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HomeMy WebLinkAbout21766-z ! 3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24139 Date JANUARY 24, 1996 THIS CERTIFIES that the building ADDITION Location of Property 405 LAKE DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 3 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1993 pursuant to which Building Permit No. 21766-Z dated NOVEMBER 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 A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ISMAIL FMK & NILUFER NOBER (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i - Z4~ B lding Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N Date ....r~~ 19.~~3.. 21766 Z Permisslo Is hereby granted t ; . 1(1/ 7 7 . to ,4:,........ .........................v at premises located at.... Z~~ GG••• EE County Tax Map No. 1000 Section .........4..U........ Block Lot No. . f pursuant to application dated 19..' and approved by the E 4 Building Inspector. f ~ f Fee ZJt i d~?..li /Building Inspector Rev. 6/30/80 ~ JI o~OS~FFDi/r 0 o~ Gyp rn x Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 y~lpl ~.a0~ Telephone (516) 765-1802 SoutholdNewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, N.Y. 11791 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 # 21766-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPAP.TMENT TOWN FALL 765-1302 APPLICATION FOR CERTIFICATE, OF OCCUPANCY A. 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. 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 17 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property snowing 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 - New dwelling 525.00, Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin-c Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..........fA New Construction......... Old Or Pre-existing Building L y cc Location of Property 40~ Gu~~../~ff U"(7i......... eAl• p,~ t!~t71^P`?....... . . . . . . . . . . . . . House No. Street Hamlet Dower or Owners of Property.... County Tax Map No 1000, Section Block 3....... Lot.... ` Subdivision -......./.....Filed permit No...~.1.7.~ 7.~'.Date Of Permit. .~1h1f)....... Applicant...... P'• - Health Dept. Approval ..........................Underriters Approval........................ ?'-anning Board Approval 3eauest for: Temporary Certificate........... Final Certiczte.....j~ Pee Submitted: S..- I....... p~o7 ~N APPLICANT o~~gOFfO(,~co Gyp Fax (516) 765-1823 Town Hall, 53095 Main Road W - P. 0. Box 91971 Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, NY 11791 Re: Building Permit #21766-Z Premises: 405 Lake Drive, Southold Suff. Co. Tax map #1000-80-3-16 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. o~~gOFFOJ.t Gym I Z Town Hall, 53095 Main Road W- 40 Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, N.Y. 11791 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 # 21766-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r1PLD IGSPECTIUN IIDnTE COMMENT° 1. ~ w \ ~ V _ H FOUNDATION FOUNDATION (2nd) _Jl 2. z \n 0 ROUGH FRAME D -PLUMBING ti 3. y~ x m INSULATION PER N. Y. H STATE ENERGY CODE ~s 4. H FINAL ADDITIONAL COMMENTS: x \ `v H~ H H O z m a ' r - H ~ pp C ( 7~ M ~J ro H Peak. n OV. o qjEj; pro " / :,l Ruh' \ !6` Deck V Y 4%l Ic CA -AD a i ~XQ' C cg ct foe ctd«. 1ccA f~~ 1 c~ tst~ ( 1 j 1 j f yi~~ 1 r cl, -JAL-- N ~ ~lz"x P i ' I~,.~ I ~ 4t t I yy ,~tt55 i' 195.7 ` 'tea - i a wAttC ~ - 00 A •LQ4,.' :U~r 'i,_V.A1..t. 202,6 l m' Lt"' ON 712 r±m T+ i a a qT a C D ( i 1 8~ m g e IT) s x7 g5~ ~n gg m i'r,; 8a0 t =t sa M a a # IP, Ln Z+ P.il fi1C il4~ ittb7 Plil ~c3rrts S 17~i,~a '~;~T oK',~-m~~r•f`a~x`1'tY~34 - ,p r~ Yhama: C. JoAtnB ~+C .d CornmissFOn®t 7 Aar Salad on the information you nAavsk Se st,on tas the New Yoi<'~C State art a nt of tzsvixonme•al a G; as j Del 7/`;.'/ dal acc®zdan a wi d;~ the coy er.t Tidal Wetlands Land 1766 rh~rrn. aye, Sal a.- r~ ai ed under the Tidal y' 66mj no pezx4 ~y ~g VIC anst^1CCian, =.a>a" ns ( NY m? be advised, hoc~~avs lace seaward of We ' yands Ord P ga ' nd oay ~e p dis turbo ~c of any eau nda. as indicated above, Bac:.iaen~a or ivsi.cidca o..a tc ensure tha- : or thQ ti :sl wetland9 ras enlhi~!.ty xt is yQ+a p any s edisenntatioa c;itk:C" a lparmiw. °aaSan t C ;r `1Fsfle 1 a nec~ssa Y precautions ara a -d r taco c vegetativ other alteration or diem art as~ca to trio a.w ok may reSult tram yo" is~ticticn a3ee;aata work :rith:ra Tidal wetla,.ds in hide ma.int-°ix:inq Your pro ; e". Such pr6cal4tiOns may or arec ia area bet=ween the tidal w land j tst - Mi C~jcn bo+axtdaxy an Yo Y prajsc= (i.a. a 15, to 2~' or wise haY bale be,n. area, temporary taAcm, bx fir, you of