HomeMy WebLinkAbout21413-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24157 Date
FEBRUARy 8, 1996
THIS CERTIFIES that the buildin~
#935 POND AVE &
Location of Propert~ 70 PARK AVENUE
House No.
County Tax Map No. 1000 Section 56 Block 1
Subdivision Filed Map No.
ADDITION
SOUTHOLD NY
Street Hamlet
Lot 2.14
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 12, 1993 pursuant to which
Building Permit No. 21413-Z dated MAY 18, 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 A DECK ADDITION TO A OWE FAMILY DWELLING AH APPLIED FOR.
The certificate is issued to
JAMES & ET.?.RN WEESE
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Rev. 1/81
]rO~r NO. Jl
TOW~ OF $OUTHOLD
BUILDING DI.~PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~? 21~1~ Z
Permtssio~ is hereby granted to:
....... .....................
....... .~...~ .... ~: ...............
~o ......~. .......r~ ............... , ............ ~ .............. ~.~...~ .............................................................
Ct premises '~cated at ............................. ,~..(~, ....... ..~.~,.~ ......... · .~....~'.,.~'..~ ............................................
.......................................................................... .C....~..~.~..J. ........................................................
,/
co~.~ To~ ~op No. ~ooo s~,o....~ ............. ~,~ ..... ./.. ............ ~o, No.....~.....~ ....
pursuant to application doted ................ ....~?~,.././..,~- ...................... , 19..~..~..., and approved by the
Building Inspector.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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-9 form).
3, Approval of electrical installation ~rom 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1, ~curate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
~. 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, Swinm~ing pool $25.00, Accessory building $25.00,
Additions to accessory building $25,00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100,00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15..00,,Coramarcial $15.00
Date ...~../.,t~,~ .........................
New Construction ........... Old Or Pre-existing Building
Location of Property..~..~. ............ :.~.~J~, .~[.~- .~. ................ 5]0~' -~'~%~(~) .......
House No. Street HanLle t
Onwer or Owners of Property...-~,.-.,.~,-.. ............................
' 56. L
County Tax Map No 1000, Section .......... Block .............. Lot..~
Subdi~±s±on .~0~/~:..~{4C). ~'~-~.~-~.T'~. ·~. ..... Filed Map ............ Lot..,/Z ...............
g/, .~./.~ - .~.. Appli .~.~.~- ~. ~..~. ~, .~..~'
Permit No ........ Date Of Permit ................ cant. .. - ......
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate...~ .....
Fee Submitted:
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. James Neese
P.O. Box 1269
70 Park Avenue
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)
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 # 21413-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New Yo~k 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 13, 1995
Mr. James Neese
P.O. Box 1269
70 Park Avenue
Southold, NY 11971
Re: Building Permit #21413-Z
Premises: 70 Park Avenue, Southold
Suff. Co. Tax Map #1000-56-1-2.14
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)
~OUNDATION
IOUGH FRAME &
.PLUMBING
~IISULATION PER N.
STATE ENERGY
CODE
ADDITIONA'L COMMENTS:
.:.lq,70 ~8 ~ E:.
~* ~ ;.~:o~a~ (#v ~;.~,~ ) is ~ Zo;_~-~o 78 /douse
I ME EV.~'TIO~q
.LN.7..C' ~850 E.
i! i' '~ TOWN OF SOUTHOLD
'iii MAY 1993 BUlLmNO DEPARTMENT
· ~, ' TOWN HALL
, : SOUTHOLD, N.Y. 1197~1
: ,. . ' TEL.: 765-1802
Approved ........... , ]9 Permit No. ,
Disapproved a/c .....................................
_ . (Bui/~l/g I, fispector)
APPLICATION FOR BUILDING'PERMIT
B~3AgO OF H?ALTIt
..--'SURVEY
~/CIIECK
' 'INSTRU6TIONS
a. Tiffs 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 5}cas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli-
cation. '
6. ' The work covered by this application may n~t be commenced before issuance of Bui/ding 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 inspect/on throughout the work.
c. 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 pumuant 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 taws, ordinances, building code, housing code, and regulations, and to
admit author/zed inspectom on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is ow_~n_er, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.
Nme of.owner ofpremises~'~.c3~...e.~:51. ~,~...CIJT~O~ .~.~.~ ~ /~ ~pp~ll.l~ ....
(s on the tax roll or late~d~~
If applicant isa corporation, signatu~ of duly authorized officer.'. ' FEEt
(Name and title of co~orate~j ~r}~r~ ~V
B alder s L cense No ..... ~ .... ~}~
Electrician's License No ........ ,}J ~ ~. {?¢~.~. [J~N [ ~"~O& g
Other Trade's License No ....... IL?/0. · ~J;LSg~ ~t. f'={~ ~d ~
STATE CONSTRUCTION & ENERGY
J. Location o~]and on which proposed work will bc done .................... CO~E~,..~..~E~P~I~L~.. ~.
~ ~ ~ES~GN OR CQNSTRUCTION ERRORS
.. .... ' .......... ........................
