HomeMy WebLinkAbout15944-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18839
Date ~BRUARY 22, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 1655 OLD ORCHARD LANE EAST MARION~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 037 Block 03 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 1987 pursuant to which
Building Permit No. 15944-Z dated APRIL 28r 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 FOUNDATION UNDER EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certlfzcate is issued to LOIS J. THORP
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF3%LTE ~_PPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
/ ~ldl~g InSpector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15944
Z
Perrn~ss~on ~s hereby granted to:
...~.~....~:.~ ........................................
.....
County Tax Map No 1000 Section ....... .~,.;~a,,'J ...... Block ..... ,.(~,.,~ ...... Lot No...~,.~ ...............
pursuant to oppl,cation dc~ted .... ~....../'...'~. .................. , 19.~..~.., and approved by the
Budding Inspector.
Building Inspector
Rev 6/30/80
FEB 2 o gBO
soUTHOL ---...J
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
I1971
~E~ CONSTRUCTION
Location
APPLiCATiON FOR C~TZSICATZ oF OCC~PANC~
....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
HOUSE NO. STREET HAMLET
Property ...............................
1000 Section ......~ Block
Subdivision ....................... Filed Map
Heal~h Dept. Approval .................. Underwriters Approval ..............
PI~uning Board Approval ................
Request for Temporary Certificate ....... Final
Fee Submitted: $ .................
Certificate ................
APPLICANT..
rev.
FORM NO. 6
TOWN OF SOUT~OLD
BUILDING DEPARTMENT
TOWN ~ALL
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewriter OR ink and submitted to the Building
Iaspector with the following; for new buildin§s or new use:
]. Final survey of property with accurate location of all buildings, p~operty lines,
streets, and unusual natural or topographic features.
2. Final approval of 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 solder used in system contains less
than 2/10 of lZ lead.
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957] mom-conforming uses, or buildings
and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor iu writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent infor~u~tion required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
]. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, ]957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor iu ~riting to the applicant.
D. FEES:
I.
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $]00.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$]5.00 Residential
Commercial
er. I0/14/88
TOWN OF SOUTtIOLD
OFFICE OF BUILDING INSPECTOR
P.O BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
THIRD & FINAL NOTICE.
2/8/90
TEL. 765-1802
MRS. FRANK THORPE
1655 OLD ORCHARD LANE
EAST MARION, N.Y. 11939
To Whom This Nay Concern,
RE: B.P.I5944Z FOUNDATION
We are unable to complete your Certificate
of Occupancy because of the following reasons.
~/ An application for Certificate of Occupancy
is not on file. ENCLOSED
/5/ -No Underwriters Certificate on file.
~ The check is(outdated/not on file.) $25.00
/~/ No Health Dept. Approval on file.
/5/ No final inspection has beeu made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~I ! 5 9 4 4 Z
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
~ ~oo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ?~;~:'
BUREAU OF ELECTRICITY
STREET, NEW YORK, N H~, ]0~)38
Date ~lpplication No. on file
THIS CERTIFIES THAT
o~dy the e~t~ ~u~nt ~ ~H~ ~ a~ i~t~ by t~ ~i~t ~ on t~ a~ ~pl~t~ numar in t~ p~m~s of
~ examin~ on and found to be in cortlpliunce with the requlremenls of th~ B~rd.
"~U~ ~TA~..I ~,. ~ "XTU~ ~NOES C~KING ~KS OVENS ~SH WASHERS EXHAUST FANS
COPY FOR BUILD#4G DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN AHY MAHHEI~. ~
TOWN OF SOUTHOLD
O[.I I('l. ()1 BUILDING INSPECFOR
I' O. BOX 728
'l OWN IIALL
!¢.)U I II{}1 I), N.Y. 11971
December l, 1987
Mr. Charles Thorp
P.O. Box 5
East Marion, New York
11939
RE: Mrs.
TEL. 765-1807
2nd NOTICE
Frank S. Thorp
/X
/X
Certificate of Occupancy
(ENCLOSED)
~KtK~/not Olx file.)
ADproval on fxle.
$25.00
Thank
~'tJ ]filrl'[ P(:ryfl[t
'**/ / tI,~ Ptumb,.'r Lo]flor Certificate on fxle.
( ,~]1 potm~t~ ~nvolving plumbing being
iscuod ,~f~r,r Ar)ril 1,1984 )
~ ()~c~q~,m~ y or t]~ 1% unlawful w~thout a Gertlftcage of Occupancy.
(;O,lr lip ;hi% {ll,ltt~,r aq qoOl] a~ pos~lble so that legal action doe~ not
fh,l.~ you.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To ~om This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/_~ An application for Certificate of Occupancy
is not on fzle.
/~ No Underwriters Certificate on file.
/_~ The check zs(outdated/~o~, on. fil~.)~
/Z/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # ~- ! ~ ~ ~--~ Z
Building Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a Certlfzcate
of Occupancy. Clear up this matter as soon as possible
so that legal actzon does not have to be taken.
Thank you for your prompt attention.
OUNDATIO.U
DUNDATION
OUGH FRAME &
?LUMBING
NSULATION FERN. Y.
STATE ENERGY
CODE
FINAL
(2nd)
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
· INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS:
BLDG Dt~FT
'TOWN OF SOUTHOL~
Examined
Approved .(~
Dmapproved a/c
BOARD oF HEALTH
3 SETS OF PLANS
FORMNO 1 SURVEY
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL
o //74 TO,
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ....... 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submztted to the Bmldmg Inspector, wzth 3
~ets of plans, accurate plot plan to scale Fee according to schedule.
b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjomzng premises or pubhc streets
or areas, and giving a detmled descnphon of layout of property must be drawn on the dmgram which is part of this apph-
cahon.
c. The work covered by this apphcat~on may not be commenced before issuance of Building Permit
d. Upon approval of th~s apphcatmn, the Building Inspector wdl issued a Building Permit to the applicant Such permit
shall be kept on the premlses available for inspection throughout the work.
e. No bmldmg shall be occupied or used ~n whole or m part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldmg Permit pursuant to the
Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or
Regulations, for the construction of bmldmgs, addihous or ah~atlons, or for removal or demohtion, as herein described
The applicant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, ff a clS~orat~on)
(Marling address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlder
Sameofownerofpremises .'~'~M~:..'~..~1..~. --~',' .. ~'-,/'~.2,~. ~:>...,,~...~. ......
If appbcant ,q a corpc~rahoq, signature of duly ~,,thonzed office~
(Name and title of corporate officer)
Builder's License No
Plumber's License No
Electrician's License No
Other Trade's License No ..........
I. Location of land on which proposed work wall be done
House Number Street
County Tax Map No 1000 Section - - -'~--7 ..... Block
2
Hamlet
.-..~ ....... Lot . . ./..¢. ..........
Subdivision Filed Map No .... Lot ..
(Na~ne) '
State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy . ~ . ~ ~ ...
b. Intended use and occupancy : ~ ....