HomeMy WebLinkAbout20525-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~CY
No Z-24298
Date APRIL 19, 1996
THIS CERTIFIES that the buildin~
Location of Property 51470 MAIN ROAD
Eouse No.
County Tax Map No. 1000 Section 70
Subdivision
ADDITION
Block 2
Filed Map No.
SOuTHOLD, N.Y.
Street Hamlet
Lot 2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 1, 1992 pursuant to which
Building Permit No. 20525-Z dated APRIL 6~ 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 INSTALL WINDOWN & DECK ADDITION TO EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to
DAVID DeFRIEST
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
FOB. M NO. ,s
TOWN OP SOUT~OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE'rlON OF THE WORK AUTHORIZED)
N~N? 2052~Z
Date
..... ~ ......................................... ,19.~
Permission is hereby granted to:
..........
,c~, ~.,. .... ./..~...
at premises located at ...~...~...Z ........... ..'~../~/.~.... **~**..~...(. ..........................................................
County Tax Mop No. 1000 Section .......... .~'..~.. ....... Block 2Z- Lot No. ~
pursuant to application dated ..... ...~'../../. ........................................ , 19 ..~....-~., and approved by the
Building Inspector.
Rev. 6/30/80
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 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') ~on-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.
C. Fees
i. 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 - $202OO
4. Updated Certificate of Occupancy - $50.00
5. :Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ......... 01d Or Pre-existing Building...~. ........
Location of Property ...................
House No. Street Hamlet
Onwer Owners of Property
County T= No 1000, Section.... .. ........ lock ..... .......... Lot .... ................
Subdivision. . .. Filed Map Lot ........... ..
Permit Nv.~ ~ .............. Date Of Permit .......... .... ..Applicant ....' .............. .. · ·
Health Dept Approval . Underwriters Approval ..........
Planning Board Approval ....
Request for: Temporary Certificate ........... Final Certzcate .........
Fee Submitted: .............. ............ . ..
511I_5 APPL C
FOUNDATION
{1st)
FOUNDATIO,'! (2nd)
ROUGH FRAME &
,PLUMBING
II~SULATION PER N.
STATE ENERGY
CODE
FI;IAL
ADDITIO~A'L COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Te)e@hone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 4, 1996
Mr. David Defriest
Reydon Drive
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 ~ 20525-Z
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, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 29, 1996
Mr. David Defriest
Reydon Drive
Southold, NY 11971
Re: Building Permit #20525-Z - (deck add & alt)*
Premises: 51470 Main Road, Southold
Suff. Co. Tax Map #1000-70-2-2
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 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.
* - BP# 22457-Z HAS HAD NO INSPECTIONS AND WILL EXPIRE 5/7/96.
(ACCESSORY ADDITION)
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I/NSULATION
FRAMING [~/~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ iNk'SUCTION
[ F,/~MING [ ] FINAL
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-7802
Examined .
.\pprovcd...~. ~.~.. ...... , 197.~. Pernfft No....',~..~.~'..~?c.~. ~'-~~/
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEAL'FIt .........
?3 SETS OF PLANS ..........
SURV£Y ..............
SEPTIC FOR:I
Date ...... 4q.~t.';-(../...., 19...~2
a. Tiffs 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, relafionsliip to adjoining premises or public streets
r areas, and giving a detailed description of layout of property must be dra~vn on the diagram which is part of this appli-
ation.
e. The work covered by this applicatioR may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the B4ilding Inspector will issued a Building Pc/mit to the applicant. Such permit
~all be kept on tlie premises available for inspection throughout the work,
e. No building shall be occupied or used in ~vhole 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
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, ad~litions or alterations, or for removal or demolition, as herein described.
im 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 inspections.
(Signature of applicant, or nmne, if a corporation)
(Mailing address of applicant)
tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builderl
~ t~ne r ,.
ame of owner ofpre~nises
(as on the t.ax roll or latest deed)
applicant is a corporation, signature of duly anthorized officer.
(Name and title of corporate officer)
Builder's cease No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
oca on o antloll which proposed work w be done. 0 c
IIouse Number Street .....................................................
