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HomeMy WebLinkAbout21332-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCC~/PANCY No Z-23970 Date OCTOBER 19, 1995 THIS CERTIFIES that the buildin~ RENOVATION Location of Propert~ 3005 OLE J~LE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 122 Block 5 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1993 ~ursuant to which Building Permit No. 21332-Z dated APRIL 9, 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 RENOVATE EXISTING ONE FAMILY DWELLING DAMAGED BY STO~, The certificate is issued to KEITH & BARBA~ARADICH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-292062 - OCTOBER 12, 1993 PLUMBERS CERTIFICATION DATED OCTOBER 18, 1995-PECONIC PLUMBING & HEAT. Rev. 1/81 lrOR~ NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 2133aZ Permission is hereby granted to: ~.~..}? ~..~.~.:~..~ ........ .... .~...o.~.~..;....~.....~....~ ........ ~.~.....~.:.~.,.....~./..~..~.~ ..... ,o ...... at premises located at ..~.,......~ ........ ~......~iii~ .......... ~...'.'"~ ............. County Tax Map No. 1000 Sectio~:~...~...~.....'~.. ....... Block ........ ..~...~'. ..... Lot No...)...~ ................. pursuant to application dated(') -- ..~..~.......~.-- ......................... , 19.~,.~:~, and approved by the ~J Building Inspector. Fee $...~...~./.?..~ ... ...... '~""*'''l~ilding Insl>ector Rev. 6/30/80 BLDG. D., ~'. TOWN OF SO~ rD.lOl D A. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPI, ICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in hy typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final snrvey 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 ].ess thaa 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 "pre-existing" land uses: I. Accurate snrvey of property showing all property lines, streets, bnilding and unssual 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 Buiidin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ...'.o. 1. ...................... New Construction .... .~. ..... Old Or Pre-existing Building ................. Location of Property...3.~. S ................ 0.\ -~...~'k~X .~. L~ ...... · .~...~,~ ~.~. ?.~.~ · ttouse No. Street Hamlet Onwer or Owners of Property ....... ?.. .~.. .......................... County Tax Map No IOO0, Section. ,[~.,(,~. .... Block.(~5*(~{~ ....... Lot..(~.~3 .~ .~.(~.(~ ...... Subdivision .................................... Filed Map ............ Lot ...................... Permit No..a./.5.~..r~-.Z.Date Of Permit ..... .~.lg.~. ...../.~.3 Applicant..~[~...~.....~a~.~..~... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ......................... / Request for: Temporary Certificate ........... Final Certicate...~ ...... ~ \ APPLICANT Co 73 7D 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 C E R T I F I C A T I O N / / - Building Permit No. ~ (please print) (please print I certify that the contains less than 2/10 solder used in the water supply system of 1% lead. · (PlUmbers S'~gnature) Sworn to before me this day of E3 7 Notary Public, ~..h~C County THE NEW YORK BOARD OF FIRE UNDERWRITERS [ [ 9 ~ [ 97 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO:38 Date THIS CERTIFIES THAT in the followlng location; ~ Base~nt ~ Ist FL ~ 2nd Fl. O~T ~ Section Bilk Lot ~s examined on 0 ~ ¥ 0 ~ ~ (~ ~ ~ t ]. ~ 9 ~ and found to be in compliance ~ith the Na~onal Elect~cal Code. FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C OF CC, COND. NO. OF HI-LEG A. W. G, NO OF NEUTRALS OF HI-lEG OF NEUTRAL 81%8A~ 11957 G~NERAL MANAGER ~ L~ This certificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONdL COMMENTS: 76S-1802 ~, C.~,~_~ J I H S PE(::'rlC) N-----__~ I ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND ~[ ] INSU.L~AT~N [ ] -FIZAMING [ ] FIREPLACE & CHIMNEY ."MARKS: DATE FOI~M N0. 11 TOWN OF SOUTHOLD BUILDING DEPARTM~2{T TOWN H~LL SOUTHOLD, NY DEVELO PMET~T PERMIT :~o .. /~,f ~ Date_ //~F~zl ~ __. 19.~ Pe:~-~l~slon 1~ h~reby grantod to: ,. %~ ~ ~ Cou,,~y Tax M~p No. !000 Seo~lo~ .J:~_Blo~k ~ Lo~..~] ...... pu~uoa~ to a~pltoa~ion da~ed ~ ~ __~ 19~., ~nd appx'oved b~ the Bullding Inspe~op. Building Po::nlt Building InspoctoP 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 October 12, 1995 Mr. Keith Radich 3005 Ole Jule Lane Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: xx An application for Certificate Occupancy 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. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21332-Z Please contact our office on this matter. Thank you cooperation. for $OUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1923 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 27, 1995 Mr. & Mrs. Keith Radich 3005 Ole Jule Lane Mattituck, NY 11952 Re: Building Permit %21332-Z Premises: 3005 Ole Jule Lane, Mattituck Suff. Co. Tax Map ~1000-122-5-17 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. Thomas J. Fisher Senior Building Inspector IA.... pplzcatlon Received' Disapproval Issued 19 FORM NO. 10 P~it # APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 19 1. Type or DeveLopment Proposed: New Structure %lnc'' Iud'~lng storage tanks Addition and/or Alteration__ Fled Proof Below Base Flood Elevation__-- 2. Elevation Data ~n relation to' a~ove main sea love1 ~f: (a) Lowest floor elevation, including basement feet inches (b) In a V Zone, bottom of lowest structural member ~eet inches 3. FIRM--Flood Insurance Rate Map, Zone designations 4. Owner of Premises .~.~,~ ~ ~m,~_. ~~ 5. Location of Property: House # ' Street ' ~ Hamlet County Tax Map No., Dist. 1000, Section /2Z1~ Block Subdivision Filed Map# 6. Permission to be granted: ~ Owner as above ~ New Owner :. Under Contract .. Lessee __ Contractor __ Phone Name if not given above Mailing address Lot(s) / 7 Lot (s) 7. Approval from other(s) before Permit is issued: e DEC Wetlands (Town Board) Health Services ZBA Building Permit ~ ~ ~ Planning Board · t~ant~, m the Owner __, Co-Owner I, I__, New Owner , Under Contract , Lessee __, Agent , Contractor , and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. STATE OF NEW YORK ', %, '2? COUNTY OF SS Signature SWORN TO THIS DAY ~F 19 ~otary Public ApPlicant.s mailing address and phone # if not given above 11/85 FORM ~0. