HomeMy WebLinkAbout14189-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24703
Date OCTOBER 28, 1996
THIS CERTIFIES that the buildin~
Location of Property 670 FOUNDERS PATH
House No.
County Tax Map No. 1000 Section 64
Subdivision
ALTERATION
Block 2
Filed Map No.
$Ou'r~OLD, N.Y.
Street
Lot 19
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 16, 1985 ~ursuant to which
Building Permit No. 14189-Z dated AUGUST 6, 1985
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is REAR DECKADDITION & ALTER ATTA~-K~J GARAGE TO EXISTING ONE
FAMILY DWELLING TO S~ ~ AS APPLIED FOR.
The certificate is issued to ANITA V. ~ATEJE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N-717907 - NOVEMBER 18, 1985
Rev. 1/81
' ~ng/Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 14189 Z
Permission is hereby granted to:
..... ¥~ .~.~....../.~.~.g.~.~.. ........
.......... ~.~ ....... ~/.. ..........................................
.......... z.~:~.~..c..~..~.;.~......z/..~?
,o ............ .~z:~........~.~..,~.~,.~...~.z~..,~:-~=~.... .,~.~....~/.~.....~. ...~.~..~ .........
....... ~.~_~,... ......... ~..~.~. ........ ~-~.~...~.~.~_~. ...................
o, prem,,$,~ote~ ot ......... .-g...7..~. ....... ~~.-~.'~ ...... ~½,.'..: .................................
................................................................................................................ ~.~/~.~.~. ....... ~,
County Tax Mop No. 1000 Section ....~.~'- .~... ...... Block ...~.~. ......... Lot No...~./....~.. ..........
pursuon, ,o application ~:~,ed .......... . .~-~.~.........~/.~ ................. , 19 ..<~....~-ond opproved by the
Building Inspector.
~ee ,........2--.~.......~
Rev. 6/30/80
L
A
Form No. 6
TO~ OF SOUTHOLD
BUILDING DEP.%RTMENT
TOWN ~iALL
765-i802
~%PPLICATION FOR CERTITICATE 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:
!. Final survey of property with accurate location of all buildings, property !ines~
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
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/i0 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.
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
re~so~s therefor in writing to the applicant.
Fees
I. 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-existinK Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .25=
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $t5.0D, Commercial $15.00
Ne~ Construction ........... Old Or Pre-exis~ing Bui~ding ...... .~ ......
Loiation of Property..~. ..... ~~..~ ....... ~.~.~[.~f~ ..............
. No.
County Tax Map No i000~ Section .............. Block ................ Lot..~.~.~"~.Z .......
Subdivision .................................... Filed Map ............ Lot ......................
~ea~th Dept. Approval .......................... Underwriters Approval
Pla6ning Board Approval ........................
[eq~est flor: Temporary Certificate ........... Final Certicate
.... ...............
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'[(,~'~.~"~5 BUREAU OF ELECTRICITY
~ 8B JOHN STREET, HEW YORK, NEW YORK 10038
THI~ CERTIFIES THAT
only the elect~cal equipment as ~scribed bel~ a~d ~tro~ by the epptlce~t ~amed on t~e abo~e application number in the premises of
~S. C~ne P. I{in~, 070 F~:'s ~,~ ~ld~ N.Y.
in {he follow~ng Iocat~on; ~ Basement ~.. 1st Fl. ~ 2nd FI. Section Block Lot
was exa,nlned o~ ~V~' ~1~ ~ and found to be in compliance tvith the requirements of this Board.
FIXTURE FIXTURES
OU~[LETS SWITCHES ! FLUORESCENT
3 8 ~ 3
RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS T~MECLOCKS UNIT HEATERS MULTi-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
OF CC COND.
NO, OF HI-LEG A W* g. A W.g.
OF HI-LEG OF NE[HRAL
E
Dennis D. Clai~
P. Oo Box 284
Laurel, NoY. 119~8
Lic. 23~:~
Per--
his certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[]FIREPLACE&CHIMNEY
[ ] ROUGH PLBG.
[ ~ULATION
[~"J FINAL
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 24, 1995
Anita Kinghan
Box 791
Founders Path
Southold, NY
11971
Re: Building Permit 913373-Z & 14189-Z
Premises: 670 Founders Path, Southold
Suff. Co. Tax Map 41000-64-2-19
During a review of our files it was noted that the above
building permit's have expired, and Certificate of Occupancies
have never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
lo
COMMRN
I,'OUNDATION (~s~)
FOUNDATION (2nd)
ROUGN FRAME &
PLUMBING
iNSULATION PER N. Y.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:a
,proved .... , l¢5':.eermit No...
sapproved a/c
................. :. .... ......... .....
