The URL can be used to link to this page

Home My WebLink About21663-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24847 Date JANUARY 13, 1997 THIS CERTIFIES that the building ADDITION Location of Property 5500 COUNTY ROAD ~48 House No. Street County Tax Map No. 1000 Section 140 Block 2 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated S~PTEMBER 3, 1993 .pursuant to which Building Permit No. 21663-Z dated SEPTEMBER 1E, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM & ELLEN BIRKMIER N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOU'[HOLD BUILDING DEPARTMENT TOWN ~ SOU'[HOLD, N.Y. N£ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21663 Z Permission Is hereby granted to: ~..~...~~...~.,~ ............. .~...~..,~........ ~. _~...~ ...................................... o...~.,~.......~.....~,¢_~..........~.~......~..~......~~,,~ ...... ......... ....... Counfl/Tax Map No. 1000 Section ...... .~....~...O. ....... Block .......... ~ ........... Lot No ..... ~ ~ ............. pursuant to application dated .......................................................... 1 g ................ and approved bythe Building Inspector. Fee $..',~,, ,~,/,.,, ,~,~, .... Rev. 6/30/80 Form No. 6 DEC I0 TOWN OF $OUTHOLD BUILDING D~PARTMENT TOWN I-hill 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-? form), 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial buildiqg, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 9' Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and · pr_-exzstzng %and uses: i. 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 app,%ant. If a Certificate of Occupancy is denied, the Building inspector shall stat~ the reasons therefor in writing to the applicant. / Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alaerations to dwelling $25.00, $~imming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of OcCupancy on Pre-existin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - . .25~ a. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ew Construction ........... Old Or Pre-existing Building ................. ' oc tion of Property.. ................. ................ . ........ House No. Street Ha~et )nwer or Owners of Property...~O4 .~.. /. '.~ .................................. ,ouncy Tax Map No 1000, Section ..... /~/~ .... Block .... ~ ......... Lot...f~ ............... ;ubdivision .................................... Filad Map ............ Lot ................. ~ .... ?ermit So.~./.~.~..~. ........ Da~e Of Perm±~ ................ Appi±canl: .... .t~..../~.~. ................ {ealth Dept. Approval .......................... Underwriters Approval .......................... 'ianning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... 'ee Subm].~ ced: $ ............................. ~_ .... .... - ... 'ti'DATE lI FOUNDATION ( ls t ) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: -/ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/J,H. ATION []FRAMING ~F~NAL REMARKS: ~~ . DATE ~INSPECTOR ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 28, 1995 Mr. William Birkmier 5500 County Road #48 Mattituck, NY 11952 Re: Building Permit #21663-Z Premises: 5500 County Road #48, Suff. Co. Tax Map #1000-140-2-14 Mattituck 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. ,SL!'P 3 1993 .......... SOUTHOLD, N.Y. 11971 !,,~,,,~, 7,, W'~ ,, ~ ,, ,; ~., TEL.: 765-1802 Approved -...~ ....... , 19 ~Permit No..*/*.~.~.~ Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL (Building~pector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY .................. CIIECK CALL · · l~IA I L TO: Date ....... ; .......... , 19... INSTRUCTIONS :~,. a. This application must be completely filled in by typewriter' or in' ink and submitted to the Building Inspector, with 3 ~ets 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. 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. 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 in~pe.c~n./~. ,, (Signatur9 of applicant, or 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 . : , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Plumber s License No ......... . .......... Electrician's License No ....................... Ot er Trade s License No. I. Location of land on which proposed work will be'done..d~. ............ ~?~..~..Z~-. d~f2 ¢~,.~...f~...~,¢q~., ..... House Number Street Hamlet County Tax Map No. 1000 Section ......... :... Block ....... ' Lot ............... Subdivision ' Filed Map No ............... Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use nd occupancy ............ · ..... · 3. Nature of work (check which applicable): New Building . · · · Addition ........ Altbration .... ; ..... Repair .............. Removal .............. Demolition ~'~C,/(5 ~, : ..... ; ......... Other Work.. Estimated Cost ~ff~6).~ p..Oi (Description) 4 .............................. Fee ..................................... i (to be paid on filing this application) 5. If dwelling, number of dwelting t~nits ..... ......... Number of dwelling units on each floor .... · If garage, number of cars . . ~/.h. ...... · .......... 6. If business, commercial or mix~h · . ~.- ....vancy specuy nature and extent of each type of use ,n~/./~. 7 Dimensions of existing structur4s if any: Frgnt Rear ' Height Nurnl~er of Stories .... : ........................ Depth ...... Dimensions of shine structure wlth alterations or additions: Front ............. Rear .. .. . Depth .... : ................ !.. Height ....... :" '; ........ ;.. Number o; Stories ......... 'ii~ ......... 8. Dimensionsfi2f,entire new constrUction: Front .... ~.~/. ..... ~ Rear .. c~'.. D "' 1 I. Zone or use district in which pr{raises are situated .............. ' ....... ' ' '" .......... ~: ' '"~"~" · .12. Does proposed construction violhte any zonine law ~----- ' , -. . 13. wm lot oe regraded ....... : '~ ........... Will e'~oeso c.~ ~, ..... ~ ...... Nam . ? , , · .... · ........... veal from premises. Y s .. ' .............. i ................. Address . · · Phone of Contractor ......... ~ ............ a~ . 15.' 19 th±s property w±thin 300 feet ~'f ~ k;, ............ Phone No ................ · If yes, Southold T~own Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly all ibuildings, Whether existing or proposed, and. indicate all set-back dimensions from property l~nes. Give street and block tumber or description according to deed, and show street names and indicate Whether interior or corner lot. 765-1802 9 AM TO 4 PM 'FOR TNE FoLLOWiNG INSPECTIONS: ~. FOUNDATION - '~0 REQUIRED · FOR POURED CONCRETE 2~ ROUGH - FRAMt~G&,PLUMBING 3..iNSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR ALL ,CONSTRUCTION SHALL THE REQUIR~ENTS OF THE N.Y. STATE CONSTRU(~iON & ENERGY CODES. N~ RESPONSIBLE- FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEV~ YOI~K, , .~, iS S COUNTY OF..b..c4. .... ' ', ...... ~.r../.~ /q'C~.. . .' ........ being duly sworn, deposes and says that he is the applicant F~ ..'(~."TU ~. · .( Name of individual signinl; contract) . above named. [teis the . . (c ; it; ........................ ' ............ Ontra or, a ent, corpo a officer, etc.) ' ' ~ said owner or owners ~d is duly uthorized to perfom or have ~erform~d t'~ '~ ..... ' i , ' · . , . . v l~.,~esamwor~ana [Om~eand file thil .ppljcatmn: that all statements contmned m this'ap-lication are t-u .... ,.x-~:.x: ...... ~. , . - . . J v · u [u [{~V'qeS[ OlnlS K~O~leO e eno ' ' that the2 .~orK will be perfome~ ~n the manner set forth in the application filed,tli~;.~)~hqg'c') .'' : g behef, and 4o'ta~ Public ...... ~i ., Co n~y "~ ~' ' ' ' ' Ou~liflOd In 8u~olR ~un~ i~ (Signature of applic~t) ' ~mmlsslon E~ires Deoom~r ~ ~0 ~ ',