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