HomeMy WebLinkAbout16114-zFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18885 Date MARCH 13~ 1990
THIS CERTIFIES that the building.
Location of Propert~ 40 THE CROSSWAY House No.
County Tax Map No. 1000 Section 030 Block 002
Subdivision PEBBLE BEACH FARMS Filed Map No. 6266
DECK ADDtTION
EAST MARION
Street
Lot ill
Lot No. 44
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 1987 pursuant to which
Building Permit No. 16114Z dated JUNE 22~ 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 DECK ADDITION TO EXISTING HOME.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
JUDY MARSH~J~L & LYNN MENAKER
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18886 Date ~4ARCH 13t 1990
THIS CERTIFIES that the buildin~
Location of Property 40 THE CROSSWAY
House No. Street
County Tax Map No. 1000 Section 030 Block 002
Subdivision PEBBLE BEACH FARMS Filed Map No. 6266
ACCESSORY DECK
EAST MARION
Hamlet
Lot 111
Lot No. 44
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 1987 pursuant to which
Building Permit No. 16114Z dated JUNE 22t 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 DECK ADDITION AROUND AR ACCESSORY POOL.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
JUDY MARSHATJ, & LYNN MENAKER
B~ilding Inspector
FO]BM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ...~. ~ ~;~ 2_. 19.?...'7
....... · .j ..---;j ............................. , ..
Permission is hereby granted to:
-.~..~..~..~.~...]. ...................................................
~.~,..~.~.,..~:.~.,...u..~..~.~
at premises located at ...~.,.,~. ....... ~lL...,~,,~,~...,~...ot~..~.......~....~ .................
County Tax Mop No. I000 Section ..... .~:)..~.... ...... Block ......C~......)m.. ........ Lot No ......L|..J. .............
pursuant to application dated .......... ~...~......~..J...~... .................... , 19.~..~.., and approved by the
Building Inspector.
Rev. 6/30/80
TO~N OF SOUT~OLD
~UILDING DE~A~T~IEN~
TO~N RALL
SOUTROLD, N~ YORK
?65 - 1802
APPLICATION FOR CERTIFICATE OF
1197
OCCUPAN
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDINC ...... VACANT LAND ........
HOUSE NO~ ...... %' STREET HAMLET
EgUnty Tax Hap No. lO00 Seetlon .~p. Block ~ Lot' 21./.
Permi~ No ..... Date of Permit ---Applicant ~-~i~;T ......
Health Dept. Approval ............. U d
..... n erwrlters Approval ..............
Planning Board Approval ................
, Request for Temporary Cert, ificate .... Final
Fee Submitted- $ ~(0
Certificate
rev'
FORM NO. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN I~LL
765 - 1802
~PPLICA~N FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must b~ filed in typewriter OR ink and submitted Ed the Building
Inspector with the following; for new buildings or dew nsc:
]. Final survey of property with accurate location of all buildings, property lines,
streets, cud unusual,natural or topographic features.
2. Final approval of Ue~ith Dept. of water supply and sewerage-dlsposal(S-9 form).
3. Approval of electrical installation from Board of Fire Under~ritars.
4. Sworn statement from:plumber certifying that solder used iu system contains less'
than 2/10 of IX lead!
5. Commercial buxldxngs~ 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 Boar~ Approval of completed site plan requirements.
For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" laodiuses:
1. Accurate survey of p[operty showing all property lines, streets, buildings nad
unusual natural or topographic features.
2. A properly completcd!'appllcatlon, 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
reasons therefor in ~-rlting to the applicant.
3. Date of any housing ~ode or safety inspection of buildings or premises, or other
pertinent infor~ntio.h required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
]. An appllcatloo for Vacant land Certificate of Occupancy shall-be submitted,
and a certified abstlract of title issued by a title company showing single and
separate ownership ~f,the entire lbt prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in %rriting to the applicant.
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 d~ell~ng
3. Copy of Certifidate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Cer~ifleate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50°00
6. Temporary Certificate of Occupancy - $15.0.0 Rea{deutlal
{ Commercial
"v~o ~0/]4/88
APPLICATION FOR CERTIFICATE OF OCCU~AN~
NEW CONSTRUCTION ....... OLD
1197~
OK PRE-EXISTING BUILDING ...... VACANT LAND ........
NOUSE NO. STREET I1ANLET
Subdivlsio (~c~ x-~--
Realth Dept. Approval ..................
Planning Board Approval
Filed ~3p .~P.g~..Lot...~.q ......
- - -App [ lean t .c. ~-.ql"~¥";- ......
Underwriters Approval ..............
,Request for Temporary Cer~,ificate .......
Fee Submitted: ~ oD
Final Certificate ................
-%¢/27
APPLICANT..
rev' 10/14/88
UND~TIOM
UNDATION
lst)
(2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FI'NA/
ADDITIONAL COMMENTS:
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
November 2, 1989
Judy Marshall/Lynn Menaker
P.O. Box 247
East Marion, N.Y. 11939
Re: B.P. g15968Z Inground .pool and fence
B.P. #i6114Z Deck additions
Dear Ms. Marshall & Menaker:
In January we sent you a letter regarding these
permits (copy enclosed) and what was needed to get your
Certificate of Occupancy.
These permits have expired. According to the Code
of the Town of Southold you are now in violation. In
order to avaid legal action yon must contact this office
immediately to resolve these violations.
Thank you for your cooperation in these matters.
