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HomeMy WebLinkAbout20733-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAlIICY No Z-24333 Date MAY 6, 1996 THIS CERTIFIES that the building ADDITION Location of Property 3415 NORTH BAYVIBW ROAD SOOTHOLD, IIBW YORK House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1992 pursuant to which Building Permit No. 20733-Z dated JUNE 18, 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 2ND STORY DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD J. & MICHELE A. CANTLIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED NIA Rev. 1/81 Inspector I'ORM NO. . T~N OFsOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N<] 207aaZ Date ...........¥t..................................., 19..9.~ Permission is hereby granted to: is ...;Ji.(1d... ..1l.~r3J..t.tt'!.t........ !1dç/.6Æ.... .:I:i!.ç, . ....LJ¿(),......(2d&.!!á:I.I!:J¡J......h&/.. (~................ ......;::;Qr&.í.tI.QJr<~.........1.I.: y :...... .1..(.9.. 2l......... . to...r;,.~......~.......~...~......~...&......~...~. ./ .J/ ' ~/" f..A:L ' / .~.,... ...........:~.............. ....·h~·~~·:;;;;...·..........·:¡;;·....·......·......·..·..·.............. at premIses ,;:2 at ....3..YI: ........~lfr.Æ....~T...~.....~...A..:........................................ ....·......·........·..··....·í···..·....·..¡;:;.r1.~.ç;¿j·....··.. .......................). ..................................................... .............................l:..&1>..ið!..~~Q.......ç&.~r.~!.£....:.~.~.: ...................................................... Caunty Tax Mop No.' 1000 Section .......7/............ Block .......QL......... Lot No. .....¿l............. pursuant to opplication doted ..........{¡/lIL/f'k..................., 19...9Kand approved by the Building Inspector. S'l) , it() Fee $........................ ·········~~i:-4"~t~~..·..............·......· Rev. 6/30/80 / Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCy,=.,=,T_~OWN OF $OUTHOLD BLDG. DEPT. 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. B '4 For existing buildings (prior to April~9, 1957) non-conforming uses, or buildings and Upre-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 1. _Ce~i~9~_~_~_ccuap_~n_~y - New dwelling $25.00, ~dditio~~g~ 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 Buildinz - $i00.00 3. Co~y of Certificate of Occupancy - $20~OO 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 Building ................. Location of Property ..................... ~ ...................... ~.~.~. ...................... House No. Street Hamlet Onwer or Owners of Property ...... ~P.~. ~.~...~./~ g~]4~, z?~ . .~:~.~7%~ ..................... County Tax Map No i000, Section..~f:.?l .... Block .... 9/~q ...... Lot...~.~99 ........... Subdivision Filed Map Lot ......... Permit No..~.'? ~. '~'~.........- z_ .Date Of Permit. . / .. .... Applicant . O~.?~. ~.. ~.~.~.~(.,~.l.c!~.... ~_ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted: $ ............................ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION FRAMING [~'] FINAL [ ] FIREPLACE & CHIMN~EY DATE~/~~ INSPECTO~~ IN N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. / [ ]FOUNDATION2ND [ ]?~SULATION / [ ]FRAMING [,/] FINAL [ ] FIREPLACE & CHIMNEY DATE Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516/765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 26, 1996 Mr. Edward Cantlin Jr. 1725 York Ave. - Apt. 5F New York, NY 10128 Re: Building Permit #20733-Z - (2nd story deck add.) Premises: 3415 North Bayview Road, Southold Suff. Co. Tax Map ~1000-71-1-38 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. FOU~DATION ( ls t) FOUNDATION (2nd) ROUGH FRAHE & .PLUMBING I~SULATION PER N. STATE ENERGY CODE FIliAL '. ,: JUN I 15 on0 ,., oo~_ ~ ~,,, TOINN HALL : ' ~'~ ' SOUTHOLD, N.Y. 11971 i~,, TO, i,,~, ,,, ,,' ..... "i TEL.:765-1803 ....... .... . Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT . (u/0il ~ Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... ClIECK .................... SEPTIC FORH .............. ;J ;/"'-Y ....... .... Date .................. ,19 ~...2~' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set~ 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 commenced 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and i~ bnilding for necessary ~nspections. ~ , .... Pze,.-/r. .... - - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................... ,A.P.,P. qO. D..AS. PPT. O ...... '' , . --. .. _..~ _ DATE: ~ B.P. # ,~P.P./..P~z- Name of owner or premises .../'~/?~..~..s2.3~..... ~....d~t~f~.../.~. ....... 1~.,5.~, ~ 0.. ~ .ffi,~ (as on the tax roll or latest ~ 8UILDI~ D~P~RT~E~--~I If applicant is a corporation, signature of duly authorized officer. ff (Name and title of co,orate officer) ........ ~P~ 0~ USE IS UNLA~FU[ ~in~'~ u~.~ ~o ........ ~ ............. OF OCCUPANCY ~lectricJan's Lice.se No ..... ~ ~ .............. Other TmdCs Licanse No .... ~ ............. T65-1B02 9 .'~,~TO 4 PM FOR THE FOLLOWING INsPE~f(ONS: I. FOUNDATION - TWO REQUIRED FOR POUR~ CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPO~N~i'BLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be'done .................................................. House Nmnber .. Street Hamlet County Tax Map No. 1000 Section ......... 71 ...... Block ....... / .......... Lot...~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy~,, , ........ .~... ,;, :~..~,..: .................. b. Intended use and occupancy 3. Nature of work (cheek which apPlicable): New Building .......... Addition ...... Alteration Z ......... Repair ............ RemOval .............. Demolition .............. Other Work.. ~J:'~.W-v ...... ! (Description) 4 Estimated Cost . .~. Fee ......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... i .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing tructureS,~fany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ................................. Dimension fs truct e with alt rati or additions: Font ....................... s o amc s ur e OhS r ................. Rear .................. Depth .................... [. Height ...................... Number of Stories 8. Dimensions of entire new construction: Front ..... ./9.." ..... ,': z z.,' . · Rear .. ~- ........... Depth .. t' ........... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... ~ .......... Rear ...................... Depth ...................... 10 Date of Purchase ~ · Name of Former Owner 11. Zone or use district in which premises are situated .... ,~. 12. Does proposed construction violgte any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... '. ~ .................. Will excess fill be removed from premises: Yes ;~2No Name of Architect ........... ................ Address ................... Phone No ................ 15. Is th:Lc property wJ_th±n 300 feet of a t:±dal wetland? ~Yes ........ No....,,~o .... '''; ~If yes, Sour:hold T~wn Trustees Perra~_t may be requ±red. .. , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. 8.8 ......... ~.F~. ~.:.t~4-~.! ....... ! ...... ........... being duly sworn, deposes and says that he is the a cant {N~m~.. of individual signing contract) ppli abe name, d · He is the i (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements containbd ~ thi~ application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner sot forth in the application flied therewith. Sworn to before met~ ~ $~,~ ~ (Signature of applicant)