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HomeMy WebLinkAbout16273-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-I6369 Date November 5, 1987 SUN ROOM ADDITION THIS CERTIFIES that the building ................................................ '.-, '-~-'- }' ~'Toca+~onor°ro~er*- 1050 Trumans Path East Marion, New York House IVo. E;treet Harniet ,..u~, ,.yrS-"n+- Tax L,~v~a~ No. 1000 Section 03 I . .Block I 2 .Lot 5. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 22, 1987 16273 z ...................... pursuant to which Building Permit No ...................... dated Ju 1 y 27, 1987 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 ......... SUN ROOM ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to WILLIAM & PATRICIA BRENNAN ..................... /oho'o;, g4glr' o igxx ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO P E N D I N G N/A PLUMBERS CERTIFICATION DATED: ~u~i~'~s ector Rev. 1/81 FOB~ NO. 0 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) N9 16273 z Permission is hereby granted to:~ . ..... ....~.....*....L~..?x ........................................... ......... .................................................................. at premises Iocate~l at .../..P..~.-~......~.'~~...~...).....~ ....... . .~......'~'...~.......~... ~ .......... County Tax Mop No. 1000 Section ....... ..~...~.~. ...... Block ....... .J.....~-.. ....... Lot No .....~./..,I ........... pursuant to application dated ........ ...~..~.....~....'~... ................. , 19..'~..'L, and approved by the /e Building Inspector. Fee $..~. .................. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m,~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25,00 1, Certificate of occupancv New Dwelling,S25.00, Accessory,~10.00 Business $50.00 2. Certificate ofoccupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property /.J.~,~ .~-~ /9,~,},~ ~ .~.: House No. , .~ Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ....~..~/. ....... Block ..... / D-. Lot. .~.~.,./. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ...~ '~-¢ ~ Rev, 10-10-78 ¢o -?_ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, 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. ~ /~ No Underwriters Certificate on file. check islo ,tdated l l /5/ NO Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ ~ 3 Z /e~z~L~ '- Building Dept. ***/5/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use ts dnlawful without a Certificate of Occupancy. Clear up this matter as soon as posslb]e so that legal action does not have to be taken. Thank you for your prompt a~tention. UNDATION ( ls t ) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [,~INAL REMARKS: DATE BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [/]~NSULATION [ ] FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND ROUGH PLBG. INSULATION DATE INSPECTO~ HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN ~1. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 July 29, 1987 TELEPHONE '~6~, 1892 Mr. Charles E. Thorp P. O. Box 679 Greenport, New York 11944 Re: William & Patricia Brennen Dear Mr. Thorp: The following action was taken by the Board of Town Trustees during their regular meeting held on July 27, 1987 regarding the above matter. WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and WHEREAS, the Board considered all the documentation submitted concerning this request, and WHEREAS, the Board made the following findings of.fact: 1. By this request appellant requests permission to construct a 16' x9" x 12~ addition to an existing residence. 2. The property is located at 1050 Trumans Path, East Marion. 3. The project will not affect the health, safety or general welfare of the people of the Town, NOW THEREFORE BE IT RESOLVED that Charles E. Tho~p on behalf of William and Patricfa Brennen Be and Hereby is Granted a Waiver of the Wetland Ordinance as aforementioned and all in accordance with the plan submitted with the application dated June 4, 1987. Please be advised that there is a $25.00 fee for the waiver which is now due .and payable. Please return to the building Dept. for a determination on the need of any othe town permits that may be required for this project. Very truly yours, Henry P. Smith, President Board o£ Town Trustees HPS:ip Board of Town Trdstees - Charles E. Thorp on behalf of William & Patricia Brennen Page 2. Commissioner ~enry G. Williams, D.E.C., Albany Stephen Mars,i Army Corps of Engineers Thomas Hart, ICoastal Management Conser ration zA dvisory Council Bldg. Dept.~ Board of Appeals File Examined · ..~..~. Approved ..... ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~i}..."./ .... 19~. ?. Permit No. /.[~..~.~..~ .~v. BOARD OF HEALTH 3 SETS O15' PLANS SURVEY ...q-.q" .... cnEc~ ~..~.'z' 51... SEPTIC FORM ............. NOTIFY CALL - ............... MAIL TO: Bisapproved a/c ..................................... ................................. (Buikling Inspector) APPLICATION FOR BUtLDING PERMIT INSTRUCTIONS Date .. g/g.2~ ........... 19~J~]. a. This application must be completely filled in by typewriter or in ink and submitted 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 buitdh~gs 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. Tile work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Bnilding 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 bare 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 building for necessary inspet}tions. . (Sig~{athre of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ C.,O Fz-D:.o..c.,PL~. ................................... ;. ................................... N amc of owner of premises ... ~ t. / ]{ O,~g-~.. ~.r2¢;~ . .'/?(LJJ7 ~ C~ W..~..~..Z'e'.O.r;/~r'. L3 ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALI, CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No.../,~-..qg... ~..~- ........ Phnnber's License No ......................... Electrician's License No Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ...... / a,5o...LT.,co,-m cto~..._~aTP~.. ,.. ~¢.s. ?...4g/..a:c ,?. ~. ~...4./..'4. ........... : ............. House Num her Street Hamlet County Tax Map No. 1000 Section ....,~.] ............ Block ../..¢~. ............ Lot..,,.h~..*.]. ............ Subdivision ..................................... l:iled Map No ............... Lot ............... (Name) State existing nsc and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy ...... ~(~C.]5~.. ..................... ~ ................................. b. Intended use and occupancy ..... .~14~£'1 . . .t'O.O]97~ ............................................... 3. Nai/ure of~,work (check which a~plicable): New Building ....... Repair .............. Remgval .............. Demolition . 4. Estimated Cost... ~5~..~.~.~ Fee ' ~ Alteration dditi ~' " ......... Other Work .... ; ...... Aon) (to be paid on filing this application) 5. If dwelling, number of dwellingiunits .............. Number of dwelling units on each floor ............... If garage, munber of cars ...................................................................... 6. If business, co mnercial or mixe,d occupancy, specify nature and extent of each type of u'se ................. 7. Dimensions of existing structures, if any: Front .... , ........... Rear .............. Depth. ~ ............ igl He ~t ............... Number of Stories ' ' ~' ' ' ; ...., .....: ........ Dimensions'of same stntcture ~/ith alterations or additions: Front ................. Rear ................. Depth ................... i · · Height ...................... Number of Stories ..................... Dimensions of entire new constp~ction: Front ............. '.. Rear ............... Depth .............. ~eight ............... Number of Stories .......... 27 .............................. ..,. .............. 9. Size of lot: Front ........ "].~, ......... '.. Rear.....'., .~'.~ ............ Depth . .~,,t(5..'.O.O. ........... 10. Date of Purchase .......... i .................. Name of Former Owner ............................ 1 I. Zone or use district in which pr~mises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ........ r~O .................. Will excess fill be removed from premises: Yes Nc , , 14. Name of Owner of premises [J)~.~.~.a-tr.~o, a4. t~'eo,O~:rAddress 0 .. LeAJ~hlt~al~hone No ............... Name of Architect ......... L ................. Address ................... Phone No ............... Nmne of Contractor . ~b-o*'l~.."3'[q~c.t~ .......... Address /5~:. t03.rl..~.r~e-,nlgO~'~. Phone No.. 4.0.).-: I.~...5/.~.... 15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No ..~.. · If yes, Southold Town Trdstees Permit may be required. PLO~F DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all s~t-back dimensions fret property lines. Give street and block, number or descr/ption according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF..' ............... · ' ' s;" .... (~ame of individual signing contract) above nanled. .. ~ being duly sworn, deposes and says that he is the applican IIe is the ' I (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 thi application; tlmt all statements contained in this application are true to the best of his knowledge and belief; and that th, work will be performed in the manfi~r set forth in the application filed therewith. Sworn to before me this // ........ 19 .......... ~..' ~ ....... cNy o!f .... Notary Public ' ~ · County HELEN Ir,, DEiVOE NOTARY PUBLIC, State of New No. 47078711, Suffolk CouetY(70 Term Expire~ March I ...... I~0~ ..... , ~ T sq'lc.: ,%b, ?