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Home My WebLink About13707-z FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) NB 13707, Z Permission is hereby granted to.L . ~ ~ ..~..~~~......4z~'.~ '~-'~ ~-~, ./..~..~.,~.~....,~,~: ................... .... - ...... ............................. ............................... :: ................. o, ::7~Y......:...~.~....~...~...~: ....................................... .......................................... ................ ......................................... ¢o,~ Ta~ Map No. ~ Sec.on .... AL....~.... ..... ~l~ ....~. . .............. Lot No....~.L...~...... Building Inspector, Fee $ ,,.l,,~',, .,~,./..~., ..,~... aullding mspector Rev. 6130/80 FORM NO. 6 ']'OWN 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 ~ 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. Additions $25.00 C. Fees: 1. Certificate of occupancy New Dwellin[; $25.00, Accessory '$10.O0 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 .......................... NewCons truct, ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... House No. Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ · Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described buildi.g and perr~t me/ets all applicabl~Y'd~'~regulations. .... ............... Rev, 10-10-78 · Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 January 15, 1988 Shamrock Properties 350 Fifth Avenue Room 1826 New York, N.,Y. I0~18 Dear Sirs: In going over some old papers your check was found in B.P. #13707Z. We were unable to do a Certificate of Occupancy because when our in- spector went to do the inspection on 5/8/87 he found that the permit had already expired. If you have any questions regarding this please call our office. Yours truly, Exec. Admin. Victor Lessard 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. ~ issued to Ma~ine Associates~ Inc on 2/22/8~ for F6undation 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 $10.00 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 encl. FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY QODE COMMENTS ADDITIONAL COMMENTS: 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. ~TZ issued to Marine Associates, In¢ on P/~2/8~ for F6undation 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 $10.00 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 yo~, Victor Lessard Executive Administrator VL:gar encl. ' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Approve ..., 19t~..~. Permit No..1.7..7.4.7,2-- Disapproved a/c ..................................... ,ece±ved/.~. ~...~.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date J/~tv%' .t?3~../~/ ' 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 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. APPROYED AS .. l'Jv:../s-t ~ ~ ...... NO.'TED ....... ....................... t.',~.x ................................/~ ~.¢ 0¢? Lc //q//-~ DATE.,.r~E;~f~,~.".~,e~,, / .~'''BP '~~ Name of owner of premises .... .ff~./~.]~ .... ~.: ..... .~.-.' · / ......... FE------~ '',1~~'~' (as on the tax roll ~kr~(J'~~: ~ . ~rr I~UILDING DEPART~ If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: l. FOUNDATION . TWo REQUIRED .............................................. FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH . FRAMING & PLUMBING · ~ .~. '~z_ 3. INSULATION Builder's License No ...... 4. FINAL CON'STRUCTION MUST BE COMPLETE FOR C. O. Plumber's LicenseNo ......................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N. Y : Electrician's License No ....................... STATE CONSTRUCTION & ENERGY CODEs. NOT RESPONSIBLE FOR Other Trade's License No ...................... DESIGN O~R-CONSTRUCTiON ERPcbr~g 1. Location of land on which proposed work will be done ..... ..~?..3..7'f..~./.12~.~' ...................... , ....... 37dd .................. House Number Street Hamlet County Tax Map No. 1000 Section /] 7, t)O Block ~" ~) O Lot...~../ Subdivision ............. · ........... Filed Map No ............... Lot ............... (iq'a~;) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E×isting use and occupancy .................................................................... b. Intended ~se and ocenpancy .................................................................... 3. Nature of work (check which aDplicable): New Building ....~'d ..... 'Addition .......... Alteration .......... Repair .............. Removal ............ Demolition .............. Other Work ............... *" (to be paid on filing this application) 5. If dwelling, number of dwallin ;units ............... Number of dwelling units on each floor ................ If garage, number of cars ....................................................................... 6. If business, commerciai or mixe ] occupancy , specify nature and extent of each type of use ..................... 7. Dimensions of existing structur~ s, if any: Front ............... Rear .............. Depth .......... r .... Height ............... Nun ~ber of Stories ........................................................ Dimensions of same structure ith alterations or additions: Front ................. Rear .................. Depth .................. !... Height ...................... Number of Stories ...................... · 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories 9 Size of lot: Front . Rear Depth 10. Date of Purchase .......... ! ................... Name of Former Owner ............................. 11. Zone or use district in which pr!emises are situated ..................................................... 12. Does proposed construction vi late any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........................... Will excess fill be removed from premises: Yes No 14 Name'of Owner of premises Address Phone No Name of Architect Address Phone No Name of Contractor ......... , ................. Address ................... Phone No ............... , PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blod number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~I~I~r~, ~/ j ~ ~ COUNTY OF...~.~(~ .... ~'~ .......''----~.(~.].~.~....~ ! ~ ........... being duly sworn, deposes and says that he is the applicant (Name of individual sig(ing contract) above named. He is the ~~ . ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file ~is application; that all statements con[ained ~ this application are true to the best of his knowledge and belief; and that the work will b.e perfomed in the m~n~r set forth in the application filed therewith. Sworn to before me this Nota~T Public, . .......... ~ ........... Countr ' : H[LKN K DF VO( j NOJARY PUBLIC, Sbte of New York ........... No, 4707878, Suffo!~ gounty ~ (Signature of applic~t) : Term Expires ~Ja~ch .0~ 19~ -0 ~ ~ nner archifo¢~s / 'pla s