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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 ~ ' ,