,~,~/.,~(:C....~,.,~.i ............................................. County Tax Map No. 1000 Section ./.....-~.'~... ............ Block ....~.....'~... ......... Lot No. ,.~.. ....... pursuo,t to application dated .... .~.xI~':C.......~,.~. ................ , 19~.....~., and. approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT TOWN HALL 765-1802 . APPLICATION FOR CERTIFICATE OF OCC~,PAN~CY This application must be filled in by typewriter OR ink~ ~_~su_.~.__~e~ i~.~he bu~ilding inspector with the following: for new building or new ~se: I. Final survey of property with accurate location of ~11 ~u~i~l'd~ngs~p~p~pe~ty llines, streets, and unusual natural or topographic feature~ 2. Final Approval from Health Dept. of water supply and sewer~'~-'~§~fD -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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildip 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 an qpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd 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 ~ccupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .... ........................ Date New Construction ..... ~... Old Or Pre-existing Building..t.~f..... ...... Location of Property ............................................................. House No. Street Hamlet Onwer Owners of Property ~./~.~.~..~..~../M~.. O~Z~ +.t~.*[.~. Couuty Tax Map No 1000, Section...~.5.~. ...... Block ..... ~..........Lot...~..~. ............ Subdivision .................................... Filed Map ............ Lot ................... Health Dept. Approval ..... .~/.~. ................ Underwriters Approval.. CPSC. ~'./~ ........... Planning Board Approval .... .~/~. ............... . / Request for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ..................... '" ' ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1085007 BUREAU OF ELECTRICITY ~k1 8~ JOHN STREET, NEW YORK, NEW YORK 10038 Z~te :February 25,~1~$~ ,~ppli,~a,io,~,'o. on.me 316,8~1/85 N680102 THIS CE~IFIES THAT Ch&glee Van in the foltowlng location; [] Basement ~ 1st FI. ~.sexamlnedon February 5/~0 Mill Creak Dr~ve, Southold, New York [] 2nd FI. S~ction Block Lot and found to be in compliance with the requirements of this Board. FIXTURE fiXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUC~ESCENT 5 4 2 5 DRYERS RNACE MOTORS FUTURE AII'~LIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI, OUTLET DIMMERS SYSTEMS HO. OF F~ET SERVICE DISCONNECT OTHER APPARATUS: S .E R V I C E NO. OF CC, COND, A, W.G. NO. OF HI-LEG PER ~ Of CC. COND. A, W. G, NO, Of NEUTRALS A, W. G, OF HI-LEG OF NEUTRAL CharlES N. Rail .glao~ric,~ Inc. ?. O. Box 12~68 Southold, 1~.~., [11971` This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by lie.# 657E ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) '765-1823 Telephone (516) 765-1802 December 27, 1999 Charles Vanduzer 950 Mill Creek Dr. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) 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 # 13112-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. F1EL~ ~N~PECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICI! OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTHOLD, N.Y. i 1971 TEL. 765-1~o2 This is Co advl~e you that the job under building permlc no. 13112Z i~sued to Charles VanDuzer ~/10/84 for Alteration is campier'ed and fi. rial in~pecCi, on ha~ ( ) bas not '(x) been done. in order co complete this file, it [s necessary that ;t Certificate of Occupancy be issued. P~ease £ill our*the enclosed form, return some to the above office with a cheek for ~$10.00paynble ~o tile Town of Southold. Please {ndieate to Whom the CerCiflca~e of Occupancy is to be mai[ed, and arranse with th~s office for an i,speetion date Occupancy or t~se in unlawful without a Cert[£[cate of Occ,pnncy. l'lea,e, hel. p u. to clear up th.~n matter so that action doe~ no~ have Co be taken. Th~nk you for yn,r prompt attention. Very truly~. Victor Lessard ~xecu~ive Adminis[rator VI.: ga r Town Hail, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 24, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Charles Van Duzer 540 Mill Creek Dr. Southold, New York 11971 Re: Building Permit ~ 17652 SEE ATTACHED Premises: 950 Mill Creek Dr., Southold surf. Co. Tax Map ~1000-135-3-43 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a 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. FORM NO. 6 TOW, N.OF $OUTHOLD Building Department Town Hall Southold,_N.Y.765 ~80211971 ~ APPLICATION FOR CERTIFICATE OF OC UPAN Instructions A. _Tide application must bo filled in ty.p. ewriter OR Ink, and submitted ~ -- "to the Building Inspec- 'for with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al 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. tibns, 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 pL'operty showlng all property lines, streets, buildings and unusua~ natural or topographic features. 2.Sworn statement of owner or prevlous owner as to use. occupancy and condition of buildings. 3. Date of any housing coda or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: l. Certiflcateqfoccupancy New Dwelt[n8.$25,00, '^cce.,.~ory ..$10.00 l~u~J.,e,.'~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 year~ $10o00 4.Vacant Land C.O. $ 20.00 5.u dat d c.g. $ o.o0 gate 6. Alteration $25.00 NewCons t ~uc t, ion ...... Old or Pre-existlng Building ............ Vacant Land ........... .~,~ .,,~ LOCat on of Property ..... .'