HomeMy WebLinkAbout16448-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18892 Date MARCH 14~ 1990
THIS CERTIFIES that the building. ACCESSORY
Location of Property 4080 PECONIC BAY BLVD. LARUEL~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 128 Block 04 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9~ 1987 pursuant to which
Bulldlng Permit No. I6448-Z dated SEPTEMBER 9~ 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
· ssued ~s REBUILD FLOWER ~ GRAPE ARBOR IN FRONT YARD AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ANNA MARIE DOHERTY
Rev. 1/81
· ORM NO. B
TOWN OP $OUTHOLD
BUILDING DEPARTMENT
TO~NN HAll.
$OUTHOLD, N. Y.
BUILDING PERMIT
FI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~_16443 Z
Perrmss~on is hereby granted to:
,~ ,~ ,~?z...~.,~ ......................... ~/~ ~ ,
at, ,ocoted o~ ....... ~.~.~....£~..z~./~.,~~.~.,
County Tox Mop No. 1000 Section .~,.(/' ~,, ~ ...... Block ..~,,...,~,, ....... Lot No. ~,,,~, ~
Building Inspector.
Building Inspector
Rev 6/30/80
NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OTFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date l'~ar ch 5, 19..?..0..
TO Hrs. Anna Harie Doherty
(owner or authorized acIent of owner)
4080 Peconic Bay Blvd. P.O. Box 185
Lanrel, N.Y. ! 1948
(address of owner or outhomzed agent of owner)
PLEASE TAKE NOTICE there exists a violation af
Zoning Ordinance
CH 100
Other Apphcable Laws, Ordinances ar Regulahons .............................
at premises heremafter descnbed ~n that Building Permit # 16448-Z has expired and
(state character of wolahon)
a Certificate of Occupancy has not been issued.
in wolatzon of ARTICLE X~.¥£II CBAP. 100-281 and 100-283
(State section or paragraph of apphcable law, ordnance or regulohon)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply w~th the law and to remedy the
cond~hons above mentioned IMMEDIATELY
The premises to which th,s ORDER TO REMEDY VIOLATION refers are s~tuoted at
County of Suffolk, New York
SUFFOLK COUNTY TAX MAP # 1000-128-04-25
Fadure to remedy the cond~hons aforesaid and to comply with the apphcable provisions of law
may constitute an offense punmhable by frae or imprmonment or both
Vincent R. Wieczorek
Ordinance Inspector
APPLICATION
TOWN OF SOUT~OLD
BUILDING DEPART}IENT
TOWN HALL
SOUT~OLD, NEW YORK
765 - ]802
11971
FOR CERTIFICATE OF OCCUPAt;
Herch 7, 19~0
DATE .................
NEW CONSTRUCTION ..~ .... OLD OR PRE-EXISTING ~UILDING ...... VACANT LAND
r~roperty... 4080 Peconic Bay Blvd. P.O. Box 185, Laurel, N.Y. llnZ, g
Location
of
HOUS£ NO. STREET HAMLET
ANNA bLtRIE DOHERTY
O,aner or Owners of Property .................................................
128 04 25
County Tax Nap No. 1000 Section ...... Block ....... Lot .........
Subdiviszon ....................... Filed Map ........ Lot ..........
9/9/87
Permit No. 16448-Z Date of Permit .~ . AppLicant ANNA DOIIERTY
~ealth Dept. Approval .. N/A. Underwriters Approval
N/A
Board Approval ................
Request for Temporary Certificate ....... Final Certificate . xx
Fee Submitted:
rev. I0/14/88
Memorandum from ....
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N Y. 11971
765-1802
March 7, 1990
Anna Harie Doherty
4080 Peconzo Bay Blvd. P.O. Box 185
Laurel, N.Y. 11948
Dear ~[s. Doherty:
Pursuant to our telephone conversation of today,
enclosed is application for Certificate of Occupancy
for your deck which was built under B.P. #16448-Z.
Kindly sign the enclosed application and return
it to this office along w~th your check in the amount
of $25.00. We w~ll then send you the Certzficate of
Occupancy.
Thank you for your cooperation in th~s matter.
Very truly yours,
SOUTitOLD TOI~I BUILDIMG DEPT.
Georgia Rudder,
Secretary
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Ma~n Road
P.O Box 1179
Southold, New York 11971
OFFICE OF BUILD1NG INSPECTOR
TOWN OF SOUTHOLD
March 7, 1989
Ms. Anna Marie Doherty
4080 Peconic Bay Blvd
Laurel, New York 11948
RE: BUILDING PERMIT ~16448-Z
TAX MAP ~128-4-25
Dear Ms. Doherty:
During a review of our files, it was noted that a
Certificate of Occupancy has not been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for
construction of a accessory to an existing dwelling. It is
unlawful to use said accessory until a Certificate of Occupancy
has been issued.
Your final inspection has been made. Please fill out the
enclosed application for Certiflcate of Occupancy and return to
this office with a check for $10.00 so that we may issued the CO.
Thank you for your cooperatlon in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
encl.
Vincent R. Wieczorek
Ordinance Inspector
UNDATION (1st)
UNDATION (2nd)
UGH FRAHE &
PLUMBING
SULATION ?ER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
N
TOWN OF SOUTLIOLD
OFFICF OF BUll. DING INSPECTOR
ILO. BOX 728
'IOWN IIALL
SOUIHOI~D, N.Y. 11971
October 21, t987
TEL 765-180,'
BARNEY JOHNSON CONSTRUCTION
4 Laurel Lane
Shirley, New York 11967
To Whom Thi~ May Concern,
Re: Anna Marie doherty
We are unable to complete your Certificate
of Occupancy becauqe of the following reasons.
O/ An application for Certificate of Occupancy
~ ~'lot on fzle.
/_--/ No Undcr';rztc~ s Certificate on file.
~_~_/ rlhc c}lcck ±o(outdated/oot on file:)~;O,grO
/_-/ N~ Health Dept. Approval on file.
/~/ No final inspection has been made.
this matter.
I~1~,.,~_,~, conkact our office on
Thank you for your cooperation.
l¥.llldinrj Permit II j_ ~_ _~.~._. ~. ~ Z
Bu~!dinq [)upi .
***/~/ ~) P]~P,b(3r SOi(]{~' Certificate on file.
[ ail permits ~nvolving plumbing being
i~:~,uod afte~ April 1,1984 )
Disapproved
FORM NO. 1
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SE?TTC
TOWN HALL
NOTIFY
SOUTHOLD, N.Y. 11971
TEL. 765-1802 CALL
,19~ MAIL
.,147Pe=lt No
BOARD OL ttEALTH ......
3 SETS OF PLANS .......
SURVEY ..........
FORM .............
TO:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a This apphcat~on must be completely filled In by typewriter or in ink and submitted to the Building Inspector, witl
sets of plans, accurate plot plan to scale Fee according to schedt,le
b Plot plan showing location of lot and of btnldmgs on premises, relationship to adjoining premises or pubhc sire
or areas, ant[ gwlng a detailed descnphon of layout of property must be drawn on the dmgmm whmh ~s pan of this ap.
cation
c Thc wink covered by tMs appl~cahon may not be commenced before msuance of Bmldmg Permit
d Upon appro~at of tics apphcat~on, the Braiding Inspector will ~ssued a Bmld~ng Pem~t to the apphcant. Such pen
shall be kept on thc premises avadab[e for mspechon throughout the work.
e No budding shall be occupied or used ~n whole or m part for any purpose whatever unbI aCemficate of Occupm
shall have been granted by the Budding Inspector
APPLICATION IS HEREBY MADE to the Budding Dep~tment for the ~ssuance of a B~Ming Pemit pumuant to
Budding Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other apphcable Laws~ Ordm~ce
Regulahons, for the constmchon of buddings, ad&hens or alteratmns, or for removal or demolmon, as here~n descm~
The apphcant agrees to comply with all apphcable laws, ordmances, budding code, housing code, and regulations, and
admlt authomzed lnspccto~ on premises and m building for necessa~ inspections.
(S~gnatur{ of apphcant, or name, ir a corporatmn)
(Ma]hng address of apphcant)
State whether appht, ant ~s owner, lessee, agent, arclntect, engineer, general contractor, electrician, plunlber or built
......................
