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HomeMy WebLinkAbout20575-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTI~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20804 Date JUNE 18~ 1992. THIS CERTIFIES that the building. ALTERATION Location of Property 2820 SHIPYARD LANE (UNIT 1Gl) EAST F~LRION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38.2 Block 1 Lot 13 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17~ 1992 pursuant to which Building Permit No. 20575-Z dated APRIL 22~ 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 ALTERATION FOR BATRROOMS IN EXISTING CONDOMINIU~ ~ APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DONALD H. & DOROTHY A. HENRY H-029287 - JUNE 12~ 1992 APRIL 28, 1992 - DONALD HENRY uilding Inspector Rev. 1/81 · OR~r NO. O 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) NgN? 2057~Z Permission is hereby granted to:// .-~z~.../..,..../....~....~.~_~./...,....,. ..................... ~7~ C/,2. ///, ///J~· ~.~ ,o ~~~/~.~.~,..:~.....~.....~...~.~-- ~.~.~...~.......~~_...~ ....................... ~....~. ................... ~, ~re~ ~, ~, ..... ....................... .~~...~ ............ -~...... ................................................. ~..W~,~. ................................................................ co~ **~ uop uo. ~ooo s~t~o~ ..~.~..~ ....... ~k .......... Z ........ lot uo ...... z.~ .......... Building Inspector. Rev. 6/30/80 BLDG. DEI:T. __J!OWN oF so 'P, om Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A~PLICATION 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: 1o Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 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. 6o Submit P!auning Board Approval of completed sit~ plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date ........ .. New Construction .......... Old Or Pre-existing Building ........... Location of Property..'.~..~?....~-'..~.<.~.~.~. ~ ~/~ ............. ........ .... House No. * Street Hamlet Onwer or Owners of Pro er ~~~ ~~ p ty .................... Counry Tax ~ap No 1000, Section.. ; ..... ... Block ...... . ........~ .LoC .... SubdSv~s~on ........................ · .. ....... .. FSled Hap ............ Lo~ .......... N , Perm~r ~o ..... ~ .. are Of Perm~. .. cant Heakh Dept. Approval ............ · .....-... . .. · Underur~rer8 Approval ...................... .. . Planning Board Approval ...................... .. Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... TOWN OF SOUTHOLD OFFICE OF BUILDII,IG INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 ~ E~T I F I CA T i O N TEL. 765-1802 TOWN OF SOUTHOLD Date Building Permit No. ~J~3 ~"- ~please prl~nt) r . _ (pl ea~'e prlnt) ~-~ I certify that the solder Used in the contains less' than 2/10 of 1% lead. water supply system Sworn to before me this 19 ~_~__~. ~;Otary Public, /L///3~-//~ (plumber" s sigja~ Notary Public- County THOMAS M. ME~INA NOTARY PUBIJO .8'~*__A_1'~_ (X= NEW YORK INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Il/kY 4, 1992 DOlx~LD H. HENRY 19 HOFSTRA I~IVE PLAII6/IEW, W/ I 1803 HE: PROPERTY @ 2820 SHIPYARD LANE IINI? IGI To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20575-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervigor Southold Town Hall P.O. Box 1179, 53095 MainRoad Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 27, 1992 Mr. Donald H. Henry 19 Hofstra Drive Plainview, N.Y. 11803 Re: Premises at 2820 Shipyard Lane, East Marion Unit 1Gl Building Permit and CO Application Suff. Co. Tax Map ~1000-38.2-1-13 Dear Mr. Henry: Pursuant to our telephone conversation of today, I return herewith your check #2451 in the amount of $75.00. Please submit to this office two checks, one in the amount of $50.00 so that we may issue the building permit, and $25.00 check for the Certificate of Occupancy fee. Once we receive the Underwriters Certificate and Plumbers Certification, along with the application and $25.00 check, we will be able to issue the CO. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary encl. P~RICE DOWN PAYMENT MONTH. COMMON CHARGES ESTIMATED ANNUAL REAL~TATETAXES Point TWO BEDROOMS UNDERWRITERS CERTIF/CATE REQUIRED APPROVED AS NOTED ~ NOTIFY BOIL.DING DEPARTME~( A~ 765-1802, 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POIJRED~CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. iNSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY i, ' ,. -' 'COOES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORB PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERT;FICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY E8 JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical equipment ~ ~scribed below and intr~uced by t~ appl~ant ~med on the a~ve application number in the prem~es of in the following location; ~ Basement ~ Ist Fl, ~ 2nd FI, Sect on" Bilk' Lot ~s exatnined on ~J~ )~ ~ ]' ~ ~'~)~)'~ attd found to be in co.tplianee u'ith the requirements ~f this Board. DRYERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS B ITHER APPARATUS= E R V I C NO. OF CC CQND. PER ,~ OF CC, COND, NO, OF HI-LEG OF NEUTRAL PI,~Y[NVTIt'{,i, NY~ L IJ]03 GENERAL MANAGER :i, :~ ~,' Pet_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~Fi~NAL REMARKS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 .