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HomeMy WebLinkAbout13634-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22797 Date DECEMBER 16, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 1350 EDWARDS LANE~ PRIVATE ROAD #80RIENT~ House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 3 Lot 9.2 Subdivision Filed Map No.__ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1984 pursuant to which Building Permit No. 13634-Z dated DECEMBER 18~ 1993 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 AcCEssoRY TWO CAR GAIARGE AS APPLIED FOR. The certificate is issued to GARY SHAPIRO (owner) of the aforesaid building. SUFFOLK COUNTY DEPB~TMENT OF HEALTH APPROYAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 PENDING - DECEMBER 14, 1993 N/A ~Jldlng Inspector FORM NO. O TOWN OF SOUTHOLD BUILDING DEFAI~.TMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COWtPLETION OF THE WORK AUTHORIZED) 13634 Z Permission is hereby granted to: ...Z~.,.,~. ~ ........... ./.~ .~.~:~.~..~ ............. ~,~... .... ~....z~x.......~.z ........................... ...~~..~.~..~..~. ....... L~ .... ro ..... ~~~.....~.~...~...~~...~~~ ....... ..~.~(~. ......... ~ .......... ~.~...~~ ......................................... at premises ,~ated at..Z ~'~ ............... ~'~"'~X'"""~~ ....... ~'~ Cou.ty Tax AAap No. 1000 Section ,~..~...~... .......... Block (~'~ Lot No..(~,,,,.,~,...~,,.~....~.. pursuant to application dated ....~.....~...~. ............ ~ ...................... , 19..~....~., and approved by the Building Inspector. Fee $~ ....... u d ng nspector Rev. 6/30/80 TOWN OF SOUTKOLD BUILDING DEPARTMENT 765-1802 ~';~'~"':~" '~'~ APPLICATION FOR.CERT~FICATE OF OCCUPANCY '~ ~ This applicaEion'must be filled in by typewriter OR ink'and submitted Eo thc building inspector wi~h the following: for new building or new use~ Final surYey of property ~l~h accura~s location of all buildlngs~ properc~lioest screens, and unusual natural or ~opographic £ea~ures. 2, Final Approval from Health Dept.' of wa~er supply and sewerage-disposal(g-9 form). 3. Approval of electrical lnstallaEio~ from Board of Fire Underwri~e~s. 4. Swor~ sEa~e~en~ from plumber cer~ifying ~ha~ ~he solder used in system con~afuas less ~han 2/10 of IZ lead. ~ 5. Commercial bullding~ .indu~=rial bu~ldieg, multiple residences and similar buildings responsible for the building, 6, Subm&~ Planning Board Approval of completed si~e plan requirements. : B. For existing buildings (p~ior to April 9, 1957) non-conforming use~4, 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-~o inspect signed by the applicant. · .' If a Certifica~e o~- Occupancy is denied, the Building Inspector shall scats . reasons therefor l~ writing Eo the applicant. C, Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions ~0 dwelling $25.00, ~ ' Altera~ions to dwelling ~25.00, Swimming pool $2§.00~ Accessory building $15.00, Additions tO accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5,00 over 5 years - $10.00 4. Upda£ed Certifica~e of Occupancy - $50.00 5, Temporary Certifica~o of Occupancy - Residential $15.00, Commercial $15,00 Date ,..Decembe~ 16, 1993 New Cons~ruc~lon.~9~.., Old Or Pre-existing Building ................. Loc~t%o~ of Property..~P..~.~/~v~.R°ad- Orient, New York, 11957 House No. Stree~ tIamle~ Onwer or Owners of 9ro-e~''. Gar. v Shapiro County Tax Hap NO 1000, Section,..~8, ....... Block...~ ........... Lo~ .... ,~ ............... Subdl~lsion ' Filed Map Lot ' .1~;3.'5~ .3 ~ ,Z" 12/18/84 ~ermi~ No**., .'~,.~'.Da~e. Of Pe~i~ .................. F~ ........... * ..................... Real~h Dep:. Approval** .................. ,, .... Underwriters Approval ........................ Planning Board Approval,***.*******,******.***,. Request for: .Temporary Cer:ificate.~... ...... Final Certicate.,.~ ..... Fee Submit~ed~ $ ..... ~,p~ ..... . ............. TOWN OF SOUTIIOLD ObLICF OF BUILI)ING INSPECTOR P,O. BOX 728 TOWN IIALL SOUI'IIOI,I), N.Y. 11971 November 27, 1987 Mr. Gary Shapiro 26615 Main Road Orient, New York '/ TEL. 765-18O? To I't}.>rfl Thlr; Hay ,Cotl(:ortl~ ~,,,c ,~e unable to complete your Certificate /../ A~ ,q~plicat. ion for Certificate of Occupancy ~:. :~'~ on file. K~/ 'i,, r~.lc~',:Lit~,~'; (:c'~tificate on file. ~/ 'l~,r' ch~,cl:c.i:;Jr~ptd,ll~d/~X~~.RETURNED HEREWITH ' ,>END IN NEW CHECK ~2b. Oo ~th UNDERWRITERS / / t:~, :~'a'L~h D,q~t. Approval on file. /_./ t~., final Jnspccti. on has been made. PLEASE P],:,~',,, conlacl, our office on this matter. ,?;~; £or your coop(;ration. / I1o Plumber Eolder Certificate on file. ( all pct-mi.t~; involvinq plumbing bcing itl.qued after April 1,1984 ) 0coup;racy or uso is unlawful without a Certificate of Occupancy. tip this nmitor as soon as possible so that legal action does not you. TOWN OF $OUTIIOLI) OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, 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. /5/ An application for Certificate of Occupancy is not on file. ~ No Underwriters Certificate on file. /5/ Tile check is(outdated/not on file.) /5/ No Health Dept. Approval on file. /~/ No final inspection has been mado. Please contact our office on this matter. Thank you for your cooperation. ui din p rmit # _L z Building Dept. ***/5/ No Plumber Solder Certificate on fileo ( all permits involving plumbing being issued after April 1,19~4 ) FIELD INSPECTION COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) o INSULATION PER N. Y, STATE ENERGY C~O DE FINAL ADDITIONAL COMMENTS: "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ............................ (Building Insp INSTRUCTIONS Date../.Z../.~. ........... 197.? 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 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, bgit~g code, housinl~r~od~afid regulations,~and to admit authorized inspectors on premises and in building for necessaryin~pections.~ /4/, (~/~ :v....zt. .-cf ...... (~i~!tature of applicant, or ¢~ame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ....................................................... : .... N .................. .r · '(a~ 'o}~' ;fie' ;a'x'¥o'li ;; lat;}t'~ii~d') ......... ~ 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.. ?~i ........ Other Trade's License No ..................... 1o Location of land on which proposed work will be done .......................... ::: ._. ................... / ..... O. . .......... ¢. . . Qb .. ................ t. .................. House Number Street Hamlet County Tax Map No. 1000 Section .... ./i~. .......... Block ..... ~. ........... Lot .... ~.'. · · .~. ...... Subdivision ................ (iq'a~) ................ Filed Map No ............... Lot ............... 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....-~..L~..~:. ! [ ! .'b.~.C©. .................................................. b. Intended use and occupancy....~..-~...t~. ~.~.~ .... ~..~... ~ ~) ............................. 3. Nature of work (check which a~plicable): New Building ......... 'Addition .......... Alteration .......... Repair .............. Rem?al .............. Demolition .............. Other Work ............... i ~ ~ I.~ ~ ~ .~ (Description) 4. Estimated Cost ......... ' .~.,)ii~..~.('/). .................... Fee....~...l~.~. ~.?. ........... ,-:-, ........... , ~ /...(to be paid on filing this app~atio}l) 5. If dwelling, number of dwellingi units ..... , ......... Number of dwelling units on each floor ............ }... I !f~ ,garage, number of ca, rs .. '..~....6~.~...~,C~. ) ......................................................... 6. tr ousiness, commercial or mixed occupancy, specifytnatu[e and extent of each ty, pe of use ............ I. · · 7. Dlmensronsofex~st~ngstructures, ifany Front. ~9~ ...... Rear .~.O~r~ .,~..~.. Depth..~.~. .... · i t/. -- / ' - ~'~-- ...... Height ............... Number of Stories .... ,:~ ~..,',',',',',',',',~.. ................ ,d.-.. ~ ........................ Dimensions of same structure with alterations or additions: Front ....... i/ ...... Rear .................. Depth ................... ... Height .......... ~, ........... Numlfer of Stories ............ { ........ '.8. Di.mensions .o[entire new constrUction: Front.· .~..~,.~, ..... Rear. ,f.. ~4d-.t'. ...... Depth .~-. ~.. ......... Height . ~ .rd- ........... Number of Stories ....... .~ .~)..O.1.~..~,.f. ................................... 9. Size of lot: Front ..... ~'.'~.2~ ........... Rear... :...'~--:..~ .[.~f...: ':::: Depth . .'7~..~, ............... 10..Date of Purchase .......... ................... Name of Foyer Owner . ./~./~ .... _~-J/~O~_ ?..'~ ........ 11. Zone or use district in which p~emises are situated .......................... .,~, ....~.. ~..~.. ~ ......... 12. Does proposed construction wolate any zonin law, ordinance or regulation , 13. NWfla~ll~Otofb;r~ngr;ded .... ~'~.~;.'' ~.1.1.~..'.x ...... Will excqss 14. e w e ofpremises~...b~/~...~..~').~...Addressl..L~..(~?.(//~..dx~../~.~t~oneN0",2.,~2~q~..~>.~0 Name of Architect ....... -~..,.^ ..... ~..' ....... Address ~ ...... ' ..... /f) .... Phone N~'V. .... ,~ ......... Name,of Contractorl~r~.. (_~8 [~..~. (~ ........ Address .'~, ~.~..: .~1.~.../~O~g~Phone No. Q.~ :Bt .~.~..~... Locate clearly and distinctly al property lines. Give street and bloc~ interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. 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 S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing 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 contained in this application are true to the best of his knowledge and belief; and that the work will b'e performed in the mann, ~r set forth in the application filed therewith. Sworn to before me this ............. .~. ......... day o ...... ~ ............ , 19 · Nota,-dPubhc, .... ~...~: ..... .0..~..... Count NOYARY PUBttC, State of New Ybrk ......................... No 4707878. Sl]tlol~ C0,mvl. (Signature of applicant) Term Expires Marcl* 30. 19~5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13634Z issued to Gary.Shapiro on 12/18/84 for Accessory is completed a final inspection has ( ) has not ( X ) been done. and 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 for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date 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 for your prompt attention. Very truly ~, Vice-or L~ssard Executive Administrator VL:gar encl. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13634Z issued to _ Gary.Shapiro on 12/18/84 for Accessory is complet'ed a final inspection has ( ) has not ( X ) been done. and In order to complete this file, it is necessary ~hat a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date 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 for your prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar encl. jO,