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HomeMy WebLinkAbout16602-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17939 Date APRIL 11~ 1989 THIS CERTIFIES that the building_ Location of Property 69125MAIN ROAD House No. County Tax Map No. 1000 Section 45 Subdivision ALTERATION TO MOTEL UNIT GREENPORT, NEW YORK Street Hamlet Block 1 Lot 13 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2~ 1987 pursuant to which Building Permit No. 16602-Z dated NOVEMBER 5, 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 ALTERATION TO TWO ROOMS IN MOTEL UNIT AS APPLIED FOR The certificate is issued to MINNIE COSTAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-037140-OCTOBER 3, 1988 PLUMBERS CERTIFICATION DATED APRIL 4, 1989-K&K PLUMBING & HEATING Building Inspector Rev. 1/81 ~gO~ 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) N~ 16602 Z Permission is hereby granted to: /d,/~..~.ll~.~..,~.. ............... County Tax Map No. 1000 Section ...~ ...... Block ....... /. ............ Lot No..~ .......... pursuant to application dated .~.~....,.~. .................. , 19~....,Tond approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD EUILOINC DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 I]971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .... ~./.~ /~ ..... NEW CONSTRUCTIOH ....... OLD OR PRE-EXISTING BUILDING.o' .~..VACANT LAND ........ Location of ~o~,~,, ............ .o~ ~o. ~~,~ ........ ~~,,~'~'~ ..... couu,y Ta~ .ap No. ~ooo section ..V.~7..loeR ~ Lot /~ Subdivision ....................... Filed Map ........ Lot .......... Permit No...L.4~..Z~;t~of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $. . '~'~)"~"" Certificate ................ rev. 10/14/88 TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHO£D, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No./~bO~~-~ Owner /~/~d>~o ~l~>~\ -- (please print) (please print) f certify that the solder used in the water contains less than 2/10 of 1% lead. ; supply system Sw~ to before me this __ day of Notary Public, County ~'///'~ Notary Public 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION. [ ] FRAMING REMARKS: FINAL DATE INSPECTOR ~ . TOWN OF SOUTtIOLD OFFICL: OF BUILDING INSPECTOR P.O. BOX I179 TOWN IIALL fiOUTIIOLD, N.Y. 11971 February 16, 1988 Wilcox & Son Builders ,~O'~ .... and--V-~-~--Lane Re: Gus Costas To Whom 5his Ma,¥ Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons., TEL. 765-1802 An application is not on file. (ENCLOSED) No Underwriters Certificate on file. The check i:;(Xgi~i~axtYe~not o1% file.) /~/ No Uea].th Dept. Approval on file. No final inspection has been made. for Certificate of Occupancy $50.00 this matter. Please contact our office on Thank yo~l for your cooperation. Building Perm.it t~ I 6 6 0 2 Z Dui ld in!l Dept. *~*/--_~/ Uo Plumber Solder Certificate on file. ( all perm'its involving plumbing being issued after April 1,1984 ) VICTOR LESgARD 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 Mr. Gus Costa c/o DROSSOS MOTEL 69125 Main Road Greenport, New York 11944 Re: Building Permit ~16602Z Tax Map 91000-45-1-13 Dear Mr. Costa: 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 any alteration work done on a existing building. It is unlawful to occupy said building 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 $50.00. Also, please submit the plumbers certification from your plumber. In order to avoid any legal action, yon must correct this violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VRW:gar encl. Vincent R. Wieczorek Ordinance Inspector FOUNDATION {1st) FOUNDATION ( 2nd ) ROUGH FRAME~/~ ,PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL 765-~1102 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~INSULATION FRAMING FINAL REMARKS: DATE ' I ~ :~z ~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENI SEPTIC FORM ............. : $OUTHOLD, N.Y. 11971 .c/."~ 7.'"-. ,~.~. %/. TEL.: 765-1802 CALL .... MAIL TO: Disapproved a/c ..................................... (l~uilding Inspector) APPLICATION FOR BUILDING PERMIT Date.///04? ........... 19 .~.7 INSTRUCTIONS a. This application must be completely filled/n 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 authorized inspectors on premises and in building for necessary inspections. [ ..... .................. (Signature o,f appli~cant, or name, if a corporati2n) .... (!/,. . /. . . ce . . .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ....... .... ........................................................... Name of owner of premises....'~.. ~. .... :O.~. L .~.. .................................................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No ........................ Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... .~.,.~ .c~ .~. ~. Location of land on which proposed work will be done: ......... t...C. ...... ~. ~..~.~. ............. ........................ ............................... . ........ House Nmnber Street Hamlet County Tax Map No. 1000 Section ...4/..~".. ......... Block ....... l ......... Lot ..... /~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of prqposed construction: a. Existing rise and occupancy ..... I...~'.'. ·C.' ......................................................... b. lntended use and occupancy .... .~...\ .~c~..~..[ ....................................................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition . ......... fAlteratiog/ ..... ~ ..... Repair ........ .,74/... Removal .............. Demolition .......... ! ....Otherk"' ._~-~-~vmk~. .... : ......... qqt ~,,2/ ! (Description) 4. Estimated Cost..?.'...~(~Y,~Jt .C-f~.'~ '"" '~ - '" '"'" ................... Fee . .~./f~.~. ~.'.,.~"~ --" ~.~.. ..................... · * ~ (to b~ paid on filing this application) 5. If dwelling, number of dwelling units ..... / ........ Number of dwelling uriits on each floor ................ If garage, number of cars ........................................... i ............ "'~ ......... ;/f ' ' ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use e270~/..2..-~.~.-~(/... 7. Dimensions of existing structures, if any: Front ............... Rear ......... Depth ............... ight [ ,' He ............... Number of Stories .......................... ~ ............................. Dimensions of same structure with alterations or additions: Front ........... I ...... Rear .................. Depth ...................... Height ...................... Number of Stories ...... f. ............... Dimensions of entire new construction: Front .......... ' ..... Rear ....... '. Depth Height ............... Number of Stories ........................... . ............................ Size of lot: Front ...................... Rear ...................... ! Depth ...................... D teofP hase Nam off O ' a nrc ............................. e ormer wner i ............................. 1 1. Zone or use district in which premises are situated... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... .......................... 13. Will lot be regraded yr?/~/ty ................... ,... Will exc, l~s fill be removed from premises: ~esD No 14. Name of Owner of pr~fis~s .~-d~. ~~O~"~.~.5'Address ~..f, 2.~...~/'f. ?~.~. Phone No . C/~. · .7~. ~.~ ~... Name of Architect ......... Address . . 15. Is this property located w~thin 300 feet of a tidal wetland? *~es ..... ~ ..... · If yes, Southold Town Trustees Permit may be required· PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& ilndicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and ~nd~cate whether interior or corner lot. 9. 10. STATE OF NEW YORK, S.S ; COUNTY OF .................. · . f-~..(~LJ~'(~) ........................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contra.ct). above named. .... ............................................. ......................... (Contractor; agent, corporate officer etdr.]i]~(! ~ /i~ 'i ' of said owner or owners, and is duly authorized to perform or have performed theis*~i~work and to makefnd'!file this applicationi'that all statements contained in this application are true to the best of f~i~,~a]~["~Sa~,k;alt~ql~hha (that the work will be performed in the manndr set forth in the application filed therewith. Sworn to before me this Notary Public ........ ~_¢~.. ~... P.~..~/~,... HI~.EN I(. DE ~E N~A~ PUBLIC, ~ ~ ~w Y~ No. 4707878, S~ik ~ Te~ Expir~ Msrch ~, 19 ./ · County (Signature of applicant)