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HomeMy WebLinkAbout25815-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26525 Date: p6/28/99 THIS CERTIFIES that the building ADDITION Location of Property: 55 SUMMIT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 6 Lot 15 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1999 pursuant to which Building Permit No. 25815-Z dated JUNE 22~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING 'AS BUILT' AS APPLIED FOR. The certificate ks issued to MARTIN & EILEEN REGAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 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. 25815 Z Date JUNE 22~ 1999 Permission is hereby granted to: MARTIN & EILEEN REGAN 450 EAST 20TH ST APT 9E NEW YORK~NY 10009 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT". at premises located at 55 SUMMIT DR County Tax Map No. 473889 Section 079 pursuant to application dated APRIL Building Inspector. SOUTHOLD Block 0006 Lot No. 015 27 1999 and approved by the Fee $ 75.00 AuthoriZed Signa~zure ORIGINAL Rev. 2/19/98 Form No. 6 TO~4 OF SOUTHOLD BUILDING DEPARTNENT TO~.~ tL%LL 765-t802 .~PPLICATION FOR CERTIFICATE OF OCCUPA~CY Ao This application must be filled in by typewriter OR ink and submitted to the building inspector with che following: for new building or new use: 1. Final survey of proper~y with accurate location of all buildings, property lihes, streets, and unueual 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 ~hat the solder used in system contains less than 2/10 of i% 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 lines, 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. Fees I. Certificate of Occupancy - New dwellimg '$25.00, Additions ~o 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-existin~ Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential$15.00, Commercial ~15.00 Date ................................. · New Congtruction.~£~..~.~.. Old Or Pre-ex~isting ~ildin~ .......... Location of Property ............ ~;~.~M... ......................... House No. Street Hamlet Onwer or Owners of ~ropert5 ................... [ ~.~..w~.. .... ~.~..~r~.. ........................... Cou=ty ~= ~ap ~o ~O00, Sectio~..O.~R ...... Bloc~ ....~.~.~ ........ ~o~...©.t..~2%.. ............ Subdivision.... ..................... . . ... .. . . .. Filed Map ......... .. . Lot .................... . Permit No Date Of Permit Applicant . ..' .................. Health Dept. Approval ................... ... .... Underwriters Approval ........................ · Planning Board Approval.......... .......... . . .. * ............................ " , ._ ~ ~c . ~ ~ ~ ~ ? ~ ~ .~. . . .-~. . . ~ . . . . ,~. . . . ................. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMII~JG []FIREPLACE&CHIMNEY REMARKS: /~*' '~~ // [ ] ROUGH PLBG. [ ] IN~tLATION [~FINAL DATE OCCUPANCY OR USE IS UNLAWFUL WITHOUT iP.,ERTIFiCI~:E OF OCCUPANCY ltl-tlOl t AM 10 4 Iq; ~OR THE ~ INEI~-CIK)NS: t II(~J{I~L~IION - ~ REQUIRED ~~~R~ [ ~. ~ & ~UMBING 4. FINAL - CONS~RU~ION MUST ~ COM~E FOR C,O. ALL CONSTRUCTION SHALL MEET ~E REQUIREMENTS OF THE N Y 8TA~ CONSTRUCTION & ENEPGY CODES. NOT RESPON~I~[.F r~R FOEM NO. ~ ?CWD~' OF $©UTHCLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. No .... Z.. ,2.5. ?f~. Date ......... Q:qto~.er..]7 .......... ~,.. THIS CERTIFIES that tile building located at ~d.',~ .P,~ad. A. ~ummlt. Ir... Street Map No....X~,{.. ....... Block No.. ~-~ ...... Lot No ......... conforms substantially to the Applicati,an for Building Permit heretofore filed in this office dated ...... $~_'p~:~.b ,~_x. 6 ...... 196~. pursuant to which Building Permit No3207..2~... dated ...... ~..ep..t..e..m~..e.r..(~ ....., 19.~6., was issued, and conforms to ali of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ....... ~r~..;{~,g~O.~:y. 35uil din~3 ............................................ The certificate is issued t9 ..... J~ayr~on.d.&.Scz~h:ta. Sm:l.9.h ......................... (owner, lessee or tenant) af the aforesaid building. ,Suffolk County Department of Health Approval ......................................... -- Building Insp~r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ,C£RTIFICATE OF OCCUPANCY No..*?'..3.~.,.~ ......... Date ................................ Al~Ltu~t.. '10...., 19~.... THiS CERTIFIES that the building located Map Nc~ig~'.~Q~3,.~l~gilgl/~k No ...... ?..*..?. ............ Lot No....*...*.?.. .......................................................... conforms substantially to the Application for-Building Permit heretofore filed in this office dated ........................... ~13Z~.~..~9..,...~,: ..... J~.....~.~J pursuant to which Building Permit No ...... ,~e..~8~ .......... dated ............................... ~T~i~l.$..~ ...... , 19....~.9S was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is .............. .............................................. ]~RL~A ~, .. ~IE~. ~A~ LZ.. ~n~,LL-~ ................................................. This certificate is issued to ....... ~q~3~Q~..l~..~J..~...O.~l~ ...................................................... (owner, lesse~ or tenant) of the oforesaJd building. H~WARD M. TEPdt~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE '~ OCCUPANCY , APPROVED AS NOTED FD~.ATE:~', 2-,~ ~i¢~ B.P.