Secretary
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
TEL. 765.18O2
January 27, 1989
To Whom 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 file. APPLICATION ENCLOSED.'~
No Underwriters Certificate on file.
The check is(outdated/not on file.) $25.00
/~/ No }lealth Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your coopera'tion.
~uilding Permit tl I 6 I I 4 Z deck
Building Dept.
***/5/ No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
PLEASE~BE ADVISED THAT YOU ALSO EAVE A PERMIT FOR A
POOL AND FENCE THAT FAILED INSPECTION ON 4/~/88. THE
PERMIT HAS EXPIRED. PLEASE CONTACT OUR OFFICE IN REGARD
TO THIS PERMIT. (B.F.#~5968Z)
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 1197I
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 17, 1990
Lynn Henaker
P.O. Box 516
Rest Harion, N.Y.
11939
Dear Ms. Henaker:
I have your check #2126 for the C.O. for the
deck.
I am enclosing a copy of the B.P. that was
issued for the decks. One is an addition and
one is an accessory around the pool. Iwo C.O.~s
are required. One for the deck addition and one
for the accessory deck around the pool. Please
send us another cheek for $25.00 to cover this.
Also you still have an open B.P. #15968Z which
will need a C.O. after you pass inspection.
Thank you.
Secretary
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT SEPTIC
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 765-1802 CALL
MAIL
BOARD OF HEALTH .. .
3 SETS OF P~.,NS d,~.[ .
CHECK - FORM
Examined · . ~.."~'..2-r., 19 .~.?
Approved . ' 2...'i-., 19~.") Permit No I G~ ti c/~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
TO:
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 sliowing 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 ufltil a Certificate of Occupanc5
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
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as he,r~.n described.
The applicant agrees to comply with all applicable laws, ordinance, building code, housing code, and regu~fl]ions~nfl tc
admit authorized inspectorS on premises and in building for necessza~,inspecti~s.
(Signature of applicant, or name, if a cofporation~J~-'~
· . .....
(Mailing address of applicant)
State ~vhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises'~T'~....~..~..1~¢,,,1~...~:..~/~'a)~l../{~g,~b~'~i"~J~,-- ..........................
(as onffhe tax roll or latest deed)
If applic/~a~orp.o~at'~, signature of duly authorized officer.
...... ~n~ 'Jo~'c'~ 'i~/) ·, ........
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
u~lder s ncense No. ./Z/../. &a.-r.~ / ........
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1,, Location of land on which proposed work will be done~ ........ .t~.. ~.~ ./. ~
House NuN ber Street~ Hazier
Co nty*,x 000 .... DS.O ....... ...... ......... .... /l 1 ...........
' Subdivisiou . . . ~. ~..~ ...... Filed Map No..~.~.~ ...... Lot...~ ........
(Name)
2. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction:
a. :xisti~g u~ ~d o~capan~V..~Z~7.. ..............................
u~ and o~y . ~. ~. ~...~/.~ .~~ ....................
b.
Intended
· Nature of work (check which applicable): New
Estimated Cost....~... 7.~ ..~O...I. ..~....
Building ..... ' ..... Addition .......... Altera~i~.~ .......
..... Demolition ........... :,. Other Work :~!;.. .....
~ (]5~g~riptibn)
· ............ Fee......................'................
(to be paid on filing this application)
If dwelling, number of dwelling unit~ ..... 7. ......... Number of dwelling units on each floor ................
If garage number of cars i
,. If business, commercial or mixed ocgupancy, specify mtture ar}d extent of each typic of use ................
· Dimensions of extsting structures, iflany Front ..... .O. 0 ....... Rear ...~.. O. ........ Depth
Height ............... Number bf Stories .. ~.~..~- .................. ~. ................... , ...........
Dime ~sio ~s'of stone structure wit 1 a}terations or additions: Front ~ O . Rear ~ ~
Depth .................... Height ...................... Number of Stories ........... .~ ..........
;. D~mens~onS of entire new construct~0n Front ............ Rear ............ Depth . ~./. ...........
Height C~./ ~ Number 2of Stories
~. Date of Purchase .............. : ............... Name of Fenner Owner .............................
· Zone or use district in which premises are situated .....................................................
' Does proposed construction violate any zoning law, ordinance or regulation: . .~0. ..........................
. Will lot be regraded ..... .~.O.~... i ................ ~Vill excess fill be removed from pre~nises:
Name of Architect ..... ~/t~' .... i ........ ~. ..... Address ................... Phone No ................
,. Is t'his property located within 300 feet of a tidal wetland? *Yes ..... No .~...
*If yes, Southold Town Trustees Permit may_ be required.
' PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
operty lines. Give street and block number or description according to deed, and show street names and indicate whether
:erior or corner lot.
'ATE OF NEW YORK,
)UNTY OF S.S
................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing ~ontract)
eve named.
is the ~
! (Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly a~thorized to perform or have performed the said work and to make and file this
plication; that ail statements contained in this application are true to the best of his knowledge and belief; and that the
)rk will be performed in the manner se forth in the application filed therewith.
,om to before me this
.............. ....... .
tary Public, · ...... ~... ~..~.~..~T. CountBtl.~.~!~,,l~k _ : .~.~~/z~'
NOTARY PUBLIC, State ~ .....................
No. ~07878. Suflell C'~_-u"'et J~ (Signature of applicant)
Term Expires M~rch ~
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