HOUSe ~um bcr Street Ham]et
........ [ ..:. ..... . .....
- . ...... ~[~ :e~ ...... '. Filed Map No. ~ ~.~:~ ....... .
' ( a,ue) -. .........
~. State existing use and occupancy ' ' ' ' ... ~'~ pancy of proposed ~onstruction:
~' of premises and intended use an~ occu
a. Existing use and occupancy - ' ' '
b. Intended use and occupancy .... · 2~.. , ~ .,x
.NOTIFY BUILDING DEPARTM~E~N'r AT
765-1802 9 AM TO 4 PM FOR 'THE
FOLLOWING INSPECTIONS:
1. FOUNDATION -~ TWO REQUIRED
FOR POURED CONCREI~E
2. ROUGH -FRAMING & PLUMBING
3. INSULATION
4. FINAL - ' CONSTRUCTION MUST
BE COMPLETE FOR ~.0.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
k( .
· 3. Nature of wot check whic applicable): New Bu · ~ ..... Addition Alteration ......
Repair .............. R~moval ........ ' '.
i · Demolition ..... : ......... Other Work ..............
E ti d !q.~.~).00Q) ' (D ipti )
4. s mate Cost... -, . escr on
'1 .............. Fee'. ...............................
5 Ifd 11 b r old I ' (to be paid on filing this application)
· we m,,num e we ling units ...... N mb
Ifg b of · · ....... u er ofdwelling units on each flo
· arage, num er cars ..; ......... · or ...............
6 Ifb si i 1 ix d '':' ....
cy sp ify nd xtent f cl .....
7' Di uniess, commerc a orm e occupan , ec natures e o .es ~ e
xisti tUres, ifany F t . . typ of use .............. , ....
· Hmens°ns°le ngstruc : ron ............... Rear .... ........... De ....... ~ ......
Di~£eht i .... }. ~ ....... ~Umber of Stories ..... :.. .......................... pth
· i ith It ti dditi F ........
D ns onso s e structur,, w a era ons or a ons: ront ............ '
pth ' ' Re
e .................. ~ ....Height . · ... ar ............
8 Dime i ofenti ' · Numb of St ties ' '.. '
con~t cfi F ................ ;.. er o .
· ns ons re new ru on: ront .......... a ........... '" ...... '
Height ' Number fStori · .. ·. ear ........ Depth
9 Size fl~'F '; ......... ' o es ....... ' .....................
· Rea ................................... ; .. ·
10' o : ro'~t ......... i~ ............. r ..... · ......
· Date of Purchase ...... .... ' ................ Depth .......
I1 Zone d triii" icho' ' ' Name of Forme Ow ...............
· I mi ............... r ncr .
· or use is c n wi re sesaresitu~*,,.~ . ' ....................... .
12 Do d s '* ..................... · ·
rio viol lng law dina~ce o'n ' ' '
. · es propose construe n . ate anyzon ,or orreau : . ' ......................
13 Will lot b d d ~ ~ lat' . ...... .
14' e rears e ................. WH1 excess fill be remov
Name f O fp i ' ed from premises: Yes No
· Nam o wnero remses .~ ......... , ........ Address . .. .
e of Architect ....... ' ...... . ................ Phone No ...... ' ..
Add '
Name of Cont actor ........ ress ......... Phon No .........
15.' thi ' ' ! 3~3~3 Addr ' Pho e No' ' ': ....
r ty ...... ................ ess ................ n .......... ·..
. ithi rid 1 tl d? ''' ' ' '
Is s proper w n feet of a a we an *Yes ........ No .........
· If yes, SoutholdiTown Trustees Permit may be required·
... : PLOT DIAGRAM
Locate dearly and distinctly all buildings, wheth&r existing or Proposed, and. indidate all set-back dimensions ,from
property lines. Give street and block number or descri.,*;
interior or corner lot. . ~,~,,, a~coramg to deed, and show
street names and indicate whether
T^VS OF NSW ¥ORr
(Name of individual signin¢ contract) being duly sworn, deposes ~d says that he i~ the applicant
bore named.
; (Contractor ...................................
agent corporate officer etc ) ...........
f said owner or owners, ~d is duly ~uthorized to perfom or have perfd~ed the said work and to m&e and file this
:~plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
'ork will be perfo~ed in the m ...... ' .........
,,~n~r ~t lorm m the application filed therewit . '
worn to before me this // ~ h
o'ta Pubhc
' · · nty
~ ' ,