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Home My WebLink About13607-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25633 Date: 04/10/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 69430 MAIN ROAD/ROUTE 25 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 45 Block 5 Lot 1 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1984 pursuant to which Building Permit No. 13607-Z dated DECEMBER 4, 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 RECONSTRUCT REMAINING PORTION OF BUILDING DESTROYED BY FIRE FOR STORAGE SHED. The certificate is issued to ROBERT & KAREN KOWALSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FOUl~ NO. ~ TOWN OF $OUTHOLD B~JILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13607 Z Permission is hereby granted to: .... .... ...Z~....~.....~.~.~.~ ........................... .... /~.~.~...~..~/.~...-....~:..~.....x./..F.~.-~ ~ ,o.~~.~.~...~~~__.~~..~...~ ~~~...~,..~....~....~~....~ ............ ,,~,,~,,, t=~,,~, ........ ~.~ ....... ~x~a....~ ........................................... .......................................................................................................... c,~ ~ ~ No. iooo s,~o, ...~.~... ~=~ .... ~..~.... ~, N,....~.Z ....... Building Inspector. Fee $..Z~...~ .... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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: 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 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 '!pre-existing" land uses: I. 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions,~__d~$2-5~-OO-, Alterations to dwelling $25.00, Swimming pool $25.~/~ccessory building $25.00,~ Additions to accessory building $25.00. Businesse~v~r. 2. Certificate of Occupancy on Pre-existing Buildinm - $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 New Construction ........... Old Or Pre-existin, g Building ..... ~ .......... (.0 .... .... .... Location of Property .~.k!,)~....)~ - .] ......... .'~.~..~_.~(~ .... House No. Street Hamlet On. er or Owners o~ Property ......................................... County Tax Map No 1000, Section .............. Block ............. Lot ..................... Subdivision Filed Map Lot ..... Permit No ....... Date Of Permit ......... Applicant... ~ . . ............... Health Dept Approval . Underwriters Approval ---------' . ...... Planning Board Approval ........................ 7 Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. .t~ OO .... FORM NO. $ TOWN OF SOUTHOLD Build;ng Department Town Hall ,~,:outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~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 equ~l). 3. Approval of electrical installation from Board of Fire Underwriters. ~ 4, Commercia~ buildings, Industria~ 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/ landuse--?re-~;x£st;±ng; C.0. 3. Copy of certificate of occupancy $1.00 Vacanf. land C.0. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Propertv ......... ~.~..~. · ~..~. ............. ~ .~..~ ..... ~', "~' "· Owner or Owners of Property .............. .~.. ~f~'..* ....... CountyTax MapNo. 1000Section ..... .~...~.. .... Block ..... 5.. ..... Lot../ ........... Subdivision... .~. .................... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval Labor Dept Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ... ~ ................ Fee Submitted $ ..... ~"~ ................. Construction on above described building and~.~tS,3~§l'e'c~s ~nd regulations. ....................... Rev, 10-10-78 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Te{ephor~e {516/765-1802 March 25, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Robert Kowalski 565 Pine Neck Rd. Southold, New York 11971 Re: Building Permit # 13607 STORAGE SHED Premises: 69430 Main Rd., Greenport surf. Co. Tax Map ~1000-45-5-1 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. AMERICAN EXTERIORS P.O, BOX 667 298-4625 MATT[TUCK, NY 11952 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. /5/- No Underwriters Certificate on file. /~/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # 1 3 6 0 --7 Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY ~ODE FINAL COMMENT~ ~ ~ ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~..e.~ ..... , 19 & ^,,,,ro,,,ed ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN OF SOUTHOLD Received ........... ,19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewritdr 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ................. /~J~fiRICAN'EX?E~IIOR$ .... ',' · ', .... (Signature of applicant, OSo~t~gt, ii a corporation) MATTITUCK, NY 11952 (516) 298-4625 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No........~' .~.~.T..~./: .~.. ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ................. ....._..¢._.o. 5b . ....................................... House Number Street Hamlet County Tax Map No. 1000 Section ~'~'" Block ~-~ Lot 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 b. Intended use and occupancy .... ~...t~....~ .~ ........................................ 3. Nature of work (check which applicable) New Building .......... Addition..........: Alteration . . .. .o ,.. Repair .............. Removal .............. Demolition ........... i' · · Other Work ............... ~ (Description) 4. Estimated Cost .................................. i ............................ '" (to be paid on filing this application) $. If dwelling, number of dwelling units ............... Number of dwelling uni!s on each floor ................ If garage, number of cars ........................................... ..! ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............. ~ .. ..... . 7. Dimensions of existing structures, if any: Front ............... Rear ....... I. Depth Height ............... Number of Stories ............................ i ........................... Dimensions of same structure with alterations or additions: Front .......... ~ ....... ./. g~. ! ..... Rear . .. Depth ...................... Height ...................... Number of!Stories ..................... 8. Dimensions of entire new construction: Front .... /*.~.~ ....... Rear ... 1.3..~i ....... Depth ........... Height ............... Number of Stories ........ ~. ................... i .......................... 9. Size of lot: Front ...................... Rear ...................... !Depth .................... 10. Date of Purchase ............................. Name of Former Owner .~ .......................... 11. Zone or use district in which premises are situated ...... ............. . 12 Does proposed construction violate any zoning law ordinance or regulation: 13. Will lot be regraded ............................ Will excess fill be remove~ from premises: Yes No 14. 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 bu/ld/ngs, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and she v street names and indicate whether interior or coruer lot. COUNTY OF~~.. 3 ' ........ ~~-~. · .~~ · · .~':~. · ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application;that all statements contained in this application are true to the best of hi§ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this R b'kosso3 :APPROVED ~ N,OTED:~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: .1. FouNDATION - TWO REQUIRED FOR POURED CONCRETE ' ~, ROUGH - FRAMING & PLUMBING 3. INSULAT!ON 4. FINAL- CON'STRUCTION MUST BE cOMPLETE TOR C. O. ALL CONSTRUCTION: SHALL MEET. THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY ,CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS,