HomeMy WebLinkAbout16331-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18866 Date MARCH 12, 1990
THIS CERTIFIES that the buildin~
Location of Property 970 HIGHLAND ROAD House No.
County Tax Map No. 1000 Section 102 Block 08
Subdivision HIGHLAND RD. ESTS. Filed Map No. 6537
ADDITION
CUTCHOGUE, NEW YORK
Street Hamlet
Lot 033
Lot No. 36
conforms substantially to the Application for Buildin9 Permit heretofore
filed in this office dated AUGUST 7, 1987 pursuant to which
Building Permit No. i6331-Z dated AUGUST 13~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ROBERT E, JR. & JEANETTE F. SAYRE
Rev. 1/81
Building Inspector
FOBM NO. ~B
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHOI~IZEO)
Permission is hereby granted to:
.~.~...X .......... ]. .....................................................
...m~..~~.~...~.,..~......u..~.~.~.-.. ..... ,~
..~~.~.....~....~.~.o......~... - . ....~. '
County Tax Map No. 1000 Section ..... ~l....O......~-.. ...... Block ..... .1~....~ ......... Lot No.....~.~ ............
to application dated .... ~~'~,,,.,,,~. ............... , 19..~...-J.., and approved by the
pursuant
Building Inspector.
Fee $....~.~....:...~...
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPART,~IENT
TOI4N HALL
SOUTHOLD, NEt,/ YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCcuP~
~ ~ 10b~ DATE..
NEW CO:~$TKUCTION .~.
'- ..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
~ca~iou o~ P~o~r~ ....... ~ ~-t~ .~.~ . ..... ¢ .~...
HOUSE NO. STREET HAMLET .....
co~ ~ ~ ~o. ~o00 s~o~ .?~;?,. ~o~ ..0~... ~o~' ./14~ ....
~-~;~o~. ' .... ~ ~ -~-~7..~o~..~.4 .....
Health Dept. Approval
.................. Underwriters Approval ..............
Planning Board Approval ..
Reqae=~ for Temporary Certificate ....... Final
Certificate
'er.
~_v.
Temporary Certifi
:ate of Occupancy - $~5.00 Residential
$50.0~ Commercial
FORM NO. 6
TOWN OF MOUTIIOLD
BUILDING DEPARTmeNT
TOWN I1ALL
765 - 1802
~]~llll~Io~ FO~ CE~TIFICAT~ OF OCC~A~C~ I~S~RUCTIo~s
'This application must be filed in typewriter' OR ink and submitted to the Building
Inspector wltb the ~ol.;lowisg; for mew buildings or new use:
I. Final survey' of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features. .
2. Final approval of H~alth Dept. of water supply and sewerage-disposal(S_9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement fro~ plmnber certifying that solder used in system contains less
than 2/10 of IZ lead.
fo. .yeial buildi.g , iadustrlal buildings ·
° .... '"~ns, a Certificate - - ·
or Engineer responsible for the building, o~ co~e compliance from the Architect
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings i(Prior to April 9, ]9570 non-conforming uses, or buildings
and "Pre-existing" lan~ uses:
I- Accurate survey of plroperty sbowing all property lines, streets, buildings and
unUSUal natural or tlopographic features.
2. A ~rnperly cnmpletedi application, a eOnseat to inspect signed by the appllcang
and a certified abstract of title issued by a title company which shall
show single and separate Ownership of the entire lot prior to April 9, 1957.
· If a Certificate of Qccnpancy ls denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing 6ode ur safety inSpe~tlon of buildings or premises, or other
pertinent informatio9 required to prepare a certificate.
For Vacant Land CertifiCate of
i Occupancy:
[. An appl~catio~ for v~cant laud Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title Company showing single and
Separate ownership of the entire lot prior to April 9, ]957 shall also accompany
the application, ifI
!a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
I. CERTIFICATE OF OCCUPANCy - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dweilling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to AccesSory buildings, $25.00 - Businesses $50.00.
~- ~crtiflcate ~f. Oc~upancy on pre-existing dwelling
3. uopy of Certlflcatc of Occupancy - $5.00 - $]00.00.
4. Vacant Land Cnrti' ica - Over 5 years -
f te of Occupancy - $20.00
5. Updated Certified :e of Occupancy
6. -- $50.00
TOWN OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 723
TOWN HALL
SOUTHOLD, N.Y. 11971
FINAL NOTICE
FIRST NOTICE SENT 8/16/89
February 14, 1990
Robert Sayer, Jr.
BOX 407
Cutchogue, N.Y. 11935
To Whom This May Concern,
TEL. 765-1802
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
~_~/ An application for Certificate of Occupancy
is not on file. E.close4
/5/ -No Underwriters Certificate on file.
The check is(~a~not on file.) $25.00
/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 tl I 6 3 3 I Z decl/ addition
Building Dept.
***/--_/ No Plumber Solder Certificate on file..
( all permits involving plumbing being
issued after April 1,1984 )
PERMIT HAS EXPIRED YOU ARE NOW IN VIOLATION OF THE CODE OF
THE TOWN OF SOUTHOLD.
UNDATION (1st)
UNDATION ( 2n~ )
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
- ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ .] FOUNDATION 2ND
[ ] FRAMING
ROUGH PLBG.
INSULATION
[~FINAL
REMARKS:
DATE
INSPECTOR,, ~
'FORM NO. 1
TOWN OF sOuTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ~t~..~.. I .~., 19
Approved ~.~..I.~., 19~..~. Permit No. I..~..~..~..~..~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
FORM ·
BOARD OF HEALTH
3 SETS OF PLANS
soRvmY ......
CHECK - -
SEPTIC
NOTIFY
CALL ....
MAIL TO:
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 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 Yor. k,~and ~.ther applicable .Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition; as h~erein described.
The applicant agrees to comply with all applicable laws, ordinances, building cod~,.housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary insl~clfions. . i~)~Z~°' '~f~-* '~)r~
...................
(Signature of applica~fft, o~ame, if a corporation)
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 officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work wilI be done~ .................................................
. . ?. ................... 5. . . ............ ew. .. .............
House Number Street Hamlet
CounW Tax Map No. 1000 Section/.~:z~ .' .-.~). --'~f~ Block .... ~.. ........... Lot . . . .~ . .~.-~ .....
Subdivision,Z/,/.z,,t~,,z/~,z~//~..~--~2~.'~ ........ Filed Map No.. ~.~.,,~ 2 ..... Lot .... ~..~. .......
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... ~.. ~ ...............................
b. Intended use and occupancy ............. ~ ~ · · ~ ~ ........
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteratio. n ..........
Repair ........ Removal ............ Dcm ition ...... Other Work.. ~Z~..~ ....
4. Estimated Cost .................................
5. If dwelling, number of dwelling units ...............
(Descrip~tion)
pplication)
oor ................
If garage, number of cars ....... I .................. , .... , .............
6. If business, commercial or mixed Occupancy, specify natur~ ar ' "" ~ ' '
7. Dimensions of existing structures, if any: Front ... ~!~, .~,~.~ -~ . ..... · ~!
Heig ~t .... ............ Number of Stories .., . . . ..... ......... --w.v.~ ~ .t,,~l~ · ~_~ '~1'~ ~ ~!' ' '
D~mensmns of same structure w~th alteratmns or additions: Front ................. Rear ..................
Depth ...................... [Height ...................... Number of Stories ............ ~, .........
8. Dimensions of entire new construction: Front . ~f./..' ..... Rear . ~.c~.r ......... Depth . ./,~. ..........
Height ........ /~umbdr of Stories ........................................
9. Size of lot: Front ./..~.ffQ.... ........ : Re/~/ ."J~.~.'~,~..~.: ......... Depth ,~-~.., .~..et~.'~. ...........
10. Date of Purchase .~'.(-/.~-.~.. ,~9t ./.?d:~{ ............. Name of Former Owner ,¢'/4//Z~'D..
I 1. Zone or use district in which prem,ses are situated .....................................................
12. Does proposed construction violat6 any zoning law, ordinance or regulation: .,A/iD ........................
13. Will lot be regraded . .,~;O ...... i ................. Will excess fill be removed fromvr.~nises: Yes
14. Name of Owner of premises ~.~T~. ~-,-~t~,, ~.. Address/~.,~,'f~z/) ~b, (~OTZ'dT/~'o~ne No...9. .~.~.??/~Q..'"~'.
Name of Architect.' Address Phone No
Name of Contractor ........... i ............... Address .... : ..............-"(~ Phond~Lo.. ...............
15. Is this property located wiithin 300 feet of a tidal wetland? *Yes ......
· If yes, Southold Town Trust'ees Permit maybe required.
I PLOT DIAGP, AM
Locate clearly and distinctly all bfiildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nu~nber or descripti.on accord~g to deed, and show street names and indicate whether
interior or corner lot. i///("~ ~///?I '(?/P ~
NOTIF~ [~tLDING-~EPARTI~JBi~' ' AT
FOuNDA ~t/.)~ TWO
4 ~tNA~ [;(}~$'TRLJC~ON' MUST
~1~tt~ f~,~ CO~ST~I"~O~,t ERRORS,
STATE OF NEW YORK,
OOUNTY O~'1 S.~
....... ................. being
(Name of indivg~at-~nin~ contract)
above named.
duly sworn, deposes and says that he is the applicant
He is the :
~ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this
~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
,york will be performed in the manner s~t forth in the application filed therewith.
~worn to before me this
.............. ~... ....... day of..i..,~(~ ............ 19 .~.7
qotary Public, . , i ........ County
.
~tm ~(, oE vo~ .......................
NOTI~RY PUBLIC, 8tare o~ New Y~k ~//(Signature of applicant)
Ne. 4707878, Suffolk
Term £x~ti'es