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Home My WebLink About21113-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22055 Date DECEMBER 23~ 1992 THIS CERTIFIES that the building Location of Property 665 OAKWOOD DRIVE House No. County Tax Map No. 1000 Section 70 Subdivision ALTERATION SOUTHOLD~ NEW YORK Street Hamlet Block 13' Lot 7 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 1992 pursuant to which Building Permit No. 21113-Z dated DECEMBER 2, 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 INSTALLATION OF WINDOW IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & ROSEMARIE FOLEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 f Building Inspector FO~,M NO. ,u TOWN OP SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT fl'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO-N.° 21113Z Date .../.~...,Z/.~ ..................................... , ,~..~.~q. ..~,...~...~/.~....~; ............................ ~... _ .~ ...,.~.~,.......~...~Z ...... ~ . ,,o o rem · ~ated // ~ ~- ~' /~-- ~ ~' "~ ' .......... t~..'~ S ~ated at ....... ~...~..~ ....... ~~~ ......... ~ ............................. County Tax Mop NO. 1000 Section ........ ~..~.. ........ Block ........... ./..~...... Lot No ..... Z ............... pursuant to application doted ..... ././..~...~(~. .................................. , 19..~.~-'and approved by the Building Inspector. Fee $..~.,..~, Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ''"'i" ......... A~PLICATION FOR CERTIFICATE OF OCCUPANCY .... This applicatio~*m~"f~lled 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) 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ..... /J-.(?/. f..~.. ............... Location of Pro ertv ........ ./~.~-- J/Z-,/,~,~-~vf ] :'''"z" [.~ .... ;.J ......... I/'' p .............. ............. · House .... No.~.~,~,~.~,~ S~et~ ..... / , ~,-~./~et ....... onwe own r County Tax Map No 1000, Section .... ~ ........ Block .... ~:]:) ......... Lot .... .J. ..... Permit No .............. Date Of Permit.../. .~../.Applicant. ~.~. .... Health Dept. Approval...' ...................... Underwriters Approval ........... / ....... Planning Board Approval ........................ Request for: Temporary Certificate.~..!,~!li~ ..... i .... ~ Fina~~C~e~..~..~././.... 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 TOVv~N OF SOUTHOLD DECEMBER 16, 1992 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 PETER I). IIEARD P. O. BOX 356 PECONIC, I~ I 1958 RB: HICi~EL & ROSEMARY FOLEY 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~X~--i~L~-%J~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 9 21113-z Please contact our office on this matter. cooperation. Thank you for SouTHOLD TOWN BUILDING DEPT. CC: MICHAEL & RosEMARY FOLEY 'OUND^TIO~! (2nd) :OUGH FRAME & .FLUMBING :NSULATIO~! PER N. Y, STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL DATE ]r65-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J~NDATION 2ND [ ] INSULATION [ ~"FRAMING [ ] FINAL REMARKS: /~~ :~ DATE TOWN OF SOUTHOLO NOV 2 0 I~J2 BUILDING DEPARTMENT ~ ~' TOWN HALL ~'.~ , . , ,~, . SOUTHOLD, N.Y. 11971 Approved.../?/~. ....... i~.. Permit No.~..././/..~..~ Disapproved a/c ..................................... BOARO OF HEALTH ~ SETS OF PLANS .......... ./SURVEY ................... ~CII~C~ .................... SEFTIC FORM .............. ~/TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .. , 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, relatim~ship to adjoining premises or public streets lor 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 coverOd 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 Permi~ 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 in building for necessary inspections. ...... ~,... ~..~..~.b ................ --' (Signature of applicant, oyo~ame, if a corporation) ' (Mailing address of applicant) V State whether applicant i~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. , ........ ............................. ;L:':i:;,,:; :;;;21;:" ;:; .... ........... .. (as on the tax roll or latest deed) .... If applicant is a corporation, signature of duly auth~orized officer. (Name and title of corporate officer) ~¥~/~z ' Builder's License No ........... Plumber's License No ........................ 4' Electri~ian's License No. -' Other Trade's License No ...................... Locatio.n of land on which proposed work will be'done ............ ............ . ......... ...... ................... .......... :>i;..?.:..:-::::: ......... : House Number Street Hamlet County Tax Map No. 1000 Section ...... ~..~. ........ Block' /3 Lot '-~ Subdivision ..................................... Filed Mhp No ............... Lot ............... (Name) State existing use and occupancy of premises and inte.nded use and occupancy ofprolSosed construction: ' a. Existing useandoccupancy . :/'~.~ ~ ~.~. ';Z~..~.AA.. ~-~ /.?/?.~. ' . ..... 3. Nature of work (check which.applicable): New Building .......... Addition ..... Alteration .. Repair .............. Removal., ............ Demolition .............. Other Work 4. Estimated Cost .. /.. ~.D fi, /fy ~:~, (Description) ..... i ......................... Fee ....................... , / (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage numberofcars" ./ 6 If business commercial or mixed occupancy .... ' ............................................... · , , specify nature and extent of each type of use .................... 7 ...... if any: Front Rear · Dimensions ot existing structure~ .............................. Depth ............... 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 D pth Num~ r of Storie ......................... e ............ Hight ' 9 Size of lot: Front ; Rear ........... ................................. Depth 10 Date of Purchase ' ' Name of Former Owner 1 I. Zone or use district in which premises are situated. : ........... D.o. es proposed construction ¥.iol~[te any zoning law, ordinance or regulation: .... ~ ...................... i 13..W. lll lot ?ffegrade_d ..... tq V..~,~..~ ................ Will excess fill be removed from premises: Yes /~ 14. Name oI owner of premises .. F,'P/.C~' ............ Address .................. Phone No... ~..q.~: f./~.~.~.. Name of Architect ........................ Address . - Phone No . . Name.of Contractor.. ~//.-~. ~q~ f?. ~.~./././~ ...... Address ~.' .' .~of.' ~(.'~ ' .~..~.'~)~ Phone~No' i ~' ~.'~.. ~?~.' ~ ii 15. Is this property within 390 feet of a tidal wetland'?'' *~es'.".'.'.'..'.'.' ~o...~... ' "~ .... *If yes, Southold Tgwn Trustees Permit may be required. ' ..... Locate clearly and distinctly all property lines. Give street and ,~lock interior or corner lot,,, PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether ;TATE OF NEW YORK, ~OUNTY OF S.S ~...~..T~.C .~. ~.- f-~.~../~ J '.'~ ..... being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) bove named· [e is the ...................... ~ ............................................................... i (Contractor, agent, corporate officer etc.) f said owner or owne.rs, and is duly authorized to perform or have performed the said' work and to make and file this 9plication; that all statements contained in fi]is application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith· worn to before me this ....... c~..Q... ~ .... day of..~ ..... 19 .~.. ~taryPublic, . .~ .~..:i.~~.~County · ' ' .... Notar~ PubltO, 8t~to of New¥ol ' ' 'F ......... . .. '£ .............. _No, 4957..246, .Suffolk Coun.,~)~ ~ (Sighature of applicant) . lernl Expires June 12, 19.~ 0 P