Loading...
HomeMy WebLinkAbout15852-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17727 Date JANUARY 31, 1989 THIS CERTIFIES that the building ADDITION Location of Property 8151 HARBORVIEW AVE. MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 099 Block 3 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1, 1987 pursuant to which Building Permit No. 15852-Z dated APRIL 3~ 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 SECOND STORY ADDITION AS APPLIED FOR The certificate is issued to CANDANCE COP~LETT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N830901-SEPT. 8, 1987 SEPT. 8, 1988-~ALTER CORLETT Building Inspector FOR.~ NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'rlON OF THE WORK AUTHORIZED) N9 15852 Z pursuant to application dated ......... /. .................. , 19..~..~and approved by the Building Inspector. Fee ...... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 3'his application mu~ be filled in Wpewriter OR ink, and submitted ~ ~.=..=a~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-, tions, a certificate of Code compliance from the Arch tect or Eng neer responsible for the building. 5.Submit ~lanning Board approval of completed s te plan requ rements where a cab e For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses:' 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion [equired to prepare a certificate. C. Fees: ''' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling,$25.00, Accessory.;$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.0p 4.Vacant Land C.O. $20.00 '~'/'/'~'/'~'"~"' 5.Updated C.O. $ 50.00 Date ........... New Cons tz'u~ t i on ...... Old or Pre:existing Building .... .~. ...... Vacant Land ............. Loc;tion 0f Pro-er~,, ~/~'- /7/~ .;/~ © ~--. V'./ ~/~ ........... /~./)_.,,, / ..... ~... ' ""/~o"u; ~V;: ................................ TT ~ ~treet Hamlet Ow.erorO. w ..so, P r per ty ... . .. - 3 ¢/.Z County Tax Map No. 1000Section ...~..~.~. ....... Block ............... Lot.. ~. ..... Subdivision ' Filed Map No ................................ · .......... Lot No ............ / ~ ;~ 2~ ~, Date of Permit~,L~./~z' Health Dept.. Approval /~/.~.O,c~, ,~/...;. ~//¢~, ,~. :Labor Dept. Approval'. ................. ... :.. Underwriters Approval Planning Board Approval ~or TemP ary C ~:ificate Request or er ..................... Final Certificate .. Fee Submitted $.. ,~ ,~.' .Cb .................... Construction on above described building a me.ets all appli es and regulations. ,-' ' '. Applicant...,~.~ ~"-__ ~' ' TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit Owner ~ ~D/~ C t~-- Plumber (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of ...?e?Je~he£ , Notary Public, ~ ~0~ County (plumber's signature) Notary Public " ?I.,AP Ore PtEOPEf-,~Ty ~U~VEYELD FOE ~-ANDA~E CO/2LETT AT ..t 'JJTILFFY ~ TOWN "*~, FF, (:O.I'^:4._MAP D~TA: IO"...O -009- B- I-/, I VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 25, 1989 Candance Corlett 84-35 Kendrick Place Jamaica Estates, N.Y. 11452 Re: Building Permit #15852-Z Tax Map ~099-3-17.1 Dear Ms. Corlett: During a review of our files, it was noted that the above building permit has expired, and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XIV, 100-141 and 100-144 a building permit is needed for construction of an addition to an existing dwelling. It is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. Your final inspection has been made. Please fill.out the enclosed application for Certificate of Occupancy and return to this office with a check for $25.00. Also, please submit the plumbers certification from your plumber. This is your second notification. In order to avoid any legal action you must correct this violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWlq BLDG. DEPT. VRW:gar encl. Vincent R. Wieczorek Ordinance Inspector OF OUTUOLg t~ ' ;.:.~'~a ~t;~te'~;~ - . ~OFI?ICI~ OF BUILDING INSPECTOR ~ ~ .