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Home My WebLink About22987-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OCCUPANCY No S-24048 Date NOVEMBER 28, 1995 THIS CERTIFIES that the building Location of Property 200 ROGERS RD. House No. Street County Tax Map No. 1000 Section 66 Block 2 Subdivision Filed Map No. ADDITION SOUTHOLD r N. Y. Lot Lot No. Hamlet 16 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21r 1995 pursuant to which Building Permit No. 22987-Z dated SE~4BER 5~ 1995 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 APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED VIRGINIA SCHMIDT & ~£~S N/a N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLETION OF THE wOr~K AUT~..~ ~ote .......... ~~..~ ............... 22987 Z CounlyTax Map No. 1000 Section ........... ~,,~..,, Block .......... .,,.~,., ......... LotNo, ,./.,.~... .................. pursuant to application dated .......................... 19 ......... and approved by the Building Inspector, .... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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 tbat the solder used in system contains less than 2/i0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bnildings 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 aud "pr~-existing" land uses: · ~. Accurate survey of property showing all property lines, streets, building and unusual natural or topograpbic 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 ~pplicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel~[ing $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 Buildin~ - $I00.00 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 Construction ........... Old Or Pre-existing Building. Location of Property .... .~.~.~. ................. ~C=~...i~iiiiiiii-~.~..~...~..~. .......... }tou se No. ~Street Hamlet Onwer or Owners of Property..~.~'~./..~. ~ .~....~.~! ~.~.....c~....~..~.. ~...~....~. ................ County Tax Map No 1000, Section ~ ·Block... ~ .Lot ..... .............. : .................. Fi ed ,,ap ............ .... ....... . . .................... Permit No..~. ~..~.~. Z: .~,... Da te Of Pe rmit., ~;./. ~ .... Appl lcant, i.//~[/-~'~ Healtb Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ......................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 16, 1995 Ms. Virginia Schmidt 11 Birch Street Danbury, CT 06810 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: xx Occupancy 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 % 22987-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (2ND) ,,. FIELD INSPECTION REPORT DATE FOUNDATION (IST) II STATE ENERGY I II CODE COMMENTS ADDITIONAL COMMENTS: Rogers Road August 16, 1995 Mr. Garry Fish Building Department Towa of Southold Town Hall Southold, NY 11971 Dear Garry; Please accept my apology for"bulling ahead" with what I felt was a minor project at our family home on Rogers Road in the Bcixidon Estates section of Southold. It was not my intent to ignore Town Codes and procedures, but rather my sense of urgency was prompted by my parents health problems. Cummtly the mar entrance to the house consists of 3 steps to the door with no landing or platform on top. This entrance, although grand fathered, presents a challenge to the most agile. Both Mom and Dad have fallen on these steps this summer when attempting to enter the house. Both are in their 80s, friable, and easily upset by confusion. Mom is currently in the hospital for foot surgery and Dad is staying with my sister in Bellmore, so it seemed an opporttme time to correct the problem on a non-traumatic basis for them. The deck or replacement porch we wish to add will allow my parents to open the rear door fi.om a secure platform. It will also permit my mother to exit the mar of the house in her wheel chair to which she will be confined for several mom months. Although the size of this project is minimal from a construction point of view, it is paramount in the eyes of the family as a safety and comfort factor for my parents. Again, I apologize for the presumption that such a small project required a detailed approval[rand ask )'our understanding of my concern for my parents well-being. Thank you for any assistance you may be able to give in expedifmg this application for a Building Permit. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~J/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ROUTE ?.5 ~c~o ~U~NP~ BEIX£DON ESTATES 7"OI, VN OP- ~OUTHOI-O 3U~,~OLK Cou~T%, Al.. 0 / J~'~"LONG ' ISLAND SbUND BEIXEDON ESTAT~ ~ ATLANTI, C , ~ OCEAN FORM NO. 1 TOWN OF SOUTIIOLD BUILDING DEPARTMENT.. TOWN IIALL SOUTItOLD, N.Y. 11971 ~.~..~--'~.,.,-, / ,/~,~. ' T E L,: 765' 180::1 APt'roved :~~ :,lg,..PermltNo ....... )ist I proved a/c ............................ ; . .; . · 11(fiu,d ,, ,,,spector> // BOARD OF IIEALTII ......... 3 SETS OF PLANS ......... SURVEY CIfECK ................... SEPTIC F 0 IIA:t ............. a. This applicatiou must be completely filled in by typewriter or in iuk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plau to scale, Fee according to schedule. b. Plot plan showing location of lot aud of btdld[ngs on premises, relationship to adjoining premises or public sfieets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- catiou. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of fids application, the Building Inspector will igsued a Building Permit to the applicant. Such permit shah be kept ou the premises available for inspection Ihroughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever unlil a Certificate of Occupancy shall bare beeu granted by the Buildiug Inspector. APPLICATION iS flEREBY MADE to the Building Department for the issuance of a Buildiug Permit pursuant lo the Building Zone Ordinance of the Town of South01d, Suffolk County, New York, m~d other applicable Laws, Ordinances or Regulations, for the construction o[ buildings, addifions or alterations, or f~-~moval or demolition, as herein described. [~l~e ,applicant agrees to comply with all applicable laws, ordinances,, buildi~ co~e, housh~g code, and regulations, and to ,,dmit atdhorized inspcctols on p/emises and in building for uecess,a~'inspectibns./ --' · ~. . ................. ~ ailing add tess o f applicant) Slate whether applicant is owner, lessee, agent, architect, engineer, gene]al contractor, elechician, plumber or builder. Na,,,e or ow,~r or ,,'~,,is~, . tOR~.,~'/~.. ~.~C..~..~US~g~ .... ~ ........................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly aulhorized officer. (Nanle and title of corporate officer) Builder's License No .......................... Plumber's lJcense No ......................... F. lech'ician's License No ....................... Other Ttade's l.icense No ...................... Location of land on which proposed work will be done .................................................. [ louse Num her Street tlamlet Subdivision ........ . Filed Map No ............... Lot ...... : ........ (Name) Slate existing use and occupancy of premises and intended use and occupancy of proposed coustruclion: a. Exisfing use and occtq, ancy. . . t,, ~,,te,,d~d u.,e a,,d o,,e,,p,~,,e,,, . i'.b..~¢e-.c..c?.~., .-c:,,, 7..~o ?-.<;.,t/ ........... ~, 14aline ul wink I, cbeck wbi~zh aptdicab~¢): New Buih~in~ .......... Addition .......... Ati~alim~ , .~ ..... Repair .............. Removal .............. Demo[ifion .... ; ......... O[her Work ............... ~, ~ . . . (Description) 4. Est ated (.ost ~0~:,~.. Fee (to be paid on filing this applicalion) 5. If dwelling, mmtber of dwelling uni(s ....... ( ....... Number of dwelling units on each floor ................ . IF gan~ge, mind)er of cars ........................................................................ 6. If business commercial or mixed occo runty, specify nalure and extent of each t~pe of usc ................... 7. Dmmnsmnsolex~stmgsimctures, ffany: Front .... ~.g. ....... Rear .... ~7 ....... ~ Depth ..... ~: ........ lleight ............... Nmnber o[ Stmies ...................... . ....................... , .......... Dimensionsofshmeshucture with altenttions or additions: Front ... ~.' ........... Rear .... ff.' ........... Depth ......... ~.{ .......... IleJght . .'.g". ~'. ~) ....... ...; Number of Stories ...................... 8. l)imensions of entire new constmcikm: Front .............. ; Rear ............... Depth ............... lleight ............... Number of Stories ........................................... ~ .............. or bt: F,o,t ..... f .............. ....... 7? ........ ¢ pth ............ Date of Purchase ...... l ~,~4 .................. Name of Former Owner }(/.~M, i &, . .~./~[ .... Zone or use district in which piemises are situated ................................................ ' ...... 1)ocs pit)posed construction viol de any zoning law, ordinance or regulation: .......................... ~ ..... Will lot be ~egraded ....... ~9 .................. Will excess fill be removed from premises: Yes a No Name of Owner of premises~.a~:t~l~ .~c~,~Y%. eO~. A&hess ~ .~fiq, ~C Ui~. I'hone No:~&¢-~.~/ ...... Name of Aichitect ........................... Address ................... Phone No ................ N,ine of(Jonllac~or . ......................... Addless ................... Pbolle No ................ 15. Is this properky within 300 leek o[ a tidal, wetland? *Yes ........ No..~ ...... *if yes, Soukhold 'l'Oiqll Trustees Permit may be required. P LOT D1 AG RAM Locate clearly ami distinctly all btdl(tings, whelher existing or proposed, and. indicate all set-back dimensions flora propetW tines. Give street and block nuutber or descdpfion accotdblg to deed, and show street names and indicate whether interior or corner lot. 11. 12. l 3. 1,1. I Garage 35' Existing Structure 26' X 36~ {Name of h~.dividual signing contract) bore named. [c is thc ........................................................................... "'. (Contractor, agent, corporate officer, etc.) .f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi pplication; that all statements contained in rids application are true tO the best of his knowledge and belief; and that th, mi k will be performed in the manner set forth in the applicafiml filed therewith. .worn to before me this ......... ./.? . ..d. or. ....... , IRIS R. BEGORk ' .......... NoU~i ~ elate ot lqav* Yo~k No. 01BE4844751 (J (~gna~re of apglican