HomeMy WebLinkAbout15558-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18053 Date MAY 24, 1989
THIS CERTIFIES tha~ the building ADDITION
Location of Property 595 NORTH PARISH DRIVE SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 71 Block 1 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER4, 1986 pursuant to which
Building Permit No. 15558-Z dated DECEMBER 9, 1986
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROV~_L N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
EUGENE &MAD~,VNCROASDkLE
Rev. 1/81
Building Inspector
FO~V,v NO. ~
TO~N OF $O~T~OL~
BUILDING DEPART~£NT
TOWN HALt.
SOUTHOLD, N. Y.
BUILDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 15558, Z
Permission is hereby granted to:
County Tox Map No. 1000 Section ....... ..~...?..) ........ Block ....... ..~..). ........ Lot No......~.....~. ............
pursuant ,o application dated ~~~.....~. .................. , 19.~.b., and approved by the
Building Inspector.
Fee $..,~......'.....~
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDINC DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
BLDG. DEPt.
~..TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND .......
Loe~tlo~ o~ ~o~W. --Y ........ '.0 ..... D..L~ ..........
HOUSE NO. STREET HAMLET
Owner or Owners of Property..~9~g..~ M.~.~Y~ G~9~~a
County Tax Map No. I000 Section ..~'/.. Block
Subdivision ....................... Filed Map
Permit No./.~..~-. ...... Date of Permit .......... Applicant
--[ ..... Lot' .~. .......
........ Lot ..........
Health Dept. Approval ..................
Planning Board Approval ................
Request for Temporary Certificate .~.. ....
Fee Submitted: $.
Underwriters Approval ..............
Final Certificate
rev. 10/14/88
FORM NO.
TOWN OF SOUTROLD
BUILDING DEPARTHENT
TOWN HALL
76.5- 1802
APPLICATION FOR ~ERTIFICATB OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in type~rriter OR ink and submitted to the Building
Inspector with the follqwlng; for new buildings or uaw use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusualinatural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrichl installation from Board of Fire Underwriters.
4. Sworn statement from {plumber certifying that solder used in system contains less
than 2/10 of 1I lead.'
5. Commercial buildings, industrial buildings, ~ultlple residences and similar
buildings and installations, a certificate of code compliance from the Architect"
or Engineer responsible for the building.
6, Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings
and "pre-existing" land .uses.
I. Accurate survey of prloperty 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 D, 1957.
If a Certificate of Oiccupaucy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing e~de or safety inspectlou of b011dings or premises, or other
pertinent informationI required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
I. An 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 oflthe entire lot prior to April 9, [957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
CERTIFICATE OF ocCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dweillng $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 dwelling - $100.00.
3. Copy of Certificage of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6~ Temporary Certifl :ate of Occupancy - $25.00 Residential
$50.00 Cormuercial
APPLICATION ON BACK
~ev.
,
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 23, 1989
E.J. CROASDALE
3009 S. Ocean Blvd.
Highland Beach, Fl. 33487
Dear Mr. Croasdale:
I am writing to you in reply to your letter of Jan.
17, 1989.
B.P.#15558Z was issued for an addition to the
dwelling. I am enclosing a copy of the inspect-
ion report for the work on the addition.
As I stated the permit has now expired and must
be renewed and a Certificate of Occupancy must
be issued for the permit.
You also have an open permit #17060 which was for
a renovation and a deck. This permit is still
active until Dec. 6, 1989 and has had inspect-
ions.
Thank you
for your attention to this matter.
Yours truly,
Secretary
TOWN OF SOUTLIOLD
OFFICF. OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
Hay 23, 1989
TEL. 765-1802
Hr. E.J. Crosadale
595 No. Parrish Dr.
Southold, New York
11971
To Whom This May Concern,
We are unable no complete your Certificate
of Occupancy because.of the following reasons.
/
/_--//An application for Certificate of Occupancy
is not on
,'-_/ blo Underwriters Certificnte on file.
/Ti,~ The check i:;(~lat~ed/not ou file.) #,~f,~
/_-/ No Health Dept. Approval on file.
/--/ No final insDcction has been made.
Please contact ()ur office on this matter.
Thank you for your cooperation.
l~uil(]in~3 Permit I~ J_ .~_ ~_ ~_ ? Z
Building Dept.
***/-~, No Plnmber solder Certificate on file.
( all perm'~ts involving plumbing being
issued after AprJ. 1 1,1984 )
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
DATE: JANUARY 12, 1989
NAME: GENE CROASDELE
ADDRESS: 595 NORTH PARISH DR.
SOUTHOLD, N.Y. 1197!
RE: BUILDING PERMIT #15558Z
SEC. 71 BLOCK 01
This Buidling Permit has expired.
violation of the Town of Southold
Please contact our office,
rected.
LOT 06
You are now in
Zoning Code.
this matter must be cor-
Yours truly,
Victor G. Lessard
PRINCIPAL INSPECTOR
VICTOR LE$$ARD
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 23,
E.J. CROASDALE
3009 S. Ocean Blvd.
Highland Beach, Fl.
