The URL can be used to link to this page

Home My WebLink About13808-zFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26072 Date: 10/30/98 THIS CERTIFIES that the building ADDITION Location of Property: 1015 OLD NORTH ROAD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 54 Block 3 SOUTHOLD (HAMLET) Lot 24.3 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1985 pursuant to which Building Permit No. 13808-Z dated MARCH 28, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY STEPNOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Building ~pect or L~OB,H NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SQUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13808 Z Permission is hereby granted, to: ........ z.~z.~ ...... ~....~...~.....~.~ ......... ~_,.~~...~...~.,.:...L/...~..~./. ........... ,o ............. at premise, located ~t ............................................................................................................................ ........................................... :.~.:..~: ...... ..o..~.....~,,.~...~ .............. ~.~ .............................. County Tax Map No. lO00 Section .....~...~.~,..~. ...... Block ..... ..(~....~, ....... Lot No ...... ~..~.:...~. ...... pursuant to application dat~ ..... .~.~.~......~.~ .............. , 19.~ and apprOv~ by the Building Inspector. ..... L~.~..~.....~.~ ............................. Building l~tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~ ~ BUILDING DEPARTMENT TOWN ~L~LL 765-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ ~ This application must be filled in by typewriter OR ink and submitted to the buildin~ 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/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 Ppre-~xisting" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual hatural 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swin~ning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $t00.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... I.O..'~ .!~... ;ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... {ubdivision Filed Map Lot . ~ermit No...I.~.~.~.~ ..... Date Of Permit ................ Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ \! lequest for: Temporary Certificate ........... Final Certicate..A.... ?ee Submitted: $~D_z_~~ ~ ........................... i ~. CO .... ..... , COMMENTS FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 26, t998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Alexander Stepnoski 1015 Old North Rd. Southold, New York 11971 Re: Building Permit # 13808-Z DECK ADDITION Premises: 1015 Old North Rd., Southold Suff. Co. Tax Map #1000-54-3-24.3 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. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a 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. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU/LATION [ ] FRAMING [,~qNAL [ ] FIREPLA~CHIMNEY 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined..x~..~.c~..~.., 19~. ~.~. Approved . .~...~..~., 19~. ~.. Pet]nit No. 1 .:~.~..O· .~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERII,qlT INSTRUCTIONS a. Tins 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 · khall have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant tt~ 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 removal or demolition, as herein descrJ.bed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a~d to admit authorized inspectors on premises and in building for necessary inspections. (Signat~6 oF~ppl~nt, or name, if a corporation) .,cc/... (Mailing address of applicant) · / ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·..~t. ~.~.¢..~. .................................................................................... Name of owner ofpremises ~..~.//...~..~. ~.?..~.~./?.de.~.....~..~.~.,~.dTO.3.'d~. ' (as on the tax roll or lategt deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) Builder's License No. ~,-~.~..Q .C~..N..~.~. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. /.o/.5-5. .................... ,. ,e... ....... ~l;~se Number Street .......... Ha~n'l~i ....... ~ 5/~/~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancw of proposed construction: a. Existing use and occupancy . .~W.~/~/ ..... ~e ~,~ . ....... 7 .............................. b. Intended use and occupancy . .~... ~.~ ...................................................... ' ' ' '// Alteration 3,. Nature of work (check which apphcable): New Building .......... Addition .......... Repair .... ,. ,,..., ...... Removal ............ Demolition ............ Other Work ............... ' ' .... ~ ~ ~ ': ~ (Description) 4. Estimated Cost . / .~...~. tO Fee .. r ! *" (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 . .. i ...... ~ .ff'¢/f¢~ .................................................... 6. If business, commercial or mix'ed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ 'Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. i. · · Height ................ ~ ..... Number of Stories. c~g) ? ............. ~, ....... 8 Dimensions of entire new construction Front ~ Rear Depth /.~/.. Height ............... Number of Stories .......................................... ; ............. 9. Sizeoflot: Front ......... ............ Rear ...................... Depth ...................... 10 Date of P chase ~ N of Fo O · , ur .........4 ................. .. ame rmer wner ................... ; ......... 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~,o ........................ :.. 1 3. Will lot be regraded ........ , ................... Will excess fill be removed from premises: Yes No Name of Architect ......... i ............... .~..Address .~',..~? .'. .~..~.' .~'.c~..PhoneNo. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show ~t~*~e~ .ames anti tug,cate wl~etae: int,.tier or corner lot. ~i .~. r)~'.~. ', '.~'' '~,'' ~'.3F...~ c~.O-~ lC being duly sworn, deposes and says that he is the applicant (Name of individual sigmng contract) above named· He is the ..................... ! .................................................................... i (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 manner set forth in the application filed therewith. Sworn to before me this Notary Public, .). ,~O~'~,RY PUBLIC, State of I~l~w Yorff ,i NO. 52.4524171 ' ~/' "', ~ (Signature of applicant) ~:omnllssion Expires March 30, 198;J~ ' ' -bX~ o,c., _ ....................................... ~.~:%: --- ~ ~-~c:_'-:.~,, ?:T' =' ~'"' ":~ '-~ ....... , , - ................................ ~. -.'~ : ~ ~ ~.% ~ ~. ,~ ..... ~,~___ /.~¢, .TO ' -STATE n -~. ,~- ~ _~.; x:~ CODES. NOT