HomeMy WebLinkAbout15728-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ZI6650 Date Feb. 17, 1988
THIS CERTIFIES that the building ..... F.o.u..n.d.a.t..i .o.n ................................
Location of Pro crt 240 Lakeview Terrace East Marion
House No. Street Hamlet
County Tax Map No. I000 Section .... 0..3.1 ..... Block ..... 0..9 ........ Lot 0 15
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .M.a.r.c.h...2. ,.. J .9.8.7.. pursuant to which Building Permit No..t.5. 7. .2.8.Z. .............
dated .... .M.a.r.q h...3.,.. ! .9 .8.7 ......... 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 .........
Construct a foundation under an existing one family dwelling.
The certificate is issued to CHRISTIAN B. & DONNA L. SALMINEN
..................... ..................
of the aforesaid building.
Suffolk County Department of Health Approval ............. .N./?. .........................
UNDERWRITERS CERTIFICATE NO ......... .N.8.4. 9. .7.9.5.. ! ./.1.3./. 8..8 .......................
PLUMBERS CERTIFICATION DATED: N/A
...............
ffBuilding Inspector
Rev. 1/81
TOWN OF Sou'rHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FERMIT
(THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK. AUTHORIZED)
N~ 15728
Z
Permission is hereby granted to:
.~...~....9~L....~.....~.~..~...o...~ .......
-?~....~.~..,..."" .~~~ ................ :..........' ~..' ....... : ........
0t pr, mises I~ot,d ot ...~...V:....O......~_~.~J.~..._.'¢~...~.. ,.....~....c~...~.~~ ......
County Tax Map No. 1000 Section ... Block .....................
pursuant to application 'dated ........ .~.~....~,~ .....
Building Inspector.
F.e ,..~.~.:..~..
....... , 19.~..~1 .... and approved by the
Building I n.r4:ecto r
Rev. 6/30/80
~.~3so99 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ BB JOHN STREET, NEW YORK, NEW YORK 10038
a..~ , ~pplwatmn ~o o. fd. 52574d/$7 N
THIS CERTIFIES THAT
m the followmg locatmn, ~ a~ement ~ lst FI ~ 2nd ~ l %ctmn
~s examtn~ on ~ ' c~r 2 ~ . ~ 9~] 7 and found to be la comphance utth the req~ttrextte~ts of this Board
S~RVICE DISCONNECT S E R V I C E
1 2
OTHER APPARATUS
Panel~oardm; 1- 17 (cir) 125ampa
This certd~cote must not be altered in any manner, return to the off~ce of the Board If Incorrect Inspectors may be tdenhfled by their credenhals
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
TOWN OF SOUTtIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, 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.
/Z/ A~ application for Certificate of Occupancy
is not on file.
No Underwriters Certificate on file.
The check is(outdated/not on file.)
/~/ No' Health Dept. Approval on file.
NoI final inspection has been made.
P19ase contact our office on this matter.
Thank y~u for your cooperation,
|
Buildin! Dept.
***/Z/ Plumber solder Certificate on file.
all permits involving plumbing being
issued after April 1,1984 )
upancy or use is unlawful without a
Oct
of Occu ~ancy. Clear up this matter as soon as
so that ,legal actzon does not []ave to be taken.
Th~nk you for your prompt attention,
Cert~flcat~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPAN(
Instructions
BLDG. DEPT.
TOWN OF SOtYIHOLD
A This applmatmn must be filled ~n typewriter OR mk, and submitted m~ to the Building Inspec-
tor with the followmg; for new buddmgs or new use.
1 Fmal survey of property with accurate location of all buddmgs, property lines, streets, and unusual
natural or topographic features.
2.Fmal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3.Approval of electrm~l installation from Board of Fire Underwriters.
4. Commercial buddmgs, Industmal buildings, Multiple Residences and similar buildings and installa-
tions, a certificate 6f Code compliance from the Architect or Engmeer responmble for the bullring
5.Submit Planmng Bo~rd approval of completed rote plan requirements where apphcabie.
B. For existing bu~ drags (prior to Aprd 1957), Non-conforming uses, or buddmgs and "pre-ex~sting"
land uses'
1. Accurate survey of pzoperty showing all property hnes, streets, buddmgs and unusual natural or
topographic feature%
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings.
