HomeMy WebLinkAbout13271-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25704
Date: 05/01/98
THIS CERTIFIES that the building ADDITION
Location of Property: 725 MASON DRIVE CUTCHOGUE
(HOUSE NO.) (STREET) (HP~MLET)
County Tax Map No. 473889 Section 104 Block 5 Lot 24
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the 'Application for Building Permit heretofore
filed in this office dated JUNE 20, 1984 pursuant to which
Building Permit No. 13271-Z dated JULY 16, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to META D. ERICKSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Buildi~/Inspecto~
Rev. 1/81
FOB~ NO. B
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? 13271 Z
Permission is hereby granted to:
· .¢...¢..~..~'1.~ .............. , ............. , ....
~2.t~.g.~..~.?..! ......................................................
.1~.~....~. ...... ~~ ...... u..~.~../. .....
,o ..~~...:~......~~...~....~....~ ............
E
Coun~ Tax Map No. 1000 Section .... /..~..~ .......Bilk .......~. .......... Lot No....~.~ .............
~o ~ ~. . 19.~.~.., and approv~ by the
pu~uant to opplicotion dot~ .....
Building Inspector.
,..,..~.~.~.~....
8ulldinO I~tor
Rev. 6/30/80
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 buildi~
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property line~
streets, and unusual natural or topographic features.
Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form~
3. Approval of electrical installation from Board of Fire Underwriters.
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 build?
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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
"pre-existing" land ases:
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 applicar
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 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-existing Buildin~ - $1OO.O0
3. Copy of Certificate of Occupancy - = .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15~00~ Commercial $15.OO
/ .... ........................
New Cotlstruction...~ ....... O1~ Or Pre-existi~g Building .................
Location of Property ........
House No. Street Hamlet
Onwer or Owners of Property ..............................................
County Tax Map No 1000, Seetion..f.O.~. ....... Block ..... ~o ......... Lot...~~. ............
Subdivision .................................... Filed Map .... ~ ..... Lot...'... ............
Permit No .... ~ .~. ?.?.~. ~ .Date Of Pe'rmit.. ].~ .~..~.~. ....... Applicant..~-~.~ f~', ~.. ............
Health Dept. Approval .......................... Underwriters Approval ..................
Planning Board Approval ........................
/
Request for: Temporary Certificate ........... Final Certicate..'.~. .......
Fee Submitted
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
April 9, 1998
Meta Downs Erickson
P.O. Box 328
Cutchogue, New York
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
Thank you for
BUILDING PERMIT #13271-Z
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION
FOUNDATION (1st)
COMMENTS
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
Ye
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~FINAL ~
[]FIREPLACE&CHIMNEY
DATE
INSPECTOR
~re*l. 765-2473
~S i*,,,~,/' ' I~'~ING e CONSTRUCTION CORP.
NO~-'~UILD1NG DEPARTMENT A
765-1802 9 AM TO ~ PM FOR THE
1. FOUNDATION - TWO RED[~IRED
FOR pqUR[D CONCRETE
2, ROUGH - FRAMING & PLU~AB1NG
THE Rc~'"~:~T~ OF T[-'- "~ Y.
~TAT[ C~m~ ICTIq¢~ 2' ~ ..... Y
DESIGN OR CONSTRUCTION ERRORS.
Alfred H. Goldsmith
TOWN OF SOUTHOLD
OFFICI~ OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
$OUTHOLD, N.Y, 11971
TEL. 765-1802
Thls is to advise you that the job under building
permit no. 13271Z issued to Olaf Erickso~,
en .__3/%,6__/_~4___ for Additioh is completed
a final inspection has'~ ) has not ( x ) been done.
and
Itt 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 '$25.00paynble to the Town of Southold. Please indicate
to Whom tile Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection (late
Occnpancy or ,,ne is unlawful without a Certificate of
Occupancy. l'lenne, help ua to cleat up th(a rentier so thor
legal action does not have to be taken.
Thank you for yo,r prompt attention.
Very truly your~g~,
Victor Lessard
Executive Administrator
cncl .
hl'~l. 765-24'73
Alfred H. Goldsmith
~ ,~, ~ ~¢~)Ie~gMITH BUILI:~tr~&~C~LPc~JCTION CORP.
~[,",.~ ~' [ '~ . , ~ NOTIFY BIIII.DING DEPARTMENT AT
~)) ):.~r~ i~(/* '~::~ ~ '~
765-18(')2 9 AM TO 4 PM FOR THE
FOI.I OWING ~NrS?ECT[ONS:
1. FOUN~¢ATION - TWO REQUIRED
FOR PqU;~D CONCRETE
2 ~LJFH - FRz~ING A~ P/UM~G
-- C¢~m'*p'~C-rp3N SHALL MEEI
THE REt ..... 'r~4ek,1'T'S OF Tile N Y.
