HomeMy WebLinkAbout23138-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF OOcumANOY
No Z-24158 Date
FEBRUARY 8, 1996
THIS CERTIFIES that the building.
ADDITION
815 ROBENBUR~ ROAD
EAST MARION NY
Location of Property
House No. Street Hamlet
County Tax Map No. 1000 Section 21 Block I Lot 1.3
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 8, 1995 pursuant to which
Building Permit No. 23138-Z dated NOVEMBER 28, 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 AN "AS BUILT" ENCLOSED PORCH ADUITION TO AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
JOLIE KELTER
N/A
N/A
N/A
lding Inspec/
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ............................................ 19 ..........
23138 Z
Permission Is hereby granted to: ,
.............
pursuant ,o application dated .................. ~...~.... ......... 19....~.....~ .~ and approved bythe
Building Inspector,
Fee $...,..~.. ,~.....,~
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~¼LL
765-1802
APPLICATION 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 that 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:
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 applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state tbe
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 $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existin~ Buildine - $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 ......... ] l~ ~.1~ .......................
New Construction ........... Old Or Pre-existing Building....~ ............
Location of Property. ~. ~O~t' '~" ~J' .~-~ · .~0~ . ·
House No.' Street Hamlet
Onwer or Owners of Property ..... :~,.li~.~.~.~.~ ........................................
County Tax Map No
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... UuCerwriters Approval .........................
Planning Board Approw~l ........................
kequest for: Temporary Certificate ........... Fiual Certicate ...........
Fee Submitted: $ .............................
ar e q 5? ................................................ '
J.~a V
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU.~PLBG.
[ ] FOUNDATION 2ND [ ~].~JLATION
[ ] FRAMING [/-/]' FINAL
[ ] FIREPLACE//~HIMNEY
INSPE~'
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
December 11, 1995
Ms. Jolie Z. Kelter
74 Jane Street
New York, N.Y. 10014
Re:
Building Permit #23138-Z-"PORCH AS BUILT"
Premises @ 330 Rocky Point Road, East Marion,NY
Suff. Co. Tax Map #1000-21-1-1.3
Dear Ms. Kelter:
Enclosed is your building permit for the above.
An inspection was made on December 1,
Occupancy was denied. See attached report.
the building department as 516-765-1802.
1995, and Cert. Of
Kindly call me at
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
JMB:gar
encls.
John M. Boufis,
Building Inspector
J[FI~RE¥ CAyIE 255 WEST SIXTEENTH STREET NEW YORK NEW YOR~ 100~ ~ (2 ~ ~) ~$~ ~ $$5
FORM NO. 1
TOWN OF SOUTHOLD
.... BUILDING DEPARTMENT
' TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
~/c.~c~ ............
SEPTIC FORH ..............
; LO(t;. -
~a~z~d',~5 ~:~ c~ HA I L TO:
ermit No ..........
. , ~ , . , Date
' . ' "' ' '
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 ploY'plan to scale. Fee acco[ding to schednle.
b. Plot plan 3hoFlng.location of lo~ and of build~gs on premises, relationship to adjoining premises or pubQc st?eels
or areas, and givihg a detailed de~cfipti'on"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 comfi~enced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Pemit to the app~cant. 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 p~t for aoy purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for tim issuance of a B~lding Pemit pursuant to the
Building Zone Ordinance of the Town of Southold, Saffoik County, NEY,5 york, ~d other applicable Laws, Ordinances or
Regulatious, for the coustmc[ion of bulldogs, additions or alterations, oi' for removal or demolition, as hereh~ described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit auttmrized iaspectom on premises and ~ build~g
--- (Signature of ~plicant, or name, ifa corporation)
.,. :. '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................. a,.~L ......................................................................
Name of owner of premises ~ ....................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No ..... ' ....................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done .............. ...; ........ : .......... ...............
House Number Street llamlef
Co,rely Tax ~ap No. 1000.s~d~on_.a,.~F.O.°. ........... Block..0. I:..~. ..... :... Lot...O.d. !:.t0 ¢ ......
........ '."' ' -
ri~ed Map mo. . . .-,1~27~... ....... Lot ...~,,o*,~-. .......
(Na~ne)
State existing use and occnpancy of premises aud intended use and occupancy of proposed construction:
a. Existing use and occupanqy ...... ' .'~'"~J~'~l ~}q~ ~-' ' ~ ~
b. hltended use and occupancy ............ .~..c-'.J~-..~.~'.~.*0 .... 1~..' .~.....t'.0P~'..g,.~; ........................
.3. Nature of work (check which a'pplicable): New Building .......... Addition . ..fir. ...... Alteration '
Repair .............. ReniovaI ......... Demolition .... ; Other Work ............
