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HomeMy WebLinkAbout14498-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23328 Date NOVEMBER 4, 1994 THIS CERTIFIES that the building MODULAR DWELLING Location of Property 65400 COUNTY ROAD ~48 ~RE~EPORT, N.Y. House No. Street Hamlet county Tax Map No. 1000 Section 40 Block 3 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/10/86 & 9/11/87 pursuant to which 1449B-Z & Building Permit No. 16456-Z dated 1/10/86 & 9/11/87 was issued, and conforms to all of the requirements of the applicable provisions cf the law. The occupancy for which this certificate is issued is ONE FAMILY ~ODULAR DWELLING WITH HANDI-CAPPED RAMP * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ESTATE OF DANIEL ~. ~ONKLIN N/A N-001922 - JANUARY 7, 1988 N/A *THIS UPDATES CO Z-16603 DATED 1/21/1988 & CO Z-17730 DATED 1/31/89 / v'- Z Bu ing' Rev, 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17730 Date JANUARY 31~ 1989 THIS CERTIFIES that the buildin~ Location of Property 65400 NORTH ROAD House No. County Tax Map No. 10Q0 Section 840 Subdivision ADDITION Street Block 03 Filed Map No. GREENPORT~ NEW YORK Hamlet Lot Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9~ 1986 pursuant to which Building Permit No. 14498-Z dated JANUARY 10g 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 HANDI-CAPPED RAMP TO EXISTING ONE FAMILY DWELLING DANIEL G. CONKLIN 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 Rev. 1/81 Building Inspector IB'OR~ NO. ~ TOWN OF SOUTHOLD BUILDIZ~G DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14498 Z Permission is hereby granted to: .....~...~....~:.~,..J.L~.zl ...... ,o _ ~'1_ 'n '"T',,,...O0.' f_v_n ' , fi L v - I ~... ~..._¢.~.....c~_~.:,~, ~ ..c~.~ ............................... : ...................... · ..-/...._ ...... ."l'" '" ..... ~" ....... '" ' ~" at premises located at ...~..~.:.~.~..~......~..~....~ ......... ..~..~ ................... County Tax Map No. 1000 Section .... ..~....~..0.. ........ Block ...... ..~..~ ....... Lot No....L..~.. ............. Building Inspector. Fee $,.,.~,,?. ............ approved by the Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~t~ ~ppl~ati~ No. on flle THIS CE~IFI~ ~T ,. ,~/~o.~, ~~s~9~~_________ ~ ,. r~. ~ ~ r,. .~.o. s,~ ~ examin~ ~ =nd~nd to ~ in com~innce with the r~ui~ments o~ th~ ~. 04~'YERS KJRNAC~ MOTORS ~JTUIII AI~UANCE ~ TIMICAOCliS I/NITHIA~IS ~ ~RS NO O~ lint ~BIVI{~ DISCONNECT JOHN AVONA P,O. BOX 12 SHELTER ISLAND, NY, 11964 This certificate must not be altered in any monner; return to the office of the Board if incorrect. Im~:N~ors may be identified by t~ ir crmtentials. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ........ -.-. A~P~ICAT[0R P0[ C[[TI~ZCA~ OF 0CCU~ANC¥ A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location o.~ all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supplyiand 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 1% 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applzcant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, klterations 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 Buildinz - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO Date New Construction ........... Old Or Pre-existing Buildin¢.&',~f~,~t~z LOcation of Property .... ~'~...~ ~ ¢~.~/ House No. Stree~ Hamlet Onwer or Owners of Property.. ~Z~..~..~ff~ ~ ~,.~.~' . County Tax Map No 1000, Section.~ ......... Block..~ ........... Lot..~/~..~.~. ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Pe~it ................ Applicant ............................. Health Dept. Approval .......................... Unde~eriters Approval ......................... Planning Board Approw~l ........................ Fee Submitted. $ .................... ' .......... ..................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ 65400 Location of Property ..... North Road Greenport, New York HOUSE NO. STREET HAMLET Owner or Owners of Property ...~ANIEL CONKLIN County Tax Map No. 1000 Section 40 Block ~. Lot . l0 Subdivision ....................... Filed Map ........ Lot .......... Permit No.I~ ..... Date of Permit 1/10/86 .Applicaat WM. CONWAY Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: Final Certificate XX rev. 10/14/88 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 January 25, 1989 Mr. Daniel Conklin 65400 North Road Greenport, New York 11944 Re: Building Permit 914498-Z Tax Map ~1000-40-3-10 Dear Mr. Conklin: 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 construction of an addition to an existing dwelling. It is unlawful to occupy a dwelling 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 $25.00. This building permit is for the Handi-Capped rail. In order to avoid any legal action, you 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 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN liALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, Wa 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. /~/ Tile check is(outdated/not on file.) /~/ No }]ealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit Building Dept. this matter. bio Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ? 1E~D ~NSI ECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & ?LUMBING INSULATION FERN. Y. STATE ENERGY COMi~ENTS CODE ADDITIONAL COMMENTS FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 TEL,: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,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 autkotized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if 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 . .~.q..r~.tlt ]..~.O.,9 ./~. !l.b ....................................................... (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... ~. 1 .~....~'~.~ .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone..~.~....~...~..~.C.~.'.j ...................... .................................. .- ........... b. p.o.<t .................. ltouse Number Street Hamlet County Tax Map No. 1000 Section ...~.0. -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. Exis'ting use.and occupancy . ~.{~5/.¢..-.~.?.~).l/. ~3.o.~.e~.. " b. Intended use and occupancy . . ./7.d..d ..... .fT..O~..C.' .C.e-.5.~ ..........- ................................ :3. Nature of work (check which applicable): New Building dditio" ... .. Alteration .......... Repair .............. Removal ...... : ....... Demolition ........... i.. Other Work ............... ~'~f'.r-) : (Description) 4. Estimated Cost .................................... --~.~ff.~. Fee ..... .... ' ....:... · ~ ('to be ~aid on filing this application) 5. If dwelling, number of dwelling units ................ Number o f dwelling unit~ on each floor ................ If garage, number of cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... ~ 7.' Dimensions of existing structures, if any: Front ............... Rear ....... ~ ...... Depth ............... Height ...... .' ........ Number of Stories ............................ 2 ............................ Dimensions of same structure with alterations or additions: Front ............ i .... Rear .................. Depth ..... ~ ................ Height ...................... Number of Stories ........ .~ ............. 8. Dimensions of entire new construction Front ,,P67 . Rear : Danih aright . ...~. 1, .......... Number of Stories ..................... ~.. '. ........................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . ~ ........................... 1 1. Zone or use district in which premises are situated .............. : .......... ~ ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~q.c/j ........................... 13. Will lot be regraded .... .~... ~ ....... ~. ............ Will excess fill be removed from premises:__ ~Yes _ i4. Name of Owner of premises ~[)q~r~)e-I..t~oxl.kt,.N.... Address /gPT.~..~ .~. ...... Phone No. '.~..7.~(= .O..[g.O.~,.... Name of Architect ........................... Address ' Name of Contractor..~tl[tq,.~,o :~,o~q.c~. . Address i .Z.'4 1 i' rhone No ....... ..... · ...... . Phone No.. ~..6,..~..~ ~ .~-?=. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indlcate 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 ................. S.S ................................................. being duly sworn, deposes (Name of individual signing contract) above named. and says that he is the applicant He is the .............................................................. ~ ........................... (Contractor, agent, corporate officer, etc.) i of said owner or owners, and is duly 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 flied therewith. Sworn to before me this .............. .... ..... · HI,fi & DE rOE ........... NOTARY PUBLIC, Stats of New York ,~, ..... (_S_i.g__lt~m~ of, applimmt)