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 Southold, N.Y. Town Hall Main Road Southold,N.Y. 11/85 11971 ApPI.¥C~TA~ ~ n~V~T.ODM~N~ DEpMiT Instructions: The application to the Building Inspector includes (each In ,~~) 1. Fork No. 10 filled out in ink or typewritten, 2. Sur- Vey of premises with!elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. ~ .~, General Standards as irequired in Section 46-17 of the law to minimize flood ~amage: A. Anchoring of!structures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision ~roposal with drainage, public utilities design and base.flood, e~evations ~pecific Standards as. required in Section 46-18: A. Residential clonstruction Non-residents:al construction C. Mobile homes i The applicant must submit plans and specifications as well as any other~ information requestedi by the Building Inspector to substantiate the facts that the structure ha:s or will have the lowest floor, including basement/ cellar, elevated abov~ the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below thelbase flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural componentsi are capable to resisting, hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. C~oastal High Hazard. area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied wi~h. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation With all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. ~uilding Permit. A B6ilding Permit is als~ required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction, the inspector shall be notified in time so he may make the required insPections.~ Upon completion, the ~equired certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill o~t the form,.on the back of this sheet) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .., 19 .~..c~' Approved .... 19 .~.~. Permit No..c~.. }. ~ ~ o1 ':~ Disapproved' a/c .......................... ~..~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ClIECK .......... SEPTIC FOR~I .' '''''''''.''''''''" CALL ................... 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 sti'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 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, buildiqg code, housing code, and regulations, and to admit authorized inspectors on premises and in b~ilding for necessary in~ --' ~ (Sigr~atur9 of applicant, or name, if a co,rporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. NJme of owner of premises ........ ~'~-~.'¥..~...x~7... (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 No...~..l~.../Y/?..~..~...~.~ ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ... ...... ' ........ 0.. .............. .......... ltouse Number Street Hamlet County Tax Map No. 1000Section ....'I.~..C~ .... Block ...(2).5.,.~.. ' Lot..O.l.~..~.~D'~O~ .... Subdivision ........ . ............................ '. Filed Map No ............... Lot ............... (Name) 2: State existing use and occupCncy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. . b Intended use and occupancy . .' ...... ' · 3. Nature ofw~rk~heck which applicable): New Building .......... Addition .......... Alteration .... 2.. Repair .... V ......... Removal .............. Demolition ..... : ....... Other Work ........ 4. Estimated Cost. ~ "· .. ...... Fee .... ,~ ......... ............... i (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 .... !...\ ..... ' ...... If business, commercial or mixdd occupancy, specify nature and extent of.each type of use 7 Di fexi ti th ~ if ,5'.Q .'JJ.O ............... i ..... · mensionso s ngstruc rs, any:Front .......... Rear ....... D:pt.h 'ght [.~ mb fSt [ ' ' .................. .'~..~. He~ ............. Nu er o cries ................ ' ...' .............. .. . .. Dimensions of shine structure with alterations or additions: Front ' Depth ' ' Height ' Number of Stories 8. Dimensions of entire new construction: Front '~ .~.Y'~ Rear .................... ..... : ............... Depth ............... .Height ...:..' ......... iX/umber of Stories .................... - . 9. Size of lot Front .~ ~5~1~.. Rea~ ~ 3' 5~ '" .... ~, ~ .'. ' ' '~ ?3'r~ ......... '. · 10. ateo~eurcnase . ~t'~."[ . . .. · Name of Fo ^ '' ......... :1' ......... ¢. rmer ~,~wner .................... , ...... 1 1. Zone or use district in which pr~mises are situated ~'~.~G~?c~. ~x~ ....... 12. Does proposed construction violate any zoning law, ordinahce or regulation: ....Y~O. ........................ 13. NW, ill lot ?~regraded .....'~' .~'i ',','~' ' · ~'~ · '~' · ', ...... Will exq_ess fill be r, oglloved from premises: Yes marne of Architect .......... ~ ................. Address ................... Phone No ................ Name of Contractor . , , ....... ~ ................. Address ............ : ...... Phone/No ................ 15.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No...~ ..... · If yes, Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all lbuildings, Whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block Oumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NFz~W-YOR]I~/~ / ~ SIS COUrirY-OF. 2 .%.... (Nam4 of individual signin~ contract) above named. He is the ' ~ i (Contracto~gent;}or~orate officer ere ) of said owner or owners, md is duly authorized to perfom or have perfo~ed the said work and to m~e and file this application; that all statements contai~ed M this application are true to the best of his knowledge and belief and that the work w~l be perfomed in the m~nerfiet forth M the application filed therewith. Sworn to before me }his ~ . .............. :~:'V;'...dayof,.u..~/~f,~.'., ~ / ..... ~ml.~n ~piree Oeee~er 8, lg ~ , . ',,~ TShnat' [ 'g ure of applic~t) .