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Home My WebLink About21374-zFORM NO. 4 TOWN OF BOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24040 Date NOVEMBER 21, 1995 THIS CERTIFIES that the buildin~ REPAIR Location of Property. 1200 MAIN BAYVIEW ROAD SOUTHOLD, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 70 Elock 7 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1993 pursuant to which Building Permit No. 21374-Z dated APRIL 29, 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 REPLACE & REPAIR EXISTING POR~ES & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. WILLIAM MILFORD (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3822 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A DATED MARCH 1~ 1994 N/A 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) N-eN°, 213T~ Z Permission is hereby granted to' . ~ ~/~'~ '~....~~..~ ................... --" <~/~I./. ............. ................................................... , · ~7/ :.~ , ~'.:?..~...,.. .:.~.: ............. .~ . ~ ,o~p:.~...~.~....~~..~.....~......~>.~_.. at premises located at ...../.~..~.......~.~~.~.~.(.. ........................................ County Tax Map No. 1000 Section ........ ..~..~. ......... Block ......... :.~.. ........ Lot No....~..,~... ............. Building Inspector. Rev, 6130/80 Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled ia by typewriter OR ink and submitted to the buildlng 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 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. Submit Planning Board Approval of completed site plan requirements. For existtng buildings (prior to April 9, ].957) non-conforming nses, or buildings and "pre-existing" ].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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificage of Occupancy - New dwelling $25.00, Additions to dweJ.~jDg~$25.00, Alterations to dwelling $25.00, Swimming pool $2~-~-~J~'~-~ui]ding $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......................................... New Constructiou ........... Old Or Pre-existing Building....~...'. ......... Location of Property....~..~-.O..O. ...... ~..~.'~.. ~M~ .¢~/..~k .............. ~¢.~- .......... House No. Street Hamlet Onwer or Owner8 of Property ..... ~. ............................................... County Tax Map No 1000, Section .... ~.0. ....... Block ....... .~.. ...... Lot. 1.~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~.~[P.~..~...Date Of Permit..?/.~.~/~. .~ .... Applicant..Ef~ .~. · .~..~.~. ,~1~..' ........ Health Dept. Approval .......................... Underwriters Approval · L ................... Planning Board Approval.,...~. .................. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... ..z..f .% ................. APPLICANT 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 October 12, 1995 Mr. William Milford 1200 Bayview Road Southold, NY 11971 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) 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21374-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. UNDATIO~ (2nd) BOUGH FRAHE & -PLUMBING ~SULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~JLATION [~,~"~1NAL DATE [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [~ F/OUNDATION 1ST i- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING' [ ] FINAL REMARKS: ~~ DATE ///~'~/~· INSPECTOR 7~-1M2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ,:~ULATION [ ] FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ~FRAMING [~] FINAL DATE 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 September 27, 1995 Mr. William Milford 1200 Bayview Road Southold, NY 11971 Re: Building Permit #21374-Z Premises: 1200 Bayview Road Suff. Co. Tax Map #1000-70-7-19 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has 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. Thomas J. Fisher Senior Building Inspector 6 I I' ILL..L._LI' I' :;'t :L 1.1 I I ',, ~'t 3. Nature of work ¢check which applicable): New Building ..... ' ..... Addition .......... Alteration ...,q'. ...... Repai$ .... "/'.'C..,~ ...... Removal .............. Demolition .............. Other Work ......... 2 2 ~.... 4. Estimated Cost ~l-'o~w,x - ~. /O, ~ · (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 ........................................................ D/mensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ' i 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................... ,~... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No [4. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ i5. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~... *If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-hack dimensions from )roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. A QV, ED AS NOTED FEE' ~.. ~'"~"~// N~JflFY BUiLDINg-DEPART~AE'I~ff AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTiONS: 1. FOUND~'r~oN ,. TWO R~,QUIRED FOR POURED CONCRETE 2. ROUGH * FRAMING & PLUMBING 3, INSULATION 4, FINAL CON,qTRUCTION MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~TATE OF NEW YORK, S.S 7OU~toL,oq~...~IhIFY OF . ...._. · · · · · .... . ............. being duly sworn, deposes and says that he is tile applicant (Name of individual signing contract) ~bove named. te is the ..................... ~.C~A/.T~f3.G 2F.O ~ ................................................... (Contractor, agent, corporate officer, etc.) 2f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplication; 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 set forth in the application filed therewith. lworn to before me this ........................ day of ............. , /otary Public ........... ~ ............. County LINDA j COOPER N?,tary Public, ~tate ~,~ ~ ..... (Signature of applicant) 'FORM NO, 1 '~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT I TOWN HALL ~ $OUTHOLD, N.Y. 11971 i TEL.: 765-1803 Examined ........ , l__ Approved..~.:/~ ........ 197~-~.iPermit No..~.../.~..'~...~..~ Disapproved a/c ................. [ .................... BOARD OF HEALTH 3 SETS OF PLANS SURVEY .......... CHECK SEPTIC NOTIFY CALL ................ MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in znk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scal~. 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 descripiion 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 ifor inspection throughout the work. . e. No building shall be occupied ior used in whole or in part for any purpose whatever until g Certfficate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE t6 -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 bt~ildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with fall applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections~... [~.S''~'~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lc}see, agent, architect, engineer, general contractor, electrician, plumber or builder. ' ~ ~' (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CON, TRACTOR'S MUST BlS SUFFOLK COUNTY LICENSED Builder s License No...t.~: .o ~.. 1.3. , .iii ........ , .... Plmnber's License No 1. Location of land on which proposed work will be done: .../..'~...~...~.~-y:. · · ] ......... House Number Street Hamlet County Tax Map No. 1000 SectiOn .... ~'~. ........... Block .... '? ............. Lot....~. ............. Subdivision ................. i .................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy iof premises an.~d intended usef.~d occupancy of proposed construction: a. Existing use and occupancy . .i ......... .q]" .~,1.. ,c- .)' I(c~% .......... b. Intended use and occupancy