HomeMy WebLinkAbout20717-zFORM NO. 4
TOWN OF SOUTHOL~
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No Z-20851
CERTIFICATE OF OCCUPANCY
Date JULY 13, 1992
THIS CERTIFIES that the buildin~
Location of Property 420 PAULS LANE
House No.
County Tax Map No. 100O Section 74
ADDITION
PECONIC~ N.Y.
Street
Block 4 Lot
Hamlet
5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10, 1992 pursuant to which
Building Permit No. 2QT17-Z dated JUNE 12, 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 WOO~ CUPOLA ON ROOF OF EXISTING BUILDrNG ~S APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF2~LTH APPROVkL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
JOHN P. KRUPSKI & BROS. INC.
Rev. 1/81
FORM NO. S
TOWN OF SO~THOLD
TOWN HALL
$OUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°No. 20717Z
Permission is hereby granted to:
..... ........ .........................
........... ~. '~ , ~ ~.,~,~.. ~ /~ ; /~ / . ~, ~,, ~. ,~
........................................ .J~. ........
County Tax Map No. 1000 Section ..... .~..~...~... ...... Block ....... ..~...~... ...... Lot No ...... /~...~... .........
pursuant to application dated ........... ...~..j'.~. ................. , 19..~.~.., and approved by the
Building Inspector.
Fee $.. Z ...C~... :....r~... ....
Rev. 6/30/80
Form No. 6
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:
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 centains
~ 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 Plauning Board Approval of completed site plan r~quirements.
B. For existing buildings (prior to April 9, 1957) non-conformSng 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 Certifidate 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-existimg 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 $15.00
Date ............. . .
New Construction ........... Old Or Pre-existing ~uildin~., .... ff..~r~..5.
Location of Property ................... ~.. ~ !
House No. Street Hamlet
Onwer or Owners of Property .............. O
County Tax Map No i000, Section..~..2..~.' ..... Block...~. ........ Lot .......... ~...
Subdivision .................................... · Filed Map ............ Lot .................... ..
erm t f.Z..Dat oi Permit./-.: .....
llealth..Dcpt. Approval ..................... -- · .. Usderwriters Approval ...................
Plaoning Board Approval ........................ ~
Request for: Temporary Certificate ........... Final~Certicate ...........
Fee Submitted: ~.~-~, ~
CO -2z dO I
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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southotd Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
1992
CHARLES HYDELL
420 PAUL'S LANE
PECONIC, NY 11958
RE: JOHN P. KRUPSKI & BROS., INC.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xxx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XXX The check is ~not on file.)~ $50.00
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 ~ 20711-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
?OUND ^'T I 0,~
(lst)
FOUNDATION ~I 2nd )
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS
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
ORDER TO REMEDY VIOLATION
May 28, 1992
TO:
NORTH FORK WOOD DESIGN
420 PAULS LANE
PECONIC~ N.Y. 11958
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Laws,
CHAP. 100
at premises hereinafter described in that:
A CUPOLA HAS BEEN CONSTRUCTED ON THE ROOF OF YOUR
BUILDING WITHOUT A BUILDING PER~IT.
in violation of ART. XXVIII CHAP. 100-281
YOU ARE THEREFORE DIRECTED AND ORDEREDto comply with the
law and to remedy the conditions above IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATIONrefers
are situated at:
420 PAULS LANE~ PECONIC~ SUFFOLK COUNTY, N.Y.
SUFFOLK COUNTY T~MAP 91000-074-04-05
Failure to remedy the conditions afozesaid and to comply
with the applicable provisions of law may constitute an offense
punishable by fine or imprisonment or both.
Code Enforcement Offici8/1
Vincent R. Wieczorek
(CERT.MAIL)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
53095 Main Road
Southold, N.Y. 11971
516-765-1802
ORDER TO REMEDY VIOLATION
Certified Mail
TO:
Zoning Ordinance
Other Applicable Laws,
at pr~mises hereinafter described in that:
in violation of D~yK~/ ~,~P, ~o~ a~
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law
and to remedy the conditions above IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at:
Suffolk County, NY
SUFFOLK COUNTY TAX MAP #1000-~~
, Failure to remedy the conditions aforesaid and to comply
with the applicable provisions of law may constitute an offense
punishable by fine or imprisonment or both.
Code Enforcement Official
INSPECTORS
Victor Lessard
Principal Building Inspecwr
Curtis Herren
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
May 28, 1992
TO:
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
NORTH FORK WOOD DESIGN
420 PAULS LANE
PECONICt N.Y. 11958
SCOTT L. HARRIS, Supervisor
Sot~thold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
· Telephone (516) 765-1800
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Laws,
CHAP. I00
at premises hereinafter described in that:
A CUPOLA BAS BEEN CONSTRUCTED ON THEREOF OF YOUR
BUILDING WITHOUT A BUILDING PER~{IT.
in violation of ART, XXVII(CHAP. 100-281
YOU ARE THEREFORE DIRECTED AND ORDEREDto comply with the
law and to remedy the conditions above IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATIONrefers
are situated at:
420 PAULS LANEt PECONICt
SUFFOLK COUNTY, N.Y.
SUFFOLK COUNTY TAX MAP #1000-074-04-05
Failure to remedy the conditions aforesaid and to
with the applicable provisions of law may constitute an offense
punishable by fine or imprisonment or both.