-~.. ~' .............. · ...... r, ..... . ............. . ......... House No. /Street Ham/er Owner Or Owners of Property ..................... ' ............................... County Map No. ,000Sect,on ....... B,oc .... ....... Lot .... ..... ' ' ' Filed Map No Lot No Subdw~smn .......................................................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Planning Board Approval Underwrk~rs Approval .............................................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ...... t ...................... Construction on above described budding an e a codes ulat~ons. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ PLEASE TAKE NOTICE that yonr application da~ed .... for pe~it to construct.. ,z~Z~. z~ . 2 .......... {~ - . .~ ~ .................... at P Y House No. St~et H~m/ot Co..v ~ ~ ~o, 1000 s~tio...,~.~. ~-7~... moo~ .... ~ ~ ...... Lot .. ~. ~%~ ..... Subdivision ................. Filed Map No ...... : .......... Lot No .................. is returned herewith and disapproved on the fei]owing ~rounds . . . f?~?,/~-~ ~-...'~. ...... ............. ,. ,.~, . ; ... .... ~,~Y.~ ~. . . ,~ 7~z . ~ ~: .... .... ,.. . ~ ........ ~ ~,~ ..... < :~ .... / ' .. ..... . . ............................... . ................. : ........... Building Inspector RV 1/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /]~iSULATION [ ] FRAMING [~¥~INAL [ ] FIREPLACE & CHIMNEY REMAR~KS:~ _ 76S~.8~2 BUILDING DEPT., INSPECTION [ ] FOUNDATION /ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION DATE ,,, z.-///:/~7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION 2ND~ INSULATION __.~.~_~] [ ] FRAMING "[ ] FINAL REMARKS: DATE'~/~//~/' INSPECTOR, FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 APPLICATION FOR BUILDING PERMIT Date . . .~/.'~.p. ~. ...... 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 schednle. 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 shail 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 here~,described. The applicant agrees to comply with all applicable laws, ordinances, buildij~g code~ousip/g code,xand regu!~ns, and to admit authorized inspectors on premises and in building for necessary in~f~ons.//~ //// // // - .__ -- . -- .....- (Signature of applicant, or name, if a co~r~rati¢ n) (M~iling address of applicant) [ [C~ '7// State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the t~ roll or latest 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 ................... ,.,~-~.. ~/~'Electrtc]ansL~censeNo. '.'~. '~"7 ......... ~ ..................... . Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ........ ........... House Number Street ' Hamlet County Tax Map No. I000 Section ...... { .~..~ ....... Block ..... .~. ..........Lot .... ! .~..'~. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State~xisting~sea~ccupa~cy~f premises~n~e~d`~/ ~s~and~cc~;p2~y-~pr~sedconstructi~n: a. Existing use and occupancy... ~ ~.'~F..t~-~..~ ........ .~..~ - b. Intended use and occupancy . .~....~~ ./~. ~...~.. 3. Nature of work (cheek which al plicable): New Building .......... Addition .......... Alteration . ..~. ...... Repair .............. Rem )val .............. Demolition ...// ......... Other Work ............... ~ ~ (Description) 4. Estimated Cost ...... .~.~ DO..~.~. ................... FO~...~..~..ff~. d. ........................ (to be paid on filing this .application) 5. If dwelling, number of dwelling units ............... Numb/~r of .... dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mix~ ~ occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structur~ s, if any: Front ............... Rear .............. Depth ...... ; ........ Height ............... Nun bet of Stories ........................................................ Dimensions of same structure with alterations or additions: Front .... ~ .......... Rear .... ~}'. .......... Depth ....... .~.~ ....... Height .............. ' Number of Stories ..... (DIO~-,, ........... 8. D~menstons of enttre new onstructmn: Front ............... Rear ............... Depth ............... Height ............... Number~ of Stories ......... i ................................... ~.Z.& .... 9. Size of lot: Front .......... ! ........... Rear ...................... Depth ...~.c~' ~.~q'...7 .... 41 10. Date of Purchase .......... 4 .................. Name of Former Owner ....... i;::Yt-4.~..~./. 1 1. Zone or ase district in which pr~mises, are situated ' .\..../. ...[ .... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .~ ..................... ~13' Will lot be regraded ........./~ .~3{> ............... Will excess fill be removed' from premises: Yes No l(.J..~). Name of Owner of premises Address Phone No Name of Architect ........................... Address ................... Phone No ................ Name of 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. Give street and block aumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF coF?ff¥ ;.s · .(..~. ~/.' .'~...d:~a?~-,.. , ,, ~ ............... being duly sworn, deposes and says that he is the applicant (Name of individual sig,4fl [g contract) above named. ' He is the ...................... (Contractor, agent, corporate 6fficer, etc.) of said owner or owners, and is duly application; that all statements contai work will be performed in the manner Sworn to before me this Notary Public, ~ ..... ~v~v; authorized to perform or have performed the said work and to make and file this ~ed in this application are true to the best of his knowledge and belief; and that the set forth in the application filed therewith. .... ........ · ...2f-df-q~'.. ......... Coun:y ~ .,~.~...~...~. ~' . ,~. ~ ~o. ,~0~ (Signatu ~ of applicant) =1 1 -i