HomeMy WebLinkAbout16356-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22368
Date MAY 28~ 1993
THIS CERTIFIES that the building.
Location of Property 725 PECONIC LANE
House No.
County Tax Map No. 1000 Section 75
ACCESSORY
Street
Block 5
PECONIC, N.Y.
Hamlet
Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 13, 1987 pursuant to which
Building Permit No. 16356-Z dated AUGUST 21, 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 ACCESSORY STORAGE SHED AS APPLIED FOR.
The certificate is issued to STELLA SAKOWICZ (owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
/ ~---B'uildin~ Inspector
Rev. 1/81
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
No
BUILDING PERMIT
(THIS PER, iT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
.... ~ ~l l~.~.~
16356 z Dot. ~ ............... , .
Permission is hereby granted to:
.... ..........
o, premises Iocoted ot ...~..a.~.......~....~x..~....~:i.,...+...~g,~,..~,..~{ ........................
County Tox Mop No. I000 Sectl°}3"~X'"'~'""'JT"~"{ .I ..... Bilk ......... .~,~. .... ,awL°t No ........~...~ ........
pursuont to opplicotion doted .... ~../,~Ol.~.......]..wO~ ............ lO..~...I., ond opproved by the
/
Building Inspector.
!
Fee $....~..'..~..~..
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
kPPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be 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.
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 Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site pl-an requirements.
'6.
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, buildimg 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 t9 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
New Construction ..... Date ./J~~..~.~.?...~. .......
House/~~N°' ~ -- ~treet Hamlet
Onwer or Owners of Property.~ ............. .
Subdivision .................................... Filed Map ............ Lot ......................
~ermit No ~.% ~ Date Of Permit
................... Applicant ........................... . .
{ealth Dept. Approval .......................... Underwriters Approval .........................
'lanning Board Approval .......... ~ .............
~eques t for:
ee Submitted: $ ..... ~ .~..~. .....
Temporary Certificate ..... Final Certicate
~d~PL I CA/~T
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
OFFICE OF BUILDING INSPECTOR
TOW"N OF SOUTHOLD
April 27, ~993
SCOTT L HARRIS, Sup~rvis0~
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Stella Sakowicz
725 Peconic Lane
Pecenic, N.Y. 11958
Re: Building Permit ~16356-Z - (Accessory Shed)
Premises: 725 Peconic Lane, Peconic, N.Y.
Suffo Co. Tax Map ~1000- 75-5-3
Dear Mrs. Sakowicz:
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. A final inspection has been made and all
that is required is that you fill out the enclosed application
for the Certificate of Occupancy and submit it along with your
check in the amount of $25.00 so that the CO may be 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.
If you have any questions, please do not hesitate to
contact this office.
Thank you for your cooperation in this matter.
Very truly yours,
$OUTHOLD TOWN BUILDING DEPT.
VL:gar
Victor Lessard
Principal Building Inspector
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieezorek
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
JilLY 30, 1992
STELLA SAKO}Ft CZ
725 PBCONIC LANE
PI~CONIg, Iti 11958
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~u~ An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
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 plurabing being
issued after April 1, 1984).
BUILDING PERMIT # 16356-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION
1.
FOUNDATION (1st)
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
FINAL
ADDITIONAL COMMENTS:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
ed.~ ' TEL.: 765-1802 CALL
MAIL
Bxamin ]4~.~...~. J., 199
Approve~A~..~...~./., 19~. ?. Permit No. }..~. ~ .~'7. ~..~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY
C.ECK
SEPTIC FORM ·
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 corn
d. Upon approval of this application, the Building
shall be kept on the premises available for inspectior~
e. No building shall be occupied or used ir
shall have ~been granted 'by the Building Inspe~
APPLICATION IS HEREBY MADE~I~]~j ~ui~
Building Zone Ordinanc~ of the Town o~o~
R~gulations, for th~ construction of buHd~i
The applicant agrees to comply with all app~ ~ ~o
admit authorized ~sp~cto~ on premises and ~
re issuance of Building Permit·
~l~a~Jg Permit ,to the applicant. Such pcfr~..it
~se~Thatever until a Certificate of Occupancy
~u~m ~ ~,,~issuance of a Building Permit pursuant to the
k'l)~York, and other applicable Laws, Ordinances or
~a~ary '6r for removal or demolition, as herein described.
building code, housing code, and regulations, and to.
inspections.
