HomeMy WebLinkAbout13044-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17747
Date February 7, 1989 . .
THIS CERTIFIES that the building. ADDITION
Location of Property 315 PVT Road ~2 MacDonalds Crossing Laurel~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 128 Block 6 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 16, 1984 pursuant to which
Building Permit No. 13044-Z dated APRIL 17, 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 FURNACE ADDITION TO EXISTING ONE FAMILY DWELLING
· he certificate is issued to DOROTHY F. CAREY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N835463-OCTOBER 1, 1987
/ ~u~fding Inspecgor
Rev. 1/81
FOu'M' NO. J8
TOWN OF SOUTHOLD
BUiLDiNG DIEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING FI[R~IT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
CON~PLETION OF THE WORK AUTHORIZED)
NV 13044 Z
Permission is hereby granted t~:
....... ........................
...~.~.~.....~_~_~..... .................. i ....
~.~..~,.~.,~.....~?.1... .............................
)
,o..~~......~'*.~....~.~..~.....~.~.~.....~.....~.~.~q.....~ ....
.... ~...~..~...~.~.~ ...... .~....~..~ ...........................................................
County Tax Map No, 1000 Section ...... /....~..'~... ....... Block ......... ~ ......... Lot No ...../..~..~. ...........
pursuant to appl}caflon doted .............. J~. ..................... , 19.~...~.., ond approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTROLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
....
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~..VACANT LAND ........
HOUSE NO. STREET
County Tax Map No. Iaaa Section/~ff/.~. Block .. .... Lot ......
Subdivision ....................... Filed Map ........ Lot ..........
ltealth Dept. Approval .................. Underwriters Approval
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted: $ f.q~. ~ t . . .~..
Final Certificate
rev. 10/14/88
co
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
THIS C~RTIFIE$ T~AT
o~y the electrical equip~e~ ~ &~cribed belo~ ~nd i~tr~uca by t~e ~ppllc~nt ~med o~ the a~ve ap~J~cat~pn ~u tuber ~n the prem~es of
~oro~hy C~rey, Fo~en~ere~ 0~ P~con~c ~y ~ulevard~ L~u~e~ ~.Y,. (~er ~Om)
in the following location; ~ Basement [~ Ist FI. ~ 2nd Fl. Section Block Lot
t~as exatnlned on Sept:~mbelc ~ ~ ~Lg~4] and found to be in complian¢,e u' th the ~equire nent s qf th s Board.
RXTURE ~IXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESC~N~'
i 1
DRYERS FURNACE N~.OTORS $UIURE A'.~tAhIDE FEEDERS
TIME CLOCKS NIT HEATERS ' MULTI.OUTLET DIMMERS
SYSTEMS
HO. OF FEET
OTHER APPARATUS:
S E R V I C
OF CC. COND
HO OF HI-LEG
AWG,
HO OF NEUTRALS
Dorothy g. Carey
P,O. ~ox 274
Laurel, N.Y. 11948
GENERAL
This certificate must notbe altered in any manner; return to the office of the Board
?OPY FOR BUILDIHG DEPART~4ENT. THIS COPY O? CEE"
be: credentials,
ANY MANNER,
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York ! 1971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 26, 1989
Mr. Frederick Carey
611 Palmer Road Apt. 4R
Yonkers, New York 10701
Re: Building Permit #13044-Z
Tax Map ~1000-128-6-19
Dear Mr. Carey:
During a review of our files, it was noted that the above
building permit has expired, and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article XIV,
100-141 and 100-144 a building permit is needed for construction
of an addition to an existing dwelling. It is unlawful to
occupy a dwelling until a Certificate of Occupancy has been
issued.
Your final inspection has been made. Please fill out the
enclosed application for Certificate of Oceupancyand return to
this office with a check for $25.00. We will then issue your
Certificate of Occupancy for the furnace addition.
This is your third notification. In order to avoid any
legal action, you must correct this violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Vincent R. Wieczorek
Ordinance Inspector
VRW:gar
encl.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BO× 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-t802
This is to advise you that the job under building
permit no. 13044M issued to Fred Care¥
on 4/16/84 for ~dditio~ is completed
n final inspection has ( ) has not ( x ) been done.
fn order to complete this file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
and
enclosed form, return same to the above office with a check
for $25.00 payable to the Town of Southold. Please indicate/
to Whom the Certificate of Occnpancy is to be mailed, and
arrange with this office for an inspection date
Occupancy or use is nnlawftil without a
Occ.pancy. l'leat, e help ns to clear t,p thin
legal action doe~ not have to be taken.
