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HomeMy WebLinkAbout13832-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17270 Date SEPTEMBER 7~ 1988 THIS CERTIFIES that the building. ADDITION Location of Property680 R.O.W. OFF (PVT #17) PARADISE PT RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 081 Block 03 Lot 27.2 subdivision xx Filed Map No. xx Lot No. xx conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2~ 1985 Building Permit No. ]3832Z dated APRIL 3~ 1985 pursuant to which was issued, and conforms to all of the reqn/irements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO F~XISTING ONE FAMILY DWELLING. The certificate is issued to DWIGHT WEIST & DORIS DAVIS (owner, ~Q~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N734873 FEB. 10~ 1986 PLUMBERS CERTIFICATION DATED N/A B~filding Inspector Rev. 1/81 FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13832 Z Permission is hereby granted to: ..~/,~....~......~ ....... I ............ ..E;.~~...~......~..,....u...t.~..~.... ~ · ~.~ ...~.,~,~L,..~, ~~ .... ~....~ ' . ........... ~'~..~.~..~.....¥~~ ............................. ~ ............... ; ........................... ._. .......... . at premises Iocat"~ at ....~...~.O.....,..~..,.?.:.-~..,...~.L.~..~.?...m..l...~..3....~' '.~l~n~..~e~....~.~...~......s~~ o etion ..O....g,. ! . County Tax Map No. 10 0 S c ~ ................. ac .......C~. ............ Lot No ........................ application dated .............. ' ..L.........~... ................. , 19..~...~,~., and approved by the pursuant to Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD BuildingTown DePHallartment 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~ 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 (prior to ~,pr~l 1957); N0n-conform'ing uses, or 6pildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 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. C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Ce~ificateofoccupency 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 C.O. $ 20.00 5.Updated C.O. $ 50.00 Date Aug. 22,1988 New C cna truc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. 6..8.0 .R.O. ?. !~).v.t. ~17) Paradise Point Road Southold Location of Property ; : '. ................... House No, Street Ham/et Owner or Owners of Property Hr. Dwight Waist & Ms. Doris Davis County Tax Map No. 1000 Section 81 Block . 3 Lot....2.7...2. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.l.3.8.3,2,7<, OateofPermitaP.~,~Z. 2,..'.BA~plicant Dwayne H. Early Health Dept. Approval ........................ Labor Dept. Approval . .~.~.',', ................... Underwriters Approval` .r~/~ .......... ~ ........ Planning Board Approval., ,/~.~.~ ............. Request for Temporary Certificate .... ' F nal Certificate ~,~ FeeSubmitted$. 25:00 k/:J~lOl(.p ConstructiononabovedescribedbuildingaF~.~itmeets~/p~abl~codes and regulations. ......... Rev. 10-10-78 -- E.O 2/2~.2d TOWN OF SOUTIIOLD OI:FICI'~ OF BUILI)ING INSPECT()R P.O. BOX 728 TOWN tlALL SOUTttOLD, N.Y. 11971 December 9, 1987 TEl.. 765-1802 This was inspected and approved on 11/7/85 and to date we have not received your application and check. TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of thc following reasons. /~$ An application for Certificate of Oc6upancy is not on file. _~D~p_l_j_~enclQsed /5/ No Underwriters Certificate on file. /~R The check is(outdated/~Pt_o_.n__.f_j~!.~}_ $25.00 /_-/ No Health Dept. Approval on file. /_--/ No final inspection has been made, Please contact our office or) Thank you for your Building Permit t} Building Dept. ***/~/ No Plumber Solder cooperation. I 3 8 3 2 Z this matter. Dwight Weist/Doris Davis Addition Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUl, WITIIOU~ A CERTIFICATE OF O(]CUPANGY · CLEAR UP TIIIS MATTER AS SOON IIAVE TO BE TAKEN. Thank you. Sent to: Dwight H. Early 310 Third St. Greenport, N.Y. AS POSSIBLE SO TUAT LEGAl. ACTION I)Ol'::; NOT 11944 FIELD ~NSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FEE N. STATE ENERGY FINAL COMMENTS ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~LO0009~. BUREAU OF ELECTRICITY ~.~ 83 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the following Iocaeion; ~ Basement ~ 1st Ft. was examined on [~ 2nd FI. Section Block and found to be in compliance with the requirements of this Board, Lot FIXTURE OUTLETS SWITCHES I 1 FIXTURES INCANDESCENT FLUORESCENT DRYERS FEEDERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C NO OF HI-LEG A. WO OF NEUTRAL Sou~hol~, ~ 11971 ~ic%137~ GENEI~AL MANAGER Per_ ~ This cerhf,cote must not be altered ,n any manner; return to the office of the Board if ~ncorrect. inspectors may be ideat[fied by their credenfia cOP~ EOBBU LDING DEPABTMENT. TH ~ CO~y OF ~E~I~CATE~T~0.