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Home My WebLink About20526-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-24416 Date JUNE 11, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 7655 MAIN ROAD House No. County Tax Map No. 1000 Section 122 Subdivision ALTERATION LAUREL NY Street Hamlet Block 6 Lot 30.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 1992 ~ursuant to which Building Permit No. 20526-E dated APRIL 8, 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 WINDOW IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR IN DWELLING NEARESTMAIN ROAD. The certificate is issued to WILLIAM~OODALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FORM' NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WOP,.K AUTHOR. IZED) NgN°, g05~6Z Date ....~ ....................................... , $~.~,..,.-~'- Permission is hereby grant~J ,to:,/~ /,9 / ~ ~ . ....~...~...~_~' ........ ~ .................. ,o .,,~..~.,~....~.....~...;..~,~.....~¢_..~...~~.... ,~/4~ ......_ .... at premises located at ,.~,,,~, .................. ~,~.,..~... .......................................................... .................................................................... ./.~ ......................... .~. .............................. ~..:.L. .... County Tax Mop No. 1000 Section ~ Block ..~ ...... Lot No ....... ~ .... pursuant to application dated .... ~..~... ................................. , 19...~......~, and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: i. Final survey of property with accurate location of ali 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. B. For existing buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing ali 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-existing Buildinm - $i00,00 3. Copy of Certificate of Occupancy - ~20~00 4. Updated Certificate of Occupancy - $50.00 5. :Temporary Certificate of Occupancy - Residential $15.00, Commercial $15,00 Date ... ............................. New Construction ...... ~ .... Old Or Pre-existi Building.. ~ Location of Property .... 7.~*~. . ..~.~' ?%> ~rZ'Tff~''- House Ne. s Ha et Subdivision....................... .......... . .. Filed Map ............ Lot ...................... Permit No..~..~.~.a~...~...Date Of Permit ................ Applicant~-~'.O...~...~ .......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APFLICANT ~OU?_~D^?~O~ (1st) ?OUNDATION ( 2 nd_____!) 2. ~OUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI;IAL ADDITIONA'L COMMENTS: 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 April 30, 1996 Mr. William Goodale Box 55 15 Fourth Street New Suffolk, NY 11956 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. ~ ~/~ 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 # 20526-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, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 29, 1996 Mr. William Goodale Box 55 15 Fourth Street New Suffolk, NY 11956 Re: Building Permit #20526-Z - (install windows) Premises: 7655 Main Road, Laurel Suff. Co. Tax Map #1000-122-6-30.1 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. zy FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Disapproved a/c ..................................... (Building In~ctor) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ..... 3 SETS OF PLANS .......... SURVEY ................... CIIECK ......... ; .......... SEPTIC FORH .............. NOTI PY: CALL ................... MAIL TO: Date ~ 19 INSTRUCTIONS a. This 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 streets or 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 covered by this application may not be cbmmenced 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 work. e. 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 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 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to authorized inspectors on premises ... ~~.~-,~-~ ................ admit and in building for necessary inspe ion. ~ -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) applicant is owner, lessee, ge~ architect, engineer, general contractor, electrician, plumber or State whether builder. Name of owner of premises ....... : ......................................... (as on the tax rgtl p[Ja~es,$ deed) If applicant is a corporation, signature of duly authorized officer. · ~;.~,~'L~ ~'~ ~,~C~%~ ~-~, ~ .... (Name and title.of corporate officer) Electrician's License No ....................... Other Trade's License No ...................... Location ofland on which proposed work will be done. . ................ '~O/'~' ..~?./:..~o~,'j~... ................. ,~J, ~..e~../ House Number /,:,9 02,..Street /~ Hamlet ,~ o. ] County Tax Map No. 1000 Section ...~."/..'?..... .... Block .................. Lot .................. . ."~-.. - Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~....Fff~'.8'..~.~.?~.... ~/~~.~9~..e~. ~...~..~., ...................... b. Intended use and occupancy 15. Locate clearly and distinctly all property lines. Give street and block interior or corner lot. 3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration ~)~. Repair .............. Removal ..... Demolition ....... Other Work'. ........ -. .~...-~.,ff_d$~ __... ''~ Fee~,~5:v (Description) 4 Estimated Cost -- (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ · If garage, number of cars .... ~ ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 ..... ' if any: Front Rear Depth · D~mens~ons of exmt~ng structures, ....... 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. Size of lot: Front ........... I ........... Rear ...................... Depth ...................... 10 Date of Purchase I' ' Name of Former Owner 11. Zone or use district in which pr4mises 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 Is this property within ,00 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold 'own Trustees Permit may be required. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from mmber or descriptiofl according to deed, and show street names and indicate whether APP~OV,~D AS ~OTED NOTIFY BUILDING DEPARTM~ A~ 7B54802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~ REOUfRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUM~ING 3. INSU~TION 4~ FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O~ ALL CONSTRUCTION SHALL ME~ THE REQUIREMEN~ OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, $.S .m=~'~, e ,~ X ~-_~ .~. 'L"~-~L · ~ being duly sworn, deposes and says that he is the applicant above named. Heis the ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly! authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner Iset forth in the application filed therewith. ' Sworn to before me this Notary Public, State of Ntow York ....... .. ~.~ ........ i~iln'ai~re' .... of apphcant)' ' ' NO. 4822563, SUffolk Cou~_ty/"~ . Term Expires December ~1,