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Home My WebLink About21049-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~UPANCY No Z-24241 Date MARCH 26, 1996 THIS CERTIFIES that the building ADDITION Location of Property 740 POQUAT~KLANE House No. Street County Tax Map No. 1000 Section 27 Block 3 Subdivision Filed Map No- ORIENT, N.Y. Hamlet Lot 4.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1989 pursuant to which Building Permit No. 18364-Z dated AUGUST 9, 1989 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 TRELLIS ADDITION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 J. WILLARD & ~AROLE R. ROOSEVELT N/A N/A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~? 210~lZ Permission is hereby granted to: ..... £~ ..e...:... ~ ~;-~'~. ..: ............ -~,.;.-..~ ........... ~.-.-.~.~.;...~.~.~.~._:~ ................ ~ ........ ,...~ ...................... at prem,ses located at ~.~...~.. ...... :-J..~....~......~...~.~ ....... ...t~ ............................ County Tax Mop No. I000 Section ...... .(;~.~ ..... Block ..... ,,,C~,..~ ....... Lot No......~..'...:"~... .......... pursuant to application dated .... .(~. .............................................. , 19..c)....~.., and approved by the Building Inspector. Fee $ ....................... Rev. 6/30/80 FEE:, APPROVE~A$1NOTED ~¥: ~/. ¢ L, ., DEPARTMENT AT F( INDA'Ti(}N 'TWO IREO, UIRED FOR POURED CONCRETE 2. ROU¥3H - FRAMING & PLUMBING 3, INSU~TION 4,.FINAL CONSTRUCTION MUST BE cOMPLETE FOR C,O. ALL SHALL MEET NOT APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A., T-~N~'~.,~~ must be filled in by typewriter OR ink and submitted to the building .... f~*~t~'~"~h~'Jollowing: 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existinK Buildinm - $100.00 3.Co~y of Certificate of Occupancy - $20~00 ~ 4. Updated Certificate of Occupancy - $50.00 5..Temp°rary Certificate of Occupancy - Residential $15.00, Commercial iiiiii ~..~..~Z~..< L..,/,,~' Date .................... New Construction ........... Old Or Pre-existing Building ........ Location of Property..'~..~. ~ ............... [~ %.(~ .~ ~.~.C~. .......... House No. Street Hamlet 'lOnwer or Owners of Property..~.~.l'l/.~..~..~...?...~?..~..f~ ..~......~.. ~.~..~.. ............. JCoun Tax No i000, Section .... .~...~..,...Block .... .~. ...... Lot..~<~3 .... ty Map ................ Subdivision ...................... ............ .. Filed Map ............ Lot............. ....... .. .IPermit . .~..~.~?.~. ~..~ .......................................... No . .Date Of Permit Applicant .... Health Dept Approval Underwriters Approval ..... Planning Board Approval .... ,IRequest for: Temporary Certificate ........... Final Oerticate...~., ..... IFee Submitted: $.~.5-- -- ............ X' iELD ~ .......... ~ OUNDA~ION (1st) OUNDATION (2nd) OUGH FRAME & .PLUMBING NSULATIO~! PER N. Y. STATE ENERGY CODE " FilIAL ADDITIO~L 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 February 6, 1996 Mr. & Mrs. Willard Roosevelt P.O. Box 90 Main Road Orient, NY 11957 Re: Building Permit #18364-Z & 21049-Z Premises: 340 Poquatuck Lane, Orient Suff. Co. Tax Map #1000-27-3-4.3 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. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. i REMARKS.'~ ~ DATE ~:~ / ' ' ,~:~ INSPE . _ 3. Nature of work (check which applicable): New Building Addition ....... Alteration .......... Repa/r .............. Removal .............. Demolition .............. Other Work. :...~..~, ....... ...... (Desc pt,on, 4. Estimated Cost ................... Fee ...................................... 5. If dwelling, number of dwelling units ....~). ......... (to be paid on filing this application) If garage, number of cars ....................... . Number of dwelling units on each floor...~. ........... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing strnctures, ifany: Front ............... Rear ...... : ....... Depth ............... Height ............... Number of Stories ........................................................ Dimensions 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. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. 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 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 wetland? *Yes ........ No *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description accordbag to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ....... r'~,-- ..... "-- ~ ~(~':~C.~.l..[.~ ! ..... '.~.~..~...o.~?..~..~..~./.,.~ . being duly sworn, deposes m~d says that he is the applicant (Name of individual signing contract) above named. He is the... ~ .Q .~.....(~..~.~ .~ ................................................................ (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly authorized 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 set forth in the application filed therewith. ;worn to before me this ( No. 4951364 licant) Qualified ir~ Su [folk County ,~ ::~ Commission Expires May 22, 19 ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS . .................... sE v c .............. NO IPY: ~ ... .... H~ Z 0: INSTRUCTIONS · a, This application must be compl'etely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to seal4. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~r 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 coverdd 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 w6rk. e. No building shall be occupied ~r 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 k uildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with fll applicable laws, ordinances, buildi~ code, housing code, and regulations, and to admit authorized inspectors on premise and in building for necessary inspection% ~,-~3/ (Mailing address of applicant) d. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 0.0~' , :, (as on the tax roll or latest deed) If applicant is a corporation, signature !of duly auth~orized officer. (Name and title of corporale officer) Builder's License No....C ~.~. .(4...IRT. ~. ..~- Plumber's License No ......... , ................ Electrlqian's License No ....... , ................ Other Trade's License No. . 1. Location of land on which proposed work will be' done. ............ ccc, .0..e .............. &..¢...C.,5 ............ ..... House Numberi r Hamlet County Tax Map No. 1000 Sectiofi ........... Block ........... Lot .... Subdivision ................. 4 ..... .............. Filed Map No ............... Lot .............. (N[ame) State existing use and occupancy (3f premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .Iq. I~ .L~ .~. .................................................... . ..... b. Intended use and occupancy .' ~ ~P. PROVED AS NOTE~ '' -- 0 4 P~ FOR FOLLOWING ~EC"F~CY 3. INSULATIO~ e , , 4. FINAL CON,~TRUCTK)N ~t.~ 8E COMPLETE FOR C.O. ALL CO~TRUCTION SHALL THE REQUIREMENTS OF THE ~ STATE CONSTRUCTION & ENERGY CODES. NOT PONSIBLE FOR ® % ~oo r" ~ rtl o ~ 8