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HomeMy WebLinkAbout16434-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT OffKce of the BuKldKng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z189t0 Date MARCH 22~ 1990 THIS CERTIFIES that the buildKng. Location of Propert~ 7130 MAIN ROAD House No. County Tax Map No. 1000 SectKon 031 REPAIR TO PORCH EAST MARION Street Hamlet Block 06 Lot 06 SubdivKslon FKled Map No. Lot No. conforms substantKally to the ApplKcatKon for BulldKng PermKt heretofore filed in this offKce dated SEPT. 3, 1987 pursuant to which Building PermKt No. 16434Z dated SEPT. 7r 1987 was zssued, and conforms to all of the requirements of the applKcable provisions of the law. The occupancy for which thKs certKficate Ks issued Ks REPAIR EXISTING PORCH ON EXISTING ONE FAMILY DW~TJ.ING. The certzfzcate Ks zssued to (owner) of the aforesaKd buKldlng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 WILLIAM AND DOROTHY WAGNER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16434 Permission is hereby granted to: ............................ ~. ........... .~ ............. 3 ............. _ ~ ~...~~:..~_~..: ....... ~ ......... : .............................. :;:...._.. .............. ~ ........................ ~t ~m,~s ,~o,e~ ot ...~.:..~..........~... e-~.: ..... .~ ...... :~~ .............. County Tax Mop No. I000 Section ...... .~.....~..~ ..... Block ...... ..1~...?. ....... Lot No ..... ..~t~. ..... to application dated ... ~..~.~~..~ ........ , 19.~,.~., and approved by the pursuant Building Inspector. Fee $ ~,~,.,'/ Building Inspector Rev 6/30/80 TO~N OF SOUTEOL~ SOUTUOLB. MEW YORK 765 -- 1802 APPLICATION FOR CERTIFIEATE OF OCCUPANCY NEW COMSTRUCTYON %'/ .OLD OR PRE-EXISTING BUILDING .... VACANT LAND... ~op~7.-. 2-L%.% .... -~. ........ HOUSE NO. STREET HAMLET ~ooo sc~ioa ..~./... ~oc~ ..~. .... Lot Subdivision ...................... Filed Map . Loc .. Pe~mi: No. / ~%.%~. Date of Permit .. . Licaa: ........... Health Dept. Approval .................. Umderwriters Approval .............. PIa~mimg Soard Approval ................ Request for Temporary Certificage ....... Final Certificate ......... Fee Submitted: APPLICANT. 10/14/88 BLDG DEPT TOWN OF SOUTHOLD FORM NO. 6 TOWN OF SOUT~IOLD BU ILDIN~ DEPARTMENT TO~4N IIALL 7~5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be filed in typewriter OR ink and submitted to the Builihg Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property llnes, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 rom). 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 IZ lead. ~. 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. Submit Planning Board Approval of completed site plau requirements. B. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildfu]gs and "pre-existing" land uses: I. 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, ]957° If a Certificate of Occupancy is denied, the Bnildlng Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent info~mation required to prepare a certificate. For Vacant LaDd Certificate of Occupancy: 1o Am 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 acc~pany the applicatiom. If a Certificate of Occupnucy is denied, the Building I~.~pector shall state the reasons therefor in ~rritiog to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swim~ing Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy om pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certifica£e of Occupancy -$15.00 Residential Commercial 10/14/88 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Man Road P O Box 1179 Southold, New York 11971 January 30, 1990 Mr. William Wagner 7130 Main Road East Marion, N.Y. Re: B.P. #16434Z dated Sept. 7, 1987 Repair existing porch on d~elling Dear Mr. Wagner: I am writing to you regarding the above Building Permit. Every permit requires a Certificate of Occupancy. The contractor has been notified on 10/7/87 and 7/26/88 of what is necessary to obtain the Certificate of Occupancy. Please resolve this matter as it is necessary to have a C.O. for the work done. I am enclosing an application. Please fill it out and return it along with a check for $25.00. Thank you for your attention to this matter. Secretary TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOK P.O. BOX 728 TOWN IIALL 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. /~/ An application for Certificate of Occupancy is not on file. /~/ No Underwriters Certificate on file. /~/ The check is(outdated/~ot on fi /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # Building Dept. ***/~/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) Occupancy or usc is unlawful wtthout of Occupancy. Clear up this mat ter so that legal action does not have to be Thank you for your prompt ,it tent FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITI COMMENTS: 765-1802 BUILDING DEPT. INSPECTION REMARKS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~I~NAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING INSULATION [~FINAL REMARKS: DATE Examlned~&~'e~ '-[. , 19g.'1. Approved~.