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HomeMy WebLinkAbout21781-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25997 Date: 09/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 285 EAST OILLETTE DR EAST MR%RION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 4 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 3, 1993 pursuant to which Building Permit No. 21781-Z dated NOVEMBER 17, 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 STORAGE SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD S & BETTY J WELLS (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 nspe~or FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL * SOUTHOLD, N.Y. N_o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) // /? Date ...................... ~ ................................. 19....,?,,-~,.. 21781 Z Permission Is hereby granted to: ..~ ~:~.....~..~ ~ ~?. ...... ....~..~.zz~ .................. .~.~...~..~,..~_~..x~ ........ ~../...,.~= ........... ..................................... ~ .......... '..,./** ............ ~....x... . , to ............ ~:..~ ........ ~ ............ ~~ .......... ~..~-~ ....... ~~... . . .~. . ....... ~ ....... £ .x. . ,. .; ~.~. ........... ~. . . . .~, ....... ~,-,'x~. .,. .z ~ ............ ~. ~ //~ '.x. . . . ~ . . . .... ~.~ ........ .~.(..~.i.~.~ ........... ~.., .......................................................................................... / at "'rem ses coated at ~-d3'"' ..___~...~..J"Z-' ~,,~,Z"7'~',,~__ . ......................................................... ~.,...~~ ...................................................... Coun~Tax Map No. 1000 Section .....d~ ............ Block ....... ~ ........ Lot No ...... Z~ ............... pursuant to application dated ................. ../..././.~.... ........................ 19......~..-~... .... Building Inspector. and approved by the Building Inspector 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. 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 architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and Upre-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 I. 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-existing Building - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~..~.. ~..~..~ ~ZZ~. · New Construction .... .~. ..... Old Or Pre-existing Building ............... Location of Property,..~..~. ...... ~. House No. Street Hamlet Onwer or Owners of Property ........................................ County Tax Map No 1000, Section..~.~.g/.~.~..Block ................ Lot ...................... Subdivision................ ................... , Filed Map .......... . . Lot .................. .. .. ~../Tz~.z/~ .~. Appli .~- .~ .~f. ~..~. '..~ ~. -/-~ Permit No ..... Date Of Permit ................ cant ......... 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 Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 9, 1998 Mr. & Mrs. Gerald Wells 285 East Gillette Drive East Marion, New York 11939 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) XX, 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 #21781-Z SHED Please contact our office on this matter. Thank you for cooperation. 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 February 28, 1996 Mr. & Mrs. Gerald Wells 285 East Gillette Drive East Marion, NY 11939 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) xx ~ 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 # 21781-Z Please contact our office on 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 5, 1996 Mr. & Mrs. Gerald Wells 285 East Gillette Drive East Marion, NY 11939 Re: Building Permit ~21781-Z Premises: 285 East Gillette Drive, East Marion Suff. Co. Tax Map #1000-38-4-10 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, $OUTHOLD TOWN BUILDING DEPT. ~OUGH' FRAME' & -PLUMBING STATE ENERGY . . CODE FI;~AL ADDITIONAL COMMENTS: 765-XS02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [..~/ FRAMING iv] FINAL INSPECT~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197] TEL.: 765-1802 , (Bu~fngg[nsp6ctor) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIgCK . NOTIFy| ....