# ,~'c~' f~ ~ E: , ??~ ~y: ~ NOTIFY BUILDING DEPA 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PUJMBING 3. INSULATION 4. FINAL - CONS'rRUCTiON MUST BE COMPLE t~- FOR C.O. ALL CONSTRUCTION SHALL. MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS INSPECTION REPORT DATE. COHOS 3UNDATION (IST) O0NDAT~ON (2~) ~ ~GH FRAPm & PLUM~INC '~ISIILATION PEK N. ¥. ADDITIONAL COMMENTS: Exaulined. ~ iZ/, Approved ......... ((., BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ................................ :..;, APPLICATION FOR BUILDING PERMIT INSTKUCTIONk B~IAR9 0F HEALTIt 3 SE'~$ OF PLA~S SURVEY CHECK ..-.- .... , ....... SEPTIC von~l CALL ......... HAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 sti'e or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this ap cation. c. The work covered by this application may no~c bo commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such pen sball be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in prat for any purpose whatever until a Certificate'of Occupm shall have been granted by the Building Inspector. 'APPLICATION tS ttEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ~ Building Zone Ordinance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for re,mpval or d,_e. molition, as herein descrlb; The applicant agrees to comply with all applicable taws, ordinance~ [m)fdi~.gflCde~ta~o~if~c~ode, and regulations, and admit authorized inspectors on premises and in building for~~~n~neces ~ ectio s '~ ' ~'~'c~ (Mailing address of applicant) J State whether applicant is owner, lessee, aKent, architect, engineer, generai contractor, electrician, plumber or buil& ' ~ Name of owner of premises ....~..\ .Q.~. ,~.t.[. .¥..~. ,'~.~..e'e".'~'.....~. c.~.O:..x~.. ........... .................... (as on the tax-~oll or latest deed) If applicnnt is a corporation, signature of duly autbori2cd officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... . ........................... ,. ~ .............. ..... ............... . ........... ................ itouse Number Street Hamlet County Tax Map No. 1000Section ....<~..~.?. ......... Bloc~ ...~. ' Lot....~..~.*~ ........ .... '. Filed Map No. Lot Subdivision ........ . ........................ . ............................ (Name) , 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~.~. ............ [. ....... ; f .~ .............. .~ ............... b. Intended use and occupancy .,~.. ',...t/~. ~.~¢...~...4~t,. )?.k~...4. ,'~., .~.[(. m....k~. ,~...~O~,....(~..~.: .~..k.~...~ .~. · "35 ' .. TO INSPECTION ©wner(s) Name(s) ~ do(es) hereby state: _",, '~ That the undersigned (is) (are) the owner(s) of the premises in the Town k~,.~-- , which is sho~wn and designated on the Suffolk J County tax map as District 1000, Section Or]~' , Block O~D , Lot O(~'-". That the undersigned (has) ([]ave) filed, or caused [o be filed, 'an applica- tion in the Southold Town Euildh~g Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors o[ the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem nece~ssary %vi[h respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be need as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulatio~s~o~Townof Southold. ~' (print name) ~ ' (signature) (print name) TOWN OF sOIJTtIOLD OFFICE OF BUILDING INSPECTOR TOWN IL~. LL SOUTIIOLD, NEW YORK CEflTIFICATE OF OCCUPANCY NONCONFOtIMtNG PREMISES 'Fills IS TO CERTIFY that the ,:md /--'/ P,u il ding(s) /' / [~e(s} Pre C.C. ~- Z13336 Date- April 8,1985 lf)cat-d at 55 Summit Rd. Southold Street tlamlet shown on County tax map as District 1000, Section 079 , Block 06 l,nt 015 , does[not)conform to the present Building Zm~e Code of the 'l'~wu et Southold tot the following reasons:' insufficient total area. Insufficient fron~ yard set-back. ()i, tbr? basis of information presented to the Building Inspector's Office, it ban been determined that the above nonconforming /'~/Land /i/Building(s) /_~/ llaeis) existed on tim effective date the present Building Zone Code of the T,~wn of Southold, and maybe continued pursuant to and subject to the appll- cable pt'ovisions of said Code. IT IS FUItTHER CERTiFiED that, based upon information presented to tile lhfildin~ Inspector's'O£fice, the occupancy and use for wtfich this Certifi- cate ia issued is as folloxvs: Property contains a one story, one fam- ily, w~,~d framed dwelling with an accessory shed. Property lo- caL~,d in kite A-Residential-Agricultural Zone, with access to Ed,s [!*)ad & Summit Rd., both Town Maintained Roads. '['he Certificate is issued to EST. OF SOPHIE M. SMITI! (owner, lessee or tenant) cfi thc, af~u'esaid building. ,%~[[~flk ('mmty Department of Itealib Al;proval N/A I;[qIH.HIV,'}UTp~£tS CEIITIFICAq'E NO. twa N(I'I'tCE IS tlEREBY GIVEN that the owner of the above premises ILa, S C(~NS!:;NTED TO AN INSPECTION of the premises by the Building Iaspec- detormine ff the premises comply with ali applicable codes and ordb~- .,thor than the Building Zone Code, and therefore, no such iaspection boei1 conducted. Tiffs Certifieate~ therefore, does not, nnd ig not intended vr'rtify that the premises comply with all other applicable codes and re~ula- Buiidi::2 inspector