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Home My WebLink About21428-zFORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22425 Date JUNE 30~ %993 THIS CERTIFIES that the building ADDITION Location of Property 1675 PINE NECK ROAD SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 5 Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17~ 1993 pursuant to which Building Permit No. 21428-Z dated MAY 20, 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 FRONT STEPS & LANDING ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN P. & DOROTRYA. DIETZEL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r/~ildlng Inspecto Rev. 1/81 I~OB~ NO. · TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ... ;.~.~....~..~....~ .~...~.....~z,..~..~~. ~// :....::?; ....... ......... ....................... t p i s ocated at ........ ./..~....../..~ ............. /..7,/.///////~.......'../..L,~_,.~_.,~......e~...,~..[.......................... County Tox Map No. 1000 Section .....~.....~.. ......... Block .... ~ .......... Lot No.....'.~....~,~ ...... pursuant to application dated .... ...~....~ ......... Z...~.. ...... :...., 19..~...~., and approved by the Building Inspector. Bu-llding Inspector Rev. 6/30/80 J01 2919°J3 I: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~his 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 t6pographic features. 2. Final Approval from Health Dept. of water supply and sewerage-Risposal(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/t0-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 '!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 the reasons therefor in writing to the applicant. C. Fees ~ i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations t~ dwelling $25.00, Swimming pool $25.00, Accessor~ building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certi£icate of Occupancy - $50.00 ~ 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Da t e .~.~ Z..'~..-~./~..~. ...................... . Ne~ Construction ........... Old Or Pre-existin Building .............. Location of Property../'.6..77. ............ '~'/g'e'~%~g' J~9 ............. ~.~.~.~P7.~. ............... House No. Street Hamlet Onwer or Owners of Property..~.zY..~..Z~.~3.~.~o~r2., .~.~7.~ .............................. . ... . . .. o" o: Z.a. .4..& County Ta× Map ~ 1000, Section .......... Block ............... Lot .................. Subdivision . Filed Map . .~". Lot Permit No.$.g.{/~..~. ...... Date Of ?ermit.~/..~.o/.$_K ...... Applicant..~..~..~.~..--~.t.~..~ .............. Health Dept. Approval ....... Underwriters Approval Pla ning Bard Approval -- ' Request for: Temporary Certificate ........... Final Certicate..; ........ Fee Submitted: '$~.~....-~.. ........................ FOUNDATION ~ , (Jst) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: INSPECTORS Victor Lessard Prinqipal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building lr~spector Gary Fish Building Infpector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Y0Ng 23, 1993 ggORgg TERRY 600 HIgItWOOD ROAD P. O. BOX 41 SOUTHOLD, NY 11971 RE: JOHN P. & DOROT~X A. D~BTZEL To Whom This May Concern: W~ are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 .No Health Department Approval on file. No final inspectio~ has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 21428-Z Please contact our office on this matter. cooperation. CC: Thank you for SOUTHOLD TOWN BUILDING DEPT. JOHN P. & DOROT~YA. DIETZEL AONVclflO00 s o u,:TH EL£Y^"rlgr,4 , ~F'Y F~F, ~.~)N,G ~)EPARTMENT AT ~uVO ~EQUIRED ~ , '.' ~.~'~(~ ~H~[L MEET , ,' ,'v Lb; CC~::', R~UC')'ION ERRORS APPROVED AS NOTED NOTIFY BU'LD)"G bEPARTMENI' AT 765-I802 9 AM ~ 4 PM FOR THE FOL,LOW~NG ~. FOUNDATION - '~O REQUIRED FO;-~ POU~ED CONCRETE 2, ROUGH .- FRAMING & PLUMBING 3, INSUL~TF~O~~ BE COiV~PL.ETE ALL CONG'FRUCTiON THE REOH~F~'q~,iFN?j ~F ~',lL N.Y, f;T,~A'E 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL DATE 765-1802 BUILDING DEPT. INSPECTION PLBG. DATE INSP i Exammea,..-:.~ .......... 19.. Disapproved a/c ................................ 2 .... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 B0,~RD OF H[A~TH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK ....... CALL .................... HAIL TO: (Building Inspector) APPLICATION FOR BUILDING'PERMIT Date .~...'. J.7.: ........ 19.~.3. 