~- . ~ SOLlI'IIOtI),N.~. 11971 To Whom This May Concern, TEL. 765-1802 We are urlable to complete your Certificate of Occupancy because .of the following reasons. /~'/An application for Certificate of Occupancy /2/ Ilo Health Dept. Approval on file. /~/ Ho final inspection has been made. P2ease contaci: our office on this matter. Thank you for your cooperation.~' Building Permit t~ ~_ ~_ ,~ ~_ ~ 'Z~ SuiNIF Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being isnued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU Ot= ELECTRICITY ~- Sept:ember 8 [~87 85 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CERTIFIE~ THAT o~y the electrica~ equipmen$ ~ ~scribed below and int~uced by t~ applicant ~med on the a~ve application number in the premises of ~tituck in ~he folto~ing loca~ion~ ~ Bese~t ~ Ist F~. '~"2~d ~'l. ~ectlon B~ ~ot FIXTURE OUTLETS SWITCHES 6 17 and found to be in corrtpliance with the require.tents of this Board, FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS E R C  _CRC,~ ] A.W. G NO OF HI.LEG AW, G, John Wedel]~ 232B Silme Car~er Road ~.fano~ille,New York 11949 GENERAL MANAG~RR This ~ertJficote must not be oltered in ony monner~ return to the office o~ the 8oord i~ iocorred, Iospectors m~y be identified ~y their COPY FOR BUILDING DEPARTMENT. THIS COPY OF RED IN ANY ~NNER. 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. IFFOLMNIDNAGTION ZNDi ] ~iNAU~ATION INSPECTOR 765-1802 BUILDING DEPT. FOUNDATION 1ST FOUNDATION 2ND FRAMING INSPECTION I-~ROUGH PLBG. INSULATION FINAL DATE ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~/IINSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~OUGH PLBG. FOUNDATION ZND [~*~J INSULATION FRAMING FINAL ¢ DATE~ INSPECTOI~/.~~__ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~RAMING FINAL DATE UNDATION__ UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: MAP OF PI2OPEF~T"r' ; ~: :" ;;":".:.,;" = EVEYED ...U FOP-... - ' ' .'-' ....... ' ,., ' , ....... . L ,,N, .CE). -~,~'""~.%...~ I ' '':'' . :., .~- - , .... - -' :- ~ '~-' //": ,~, *- .... '-' '-'"" -,- ~IA,P NO:799 ) '~'~-... { ' .~ ' ' - . ' ' ' "",'- /! ! " ............ : ..... ~!~-~ ~_ -~-.... ' 1t , MAP P~,TA: IC~.~ -O99 - B- 17. i Division of Housing & Community Renewal H~using and B~iiding Codes Bureau Room - 6028 Two World ~rade Center New York, NY 10047 Price u $~0.00.each ( No Tax ) Postage at book rate is included in the price above~ and delivery takes approximately two weeks. For first class postage and handling add $3.25 per book iordered' /~ A check or money order payable to Housing and B~ildfng Coda Bureau must accompany your order. Vouchers issued by municipa~ ities or governmental agencies are acceptable. We do not ac- cept C.OoD. or purchase orders. Invoices are not sent and no. discounts are allowed. Fred L~ Kessnert P.E., Director Housfng and Building Codes'Bureau (212) 488-7138 OUTHOLD BOARD OF HEALTH 3 SETS OF PLANS -O;~..~. 'FORM NO. I SURVEY. '~' .O~..~,~.~ TOWN OF SOUTHOLD CHECK ' ..... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N,Y, 11971 , , "--""~ TEL.: 765-1803 ,ExamJned~... ,..~. .... '9 ~../~ Approve~. Disapproved a/c ..................................... CALL ................ MAIL TO: Date 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 code, and regulations, and to admit author!ze.d inspectors on premises and in building for necessary inspections. ~.BlgUaLUle Oz appncau[, oz name; if a corporation) . :.3.47./¢/.-~.~.-~//.r.,.e'/.%. ~.~ ................... -j~n,v~, w-~ (Mailing address of applicant) State whether 'applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .O ..................................................................................... Name of owner of premises ...f..'../:'3.%~..~.~. ~ .eT....~.~? .~. ~.~:z-.~..-': ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... ~ Plumber's License No ..... e~,~., r ........ Electrician's License No ....................... Other Trade s License No ...................... 1. Location of Iand on which proposed work will be done: ................................................. House Number Street Hamlet County-Tax Map No. 1000 Section ...... .0../..7. ...... Block ..... Y. ...........Lot...q./.7.,..0. o./. ...... ' 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 ............ .~:6/...~. g.b:~..../q.4).¢.~.'. ' . .......... - 31~.d.~//~/~ ,/-..¢Ou&c~ ~, , b. Intended use and occupancy ...................................................... 3. Nature of work (check which applicable): New Building · Addition · · · .~. · · · · Alteration . Repak.............." Removal .....,........ Demolition ............ !.. Other Work ............... . °~. "' / ~t~./~ ' ~'~'O (Description) 4. Estimated Cost ........ 7~f~.O. ql). ...................... Fee ..... t,4..'l.t. ~..: ....................... (to be ~Md on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unitslon each floor ................ If garage number of cars ~ - 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ..... ~. ~..". ......Rear .... .~J .~ ...... Depth .... .z.. f' ........ ight 13" ' He .............. Number of Stories ............................. ~ ........................... Dimensions of same structure with alterations or additions: Front ..... ~..~ .... i ....Rear ... 2. ~. .... ....... · , Depth ....... 2-.~. ............ Height ...... : ........... Number of Stories ...... ~ ....... -8. Dimensions of entire new construction: Front ...... ~.F.. ..... Rear ...... 7. ~i ...... Depth ...Z. 2 .......... 'Height .............. Number of Stories ...... / 9. Sizeoflot: Front ...................... Rear ...................... Depth ... .................... 10. Date of Purchase ....... t.~.l ................. Name of Former Owner ... ?~.~'~..~'?.....~.f. (.~.~..o.~/ ..... 11. Zone or use district in which prcm~ .... rc o~mated ......................... i .................... ' ....... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. . ~..O... 13. Will lot be regraded ....... ~.O. ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .cJ~.~.~9.¢.~.~-...C~.~.~ ¢..~.. Address .~'.4.1."..~..~..~.~.~. q~..o~..q Phone No..2~'.~r. ~.kf ~t~,Z. Nmne of Architect ........................... Address ................ i. Phone No ................ Name of Contractor Address ' ; Phone No 15. Is this property located within 300 feet of a tidal wetland? *Yesi ..... No . .~.. · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from )roperty lines. Give street and block number or description according to deed, m~d show Street names and indicate whether nterior or corner lot. .TATE OF NEW YORK, :,(Tu~¢r Y OF ................. · -~:f.~..~/~./~. · · .~.*.~ ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. [e is the .................................. (Contractor, a~;~t', 'c;;~;;a't; 'o'f;i~;;,'e't~.')'I .......................... f said owner or owners, and is duly authorized to perform or have performed the sai0 work and to make and file tiffs pplication; that all statements contained in this application, are true t6 the best of his l{nowledge and belief; and that the ~ork will be performed in the manner set forth in the applicatibn filed therewith. KATHLEEN O'GRADY-REINER worn to before me this No!ary Public, State of New York .......... ~'10 ....... day of: ......... , Qualified in New York County Cart. F I~d ~n New York County Iotary Pu~o',?*.~ '..r'~. · . ~ · .~. · ·' County ff~ ; [ ~ ' -- -- / ~ t i !/ r (Signature of applicant) 5U 55~fST~b4 A,F.E/k . P'- ' LI ' U BTU Fl * Y-,TEP-IOP,.' WALL (6.Ro5co) /o / ?. O/'L?, ,. /, X, TERIOP- W,8.,LL (Oph-,o, UE) 'o¢~ [ I 0.05 q,/:¢ o 707~S 3]-.. 0.40 7z o I ~L F. VA-T { lit 'LopPer lub~ng Ss use¢{ For Water distr~ulinl system; piping dali be :' ef types K or £ ~ Phone 477-0400 Main Road GREENPORT, N.Y. I IO,14 '~ ..... i 'l C o~ L u 'T-r-- ol l., It :i: -q