HomeMy WebLinkAbout21701-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25855 Date: 07/28/98
THIS CERTIFIES that the building ADDITION
Location of Property: 7645 ALVAH'S LANE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 101 Block
CUTCHOGUE
(HAMLET)
Lot 14.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 17, 1993 pursuant to which
Building Permit No. 21701-Z dated OCTOBER 8, 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 WITH 12'X 21' AWNING
OVER DECK AS APPLIED FOR.
The certificate is issued to ERNEST & JEAN SCHNEIDER
(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
TOWN OF BOUTHOLD
BUiLDiNG DEPARTMEI~'
TOWN HALL
$OUTHOLD, N,Y.
No_
BUiLDiNG PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ..../.~ ././'.. ............................................ ~9..~.~....
21701 Z
CountyTox Map No, 1000 Section .......... ../..~//... ..... Block ........... ./:f. ............ Lot No ...... ./..~ ,-~... ......
pursuant to application dated ..... ,~.././..,~... .......................................
Building Inspector. ~ ~-/~ ~/~-~
Fee ~..,~..,
19....~,.,~,, ..... and approved bythe
Rev. 6/30/80
BLDG DEPT.
TOWN OF $gUTHOLI
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application must be filled irt 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 contains
less than 2/10 of i% 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.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, ]957) non-conforming uses, or buildings and
"pre-existing" ].and uses:
i. Accurate survey of property showing ali. 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.
1. Certificate of Occupaacy - 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 Buildin~ - $i00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $I5.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building .................
ocation of P opsrty.. .... . ............ ..
}louse~~~~N°' ~tr~et Hamlet..
Onwer or Owuers of Property .............................
County Tax Hap No i000, Section ..... JO/ ...... Block ...... ~ ......... Lot...Jf~,~ ...............
Subdivisioa ........... '; ........................ Filed Map ............ Lot ......................
Permit ......... Date Of Permit ....... Applicant.~..
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ~
................
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 25,
1996
Mr. Ernest Schneider
915 Lakeside Drive
Southold, NY 11971
To Whom This May Concern:
We are unable tq complete-your~--Cerbificate of Occupancy
because~of~h'~ £O~,0wing reasons: ~-
/
y xx An lication for certificate of ocoupancy is/
~__~-/~-not on f~le. (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 # 21701-Z
Please contact our office oh 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 3, 1996
Mr. Ernest Schneider
915 Lakeside Drive
Southold, NY 11971
Re: Building Per~it 921701-Z
Premises: 7645 Alvahs Lane, Cutchogue
Suff. Co. Tax Map 91000-101-1-14.3
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.
FOUNDATION (1st)
FOUNDATION { 2nd )
2.
ROUGH FRAME &
-?LUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITION~'L COM~ENTS:
//
~IT~O~T CERT~F~CAT~
OF OCCgPANC¥
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSU~N
[ ] FRAMING ~]~'~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPEC~R
!xamim
FORM NO, I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.; 765-180:2:
~,pproved ........ , 19~. Permit No...~../..~.O../.~~e
)isapproved a/c .....................................
................. ..... ,:
APPLICATION FOR BUILDING PERMIT
BOAgD OF HEALTII . ..
SUgVEY ...................
CII£cK
' ' ' ' :' ':: .......
/ HAIL TO:
Date S. eptemho~. 1.Z,, .., 1993.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ts of plans, accurate plot plan to scale. Fee according to schedule.'
//b. Plot plan showing location of lot and of buildings on premises, relafionship to adjoining premises or public streets
· ~reas, and giving a detailed description of layout of propefty must be drawn on the diagram which is part of th~s appli-
t~no
c. The work covered by this application may not be cbmmenced before issuance Of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
all 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
all 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
~ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~.gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
~e applicant agrees to comply with all applicable laws; ordinances, building code, housing code, and regulations, and to
mit author/zed inspectors on premises and in building for necessary inspections. /n . .
7.6.4.5. g).v.a.L '..s..La. n..e...q u..t.c..q ~ .u.e.,..~., y.....~..~.9 3 6
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........ Lessee
tmeofownerofpremises Ernest Ho and dean Sc ine~dev
(as on the t~X roll or latest deed)
applicant is a corporation, signature of duly authorized officer. ,'
(Name and title of corporate officer)
· ' ·
Builder s License No ....... N./~ ....
Plumber s License No ...... N./~ .................
