HomeMy WebLinkAbout14113-zFoRM
TO~R~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22393 Date JUNE 15~ 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 1530 NEW SUFFOLK LANE CUTCHOGUE~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 109 Block 6 Lot 13
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 1, 1985 pursuant to which
Building Permit No.. 17113-Z dated JULY 5r 1985
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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to MARY H. NOVIT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-276005 - MAY 14~ 1993
N/A
~~Buil~ing Inspector
Rev. 1/81
I~O~'~v NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO 14113 Z
Permission is hereby granted to: ~ ~ , I
~.~.~.~.~..~ .......... !.. ...................................
...~..~.,L.~.,~, ..... ~.~ ~
,o ..~......,~......~..-...~...~.~.~".¢~..,,,.....~ .................
· ~..:~ .......... :::......;; ............ '.' ............ ~""'~'~'-':'r"~ .......... ;~' .......... ~ ................
at premises located ot....'..~.....~. ............... ..~...~.......~...L~.~......~..,:......~.¢~.~
~.~vl ...................................
County Tax Map No. 1000 Section ..... !..?...c~. ......... Block ........ ~ ........... Lot No...]....~ .............
pursuant to application dated ......... ....~..~.~ ........................ , 19.~..~...'~, and approved by the
Building Inspector.
Fee $...~. .................
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
I 0 L'?
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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:
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 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
qpre-existing" land uses:
1. Accurate survey of property showing all pr3'PeTty lines, streets, building and
unusaal 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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions go 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 - Residential $15.00, Conunercial $15.00
Date ~ ...
............
.. . .
House No. Street Ham2et
Onwer or Owners of Property..~...~..~.....~.. ~.~. ~ .I. ~ ...................................
County Tax Map No 1000, Section ............... Block ................ Lot .......
Subdivision ................................. ·. . Filed Map ............ Lot .................... . .
Permit No.~.~/~..~..~. .... Date Of Permit ................ Applicant..~.~..~.~...~.~.~.~..~. ....... ...
Health Dept. Approval ........................ Underwriters Approval ............
Planning Board Approval ..................
Request for: Temporary Certificate ...... o. .. . Final Certicate .......
Fee Submitted: $ . . ~.~ ..................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[ ~*~J ~]~ ~ ~ BUREAU OF ELECTRICITY
[~ 85 JOHN STREET. NEW YORK, NEW yORK 10038
Date
THIS CERTIFIES THAT
o~y the eJ~tricaJ eqaipment ~ ~scrlb~ be~ a~ int~uced by t~ applicant ~med on the a~ve application nu tuber in t~ prorates of
in the followlng lacationl ~ Base--at ~ 1st FI. ~ 2nd ~1. 0 ~ ~ Section Blah Lot
~s examined on ~Y ~7~T99~ and found W be in compliance with the Nafional Electdcal Code.
DRYERS [ FURNACE MOTORS FUTURE APPLIANCE FEEDERS
SERVICE DISCONNECT
OTHER APPARATUS:
RANGES
K, W
SPECIAL REC'I
ND. OF S E
· OF CC, COND,
P.O,BOX
Cq~,l[Odi[h, ~t J, 193!1
~JNIT HEATERS MULTI-OUTLET
SYSTEMS
- NO. OF FEET
C
EXHAUST FAN
AMT H P
DIMMERS
AMT, WATTS
This certificate must not,be altered in any manner; return to the office of the Board if incorrect. Inspectors may be dentfed b their cred t'
COPY FOR BU?DING DEPARTMENT, THiS COPY OF CERTIFICATE MUST~03' BE ALTERED INANV MANNER.
GENERAL MANAGER
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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 7, 1993
Mary H. Novit
1530 New Suffolk Lane
Cutchogue, N.Y. 11935
SCOTT L. HARRIS, Supems0~
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York ! 1971
Fax (516) 765-1823
Telephone (516) 765-1800
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the followin~ reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Pluraber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 14113-Z **
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
**AS YOU ARE AWARE, THIS BUILDING PERMIT HAS EXPIRED AND THE
CERTIFICATE OF OCCUPANCY HAS NOT BEEN ISSUED. WE NOW HAVE THE
UNDERWRITERS CERTIFICATE. PLEASE FILL OUT THE ENCLOSED
APPLICATION AND RETURN TO THIS OFFICE IMMEDIATELY ALONG WITH
YOUR CHECK IN THE AMOUNT OF $25.00.
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 7, 1992
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York ! 1971
Fax (516) 765-1823
Telephone (516) 765-1800
Mary H. Novit
1530 New Suffolk Lane
Cutchog~e, N.Y. 11935
Re: Building Permit 9 14113-Z
Premises: 1530 New Suffolk Lane,
Surf. Co. Tax Map ~1000-109-6-13
Cutchogue, N.Y.
Dear Ms. Novit:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
A final inspection was made on May 9, 1990, but you did not
apply for the Certificate of Occupancy. Enclosed is an
application for CO. Please submit it tb this office along with
your check in the amount of $25.00. Also, we need your
underwriters certificate for the electrical work.
Please contact this office as soon as possible so that we
may clear up this violation.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Building Inspector
GJF:gar
encl
(Cert. Mail)
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(5 ~.6) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1 ! 79
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 3, 1990
Charles Norvit
1530 New Suffolk Lane
Cutchogue, N.Y. 11935
Re: B.P. %14113Z Above ground pool
Dear Mr. Norvit:
I am writing to you regarding the above Building Permit.
This permit required an inspection and a Certificate of Oc-
cupancy. You have never called for an inspection and there-
fore you have never filed for a Certificate of Occupancy.
