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HomeMy WebLinkAbout16703-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspecto~ Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26660 Date: 09/03/99 THIS CERTIFIES that the building ADDITION Lo~ation of Property: 1655 OLD FARM ROAD ORIENT {HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 26 Block 4 Lot 1 subdivision Filed Map No. Lot NO. __- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 1987 pursuant to which Building Permit No. 16703-Z dated DECEMBER 30, 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 WOOD SHED TRELLIS ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH THOMPSON & ANO. {OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y, BUILDBNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NM 167©9 z Coun~ Tax Mop No. ,000 Section ....O..~..~ ....... B,ock ..... ..O...~ ......... Lot No....~...~ .............. pursuant to application doted~..~.....**.~...~* ............ , 193..'~.., and approved by the Building Inspector. Fee $...~..'...:~ Building Inspector Rev. 6/30/80 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOVV2Ni OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 August 31, 1999 Elizabeth Thompson 270 Lafayette Street, Suite New York, New York 10012 1303 RE: 1655 Old Farm Rd., Orient. Trellis permit. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 16703-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 FOR CERTIFICATE OF OCCUPANCY .e 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. Sworn statement from plumbar certifying that the solder used in system contains less than 2/i0 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code 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 Vpre-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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · .. New Construction ........ Old Or Pre-existing Building...~. ....... Location of Property ~ ~.~. ~-~. ~-~ ~.~ · · House No. Street Hamlet Onwer or Owners of Property.,B~N~g..~.~.~..~.~..~.~.~ .................. County Tax Map No 1000, Section....~. ........ Block .... .~. .......... Lot...[ .................. Subdivision....~.O~.....~...~ ........... Filed Map ............ Lot ....................... Permit No.[.~.~..~.~ .... Date Of Permit ................ Applicant..~..~...~e~$ Health Dept. Approval ....................... ... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate .......... Final Certicate ........ · ~Submitted: $' ' ' '~'~ ~O ....................... ..~~~ {Lo ................... FOUNDATZON (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDIT COMMENTS: INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 June 24, 1991 Elizabeth Thompson Box 289 Orient, N.Y. 11957 I'm writing to you regarding an inspection made on 6/21/91 of wood shed trellis addition, constructed under permit ~16703Z (which has expired). The framing is starting to separate. Provide some type of fastners, ties and plates for rafters, joists and post. Call for re-inspection. Thank you. TF:hkd Yours truly, ~ Thomas ~'ishe~ Building Inspector INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS,Supervisot Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 March 25, 1991 Elizabeth Thompson Box 289 Orient, N.Y. 11957 RE: B.P. 16703Z Wood shed trellis addition 1655 Old Farm Road, Orient, N.Y. Dear MS. Thompson: I am writing to you regarding the above Building Permit which was taken out Dec. 30, 1987. The permit has now expired and you have never called for a final inspection. Please call our office to set up a final inspection and after the inspection please file for a Certificate of Occupancy. Thank you for your prompt attention to this. Yours truly, Principal Inspector VGL:hkd 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ [ ] FOUNDATION2ND [ ] INSU~T_.~~ [ ] FRAMING ~INAL [ ] FIREPLACE & ~HIMNEY~ REMARK~ INSPECTOI 'tOWN OF SOUTHOLD *pproved"~d~..~..~O., 19 ~.~. Permit No. ! .~.~.O..~. ~ BOARD OF HEALTH ...... $ SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BU~LDINODEPARTMENT SEPTIC FORM ............. TOWN HALL SOUTHOLD, N.Y. 11971 CALL ................ TEL,: 765-1803 MAlL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PER~,/HT INSTRUCTIONS 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 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 c, ode, and regulations, and to admit anthorized inspecto'rs on premises and in building fo r necessary ins~/~ga/j¢/~/ (Si=nature 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. ..... ' Name of owner of premises . .~.-..'T~... ?..-.~... .~. :C:. ~'/~. 1~-~. ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co¢orate 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 ...................... 1. Location of land on which proposed work will be done .................................................. ............................ ¢ a.~. ~ .~. /(~x . .~.~. ~ .............. ......... ~ ............. House Number Street Hamlet County Tax Map No. 1000 Section .... ~'.~. ......... Block ..... .~ ........... Lot... ] ............... Subdivision. B/~.~. ~l~...~..l~)q ............... Filed Map No.. ~?..4.~. ....... Lot ............... (Name) 2. State existing use and occupancy of premises and intended nse and occupancy of proposed construction: a. Existing use and occupancy, . . . ,~'~.~ .ff..-. r~ .~..~...~...C.I.t..% .......................................... b. Intended use and occupancy .............................. · .'cPV~.....~ ...................... 3. Natureofwork(checkwhichapp[icable):NewBuilding ' Addition..~f~-..,,.... Alteration ..... i .,.. Repair .............. Removhl, .............. Demolition ........ ...... Other Work . t i , 4. /Estimated Cos ...................................... F~e ...................................... ~ ~ (to be paid on filing this application) : 5. If dwelling, number of dwelling u~its ............... Number of dwelling units on each floor ............. ' i.. If garage, hum bet of cars ...... , .................................................................. 6. If business, commercial or mixed 6ccupancy, specify nature and extent of eac~h,[ype of use .: .......... ......... 7. Dimensions of existing structures,!if any: Front... ~..(o. ! ....... Rear .. ~. ! ...... Depth .~o. ! .......... Height . .~5. .......... Numb~er of Stones ...~. ............... '-' t ............................ Dimensions of same structure with alterations or additions: Front .. ~ ........... Rear . ~[~.t ............. t Depth ...5.~o ............... 1. Height ...................... Number of Stories ...................... '-- 8.Dimensions of entire new construction: Front ...~L~ ! ........ Rear ....~: .......... Depth ...&/ .......... Height lc? .r Number of Stories 9. Size of lot: Front . .' .~.. ...... ......... ,. Rear ..... ~..~::? ............. Depth . .~..e,q~. ................ 10. Date of Purchase .l'.~.~ ...... i ................. Name of Former Owner . T~T~[~...'lgt,4f144K., ........... 11. Zone or use district in which premises are situated.. 17-~1~..t//~t?4COc-am) ~ ........................,,, 12. Does proposed construction violaie any zoning law, ordinance or regulation: .}xl.O ................ 13. Will lot be regraded .. ~Qo ..... i .....~ ............ Will excess fill be removed from premises: Yes (~) 14. Name of Owner of premises .~M~Z.,..~..F..¢.c?'~O.. Address . .~.~--.'~ i0¢4~1'4T. Phone No. ~J(-:~.~$8.-/~... Name of Architect ......... .................. Address ................... Phone No ................ Name of Contractor .......... Lt.' ........... ~... Address .... : .............. '-- ~----~' Phone Na.~.: ............ 15. Is this property located w~thin 300 feet of a tidal wetland? *Yes .. . *If yes, Southold Town Truslees Permit may_ be required. PLOT DIAGRA~ Locate clearly and distinctly all l?uildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~.S COU b,rl'Y OF ................. , .............................. i ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.......,....... · ...... .! .................................................................. i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contaiBed 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 · ....................... day of.~........... .... ... .. , NO'I*t~RY PIJE][ I(~, State of New York ,. No. 47078711, Suffolk ~orm Expires Uarch 30, 19_**.~/* ...i OCCU?ANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE )F OCO I/ - C) ,.¢..Z Sl' ¢.1,6v/¢10~-.t 1'[~ 14.1G ¢ OCCUPANCY OR USE IS UN~WFUL ~ITHOUT CERTIFICAT GE OCCUPANCY II ! .............. =__