4, Estimated Cost ............ i.: .......... Fee
i (to be paled on filing ' ~'
this lpplicatlon)
5. If dwelling, number of dwellin~ units ........ Nmhber of dwelling units on each floor .....
Ifg b of ' ' ....... ' .......
· arage, nuln er cars .... ! ................................ ' ' · '
If busiuess, comm. ercial or mi.x~d occupancy, specify nature and extent of each type of use ...................
7. Dimensions of ex~sting stmcturps, if any: Front ............... Rear .............. Depth ........... ' '
Height Number of Stories ' ' '
Dimensions of shine structure With alterations or additions: Front ................. Rear ..................
menslons mennre new coast;ruction: Front "~dk'~"C ' Rear (M[&~, . .. Depth . .I0.Vt~.~l'... .
Height q~.!..4:. 0~.'. ..... Nm~ber of Stories .......... [ ......
10. 'Date of Purchase .'7~ .~.[ J.q~.~ .................. Name of Fom~er Owner Depth . .~1~.."$.~'~...~..OJ~h.~...
Does proposed construction viglate any zoning law, ordinmme or regulation: . (~.q) .... ' .....................
13. Will lbt be regraded ...[Jd..:~ ........ .: ......... Will excess fill be removed.~rom premises: Yes
14. Nmne of Owner of premises . ~-~14~. ~J~q.'L[:/[ ...... Address ~,~ .&oMc~.gI..~ ~/~~. Phone No. t}-]~. 1~ .~.q....~.'
Name of Architect ],) I~.
...... i ............. Address ................... Phone No .................
Nmne of Contractor ~JJ~i Address
......................................... Phone No ................
15. I.s this property within 300 feet of a tidal wetland? *Yes ........ No..~.~ ....
· If yes, Southold ~own Trustees Permit may be required.
PLOT DIAGRAM ~bOT CLdea~- %0 ~o~.o'~
Locate clearly and distinctly all!~ buildings, whether existing or proposed, and. indicate all set-back dimensions from
property liues. Give street and blockinumber or description according to deed, and sbow street names and indicate whether
interior or corner lot.
STATE OF NEW YORK./,/-.
COUNTY OF. ~.y.~..~..~.. .S
beiug doly sworn, depose~ ~d says that he is the applicant
(Name of iudividual signi~g contract)
above named.
........................................ . ..............
, ~. ~ (Contractor, agent, cor'porate offic~r, etc.) .. -
of said owner or owners/~d is dulyfauthorized to perform or have performed the said work and to make and file this
application; that all statements contai'ned ~ this application are true to the best of his knowledge and belief; and that the
. forth in lhe application filed therewith,
work will be perfgnned in the manneriset
Sworn to before me this :
No;~9~,8~olk eou~,w '.'' ~ '': ' ' (Signature of applicant)
Term
TOWN OF SOUTHOLD
OTFFICi2 OF BUILDING I1N~l ECT,DI~
TOWN HALL
SOUTIIOLD, NEW YOP, K
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREA.[ISES
TI{IS IS TO CERTIFY that the
/__~/ Land
/ ×/ BnJlding(s)
/-/ use(s)
No. Z12200
January 19,
1984
located at
,. Street Hamlet
shown on County tax map as District I000, Section 02] , Block 01
Lot 001 . 1 , does(not,conform to the present Building Zone Code of the
Town of Southold for the following reasons:
.... 3~ Private Road #3 (Off Rocky Point Rd ) East Marion
th8 property has insufficient area and lot width~
~ a non-conformJ, u~
..cottage; the steps to the beach located on the wes, t sLde encroach
on the neighbor,s property; an accessory p;reenhous..~/studio is located
in the sideyard.
'On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_~/Land /_~/Building(s)
/Z/Use(s) existed on the effective date the present Building Zone Code of the
To%~rn of Southold, and may be continued pursua~Ht to Jnd Dubie6t to the appli---
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector,s Office, the occupancy and use for which this Certifi-
cate is issued is as follows: ...a private one-family d~el', ing ~[th t~o
attached decks; an accessory greenhouse/studio; a ~.on-c~,n~orminf,;
cottage; t~o (2) sets of steps to the beacl~.
The Certificate is issued to
of the aforesaid building.
EDNA R. BENNETT & MARIE WHEELER
(owner, l~es-s, ee- e~,
Suffolk County Department of Health Approval no record
UNDERWRITERS CERTIFICA'FE NO.
no record
NOTICE IS HEREBY GIVEN that the owner of the above premises }L/kS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
Bu~Idm~ '~n~ pector
a~~~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE
t~
REMARKS:
~~ i
[ ]ROUGH PLBG.
[ ] INSSII.ATION
[ FINAL
U,B~eQ
DATE j ~
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