HomeMy WebLinkAbout26031-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27340
Date: 10/06/00
THIS C~TIFIEE that the building ALTERATION
Lo~ation of Property: 215 COLONIAL RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
~ount¥ Tax ~p No. 473889 Section 79 Hlock 6 Lot 25
Subdivision File4Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed ~ this office dated AUGUST 2~ 1999 pursuant to which
Building Permit No. 26031-Z dated OCTOBER 14, 1999
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 EXTERIOR DOOR TO NON-HABITABLE CELLAR OF EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JOAN E & JOHN J BECHT
(OWNER)
of the aforesaid building.
~ COUNTY DEPArTmeNT OF ~aLTH APPI%OVAL
~.~UIT/(~L ~IFICATE ~O.
pL~H~ (~TIFI~ATIO~ DA'rig;
Rev. 1/81
N/A
N/A
Aut~ori~e~ Si-gnafre
FORM NO. 3
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)
PERMIT NO.
26031 Z
Date OCTOBER 14z 1999
Permission
is hereby granted to:
JOAN E & JOHN J BECHT
215 COLONIAL ROAD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN OPENING IN THE SIDE WALL OF THE CELLAR AND
INSTALLATION OF A DOOR AS APPLIED FOR.
at premises located at 215
County Tax Map No. 473889 Section 079
pursuant to application dated AUGUST
Building Inspector.
COLONIAL RD
SOUTHOLD
Block 0006 Lot No. 025
2 1999 and approved by the
Fee $ 75.00
uthor~ized~Sign~urf/~e
ORIGINAL
Rev. 2/19/98
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26031 Z
Date OCTOBER 14~ 1999
Permission is hereby granted to:
JOAN E & JOHN J BECHT
215 COLONIAL ROAD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN OPENING IN THE SIDE WALL OF THE CELLAR AND
INSTALLATION OF A DOOR AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 079
pursuant to application dated AUGUST
Building Inspector.
215 COLONIAL RD
Block
2 99
SOUTHOLD
0006 Lot No. 025
and approved by the
Fee $ 75.00
Authorf~ed
· AP~LIC~T ION
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildi~
inspector with the following: for new building or new use:
Final survey of property with accurate location of all buildings, property line:
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 build
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
'~pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applica~
If a Certificate of Occupancy is denied, the Building Inspector.shall state the
reasons therefor in writing to the applicant.
C. Fees
i. 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-existing Buildinz - $100.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential|$15~O0, Commercial $I5.O0
ate .... ?IJPl.. . .......................
New Construction .......... ~Ol~_~Pre-e~s~.ng Bui~ing ....... ~ ........ .
Location of Pro ert ~ ~~ ~ ~ ~,'~ ·
P Y ! '' .
House No. Street Hamlet
Onwer or Owners of Property .... - ·
County Tax Map No 1000, S'ection..!~ ..... Block .... .C~..~.~ ....... Lot....~.~ ..........
Subdivision. .~.~. ........ Filed Map. .Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .................. ... ... .. Underwriters Approval ....................
Planning Board Approval .................... . ...
Request for:
Fee Submitted:
Co--g-2?3go
Temporary Certificate ........... Final Certicate ...........
$ ......... ............ .. .
APPLICANT
600240 E
- --~
nugnes
125'
CJI.
Stocko~ Fence
N/F
Beyer
IP
S
Guarriello/ Tyler
1000-079-06-25
'"'="~ ~ ' ~ ~" ~ ~ DESCRIBED PROPER~
m~g.~* of ~e I~g ~ SOUTHOLD, TOWN OF SOU~OLD
G~ra~ are ~ ffmsfe~ble ~ SUFFOLK COUN~ N~ YORK
SURVEYED: 17 Morch, 1998
SCALE: 1'~20'
16'246.047 SF' OR 0.J75 AC~
Detail - Cut Doorway into poured concrete
Exterior door to side of house
3/0 Pre Hung, Exterior Steel Door with Screen and Window
New Entrance into
fl.
Town Hall, 53095 Main Road
P.O, Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
September 22, 2000
Mr. & Mrs. Jack Becht
215 Colonial Rd.
Southold, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on ftle.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 26031-Z
Please contact our office on this matter. Thank you for
cooperation,
$OUTHOLD TOWN BUILDING DEPT.
~NDATION
rNDATION (2ND)
FRAME &
PLUMBING
gULATION PER N. Y.
STATE ENERGY
CODE
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATmON OND ( ]~$ULATmON
FRAMING [z~] FINAL
_~,FIR ~EPL~.~ & CHIMNEY
INSPECT~~ ~~~j
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 1 ]97 I
TEL: 765- ]802
Disapproved m/c ..................................
LICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
a. 'Ibis application mast be completely filled in by typewriter or in ink and anhmitted to the t~fildiag Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing lecatioo of lot and of buildinge on premises, relationship to adjoining premises or peblic
streets or areas, ~nd giving a detailed descriptlo~ of layout of property must be drawn om the diagr~ which is pert o
this applie2t iota.
c. The work covered by this appllcetion vmy mot be com~nced before issuance of Building Permit.
d. Upo~ approval of this applicatlom, the Building Inspector ~fill issue a l~ilding Pern~t to the applicant. S~
permit shall be k~pt ~ the premises available for inspectiom throughout the work.
e. No building shall be occupied or used in ~ole or in part for ~my purpose whatever ~mtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATR~ IS 'I~I~BY ~ to the Building Department for the issuance of a Building Permit pur~ant to the
Building Zone Ordinance of the Tc~n of Su~thold, Suffolk County, New York, and other applicable Laws, Ordirmnees or
Ragulations, for the co~struetio~ of buildings, additions or alteratioms, or for r~roval or der~lkiom, as herein
described. The applicant agrees to co~ply w~th all applicable laws, ordinances, building code, housing code, and
regulations, and to ~{t ~thorized inspectors c~ premises m~d in bu~ldlng for necessary inspections.
..................
(Signsmre of applicant, or nam, if' a corporation)
.......
(Mailing address of applic~t)
State ~ether applicant is cwner, lessee, agent, architect, engineer, general contractor, electrician, pk~ber or bull
(as m Om tax roll or latest deed)
,
If a~lic~t is a ~ti~, si~e of ~ly ~t~ri~ offi~r. ~ _._ /~ ~ '
.........................................................
(~ ~ tkle of ~rate officer) OCCUPA~
Suilde s No ....................... ITItOUT CERTIFICATE
Lican No .......................... OF OCC P /Cy
Electdcians License No ......................
OOmrTrmfm'sLicenseNo .....................
~':~R POURED CONC~I'~, ~
2. ROUGH - ~NG ~ ~N
3. INSU~ON
4. FINAL ~N~ ~U~N MU~
BE.COM~ ~fl ~ ~,
A~ ~N~ ~ MAe
3. P;~ture of uork (d~w.k d~id~ a~licable): ~ ~ildi~ .......... ~iti~ ....:r .... ~teration ..~ .......
~ir ............ ~al ............. l~liti~ ............ Od~er ~ ~..~.~..~C
4. Esti~t~ ~st ..~ .............. f~ .................................. ~. ~.~ ......
(to ~ ~id ~ filing this
5. If d~lllg, mfl~r of ~111~ ~mlts ............ [~r of &~lllng ~mits m ead~ fl~r
If garage, t~r of cars ...................................... ~
~ If ~f~ss, ~rclal or ~ ~, ~i~ ~ture ~ ~tenC of ead~ ~ of ~ ......................
7. Di~nsi~s of ~isti~ st~s, if ~: ~t ................ ~ar ............... ~pth .................
l~i~t.. ...................... . ~r of Stories ............
Bi~nsi~ of ~ st~e ~th alterat~s or ~tlons: ~ont ............... ~ar ...............
~pth .................... ~i~t .................... ~r of Stories ...............
8. Dit~nsi~ of entire ~ ~t~ti~: ~t ................ ~ar ............... ~p~ ..............
I~i~t ......................... ~r of Stories .....................
~. Si~ o~ ~ot: ~t ...Z~ ........... m~r ../~ ........... mpth ..(~k~ ............
10. ~te of ~d,a~ ...~ ............. ~ of Four ~r .,~~ .........................
Il. ~ or ~ district in ~ p~i~s a~ s~t~ ..... ~ ....................................................
12. ~s ~o~ ~t~ti~ violate ~ ~J~ 1~, o~i~e or re,latin: ..~ .................
~ of ~dfit~t .................................... ~ress .............................. M~ ~ ............
~5. Is O~is p~rty~thin ~ f~t of a ti~l~tl~ * ~ .......... ~ ..~ ....
~LOT DIAGRAM
Iz)cate clearly and distinctly all buildings, whetJmr existing or proposed, and indicate ail set-back dh~nslons
frcm property lines. Give street ~ block nLm~ber or descripti?n according to deed, and ~ street names and indicate
whether interior or corner lot.
side of house
.............
· ./
I~ is Lhe .~,~ .... ~.. ................................................................................
~ ~ {~tr.ctor, .gellt, eor~ra~e officer, etc.)
of ~i~7:o~rs, .~ is ~ty ~tl~ri~ to ~rfo~ or t~ [mrfo~ U~ ~:d ~ ~ to ~ke a~ file tMs
depo.e~s and says that he is the applicant
(SJ~l:ure of Applicant)