The URL can be used to link to this page

Home My WebLink About21433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22356 Date MAY 25, 1993 THIS CERTIFIES that the building Location of Property 970 HIGHLAND ROAD House No. County Tax Map No. 1000 Section i02 Subdivision ADDITION CUTCHOGUE, N.Y. Street Hamlet Block 8 Lot 33 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1993 pursuant to which Building Permit No. 21433-Z dated MAY 24r 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 DECK ADDITION AROUND EXISTING INGROUND SWIMMING POOL ATTACHED The certificate is issued to TO ONE FAMILY DWELLING AS APPLIED FOR. ROBERT E. SAYRE JR. & JANETTE F. SAYRE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N~ N/A //Bui~fding Inspector FOIr,M NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°N? 21~3] Z Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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. Approva~ 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 qpre-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 - Hew 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........................................ New Construction .... .¥. .... Old Or Pre-existing Building.. Location of Property ...... House No. Street --Hamlet Onwer or Owners of Property .... ~..e~......~. ~, .$.~.~f.~.~.~.,..~....J?~.~%~:~...~...~. County Tax Map No 1000, Section .... /~.~. ..... Block ...... ~ ......... Lot... ~.$ ................ ~. f.j~ .~. ~../~ .~...~. · ~ .~..~.,..~ Filed Map Lot; ~.~ Subdivision ........................................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ....................... . ~ Request for: Temporary Certificate .......... % Final Certicate ........ ~.. Fee Submitted: $..~.~.: ~.~ ................... . '-' . ...................... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 13, 1993 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 Mr. & Mrs. Robert Sayre 970 Highland Road Cutchogue, N.Y. 11935 Re: Premises at 970 Highland Rd., Cutchogue, N.Y. Suff. Co. Tax Map #1000-102-8-33 Dear Mr. & Mrs. Sayre: After numerous correspondence and conversations with you we still have not received your check in the amount of $131.80 for the building permit for the deck around your inground swimming pool. As you are aware, a Building Permit and Certificate of Occupancy is required, and you are in violation of the code of the Town of Southold. Please send in your check immediately so that legal action does not have to be taken. Very truly yours, .~,LD TO_~UILDING DEPT ' Building Inspector GJF:gar (Cert. Mail) Approved . .'.'~/'.~.. ....... , 19 ¢~.. Permit No..~/~.~...~-.... Disapproved a/c ..................................... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ........................ ( Bllj;g:iir/g Inspector) ON FOR BU LD NG PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY-. .... , ............. CIIECK ............ SEFTIC FOR~! .............. NOTIFY: CALL ................... FLAIL TO: Date ................. , a. Th/s 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 commenced 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, bnilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insPT~ti..ons. 4/.~~ (Signature of applicant, or nttme, if a corporation) " (Mmhng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contragtor, electrician, plumber or builder. Name of owner of premises zXg/,0,,f,?',~7- ~z-. ,.~AS//~ ~.~. v-, ,~..~.~..,~..~7.~..~' ~ .~.~F~,~&-~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No ............ Plumber's License No ........................ /. Electric. Jan's License No ................. ' - Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ........ 7. ........... .3. ......... ,. r./.., ...............//cz_c- House Number Street Hamlet County Tax Map No. 1000 Section ...~.~ .~--. ......... Block' . ..~. ............ Lot...~..~. ............ St, bdivision./t/./~../~..~...~.. .... .~7...~q~..~'~'.. ......... Filed M~p NO ............... Lot. ~-.~'~. .......... (Name) State existing use and occupancy of premiges and intended use and occupancy of proposed construction: a. Existing use and occupancy . " Up b. Intended use and occ ancy .................. 3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration .......... Repa/r .............. Remloval ............ Demolition .............. Other W~r~k~..g:~ .a~ ...... ! - .~ ~ .~ ~l~/fiption)- 4 Estimated Cost ............. ......................... Fee i (to be pa/d on filing this application) 5. If dwelhng, number of dwelhng umts ............... Number of dwelling units on each floor ................ · If garage, number of cars 6 If business 'l ................... ..................... . ...................... commercial or mixed occupancy specify nature and extent of each type of use ..... 7 ..... if any: Front ................... · D~menmons ot exlstlng structures Rear Height Numi~er of Stories ............................. Depth ............... Dimensions of same structure with alterations or additions: Front ·. ................ Rear .................. 8 Depth .................... i' ' Height ...................... Number of Stories ............ · Dimensions of entire new construction: Front ......... R .......... · .'.. ear ............... Depth ..... ight n3b · He ............... Nu er of Stones ...... 9. Size of lot: Front ........... [ ........... Rear ...................... Depth. ................... 10. Date of Purchase ........... l ......... ' ......... Name of Former Owner ........................ 11. Zone or use district in which pr~mises are situated 12. Does proposed construction vio e any zonin aw, ordinance or regulation: ............ 13. Will lot be regraded ...... i ....... ' ................. ............... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... . ................ Address ................... Phone No ............... Name of Architect .......... ! ................. Address ................... Phone No ................ Name of Contractor ......... : .............. Address ................... Phone No ............. 15. Is this property within 3'00 feet of a tidal wetland? eyes.' ....... No....o~.... ''' · If yes, Southold Town Trustees Permit may be required. ' ' PLOT DIAGRAM Locate clearly and d~shnctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description acc6rd/ng to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW, L.Y4~__O t I.~" S ....... .~...~...1~ .~.~.. ~ .... ].~.~ .C~. ~ ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing~ 9ontr~ct) · bove named· ' . ..- is the ~ ~ ~C :' (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly authorized to perfom or have perfomed the said work and to m~e and file this pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the m~ner se:t forth in the application filed therewith· worn to before me this ' I ": ..... 3~ ...... day 5' ~ '~,~~" 19 ~'~ 'Ota~ Public~~~ ~~. :.County ~m~ ~ubll~, sta~ of ~ y~ .... . ............... ~o. 401~0~ . ~ .~ u (Signature of applicant) Qualified In Surfak Cou~ ~