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HomeMy WebLinkAbout12865-zFOB14 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20161 Date AUGUST 23, 1991 TH~S CERTIFIES that the building NEW DWELLING Location of Property 860 MAIN BAYVIEW ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 7 Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1983 pursuant to which Building Permit No. 12865-Z dated FEBRUARY 9, 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 ONE FAMILY DWELLING AS PER ZBA DECISION #3116 DATED 6/14/83 AND ZBA DECISION ~3248 DATED 6/28/84. The certificate is issued t~ of the aforesaid building. JOHN GRIGON~,~ DECEASED (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL i3-SO-105 - AUG. 22, 1991 UNDERWRITERS CERTIFICATE NO. N-660792 - SEPT. 21, 1984 PLUMBERS CERTIFICATION DATED JUNE 12~ 1990 - JOHN E. WALTERS & SON Rev. 1/81 FOF,~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER,MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~"-t" ............ ~...~.,~.........~.~ ......................... / ....... ~~..~...~....?.......~..~.~: ........ ,o ........... .~..~.~..~.~.~..c~.......~..~...~......~.~,~. ...... .~ ...... ~.~ ........... .'..~. .... ..................................................................................... ~.~-.~....-.... Section .~2...~...~.. ......... Block a7 ............. ..-~__L°t No. ~.../...:~%'~'... County Tax Map No. lO00 tO application dated ..~.~..~ ....... Z~. ...................... , ,9~and approv~ by the pursuant Building Inspector. ....... ...... Rev. 6/30/80 BUILDING DEPARTMENT ~. ~ ~PLICATION FOR CERT%FICATE OF OCCUPANCY A. 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 Underwriters. 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 archiuect or engineer responsible for the building. 6. Submi~ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~..~..~..~..~J .l~ I Yew Construction...~.. ..... Old Or Pre-existing Building._.. .............. ~ocation of Property ...... ~.~ ............... ~.~ ....~.~.p..~.~.~... ~x~ } /~ . '"''''''House No. l~ . ~treet 'Hamlet ~ ,nwer or Owners of Property ..... .~.~ .~...1~...~~ 'ounty Tax Man No 1000 Section--~~O ~ · ~ . ./~...~.. ' = , .............. D±OC~ ................ LOE ............. . ~ubdivision .................................... Filed Map ............ Lot ...................... ermit No ......... .- .. ...Date Of Perm . . Applicant .. ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ...................... . . equest for: Temporary Certificate ........... Final Certicate ........... ~oooo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Jolm Grigonl~ ~ln ~yview P~ad~ ~ut~ld~ N~Y, in tbe/ollowing location; ~ Basement ~ 1st FI, ~ 2nd Fl. Section Block Lot was examined on ~¢~)~k~fl~r 1~ ~ and found to be in compliance with the rfquiremegts of this Board. ~XTUR~ ~IXTURES RANGE~ OVENS DISH WASHERS EXHAUST FANS OUTLETS i4 DRYERS OTHER APPARATUS: E R V I C ~f% ^.'~.~/ .o o~ .,.LEO OF HI-LEG NO. OF NEUTRALS AW, G OF NEUTRAL Pet er ' This certificate must not be altered in any manner; return to the office of the Board [f inco~wect. Inspector~s may be identified COPY:FOR B~ILDING, DEPARTMENT. THIS COPY OF CERTIFICATE.: I ~ TOWN 017 SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F,I C A T I, O~ TEL. 765-1802 -- o, or s,,ou_r~ o~r~ ...... ~ Building Permit No. Owner (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. SWor~to before me this /3 ~'day of ~,, HOtary Public County (plumber's signature) NoiSy /Tu~'l'i c ALICE J. KRAMER NOTARY PUBLIC, State of New York Residing in Suffolk County No. 52-4822133 My'Commission Expires ~gl::E::~l~=~r'_ 1'3/-~/ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 11, 1990 Mr. John Grigonis 860 BayView Road Southold, N.Y. 11971 Re: Building Permit ~ 12865-Z Premises: 860 Main Bayview Road, SUFF CO. TAX MAP ~1000-70-7-16.2 Southold, N.Y. Dear Mr. Grigonis: During a review of our files.,, it was noted that the above building permit has expired and a Certificate of.Occupancy has never been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said 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, Principal Building Inspector VL:gar FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~.