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Home My WebLink About21759-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24119 Date THIS CERTIFIES that the building Location of Propert~ 55075 ROUTE 25 House No. County Tax Map No. 1000 Section 62 Subdivision JANUARY 17, 1996 ADDITION TO ACCESSORY SOUTHOLD NY Street Block 1 Lot Filed Map No. Lot No. Hamlet 24.7 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1993 .pursuant to w~ich Building Permit No.. 21759-Z dated NOVEMBER 4, 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 A GREENHOUSE ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to THE COLONIAL VILLAGE AT SOUTHOLD INC. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner) N/A N/A N/A Building Inspect~ FO~M NO.3 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAiL $OUTHOLD, N.Y. N~ 21759 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date,,·. ,/~,.~ ......................................... Permission Is hereby granted tg,: . .../..~......~..~:...~ ....................... , . ....... ~~,..~.,..~..,....,...~ , .__~-~ / to..~~.....,,....~.,~...~ ....... ~~. ................. ~..,~.....~ ......... a, prem,ses ,ocated at..~. Z~..--......~.....=...~ ............................................................. counh/Tax Map No. ~O00 Section ......... ~...~....... Block .............. /. ......... Lot No .......... .~..~....-~-... pursuant to application dated .......................................................... 1 9 ................ and approved bythe Building Inspector. Fee $,....'~..~... Rev. 6/30/80 BLDG. DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD BUILDING DEP .~P, TMEh~r TOWN HALL 765-i802 .%PPLiCATION FOR CERTIFICA_m OF OCCUP~~NCY 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: t. Final survey of property with accurate location of all buildings, properzy lines, s:reets~ 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 buildings and installations, a certificate of Code Compliance from architec~ or engineer responsible for the building. 6. Submi~ 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: t. Accurate survey of property showing all property lines, streets, buiJ-ding and unusual natural or :opographic features. 2. A orooerly completed application and a consent ~o inspect sit'ned by the applicant. If'a ~ertificate of Occupancy is ~enied, the Building inspector shall state the reasons therefor in writing no the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling S25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Z. Certificate of Occupancy on Pre-~isnin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Uodatad Certificate of Occupancy - 250.00 5. T~mporary Certificate of Occupancy - Residential S15.00, Commercial S!B.00 oate ./. ...................... New Construction ........... 01d Or Pre-~isting Building ................. Location of Property .... ~ Rouse No. ~ Street / . ~am].et oou=y lOOO, ..... B!oc ..... /. ..........· ........ Subdivision .................................... Filed Map ............ Lot ...................... ·. . . ...Appl~can ............................. Reai~h Dept. Approval .......................... Unde~riters ~pproval ......................... Planning Board Approval ........................ ~' Request for: Temoorary Cerci.ficate ........... Final Cer-~ica~e ........... Town Hall, 53095 Main Road P. O. Box 1179 $outhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 3, 1996 The Colonial Village at Southold 55075 Route 25 Southold, NY 11971 Inc. Re: Building Permit #21759-Z Premises: 55075 Route 25, Southold Suff. Co. Tax Map #1000-62-1-24.7 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. 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 16, 1996 The Colonial Village at Southold 55075 Route 25 Southold, NY 11971 Inc. 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 $ 21759-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 76.~.11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ I FRAMING [ ] ROUGH PLBG. [ ] INS~~N ~_~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTO~ ?'iELD -"c~:~:' , · ..... ~..u,~ IIDATE ii C Off~I£NTS FOUNDATI'ON ( ls t ) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . SOUTHOLD, N.Y. 11971 TEL.: 765-180;3 19 f Pe mit Disapproved a/c ...................................... · (~ilcl¢p~ Inspector) APPLICATION FOR BUILDING PERMIT B~)ARD OF HE:ALIH /SURVEY ......... ~.~ClIECK ......... ~ SEPTIC FOR,H ............. l.q 8.,- 7'7 7 '7 CALL ............... MAlL TO:, Date ..: ............. 19~..