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Home My WebLink About21558-zFORM NO. 4 TOW~ O~ SOUT~OLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/10/99 No: Z-26438 THIS CERTIFIES that the building ADDITION Location of Property: 698 YOUNGS ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 1 Lot 5 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 1993 pursuant to which Building Permit No. 21558-Z dated JULY 26, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANNE F. KEATING (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 Building I~ctor FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPAI~TMENT TOWN HAIl SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO, 21558 Z CountyTax Map No. 1000 Section ......... ./.~. ......... Block ........ ~ .............. Lot No ...... ~ ................ pu,suant to application dated ......~./.~./.~..~.. ............ : ...................... 19 ................ and approved bythe Building InspectoL ~ ' ~ ~'/~'~'~ Eee ~..Z~..':~. ..... 7~..-~,e~,;~,~;;;;;;; ...................... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP ~NCY ~. Th£s 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 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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. B4 For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a Upre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 House No. (/ Street Hamlet Onwer or Owners of Property .... ~..., .... f .... Count 1000, Sectlon...O../ . ..... ....... Subdivision .................................... Filed Map ............ Lot .................. Permit No..~J~.~ .... Date Of Permit ................ Applicant ......................... Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ...................... . . Request for: Temporary Certificate ........... Final Certicate....~.. .... Fee Submitted: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN' OF SOUTHOLD May 6, 1999 Charlie Thompson P.O. Box 71 Peconic, NY 11958 RE: Anne Keating, 695 Youngs Rd., Orient. 1000-18-1-5. 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21558-Z DECK Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ,PLUMBING' INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: : 'I 00695> 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 14, 1995 Ms. Anne Keating 160 West 71st Street New York, NY 10023 Re: Building Permit #21558-Z Premises: 695 Youngs Road, Orient Suff. Co. Tax Map #1000-18-1-5 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. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]:ORAU:~:~ION2ND [[~FiN:~ATION [ ] FIREPLACE & CHIMNEY J INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSertION [~]~FI~AL [ ] FIREPLACE & CHIMNEY FORM NO. 1 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT ' -~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .......... ~kpproved ./.~ .......... 19P~. Permit No ...... Disapproved a/c ..................................... INSTRUCTIONS BOARD OF HEAL/It ......... /] SZTS Or PL,X:~g .......... ./suRvg¥ ................... jc~lr c}: ................. ~.. SEPTIC FORH .............. CALL - HAIL TO: .... ....... a., Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building:Inspector, with 3 ~ts ofplans, 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be cbmmanced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit !m/1 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 hall 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 :uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspecti~ . .~.. ~ ' (Signature of applicant, or'~nel it: ~ ~]o;poration) ........... ;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ame of owner of premises . .~./n.t ~ (as on the tqr. x roll or lat~t deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) " /~ r B ilder s L~cense No. lumber s Lmense No .......................... Electrician's License No ....................... Other Trade's License No ...................... · Location of land on which proposed work will be done ttouse Number Street Hamlet County Tax Map No. 1000 Section .. l$' Block / Lot" 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 ~C/~ - ~/~t b. Intended use and occupancy ..... ' ' 3. Nature of work (check which ap Repair .............. Remc 4. Estimated Cost ........... 5. If dwelling, number of dwelling t · If garage, number of cars ..... 6. If business, commercial or mixed 7. Dimensions of existing structure~, Height ............... Numl Dimensions of same structure wi Depth .................... 8. Dimensions of entire new constrt: Height ........... Numt 9. Size of lot: Front . . l?o,! I0. Date of Purchase 1 1. Zone or use district in which prer 12. Does proposed construction viola 13. Will lot be regraded ........ .~. 14. Name of Owner of premises .. Name of Architect ........... Name of Contractor ....... ¢.t~.. .5. Is chis property within 3( *If yes, Southoid T¢ ~licable): New Building .......... Addition ... ?. ..... Alteration ...... i .... ?al .............. Demolition .............. Other ~.V&p{~ {~ 4 ....... .!~ ... ' ' .... ~D 'pt'~q)' ........................ Fee .. . .... ,. . . ,.J~,,' (to be paid on filing this applibh'fl~th),,,, ~ nits ............... Number of dwelling units on each floor ................ occupancy, specify nature and extent of each type of use ..................... , if any: Front ............... Rear .............. Depth ............... ,er of Stories ....................................................... 1~ alterations or additions: Front · ' ............. Rear ...... · Height ...................... Number of Stories ........ ; ............. etlon: Front ............... Rear ............... Depth ............... er of Stories ... ;~ ........ Rear ..... /.~3~,..4- ...... Denth Iq ~,?~/ (~e~ b*-1o,~5 uses are mtuated...~Ce~tt~4,~t~6~. ................ ' ....... e any zoning law ordinance or regulation. ~a i ..... i ' ' ' e ....~ ..... · .. .....Will excess,~fill be removed,from premises: Yes No ................ Address ...... .~.~. Y' . PN,,,e N~, , .o;. ¥ .... ........ :...: ........... ::. wn Trustees Permit may be required. ' , PLOT DIAGRAM Locate clearly and distinctly all l:aildings, whether existing or proposed, and. indicate ail set-back dimensions from >roperty lines. Give street and block m tuber or descriptioh according to deed, and show street atones and indicate wh~fh~r mterior or comer lot. ., 0,> . q [ FATE OF NEW,YORK, ............................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) i (Contractor,~ent, corporate officer, etc.) ....... said owner or owners, ~d is duly authorized to per{orm or have performed the said work and to m~e and file this plication; that all statements containedi in this application are true to the best of his knowledge and belief; and that the )rk will be perfomed in the m~ner set forth in the application filed therewith. ~om to before me this