The URL can be used to link to this page

Home My WebLink About15010-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building ~nspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z1B564 Date NOVEMBER 15~ 1989 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 400 MARLENE LANE IJtUREL House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 02 Lot 24 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13~ 1986 pursuant to which Building Permit No. 15010Z dated JUNE 23~ 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to CATHERINE & FRANK STEPNOSKI~ JR. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 Building Inspector ]rO~ NO, IB TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N, Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~? 15010 Z Permission is hereby granted to: ...................... ..~~,....~....~..: ...................................... ,o .~~....~......~.~.....~.~~,...~....~....~.....~. County Tax Map No. 1000 Section ..... J...L/...~.. ........ Block ..... ..(~.....~T... ...... Lot No....~...~.. ........... pursuant to application dated .... ~'~[~..../..~ ...................... , 19..~...(9.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 To Whom This May Concern, TEL. 765.1802 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 ~/ The check is (outdated/~ nn ~&e. ) ~.5~i C~Cp /-/ No Health Dept. Approval on file. /--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ_ng Permit tt ] ~_~ I _~ Z Building Dcpt. ***/_--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUT~OLD, NEW YORK 765 -- 1802 APPLICATION FOR CERTIFICATE OF 11971 ~ "row~-5~'~o~o OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET o~e= or O~ners of Propert~..~.~.. . . ......................... Lz . y... Couuty Tax Map No. I000 Section .. Block ..~ . Lot' .. .. ,Subdivision ....................... Permit No. Health Filed Map ........ Lot .......... Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ ................... Final Certificate ................ rev. 10/14/88 De FORH NO. 6 TOWN OF SOIF~IIOLD BUILDING DEPARTFLENT TOWN tlALL 765 - 1802 AFPLICATION FOR ~RTIFICATE OF OCCUPANCY INSTRUCTIONS This application must .be ifiled in typewriter OR ink and submitted to the Building Inspedtor with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ~atural or topographic features. 2. Final approval of Hea%!tb Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrica~ installation from Board of Fire Underwriters. 4. Sworn statement from ~lumber certifying that solder used in system contains less' than 2/10 of IZ lead. i 5. Commercial buildings, lindustrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect orlEngineer responsible for the buil'ding. 6. Submit Planning Board!Approval of completed site plan requirements. For existing buildings (Prior to April 9, ]957] non-conforming uses, or buildings and "pre-existing" land Uses: I. Accurate survey of prpperty showing all property lines, streets, buildings and unusual natural or to~ographic features. 2. A properly completed ~pplication, a consent to inspect signed by the applicant and a certmf~ed abstract of tmtle issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ~957. · I~ a Certificate of O~cupancy is denied, the Building Inspector shall state the reasons therefor in w~iting to the applicant. ~. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationi required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. An application for valcant land Certificate of Occupancy shall b~ submitted, and a certified abstr!act of title issued by a title company showing single and separate ownership oC the entire 10t 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 writing to the applicant. FEES: ~ CERTIFICATE OF O~CLPPANC¥ - New Dwelling $25.00, Additions to Dwelling $k5.00, 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 dwelling - $]00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 ~. Updated C~rtific~te of Occupancy - $50.00 6. Temporary Certif$cate of Occupancy - $25.00 Residential $50.00 Commercial FIELD INS[~ECTION 1. FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd/ ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~IST [ ] ROUGH PLBG.' FOUNDATION ZND [×! INSU~J~ION.~ FRAMING ['~J~ FINAL REMARKS: APPROYED AS NOTED' ~65.~ ~ A~ TO ~ ~ ~R THE FOLLO~iNG INsPEC~ON~: 1 FOU~'~AT~ON ~0 ~EQUI~ED ~..INSULATtON 8~ CO~PLE~'E ~0~ T' THE ~EO. Ut~&~EN ~ OF ~HE N.Y STATE C~NSTRU(2TIO~ ~ ENERGY CO0~, NOT ~S~E FO OCC: PANCY OR USERS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... Date .................. , 19... 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 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 inspectio,ns. ~ .~' ' ' i~ of applicant, ' '~nan~e, if a corporation)'~-~ (mailing address of appl~_cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .......... ....... .......................... Nameofownerofpremises . .~.~..'~.~. ~-- ' ~ '~ 5'~ ~i (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .~..d..,~[ .~-....0 .~. ~.~..~ Plumber's License No ..... ~..o..~..~. ............ Electrician's License No... g¢.O..~. ~ ............ Other Trade's License No .... ~.~'. · .~: ......... 1. Location of land on which propo~ed work wilI be done. · .(~.."..~AS..~.~....~. ~:....~..~.....~...-~.'.~?..- .~..~'. House Number ~Q9 c_~ Street/91~ r ~,,oe.--/._,~,-~ Hamlet ff~- County Tax Map No. 1000 Section ] ~,~ ............. Block .... ~ .... i'. .... Lo;i.?-/..~., ~ ' 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 ...... ~..~.. ~" .d~..~...~. ...................... ,.;:....;. ;~ .................. b. Intended use and occupancy .............................. .., ~...: ....,, ... ............ 3. 'N~ture of work (check which apphcable): N, ew Building .......... Addition .......... Alterati~n~ .......... ;Repair ............. .. Removal ............. Demolition .............. Other Work. ~s'timated~C~t~..~..(Z).' (Description) 4. . .,~..O..(~. .................... Fee ..................................... (to be paid on filing this application) 5. 'If dwelling, number of dwellin~ units. ~ Number of dwelling units on each floor.. If garage number of cars ~" 6. If business, commercial or mixed occupancy, specify nature and~ exteht of each type of use ..:: ;-,:. .............. 7. Dimensions of existing structu?es, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of. Stories ..................... ' ...................... ) ............... . /I t2 d--~ ~--/ 9. S~ze of lot: Front .../.~l~y'.: ~ ........... Rear..9 ................... Depth /. ~..~. ................. 10.Date of Purchase ......... tX. · ........ .Name of Forraer Owner .. 11. Zone or use district in which premises are situated... ~¢~?...g.'%.[.. .................................. '" -.... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~ ~ ......................... 13. Will lot be regraded ./~q~.. b.q.. ..... . ..... , ........ Will excess fill be removed from premises: Yes 14. Name of Owner ofpremise~ . .~.rq..~.. ~5.~...,~3.&t. .~.r. Address .M~.o...r%..~vc ]..m~q.../-%.. Phone No..'~..~. r.~"~t'..,? .~. Name of Architect ...... .~4..o....~jyTe:~... ......... Address ... ~ ?....~.. ....... Phone No... · .~'~U°...~L~7. · ...... Name of Contractor ...... ~ .o. ~ ~ .......... Address . ...z~..~. .~'..~,. ...... Phone No... (~.~ .'~.. ...... 15. Is this property locate~ within 1100 feet of a tidal wetland? * Yes ..... No ..~... · If yes, Southold Town T~ustees Permit may be required. .. , , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposeff~ and~ indicate ail set-back dimensions from property lines. Give street and bloc interior or corner lot. number or descrip~ion according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................ ~ (Name of individual signing contract) above named. : being duly sworn, deposes and says that he is the applicant He is the ' . .'... : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dhly authorized to perform or have performed the said work and to make and file this application; that all statements contained 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 ................. /.3 ..... day;f ..... '"'tX~, '"---- 19....~ Notary Public, . ....... ~. ~... ' ' .~..gal..(J .~. ' ''e°Unty (Signature of applican