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HomeMy WebLinkAbout25546-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27084 Date: 05/16/00 THIS CERTIFIES that the building ADDITION Location of Property: 154 KING ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 19, 1998 pursuant to which Building Permit No. 25546-Z dated FEBRUARY 18, 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 NEW BILCO DOOR CRAWL SPACE ENTRANCE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KATHLEEN K.BECKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorize Signat e Rev. 1/81 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. 25546 Z Date FEBRUARY 18, 1999 i Permission is hereby granted to: KATHLEEN KMET BECKER 51 CHARLES STREET APT #3 NEW YORK,NY 10014 for CONSTRUCTION OF A NEW BILCO DOOR CRAWL SPACE ENTRANCE TO AN EXIST- ING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 154 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 003 pursuant to application dated JANUARY 19 1998 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 • - APPLICATION FOR CERTIFICATE OF OCCUPA C ." +'iAy 6 2WO A. This application must be filled in by typewriter OR ink and sub ft, the,buil� I inspector with the following: for new building or new use:{- 1. Final survey of property with accurate location of all buildings, 'property_l,e7,! streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contai less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bui and installations, a certificate of Code Compliance from architect or enginee responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or building "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 appli If a Certificate of Occupancy is denied, the Building Inspector shall state t reasons therefor in writing to the applicant. C. Fees 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. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25 4: Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/5.00, Commercial $15.00 Date !•�_/ C'�� . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . C. . Old OryPPrn�enn-/pe-xistQi/pg Build ng. 6666:1 �p� Location of Property. . .1'?.q . . . . . . . . r� . .Y• . . . .. . • • . . . . . . • • • •�.. . . . . . . . . • " ' House No. J Ctrl Hamlet Onwer or Owners of Property. . . . . .. . . . County Tax Map No 1000, Section. . . f.4. . . . . . .Block. . .(P. . . . . . . . . . .Lot. .�. . . . . . . . . . . Subdivision.//.��. ....... . . . . . . . . . . . . . . . . . . . ``��JJ 'Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . Permit No. . .o2 5A Ll 4f)ate Of Permit. . . .G4!•!_• • •Applicant. . . . . . . . . . . . . . . . . . . . . . lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . . CCCCUnderwriters Approval. . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary )CCertificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 66 Fee Submitted: $. . `. .y��c. . . . . . . . . . . . . . . . . . . S 7 g 7 APPLICANT �o -a 70 sry o�,Cg�FfO(k�o h� Gym Town Hall,53095 Main Roadp Fax(516)765-1823 P.O. Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� �1j0� � hyo BUILDING DEPARTMENT TOWN OF SOUTHOLD January 3, 2000 Kathleen Becker P.O. Box 15 Orient, NY 11957 RE: 154 King Street, Orient. 1000-26-2-3 . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $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 # 25546-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ZONE X ��1 10Es `� UJ �� pew" sm eMA "�;y�i� SKIPPEIiB ST a � '�xnx r " '✓ moi' '^ O(�CHARD z z Vo ZONE X i XONE l d: " ZONE X ZONE r AE RBORf b. 9 COASTAL BASF_ FLOOD ELEVAIIONSaT ` APPLY ONLY LANDWARD OF 0.0 NGVD ,,. . 4g, ti f 1 s - a M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING ] FINAL [ ] FIREPLA CHIMNEY AVC0--REMARKS: DATEI;IIAIY�� 1 NSPECTO FIELD INSPECTION REPORT DATE COMMENTS � xxassexaa==xe=xxxasxaxas= .xaxass=xaxxxxxtea==x=se======a=ao=xaxxa----------- s=xa==x=x=xaa- IIit I II B H FOUNDATION ( 1ST) I Irr_ N Q• � FOUNDATION (2ND) 0 xxxa=aaxxaa==e=- IM- I� =I I II z - ROUGH FRAME & v1 PLUMBING y u n sasaaaaaxr-��aa�aaa Ilxa�aax=-I-�==ave-----xaes=ee==it - INSULATION PER N. Y. I� � STATE ENERGY u u CODE u e II N 0 aasaaaaxaaxaaexaasaaxasa�a�=ax-x-ailxaaay-saaaasa-----�x-----aaaaxaxax==aaxxa=aaaaaax=az=a �. II jj I FINAL u =assasasa---a:asaxaxaaaa� - r am---saaaaaxaaxaarsaaxaaxaa:a:aaxaaaaxaxaaax:aaaa — ADDITIONAL COMMENTS: asaaaxaaaasaaaaaaaaaax=aaaa=aax--aaaxxauaaaaxxaaraaasaaa=aaaasaxasaxaaaaaaavaxsaaNaxa N\ H O 9 r BOARD OF HEALTH . .. .. ..... ..... -FORM NO. 1 3 SETS OF PLANS .... . .. . ... .... TOWNOF SOUTHOLD SURVEY ......... ............... BUILDINGDEPARTMENT. CHECK ......................... TOWN KALI. SEPTIC FORM ........ ........... SOUTHOLD, N.Y. 11971 'TELL 765-1802 NOTIFY:2C 0 02 q p CALL is . ....a . . .. Examined.....�...I...... 19.1 99 / MAIL TO: .... .. ... . . ...... . . . Approved.......2:..1...., 19'0 Peradt No. .PC .6.. .. ................................. Disapproved a/c .................................. ................................... D l5 6 IS U D ... ,.ld� motor) ISN ' g KATION FOR BUILDING PESMIT 9 Date. JI . . . . . . ...19Q� ` BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLR a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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=at be drawn on the diagram which is part of this application. Permit, c. The work covered by this application may not be commenced before issuance of Building d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be.lcept on the premises available for inspection tbroufmt the work. whatever until a Certificate of e. No building shall be occupied or used in whole or in part for any purpose occupancy shall have been granted by tine Building Inspector. &LI=CK IS W=MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Time 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, , building code, housing code, and regulations, and to admit authorized inspectors on premises and in bui for necessary tions. ........ ..� ..... .......... ..... (Signature of applicant, or name, if a corporation) Mailing address of applicant) architect engineer, general contractor, electrician, pluduer or builder State whether aMli�amt is owner, lessee, agent. ....66"M........y.................../........................................................................ Name of carer of premises '\!(� .��..1�.:�3� .. .................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. R►ucecY..tZu .K.►u�J. ..MAPT House Mier •Street Hamlet Comty Tax Map No. 1000 Section ... 'a ....... Block .....:'�......... Lut ...J............ Subdivision ...... .............::......... Filed Map.NO. ............... Lot ............... ( � 2. State existing use and occupancy ofpremisesintended use and occupancy of proposed construction: a. L+ sting use and occupancy ......C`�he r(` ........................................ b. Intended use and occupancy...............b x.'1..3.... .S............................................ e{fiIIYAIP h H"-,[ATt fYv ot.i#cr c 1;.t1"1; VU9 YAATOW 1(tnssca�Ri F ,8511st)OBTS#O.o1M1 ..175.8enulearigx ff""T eq���1��ee��aa Nature of work (ci:erk vA:itfi applile)s New Duildirg .......... Wozk ••.•• F,�U..411.fi�. Repair ............ Pzmml ....... Demolition ............ .• . .................. � (Description) Estimated Cost U J............................p.......... I to be paid on filing this application) t. if duelling, number of dwelling units ..........'.. Number of dwelling units on each floor ................ If garage, amber of care ..... i nature and extent of each type of use...................... i. If business, cxmmercial or mixedocrupancy, spec fy 1, Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. sleight ......................... � amber of Stories ...................... Dimensions of ease structure with alterations or additional F'a't ............... Rear ............... Depth .................... Height{ ............. ... .avrbeit f Stories ............: e. Dimensions of entire neva constru4ticn: Front .... .......... Depth ............. Height amber of Stories ..................... 9. Size of lot: Frnnt {{��11 [� .. •.... ..... Fear .................... ..e. �.��...�.... 10. Date of Purchase .{.�. •.• 1 .••• Name of Former Owner .,... . ll. zone 12. Ibex or use districtInvich ola' lis are situated ....................................................... ....................`.......`..._. Premises proposed violate any zoning law, ordinance or regulation: ... U.............. 13. Will lot be regraded ...........'i........ Will excess fill be moved from premises' YES ND 14. Names of Owner of premises .....I ..................... Address .............................. Phone No. ............. Name of Architect-.,,............ .................... Address .............................. Phone No. ............. Name of Contractor . ...........li ...•..•.•••.•.•..••.. Address . .................... Phone No. party of a tidal wetlarM * YES ... .... ND .......... I5. Is this within 300 feet, *IF YES, SOU11701D 4CIId71imSlEBS RMT MAX RE ROOT M. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether e�dating or proposed, and indicate all set-baric dimensions from property lines. Give street and block a=mber or description according to deed, and show street names and indicate whether interior or corner lot. SEE ,4-Imc iC-0 �I SME Or NEW YOl+lt, 0aIN1YDr .. � !�4f . �2Q/Y1 1 VYLC .y................being duly sworn, deposes and says that be is the applicant (Nave of individual signing contractY above noTed, ................. die is the ...QN1 .4't�..........1...................... .............................. (contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfnnn or have performed ti:e said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforrreed in thIa manner set forth in the application filed therewith. Sworn to before me this ...day of Notary Public .... '6. �� 1 . �pg�ASTA (Signature of Applicant) NOTARYPUBLICi State of Now" No.01ST8008173.Suffolk Coaly Term Expiredl.tune 8.20... e? r/*,a e ff It 4L. Z 7 bm 7, 60 Z 7 '0 0' ey ILI L ��/LiU �JLI �fo9/z�.Sit�/rsact �i eKXrikc�!Mco.�42 - � riClA3' KG APPROVED AS NOTED / s- zgP el of 'F�/f rim f4qff4q/. PCs , DATE: 2-9'99 &P.# r. FEE: Ll BY �tc1{fE1' coy Tot ®oo e, NOTIFY BUILDING 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED 2. - FRAMING & PLUMBN G 3. INSULATION oT%N6y 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET pp n THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR \ DESIGN OR CONSTRUCTION ERRORS CDR— F}sr..c� C:cgv ���jj/YO2oX. S1fL,7itiN m6 R��E11INfoeeEa l_ok�egG �\ I I�2TsYiHiNc wA2LS 9hn K�cE4S -�TfPS - - - _ i�cisri� •�e• F og�o� 19lkLo book- - - ----- ----- Is� //y 11-?5-7 USE O� USE IS UNLAWFUL Scat 1 " Ks�r��eLly QI=< K Ff- . WITHOUT CERTIFICATE OF OCCUPANCY W IMOOW To �EL�h2. 1 I ikro M I I �ISTIKb �ML- �l9�L. 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