Hamlet
ConnW Tax Map No. lOOOSection......O7~'..~.~....... Block ...9q'. .........O°~,'~'..OOahgT°
SubdMsion ...... . ...... Filed Map No. . .
~amc~ ............ Lot
Stgte ex[sting use and occupancy of pr~mises and in fended use and occupancy of - ~ ~ro~ose~
congtruclion:
Existing use and occupancy ~ef/~.ce ~lv ~m//y ·
, .......................
......... . ..
ork (gheck wh ch appbcable):
Repair .............. Removal New Building .......... Addition ....... ,Mteration ........
! .............. Demolition .............. Other Work ./7~,'?-~~. ........
3.6'o o ' (D , pti
4. Estimated Cost . , o ese on
$ Ifd Iii b f I il' ~ (to be paid on filing this application)
· we ag, hum ero ~we m~u~lits ........ Number ofdwelling units on eac oor .....
Ifg b of ....... h
· arage, hum er cai'$ [ ........
7' D ti ness, commerca or xedloccupancy specify nature and extent of each type of use .................
s. of existi sl ifa F ....
· HUnenslon ng structure ny: font ............... Rear .............. e ...
eight ............... Numb/ero£Storics D pth ............
D' ' s of ici It ......... ...............................................
mmns~on same structure w 1 aerations or additions: Front
Depth ~ ................. Rear
8 Dimensions , . .;. llclgbt ................ NumberofStories :
, otenhre new construction: Front i .... ' .....................
Height Nurn bbr of Stories ............. 'Rear .............. Depth
9. Size of lot' Front
I0. uateofPur inca //~q~l,~,~ ''' · ......... LJept ....
Cl ......... r {.~ ............
Zone or u°~ a:~,_:_, , Y.'.. ¢' h' ............... Name of Former Owner ~Y.~.d..v~. '.~.~we{/.
I l * ~. a~ LllbtJtl~:t In %VIIlC/Iprell]mos are s tuated ....... t .......................
12. uoes proposed constructiop viol..,.~ ..... . , ,. ' ............... .,./. ......................
13. Will lot be regraded /Vo . ~ ...... : ................ . .....
· ' '. ..... . ~..~ · .t. .... ~. Will exces~ fi I be removed from premises: Yes , Ne,
14. Name of Owner of prem,ses . ..7~{ay2~ . ; . ~.e.~-.~./f.j.,tAddress . ./l.I~!~.h ~..d.
Name of Architect .......... Phone No.
.... ~ ............... Address ................... Phone No ................
Name of Contractor ........... ............... Address ................... Phone No ...........
t5, Is this property within 300 feet of a tidal wetland? *Yes ........ No..~ ..... ' ....
· If yes, Soutbold Toga Trustees Permit may be required.
.... ! PLOT DIAG IL, LM
Locate dearly and distinctly all bhildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nmnber or descriptioh according to deed, and show street names and indicate whether
interior or corner lot. ,D/co'o ,~,t i
'ATE OF NEW YORK,
}UNTY OF S.S
(Name of individual signing cpntract)
we named.
being cluly sworn, deposes and says that he is the applicant
is the .......................... I ...................................
ontractor, agent, corporate officer,'etc.)
said owner or mvners, and is dnly authorized'to perform or have perfonned the said xvork and to m~e and file this
lica~ion; that ali statements contained ~in this application arc true to the best of Iris knoxvledge and belief; and that the
'k will be perfo~ed in the manner set forth in the application filed therewith,
~m to before ale tiffs
...................
NOTARY oUBI
aw Public,
(Signature of applicant)
N I6° 04'30"£
,to./
RD,
SOUI'HOLD
SCHOOL DISTRICT
TM [~ 1000~070 ' 0£ '02
MAP OF
SURvSYFO ~6 NOV, I~91
$CAL£ I" .~ 30'
DESCRIBED PRO?ERTY
OF SOUIHULD, 70WIV OF SOU?HOLD
SUFFOLK COUNT)~ NY
SURVEYED FOR /)AVID £ DE FRl~ S 7 ....... .,
"' '* ~ N~'W 11,956
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