HomeMy WebLinkAbout13903-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF
No Z-23039 Date JUNE 14, 1994
THIS CERTIFIES that the building ADDITIONS
Location of Property 220 B~OADWA'£~ ~OAD uuTCHO~UE~ N.Y.
House NO. Street Hamlet
County Tax Map No. 1000 Section 104 Block 10 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 1985 ~ursuant to which
Building Permit No. 13903-E dated MAX If 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 SUNI%OOM & DECK ADDITION TO EXIBTIN~ ONE FAMILY DWW.IN~ AS
APPLIED FOR.
The certificate is issued to
ANDREW CA, LIN & WIFE
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
H--041307 -- J~NE 13, 1994
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 13903 Z
Permission is hereby granted to: .
.~.~.~.~.~.~ ........................
~.,i~...,..ii~,~iiii ........ i ............ i...i ....... i ....
..~..~~....~.:~.,......~.~..t .~.~'.. ....... .
o,,,em,,e,,o~o,ed at....=...~...°...~....~, .......... ~~.~ .....
~iii~....~: .................................................
~~ ~.~ ....................................
co,.~ Tox Mop No. ,000 Section ....!..9..~ ......... B,o~k ..... !.~ ......... Lot No ...... ~.]. ......
pursuant to application dated ....~........~.....'~.. ................... , 19..~....~..~ and approved by the
Building Inspector.
Rev. 6/30/80
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,
atreets~ an~ unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3.~---APpr°val of electrical ..... installation_ from Board.~f Fire Under,, Write~s--
4. Sworn statement from plumber certifying that the solder used in system contains
le~S than 2/10 of 1% lead.
5. C~mmercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submi~ Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Ppre-e~isting" land uses:
1. Accurate,survey of property showing all p~operty lines, streets, bu~ldi~ en~
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
~f a Certificate of Oc6upancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant,
1. Certificate of Occupancy ~ New dwelling $25,00, Addi~iona to dwellfug $25.00,
Alterations to dwelling $25.00, Swimming pool $2~00~ Accessory building
Additions to accessory building $25.00. ~ustnessea $50.00.
2. Certificate of Occupancy on Pre-existing Buildlnz - $100.00
3. Copy of CerClfieate of Occupancy - $20,00
4. Updated Certificate of Occupancy - $50.00
5. Tmmporary ~ertificats of Occupancy - Residentia1,,~/~$IS.00, Commercial $15.00.
........ . ...............
Construction.., ~... Old Or Pr~-~xistiu§ B~ildine ...........
House No. _ ~ ~-,, S~ee~ ~ / // ~a~e~
g 7..v.~.~ .............. ,,.~. ~.[.~..~....... ........ ~...
ub~Is~ou .................................... Filed M~p ............ Lo= .......... ~ ...........
~t~it No ................ Date Of P~it ................ Agpliua~t ...... . ......................
................. '
., ................
INSPECTORS
(516) 765-1802.
VICTOR LESSARD, Principal
CURTIS HOR'rON, Senior
VINCENT R. WIEGZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
scott L. HARRIS, Supervisor
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
October 30, 1990
Andrew J. Carlin
220 Broadwater Road
Cutchogue, N.Y. 11935
RE: Building Permit ~13903-Z (Sunroom & Deck)
~16792-Z (Stove)
~17292-Z (Alteration)
Premises: 220 Broadwaters Road, Cutchogue NoY.
Suffolk County Tax Map ~1000-104-10-7
Dear Mr. Carlin:
During a review of our files, it was noted that the above
building permits have expired and Certificates of Occupancy 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
alterations or additions to an existing dwelling, and it is
unlawful to occupy said dwelling until the Certificates 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.
Victor Lessard,
Principal Building Inspector
VL:gar
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8¢~4~246 BUREAU OF ELECTRICITY
~- 85 JOHN STREET, NEW YORK. NEW YORK 10038
Date
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premi~es of
~NDRE%; J, CARLIN
in the foltowing location; [] Basement [] Ist FI. [] 2nd F/. OU~ .Section Block Lot
~s examined on J~ ~9 ~ 199g and found to be in compliance with the Naiional Electrical Code.
FIXTURE FIXTURES RANGES OVENS
OUTLETS ~ECEPTACLES SWITCHES FLUORESCENT OTHER
DRYERS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
EXHAUST FANS
OTHER APPARATUS:
E R V I C
A, W.O. NO, OF HI-LEG
OF CC, COND
AWG.
OF HI-LEG
NO OF NEUTRALS
OF NEUTRAL
*NO VISUAL DEFEC'~S: "An electrical
sui~e¥ has been made of. the exposed
electrical equipment~ in the
premises ~ndlcated." "No obvious
unsatisfactory condition was fo{]nd,
1 EXECUTIVe; BLVD.
1I ~ ~
Per ~ ',
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be idenfif ed b their credential
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. VqlECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
SCOTt L. HARRIS. Supervisor
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
TOVgN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: December 18, 1990
TO: Andrew J. Carlin, (Owner)
220 Broadwaters Rd.
Cutchogue, N.Y. 11935
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CHAP.