~-o°~. · · · · .~.~. ~ ............ ......... ~.~... ~..~..~.~.....e~... .... .. ~ ~....~.....~.,~." .... 1~.~.~.~ ..... PLEASE TAKE NOTICE that your application dated .......................... , 19 ..... Location of Property.. ff .~. ? .... m...o~,~.'. ,~..~..b(...x~O.....~....~'~~ .... House No. Street Hamlet County Tax Map No. 1000 Section ...C~.'7 .O. ...... Block. .... .~.."~. ...... Lot . .q~3./,*.: ~... Subdivision ' ' Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds..(~'..~....-~... ] ~ .'.~.] ...... ~.. :.~. :~.~,..~..~.... ~.. ~. ~~.. ~..~..~. ~.. .5.~e~: .................................................................. Building Inspector RV 1/80 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Approved . .~..~'.~....~.~. ...... 1 .~.. Permit No.. Disapproved a/c .......................... ~ ..... /... INSTRUCTIONS a. This application must be completely filledJn by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to scl~edule. 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 issued 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 Occupancy 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 premises and in building for necessary inspect'_~n~. ~-¢~t (Sign~~n~,7;; ~n'e, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate~ficer) Builder's License No .... 57¢ .~. ................ Plumber's License No. 7.~/. ~.. ~.~. .............. Electrician's License No .... ~..~,...~... Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. I000 Section ..... ~.l.~). ....... Block ...... ~..'.~. ....... Lot .... ~../~: .~. ...... S bdi ii ' Fil dM pN L u y s on .... e a o ............... ot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building ....~..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... : ~O (Descn.'ption) 4. Estimated Cost ..... .~.~ ~..~9! .O ........................ Fee (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ..... [ ......... Number o f dwelling units on each floor .................. If garage number of cars 6. If business, commerciai or mixed occul~ancy, specify rtature and extent of each type of use ....................... 7. Dimen'sions of existing structures, if any: Front....~{// ....... } Rear .~..~. ......... Depth~.~.y. .......... tleigh~ 19xl Number of Stories .... ~ ............ .~.::;..'.. .... ~ .... Dimensions of same structure with alterations or additions: Front ...- .............. Rear .................. Depth ........ .mT-. ......... ~.. Height ~---~ . ....Number of Stories. ,/. ................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height .../.~ [ ........ Number of Stories ....4 · · :: ................... 9. Size of lot: Front i Rear .' ........... ' .......... Depth, ." 10. Date of Purchase .......... ! .................. Name of Former Owner .................... : ....... 11. Zone or use district in which pr~mises are situated ............. t..~.o.. 7~.....->.~-.'~.. ~.~ ./~. ~..~.Y~...~. ......... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... .~.~?.: ...................... 13. Will lot be regraded ......... ~ ................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises , ................. Address ................... Phone No ................ Name of Architect ....... i'. ................ Address ................... Phone No ................ Name of Contractor ....................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ail, 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 ' of individu above named. He is thg . .' .................... JS.S being duly ~worn~d~poses anU~ sal~s that ne ~s the applicant~'~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 manne? set forth in the application filed therewith. Sworn to b~fore me this , . ~ .... ,/,' ry 'cpo'2~.r ..~q.. '.~:..: .................... unty ,,~-, ,'7 , , ~., ,~0'4,o~ - ~..o~ c~.~,~/ ' ' '/~F ~ ........ ~ ' ~ ~' ~' ~Z~ ' ~ ............. ~.,,,,.,~,,,,,.,~.,.,,o,,,~ // ; ~ (Sign~ure o f applicant )