~o-~ .'~ , 19%.3 Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N Y. 11971 TEL.. 765-1803 Permit No (Building Inspector) APPLICATION FOR BUILDING PERM IT INSTRUCTIONS Received ........... ,19. Date ¢ , lib-?. a. This apphcatlon must be completely filled m by typewriter or in mk and submitted to the Buddmg Inspector, wltl sets of plans, accurate plot plan to scale Fee acco~ng to schedule. b. Plot plan showing location of lot and o~',/~4~gl,~n prem~ies, relationship to adjoining premises or pubhc sim or areas, and glvmg a detailed description ogllay~f q[,']~ihtSortM ~t be drawn on the dmgmm which ~s pa~ of this ap c The work covered by ~s a¢~~ ~e~a~ed before ,ssu~ce of Building Permit. ' d. Upon approval of m~s a~5~ ~~t6r will issued a Budd~g Pe~it to the applicmt Such per~ shah be kept on the premises ~'[~t~qut the work. ~ e. No bu~g shall b~ ~e~[~t for any purpose whatever until a Ce~fficate of Occupm sh~ have been granted by ~g ~s~ ~PLICATION IS HERE~~~D~p~ment for the issuance of a Bmldmg Pem,t pumuant to Bufld~ng Zone Ordinance of the ~bffS~ Suffolk County, New York, ~d other ~pphCable Laws. Ord~ce- Regulahons, for the constmct~on~t~d~,~dttions or alterations, or for remov~ or demohbon, as hereto descnb The apphcant agrees to comply with~ ~app~cable laws, ord~n~ces, bufldmg code, housing code, and regulations, and admit authored mspectom on prem~.~hd m budd~g for necessa~ inspections . (Signature of apphcant, or name, ff a ~rporation) ....... ............... ......... ....................... (ma~i~ng address off State whether apphcant ~s owner, lessee, agent, architect, en~neer, general contractor, electrical, plumber or bud, ........... Nme of owner of premises ~~ ff~O~ s on the tax ~oll or d If apphcant ~s a corporation, s~gnature of duly authorized officer F~[' ~ ' ~= (Name and title of corporate officer) Builder's License No .. Plumber's License No .. Electrician's License No Other Trade's License No Location of land on which proposed work will be done ttouse Number Street Hamlet County Tax Map No I000 Section · Block ~ .. . Lot. 2 Subdivision Filed Map No Lot (Nalne) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ~ /~ ,~e_~.~. - ~ -~ ~_. ...... b Intended use and occupancy .. ~ ~ ... 3. Nature of work (check which applicable) New Budding ..... Additmn ........ Alteration ........ Repmr . ./ .... Removal .... Demohtmn .......... Other Work ......... (Description) 4. Estimated Cost ~".o.~.O ~. ~..'~ .......... Fee .......................... (to be paid on filing this application) / 5. If dwelling, number of dwelhng units. .~//f.,'9 .... Number of dwelling units on each floor ............. If garage, number of cars ........ ~/.~f ............................................ 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. 7 Dimensions of existing structures, if any Front .~ o. ~ . Rear .......... Depth ............. Height ........ Number of Stones ...................... Dunensions of same structure with alterations or additions Front .......... Rear ............. Depth ........ Height .... Number of Stones ............. 8. Dtmensions of entire new constructton. Front . . ).o ~. . Rear ......... Depth ........... Height ...... Number of Stones ............................. 9 Size of lot Front ..... Rear .............. Depth .............. 10. Date of Purchase ............ Name of FormerO~ ................ 11. Zone or use dmtnct in which premises are situated .... ~..- ] . -~... 12. Does proposed construction violate any zoning law, ordinance or regulation . .~. .................. 13. Will lot be regraded .... ~f,~ ....... Will excess fill be removed from premises Yes No 14 Name of Owner of premises ~,',,~,g~ g-~,r~ Address ............ Phone No Name of Architect .......................... / Address .................. Phone No Name of Contractor .............. Address ...... ..... Phone No .......... 15. Is this property located with:tnt00 feet of a tidal wetland? * Yes ..... No ...~.. · If yes, Southold Tom Trustees Permit may be required. PLOT DIAGRAM Locate clearly and d~stmctly all bu~dmgs, whether existing or proposed, and indicate all set-back dnnensions from property lmes Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot z"- .... 7 --' ;TATE OF NEW YORK, 'OUNTY OF ~ . S S (Name of lndlwdual s~gning contract) bore named. being duly sworn, deposes and say~t~al he is the applicant (Contractor, agent, corporate officer, etc.) , t~.___,_~ .... f smd owner or owners, and is duly authorized to perform or have performed the sa~d ~otU ~l~F.~6a_:~_ak~e_~,d.,file this )phcatlon; that all statements contained m this application are true to the best of his knox~ledg~e~'hn~dr~i~'~, and that the ork will be performed m the manner set forth m the apphcation filed therewith. worn to before me this .. · .. dayof.,~...p,~-~,~,dx~d--*.., 19 9tary Public ............ ~~... County (Signatur~of applicant) Note UNDAJ. COOPER . r~o_482.25~3, Surfak Cou_nty, .erin ~.Xprres De~eember 3'/, 1E~...~