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HomeMy WebLinkAbout13422-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18500 Date OCTOBER 26r 1989 THIS CERTIFIES that the buildin~ Location of Property 540 ORCHARD & 1370 ~ouse No. County Tax Map No. 1000 Section 117 Subdivision ADDITION 3RD ST. NEW SUFFOLK Street Block 07 Filed Map No. Hamlet Lot 13 Lot No~ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 5, 1984 pursuant to which Building Permit No. 13422Z dated SEPT~ 6~ 1989 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 AN EXISTING ONE FAMILY DWELLING. The certificate is issued to STEVE C. FLURRY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING SLIP PLUMBERS CERTIFICATION DATED N/A OCT. 16, i989 "~ Y'~/ Bumlding Inspector Rev. 1/81 ~01~ bO. ~ TOWN OF $OUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING F£RMIT (THIS PEEMIT MUST BI= KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13422 Z Permission is hereby granted to: ..... ....~..o...~...k.~ ............................................. ~ ...~. ........... ~ ~.~ ........ ....~. ~, ~ ~ ~_ :0..N,~ .... ~._' ~ ~. ~-, ..................... ~ ............. ~~~'"'"~~.~..'.'..i..~ .......................................... ,z....~..~....~"~ at premises located at ....~..~ .~...~. .......... .~. ll"~/C. County Tax Map No. 1000 Section ....... J,.k..~. ....... Block ~ Lot No. I ~ pursuant to application doted ................ ..~..~..~4~'~.~ ~ ......... , 19.~...l~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ DATE .~..~.~./~. ~.~ ...... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~o~t ion o~ Prop~r~y Z~. . . .©Z~C:Zk~.~. ~ .£m ~ ~. .~.~. . . .J'.U~¥~.~. ¢ HOUSE NO. STREET HAMLET County Tax Map NO. 1000 Section .~.. Block .A~... Lot' ./.3 ..... Subdivizion ....................... Filed Map ........ Lot .......... Permit No . . Date of Permit HeaLth 0cpc. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate 13¢~ 2 2.. rev. 10/14/88 FORM NO.' 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be~' filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, and unusual hatural or topographic features. 2. Final approval of Hea~th Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less ' than 2/10 of ]Z lead.' 5. Commercial buildings,ilndustria1 buildings, multiple residences and similar. buildings and installhtions, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning BoardiApprova1 of completed site plan requirements, B. For existing buildings (~rior to April 9, ]957~ non-conforming uses, or buildings and "pre-existing" land uses. I. Accurate survey of prdperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A!properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of O~cupancy is denied, the Building Inspector shall state the reasons therefor iu w~iting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent lnformat~onirequired to prepare a certificate. C. For Vacant Land Certzflcate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership ofithe entire lot prior to April 9, 1957 shall also accompany th'e application. If ~ Certificate of Occupancy is denied, the Building Inspector sh.all state the reasons therefor in wrlting to the applicant. l. CERTIFICATE OF OCCUPANCY - New l~elllng $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to AccesSory buildings, $25.00 - Businesses $50.00. 2. Certificate of Ocdupancy on pre-existing dwelling - $100.00. 3. Copy of Certlflca~e of Occupancy - $5.00 - over 5 years - ~10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certifi~:ate of Occupancy - $25.00 Residential $50.~ Commercial rev. 10/14/88 FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE o/r ~om COMMENTS FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: / / Date THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electelcal equipment as described below and introduced by the applicant named on the above application number in the premtses of i~ the followlng location; ~ Basement ~ 1st ~V. ~ 2nd ~3. Section Bilk Lot and found to be in compliance u'ith the req~irements o~ this Iloard. DRYERS [ FURNACE MOTORS { FUTURE APPLIANCE ~EDERS rSPECIALREC'PT. TIMECLOCK~ { BELL J UNITHEATERS MULTI.OUT~T DIMMERS SERVI~ Di~ONNECT NO OF S E R I~ M~ER , V I C E OTHER APPARATUS ' ' ' ~ {,~,;~i ~.~{!,~,'t;od~., ~,,~y~ ~,~% ~" ~--..<'i~ maPebrj This certificate must not be ~ltered in ony monner; return to the office of the Board ii incorrect. Inspectors d y ' entitled b~eir credentials. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 7, 1989 Mr. Steve C. Flurry P.O. Box 638 540 Orchard Street New Suffolk, N.Y. 11956 Re: 540 Orchard St.& 1730 3rd St. New Suffolk, New York surf.co. T.M. 1000-117-7-13 Dear Mr. Flurry: Enclosed please find herewith Building Perm~lt ~18183-Z for a deck addition to the above noted property. In a review of our files, we find that a building permit #13422-Z was taken out for an addition to said premises on September 5, 1984. said permit has expired and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Chapter 100-2B4, it is unlawful to occupy or use a building without a Certificate of Occupancy. Please fill out the enclosed application for the CO and submit it to this office with your check in the amount of $25.00, and then contact this office so that we may set up an appointment to do a final inspection. