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Home My WebLink About21667-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~uuFANCY No Z-24236 Date MARCH 25, 1996 THIS CERTIFIES that the building. ADDITION Location of Property 875 F~ANKLINVSr~.~ ROAD House No. Street County Tax Map No. 1000 Section 125 Block 2 Subdivision Filed Map No. LA~REL~ NEW YOI~K Hamlet Lot B Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1992 pursuant to which Building Permit No. 21667-Z dated SEPTEMBER 21, 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 PORCH ADDITION & INSTALL WINDOWS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA BNNDINKA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 --~~il~i~g/i~n~s~pector FOI~M NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Date ....~.~..,Z.. ............................................... 19..~.~..... N-0 21667 Z Permission Is hereby granted to: .~ . /~ j ~,~.~: .......... ...................... at premises located at..... ~....~'.~.... .............................................. Counly Tax Map No. 1000 Sectlon ...... ./....,~..~ ..... Block.....~.. ................. Lot No. ...~Q...'~.. .................. / pursuant to application dated ....~..~.~..~.. ........................................ 19..~.....~.. ...... and approved by the Building Inspector. Fee $....~7,~.~... Rev. 6/30/80 FO~M NO. ~ TOWN OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No-N.o 2059$Z Permission is hereby granted to: // . ~ / at prem,ses I~ated at ..~Z ........ ~~~.~......~ ............................ ................................................ .......................................................................................... County Tax Map No. 1000 Section ..../.,~....~.... ..... Block ........... ..~'... ..... Lot No .....~ .......... pursnant to application dated ...~/...--~..~... ............................ ' .......... , Ig.Z~:~ and approved by the Building Inspector. Fee $..., .~..~..,..~... / Bui~Igg ~l~tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .~.,..~,!!,.fi..,?~ :,'~ 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: I. 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 i% 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. Subm±t Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, ].957) non-conforming uses, or buildings and "pre-existing" ].and 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, Swi,~iug pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildine - $i00.00 3. Copy of Certificate of Occupancy - $20.OO ~. Updated Certificate of Occnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ate .. ............................ New Construction ........... Old Or Pre-existing Building ................. Location of Property..?.~.~.. ......... ] ....... .......-...,....................o~/Z'~/~;//~- R~. 4.~.~.~..~.-.~./d~,~.~?~ House No. Street Hamlet Onwer or Owners of Proper .................. J ............................................... County Tax Map No [000, Section.,/.~,,.~. ...... Block. ~,2~ ...Lot .~. ~" Subdivision .................................... Fi]ed Map ............ Lot ...................... Permit No..C~.~.~. .... Date Of Permit.. ?/.~.//~.~ .... Applicant.~.~.~...~. ~.3~/~.?~. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~. ....... Fee Submitted: APP[,}' CANT 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 24, 1996 Ms. Barbara Berdinka 1245 Main Road Laurel, NY 11948 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 9 21667-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, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 28, 1995 Ms. Barbara Berdinka 1245 Main Road Laurel, NY 11948 Re: Building Permit #21667-Z Premises: 875 Franklinville Road, Laurel Suff. Co. Tax Map #1000-125-2-5 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 $outhold, 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. =OUNDATION (1st) ?OUNDATIO~U ~_. ~0UGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FI~AL ADDITIONA'L COMMENTS (2nd) Examined . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHQLD, N.Y. 11971 TEL.: 765-1803 Approved ......... 19 .~..~Permit No. ~..O~.. ¢~./ Disapproved a/c ................ ;'i '~i '" %` / · / ............................ ~/(B uiiLd, i'ng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. mt~ ... ~& ?. ......... ~ 9 7~ 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. :'t b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 5 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c;.ation. 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 i.!l~pections. ~ /7 t ... ~.~....U.......~..?...~.. ~ .... -- (Signature of applicant, or name, if a corporation) .... (/. f.?.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general 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) Builder's License o.~~.. '~'-~Z,' cite- ~..~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1.- Location of land on which proposed work will be' done. House Number Street Hamlet Co.n~y Tax Map ~o. lOOO Section ../.~ .d.i .......... ~lock .... ~ ........... Lot. ~ ............... 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 ~ ....................................................... b I d d nd oc y ........ ~ nten e use a cupanc ........................ . ~ 3. Nature of work (check which applicable): New Building .......... Addition '""~' Alteration Repai~ ..... ~'.. Remdval., ............. Demolition .............. Other Work ~ ,57'3'00 ~ a, o ~ ~ (Description) 4. Estimated Cost ............ . ....... ~ .~. (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 mixe4 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ............... Height ......... : ..... Number of Stories ........................................................ Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. Depth .................... i ' Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Numlcer of Stories ........................................................ 9. Size of lot: Front 'i'i ...... 4 .......... Rear ....... D.o~th .. .................... , ............... 10. Date of Purchase ~ ........ ' ......... Name .... of Former Owner ~. . district in which prem .............. 1 I. Zone or use ises are situated ..................................................... 12. D°es pr°posed construction violate any zoning law, ordinance or regulation: .............. g4'. ~. .............. 13. Will lot be regraded .......... i .................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises , Address · ' ...................................... Phone No ................ Name of Architect ........... ~ ................ Address ................... Phone No ................ Name of Contractor .......... , ................ Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal w~tland? *Yes ........ No ......... *If yes, Southold T6wn 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 nhmber or description according to deed, and show street names and indicate wheth'er interior or corner lot. ;TATE OF NEW YORK, 2OUNTY OF ................. 765-1802 9 AM TO 4 PM FOR THE 1. FOUNDATION '~0 REQUIRED FOR POURED CONCRETE 2~ ROUGH - FRAMING & PLUMBING 3, ~NSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRU~ION & ENERGY CODES· N~ RESPONSIB~ FOR DESIGN OR CONSTRU~ION ERRORS .......... ' ..................... ! ......... being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) ......... ,bore named. . [e is the . ' ' (Contractor agent corporate officer etc ) f said owner or owners, and is duly {uthorized 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 ,ork will be performed in the manner s~t forth in the application flied therewith. worn to before me this <:9. ~' ~ .day or..~ ........... 19..~.~'"-' 'otary Public, , ~~2___,. '. County ,,~,. n~o2.~. 45, ~uff~kC~ (Signature of applicant) ~6