HomeMy WebLinkAbout21072-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP/~NC~
No Z-24383
Date MAY 29, 1996
THIS CERTIFIES that the buildin~
Location of Property. 100 SU~4IT DRIVE
House No.
County Tax Map No. 1000 Section 106
subdivision
ADDITION
MATTITU~K NY
Street Hamlet
Block 2 Lot 10
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated O~TOBER 29, 1992 pursuant to which
Building Permit No. 21072-Z dated NOVEMBER 9, 1992
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 DE~K ADDITION TO AN EXISTING OWE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to
HELEN LIGNOS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/&
N/A
Rev. 1/81
/~ui~ding Inspector
FOB,~ NO. f~
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~3qo. 2107~Z
Permission is hereby, gr~nted to:, .~ /~ / / / / ,
~_~~~~.....'~__~./..~,~
~..,~..~...~..~..2.../. .................. ~_.
,o,.~~~....~~;~~....~...~~...~_~ ~
~~....~ ..~~~ ....... ~ ~ - ~
at premfses I~ated at ...~.~ ....... ~~~-~~....~- . ~. ? ~; ~-
................................... ......................... ...........................................
Coun~ Tax ~ap No. 1000 Section ....... ~ ...... Bilk ......... ~. ....... Lot No ..... ~.~. ............
pu~uant to application dat~ ..... ~~ .............................. , 19~, and approv~ by ~e
Building Inspector.
Rev. 6/30/80
Form No. 6
Tom 0F SOUTHOLB
BUILDING DEPARTMENT
~,~.i~t NAY 2 2 I~ 7 765-1802
L
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 from 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:
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.
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-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $2OIOO
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ........ ~..~ ..........................
New Construction ........... Old Or Prg-existing Buildi~ .... W~ ..... _. ......
Location of Property ...............................
House No~ ,~ .,'o ~ . ~-~ ~ ~ ~, ~St~eet Hamlet
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision ~.~.,~..~.. . Filed Map Lot .......
Permit No Date Of Permit ....... Applicant ·..
Health Dept. Approval... ............... ..... .. . Unde~riters 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
February 14, 1996
Ms. Helen Lignos
58 Weybridge Road
Mineola, N.Y. 11501
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
XX
not on file. (Enclosed)
No Underwriters Certificate on file.
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 # 21082-Z(DECK ADDITION)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O, Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDII~ G INSPECTOR
TOWN
February 6,
1996
Ms. Helen Lignos
58 Weybridge Road
Mtneola, NY 11501
Re: Building Permit #21072-Z
Premises: 100 Summit Drive
Suff. Co. Tax Map #1000-106-2-10
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.
fOUND A'TI ON ._~(1 s t )
:OUNDAT!OU (Qnd)
tOUGH FRAME &
-PLUMBING
iItSULATION PER N.
STATE ENERGY,
CODE
ADDITIONA'L
COMMENTS:
APIHI()VED AS NOTED
~E: ,~ ~ ~v:
76S-1802 ~ AM ~ ~ PM FOR
FOLLOWING INSPECTIONS:
4 FIt,JAL COi'4?;FRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUC,rlON SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES, ,N.~T{J RESPONSIBLE FOR
DESIGN ~R~ONSTRUCTION ERRORS
2/
1.. ~ Nos
FORM NO. 1
~ov TOWN OF SOUTHOLD
30
· /-,:. BUILDING DEPARTMENT
TOWN HALL
'\Pproved./¢7. ...... '.., 19/~'~ennit NO. ~../, ~.7..~'. .~
APP?CATION FOR BUILDING PERMIT
BO,\~.D OF HEALTII .........
3 SETS OF PLANS ..........
SURV£Y ...................
ClIECK ....................
SEPTIC FO R,'I ..............
I'IA l L TO:
INSTRUCTIONS
a,, Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:ts 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 streets
: areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:tion.
c. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval o£this application, the Building Inspector will issued a Building Permit to the appl/cant. Such permit
:aB 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
all 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
filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
;gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
ze applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
mit authorized inspectors on premises and in building for necessary inspectio~s.~, /- . .~..~ .t~.
