The URL can be used to link to this page

Home My WebLink About22583-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24193 Date I~ARCH 7, 1996 THIS CERTIFIES that the buildin~ ADDITIONS Location of Propert~ 245 LONG CREEK DRIVE SO~THOLD NY House No. Street Hamlet County Tax Map NO. 1000 Section 55 Block 3 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN~ANY 27~ 1995 pursuant to which Building Permit No. 22583-Z dated FEBRUARY 2, 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 ADDITION TO THE BASEMENT AND DECK ABOVE TO AN EXISTING ONE FAMILY DWELLING AD APPLIED FOR. The certificate is issued to DAVID &MARY HEWITT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N363249 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A SEPTEMBER 11, 1995 N/A Building I~nspect o/ FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_, 22583 Z CounlyTaxMap No. 1000 Section....~ .,~... ........ Block ........ ~ ............. Lot No...~...~.... .................. pursuant to application dated ................ ~........~...,~,.. .......1 9..,C~..~., and approved bythe Building Inspector. Fee $.7-,~... ............... Rev. 6/30/80 · ~, ~ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN [~LL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY A. 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 contairs ' less than 2/10 of 1% 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. B. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 the 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-existing Buildine - $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 Ua te. ...... ........... New Construction ........... Old Or Pre-existing Building.~. ...... Location of Property. ~.~ gong .~.,,,,,,,,,,,,,,,,,,,~.-~',/~. House No. Street Hamlet Onwer or Owners ,)f Property.. ~.~0..~0..~//~Z~ .............................. County Tax Map No i000, Section .............. Block .............. Lot..~ ........ Subdivision...~CO~. Z~ ........... Filed Map ............ Lot ..... Permit No.~.~.~ ....... Date Of Permit~.~.~...Applicant. Iiealth Dept. Approval.. .................. underwriters Approval..~ .................. Planning Board Approval.~ ............. Request for: Temporary Certificate ........... Final Certicate..~ .... Fee Submitted: $. d~'.~ ? .................... . FOUNDATION (IST) FOUNDATION (2ND) L ROUGH FllA[~ & PLDI~BING INSULATION PEg N. Y. STA~I~ ENERGY CODE 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 June 5, 1995 Mr. Peter Johnstone P.O. Box 91 Southold, NY 11971 Re: Prem: David & Mary Hewitt - SCTM~1000-55-3-23 245 Long Creek Drive, Southold NY 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) xx 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 # 22583-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. L,.ot '7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~JL~ATION [ ] FRAMING [ '~FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY 765-X802 BUILDING DEPT. FOU~ATION 1ST [ ] ROUGH PLBG. ~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE~INSPE~ INSPECTION 765-~.802 BUILDING DEPT. INSPECTION ~ [~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL i REMARKS.- J~ ~'~~J ~"'*~*' ~ ~')"/--/ c~ ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Approved . .~.~. ........ , 19 ~. Pe~it No ....... Disapproved ale ..................................... . ,.~,~ ~ A~ICATION FOR BUILDING'PERMIT BLDG. DEPT· - ToWN OF SOUTHOLD [NST~U~T[ONS BOARD OF HEALTH 3 SETS OF PLANS SURVEY CIIEt3 K~ · SBPTIC FORH NOT I FY ~ CALL ................. Date ................... 19... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 5 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-eet, or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. The work covered by this application may not be commenced'before issuance of Buildine Permit. . d. Upoh approval of this application, the Building Inspector will issued a Building Permit to-the applicant. 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 part for any purpose whatever until a Certificate'of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone. 