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