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HomeMy WebLinkAbout20782-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21096 Date OCTOBER 15, 1992 THIS CERTIFIES that the building. Location of Property 1105 WESTWOOD LANE House No. County Tax Map No. 1000 Section 33 Subdivision ACCESSORY GREENPORT, N.Y. Street Block 2 Lot 5 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1992 pursuant to which Building Permit No. 20782-Z dated JULY 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 ACCESSORY BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF~tLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WILLIAM & JANICE CLAUDIO Building Inspector Rev. 1/81 FO~M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N"_N? 2078BZ Permission is hereby granted to: ......... ........... .G~.~..o.~.r../.....~.~;......//..~.~-~,~ .......... ~ ,eR ,o ........................... : ........... ~ .......... 4 ......... ~.....~./.. ............ ~.~ ....... ~ .......... ~ .......................... ......... ~. ..... ~ .......... ~ .......................................... ; .............................................................................. at premises located at .................................... '//c~ ..~..e~..,' Z ' ..~f~/~. ....... .~../..~..~4-/~ ....................................... ....... ......................................... ~./..~...~./.... ........ /~.~./~.. .................................................. .............................................. ...~././../.<.~;~......~.~/~ ......................................................................... County Tax Map No. I000 Section .... .-,~.~.. ............. Block .....~ ....... Lot No ....... (~.~... ......... pursuant to application dated ............... .~./.~...~. ........................... , I9.,~..-.~, and approved by the Building Inspector. Re~ 6/30/80 F ~. Form No. 6 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT 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 ail 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 f~om Board of Fire Underwriters. . 4. Sworn statement from plumber certifying that the solder Dsed in system contains less than 2/10 of 1% lead. - 5. Commercial building, industrial b~ilding, multiple residences an~ 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-exzstzng' land uses: 1. .Accurate survey ~f property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application an~'~ 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 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-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. T?mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Construction... ......... Old Or Pre-existing Building ................ House No. Street ...................... t ~C~ .J.~l~ .~..?. Hamlet ~or or Owners of Pro er . mty Tax Map No 1000, Section .............. Block ................ Lot ...................... ~diviaion ' ' ...................... '% ' Filed Map lth Dept. Approval ......... ~ ................ Underwriters Approval .... ~[~. ......... nning Board Aporoval .... ~ ' ~ ' ' ' .... uest for: Temporary Certificate ........... Final Certicate...~.. ..... Submitted: FOUNDA'TION (1st) . FOUNDATION f2nd) 2. ROUGH FRAME & 1' INSULATION .PLUMBING ?ER N. Y. STATE ENERGY CODE FI;;AL ~ DDITIO~[ ~'L COMMENTS INSPECTORS Victor Lessard P~ir, clpa[ Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Buikling Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179,53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SEPTEMBER 28, 1992 ~ILLIAM & JANICE CLAUDIO 1105 WgSTW00D LANE GREENPORT, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) ~.3 No Underwriters Certificate on file. The check is ~not on file.)$~.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 $ 20782-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~t~TION FRAMING [~/~FINAL REMARKS: DATE BUILDING DEPARTMENT TOWN HALL  SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Examl ........ ^pproved ...... ........ 19%. Permit Disapproved a/c ..................................... . (~tdfding f~pector) A~PLICA'FION F©H [~UILDING PERMIT INSTRUCTIONS ~)$URVEY ................... ~)c~I~cK .................... SEFTIC FORH .............. a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be commenced before issuance of Building Permit. ,d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ;hall be kept on the premises available for inspection throughout the work. .e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ghall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the · Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin~_eode, hml$ing code, ~and regulations, and to on -- '' '/~i/nn'aitlr'e';f'applicant, or name, if a corporation) (Mailing addres~ of applicant) (Name and title of corporate officer) OCCUPANCY OR Builder's License No .......................... USE IS UNLAWFUL Plumber s LJcense No ........................ .... OF OCCUPANCY Electrlglan s Llcense No ....................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... , ........................ ~ .................... i ..... Name of owner of premises %'-. ~(~.~....~... ~,~...~< ~..~~~ ~_~/¢~ ~ .,2 (as on the tax roll or latest deed) FE~ .......... If applicant is a corporation, signature of duly authorized officer. NO~ BU 765-180~ ' FOR T FOLLOW~,, FOR Other Trade's License No ......................~ ' 1. Locationoflandonwhichproposedworkwillbe'done..~.~~ ~.. ~. ........~x~[:~'mO[. ............................................................... .................. House Number Street Hamlet County Tax Map No. 1000 Section ~ Block ~ Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) !. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin~ use and occupancy ..-.-~f./~.~../.,~/,//~ ? ............ ?'"'. .......................... b. lntended use and occupancy ~'..~i ~ ~.~..~ .~....c .c .c .c .c .c .c .c .oJ~ ... r.. ;7'.' ?~ '~": ..... 3.. Nature of work (check which applicable): New Building .......... Addition Alteratmn'· '""'~' ...... Repa/r .............. Remo:val .............. Demolition Othe~r~s cription) 4. Es~timated Cost . . ' F ...... ......................... ee.. ' """"~ ~ ?'"'"'3~.a'~.' .......... · ...... (t P aid.~.~n~/t~.~ ~hi~'a p pli , o be ¢ on lli u h fl 5. If dwelling, number of dwe ng nits ............... Number of dwelling units on eac oor ................ · If garage, number of cars ..... I ................................................................... 6. busm ss, co ercml or mixed, occupancy, spec ture and extent of each type of use ..................... 7. uimens~ons ot exmting structures if any: Front ./.'ff. ...... Rear ./~ / Depth.. Height /O/ Number of Stories ..... ,/. Dimensions of same structure wiih alterations or additions: Front -.-¢'~*~¢- Rear ............ Depth : Height Number of Stories 8. Dimensions of entire new constnlction. Front ............... Rear ...... ....... .. Depth .............. . Height ......... ?,4. ....Number of Stories ........... 9. Size of lot Front 2',,~ ~ ~o~ ' .......... ;. ....................... · ',, ................ ,-,,-- ....... *Jevth I0. ,D te of Purchase 7~/.~a'P...~ r,./.'~.~/...' ......... Name of Former Owner ................ 11. z, one or use district in gvhich premises are situated ........................................ I2. Do s proposed construction violate any zomng law, ordinance or regulation: . ./V..O ...................... 13. Will lot be regraded .../~9..... ~ ................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ...f~. ........... Address Name of Architect . ./.~.O,'~ : ................... Phone No ................ ..... Address ................... Phone No ............... Name of Contractor .,~.,.o.~. .... i ................ Address ................... Phone No ............... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No.~. ..... · If yes, Southold T~wn Trustees Permit may be required. ~ · ? PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from interiorPr°pertYorlineS'cornerGiVelot.Street and block n~mber, or description according to deed, and show street names and indicate whether~ STATE OF NEW YO,R,K~.,. ~. COUNTY OF ..... ?,~p.}tkp, .k, .k~..' S. , .,.c.~. :. (~ LO.Jo d t o being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named, i ~te is the ~.%.~.. I ' (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner s~t forth in the application filed therewith . ;worn to before me this ~ I ................... ¢. ..... lotary Public ...... _ ~ _..~/.,~,~ ~0. 47_ .25~9,.~il~.~'.C0.ullt~f~ ~ '' ' (Signature of applicant) - ..m c/ . ,