Code Enforcement Official
Vincent R. Wieczo~ek
(CERT.MAIL)
~'~ './~)[ ~¢ ....... FORM NO. 1
} I 0 1992 BUILDING DEPARTMENT
--,m,. ~,~; ,,~ ~ ....,, SOUTHOLD, N.Y. 11971
........... ~ ' ...... TEL.: 765-1802
~xamined .... ~ ...... 19 ~
19~ee m~it
.,pproved ...... ¢~ .....
Disapproved a/c .....................................
,~uilding Inspector)
APPLICATION FOR BUILDING PERMIT
§OARD OF HEALTII
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
SEFTIC FORH ..............
CALL ...................
HAIL 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
ets,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-
at,on.
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
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 Department for the issuance of a Building Permit pursuant to the
5uilding Zone Ordinance of the Town of Southold, 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 ali applicable taws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary insp. tio
_ . .... ................
(Signature of applicant, or name, if a corporation)
?..,,.:¢.
(Mailing address of applicant) [ { Czor"ff..
;tare
whether
applicant is owner, ~agent, architect, engineer, general contractor, electrician, plumber or builder.
4ameofo nero(premises .q .~. Ih 0 ~,
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No... L .?.....'"~...~.'. Z . . . .~...-7
Plumber s Lmense No ....
Electrician's License No .... ~ ~
APPROVED AS NOTED ·
N~I~ BUILDING Dg~R~ENT AT
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPE~IONS:
1. FOUNDATION , ~OREQUIRED
FOR PO~ED C~NCR~E
2, ROUGH,~RAMING & PLUMBING
3. INsu~TION ~
4. FINAL CON~RU~ION MUST
Other Trade's License No ...................... SE COMPLETE FOR C.O.
Location of land on which proposed work will be d';ne. ,~J)t",.~ 0 ff:~//~( ) ~LL('CONS~I'RU~O~/S~.fi~LL MEET
........... % .. ( /. ~.~QU~M~N~,~. IHE. N.~.
STATE CONSTRUCTION & ENERGY
.......................................................
Ilouse Number Street ~N OR CONSTRUC~ON ERRORS
County Tax Map No. 1000 Section ............... Block ................ Lot ...................
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
tare existing use and occupancy of premises and intended use and occupancy of proposed construction:
'~istin~ use and occuoancv
...... ~..~ ~g ~t: ~G' ............
' ed use an ccupancy ................................
3. Nature of work (check which applicable) New Building .......... Addition .... Alteration ..........
:
Repair .............. RemtvaI .............. Demolition .............. Other Work ...............
..... E~.~ tr~-~ (Descfiptio7)
4. Estimated Cost ./%- ur ,
5 Ifd lling b rofd Ill ~ (to be paid on filing this application)
· we ,hum e we ng~nits ............... Number ofdwelling units on each floor
Ifg mb of · · ....
· arage, nu er cars ..... ,.. . · .........
6 Ifbusi i I .......................
· d cify d .........................................
7' ness, commerc a or m~xe occupancy, spa nature an extent of each type of use ..................
Di in of iting e~ if Fr '"
· mens ns ex s structur , any: ont ............... Rear .............. Depth ...............
He tt ............... Number of Stories .. .
Dimensions of same structure wfth alterations or adilitions: Front
Depth ~ ................ ~ Rear .................
' Height Nu nber of Stories
· Dimensions of entire new constr~ction: Front ~
................ Rear ............... Depth ..............
Height ............... Number of Stories .. . ...
lO. Date of Pu chase . ~ ............. ......
11. Zone or use district in xvhich pre ni f Former Owner .. .
12. s re sit at ......
Does proposed construction yin ~te any zoning law, ordinance or ragu ation ...................
'13. Will lot be regraded : : ............ ' ·
· ' . ....~ ' t .......,' .......... Will excess fill be removed from premises: Yes No
I4. NN2ee oO~ AOrWc~2~[ p.~ei~{~.~~ ~.t/e.,~'0./~'~j/z~(-.O?Address ................... Phone No ................
Name of Contractor ........ ~i .............. Address .................. Phone N~ ..............
15. Is th-ls properey w±th±n "'0' feet: o£ a t:±dal wetland? ~Yes ........ No.~ .....
elf yes, Sour:hold Tgwn Trust:ecs Perm±t may be required.
.... ! PLOT DIAGILMVl
Locate clearly and distinctly all buildinr, s whether e--:-~: .................
.... -. r o, ,^,~2~-m~,?r proposea, ana. lnalcare mi set-hacK aimensions from
property nnes. c, zve street and block number or d$&qlS,t~.~on a~,ord~g to deed, and show street names and h' dicate w
lnteriororcomerlot. Q'"' --T ,7 , hether
TATE OF NF_,W~O Rtl~r> t r ¥ ,
o,u
....
'.. '.'5.11.%
(Name of individual sighing icontract)
rove named·
being duly sworn, deposes and says that he is the applicant
' ' '" ':' "' "0 i (Contractor, agent, corporate officer, etc.)
· said OWner :or %wners, and is duly authorized to perform or have performed the said work and to make and file this
~plication; th'fit }~ll s'tatements Containe~ in this application are true to the best of his knowledge and belief; and that the
~rk will be perfomed n the manner set forth in the application filed therewith.
i '
yom to before me ~his
.......... ~ ........ day of.. ~.
)taw Public, . County