33487
Dear Mr. Croasdale:
I am writing to you in reply to your let
17, 1989.
B.P.#15558Z was issued for an addition t
dwelling. I am enclosing a copy of the
ion report for the work on the addition.
As I stated the permit has now expired and must
be renewed and a Certificate of Occupancy must
be issued for the permit.
You also have an open permit #~7060 which was for
renovation and a deck. This permit is still ~ ~/.
a
active until Dec. 6, 1989 and has had inspect-
ions.
Thank you for your
attention to this matter.
Yours truly,
Secretary
OUNDATION (1st)
OUNDATION
OUGH FRAME &
PLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
7~S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[ ] FINAL
~[~v ".X~ ~/~ UILDING DEPT.
} /iNsPECTiON
[]FOUNDATION 1ST []ROUGH PLBG.
[]FOUNDATION 2ND []INSULATION
[]FRAMING []FINAL
REMARKS:
DA'rE:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[ ~'NAL
DATE
INSPECTOR~.~/~,~
VICTOR LE$SARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
DATE: JANUARY 12, 1989
NAME: GENE CROASDELE
ADDRESS: 595 NORTH PARISH DR.
SOUTHOLD, N.Y. 11971
RE: BUILDING PERMIT #15558Z
SEC. 71 BLOCK OI LOT 06
This Buidling Permit has expired. You are now in
violation of the Town of Southold Zoning Code.
Please contact our office,
rected.
this matter must be cot-
Yours truly,
Victor G. Lessard
PRINCIPAL INSPECTOR
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~°OUTHOLD, N.Y. 11971
TEL.: 765-180:*
ApproX..~... 9.., 19.~.~. Permit No./.~...~.~.."~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
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 ~ 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 in~.. ,,[ ~ , { .. crt'Il '
''' ~ of~,ppliqa' ' ---" -'' v" ~1~, or name, if""' ~ -' ~'o~;~;a'tio'n') ....
.......
(mailing ~ddress of app leant)
State whether applicant is owner, lessee, a~ent, architect, en~neer, general contractor, electrician, plumber or builder.
Name o£ owner of premises ....... ,(~..eA-~.. · .~.~.~)'.~(~ .~,~.0~-~ .....................................
(as on the tax roll or latest deed)
~is a c?~rpo~ign at ure of duiy au tho rized office r.
Builder's License No ...... (..~xg(Oo,~ . 'k.t25~,O.~. ....
Plumb License No.. - ...........
Electrician's License No... ,~D..'~.~.OvO .........
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
..... ............ ........ ...............
House Number Street Hamlet
County Tax Map No. 1000 Section ....... .~7[.. ~ .......Block ..... ...~ .......... Lot ...... .~. ..........
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 .... .O...h~. ~%..N-~0Y~T~. -~..(~ · · . .... , ..... ....................
b. Intended use and occupancy ...~.~.~ :-7..'~....~..~ . . .~..~ ..................
3. Nature of work (check which applicable): New Building ..... '. ....'Addition . .¥~. ...... Alteration ..........
Repair .............. Re~novai .............. Demolition .............. Other Work ...............
R i~ (Description)
4.
Estimated
(to be paid on filing this application)
5. If dwelling, number of dwelling units. Number
If garage, number of cars ..., ........ ~.~ ......................................................
6. If business, commercial or mi{ed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Ndmber of Stories ........ ~ ...........................................
Dnnenslons of same structure with alterations or ad&tlons: Front ..... V. .......... Rear ..................
Depth .................. 1 .... Height ...................... Number of Stories .... (b~ ............
8. Dimensions of entire new construction: Front ..... ' ti'
Height ~ x<~.'~ Nu~mber of Stories q-~;..~
9. Sizeoflot: Front ......... ~ ............ Rear ...................... Depth
10. Date of Purchase ......... ; ................... Name.of Former Owner .............................
1 1. Zone or use district in which ~remises are situated .....................................................
12. Does proposed construction viglate any ~o,ning law, ordinance or regulation: ...... ~..~.. ...................
13. Will lot be regraded .. ~.. ~O~ ....... Will excess fill be r.e. mo~ed from premises: Yes
Name of Architect ........ ' ......... .......... Address ........... Phone No ..............
Name of Contractor· .qO2t~'~,-> .~q~0~ . . . i. Address ................... Phone N~_x ..............
15. Is this property located withinli00 feet of a tidal wetland? * Yes ..... N(~g .....
· If yes, $outhold Town Trustees Permit may be required.
I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back .dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................
.......
(Name of individual si
S.S
.~... ............... being duly sworn, deposes and says that he is the applicant
,,~i~ g cob tract)
above named.
He is the .................... , .......... ~t'r' ~ .............................................
i ' ·
(Co a or, agent, corporate officer, etc )
of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this
application; that all statements cofitained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........ : ...... .~/. ....... day of ....... ~....~-~r.. .......... 19 ~.~.