Loading...
HomeMy WebLinkAbout21854-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25532 Date: 02/09/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 7945 MAIN ROAD/ROUTE 25 EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 2 Lot 28 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 13, 1993 pursuant to which Building Permit No. 21854-Z dated DECEMBER 27, 1993 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to RAYMOND L. & JUDITH JACOBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A ~~r FORM NO.$ TOWN OF $OUTHOLD BUiLDING, DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N-° 21854 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CountyTaxMap No. 1000 Section ........ ~./... ......... Blook...~ ................. Lot No ..... .~.'~,.,~.. ............... pursuant to application dated .../'. ~.~,~...,-~',, ..................................... ., 19....~...~.. ...... Building Inspector. Fee and approved by the /'~// / BL~Jlding Inspeo or Rev. 6/30/80 Form No. 6 BUILD ING DEPARTMENTTOWN765-1802 HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin~ 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 Nealth 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 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. For 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 f 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~.~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date ............................. ..... New Construction..........~. Old Or Pre-existing Building ........... ..... . Location of Property ...... ~.~.~...-~.. /~.~.. ~..~..~. ~.~./ ~. ...... House No. Street Hamlet Onwer or Owners of Property ..... ~ .~.0~..~...¥...~. ................................ County Tax Map No 1000, Section ..... 2~ ...... Block ....... ~ ....... Lot ...... ~...~.. ......... Subdivision ................ Filed Map Lot Permit No..~;[..~.~. ~ .~...Date Of PeLit ...... ~. ........ Applicant.. ~fYi O.~.~...~L. ~,~ ~' Health Dept. Approval .................... ...... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~.. Fee Submitted: $ ..... ~...~.....~."~.. ......... "'i 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 January 22, 1996 Mr. Raymond Jacobs P.O. Box 255 7945 Main Road East Marion, NY 11939 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21854-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 12, 1996 Mr. Raymond Jacobs P.O. Box 255 7945 Main Road East Marion, NY 11939 Re: Building Permit #21854-Z Premises: 7945 Main Road, East Marion Suff. Co. Tax Map #1000-31-2-28 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. fiELD FOUNDATION ( 1 st) FOUNDATION 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CO'DE (2nd) FINAL ADDITIONAL COMMENTS: HAP. OF At' ,/ A;ZEA, 0,52 ^C, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ] ROU.~LBG. !./~JLATION FINAL [ ] FIREPLACE & CHIMNEY REMARKS~ DATE// / f INSPECTO' Town Hall, 53095 Main Read P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 12, 1996 Mr. Raymond Jacobs P.O. Box 255 7945 Main Road East Marion, NY 11939 Re: Building Permit #21854-Z Premises: 7945 Main Road, East Marion Suff. Co. Tax Map #1000-31-2-28 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1802 Examined .../~/~:g~ .......... 19 ~... ., 1 Permit No Disapproved a/c ..................................... ~' (Buj~Sng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... SETS or :: .: :,..: :.. SURVEY ............ ClIECK .................... SEPTIC F 0 R~'I .............. NOTIFY; CALL ................... HAlL TO: INSTRUCTIONS 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 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 must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be c~)mmenced before issuance of Building Permit. d. Upon 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 author/zed inspectors on premises and in building for necessary...i~inspe~~~o~~~a.~ [' ~' - / __ ' ; n~n.e:ii ~ ~.~,~.~,,;a;;o.n., .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~..~...~...~~ ................................ (as one, he 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 ...................... Location of land on which proposed work will be done ......................................... ' ......... ........... ..... ..................... ............... House Number Street Hamlet County Tax Map No. 1000 Section ~ [ Block c~ Lot.. c~ ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ..~.. ~q'?T2. ~'.~... ~ C.~.. ~.. ' ,~ ?t !,~,,~ ' / ~./ c~ 'Y':t ........ 7,.~''~ ........ 3. Nature of work (check which apPlicable). New Building . · Addition Alteration ' Ri~pair ............. Removal .......... Demolition .............. Other Work ......... (Descriptio) 4 Etimat dC oo~ Fe (to be paid on filing this application) 5. If dwelling, number of dwelling u'nits ............... Number of dwelling units on each floor ................ · If garage, number of cars ...... ! .................................................................. 6. If business, commercial or mixed .:occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresi if any: Front Rear Depth Height ............... Number of Stories ........................................................ Dimensions of same structure with, alterations or additions: Front ................. Rear .................. 8. tJimensmns ct' entire new constm'ction: Front. .~. i ..... · D .............. ' ' ....... Height Number of Stories 9. Size oflot: Front ............ .......... .R~[ ........ [~ ........ ~.. Depth ...................... 10. Date of Purchase ....... i ........ ..... Name o ormer Own r ..... 1 1. Zone or use district in which premises are situated ................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. W/Il lot be regraded ....... ... .:. ................ . Will excess fill be removed from premises: Yes No 14 Name of Owner of premises i Address · · ....................................... Phone No ................ Name of Architect ~ ........... ~ ................ Address Phone No Name of Contractor .......... . ................ Address ................... Phone. N~< .............. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No...~' ..... · If yes, Southold Tdwn Trustees Permit may be required. ... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW~Oltt~, t} ~ ~ ~ .... I.~..L .... ""~' · 'Or~' · .~.? .............. being duly sworn, deposes and says that he is the applicant ~Name of individual signin~ contract) above named. He is the .................... ! (Contractor, agent, corporate officer, etc.) vf said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledg~ and belief; and that the ~vork will be performed in the manner sdt forth in the application flied therewith· ~woru to before/,,_4 'rl.me~ :f,~ ........... /..'~...'~......I.day of...~.~ 19 · ~ · NolaryPu' '"-' 't;hc, State -' - - flu,tiffed in Suf.o Co Y ./~ v'~.f/./¢ rm ~,. p~/~.~..~. ................. Comm~ssmn Exp'res March 6, 1995 ~/ f ./ (Si~natu ' ' ' I (_.,/ (Sign re of applicant)