~. INSTRUCTIONS a. Tiffs 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 sti'eets ~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 tiffs 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 reed in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted l~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permi[ 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 descr/bed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~ec~ions. ..~.._ -- ' (J~//a~plicant, o; name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. Name of owner of premises ..... I. · .o....~ ¢_ ...... ~. ......... (as on the/tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · -~ (Name and title of corporate officer) Buil'der's License No.'.:...~' .~. } .~ .~..~..;7.. ]7[ .~... Plumber's License No ............. ' Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work Will be'done. J d ' Itouse Nmnber Street Hamlet cotmty Tax Map No. 1000 Section . i .~.'.[~7..L ....... Block ...... / ' Lot...~..~a.2 ........ Subdivision ........ . ............................. ', Filed Map No ............... Lot'.'. '. ............ (Name) 2: Stat~ existing use and occupancy of premises and intended use and occup, ancy of proposed ~onstruction: a. Existing use and occupancy ' .Q--/- i'.[~.t. ~ ..... .~. b. Intended use and occupancy '~-~ed ~) [O kl..]..¢ m - ' '~ ' ( ' 'ppl' ) Additi · 3. Nature of work check which a lcable: New Building .... on · Alteration .... ' Repair~ Removal ' Demolition Other Work ' .... (Description) 4 Estimated Cost ' .......... i .......................... -Fee .................................... I (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ..... ..........O Number of dwelling units on each floor.. ~ ........... · If garage, number of cars .... i .................. · · ' ................................. 6 Ifbusin i lo i Od ifyn eand tent f ............... · ess, commerc a r m x occupancy, spec atur ex o .each type of use ...... 7. Dimensions ol~existing structures, if any: Front ..... ,~.~' / ......Rear . ~.~' ~. . Denth ' "&S'1 ............. He,ght .. .t.Z.'. ......... Nu~nber of Stories .... /. ............... '... ' ' '. ' ." . ............... Dimensions of shme structure ,kith alterations or additions: Front .3 If Rear ~. l .~ ..... · S' , l ....... ......... . ....... Depth .......... ,~'............t Height... ..,: ........ :..NumberofStories .................... ' 8. Dimensions of enti~-e new construction: Front ,':Jl ! Rear ~ ] ( Depth ~..5'f ..... Height Number of Stories Si , R ' ze of lot: Front ......... ,.I ............ ear ................... · · . Depth .................... Date of Purchase · .......... ' .......... ' ......... Name of ~'orr0er Owner Zone or use distrlct' ' in' whlch' premmes' ' are situated' /~ ~. ~ .~;~71.a' ' I. ..................... Does proposed construction vi{late any zoning law, ordinm{ce or regulation: ,/~ ................. Will lot be regraded . .. ~.~. ~ .... ,, .......... ' ' ' Name of Owner of premises .('~ ~.I. ~itlq~e a,~a .... /~c~';~ t'}~// ...... · ., ..... .1-~ .... ,~,..,~,~,o~ .. ~;,..t .',~c ..... i'none INc..4~.~.....?.'r?.&. · · rqame olArchltect - ..~ ......... " ' ....... ~ ............ ~uua~a~ ................... t'none .mo ............ . .... Name of C'ontractor ........ i ............. ' .... Address .. ~ ......... ; ...... Phope. g, No ............ ' .... 15.' I.s this property within }00 feet of a tidal wetland? ~Yes ........ No..r. ...... · If yes, Southold ~.own Trustees Permit may be required. · -. ! PLOT. DIAGRAM. Locate clearly and distinctly all! buildings, Whether existing or proposed, and. indicate all set-back dimensions fron~ property lines. Give street and block~I umber or description according to deed, and show street names and indicate whether interior or corner lot. 10. 11. 12. 14. 7~.~8C~? 9 AM ~ 4 PM FOR THE '~ F;OilNDAT~OM 'Btqo RE,HiRED BE CO~PL,ET~ FOFt C.O. ALL COMSTBUCTION SHALL .'FI-~E REOIIIREM/NT80~ TH[ ~TATE COIqSTRII~'ION ~ COP~S. blOT RESPONSIBLE FO~I STATE OF NEW Y..C]R~. ~ ! ' · . cou v : s,.s . ......... '~..i .......... · ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ' ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly[authorized to perfom or have perfomed the said work and to m~e and file this application, that all statements contaiOed ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfo~ed in the manner ~et forth in the application filed therewith. Sworn to be fore :: t,¢is ~ NOTAflYPOBLI~ ~ ] ' (Signature of applicant) ~OO.O t~ ~)~OPE ;.2 T Y' ,5' 0 _V.Z?o_~._D, /_Nc. A~A : ,9. 7 AC~6 6-~9Q-6