hat this 1 +er dies noC'reoreap rovals please bs furtre~ advised GTI ny necessary p6t'u s p the responsibility of obta=-n jn5 any f.oaII ether agencies. ,46rJ truly yours, Q~$~a ~dmir.iatrator Print Key Output Page 1 5738SS1 V2R2M0 920925 SOUTHOLD 10/25/93 11:30:44 Display Device . . . . . . WY User . . . . . . . . . . . GEORGIAR PLO10-23 WY TOWN OF SOUTHOLD 10/25/93 *UPDATE* PARCEL MASTER FILE MAINTENANCE 11.30.18 Address: 405 LAKE AVE APN: 1000 80 3 16 SEL TYPE EFF DATE EXP DATE EXCPT DESCRIPTION TEXT? 1. PMT 6/18/93 12/18/94 BP #21488-Z ALT - CO Z-22556 Y 2. PMT 1/05/89 BP #17738-Z ALT/REPAIR COZ-18264 Y 3. TRA 12/07/88 TRANSFER OWNERSHIP PROPERTY Y 4. TRA 0/00/60 TRANSFER OWNERSHIP PROPERTY Y Selection: H=History, T=Text: H Cmdl-Prey Screen Cmd7-End Job Cmd10-Entry Mode ~ - rill"T ~ '?YEN -'•.'^3~,°rNlf av BOARD OF HEALTH FORM NO.1 3 SETS g,P'PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECI .)Q ' 251993 TOWN HALL SEPTIC FORA SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t: 0'c i FY CALL Examined • • , , 19 p ! NAIL TO: /(o 7PS-;217 Approved 19V. Permit No. . ro pox ~y~ Disapproved a/c j ffe; u' g Inspector) APPLICATION FOR BUILDING PERMIT Date 195 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 streets or ar%as, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- catiegi. c. The work covered by this application may not be commenced before issuance of Building Permit. & 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..........Y~nC1'~./...lL 1/ttiG~Gr Name of owner of premises (as on the tax roll or latest deed) If aappplicant is a corporation, signature of duly authorized officer. OK (Name and title of co ate officer) Builder's License No. ...n~C) g/v /f•2 Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work wi 1 be d ne. , , , , , , , , , , . , • , • • . House Number Street Hamlet County Tax Map N9 10000 Section Block Lot................... Subdivision • 40 '1 Filed Map No. Lot (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • .k!Sf'?. b. Intended use and occupancy • , S~r~~C' ~ . yam. 4'>taLh 1. ?ui~i.S Yks-f'~j}r!SJ e.,y -r i -n - -c n •3. Nature of work (check which 'applicable). New Building ' ' ' ' ' ' Addition Alteration _ Demolition . Other Work . _ 4. Estimated Cost 6OU II'' (Description) Fee........... 5. If dwelling, of dwelling (to be paid on filing this application) If garage, number of cars Iunits . Number of dwelling units on each floor . , , , 6. If business, commercial or mired occ , upancy, specify nature and extent ofeach type of use g structu Dimensions of existing Number of Stories Height N`rres, if any: Front Rear Depth , . , . . Dimensions of same structure with alterations or additions: Front . • • . • . . . . ' ' ' ' ' • ' ' ' Depth.... Rear..... Height . Number of Stories . 8. Dimensions of entire new construction: Front . Rear . . . . . . . . ' ' ' Depth Height of Stories . . 9. Size of lot: Front . Rear .......................Depth...........:........... 10. Date of Purchase , . Name of Former owner . . . . 11. Zone or use district in which premises are situated . . . . . . . . ' • • ' ' ' ' ' . • 12. Does proposed construction violate any zoning law, ordinance or regulation: (J. . . . . . . . . . . . 13. Will lot be regraded . , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . , , Address . O1' p' ~lzY Name of Architect • • • , Phone No..7.. ••••••••••......Address . . .PhoneNo.. Name of Contractor ! . . Address . . Phone No. 15. Is this property within 300 feet of a tidal 'wetland? *yes. *If yes, Southold Town Trustees Permit may be required. No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. l I ,1, UJI1 I'2 AS I ]-k-~~ ~ o Yif2,kY5' E$tt,t,O sk:rr~p gfitir fi±' if,i,},`. 7 a Cir '#M1p ^ 1'tr% 1`013 `rNE R~ f}E !.r'Fihrilc~e ; lE+dii4""r 4' F'tfA9+7~; 9, te9dsUt:,kt;4Pw• E,?k'd#'g 6.0{fi1P3 k~C,€ I'd 4? SSt~3't.cfvlf.:nc M"t'~ ' -e.. FS klC f e 4T+ if:VC> N4.t9f1/iPIIVC <a. E'~ir,1;-0t_ :Q3~,t.'y'FPLdC~6t§)PJ i4h . krR' 4~t3kVDF'k.k'NF S~~?gs d;.t~5, Sls'd' ALL C.CJrf; r¢tR~ ti4'?f',Si••7• ET' . 3E dBC~kh1l9lk: f! NY OF l't9w N. L: aY6~TE a OkU f&;tbfT3`ia~~4 81 ENERGY fs",4kvk a°a, l€~T R3r.''q`P'ftftlSl0l.E FOR ~t, k.cat+~ rr~a~~~'t nl ERRORs I STATE OF NEW ~~RVl. CO 5 Y O~ I I . Z being duly sworn, deposes and says that he is the applicant (Name of of individual signing!, contract) above named. le is the (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the rganner set forth in the application filed therewith. worn to before me this ....25:.. :.day ~TOll ~ 1 9-11 'otary Public, . County ktUiieii(1.' State of N.Y. " " " " NOTARY No. 47250 , Suffolk Coin (Si ppialilf-e applicant) Term Expires May 31,19