~E ~[~ERED1N ANY MAN~ · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined . .., 19~' ~ Approved .., I9 .$'.~. Permit No. ]Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19.. · a. This application must be completely filled in by typewriter or in ink and submitted to the Buitding 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 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 York, 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 all applicable laws, ordinant~uilding code, jaousingqode, and regulations, and to admit authorized inspectors on premises and in building for nece~ry jn~4pections. ///'~ / (Signa$fire of applicant~fir name, if a %0 ppr~,~tion) / (Mailing address of aepplicant) State wheth;17Iic~ i~l~w~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .rW. ........................................................................ ........... ( ..... ;a'x' ;o'li ;; ilt;}t' ri;id') ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~..Y~..~ ............. Plu nber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which~proposed work will be~done...~. ~.~.......~.La.'.c?..C/..P?,.~.~. J. ?~--..~. ~ ............... .............. . . , k.t. ............. . /&. . !lo. !d. ,. . . 4.[.. .'. ............... 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 .../r]/.~. ~'gO(~f.~ ~. .................................................... b. Intended use and occupancy ....................................................... / 3. Nature of work (check which ~pplicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .... !{ .-..;?~f.~... Removal ......... Demolition .............. Other Work ............... ~-~/') 000 .~.~..~.-- (Description) 4. Estimated Cost ... ~.v,, ........................... 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. Ifbu~iness, commercial or mix~d occupancy, specify nature and extent of each type of use ....':~T. ............... ~**~,~ Dimensions of existing structu}es, ifany: Front ............... Rear .............. Depth .............. Height ............... Nu~nber of Stories ....................................................... ' Dimensions of same structure With alterations or additions: Front ................. Rear ................. iDepth .................. J... Height ...................... Number of Stories ..................... Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Nuinber of Stories .......................................... ~ ............. Size of lot: Front .......... i ............ Rear ...................... Depth ...................... 10. Date of.Purchase ......... i ................... Name of Former Owner ............................. 11. Zone or use district in which pyemises are situated ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . ./~t.~. .............. . 13. Will lot be regraded ...... ..~..,. ·, ..... ...~ ......... Will excess fill.be removed,from premises: . ,.Yes ~,"~o 14. Name of Owner of pi[er~ises.~..*~?.~:~.?~/1 .~. ...... Address ~t~f.~?. ,~..~,.1~... Phone No. ~}.?,~.~. .... Name of Architect ~ ~ (,t.,/~(~,f~] Address,~/¢.~/. ,~. }~J~ h ~f'.. ,..~.. ~ .............. ~..~f~...~? oneNo .... ~...~ ....... Name ofContractor ~/~)~lg. ~¢~'1~ .... Address-~/.O..,l~{~.~..~'~.~' Phone No ~.~./.o~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ¢ number or description according to deed, and show street names and indicate whether property lines. Give street and bloc interior or corner lot. STATE OF NEW YORK, ~ S.S C~[~I~ITY OF .,~ ............ j . above na~ea(. .... g~' g ' ;tractj .......... duly sworn, deposes and says that he is the applicant He is the... ~ ..... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file this pphcattoa; that all statements con~mned m th~s apphcation are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Swor~ to b~fore me this ........... da~S£ ..................... , 19.~ Notary Public, .. · .I ................. Count~N[ ]/~ / i .... No, 4707878 Suffolk Count~ I Term Ex~ro.~ ~arcll 30, 19~'7 I ::z WALL OF NOTIFY BU,LD, 2, ROUGH - FRAMIN,~ ,:" 'PLLIM~ING STATE CONSTRUCTION & ENERG~ COMES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERR~Rg. 5CALl: V4" ':' ILo" ~SE NIO~Uf"H