HomeMy WebLinkAbout21787-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF O~CUPANCY
No Z-24134 Date
JANUARY 25, 1996
THIS CERTIFIES that the buildin~
Location of Propert~ 1305 THIRD STREET
House No.
County Tax Map No. 1000 Section 117
Subdivision
ACCESSORY
NEW SUFFOLK NY
Street Hamlet
Block 7 Lot 11
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 8, 1993 pursuant to which
Building Permit No. 21787-Z dated NOVEMBER 18, 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 AN ACCESSORY SHED TO CODE AS APPLIED FOR.
The certificate is issued to HELYNN A. K~PP
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
FORM NO.$
TOWIN OF $OUTHOLD
BUILDING DEPARTMENT
ToWN HALL
SOUTHOLD, N.Y.
NB 21787 Z
BUILDING PERMIT
ITHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted ,to:
................................................... .....
Counh/TaxMap No. 1000 Section ......... ./.~...~.. ...... Block ........... ~ ........... Lot No. ... ,//.. ...................
pursuant to application dated .......................................................... 19 ................ and approved bythe
Building Inspector.
Fee ~. ~.~.~...~,,~...
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING
TOWN ~LL
765-t802
APPLICATION FOR CERTIFICATE OF
This application must be filled in by typewriter OR ink and
inspector with the following: for new building or new use: ·
i. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Heal=h Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Under~rriters.
4. Sworn statement from plumber certifying that the solder'used in system contains
less than 2/10 of 1% lead.
5. Commercial building, indus=rlal building, multiple residences and similar buildings
and installations, a car=!ficate of Code Compliance from architect or engineer
responsible for the building. ,
6. Submit Planning Board Approval of comp!e~ed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-exis~ing" land uses:
t. Accurate survey of property showing all property lines, s~reets, building and
unusual natural or topographic features.
2. A orooeriy completed aooiica~ion and a consen~ to inspect sig-ned by the applicant.
If'a ~ertifica~e of OcCUpancy is denied~ the Building inspector shall stats the
reasons therefor in writing to the applicant.
C. Fees
i. Certificate of Occupancy - §aw d~elling $25.00, kdditio~s_qs__a_ao__dwaiiing S2_25.Q9~ _.
dwe~liu~ $25 00, Sw~mmin= oool ~25 00~ A~essory buiid£n~ $25.00>~
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~xistin~ Buildin~ - $t00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial S!5.00
~/~
/ .... ~a~e ............ .;z.~/~.
New Construction ........... 01d Or Pre-existing Building .................
~ocation of P=ope=y.~. ~ ...... . .~..//1£.~... ~r .............. .,,e.~..~...-.~.c.~...,f.~.. ¢.A .,.,~..
House No. Stree~ H~m]at
Onwer or ~.of ~ro~erty .... g.~.y.,~.,~ .... ,s....~'~..~e ............................
~o=~ ~= ~ ~o i0, ~.~o~...~q. ....... Jo~ .... f..~ ........ Lo~ ....... .,~ ............
Subdivision ................................. ~..Fi!ed ~ap ............ Lp~ .................... ~'
._rmit ~o ...................... p---/' ....... - '' '/a ''
~ea!th Dept. Approval .......................... Unde~r±ters Approval .........................
Planning Board Approval ........................
/
Requesu for: Temporary Certificata ........... Final Car~icate ..~....
Fee $ubmi:tad:
q .~_P PL l CANT ~ V
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 19, 1996
Ms. Helynn Kapp
P.O. Box 305
New Suffolk, N.Y.
11956
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 # 21787-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
Ms. Helyn Kapp
P.O. Box 305
New Suffolk, NY
11956
Re: Building Permit #21787-Z
Premises: 1305 Third Street, New Suffolk
Surf. Co. Tax Map #1000-117-7-11
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.
Print Key Output
5738SS1 V2R3M0 931217 SOUTHOLD
Page 1
01/05/96 09:49:19
Display Device : X5
User : CLAIRET
473889 SOUTHOLD
117.-7-11
1305 THIRD ST
NYSRPS ASSESSMENT INQUIRY
SCHOOL NEW SUFFOLK SCH
PRCLS 1 FAMILY RES
DATE : 1/05/96
ROLL SEC TAXABLE
TOTAL RES SITE
TOTAL COM SITE
ACCT NO 23
= OWNER & MAILING INFO ===!=MISC !======= ..... == ASSESSMENT DATA ===========
KAPP HELYN A iRS-SS ! **CURRENT** RES PERCENT
PO BOX 305 ! 1 !LAND 300 **TAXABLE**
NEW SUFFOLK NY 11956 ! BANK !TOTAL 3,900 COUNTY 3,900
0180600 **PRIOR** TOWN 3,900
! !LAND 300 SCHOOL 3,900
! !TOTAL 3,900
==DIMENSIONS ===! ....... SALES INFORMATION = .................. = ..............
