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HomeMy WebLinkAbout13373-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUpANCY No Z-24702 Date OCTOBER 28, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 670 FOUNDERS PATH SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1984 pursuant to which Building Permit No. 13373-Z dated AUGUST~27, 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 ABO~E GROUND SWIPING POOL & FENCE AS APPLIED FOR. The certificate is issued to ANITA RATHJE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-052169 - OCTOBER 8, 1996 N/A Rev. 1/81 // u:di g Inspector lrO~' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLLmrlON OF THE WORK AUTHORIZED) 13373 Z L,4k/z....~4.~ ........ /_l~,o~.q. dd.. ......................... ~T... .-~.....~...~.~. ..I ............... !. ................................. ~....:~d.&...~..:~,....' ~..~.J. ....... ~~ ...o ,, ............. ~ ....................... ~ ......................... Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. 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 i. 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 Occupancy on Pre-existin~ Building - $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 03 Pre-e~stin~Buil~ing...c~.. ....... ~... ~ / ~ Location of Property .... ~-'7..~. · · -7~-.~. .'~jC~- · · .~. .~?. ~-~?- · .~. · ............. ~/-~-.~..- 7. -/.f.~- .... House No. Street Hamlet Onwer or O~ners of Froperty .............................................. 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 ........................ Request for: Temporary Certificate ........... Final Certicat~ ........... Fee Submitted: $ ~.~.~. ~ ........ ~' 5"~1-~'~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS P~: ~. ~.~2~,~ "U.EAU OF E'ECT.,CrrV ~-- 85 JOHN STREET, NEW YORK, NY 10038 Date (~'-'~)[~ ~{ ~ ~6 Application No. o, fi~e ~2587896/96 H ~52~69 THI~ CE~IFIE$ THAT o~y t~ el~trical equipment ~ ~scd~ be~w a~ int~uced by t~ applicant ~m~d on the a~ve appli~tlon number in the prem~es of gN[TA RATHJE, 070 in the foBowing location; ~ Basement ~ let Fl. ~ 2nd FL OUT Section Bilk ~sexaminedon 0 ~. (t)~]~ ~ ~ 1~ ~ and found to be in compliance ~ith the N~nal Elect~cal Code. SERVICE DISCONNECT NO. OF OTHER APPARATUS: EW1MHING POOL- 3. - , - ,r, 3~! 9/27/96-1 DEP~ICA.~ RI{~HOVSD I,ETT}~R MOULD ~ REPAIRED RECSP'.{'ACLE-1 DRYERS I FURNACE MOTORS FUTURE APPLIANCE F~EDERS .~T K.W. OIL H.P. GAS H.P, AMT. NO. A, W, G. s?.?"2;,' I NO, OF CC COND. ~C~'C~ PER ,e' OF O MULTI-OUTLET SYSTEMS NO. OF F~ET UNIT HEATERS ¢ Lot EXHAUST FAN! AMT H P. DIMMERS AM, T, WATTS E NO. OF HI-LEG A.W. G NO OF NEUTRALS A. W G. OF HI-LEG OF NEUTRAL fi~35 FOUNDERS ,SiOUTIIOLD, igY, 11971 ~EEAL ~AGEE Per_ This ce~ificote must not be altered in any manner; return to the office of the ~ard if incorrect. Inspector~ may be identified by their credentials. COPY FOR IT. THiS COpY~ OF NOT BE E~ED ~N ANY NANNER. Fi~D %~SI~ECTION FOUNDATION COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 This is Co advlae you that the job under building permit no. 13373Z issued Co Anita Kingham on 8/27/8~ for accessory__ is completed a final insl~tion ha~ ( ) has not ( X ) been done. and In order to complete this file, it is necessary that ;~ 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 $outhold. Please indicate to Whom thc CerCiflcnte of Occupancy is to be mailed, and arrange with thin office for an inspection date Occupancy or ilse in t~nlawful without Occl~pnncy. Please, help un to clear up thla leg,al action does uot have to be taken. Certificate of matter no that Thank yo~ for yot~r prompt attention. Very truly Victor Lessard Execut ~ve Administrator VL:gnr encl . Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 24, 1995 Anita Kinghan Box 791 Founders Path Southold, NY 11971 Re: Building Permit #13373-Z & 14189-Z Premises: 670 Founders Path, Southold Suff. Co. Tax Map #1000-64-2-19 During a review of our files it was noted that the above building permit's have expired, and Certificate of Occupancies have never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said 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. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ ! ' TEL.: 765-1803 ,~×a,hin Disapproved a/c ......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 givh~g 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 bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btdlding 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. 'rite applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to authorized ins ectors on p. rgt~i~es ~l~tl,in building for necessary inspecCOns. ,J ' , "? ',~ ',, i, . ~Jll . '"~'"'"'"~' '~: ....... · '"~.':'""' ....... : ...... ~,s ~4,~ ,~l~b'! (S,gnature of apphcant, or ~a~e, ,fa corporat,on) ~,~ ~ o ~,~s, ~ ...... · .......... i~ahing address of applicant) r State whether ~i ~i~ er , engineer, general contractor, electrician, plumber or builder. _ ....... ....... ., ...... ................................. ,~a,ne of owner of premises .... .(~.(~... ~ .~.,~....~.../..d~.' ~. ~~ .................................... (as on the t~fx 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 ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed workwill be done .... .~.'.~.~...~..~~..........P~A .~ .~ llouse Number Street Hamlet County Tax Map No. 1000 Section ...... ~. ~ ........ Block ..... ~ .......... Lot..../.~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... · .~..O~.......,o~v~%~. · · . . .~..~. · .Y. · .~ .................... b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ............... Demolition .............. Other Work ............... ~/,_.~.,..¢~ ~ .,,~.~ (Description) 4. Lstimated Cost~ .... ~/~...'.~'. · i....~.'~.-. .........2. ....... Fee ............... ~lSdO ~ '" (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixeO occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ................ Height ............... Number of Stories ....................................................... Dimensions 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 ....................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase .......... i .................. Name of Former Owner ............................ I I. Zone or use district in which pr~mises are situated ................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................. '.. 13. Will lot be regraded ........ ~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises d~,u~..o.~..~.... Address ................... Phone No Name of Architect ..... X, AF ................... u Address ................... Phone No ................ Nmne of Contractor .... /..\. . ~. Address ................... Phone No ................ PLOT DIAGRAM buildings, whether existing or proposed, an& indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether Locate clear/y and distinctly all property lines. Give street and block interior or corner lot. STATE OF~NEW YORK, "S.S COUNTY OF ................. i 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: '1, FOUNr~ATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSLJLATION 4. FINAL CON'STRUCTIC)N MUST BE Cr~MPI ETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ............................ ; .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the ..................... i ................................................................... (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 ard true to the best of his 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 NOTARY PUBLIC, State o) (Signature of applicant) No. 470787& Suffolk Cmmty ~.~ APT '~ AS NOTED DATE: ~B.P. ~ ) '~-,~."~ FEE: ]~BY: ~'