AM£RICAN EXTERIORS (Signature of applicant, or name, if a corporation)
Box 667
MATTITUCK, NY 11952
(516) 298-4625 ..............................................
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
me of owner of premises ............. ].~.
(as on tile t.ax roll or latest deed)
~pplicant is a corporation, signature of duly authorized officer.
Date ....... , 19. 2~
Plumber's License No .........................
Electricia,n,',s License No .......................
Other Trade's License No ......................
...
Location of land on which proposed work will be d'~ .... .
...........................................
muse r~umoer Street Hamlet
2ounty Tax Ma o. 1000 Section ............... Block . . .O. ~ Lot [ ...
;ubd, ,s on ........ C. ,ed ,ap No.. l.b..7...w. ..... Lot
v (Name) ' · ..............
;tare existing use and occupancy of premises and intended use and occupancy of proposed construction:/
. Intended use and occupancy
.... ' ........................
Nature of work (check which a~plicable). New Building ,~ . Z--"*'"~~
J' Reprdr .............. Rem!vel ~ ............ Demolition Addition ........... ~,llera~on .. v .......
............. Other %ork ]~ ......
4. Estimated Cost . . ~,~ ~ ' ''': , (Descnpt,on)
ff "'~ ......................... Fca .. . . . .
, filing this application
5. If dwelling, number of dwelling hairs (to be paid nn )
. lfgarage, numberofcars . ~ ............... Numberofdwellingunitsoncach floor .....
Ifbuslness, comnlerclal or mixer ncm , ..... .~ ' .........................................
Dim~-sio-__v ..... [ ..... ,.,.uy, specify nature and ex~cnt of each type oF se ...... * ......
7. cn n~ ~ uxlSrl~g structures . . ..........
,, if any. Front ............... Rear .............. Depth ........
Height .... ; .......... Num~ber of Stories .. . . ....
Dimensions el same stn~cture wi~h alterations or additions: Front .......................................
Height ................. Rear ..................
8 Depth .................... ~ ....................... ~ ...... .
Dimensions of entire new constn~ction: Front uber of Stories
· Nu ,
Height Rear Depth ...........
............... NUmber of Stories ..............................
9. Size of lot: Front ' .................
I0 Date of Purchase ............. Depth ............
Il. 5one or use district in which pr;,~is~s ire itua .... Name or Fenner Owner ................... .,... ........
f P ........ ~ .................. Will excess fill be removed from premises: Yes Np
14. Nme of Ownero remises .... ~ ................ Address ................... Phone No ................ .
N~e of Architect ........... i ................ Address .... ' ............... Phone No;.
Nme of Contractor · · .i. · ..... Address ....... ., .....
~5. Is this property within 300 feet of a tidal wetland? ........... PhoneNo.
' *Yes'. ' ' "' ~'~ ~"' ~ ......
· If yes, Southoid T~ ~ ..... No .........
.we Trustees Permit may be require
.... i PLOT DIAG~f
Locate clearly and distinctly ~l b~uildings, whether existing or proposed, and. indicate M1 set-back d~ensions from
orope~y Hnes. Give street ~d block nOmber or descHptioh accord~g to deed, and show street n~es and ~dicate whether
nteHor or co, er Iot.
(Name of individual signing contract)
ye named.
being duly sworn, deposes a'nd says that he is the applicant
is the ........................ ~ag
~ tnt, corporate officer, etc.) ' ·
aid owner or owners, and is duly autllmrized to perform or have perfonned the said work and to make and file this
'.icatJon that a statements contained 'm '
,. · . ~ ttus application are true to the best of his knowledge and be:lief; and that the
~ Wmll be pcrfo~ed m the manner set f rth in the application filed therewith.
m to before me thisf ,
........... ......
t~ Public, .. Query
~ 8~ et N~ .....
· ' · Qualified in Surfak ~u~ i ~ 7 / (Signature of ap I cant)
~mml~ on E~ rea D~emb~ 8,1~