ACRES .12 !BOOK 4 SALE DATE 00/00/00
!PAGE 00165 PR OWNER
....... TOTAL EXEMPTIONS 0 ............. !== TOTAL SPECIAL DISTRICTS 4 .....
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
!FD029
!PK090
!WW020
!SW011
Fl=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC
75.10- 03-013 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[Z~INAL
DATE
INSPECTOR
FOU~DATION (1st)
. FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CO'DE
FINAL
Y$
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
],FINAL
REMARKS: '~9 /"'/~F- ~
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[//]'FO~DATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ]FINAL
BI: COMPLETe, FOR
ALL CONSTR[ICTION SHALL
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
: SOUTHOLD, N.Y. 11971
' . ::' a,;';,/~ : % .... TEL.: 765-1803.
....... Permit
Disapproved a/c .....................................
..........................
(Bu'fldin,a~spector)
APPLICATION FOR BUILDING'PERMIT
BOARD OF HEALTH .........
~3 SETS OF PLANS
//SURV£Y ..................
,/CIIECK ..
'CALL . ."~ ..........
Date .................. , 19...
INSTRUCTIONS . - ---
~ a. Tlds 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 (~f property mus~ be drawn on the diagram which is p~rt 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 i~suel~ 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 bare 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 South01d, 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 la ,ws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in build~ for necessary in~pp¢.tj/~ns, ~A ~ - / '
'- (Signature~f applicant, or name,~if h corporation)
(Mailing address of applicant)' ' '
State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder.
Nameofownerofpremises ./Z-Td/~Zx/A/d ~... ff/,,,~/O/~ . '
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duiy authorized officer.
(Name and title of corporate officer)
Builder's License No ' ~2 ze/.~....~...
Plumber's License No .........................
Electrician's License No.
Other Trade's License No.
Location of land on which proposed work will be done ................................. : ................
. .. ' --'
..................... .... .G.'?... : .......... ..........
llousc Number Street Hamlet
County Tax Map No. 1000 Section ...:....]/.~. ...... Block .... 7 ......... :... 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 ... :..'-.-,~.-, ........ ~,,,'~;, i,;,., .... ~. qi..... ................................ ..
b. Intended use and occupancy ..... '.. ~...~.~.. ~.
lines. Give street and block
r corner lot.
· 3.Nature of work (check which a~plmable): New Building . .. Addition .......... Alteration' ....;.. ~..
Repair .............. Removal .............. Demolitic~n .... ; .... Other Work ...............
' ' ' ~ '" ", (D ipti )
· .. F ........ Fee ...........................
4 Estimated Cos . . .
(to be paid on filing this application)
5. If dwelling, numberofdwellinglunits . .a ......... N mb old lling itson hflo
............... u er we un eac or ................
If garage number of cars ~ - ,-
6. If business commercial or mixed occunnncv specify nature and extent of,each type of use ..... ;..
7. Dimensions of existing structur6s, if any' Front Rear i Depth
Height Number of Stories ............................................ '
Dimensions of shme structure ,,Oith alterations or additions: Front ................. Rear ..................
Depth ' · ' '
· '. ' ............. r · Height ........... ' ......... ... Number.of Stories ........... : .......
8. D~mens~ons of entire new construction. Front /~ ' ~ m,o~ /~ ' n,,,,h /.2 / '
He-hr . ~" ,, i, ' . " : ............................... ~ .................
s · ·. ~- ......... l~umoer of Stones l ........... ;.'. .......
9. Size of lot Front I ~ ' ..... '" 'L ............
......... · i .... x~ar .................... ~. Depth .....................
10. Date of Purchase .......... i .................. Name of Former Owner ..., ~ ....................
11. Zone or use district in which premises are situated .............. ' .............................. i 2.; ....
12. Does proposed construction vioiate any zoning law, ordinance or regulation: ..... ' ...........................
13. Will lot be regraded ........ '. ~, .............. Will excess,fill be removd fro premises. Yes N~o
14. Name of Owner ofpremmes/~/,dd, d~) /~,,gz~. Address/.-~ .~//~AF~.?~. I'~ht~n~ lqc~ P~c? ~'.~'/~ D ·
Name of Contractor ......... ~. · · ~ .......... Address ........ .--7-. ~.; ...... 'Phone No ............ ',,
[5. Is this property within }00 feet of a tidal wetland? *Yes ........ No.~. ..... "'
· 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 from
lumber or description according to deed, and show street names and indicate whether
STATE OF NEW YORK.
(Narfle of individual signiag contract) ....
above named.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contai ned in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manneriset forth in the application filed therewith.
Sworn to before me this
t.a~_.~K°ts°ulo$
TEST HCLE
ORCHARD.
Kinnin
STREET
flOW or
Dow or
formerly
Shlbley
I
/
Fr ,herr /.
AT NEW SUFFOLK DATE, MAY
IB! ) YOUNG e~ YOUNG
N~Y* $. LICENSE i~0.4~893