~.~.~./ TEL.: 765-1802 Examined .. ~ '-~ 19 .~.- Approved .. ~../2-:. ~,~.. ..... 19P~Permit No..,~...O. ..... Disapproved a/c . APPLIGATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 gETS OF PLANS ....... /.~SURVEY .... CALL ................... HAIL TO: g. 'This application must be completely filled in by Wpewriter 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ¢. The work covered by this application may'not be ommenced before issuance of Building Permit· d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 .hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depm'tment for the issuance of a Building Permit pursuant to the ;uilding Zone Ordinance of the Town of $outhold, Suffolk County, New York, and other applicable Laws, Ordinances or ',egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :tmit authorized inspectors on premises and in building for necessary inspgc.tions7-'% (Si=nature° qf applicant, or naT~ if.a'~'~poration) (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ lameofownerofpremises ... dc'..~.f-.~. .~.. .... ,' ...~.~. .......... ~ .................. . ..... tas on the t.wA roll or latest deed) ? applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land od which ~roposcd work wi 1 be done ......... · , ......... ......... '. IIouse Number Street Hamlet County Tax Map No. lO00 Section ..... ~ ........ Block ........... ot / (Name) ......................... ,te existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ . 3 Nature of work (check which applicable) N ' ' · Building Addition kite etlon Repair Rembval . ew .................... , r . .............. · ............. Demolition Other Work'. ........ 4 E timated C ' (D ription) i (to be paid on filin~ this application) $ Ifd ell' ~b fd lling hnit / N b f · w :ng, nu er o we s .............. urn er o dwelling units on each floor.../ ...... · If garage, number of cars ....... -2 ;..~ ...... · 7' Di u ness, commer a ormxe Cnpancy, specify naturc and extent of each type of use ........ · mensions of exist!,n_g_structure~, if any: Front.. 7;. R ' ' ............ Height :' Nu lb fStoi .......... ear . ...":T. ...... Depth ............... m er o r es ....... '.".,. ..... ' .......... . .... Dim sin ors i'th alt ......................................... D en ns amestructure w erationsoradditions: Front ................ Rear ............... pth ...... ' · · Hight Nt b fSt ri ' 8. Dimensions of entire new constqmtion: Front ..... ':-T' ......'Rear Height ....... 7~'~'... Num bet of Rt~,q,' ~ ............... Depth ..... '7'7 ......... 9. Stze of lot: Front ....... --- ~ · ............................................ 12. i. Joes proposed construction rio" ....... - .............................................. ,u~t~ ,my zomng law Orulsance or regulation: ~..c) ............... 13. Will lot be regraded .... .... ~ ................. Will excess/iii be removed from premises' Yes No Name of Architect i ~ , ., p p rny w~tnzn ~00 feet of a tidal wetland? ~zes...~v%..... No ......... · If yes, Southold TSwn Trustees Permit may be required. .... , PLOT DIAGRAM , Locate clearly and distinctly all lcuildings, whether existing or proposed, and. indicate all set-back dimensions from property tines. Give street and block npmber or descriptioh according to deed, and show street names and indicate whether interior or comer lot. i /&i 3UNTy OF ~'~'~'~'~ ................ .................. being duly sworn, deposes and says t (Name of individual signing ~ontract) hat he is the applicant ore named. · is the ' - ' .... i (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly auihorized to perform or have perfomled the said work and to make and file this ~lication; that all statements ' ' contained, in this application are true to the best of his knowledge and belief;and that the rk will be performed in the manner set iforth in the application filed therewith. om to before me this .. ' A / I · t.,.-,'..-.'~ .0':','...,xt..°'P7.:/ ...... County c,'~.-.---,.~ ' ,,,_.~_:_~, / , ~ , L,. ' ,,-.:, .. ,'~o 4920784 . . .. - uue f ed n'Nassau County ' ...... .,.; i . ' ' · . to:gj*a[ure o/appucan[) ~11mis~ion Ex~pire§ F~bruary 16, ~99y. , . ,. .