(Signature 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·
........... 5¢.~... ~.~... p..v~. ~.~..C .................................................................
N~e of owner of premises .... ~.'~ S ~l ~ ............ (;; ;;' ;~e' iak' [;,i ;} i;t~;S)'~' ;j;' ;' '~
If applicant is a corporation, signature of duly authorized officer· ~:2~, ~y~ ~ ~.L,
(Name and title of corporate officer)
Builder's License No ...... ~..' .:.: .............
Plumber's License No ...... ~ ..............
Electrician's License No .... ..~..: ..............
Other Trade s License No ................ T}~ ~tilIU~REME~ ~OT.. rl,~.: kq.¥
7"'"
.......... ?3.s...'. ....... ........... ........ , ......... ' ....
House Number Street Hamlet /
County Tax Map No. 1000 Section ........ ~.[..'~. ......Block .... .~.. ........... Lot....~.. .............
Subdivision ..................................... Filed Map No. ~ 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 ..... s' ....Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cos . . O. q3.(.o, c,3 ..................... Fee~ ........ ?5,.QP ......
i [To b~ paid on filing this application)
5. If dwelling, number of dwelling!units ...... I ......... Number of dwelling units on each floor ..... .
Ifg numb of .... .. ¥ ~ ~
arage, er cars ~,O. . .s,~.~ ¢ ................................ ,.,.. ,.. · ..............
6 II;,busin ial or mixed o specify nature a d extent of ea h type of i~se ' ' ·
· ess, commerc ccupancy, n c ...................
7. Dimensions of existing structures, if any: Front.. 0.o.?..~'. . ..... .. Rear ...o, .~ 9..*- ...... Depth. I~.o.,~ .% .......
Height ~o~, Number of Stories .6cqvyb_'" "~ ' '
D/mensions'of same structure With alterations or additions: Front ...'2.~..~..qx. ........ Rear...~...77¥ .........
Depth ...... o o.,v~, .......... Height ....~.2)..,,v~%. t ............ Number of Stories ..... ~'q .~.? ....t .....
Dimensions ~.entire new const 'uction: Front · · · I.°.~ ...... l~ear . . ./.o...~ ....... Depth '"/'5 .......
Height ... o ........... Nm: Iber of Stories ...... , .......................................
9. Size of lot: Front .................. :,.~, .Rear .' ..... '..'~ ..... '..; ....... Depth ......................
10. Date of Purchase ............................ Nan~e of Former Owner .............................
1 1. Zone or use district in which pr ' I°~
;mises are situated .................................................. :..
12. Does proposed construction rio ate any zoning law, ordinance or regulation: ... ~ ......................
13. Will lot be regraded .. ~.
· · ~ .... ~ ............... Will excj~ss fill be removed from premises: Yes (~
1 4, Name of Owner of premises , ,~.lJ .~., ,~.~o.w, ~, ¢ ;~. ,, Address . [°~c,q~.¢, h~'g-, .... Phone No...?6 ,~..2,..5. 2.,~..
Name of Architect ....~. O.._~,~. ....... ~../.... Address ... h~.~.% .......... Phone No....~)ff..~.
Name°fContractor- 5 .?< ;ess .... : ............
' ~irf yea, Sour:hold Town Trustees Perra±~: ma7 be requ±red. PLOT DIAGRAM
Locate :clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blockl number or descriPtion according to deed, and show street names and indicate whether
i~terior or Corner lot.
STATE OF NEW YORK, I S.S
COUNTY OF ................. :
............................ 4 .................... being duly sworn, deposes and says that he is the applicant
(Name of individual sig(ing contract)
above named,
He is the .....................
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is du!y authorized to perform or have performed the said Work and to m~ke tihd file this
application; that all statements contained in this application ar~ 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 oi ....... ,
19
........... i. .:'~ ............ County
~. 4707878, Suft0 ~0 my aa e applicantj
Term Expires M~fch $0,19