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Home My WebLink About13409-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-25627 Date: 04/06/98 THIS CERTIFIES that the building ADDITION Location of Property: 3720 WELLS ROAD PECONIC (HOUSE NO.) (STREET). (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 14 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1984 pursuant to which Building Permit No. 13409-Z dated SEPTEMBER 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHESTER of the aforesaid building. & JOYCE SKWARA (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buil~g Inspec~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13~09 Z Date ....~ ...................... Permission is hereby granted to: ,o ............ ................................................................................. ot pr~m~ I~ot~d ot ............................................................................................................................ County Tax Map No. 1000 Section ......0.....~,.~ ........ Block ......... ). ........... Lot No ....... .~...~. .......... ~u..,ont to opp,,cot,o, dot~ ..... ..'~...L.~ ....................... . ,,..L~.. o.d oppr~ by ,he Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAiqCY 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 ali 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: 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 Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. FeeB 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi~mming 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 - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date .................................. - - of- eft ............ ...... ~ocaeion vrop y ............................ House No. Street Ha~et Onwer or O~ers of Property. ou=y 000, .......... Blocg .................... Subdivision .... Filed Map Lot . Permit No ............... Date Of Permit ............ Applicant .......................... Health Dept Approval · . · Underwriters Approval .......... Planning Board Approval...... ............. . . ... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ . FIELD I§s[~ECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & fLUMBING INSULATION FER N. Y. STATE ENERGY ODE FINAL COMMENTS ADDITIONAL COMMENTS'. TOWN OF SOUTHOLD OFFICF. OF BUILDING INSPECTOR !'.O. BOX 728 TOWN IIALL $OUTHOLD, N.Y. i 1971 TEL. 765-1802 Tills is to advlae you that the job under building permit no, 12L~.cLg-~_ issued to .,,Chester Skwara, on _R/~k/~4 ___ for Addition is completed a final inspection has ( ) has not ( x ) 'been done. and In order to complete this file, it ia 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 W~om the Certificate of Occupancy ia to be mailed, and arrange with this office for an inspection (late Occupancy or uae ia unl, a~ful without a Certificate o£ Occ.pancy. Please. help un to clear up th~s matter so that legal action doen not have to be taken. Thank you for yo.r prompt attention. Very truly f_~, Victor Lessard Executive Administrator VL:gar er~c1 . Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1623 Telephone (516) 765-1802 March 24, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Charles Skwara 3720 Wells Rd. Peconic, New York 11958 Re: Building Permit # 13410-Z PATIO ROOF Premises: 3720 Wells Rd., Peconic Suff. Co. Tax Map ~1000-86-1-14 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 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. 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~]'~NAL [ ] FIREPLACE & CHIMNEY 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.)". 11971 TEL,: 765-1803 Approved · .~..~..~...~...k,~ .., 19~.~. Permit NoJ..~.fi .~.~. .'~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... 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, t,he 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 heroin 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 hi building for necessary)~----.~:-..,.~ . . . . .-.. ~4~t~~ (Signature of applicant, or name, if a corporation) 7zo .... ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~..~.c.-.~ ............................................ (as onthe tax 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 ...................... 1. Location of land on which proposed work will be done .................................................. ....................... ...... ..................... 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 .................................................................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ......... Alteration .......... Repair Removal Demolition Other Work i (Description) 4. Estimated Cost ............. ! ....................... Fee....~..~.'. ~ ¢ (to be paid on filing this application) 5. If dwelling, number of dwelling gnits ........... Number of dwelling units on each floor ................ If garage number of cars ' ' 6. If business, commercial or mixe~ occupancy, specify nature a~d extent of each type of use ..................... Height ........ Number of S~ories .................................................... Dimensions of same structure with ' ' ' ' Rear altefat'.ons or additions: Front ................................... Depth .................... , . Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... _ Height.. .............. Num,ber of Stories ........................................................ 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 violhte 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 ..., ................. Address ................... Phone No ................ Name of Architect .......... ] ................. Address ................... Phone No ................ Name of Contractor I ... Address Phone No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block gumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE/¥.~RK, , iSS country ..... · .. ~ ./~~11 .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigr~ing 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 be performed in the marmot set forth in the application filed therewith. Sworn to before me this ............. .#. o ............... 19 Notary Public~.~.' .~. · · · ·~· ....... County ,~D~ _ ~ ~.~, ~,~,~ ~, ~ (Signature of applicant) 'I