3. Date of any housm{ code or safety inspectmn of buddings or premises, or other pertinent mforma-
t~on required to prepare a certificate.
Fees Addzczons $25.00 POOLS $25.00 ALTERATION $25.00
1. Certlfmate of occupancy New 1}well_lng $25.00, Accessory ,$i0.00 Bus£ness $50.00
2. Certificate of occupancy on pre-existing dwelhng $ 50.00
3 Copy of certlflcate ~f occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C,.O. $ 20.00
5.Updated C.O. $ 50 00 Date ......................
NewConstructzon. . ~... Old or Pre-existing Buddmg ........ Vacant Land ...........
House No. Street Ham/et
Owner or Owners of Property
CountyTax Map No lOOQSect,on . .(?.,'~, / ..... Block . .C~..~. ......... Lot . ..~/~., .......
Subdw~mon ....... I .......... Filed Map No ........ Lot No .........
....... Date of Perm,t ~- ~.-,~App hcant /.
Health Dept. Approval ............. Labor Dept. Approval ......................
Underwriters Approval /// g' 9/~ ~'~ , .Planning Board Approval
Request for Temporary Cert~ftcate .............. Final Cert~fmate ...................
Fee Submitted $
Constructmn on a eve es~mbed buddmg and. j~rm~t meets all apphcable codes and regulations
Apphcant .~.. '~.~ ....................
Rev 10-10-78
OUNDATIO:; (1st)
OUNDATIO:~ ( 2nd )
OUGH FRAME &
?LUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FILIAL
ADDITIO~AL COMMENTS:
Bulld~nl.] ]n~pe6bo~,?s O~zce
Tc3wn of Southold
Southold~ N.Y.
March 10~ 1987
Thank you ~or the prcmlpt service on my building request ~or the
addition o~ a basemenL to my res~denc~.~ a~ 240 Lakevzew Terrace , East
Mar ~ c3n.
Enclo.~ed plemse ~lne the appllcaLion ~ee o~ $75.00.
Thanl you again for you ~sslstance.
Oi: OCCtJP~NC'f
J I
×
I
Memorandum from ....
BUILDING INSPECTOR'S OFFICE
TOV~N OF SOUTHOLD
TOWN HALL, SOUTHOLD, N Y t1971
765-1802
March 5, 1987
Dear Mr. & Mrs. Satmlnen~
Enclosed you will find your
disapproval for your deck addition
~and all the paper work for the ZBA
and the Trustees that you must file also.
Your Bulldlng Permit for your
.foundation is ready and I will
.forward it to you as soon as we re-
'celve a ch~ck for $75.00 made out
to Southol~ Town.
Thank you.
Very truly yours,
Robin Martin
Clerk
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-1802
Examined ~. cc~oJh...,~ . , 19~¢.7.
Approved '~Y~o¢~-¢~ ~ ,19~>? Perm~tNo
Disapproved a/c
APPLICATION FOR BUILDING PfiRg/llT
Date .
INSTRUCTIONS
a Ttus apphcat~on must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, wilt
sets of plans, accurate plot plan tb scale Fee according to schedule.
b Plot plan showmg location of lot and of buddings on premises, relationship to adjoining premises or pubhc sire
or areas, and glvmg a detmled descnpbon of layout of property must be drawn on the dmgram which is part of tlus ap.,
cation. '
c. The work covered by ttu~ apphcatlon may not be commenced before issuance of Building Permit
d Upon approval of thru apphcatlon, the Building Inspector wall ~ssued a Buddmg Permit to the apphcant Such pert
shall be kept on the premises available for mspect~on throughout the work.
e No budding shall be occupied or used ~n whole or in part for any purpose whatever untd a Certificate of Occupan
shall have been granted by the Bmldmg Inspector
APPLICATION IS HEREBYI MADE to the Budding Department for the issuance of a Building Permit pursuant to t
Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordmances
Regulations, for the constructmft of buddings, additions or alterations, or for removal or demohtlon, as here~n descnb~
The apphcant agrees to comply with all applicable laws, ordinances, bmldmg code, housing code, and regulations, and
admit authorized mspectors on premises and m bufldmg for necessary m~pecbons ,~ ~
(Signature of apphcant, or name, if a corporation)
....... ~raa±:[zng address o[ applicant)
State whether apphcant is owner, lessee, agent, architect, en~neer, general contractor, electricmn, plumber or build.
