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HomeMy WebLinkAbout16647-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22156 Date .FEBRUARY 24t 1993 THIS CERTIFIES that the building ADDITION Location of Property 1110 ORCHARD STREET ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20~ 1987 pursuant to which Building Permit No. 16647-Z dated NOVEMBER 23, 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 ADDITION TO Fi{ISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JUDITH NIGRO (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-017465 - JUNE 17~ 1988 AUGUST 25~ 1988 - KING PLUMBING Rev. 1/81 ~din~ Inspector ~0~ NO. ~ TOWN O~ $OUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6 4 7 z Do,e ...~~......~..~ .......... , ,,..~.7 Permission is hereby granted to: ......~.~.~..I ...................................................... at premises located at ...L./. ........... ,(~...'~.-~-~., .~ ....... ~ ............ .'(~. ........................... County Tox Mop No. I000 Section ..... .'.~?..'..'~. ........ Block ......... ..-I .......... Lot No ...... l...k4. ........... ~urs~ont to opp,co,on do,~ .... ~.~....~ ............. , I~.'S..Z. ond oppro,~ b, t~, Building Inspector. Building Inspector 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 inspect6r 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. Cede 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. 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 - $10.00 4.. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .oeatien of . . ................. . . . .... House No. Street Hamlet / rnwer or Owners of . .. ounty Tax Map No 1000, SeCtion .... .~.~. ..... Block....~.! ......... Lot .... ./.~? ............... ubdivision ..... . ..... Filed Map ......... ~,~ ............ ~alth Dept. Approval .......................... Underwriters Approval ......................... Lanning Board Approval ........................ .~quest for: Temporary Certificate .......... : Final Certicate...~. ..... !e Submitted: $..~.~..~ ............... ~, H ~s3~., '--' · ........ . ................ Co e~ ~2~5(, // APPLICANT .o, . TO,tN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date_ ~/~8 Building Permit No. /~ ~ Owner (please print) (~lease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber nature Sworn to before me this 19 ~. Notary Public Notary Public, County HELEN tC DE NOT~.RY PUBLIO, State of ~lew No. 470787g, S~lk Term Expires M&mh 30, 19 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 11, 1993 Judith Nigro 77 Seventh Avenue- APT. 6L New York, N.Y. 10011-6618 Re: Building Permit %16647-Z (Addition) Premises: 1110 Orchard St., Orient, N.Y. Suff. Co. Tax Map %1000-25-4-10 Dear Ms. Nigro: 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 submit the enclosed application along with your check in the amount of $25.00 so that we may issue the Certificate of Occupancy and clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard Principal Building Inspector INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 2, 1992 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Judith Nigro 77 Seventh Avenue Apt. 6L New York, New York 10014 Re: Building Permit 9 16647-Z Premises: 1110 Orchard Street, Orient, surf. Co. Tax Map ~1000- 25-4-10 Dear Ms. Nigro: 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 submit the enclosed application along with your check in the amount of $25.00 so that the Certificate of Occupancy may be issued. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VGL:gar Victor Lessard, Principal Building Inspector TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N~Y. 11971 TO Whom This May Concern, TEL. 765-I 802 We are unable to complete your Certificate of Occupancy because.of the following reasons. /?~ An application for Certificate of Occupancy //is not on file. __/__ No Underwriters Certificate on file. /_~' The check is(outdated/Dot on file.) ~oO /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -~Building Permit # ~ _~ _~ ~_~ 7~ Z Bui~n g rept. / ***/--~/ ~tificate on file. (.all permits i~i_~ng being issued afte~April .1,1984 ) FOUNDATION 2. ROUGH FRAMe& .FLUMBINGZ~ e INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [~FINAL DATE BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~I~suLATION FRAMING [ ] FINAL REMARKS:/',~.,~ ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [/~/ROUGH PLBG. [ ~/OUNDATION 2ND [ ] INSULATION [//] FRAMING ( ] FINAL DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE INSPECTOR ~oo~.'7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL.~CTRICITY JZtN~ ~ 7, ~ 85 JOHN STREET, NEW YORK, ~R~38 N 0] '~ate ~pplica~ion NO. on ~il~ THIS CE~IFIES THAT JUDY ~{'G~()~ 1]].0 O~CH~D ~', 1.1~ ORI~NT~ N.Y. X ~ examln~ on a~ound to ~ in ~mpllance with the ~qui~menls o~ this HXTUIE EXTUIIS I ~L4J~K~S }coc~moeCKSl OVENS iO~,HWASH~Sl EXHAUST FANS~__ SIRVICI W S E R V I C P.O. BOX 284 {,AIIR~,:L, NY, ~1948 ,1C{~1N$£ NO. 2;~42~1 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR BUILDIHG DEPARTMEt4T. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IH ANY MAH~ER, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- 8"; JOHN STREET. NEW YORK, NEW YORK 10038 ~ANU~R¥ 03,1990 6650~88g/~9 N 109062 ~ Application ~o. on file THIS CE~IPlES THAT NRS. ~IG~O, ORCHAR~ STREET, POLE~NYT ~ examln~ ~ and found to be in ~mpllance with the requirements of th~ ~rd. RXTUI~ RXTU~$ ~,ANGE$ OVENS IEXHAUST FANS OTHER AF~ARATUS: P.O. BOX 1768 SOUTHOLD, NY, {i971 T~is cs~if~o~ ~t ~t ~ al~r~ in ~,y monner; return to COPY F~ BUI~ING DEPARTMENT. THIS C~ ~ CERTiFI~TE ~sT ~ BE ALTERED IN ~Y ~ER. FORM NO. 1 TOWN OF SOUTHOLD ~ ~-', '~ "' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-180:3 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. Date .d~.o.~ ..... ./. ~?..., 19~.7 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 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 on premises and in buildings for necessary inspections. (Signature of applid~ant, or name, if a corporat'on) .. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... c .'.'.c. ............................................................................ Name or owner of premises ..... (~ J.,:~.'.~...N.{.~. .................................. · . .I,y.o. .............. ~' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~..0. ~ (..~/.~ .,~... ......... Plumber's License No ..... /..(2.or. %9. ............. Electrician's License No....2 d~ ~-~. .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........... I. I.I.O. ......... . ........ :. ............................. House Number Street Hamlet County Tax Map No. t 000 Section .... O~ rff. ........ Block ....... ~ .......... Lot .... ,/.~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .,o~.,;~,~ff. c"....X~.,./~/2,..~. ~..~,'//, .h~ ......... 'r ................. b. Intended use and occupancy .... x.Ci mc~. d...~x~ .... ~.a?. a///~: / .~ ........... . M~....... Alteration ......... .... Other Work .............. (Description) 10. 11. 12. 13. 14. 3. Nature of work (check which applicable): New Building .......... Addition Repair .............. Removal ......... Demolition ......... ~/d~ OO¢>. l'.oO' Fee Estimated Cost .... ·. .................................................. . j (to be paid on filing this application) 5. If dwelling, number of dwelling u~its ....... ~ ....... Number of dwelling units on each floor ...... . .......... If garage~ number of cars ...... ! .................................................................. 6. If busi: b§~, commercial or mixed 9ccupancy, specify nature and extent of each typ~ of use ............ ' ......... 7. Dimen .~$~of existing structures,I if any: Front... ,,2..~. f. ...... Rear .../~../. ...... Depth...~.~ ./ ........ ~Heighti11!.. ~mb,e~ of Stories ....................... .~ ...................... ; ......... Oilnen .[ liof; IPl t l wt ajterations or additions: Front .....2, .Si.' .......... Rear .... ,~,2 ........... Depth~ ~ .......... l//.lllleight ...................... Number of Stories .... ,,q. ................ . ~ · 2 8.D :meq Front .... /.~'~. ....... Rear...~./~ ........ Depth .. &ri./. ......... Height. ~;.".~f Stories ..... ./ ......... ./ ...................... ~... ? ............. 9. 'Size of lot: Front ..... /~.~....~i .......... Rear ...... ~ ~. ............ Depth .. ,z'. c~O ............... Date of Purchase ............ i ................. Name of Former Owner ......................... - .... Zone or use district in which preraises are situated V.,~,'c~.c ~ ~tr, ¥. Does proposed construction violate any zoning law, ordinance or regulation: ................... Will lot be regraded ........ /~.~? ................ Will excess fill be removed from premises: Yes Nt~ne of Owner of premises ~7~d. rJJ~, . . f~.~. o .... Address . O~.eJ,o~d. x?J,~.Ov.,c~'~ Phone No ..... N~tme of Architect ........... i ' ' ' "--~ ..........Address ................... Phone No ................ Name of Contractor ...~;J~./.;:,g.../Jto. a,/~'~D.... Address ...zOa~o~d~/.ff~ff~.. Phone No... PLOT DIAGRAM Locate clearly and distinctly all 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 NEW YORK, [S.S COUNTY OF ................. ............................................... being duly sworn, deposes and says that he is the applicant (Nam e of in dividual sig~ing contract) above named. He is the (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 manner set forth in the application filed therewith. Sworn to before me this O ............ ........... day of .... ............ 19 ?./. No. 4707878. ,~uffolk Ceulll~o t~ ' ' Term Ex,res Milch ~0.19...-~ ] (Signature of applicant) OCCUPANCY OR USE iS UNLAWFUL OF OCCUPANCY PRo?o,~O /g lO lO / 'T' ~ o N /'~ ES I/g/=- NC E'_ · ./-'-'ouN,O A'T'l o lg I°Z,4 N