Other Applicable Laws, Ordinances or Regulations
100
at premises hereinafter described in that BUILDING PERMIT %12168
13903-Z, 16792-Z, & %17292 HAVE EXPIRED AND CERTIFICATES OF
OCCUPANCY HAVE NOT BEEN ISSUED WHICH IS REQUIRED BEFORE
OCCUPANCY OR USE.
In violation of ARTICLE XXVIII CHAP. 100-281 and 100-284.
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law
and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at: 220 BROADWATERS RD., CUTCHOGUE, COUNTY OF
SUFFOLK, NEW YORK. SUFFOLK COUNTY TAX MAP %1000-104-10-7.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
VINCENT R. WIECZOREK/,
ORDINANCE INSPECTOR
FIELD I N~EC [~ION
FOUNDATION (1st)
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
Ye
ADDITIONAL COMMENTS
_ /// ~ 76S-:L802
~/~/- INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ]~SULATION
[ ] FRAMING [~'~ FINAL
REMARKS: ~~
DATE ~.~//~/~///// INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
mined.....~.~%\i..., 19~..~.
~pproved .... .~ .... 19~..~. Permit No.. }..~..~.~..~...~.
,isapproved a/c .....................................
.............................. ....
(Building Inspector)
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
~ of plans, accurate plot plan to scale. Fee according to schedule.
h. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ion.
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
fll 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
tll 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
ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
guiations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
e applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~, and regulations, and to
nit authorized inspectors on premises and in building for necessary i~s~9~s., Cx
(Signature of applica'~(t, o~jha,me, if a corporation)
(Mailing address of '.applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncl~an, plumber or builder.
me of owner of premises . . .~.,~)A~.: .t~.,.. ~... ~', i
: (as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorizedi officer.
(Name and title of corporate officer)
Builder's License No .... .~.~. ..................
Plumber's License No .........................
Electrician's License No. 7..~..-~. ...............
Other Trade's License No ......................
ocai n I n /[/~ S~ /~/lt~-~-~ 6s
L to of a d on which proposed work will be done . . .... ~...' ............ ~..~
House Number Street Hamlet ...... / ..... ~' '
County Tax MapNo. 1000 Section ...[.O.~ ......... Block ..1.~ ............. Lot...O.0.~ .........
Subdivision~.~[.C/{~ O'' S Of.0 Filed Map No. {~ Lot /.g.~ ......
(Name)' C ...................
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ ~t~
b. Intended use and occupancy ..... ~~.. ~ .......... .~ ............................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work...~.~lg. ....
(Description)
4. Estimated Cost .... i ......................... Fee
~,~. ~ (to be paid on filing this application)
5. If dwelling, number of dwelling[units ..... /. ......... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specffy~ature and extent of each type of use .......
7. Dimensions of existing structures, if any: Front...,~;~ ......... Rear . ,,F..2~.. ....... Depth. i~.
,Iteight . [~. t. ......... Number of Stories ...... /. ................................
', Dimensions of same structure with alterations or additions: Front . .'~.oQ'~.. .......... Rear.
,',, Depth..,-,g...~ ............ ;.. Height..../.~* ............... Number of Stories.. ( ....
· Dimensions of entire new construction: Front ,..[.~ .......... Rear [.~ ............ Depth i'"/..~. :'
Iteight .. I ~ ! ......... Number of Stories .., .... /...' ................................................
9. Size of lot: Front . .[.'2~q~...; ........... Rear ..... 7. .O: ............. Depth . ~./0.7.$-..~.-'P .........
l0 !)ateofrurchase .................. Jame o F_.9_o erOwner .....................
1,1. Zone or use district in which premises are situated. .(.~n~. ....................................
12. Does proposed construction violate any zoning law, ordinance or regulation ... ~ .' ....................
13. Will lot be regraded .... ~)i ................... Will excess fill be rem,oved from premises: ?.es. : .~.o.)
14. Name of Owner of premises ,~1-id. ~/.~'.: ........ Address .'.2--.~q. ¢'fi~.. Phone No. '...
Name of Architect ............ .... 1~,~',~ '_ ........... Address i I, Db,;,~..~i.i i i i i i Phone No ................
Name of Contractor .~.' ~ .i-~'..O~..-... Address Phone $o.~.~..ffY,J~//.,S~'....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blo~cklnum,ber or desc_riptiop_ according to deed, and show street names and indicate whether
interior or corner lot. ~}A~'~ ~
L
STATE OF NEW YORK, :S.S
COUNTY OF ........ ~ .... ,
....... · ~/..~., · ~. · -~r-~. · ./~>.,7. ~r:, fi.?. · ? ............being duly sworn, deposes and says that he is the applicant
(Name of indi~ictlJdl signing contract)
above named·
He is the .................................................................
(Contractor, agent, corporate officer, etc.)
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 manne? set forth in the application filed therewith·
Sworn to before me this
............ c~.'.Cf ........ day of .... ¢,/~ .......... , 19~.~. f'X, cx
NO 4707878, Sull,o. liqlCou~y
765-~802 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONS:
1. FO~DATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL CON'qT~U~"~ON MUST
BE C~'h~ ~ :OR C.O.
ALL CON~:P',CT~ON SHALL MEET
THE REO~J'R~LkENTS OF THc N.Y
STATE CONSTRUCTION L Ek''~v
CODES. NOT RESPONSIBI ~ cn~
DESIGN OR CONSTRUCTlnk~ ~R~gR~