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Application No ..................
[ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sels 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
o/t areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
c~¢ion.
/ c. The Work covered by this application may not be commenced before issuance of Building Permit.
I d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
sh~ll 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
shBll have been granted by the Building Inspector.
i APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Bt[ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
R~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Tl~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
ad, mit authorized inspectors on premises and in building for necessary ins~.~..~ J~'" '~-~'-~' '~~-7' · ' '~'' ~ ~ ~.
... ,~ox. .7./. . .~.~c.o. ,:% . .~., ~.,. . /./. ~.,r: ~, .....
(Mailing address of applicant)
S~ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
i ~4.~.~ 4.4..~'..
· ~ ............... CO. . -.o ...............................................................
N~me of owner of premises ..... ]A'/.~. c~ .... ~..¢ ~. e.../.~. ;. ~,.~ ~.c~ ~ ......................................
(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~- ............
Plumber's License No .........................
Electrician's License No....~. ,,~ 5t.,2../~-'~. .......
Other Trade's License No ......................
1.I Location of land on which proposed work will be done ..................................................
.......... ........... ......... .....................
House Number (r~ (~Street ~ Hamlet /5
County Tax Map No. 1000 Section . . . ~J...~ .......... Block .................. Lot .................
Subdivision ..................................... Filed Map No ............... Lot..~ (59./. :~...~...
(Name)
2. ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .~./~. ~'U a.f.¢.. 0~. [.~c.~ c.C.. ~. ~, ~./'~ ~'t/~/4.. ..........................
lb. Intended use and occupancy ./~ivm~.¢. vT.~. ¢.:.c~.¢~.~.q .~...<~.m c..~/~>2 ...... ......................
Nature ofwork (check which applicable): New Building .......... Adldition .......... Alteration ...~.... ,.
Repair.. ............. RemOval .............. Demolition .... I .......... Other Work...' ............
. ~77',.~., ..,~' i ~-'~' O0 (Description)
o , o..o. .......... Fee ..5..O...77 ..............
Estimated Cost
(to be paid on filing this application)
If dwe!hng, number of dwelhng pnlts ............... Number of dwi lling units on each floor ................
If garage, number of cars ..... i ....................................................................
If business, commercial or mixed occupancy, specify nature and extent ol each type of use
D~mensmns of exlstang structure.s, if any: Front../2,.':/. ~: ....... Rear .,~Lq( · 6' ........ Depth .~"..fi' .........
Height ............... Number of Stories ..................... F ..................................
Dimensions of same structure with alterations or additions Front ... x5 ~ ~,, ¢ ,. , Rear, ,~Y~,,,,c- ..........
Depth. ~_qe~ rn ¢'. ........... i.. Height ...................... N amber of Stories ......................
Dimensions of entire new construction: Front ............... Rear ............. Depth ...............
Height ............... Number of Stories .......................................................
Size of lot: Front ........... : ........... Rear ...................... Depth ......................
10 Date of Purchase ' Name of Former
11. Zone or use district in which pr~mises are situated .... It'a~ i.*,/.*.~/s ~,.~
12. Does pioposed construction viol.ate any zoning law, ordinance or regulati
13. Will lot be regrad6d ......... : ................... Will excess fill b
14. Name of Owner of premises .,~..~... ~'e.~.o · ~,'~5,qo~ Address ..
Name of Architect .......... , ................. Address ........
Dwner .............................
removed.__~ from premises: Yes No
,~o I c-'J/IV, ~Phone No ................
........... Phone No ................
Name of Contractor ......... : ................. Address ....................
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or propose
property lifies. Give street and block gumber or description according to deed,
interior or corner lot.
Phone No ................
, and, indicate all set-back ,dimensions from
and show street names and indicate whether
STATE OF N.EVYg~K: , iS S
COUNTY OF~ ..... i; '
(Name of i~dividt~al signing contract) being duly )rn, deposes and says that he is the applicant
above named·
He is the ...................... ~.¢~ .................. , ...............................
(Contractor, agent, corporate off cer, etc.)
of said owner or owners, and is duly authorized to perform or have perforn ted the said work and to make and file this
application; that all statements contained in this application are true to the t est of his knowledge and belief; and that the
work will be performed in the manne~ set forth in the application filed therew~ th.
Sworn to before me this
'7~ ...... d~, p~', .............. , 19...
N tary Pubhc, .~...T~ .~ .......... County
Ce~vv,~_R T~ ~-o
OF O~CUI~,NC¥