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HomeMy WebLinkAbout13596-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Seuthold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25688 Date: 04/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 405 PRIVATE ROAD #15 (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 15 Block 9 ORIENT (HAMLET) Lot 3.4 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, 1984 pursuant to which Building Permit No. 13596-Z dated NOVEMBER 30, 1984 was issued, and conforms to all of the requirements of the applicable provisions of the l~w. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING (MAIN HOUSE) AS APPLIED FOR. The certificate is issued to DOUGLAS MORRIS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A ing Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25689 Date: 04/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 405 PRIVATE ROAD #15 ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 3.4 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, i984 pursuant to which Building Permit No. 13596-Z dated NOVEMBER 30, 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 2~D FLOOR DECK ADDITION TO EXISTING O~E FAMILY DWELLING AS APPLIED FOR The certificate is issued to DOUGLAS MORRIS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A //~lding Inspector Rev. 1/81 FORM' NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 13596 Z Date ...~.~~-.......~....~. ............ , 19'"~'"~' Permission is hereby granted~t~; f ~~...~..~..~..., ..... .~.. ....... ........ iii...i ..... ot premises located ot ....J...~..~f~.~..~.~.~..'~.....J.[.~..'~....g~....~f]/~,~......~,... ......... .,(~).~ ............... County Tax Mop No. 1000 Section ...... .~./...~.. ....... Block ..................... Lot No...i~.....~.e..~... pursuant ,o application doted .... .~...~~L,......~:....~. ........... , 19.?..~...., and approved by Building Inspector. Fee $...~, .~,...,,....'~.. · ..... Rev. 6/30/80 Form No. 6 TOWN HALL 765-1802 APR APPLICATION FOR CERTIFICATE OF OCCUPANCY L ~LUG. A. This application must be filled in by typewriter OR ink and submitted to inspector with the following: for new building or new use: 1. F~nal 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 1% 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, 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 to inspect signed by the applicant. If a Certificate of Occnpaney 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 Alterations to dwelling $25.00, Swq~qng pool $25.00, Accessory huildi~g~25.00, ~ Additions to accessory building $25.00. Businesses $50.00.. 2. Certificate. of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 April 21, 1998 .. Date ' ' tlew Construction .... X... .... Old Or Pre-existing Building ................. 405 Point Rd., Orient .......... Location of Property ............................................ House No, Street Hamlet ~ Douglas Morris .................. Onwer or Owners of Proper~y ................................................ .9 %.4, Map County Tax No 1000, Section ............ Block ............. Lot.. Filed Map Lot ..... Subdivision - - . 13596-Z ~ N/ A Builders Inc. Permit mo ................ Date Of rermtt ................ Applicant..R..& R N/ A . ... · .............. ~{ealth Dept. Approval .................... Underwriters Approval ......... . .............. Planning Board Approval .... X Request for: Temporary Certificate .......... ,. Final Cer~icate ......... -- ~ /~__~ 25.00 Fee Submitted: $ ............................. co% For~ bio. 6 TOWN OF SOUTaOLD BUILD I~G BEP AltlR4ENT ~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and inspector with the following: for new building 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 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 1% lead. c% 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 '3pre-existing" la~d uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. · 2. A properly completed application and a consent to inspect s$gned by the applicant. If a Certificate of Occ~psncy 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 Alterations to dwelling $25.00, Sw~m~ing pool $25.00, Accessory building--$~25-00, '' Additions to accessory building $25.00. Businesses $50.00.' 2. Certificate. of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ; .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 April 21, 1998 Date ............. X ~ew Construction ........... Old Or Pre-existing Building ................. 405 Point Rd Orienb . . Location of Property - House No. Street Hamlet pp.u.9 z..a.s' Morris - Onwer 0w~ers of Property ' .~.~ 9 .... ~ot. :'.~ .... Map County Tax No 1000, Section ........... Block. · · ·' Filed Map Lot · ..... subdivision ................................................................ 13596-Z .N( A. R & R Builders Inc. permit No ......... . . .. ... Date Of Permit. .. ..........Applicant ............................. N/ A ~{ealth Dept. Approval.......-...--.-.N/A .......... Underwriters Approval ......................... ' Planning Board Approval .N/..A . . X Request for: Temporary Certificate ......... .. Final Certicate ......... Fee submitted: $. ?3.: ?.0 .................... '.. ................ ..... ,.. ~c, 5q '>(~ '""i~i':~//u.~'~'' ........ ' ~-~ Town Hall, 53095 Main Road P. O. Box 1179 Southotd, New Yo~, 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 25, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Douglas Morris 1488 Laurel Hollow Rd. Laurel Hollow, New York 11791 Re: Building Permit # 13596-Z DECK Premises: 405 Point Rd., Orient Suff. Co. Tax Map #1000-15-9-3.4 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According to the Code of the Town of $outhold, 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. F1ELD ~NS~%CTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C DE {1st) FINAL COM~ENTS (2nd) ADDITIONAL COMMENTS: 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. 13596Z issued to Douqlas Morris on 1/30/84 for Addition 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 $25.00 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. Victor Lessard Executive Administrator VL:gar enci. 765.1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG. [_ ~ULATION [ ~] FINAL ] FIREPLACE & CHIMNEY REMARKS: . DATE INSPECTOR., FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined../~.~..~...~.q., 19~.~.. Approved ./9~..~... '.<~..., 19'~.q.. Permit No.). Received .......... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOB BUiLDiNG PERMIT 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 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 regulation_s, and to admit authorized inspectors on premises and in building for necess~iry insp,~5,tio~s2/ ...... ./~.: ?:~.:~...//. ??.,.~..'.zT. :~./. ~.C.%: ...... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... t ................................................................ Name of owner of premises . . h .... ~...~.t..5: ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signalure of duly authorized officer. Builder's License No. ff. J.~...j~°~/~l°/d/ ~zO:~l Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... .~. ??. ~. ~.~ .......................... .... i. .~. ~. . . . .~<. : :.~:. . .q[ . . .~. .~. ~ ............ .o. .~.:. ........................... House Number Street Hamlet County Tax Map No. 1000 Section ..,.17./..5: ....... Block ....~. .............. Lot.~.. ~ '~'~ ................................................... /'. ~:..Z .~.J Subdivision (Nmne) Filed Map No. Lot .o. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ?7..er..7. t..~..~r..~....t ..~. / b. Intended use and occupancy *r ~--$~ J~w,t ~t ~-/ 3. Nature of work (check which pplicable): New Building .......... Addition .......... Alteration .......... Repair ... ........... , Reraoval ............ Demolition ............. Other Work .ff.~.~/..~.er.~.~.. ,. ~ r & (Description) 4. Estimated Cost ~ ~O Fee. ~.'. 7. (to be paid on filing this application) 5. If dwelling, number of dwellin~ units .... ~ ......... Number of dwelling units on each floor ............... If garage, number of cars .... I ................................................................... 6. If business, ' ' ~ commercml or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height .... . ........... Number of Stories .. ~ ................................................... : D~ensions of same structure With alterations or additions: Front . .~ ~. ~ ...... Rear .................. Depth ................... [... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height .............. Number of Stories . ~ . 10. Date et Purchase .......... i ................... Name o[ Fomer 9.Z ...... 11. Zone or use district in which p~emises are situated... ~O.~ .............. ~ / ........................... 12. Does proposed construction viqlate any zoning law, ordinance or regulationL .. {g.q .......................... 13. Will lot be regraded ........., ...~ .... Will excess fill be removed from premises: Yes 14. Nme of Owner of premises~o2~[~l.~T.~t.~... Address ................... Phone No ................ Nme of Architect ......... ~ ................ Address ..................... Phone No ............... N~e of Contractor~.~ .~. ~ ~. Address~~ ... Phone No. PLOT DIAGRAM Locate cle~ly ~d dist~cfly ~ bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from property lines. Give street ~d bloc~ number or description accord~g to deed, ~d show street nines and indicate whe~er integer or corner lot. STATE OF NEW YORK, COUNTY OF ................. ............................. ~ .................... being duly sworn, deposes and says that he is the applicant . (Name of individual signling contract) above named. He is the ...................... . ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 be performed in the manne? set forth in the application filed therewith. Sworn to b~fore me this 1 ~.... '. .... : .... .~. (. i~.....day oi .... '~'~.~ .... 19 .g? Notary Public ....-- ?~'"1~[:~1 ,{. I~[ ¥0[ ~' ~' .4-..~..x.~..... County/~~:~ NOTARY ~l r. IJC, Stale of ~0¢~ Ymk ...~.:..~..v ...... ; . . ~ ....... r.~ ................. x . . o 471)18'18, Suffo!l< CsulltV (Signature of applicant) Term [:xp]res/vlalck 30, 19_~,5'"