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Home My WebLink About21647-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22697 Date NOVEMBER 4, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1415 HARBOR LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 6 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1993 Pursuant to which Building Permit No. 21647-Z dated SEPTEMBER 7, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBERT J. & MARY G. KRAMER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/B1 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) /?/7. - N® 21647 Z Permission is hereby gr nt d t '.'..........r to 1r2..... ..~„14)......... .....pa .'e.,... ......1. Z-... v..... - . ,mac. ~i~ at premises located at...,.,/„~f/` ....................-4 ...,..,..................f..,............... County Tax Map No. 1000 Section ~?.7-..... Block Lot No. f pursuant to application dated 4 fur 19.?;~ and approved by the Alec, Building Inspector. 3~- y Fee $....7..:. ---J d ~ (.7. w.ilding Inspector Rev. 6130/80 Form No. 6 r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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 .1. 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 - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 7 New Construction... Z.... Old Or Pre-existing Building. (:p / ..e....... Location of Property.. G~f .?`.'.0..... House No.Street Hamlet Onwer or Owners of Property...J4J!2Yt~,„l;,,,~ County Tax Map No 1000, Section.. ....Block... 6...........Lot....~ ~ Subdivision.. .Filed Map............ Lot.... Permit No. Z! bVZ.Date of ~ Permit, .1h.1 13....... Applicant. . . JC2U1? Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval / Request for: Temporary Certificate.........., Final Certicate..? •Fee Submitted: 1GD Y U1/l1S A vv- ~ a y)Orjj~ APPLICANT Roan' lite cel""_e -,IVY //s co 2 aaL 9 7 - INSPECTORS Victor Lessard Principal Building Inspector r,> Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspectors Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD October 19, 1993 Mr, s Mrs. Robert Kramer 160 Morris Avenue Rockville Centre, N.Y. 11570 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ffi An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. ffi The check is (owed/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 # BPS 21647Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INULATION [ ] FRAMING [ FINAL REMARKS: 0"-, ~ DATE N /0-h) INSPECTOR ELD I;: SPEC,1ON ~JDATE I~ COaKM NT5 ~Q S v 7/4 F3 YA H H FOUNDATION (1st) FOUNDATION (2nd) 2. z C o~ DOUGH FRAME & r~ PLUMBING H p 3. xr\ ca m INSULATION PER N. Y. y STATE ENERGY CODE. 4. lz FINAL ADDITIONAL COMMENTS: o(~ H " • 9 O (`yJ C*7 ~ N\ b~ [+J b H BOARD OF HEALTH • ~I'W"s~ FORM NO.1 J SETS OF PLANS TOWN OFSOUTHOLD SURVEY U~ a.d 3 BUILDING DEPARTMENT CIIEC:r _ - _ o TOWN HALL SEPT X`G: FORM RM SOUTHOLD, N.Y. 11971 TQt"VJiVU SO'n --C`ri}f• s TEL.., 765.1802 r:OTIFY; 1W,•,~}iC1,l nt7 u ! T~:? i lry Examined . J, , , m 193 CALL • • . ~crr~~, ~p MAIL TO: Approved 7/.7........, 19/, . Permit No. . Disapproved a/c (Buildin Insp or) APPLICATION FOR BUILDING PERMIT Date S f 2.. 19q~ 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. I 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 shall ,be kept on the premises available for inspection throughout the work. i t~ No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa%cy shad 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 premi$es and in building for necessary insp do r (Signature of applicant; or name, if a corporation) /Go /+'lorrik ,gvv~ts.t Yle.... ere.¢ra. (Mailing address of applicant) Statee~ whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Vw Name of owner of remises o (asl the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) i Builder's License No.,.~ Plumber's License No . . . Electrician's License No. . , . Other Trade's License No. • • • . • , , , • • • • • • , 1. Location of land on which proposed work will be done., . . . . /Jy vhf c~ra, .y.:........,....,.......... House Number Street Hamlet County Tax Map No. 1000 Section • , • , . , • • . Block Lot ...IQ• , , , , • , • • • • • , • Subdivision Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~R. S i . , , • • • • b. Intended use and occupancy SAW! . . 3. Nature of work (check which applicable): New Building Addition V10 Alteration . Repair Removal Demolition ; Other Work . 4. Estimated Cost (Description) `6Dd Fee IT 0o . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of,each type of use 7. Dimensions of existing structures, if any: Front Rear Depth , Height Number of Stories . imensions of same structure with alterations or additions: Front . • . . . . • Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front . . Rear Depth Height Number of Stories . ' 9. Size of lot: Front . , . Rear , . /Depth • • • • . • • • 10. Date of Purchase ~Q.P f Name of Former Owner , t` -CY rJl . ~1!4! £vr 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: .t? 13. Will lot be regraded t gyp, , , , , , , , , , , , , • , , , , Will excess fill be re oved~{Q' jlses: Yes No 14. Name of Owner of premises o/1rx f t~!'!lf tr AddressM?. 7 / • , • < ie No. 763 Name of Architect Address , Phone No......... . Name of Contractor • ' ' .........Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes ...Ll.• No......... *If yes, Southold Town Trustees Permit may be required. 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 description according to deed, and show street names and indirntP ~A-+t,e_ interior or corner lot. i 1 542.04 <t G s is,t - , a•o 9 ro S { ra \ 41'' sue, ri ni /-4 a C_ C a a a/ Z Z 'r- N1. in M 1 e t Y y ut ~ s ? ' 'r ~ fC ~ i N ~0 a COUNTY OF L S.S . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the PWn'G71 . . (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 contained in this application are true to the best of his knowledge and belief; and that the ,vork will be performed in the manner set forth in the application filed therewith. Sworn to before me this / ........day ooffj....J U.yl 19 3 rotary Public, C~G> County NasS~ru ROSEANN M. CARNEY Notary Public, State of New York ' ' ' ' • ' ' ' • ' • ' • ' ' ' ' ' No. 30 4739891 ($lgnatUre of applicant) Qualifield in Nassau County . Commission Expires -Plw tip. New York State Department of Environme ~ t~"rya tion 8uiidinjb446SU ]1Slfgxprook, New York 11790 ii 'il^= %maw ,rW, / • ~ ^ - Thomas C. Jorlhig Date: Commissioner 3 / b du t (2~ ll,,.~u /y93 Re: /-y738-068ydlD066/-6 lql - "ado 1~ Y Dear /R/1 /~Corne ScTIM /fp. leoo--97-6-16 Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: kacLeu Va~-TT F'C. -7/ /9 9 3 Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCR2R Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as-indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 201 wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. 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