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 sfi'eets or areas, and giving a detailed description of layout of property mu~t 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 Building Permit. d. Upoff 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 buildin~ shall be 6coupled or used in whole oRin part for any purpose whatever until a Certificate' of Occupancy shall have been granted by the Building Inspectgr. 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 ~ofher applicable Lambs, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal~ or demolition, as herein describdd. The applicant agrees to comply with all applicable laws, ordinances,~building code, ~9~us!ng code, and regulations, and to admit authorized inspectors on premises and in building for necessary a~cuons.. '%, .~. . . - ............. -- ''' (Signature of applidant, or't~e, if a corp;r'a~io'n')' " (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. (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.{~3.q~.7.$. ~ ' 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 ...: .0."~..~. i ...... Block ............. ' Lot ~-~ 7. Subdivision ........ . ............... :;.. ......... '. Filed Map No ............... Lot ............... (Name) , State existing use and occupancy of premises and intended use and occupancy 0f proposed construction: a. Existing use and occupancy b. Intended use and occupancy ...... . .......... : .............. ':,,. ,.": ;', ,..~v. ,.,~ ........... '3. Nature of work (check which ~Prlicable): New Building .: ........ .Ad~itio. n ......... Alteration ......... Repair .......... Removal ............. Demolition ..... tither Work ............ . ~..~0~1 ~:~2 7~. ~ (Description) 4. Estimated Cost ~ ....................... Fee ..... ............... (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~ Number of dwelling units on each .......... floor If garage number of cars .~ ................. 6. If business, commercial or mi.xSd occupancy, speedy nature ~n~ extent of.each type of use 7. Dimensions of existing stmctu~es if any: Front '~O'.'~ ~ Rear ~ '~5' ~'d:"d ~ '~-. .............. uepth .~ .O.~.~...~.. Height ...~ ........ Number of Stories .. ~ ~ .............. ' .... ' ...................... ~ ..... D~ension~ofshme structure w~th alterations or additions: Front ~.O .......... Depth ~3. ~..~ ~ Height ~ ' . ~ ...... Rear .60... ............ 8. ~mmnslons otennre new construction. Front ~.o~ ~ /~ ~ , ~" ..... ............... · ,~ar ~ ........... oeptn ~.~ ........... .Height . ~ ~ ......... Number of Stories . .. ~....". > ..... or ot Front I00, O' i '.. im.. t ...... j .............. ..... t. .... ' '" ........... ....... Depth~O.~.', Date of Purchase ' ' ~ · · · .......... [ ................. ~ N?me of Fqmer Owner Zone or use district in which premises are situated ~ ~ 1 ~[ .................... ~ ........ Does proposed construction viq'late any zoning law, ordinance or regulation ~ ¢ .......... Will 10t be regraded O} ~. I .......... .............. -, - ~ ' '7' ~ ' ~ ' ' ~'c · '~ .,. ~ ...... wm excess ~{~ oe removed from premises: Yes mine or Owner of premmes ~[~0~ .~t~ Address/~Y~3~. ~.~:... Phone NoJ~7 .~.~ ..... ' Nme of Archit6ct ......... t ............ .' ....Address ............... Phone No.. :~ ........... Nme.of Contractor ~, ~.~q ..... Address~o?~ ~')':: ..... ' Phone 15.' Is t~s property within 300 fete of a tidal wetl~ ~es. J['~ [ ~If yes, Southoid ~own Trustees Permit may be required. ... ~ PLOT DIAG~ Locate clearly ~d distinctly fill buildNgs, Whether existing or proposed, ~d. indicate fll set-back d~ensions from prope~y Hnes. Give street ~d blockJnumber or description accordNg to deed, and show street nines and indicate whether ~te~or or corner lot. , 10. 11. 12. 13. I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiauthorized to perform or have performed the said work and to make and file this application; that all statements contained in ' ' tins' apphcat~on are true to the best of his knowledge and belief and that the work will be performed in th~ manner ~et forth in the application filed therewith. Sworn to before me 1 his ~3~.. '...day of.'J. 5~." ' ' ~'. ' ' Notar rubflo, State of NewYork Qual fled in uu.olk County ~ .... (Signature of applicant) Comml8slol ) Expires Oe~ember,~10 18..7. )co. O 'i STATE OF N,_F..&/vOl~.~ //,.~ S ' · · .~. ~ ~ .... Z.~ .~' .......... .. ........ u~ame of individuai~niqg contract) above named. , being duly sworn, deposes and says that he is the applicant NI-IOP o'001 - 'AX i, o0~o~.~'~