Name et owner ofprem,ses /')r,-t,44 /~7,?~/~ ?oHW4'~ ..........
(as on tl~e tax roll or latest deed)
If apphcant ~s a ~orporatmn. signature of duly authorized officer
(Name and title el corporate officer)
ALL CONTRACTOR*S MUST B~UFFOhK COUNTY LICENSED
Builder's License No /.57 ~2 ~- dj/
Plumber's License No ..
£1ectncian's License No
Other Trade's [lcense No
I.o~.atlon of land on which proposed work will be done
tlouse Nnmber Street
· County Fax Map No lO0(] Section /~ O0
BlockCO
ttamlet
· .. Lot C~. ~,?o..O.
Subdivision Filed Map No . Lot
t, Name~
State e\~sttng use and occupancy of prenuses and intended use and occupancy of proposed constructlon
b Intended use and occupancy ~2~ ~ .
3
Nature of wo.o.o.o.o.o.o.o.o.,~ (check which apphcable) New Building .. Addition
Repair ~ Remmal Demolition ..
.~ c.~
4 Estnuated Cost ,boX), ..
.... Alteration
·. Other Work..
(Descnp.tlon)
.......... reF.. . .....
" (to be prod on fihng this application)
5 Ifdwelhng, number of dwelbn,g~nts /5]~ . .. Numberofdwell,ngumtsoneachfloor. /.V.~ ....
If garage, number of cars ~/~
6 If business, conunerclai or mixed occupancy, sp;clf~ ~;Stir;'ild ;x;e~i df'i~;~'t~e'iids~' ~ '~' ' '3' ''~''
7 Dm~ensionspfex~shngstmctures, ffany Front ./~ ........ Rear ...~ ....... Depth /~. ·
Ite~ght '¢ ... Number of Storms ~ ..... ' ..... t ........... ~ '~ t ....
Dunensmns ~ffiame structure with alterahons o~ additions Front . 16 Rear . .ff~ .
Depth . /~ . . . He~t ~ ' . t ........ Numb~rqfStones.~...,a / ......
8. Dunens~ons,of entire new construction Front ~ ...... Rear ...~ ....... Depth . f~ ......
. mb rorSto. /q4 ......... [.'; .....................
9 S~zeoflot Front ... Rear ............. Depth ......
I I Zone or use d~stnct m wludt premises arc s~tuated ~ ~iD~ff~ ........
1 2 Docs proposed conqtruct~on wolate any zomng law, ordinance or regulatmn ~ ..........
14 Name of Owner of prea,se~ ~t~ /~(~d~ddress ~' ~};. ~"~e ~; ........ ~ ....
Name of Architect ~ ..... Adgress . {~ ........ Phone No
15. Is this property located wzthzn 300 feet o~ a t~daL weLland? *Yes ..... No ~..
· if yes, Southold Town Trustees Permit may be zequzred.
PLOT DIAG~M
Locate clearly and dmtmctly ~l bmldmgs, whether existing or proposed, and mdmate ~1 set-back dimens~ons fro
property hnes Give street and block number or description according to deed, and show street names and mdmate wheth
intoner or corner lot
STATE OF NEW. YQ ~,K,
COUNTY OF %~.,,(~:zZ. I( ..
{ }~4~ 'k}) ~a//)~5~W being duly sworn, deposes and says that he ~s the apphca
(Name of individual signing contract)
above nanled
tie Is the C°~T~/{c~ ....
(Contractor, agent, co¢orate officer, etc )
of smd owner or owners, ~d ~s duly authorized to perform or have perfo~ed the smd work and to m~e and file tl
apphcahon that all statements contained m tbls apphcat~on are true to the best oflus knowledge and behef, and that t
work will be performed m the m~ner set forth ~n the apphcat~on filed therewith.
Sworn to before me tins
day of ~, .......
~[[[u g ~ ~[ ........... ' .......................
~0I~ ~ustlc sta~e d ue~ ~ ~ (S~ature of apphcm
~ 1107818. $u~01~ Cuun~
lerm Expues M*~ch 30,
H¢>/~C'~I? L~ DIVISION CHICAGO TITLE INSURAP~C~ CO