Certificate of
matter so that
Thank you for yot~r prompt attention.
Very truly _y~,
,.
Victor Lessard
Executive Administrator
VI.: ga r
cncl .
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
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.
/--v/F'~ No Underwriters Certificate on file.
/~/~_ The check is(outdated/~)~,oo'
/5/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please' contact our office on this matter.
Thank you for your cooperation.
Building Permit # ~ ~ _Q_ ~ _~ Z
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a
of Occupancy. Clear up this matter as soon
so ~hat legal action does not have to be taken.
Thank you for your prompt attention.
Certificate
as possible
FIELD~ INSPECTION ~'
COMMENTS
FOUNDATION (~st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
ODE
FINAL
ADDITIONAL COMMENTS:
o ~..~./~
L),'~ .L,
GJ'I-~.r~/NG D'EPARTMENT AT
9 AM TO 4 PM FOE THE
~NSPffCTIONS:
mAmlON - TWO REQUIRED
ReD CONCRETE
2. - FRAMING & PLUMBING
3, LF,'T
4. C~x,,S~ L]C-~ F~N MuST
Al q-F~,CT]ON SHALL MEET
Tt ;~mlr~,t~NTS OF THE N.Y.
, CONC, TRUCTION & ENERGY Nr~T RESPONS~B!.E
ERRORS.
/
i(
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved...~. ~... ).~o .... 192.t/.. Permit No. I...~53..q.q..~...
Disapproved a/c .......................... ~ ...........
Application No ..................
(Building Inspector)
APPLICATION FOR BUI LDING PERI~I IT
INSTRUCTIONS
a. This application must b~ completely filled in by typewriter or in ink and submitted in triplicate 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 issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throug~aout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupahcy
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 auth°rized inspect°rs °n premises and in buildings f°r neclsll .rY. i.~ .~.'.. ~ .............
(Sj~(nature of applicant,,..lzfr name, if a co~oration)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, g. eneral contractor, electrician, plumber or builder.
......................................................
.z .,: ..................
..................... (as on the tax roll or latest )
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 propo~s~d work will be done.. ~. 63. rd. C d ........ i ..........................
..... ...........
House Number ..................... ~;re;i ' 7'' Hamlet
C~imty Tax Map 'No. 1000 Section .... /..~. X ... Block (~ . Lot ..... J..c~ ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of pr°p°sed c°nstructi°n:
a. Existing use and occnpancy...'i ~ .~, ~.~, ......................... ;
b. lntended use and occupancy ~.~...~-~l~¢v~..~...~ .&..lOf~4x' ....................... ..................
· i ..... c,/ Alteration
3. Nature of work (check which ap~hcable): New Building .......... Addition .............
.Repair ........ ..¢ ....Remoyal .............. Demolition ............. Other Work ...............
4. Estimated Cost...l/ ........ ........................ Fee .....................................
~ (to be paid on ~ing this application).
5. If dwelling, number of dwelling ¢nits ............... Number of dwelling units on each floor ...............
If garage, number of cars ..... 1 .................................................................
6.: If business, commercial or mixe~ 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 w(th alterations or additions: Front ................. Rear ................
Depth .................... '.. Height ...................... Number of Stories ....................
8. Dimensions of entire new constntction: Front ............... Rear ............... Depth .............
Height ............... Number of Stories .................. ....................................
9. Sizeoflot: Front ........... ........... Rear ...................... Depth ....................
10. Date of Purchase ........... I .................. Name of Former Owner ...........................
11. Zone or use district in which pr?mlses are situated ....................... .j[! .........................
12 Does proposed construction violate any zoning law ordinance or regulation: g.,.O
13. Will lot be regraded ...~.~¢.5...! ................... Will excess fill be removed from premises: .Yes No
14. Name of Owner of premises ...~ ................. Address ................... PhoneNo ................
Name,of Architect ... '-i" .... !' ' 'l? ............ Address .................. ,. Phone No ................
, : PLOT DIAGRAM
Locate deafly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, ' S.S
COUNTY OF .................
............................ i ..................... being duly sworn, deposes and says that he is the applicant
(Name of individual sigoing contract)
above named.
He is the ..................... ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ly 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 mann.er set forth in the application filed therewith.
Sworn to before me this
H~t.f:i~l IS [)E VOE
No. 4707G78, 8uif01~
~ 1~*? Expires f, fi~rch 30, 19~'~