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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¥