Electrician's License No .... ~g. .................
Other Trade's License No...~g. .................
Location of land on which proposed work will be done ..... =..:: 'V.'~ ' = ] ~ --: ]- '- - '- - - :
....... 7645 Alvah's Lane Cutchogue N Y !1935
House Number Street flamlct
County Tax Map No. 1000 Section 101 Block 001
.................. Lot .... 14.3
Subdivision..~J0b[E ............................... Filed Map No. N~ Lot Ng
(Name) .............................
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
~. Existing use and occupancy R.es J den£e '
~. Intended use and occupancy
Repair ........... Removal,, ........ Demolition ......... ' ......... Alteration ..........
..... Other Work.. {)J~.C.K ........
$1 ,000 00 [ (Description)
4. Estimated Cost ' : ................... Fee .....
i (to be paid on filing this application)
5. Ifdwelling, number of dwelling unit~ NA . , N--~- ...... L ~ NA
· [ ............. umocr el ewelling units on each Hoer. . ............
If garage, number of cars ..... ~/~ ....... ,...
6. If business, commercial or mix-~ ~ ...... .- ' .................... '~,', ................
~. , .. . ,:u occupancy, specuy nature and extent of each tyne of use '~a
7. L~,nnen$1ons oi exlstxng structures iflan-. ~:r~-, 40 ' - ~r~~,' ............ ,,',~ t ........
treat ......... Depth .........
Height .. 2 5 ........... Num bet[of Stories . .2. ............
Dimensions of same structure with alterations or add tions: F ................................. i i i ' ' '
Depth ...3{).' ..... ~'~ ,,, 25' rent ..4.0.' ............. Rear ....49/ ......
......... .'~'~ ........................ Nt nber of Stories 2 . ' '
Dimensions of entire new construction: ..................
8. Front .S.[[. p.~.AId ~[ .N.~.. Rear ............... Depth ...............
Height .. N A ......... ,. · Number)f Stories..[q/~ ...... ;'
9. Size of lot: Front 526 .i Rear 700 .......................
........ ~ ........................... Depth 832 ' .......
10. Date of Purchase ...1.g7.7 ...... i ..... Name of Former Owner ...................
11. ' ..........
hp ~ d g/C. .............................
Zone or use district in whic remiss are situate .............................................
12 Do d a '
· g I ti NQ ....
es propose construction violate ny zonin aw, ordinance or regula on: .............................
13. Will lot be regraded . N.O : .. Will excess fill be removed from premises: Yes No
· ...... '. ..... ,'.
14. NameofOwnerofpremisesE .n $ .&.~J~ia.. ~g ~ 915 Lakeside D ~fl 765-1224
Name of Architect ./~Q ~/[. i ' ' · ................. rPh e No ...............
........ · ............. Address ................... Phone No ................
Name of Contractor . .S~ F, I~ r~. . . i ....... Address ....... Phone No ................
15. IS this property within 300 [feet of a tidal wetland? *Yes ........ No...~
· If yes, Southold Tow~ 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 block number or descriptio~ according to deed, and show street names and indicate whether
interior or comer lot. '
SEE ATTACHED DRA~ING
r2- x 2_0
APERO, V~D AS NOTED '
FO[.LO~}N~
1. FOUNDATION - ~OREQUIRED
FO¢~ POURED CONCRETE
2, ROUGH - FRAMING & PLUM~NG
3, ~NSULATION
4, FINAL CONSTRUCTION MUST
8E COMPLETE FO~
ALL CONSTRUCTION SHALL
THE REQUIREMENTS OF THE
ff'S~ATE CONSTRUCTION & ENERGY
, CODES. N~ '~ RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
?ATE OF NEW YORK,
3UNTY OF .................
". · ."~-'~( ~:OOF.0M Q,. {~ ....... being duly sworn, deposes and says that he is the applicant
(Nnme of individual signing c!ontract '
ore named·
is the
i (Contractor ......................................
agent corporate officer otc )
said OWner or owners, and is duly authorized to perform or have performed the said work and to make and file this
~lication; that all statements contained;' in this application are true to the best of his knowledge and belief; and that the
rk will be performed in the manner setiforth in the application filed therewith.
Om to before me this,,
............ day of.. 19
~ Notary Pu~liq, Stet_e_of Ne~ York
No 48221563, Suffolk CountySN
Term Expires Dec*ember 31,119--.~
(Signature of applicant)
'k