Name of owner of premises
If apphcant ~s a corporation, slgdature of duly authorized officer
(as on the tax roll or latest deed)
(Name and title of co~porate officer)
Bmlder's License No
Plumber's L~cense No
Electnclan's License No
Other Trade's L~cense No
Location of [and on winch proposed work will be done
House Number Street
County Tax Map No 1000 Secbon Co~/,CD
Block
Hamlet
~ ~/, c-"'~ Lot
Subdw~ston Fded Map No . Lot
(Nmne)
State emst~ng use and occupancy of premises and intended use and occupancy of proposed construction
a Ex~stmguseandoccupanc~ / ~',~l~7/t[/ /-/O/~¢.E~. /
b Intended use and occupancy ~'~'rJ7 ~... ~. 5~- /9t296 ~&~. ...........
3. Nature of work (check which applicable). New Budding ...... Addition ........ Alteration ~ ....
Repair ...... IRemoval ........ Demohtmn .......... Other Work .
, (Descnption,'
4. Estmlated Cost .~gS .O.O,OO Fee
I (to be paid on filing this apphcataon)
5. If dwelling, number of dwelling units ..... I ....... Number of dwelling units on each floor.../. ....
If garage, number of cars .... ./ ............
6 If business, commercial or'm~xed occupancy, specify nature and extent of each tyfie of use ........ , ...
7. DanenmonsofexistlngstrUctures, ifany Front.. ~ ..... Rear ~-2~¢ ....... Depth . .~./. .....
Height It4~ Number of Stones
Dimensions of same structure with alterations or addltmns. Front ~<~?.e'T ......... Rear . .~'../-7 .~P .~-7 ......
Depth . .ff~.¢.O-. ....... Hetght $~.. ~ ~.. ............... Number of Stones .. [ ...............
8. Dimensions of entzre new construction Front .../--~ ...... Rear .. [~.( ....... Depth ../,7./ ..
Height .7 .4 . ~../~ .~JU. Number of Stones . / ......................................
9. Slzeoflot Front . q~. ......... Rear ...~.Q .............. Depth .... ./7 ............
10. Date of Purchase . .//./~¥/g~ ............ NameofFonnerOwner<?.d.g'./.~..ff...W.q...EfTL~.../~.q~..E~..
I I Zone or use district in whl6h premises are situated . ~t ).~.7?]4.~ ...........................
12 Does proposed construction violate any zoning law, ordinance or regulatmn' . .A/O. ....................
13. Will lot be regraded .... .A/.O ............ Will excess fill be removed from premises.
14 Name of Owner of premises dt/~.457/Zt~..~m././q .t~... Address qO !.~~.~. Phone No.o~.
Name of Architect ./~..~.. ............... Address ................. Phone No ........
Name of Contractor ..................... Address ............. P, hgne No .........
15. Is this property located withint00 feet of a tidal ~etland? * Yes.~-~.' No .....
· If yes, Southold Tow~ Trustees Permit may be required.
PLOT D~AGRA~
Locate clearly and distinctly all buildings, whe~er exmtmg or proposed, and, indicate all set-back dunenslons fr,
property hnes. Give street and block number or descnptton according to deed, and show street names and mdmate whetl
mtenor or! corner lot
w/fy
STATE OF NEW YORK, -- ~ ~
couNTY z3C..he'$¢O
. .C.hf 1.~ .~.lO-h.. ~....~ ~.~ ~ t.~C~., being duly sworn, deposes ~d says that he ts the apphca
(Name of ~nd~wdual,s~ng contract)
above named.
(Contractor, agent, co, orate officer, etc.)
of smd owner or owne~, ~d m, duly au~onzed to perform or have perfo~ed the said work ~d to m~e and file fl
apphcat~on, that fll statements contmed ~ th~s apphcabon are tree to the best of h~s ~mwledge and behef; and that t
work will be perfo~ed ~n the m~ner set forth m the apphcatmn filed therewith.
Sworn to before me th~s
. . .~.~. ~dayor.~.~.~t7 .. ,19~
/ NOta~ public, q ~%~ New Yor~ ...................' ....................
Quahfied Iff Westchester Cou~ (S~ature of app~cm