STATE CONC'ERUCTION & ENterGY
DESIGNER CONSTRUCTION E~R~S,
~ :~ D[Z.,z..:..O...P.. ~'P~ .e4<oo,~1 .....
Town Hail, 53095 Main Road
P. O. Box 1179
$outhold, NewYork 11971
Fax (516) 765-1823
Telephone (516} 765-1802
March 24, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Meta Downs Erickson
P.O0 Box 328
Cutchogue, New York
11935
Re: Building Permit # 13271-Z DECK
Premises: 725 Mason Rd., Cutchogue
Suff. Co. Tax Map #1000-104-5-24
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.
FORM NO. 1
'r' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
2xamined . ~'~. [ .(~ .... , 19 .~'.~.~''
~.pproved ...~A~ [.{q. .... 19~.~''. Permit No./.~. .&..-/./..~...
Oisapproved a/c .....................................
I~ece±ved .......... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
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 pubBc streets
~r areas, and giving a d~tailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
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
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
~uilding 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 remow.1 or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
~ignat. ure of applicant, or name, if a corporation)
.JTq,,'~,~ ,q .... .~.. ~., . . .,~oo ~.a o~'o.,, ,'~.. .y,. ....
(Mailing address of applicant)
~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Xlame of owner of prel~iises ~'/.,~...-...~.~....~-.,~.z'~)c,..~O~,/...(t~,d..~./~...Co..~'.~.i/./--.-) .........
! ~ (as on the tax roll or latest deed)
applicant is a corporation, signatu[e of duly authorized officer.
.... ......
(Name and title of corporate officer)
Builder's License No... J~ ..................... ~-
Plumber's License No... ~ ...................
Electrician's License No. ~
Other Trade's License No ...................... -'
Lo]a~ocll of land on which proposed work will be done.. '~--/~.,~. ~'2z~M~'~e'z~s"C.-r. ,~}'~ag.5~:c~..d~..~{/~.'-~..-~.
.......... ,, '-
House Number Street Hamlet
Co nt Th, 1000 Section ........................ Block. ' .............
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 . ~C[5~'zOz~-,'t~. ~ .....................................................
b. Intended use and occupancy ... ~.~ ~.~.-rT..' .....................................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. RemCval ............ Demolition .......... Other Work .~'~'~,'&~.
~ (Description)
4 ~" Fee
· Estnnated Cost ....... ,~ ...................................................
(to be paid on filing this application)
5.
If dwelling, number of dwellingi units ............... Number of dwelling units on each floor ................
If garage number of cars ,
6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use ............
7. Dimensions of existing structures, if any: Front. ,,f'J2. 7 ......... Rear ,5'2,'~ .......... Depth
Height ............... Number of Stories ...............................................
Dimensions &same structure with alterations or additions: Front . OT~'..' ........... Rear . O-ca'. ,'...
Depth; ~q,~.'~-./~ ~. 2)4r~(~.. i.. Height . ./~. ! ................. Number of Stories. J ...........
Dimensions of entire new construction: Front ......... ., ..... Rear ............... Depth ......
Height ............... Number of Stories ...............................................
Size of lot: Front ........ ....'"- '. ...... Rear ...................... Depth .............
I0. Date of Purchase OM~.a~o ~ ................. Name of Former Owner ............................
11. Zone or use d~stnct in which premises are muated.. .x'.'.~. ~ ...................................
l 2. Does proposed construction wolate any zoning law ordinance or regulation: . P*'{> .........................
13. Will lot be regraded ....,,*Yin.. ~ ................... Will excess fill be removed from premises: 'x~ NO
14. /game of Owner of premiseso~rd~'.-. O.,.~..~~~rO~,,~OA/. Address ................... Phone No..227.~x .di.,~,~t~..
Name of Architect ' Address Phone. No
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
~roperty lines. Give street and blockl number or description according to deed, and show street names and indicate whether
nterior or corner lot.
;TATE OF NEW YORK,
;OUNTY OF ................. ,
·//.'.~A/.x~t?2~... ~,.. ~.. Q~ .~.~ ~ ~;. ¢~. being duly sworn, deposes ~d says that he i~ the applicant
(Name of individual sig~ dng contract/
bore named·
is
the
(Contractor agent corporate officer etc )
,f said owner or owners, ~d is du ~y aut)orlzed to perform or have perfomed the said work and to m~e and file ~is
pplieation; that all statements conl ained m this application are true to the best of his knowledge and belief; and that the
~ork will be perfomed in the m~ner set forth in the application filed therewith.
;worn to before ~ne this
........... ~.~ ..... day o[..~ ............. , 19~.7
lotary Public, . ~ ........ County
NOTARY Ff~)L1C, State of New ;York
N0. 470/878. Sull0~k C0untv ~ (Signature of applicant)
1Of,i ~p~res ~atch 30. 19~ /