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HomeMy WebLinkAbout13829-zFORM NO, 4 TOWN OF SOUTROLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25632 Date: 04/10/98 THIS CERTIFIES that the building ADDITION Location of Property: 30 TERRY COURT $OUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 11 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1, 1985 pursuant to which Building Permit No. 13829-Z dated APRIL 3, 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 ROOF ADDITION OVER AN EXISTING PATIO AS APPLIED FOR. The certificate is issued to JOSEPH SPICIJARIC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A uildlng Insp~tor FOrt, mr NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, hi. Y. BUILDING PERUIT CrH~S PE~T MUST BE KEPT ON THE PREMISES UN'r.. FU,, COMPLETION OF THE WORK AUTHORIZED) N9 13829 Z Permission is hereby granted to: i~.' .... ~...~.:~.~..:..' ............... ii~iiiiiiill . .,~.:~.~.....~....~¢~.......~ ......................................................................................... at premises located at ............................................................................................................................ Counly Tax Map No. 1000 Section .... .,.O.,,.~,.~ ....... 'Block ......... ,/,.~ ......... Lot No....,~,,. ................. pursuant to application dated .... ~....! .......................... , 19..~.~.~., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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: 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 2/10 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: i. Accurate survey of property showing all property li. nes, 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 reasons therefor in writing to the applicant. 1. 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 Occupaz~cy - Residential $15.00, Commercial $15.OO Date ..... New Construction ........... Old Or Pre-existing Building ................. Location of Property ................................. House No. St et Hamlet On, er or O, ers of Pro ert . . . . . .................................... Map ...... loc County Tax No 1000, Section .... B .............. Lot .................... S~bdivision ................................ . . .. Filed Map ............ Lot ...................... Permit No '. . . Date Of Permit ............. Applicant ...................... Health Dept App oval Underwriters Approval · Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~ ...... Fee Submitted: FIELD I~SPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qOD (1st) 2nd) FINAL COMMENTS ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 ~arch 26, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Joseph Spicijaric 30 Terry Court Southold, New York 11971 Re: Building Permit # 13829-Z ROOF OVER PATIO Premises: 30 Terry Court Suff. Co. Tax Map #1000-59-11-8 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 %o 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 FOUNDATION 2ND FRAMING [ ] ROUG~.BG. [ ] IN~,U~/ATION [~:I'~NAL ] FIREPLACE & CHIMNEY REMARKS: ,~ .~ DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .~.' !'.. ~ .... , 19g..~./. Approved ...~... ., 19~.~. Permit No./..~..~.~.c/..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Rec~ived ........... ,19... BLDG. Date DEC 5 19~'.~ INSTRUCTIONS a. This 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 drown on the diagram which is part of this appli- ca,on. ' · ¢. 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 shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New Y6rk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections~ ~ , . , ..... .... ......................... (Sfnatu~e of a~lic~,ht, or name, if a corporation) .... .4v..../. . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .?.:../.0..~.~./.I..' .~, .~.~.~.?. ........ .~.. ?./..C.( .q .~g.~;;'[g.i~../~,[..Iq..O.T.~.D. ........ If applicant is a corporation, sign/ature-/'o f duly//auth~rized o(;;c;~ the tax roll oI F~EE,~BByP: 7__~..~.,__~9. :~ NOTIFY' BUll_DING DEPARTMENT .AT (Name and title of corporate officer) Builder's License No. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No....~..~??. ?: .ri ......... 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPFCTIONS: 1. FOUN!r~ATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8 PLUMBING 3. INSU[ A."qON BE C~'tm rTE FOR C O. ALL CnNS'/P~CTION SHAt J_ MEET THE REn'I~R~M:ENTS OF THE N.Y. STATE CONq'FRUC¥1ON & FNFPGY ' 1. Location of land on which proposed work will be done .... .-(.k.~.~. .......CODES.' · · NOT · .RESPONS!Bh¢ · .F4'~a · · · House Number Street Hamlet . ,: ', II County Tax Map No I000 Section Block Lot . Subdivision ..................................... Filed ~ap No ............... Lot ............... (Name) .... 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupa~cy ~f pr~p~s¢d c~nstrueti~n: Existing use and occupancy ' :b Intended use ~d occupancy 3. Nature of work (check which applicable): New Building .......... Addition . ..... Alteration .......... Repair · Removal Demolition Other Work ~ (Description) ~O Fee ' 4 Estimated Cost ' ~" (to be]paid on filing this application) 5. If dwelling, number of dwelling units .. 0 NI~ Number of dwelling units on each floor .... If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ...... I ....... Depth ............. Height Number of Stories ' Dimensions of same structure with alterations or additions: Front'.'.....".t'....~ Rear...... .... ..... Depth ...................... Height ...................... Number of Stories ................... Di ti ~ pth 8. mensions of entire new construc on: Front ............... Rear ....... i ....... De ............ Height ........ Number of Stories ..................... : 10 Date of Purchase /.9.. ~.~ ~ Name of Former Owner ' 1 1. Zone or use district in which premises are situated -- /i'/~£ ~ ~, .~ n'-r~ ~, .t+ , 12. Does proposed construction violate any zoning law, ordinance or regulation: ...p;/.0: ......................... 13. Will lot be regraded ............................ Will exce~ fill be removed from premises: Name of Owner r m' ,I ~t~- ~ , 7b~-- Name of Architect ............. '~J~Z~45.~ '~ ~/~t~ss ~.~ .......... + .... Phone No ................ Locate cle~ly ~d Sisterly all bufla~g~t~r~st~O~~ ~cate ~1 set-back d~ensions from property lines. Give street and block numb~g~ d~'~gtl~i~o~, ~it~l~teed, and sholw street names interior or?rnerlot. ~[~ ~ ~ ~ . ca u 'r~7- , x,~Low -. STA~'E OF NEW YORK, S.S COUNTY OF .................. ................................................. being duly sworn, dep, }scs and says that he is the applicant (Name of individual signing contract)" above named. tie is the ...... I ~i ~,' ~ (Contractor, agent, corporate officer, etc.) of said owner 6r owners~, and is duly authorized to perform or have performed the ~aid work and to make and Erie this application; that all statements contained in this application are true to the best of hi; knowledge and belief; and that the work will be pei'formed in the manner set forth in the application filed therewith. Sworn to before me this ............. ]. ~ ...... day of ............. , Notary Public ......... County HEI,EN K. DE V0E NOTARY PUC&lC, Stat(* of New York No 4707878, ',';ul;otk C~unty 'life. Expires Ma, ch 30, 19~7