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Home My WebLink About14599-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19665 Date JANUARY 18, 1991 THIS CERTIFIES that the building. ADDITION Location of Property 200 JACKSON AVE. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 10 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 13, 1986 pursuant to which Building Permit No. 14599Z dated F~kRCH 3, 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 MR. & MRS. RAYMOND CROUCH I~OEI~ NO. I~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH HAI.L SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is herebt granted to: o, ~,~, ,~o,~ ~, .. ~..~....~.~. ~.....o~-' .......... ~"~'--"~/"m~~'" .......... ..... ~...~...~......~.~ .............................................................................................. Co~,~b, To× Map No. ~000 Section ..~....]J..'l ......... ~o~k ..... I....0.. .......... Lot Na ...... )...'?. ............. Building Inspector. Building Inspector Rev. 6/30/80 _ TO~_~w~,o~, :~L,: ,. A~P~CAT~O~ FO~ CE~m~F~CAT~ OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or mew use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ]. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia~ $15.00, Commercial $15.00 few Construction .... .~..... Old Or Pre-existingD~l~![/]~'{'i]][[]i]I ................. ~ocation of Property ...... .~.~ ........ ~~.. ~.~.~ ...... .~..~.. b.~?.~. [ House No. Street Hamlet )nwer or Owners of Pronert,, ~-+ ~Z~, ~tl~~ ~~ :ou~y ~ ~ ~o ~o0o, s~,o~ .... tkO. ..... ~o~ ..... ~ ........ ~ot .... ~:~ .............. ;ubdivision ....................................Filed Map ............Lot ............. . . ...... . 'er it ..... ate of ..... iealth Dept. Approval ........................ . . Underwriters Approval...~ ..................... lanning Board Approval ............. ~ ........... // eqsest for: Temporary Certificate ........... Final Certicate .... .~..... ee Submitted: $ ......................... ~. ¥//~. '," Oo z.l':j,¢6,~" ' .~ ..................... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervis~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Jan. 10, 1991 Gerry Horton 600 Eastward Court Mattituck, N.Y. RE: BP14599Z March 3, 1986 Raymond Crouch--Porch addition Dear Gerry: In reviewing our file this permit was found. It has expired and has never had a final inspection and has no Certificate of Occupancy. Please contact our office to set up and inspection, and then file for the C.O. Yours truly, Secretary TOWN OF SOUTHOLB OI":FICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 January 16, 1991 TEL. 765-1802 GERRY HORTON 600 EASTWARD COURT HATTITUCK, NEW YORK 11952 RE: RAYHOND CROUCH To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. / /_--//An application for Certificate of Occupancy is not on file. (ENCLOSED) /_--//-~Io Underwr%tcrs Cc. rtificnte on file. /._~/ 'Ille check iu(ox~xklikx"Xk/not o% file.) $25.00 /~/ No llealth Dept. Approval on file. /-'/ No final inspection has been ir, adc. Please contact our office on Thank you for your cooperation. l~u[ld~ng Permit t~ I 4 5 9 9 Z Building Dept. chis matter. Ho Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 F1ELD INSPECTION COMMENTS 'OUNDATION (2nd) ~OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE YJ FINAL ADDITIONAL COMMENTS: Examined . .~-~..~. .... , 194 .? 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .% .0%.~..~....., 199.~.. Permit No..~ .q.~. 5.~..~. · . Disapproved a/c ..................................... Received ........... , 1 9 · . · (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................19~ O.~I lO ... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 i tions. (Signature of S~l~plicant, or nam~e,.J~f a corporation) ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .............................................................. (as on the tax roi1 or latest deed) If a,l~tpl~ant is a c, Orl~oration, signature of duly authorized officer. ...... (N~e ~ 'title of c;~;r'a[~ ;}h~;r') ......... Builder's License No ..... ! .~. .................. Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. :... ........... ................. House Number Street Hamlet County Tax Map No. lb00 Section ...... I! .r~. ......... Block .... 1.~. ............ Lot.. t. 2 .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~ i.vx. .~/~i:...'.~.~..ID?:.. ~. '5'" .~...c~..~.([. ~.~..~ ........................... b. Intended use and occupancy .... .~.~DD.~- ....................................................... 3. Nature of work (check which applicable): New Building ... ' Addition.. ' ...... Alteration .~. Repair ........... Removal ..... D~molition ..... ?.. Other Work /ii'pti (Desc off) 4. Estimated Cost ....... .~. ~...C~Q..: .~.. ................... Fee .......... ; ....................... .'... " (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars ............................................ : ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i ....... 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 ............................ ~. ........................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . ~ ........................... 11. Zone or use district in which premises are situated ......................... i ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ! ........................... 13. Will lot be regraded ....... ,.,.f~ ................. Will ex~ess fill be removed from premises: Yes 14. Name of Owner of premises. ~ C_..P~. Address~_'f~q~m~, .¢?~°~..,.°~.-~,~ az CPhone No ~(~f~ ,2Ql-'~"~. ..... ' V ........... ~.120~0 I,~ I~¢~'~o ~,~-' ~"V- '~ , ..... ' ' z~ame o~Arcnitect · , ........ Address '-'- , ~ Phone N~ Name of Contractor · ~:~.~3.~... · · · · · .c'qq... · .b~'..'. ..... Address PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& 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, S.S COUNTY.O.F ................. ......" ~ . .~.~.~¢.~'.~....L,:. ~J~..~. ................. being duly sworn, depoies and says that he is the applicant (Name of individual signing contract) above named. He is the ..... . .C.~.rx.~..C.O-.%.(-.-~..r~'. ........................................ q ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the s~id 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 ........... /.4. ...... day of ..... ¥ . . .......... ,19 . Notary Public .... ~.. ~f~,...~. ~..~ .pf-~-~.. ..... County ~_~ ........... Ig 8~1~ ~ . (Signature of applicanti, RAY H, CROUCH ~th & Jackson Streets New Suffolk, 'New York~ HOUSE EXISTING PORCH~ .~!' 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