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Home My WebLink About13744-z FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m m to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal), 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (~id~ tO April 1957), Non-cOnforming-uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all propertv lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 :2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land CoO. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. flL./5o D. .P//4., .¢,''1¢ 7, · Location of Property .. O. ............... .... ..,. ..C-~_ House No, Street Ham/et Owner or Owners of Property . .~.E;.'5:~.' .'~:.... ~.~..~. · ~..~..~. ............................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ ,Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.'~7..(/~ 7.~ Date of Permit ~./~.~.".Applicant....~..(~c~....~.... ~.~..' .¢~....:~.../~.(~. ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .c-~.~.~ ~ Construction on above described building and permit meets all applicable codes and regulations. Appheant .......................... VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 7654802 FAX (516) '~65-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD April 16, 1990 Lester Hubbard, Jr. 900 Albo Drive N.Y. RE: B.P. 13744Z Inground pool, deck & fence 900 Albo Drive, Laurel, N.Y. Dear Mr. Hubbard: I am writing to you regarding the above Building Permit. The permit has expired and you do not have a Certificate of Occupancy. Our inspector did an inspec- tion on June 2, 1987 and the C. O. was denied. You are in violation of the Code of the Town of Southold. Please contact our office immediately. If you do not respond it will be necessary to take legal action. Thank you. Yours truly, Secretary TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13744Z issued to Lester Hubbard Jr on 3/~/85._ for 'AccessOry & Addition is completed and a final inspection has ( ) has not ( X ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $35.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly y~, 'Victor Lessard Executive Administrator VL:gar sncl. FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH ,PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/~INAL THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001381 BUREAU OF ELECTRICITY ~'J~ BS JOHN STREET, NEW YORK, NEW YORK 10038 ~ Da~e July 10, 1985 $40586/85 A.,.,ie..o,. No. o. file N 699238 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number i~ the premises of Leater Hubbard, Albo Drive(Bray Ave & ~ells Dr.)Nattituck, in the following location; [] Basement [] 1st FI. [] 2nd FI. Outside Section Block Lot was examined on Jun~ 27~ 1985 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLE1 DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: · 1-G.F.C.i. S E R V I C E AWG, A,W,G AWG, OF CC, COND OF HI-LEO OF NEUTRAL NO, O~ER~%COND j NO, OF HI-LEG NO OF NEUTRALS (SWIF~4ING' POOL)THIS C~RTIFICATqZ COVERS CO~LIANC~ AT T~ D~ OF INSP~TION ONLY. BE~U~ OF U~USU~ ~V~RON~NTS IT IS ~ ~ ~ ~QUENT ~ST ~/OR ~PAI~ ~E BY A QU~IF~D Lane Matuituck, NY 1195Z L*i c#2300~. must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be COll~' FOR IIIUILDING DEIII, ARTMEN'r, THIS COIl~ OF CERT F E MU pproved .'..~ .~g~..~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 ., 19~.~ Permit No. J .~..~.[}..q..~. · isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERM IT INSTRUCTIONS Date ...~./.~/ .......... , 19 .~..~ a. This application must be completely tilled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 ' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 all 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 all 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 filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~-gulations, 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 code, and regulations, and to [mit authorized inspectors on premises and in building for necessary inspections. ...... &. .z2. .......... (Signature of applicant, or name, if a corporation) t.::r..,W.',g,.. (Mailing address of applicant) £ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ame of owner of premises . .~.~'.~.~. ?.'~.'.~. .....~.. aR. ~.~h~.O.. :~ .................................... (as on the tax roll or latest deed) ~t is a corp~tio~ig~re o~uly authorized officer. ............ ~ (Name and title of co~offte officer) Builder's License No ........ ]~ ............... Plumber's License No ......................... Other Trade s License No ...................... Location of land on which proposed work will be done...././.g?.~....~..'.~.~/ ............................... House Number Street Hamlet County Tax Map No. 1000 Section / ~}~ ~ Block --~ Lot.../. ? Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~1~.! ~.~. '~.. [.~..~. ......................................... b. Intended use and occupancy ............... ~'J~.f~../--.-~. ........................................... 3. Nature of work (check which applicable): New Building .......... 'Addition..i ........ Alteration .; ........ Repair .............. Removal .............. Demolition ........... .... Other Work.~.to/ttl~.tQ~.~,2 4. Estimated Cost ................... Fee .......... , ............................ (to be!paid on filing this application) 5. If dwelling, number of dwelling units ........... Number of dwelling uni!s on each floor .'; .............. If garage, number of cars ........................................... ; ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each tybe of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ...... i ....... Depth ............... Height ............... Number of Stories ........................... i ............................ Dimensions of same structure with alterations or additions: Front ........... J ..... Rear .................. Depth ...................... Height ...................... Number o{ Stories ...................... 8. Dimensions of entire new construction: Front ............. :. Rear ....... i ....... Depth ............... Height ............... Number of Stories ........................... j ............................ Size of lot: Front ...................... Rear ........ .............. !Depth ...................... Date of Purchase ............................. Name of Former Owner ~ ............................ Zone or use district in which premises are situated .............. ~ ......... i ............................ Does proposed coh~tructlon violate any zoning law, ordinance or regulation: ............................ Will lot be regraded ..... ~./~J ................... Will excess fill be remove!d from premises: Yes Name of Owner of premises ............ Address ' Phone No ............. Name of Architect .... . ....... ', · ........... Address ............... i ....Phone No.. Name of Contractor . J~. ( ./m~.~.?.L.~.,~..~'?~z. .... ii Address l~}t .t'{~..~y. fft.~rz/?.7~..~. Phone No.. ~.' J-. ./ff;).~.~.. ....... PLOT DIAGRAM : Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from and indicate whether 10. 11. 12. 13. 14. property lines. Give street and block number or description according to deed, and show street names interior or corner lot. STATE OF NEW YORK.. ,,.. S S ~.d../(. ~7.~./~....'.~... ' ~..~.~. ?./~ ~ being duly sworn, depQses and says that he is the applicant (Name of individual 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 s~id work and to make and file this application; that all statements contained in this application are true to the best ofhi~ 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 . h 13462