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. TJF:gar encl. Thomas J. Fisher, Building Inspector TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL $OUTHOLD, N.Y, 11971 TEL. 7654802 This is to advise you that the job under building parfait no. 1~22Z~_ issued to S.___teve_____~l~rr~ on 9/6/84 for Addition is completed and a final inspection }las ( ) }las not ~][---~-been done. An Underwriters Certificate is needed fn order to complete this file, it is necessary that ~ Certificate of Occupancy be issued. Please fill out the enclosed for~,, return same to the above office with a check for $25.00 payable to tile Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and orrange with th~s office for a~ i~spection date Occupancy or use is unlawful without a Certificate of Occupancy. l'[esse, help ns to clear up this rustler so thet legnI action does not have to be ~aken, Thank you for yonr prompt attention. Very truly y~, Victor Lessard Executive Administrator VI,: gn r on £ 1 . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-180:3 ~,xamined · ...~ ............. kpproved .~..'~....~.. h..; 19~.~.. Permit No. )isapproved a/c : .................................... . ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- etlon. c. The work covered by this application may not be commenced before issmmee of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. i'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ,emit authorized inspectors on premises and in building for necessary ins~c~ns. ~ ,~/ (Signature of applicant, or name,~~ a corporation) .//,..K.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ .~.~:1.~.'?..~....C:;..'}}~ ................................ (as on the 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 dune. ~, .................... ~. ........................... ...,7..4o. ............... . House Number Street Hamlet ltl County Tax Map No. 1000 Section , ,'T~, ,~ .... 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 oecupancy ........................ ...................................... · . ~ ' ' Addition ~<~ Alteration 3. Nature of work (check which applicable) New Building ............................ Repair' Remoyal Demolition Other Work , (Description) 4. Estimated Cost ~ ........... Fee .~ (to be paid on filing this application) i . /. b fd Iii its hfloo 5. If dwelling, number of dwelling Umts .............. Num er o we ng un on eae r ............... If gm'age, nmnber of cars 6. If business~ commercial or mixed: occupancy, specifyjmtur~ a~n~d extent of each type of u,se .......... a ......... 7 .. D;menslons of ex~sting structurei, if any: Front. ~.O :..~ .~.~ .... Rear . ..~.~t.-..~. ¢&~..' Depth .~.~.; .~1..'. .... Height . .,~O Number of Stones ....... ,~k ................. t ................... ...... . ~ ~ ~, ~ Danensmns of same structure w~th alteratmns or addmons. Front . .*~.~ .... ~.. ,* ..... Rear . .q~. ........ ~ .... Depth ~.~.~ '.~,~. ? ........ I. Height ..... ~..j ........ Numberff Stories .. ~-~ ..... ~ ....... 8. Dimensions of entxre new constmchon: Front ... ~ :.q~ ....... Rear ... ~ .' .~ ...... Depth .... 7. ....~... .. gO. ' Number of Stories lleight ................................................................... 9. Size oflot: Front ..... ~.O~}< ..... Rear.. ~ ...... Depth .... g~el~. . ............ ~.0.0 ................ 0 DateofPt chase · ~.~.t'~. ./~...7~ NameofFo Own ~t~.~.'.?:.~.~.. . ir .................. llller er .......... 1. Zone or use district in which premises are situated ......... ~t .~,JT?~.~ .............................. 2. Does proposed eo-struct~on wolate any zomng law, ordinance or regulaOon ......... ~.O 3. Will lot be regrad~d ....... AJ~. ................. Will excess fill be removed from premises: Yes 4. Name of Owner o~ premises _.~'?.~_dE~. C, ~.~X. Address ~'~,0 ~r~J~.t~ ..... Phone No. ~.. X' 6.~ .~.9... Name of Architec[ ...... .,.~.~. ~'.~ltt~.~: .... Address ................... Phone No. ~'~'a~ I ' AkrOr. d~' Add st Ph N Name of Contractor .... ,,~,'~-,~r ...... ress .................. one o ................ PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or proposed, and~ indicate all set-back dimensions from ~r0perty lines. Give street and block ~umber or description according to deed, and show street names and indicate whether ~terior or corner lot. ;TATE OF NEW YORK, S.S :curry OF ................. . .~..~ C~ .~..~ ~. g d ly ppli ......... bein u sworn, deposes and says that he is the a cant (Name of individual signing contract) ;bove named. -Ie is the (Contractor, agent, corporate officer, etc.) ff said owner or owners, ~d is duly authorized to perform or have performed the said work and to m~e and file this .pplication; that all statements contained h~ this application are tree to the best of his knowledge and belief; and that the york will be performed in the m~n~r set forth in the application filed therewith. ;wom to before me this . a7747: .day i