You are in violation of the Code of the Town of Southold.
Please contact our office regarding this matter. An Under-
writers Certificate is also required. Thank you for your prompt
attention to this matter.
Yours truly,
Secretary
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
May 10, 1990
Charles Norvit
1530 New Suffolk Lane
Cutchogue, N.Y. 11935
Dear Mr. Norvit:
Our inspector did the inspection for your pool on 5/9/90.
The pool passed. I am enclosing an application for C.O., the
fee is $25.00 and you will need an Underwriters Certificate.
If you do not have an Underwriters Certificate you should con-
tact Ernest Pappas. He is in our office on Mondays between
and 11:00 a.m .or you can call him at 765-1477 between 8:00
and8:45 a.m. weekdays.
Thank you for your attention to this.
Yours truly,
Secretary
F]ELD INSI~ECTION
1.
FOUNDATION (1st}
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL
COMMENTS:
FAIRWAY
t
!
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING ~r~
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802'
Approved .... ~'..., 19 ~ ~. Permit No.. [.q.. [ [ .~..~..
Disapproved a/c .....................................
(Buildin
APPLICATION FOR BUlL
Elf
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 ~fi~val or derr},olition,,ar herein described.
The applicant agrees to comply with all applicable laws, ordinances, buildi~,g/cod¢, housing ¢6de, an~l/tegulations, and to
admit auth°rized inspect°rs °n premises and in building f°r necessary inspeci'f.'~-.~....~....7.%,'
(Signaklrgf/~O,(pphcan:t; or'flank, if a corporation)
...... .¢. . . . . ( .o. .;. . . ?. ?. ., : . 7. . . .< . .
(Mailing address of applicant)
State whether applicant is owner, lesseeSgent,~rchitect, engineer, general contractor, electrician, plumber or builder.
......................................... ...........
P ...................... (~} 'o'n't'~e';a~';c~~e'd'-)~3~'': .... ¢' ~; t. , ' .......
If apphcant ,s a corporation, s,gnature of duly authorized officer. ;~i ~¢~ N~
.............................................. 1. FOUNDATION _ TWO REQUCRED
(Name and title of corporate officer) FOR POURED CONCRETE
2. ROUGH . FRAMING $~
Builder's License No .......................... 3.
4. FINAl.. C.')N:'-pt ION
Plumber's License No ......................... BE C,~4~t ?F :'~ C O.
ALL COb,~cfF,,r-?~oN c, AIL /'AE~T
Electrician's License No ....................... THE REc¥ ~,,,: ,.,mS,.% r,,: TI-IF N X~
Other Trade's License No ...... CODES. NOF RFCD(~ ..... ,~ DC'x/
.... " )L FO
DESIGN OR CONSTRu( ....... ~ ·
1. Location of land on which proposed work will be done. - t~o'q E,~'t~
...................... t. :.00 ..... .......... ...............
House Number Street Hamlet
County Tax Map No. 1000 Section ..... fO..? ........ Block .... .~. ............ Lot....,/-~..~. ..........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intend,ed use and occupancy of proposed construction:
a. xisting use and occupancy ..... .".'x ............ .~.."; :.'~'. ........................................
b. Intended use and occupancy ...... .~...~?'..~:..<;eld..O~.. ................................... i ........
9.
10.
ll.
12.
13.
14.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or propo~,
property lines. Give street and block number or description according to dee
interior or corner lot.
Nature of work (check which ~;pplicable): New Building ..... ' .....' addition .......... Alteration ..........
Repair .............. Rez ~oval .............. Demolition .............. Other Work ...............
' (Description)
Estimated(12~l. . ~ .............................. Fee~ .........................
(to be paid on filing this application)
If dw~ifin.g .rtI~gaber"bf dwellin units Number of d ~eliing units on each floor
If garage, ~i[t~r of cars ... ~ ..... ' ...............................................................
If business, commercial or mi~ed occupancy, specify nature and extent of each type of use .....................
..... res, if any: Front Re~ Depth
Dnnenslons of ex~st~ng structu.
Height ............... NOmber of Stories .......................................................
Dimensions of same structure With alterations or additions: Front ................. Rear ................
Depth ' Height ' ~qumber of Stories
Dimensions of entire new construction: Front ............... Rem ............... Depth ...............
Height Xrumbe~ oe ~+ofieo . '
Size of lot: Front Rear Depth
Date of Purchase ......... ; ......... ; ......... Name of Fonm r Owner .............................
Zone or use district in which ~remises are s~tuated ....... : ............................................
Does proposed construction violate any zoning law, ordinance or regula lion: ................................
Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
Name of Owner of premises .................... Address ............ Phone No .............
Name of Architect ........................... Address .................. Phone No ................
Name of Contractor .......................... Address ................... Phone No ................
ed, and, indicate all set-back dimensions from
t, and show street names and indicate whether
STATE OF NEW YORK,
COUNTY OF .............. S.S
............................ . ..................... being duly s
(Name of individual sighing contract)
above named, i
torn, deposes and says that he is the applicant
He is the ..........................................................................................
(Contractor agent corporate o 'ricer etc )
of said owner or owners, and is ddly authorized to perform or have perfo:
application; that all statements contained in this application are true to the
work will be performed in the mann'er set forth in the application filed there,
Sworn to before me this '
..... ,19Z.47'.
........... [ .,9-AP. ......... day ~f .........
NOt~ARY PUBLIC, State of N~w YO;I~
No. 4707878, Suffolk CeCntyo, ..,
l'elm £XpLrg~ Mar~.b 30, 19.,~'-' !
reed the said work and to make and file this
best of his knowledge and belief; and that the
vith.
(Signature of applicant)