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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~'~