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~~