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HomeMy WebLinkAbout13077-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25635 Dat~: 04/10/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 395 UHL LANE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 24.10 Subdivision Filed Map No. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1984 pursuant to which Building Permit No. 13077-Z dated MAY 1, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to HERMAN F. & IRENE LINDEMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building I~pector ~'O~t~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13077 Z Permission is hereby granted to: ...... ~.~.~.~.~ ........ .Z/~...~... ................................... ......... /~.z...~zLv..~..~..:~,..~ ~'r~7 ~o .......... ~C2 z~..~Z..~ .~r.:Z'-:.~ ....... .~ .~..G.~.,~..'..(2,~..~.......z,~..,:.~ Z~. ~ ........ .................................................... :: ............... .: .................../~ .......... ~ ............... .~ ................ ~ ........ ~ ot ~r.~s.s ~o~o*ed o* ...... .~..~.~......... ~..//.~ ....... ~-/~.~,.r ........... L2./~.~,~z..:~..~..-~ pursuant to opplication doted ...~/f~'~,~ ........ Z~.... ........... , 19..~....~, and approved by the Building Inspector. Fee $.../...~....~.. Rev. 6/30/80 Form No. 6 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 building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all 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 UndeCwriters. 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. 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~ - $100.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........... . ............... New Construction ........... Old Or Pre-existing Building ................. Location of Property...~.~.~ .~.......~.~/. ...... .~. ~. ................... .~..~Z .~-.~...~., ............. ... House No. ! Street Hamlet Onwer or Owners of Property ....... > ...................... County Tax Map No 1000, Section .............. Block ................ Lot ...................... 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: $. ~'..~. .../.~ .... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 24, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. & Mrs. Lindeman 325 Uhl Lane Orient, New York 11957 Re: Building Permit # 13077-Z SHED Premises: 325 uhl Lane, Orient Suff. Co. Tax Map #1000-15-5-24.10 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. FIELD t~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL . ~ ~~ TDDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13077Z issued to Herman Linderman on __5/1/84' for Accessory ia completed and a final inspection bas ( ) 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 enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southold. Please {ndlcate tO Whom tile Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or usc ia unlawful without a Certificate of Occ,pancy. Please. help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly yo~.~, Victor Lessard Exccutive Administrator VL:gar encl . FORM NO. 3 TOWN OF gOUTItOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ../.~/. ~.~,....,.. ..... File No ................................ House ~o. Steer Ham/et County Tax Map No. 1000 Sect/on . >.-~(.w~ ...... Block ..................... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the follow~g grounds .~;~/ .... ~ .'... :... ~.. Building Inspector RV 1/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2NO [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~&~HIMNEY REMARKS: ~/~ ~/~.A~ ~,' DATE Il,/' INSPECTO~~ !~, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUG~.BG. [ ] I~JI~ATiON [ ] FIREPLACE & CHIMNEY DATE INSPE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined. · .~..~.~.~.~.../. .... ,19.~.~.]~ ~ Disapproved a/c ..... f_.._ ~ .... ~-~' ' 'i" '~ ~..' '/ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be 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 throughout 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 authorized inspectors on premises and in buildings for necessary.3,nspections. /., .... (Signature of applica~d, or name, if a corporat'o ) ·' '~)' ~ '~'/(~il~ address oI appficant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~ ..... ~.' .......... ~'..~0 ~4~ ............................ (as on th~ tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... House Number Street Hamlet County Tax Map No 1000 Section ... ¢/.~ .......... Block .................. Lot .... .~...~"~:///~ ...... ~ (Name) 2. State existing ~Ise and occupancy of premises anti intended use and occupancy of proposed construction: ~b. '~tended use and occupancy ..................................' :~. ...... .~ ............... ppli ) ' Nature of work (check which a cable: Ne ng ....... Addition ..... Alteration Repair .............. Removal .............. Demolition .............. Other._W°rk ............... Estimated Cost ............. i ........... ' ..... Fee · ..~ ............................ (to b~ paid on filing this application) If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ............... If garage, number of cars ..... ~ ................................................................. If business, commercial or mixed occupancy, specify nature and ~xtent of each type of us~ ...... : ............ , D~ensions of existing structures, if any: Front ...... ~ ...... Rear ... ~'. ....... Depth ......... ~ Number of Stories ' Height ................................................................ D~ensions of same structure with alterations or additions: Front ................. Rear ............... Dep~ HeiSt Number of Stories .......... Dimensions of entire new construction: Front ..... ~. '. ....... Rear ............... Depth ... ~ ~ ....... Height. ~ ~ Number of Stories ................ ' ~ Rear Depth Size of lot: Front .......... .,.~ _. ..................................................... ~7/~ Name of Foyer Owner Date of Purchase ...................................................... Zone or use district in which pr~mises are situated ..................................................... Does proposed construction vioiate any zoning law, ordinance or regulation: .... ~ ......................... Will lot be regraded ........ ] ................... Will excess fill be removed from premises: Yes No N~e of Owner of premises 4 Address Phone No Nme bf Architect ~ Address Phone No ' Phone No N~e of Contractor ' Address Locate clearly and distinctly all buildings, property lines. Give street and block]number or in~eriof.~or corner lot. PLOT DIAGRAM whether existing or proposed, and. indicate all set-back dimensions from description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................. ' being duly deposes and says that he is the applicant ................................................ sworn, (Name of individual sig~ing contract) above named. He is the ..................... ! .................................................................... (Contractor, agent, corporate officer, etc.) oLsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and tile 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 manner set forth in the application tiled therewith. Sworn to before me this ] 19 · .~. Notary Public, : ~ .~'..i..Q.>..~.~. · .... County ~/~/~...vt ) ~~(-~4,~ ' ,, .... .......... ..... I t,IB~AI~Y PUBUC, Sta~o o~ New York ~ j (Signature of applic~t) ' ~ No, 4707,878, 5t~ffo[k County Term ~xp,res [~acch 30, 19~~