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bui!ding for necessary insp. ' s. ~ /~2 . (Signature of al3i~cant, or name, if a corporation')' (Mailing address of applicant) S~ate whether applicant is owner, lessee, age , architect, engineer, general contractor, electrician, plumber or builder. me of.owner o remises ........ ~... - (as on the tax roll or latest deed) If applicant is a corporation, signature of duly huthorized officer. (Name and title of corpor r B · ' · udder s L~eense No. Plumber's License No. . ............ Electrician's License No ....................... Other Trade's License No. 1. Location of land on which proposed ~rk will be'done ................... ( ................... House Number Street Hamlet 000S .o ...:.5.5 .......... mo U ..... 5. ' .. ........... Subdivision ~qO~ /~/( ................ '. Filed Map No. (Name) .............. Lot ............... 2. State existing use and occupancy of premises .... , .. :,de.2., occ:'vancy of proposed construction: a. Existing use and occupancy ~ ~ ~&~ ~/~/ ~4z~ .. ....... . b. Intended usc ~nd occupancy · 3. Nature ' ' of work (check which a-,,~;^~-, .......... · . . ~ Repair ............. Removal ............... Demolition" Addition ..... A/teration ........ · .~ · ..; .......... Other Work .... 4. Estimated Cost: q/gj .Oo:,.o .--- . (Description) ' (to be paid on filing this application) $. If dwelling, number of dwet: lng units ............ Number of dwelling units on each floor.. If garage, hum bar of cars ..: ............ . ............ 6. If business, commercial or m xed occupancy, specify nature and extent of.each type 6f use ........... 7. Dimensionsofexistingstruc'ures, ifany: Front ........... Rear ............... De . Height ............... Number of Sro. ties .... ./i ............ ..... .. pth ........... Dimensions of shine structure, with alterations or additions. Front ........... Depth ' ~ . ' .... Rear .... ............ ~ ..... i .... Hezght ........ " ..... /. ........... .... · ....... ... Number of Stories. 8. Dimensions of entire aw construction: Front .................. ight ~o Ni ....... : Rear .d..F~:~./., .... Depth ~.~/.~ . He : ............ , / '<-~. --~ ' . ......... ............... / ............ ' · mnber of Stories ' ' ' · .... .. 9. Size of lot: Front /J'~O · ' ............. · · .. .................... Rear ................... Depth /. ?.,o. 10. DateofPurchase ......... !i ... · 11. Zone or use district in wh ch br;mise's'~'~,'~{*;,'~;2,~'' "' Name of Former Owner ..................... ' 12. Does proposed construchoo vmlate any zonin, ~, .... ,~:~--'~'- ' ' ' . '. .....';;" ...................... ' .... 13. Will 16t b~* r,-;~a~a Al,, ..... , ,,,umunce or regulation: . (9'..o .... x ........ ' ;,;. ......... , --. .... Will exce~ss fill be removed from premises: , . 14. ,,mae o~ uwner oI premises .~q .v,#. ~./.r/~.j,f. ~.A'W.//-/.... Address .~'e.,ff.~. ~4e4~¢C..~/.,~,.... Phone No. Nam~ of Architect .. ! Name of Contractor ~ i,?~,~,~,~z ........... Address..,,-t ................ Phone No ............ :. :r -- '" ? ............... Address ff~.~,~.q~. ?/...: ...... Phone No..7.d..~?.~.~.o~. ' 15.' 9 this property withi~ 300 feet of a tidal wetland? *Yes ........ No ......... ' '' ~If yes, $outhoi4 Town Trustees Permit may be required. .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blo~ ~ number or description according to deed, and show street names and indicate whether interior or c6rner lot. STATE OF NEW ~)R,K, ./Q.~),~ & ~.S COUNT,. OF.. , ..... '~' '~'~ ~(~* ' '~' ' 'J'~ ~'~ ~ ~ .,~' ;~' ..... ' ..... being duly Sworn, deposes and says that he is the applicant (Name of individual signing contract) . lbove named. '~ . ';< le is the .... (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed tlie said work and to make and file this pplication; that all statements contai:ned in tl~is'application are true to the best of his knowledge and belief; and that the .'ork will be performed in the annerlset forth in the application filed therewith. ' .worn to before me t~is,~ .......... -,A-." I. .... day of..'.. ,.:_j..c~.r.x>...~.. ..... 19 .-.{. ) otary Public . County ~ · Notsry Publ)o, State of NewYork ' . ..... .n--. -:-..'-'r~, ~./7..~.....~,... No. 4879505 i ~, '" /--"/ .... ' ......... : .... Qualified in Suffolk Copn~_ .-qt~ t~gnature of apphcant) ,9! .................... 4