~. MAIL TO: 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 sfi'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 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 sh~ll 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 Dep .artment 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 rep~oval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c. dd~, housing code~)and regulations, and to admit authorized inspectors on premises and in building for necessa~ .~.. '.~ -- (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. NJmeofownerofpremises ~,~.~.~.,/~,. ~ ~/Z~'///-~' ~' ~'~ ~ ~/~ ' If applicant isa corporation, signature of duly authorized officer.' OA~ /(~74f~ ~8 ~ ,,~/~fi/~ ................................ F~I. ~.~J~ ~ u L ~N~ ORnaMENT AT ' (Name and title of co~orate ~[~'~ ~ 765-1802 9 AM ~ 4 PM FOR THE Builder's License No ............ UNLAWFUL .. ' ' ¢ THOUT CERTIFICATE Plumber s License No ............ FOLLOWING INSPECTIONS: 1. FOUNDATION ' - TWO REQUIRED FOR POURED CONCRETE 2. ·ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAl CONSTRUCTION MUST Electrician's License No ......... OF'0CQ'JPANC¥ BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET · L p used ork w 11Be'd ne... .'-.df4J..~... . q.F~4-- ' ' ' ' ZOIT~Ki N.tI~ONST[lU ClIO N ER BO fl 8 House Nmnber Street Hamlet Con ty Tax Map No. 1000 Section ...: .......... Block .......... Lot ................ Subdivision ........ , ............................ '. Filed Map No ............... Lot ............... (Name) 2: Stat~ existing use and occupancy of premises and intended use and o~cupancy of proposed construction: Existing and occupancy ' b. Intended usc ~nd occupancy ........... '3. Nature of work (check whic a cable · New Building .... Addition . ' m ............... Alteration ......... Repair .............. Re oval .......... I .... Demolition .... : ......... Other Work ........ d C I .~:q . . (Description) 4. Estimate ost ........ ~. · '- (to be paid on filing this application) $ Ifdw lling mbt ofdw llin~units ' N mb old If ga be of [ .......... u er welling units on each floor · rage, num r cars ........ ' ................ 6 If bus' 1o ' ~ d .......................................................... l.xe up y spt fly n and extent leach typ fuse ' ' ' ' ' · mess, commercla r m occ anc , c ature o e o ....... 7 D' 'ons of 'sti g st b if y: F nTlensl eXl n ructu es, an ront .............. Rear ............... · Depth Height ............... Number of Stories ..... ................ of shme structure ,vita al · d(.l' ' ' ............................. i:'!'" Dimensions teratlons or a lttons: Front .. ~o~ ...... Depth ................... I. · He~gh Number of Stories ..... ... 8. Dimensions of entire new construction: Front .,z/...'~. .~ .... ; Rear ............... Depth . t~. ...... .Height ............... Number of Stories ...... 10. Date of Purchase O.¢?' /*~'/ ;.;. ~,. ......... De th ,/ool ... 12. Does proposed construction vi late any zoning law, ordinar{ce or regulation: .... Will 10t be regraded ...... :i ................... Will excess fill be remo'ved from premises: Yes No 14. Name of Owner of premises .. i ...... , ........ Address ................... Phone No .............. · Name of Architect ~ · · ' ......... ~ ................. Address .................. Phone No. Name of Contractor ... ' ........... : .... I.s this property wi't~'i~' ~bb ............... Address ............. ...... Phone No ......... ' ....... 15.' feet of a tidal wetland? mYes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate. clearl.y and distinctly aili buildings, whether existing or Proposed, and indicate all set-back dime ' .Pmr?:;~y lines. G,ve street and block ,number or description accordin~ tn a~oa .... 2 ...... nsmns, from · ' r or corner lot ,. ...... , u.u uuow street names anu indicate whether STATE OF NEW¥ORK.O~_D //r-/s county · ..... ' .... (Name of individual signin contract) above named. being duly sworn, depose9 and says that he is the applicant Heisthe . '..(~). '(~' 3Y~-0. t/''' " , : (Contractor, agent corporate officer, etc.) . )f said Owner or owners and is duly at~thorized to perfo~ or ' have perfomed the said work and to m~e and file this ~pplication; that all statements contaiMd M this app ication are/rue to the best of his knowledge and belief; and that the fork will be perfomed in the manner se} forth in the application .filed therewith. ~Wom to before me t~is. .' ' mo. 4~7~605 ~ ~ ~ :' ~ ................ ~.~ ~ .~ ~ .........