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Home My WebLink About20818-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20952 Date AUGUST 19~ 1992 THIS CERTIFIES that the buildin~ Location of Property 2795 WELLS ROAD House No. County Tax Map No. 1000 Section 70 Subdivision ADDITION SOUTHOLD, NEW YORK Street Hamlet Block 4 Lot 15.t Filed Map No. Lot No. conforms subskantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1992 pursuant to which Building Permit No. 20818-Z dated JULY 13~ 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RICHARD MAGEE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~OB.~[ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, ti. Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°N.O 308i8Z Permission is hereby granted to: A .... ~,~.......~., .................................. .... ~~.~......~.:.~.:.....t.:....~.m .... ,o ....... nt premises located at .....~...I..'~.I~, ........ ~.~ ...... ~.,....~...~,, ......................... County Tax Map No. 1000 Section ....... .~.'3,..~ ...... Block ...... .~...q',, ....... Lot No.....~..'.'.~...'-....~ ........ pursuant to application doted ......... ..~...~......~. .................... , 19..eJ.3.,~.;and approved by the Building Inspector. Fee $...'~.~...:..~ .... Baflding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 : APPLICATION FOR CERTIFICATE OF OCCUPANCY Thisapplzcatzon' ' 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 I% 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 'Jpre-existing" land usesL i. .Accurate survey of 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. 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-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 o~er 5 years - $10.00 4..Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ~5 'l'~.'· ] n ,,1. 'few Construction. ~ ~ ~ ^" .... q ''''''''~''' ''' · ~.~ ·.. u±d ur Fre-existing ~uilding ............... ,., House No. Street Hamlet Or Owners of Property..· .~-~.~.....<~.~.QA.~.C~.e~. ....................................... )nwer :ounty Tax Map No 1000, Section ..... 9..O. ..... Block ..... .O..~ ....... Lot ..... /.~,,j ............ 'ubdivision- ' ,; Filed Map Lot 'ermit No ................ Dat~ Of Permit .... f. ......... Applicant. ...z%... .. .. {ealth Dept Approval -~ ..~.. Underwriters Approval 'ianning Board Approval ........................ :equest for: Temporary Certificate ..... Final Certicate.. 'ee Submitted: $ .... ' APPLICANT INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervigot Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 August 14, 1992 John Bertani Builder 1380 Oakwood Drive Southold, N.Y. 11971 RE: RICHARD MAGEE To W~om This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is (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 20818-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 7GS.1802 BUILDING DEPT. INSPECTION [ ]FRAMING ~]~FINAL REMARKS: ?OUNDA~ION '~OU~DA TIO~ ~OUGH FRAME & (lst) (2nd .FLUMBING iNSULATION PER N. STATE ENERGY CODE . Building 40~SUI ok, New Yor 11790~2; on the of Environmen ~'/ . 'project Greater %~:?,. · Landward I ::. -. ;' . '. k'j .'~/ Landward ,c~f' ce .y, our matin ydu ha~e submitted, ~ork ~onse: ds. 00' sub~ 100' he iI the 'vation h~s. deter, min:d that from inventoried ti~! ~et ;tan~ia an-made st: cture in 1, engt~ Which:was.,constr ~" above mean sea le',el ele Sta~ Department parcel ... prior to 9/20/77. .on conto~ on a ~atural ope. :,.< .... Landward,of the t0pograph~¢ crestlo~ .~i b!uff .~fr or dune whlch ~s :~ .... greater than~,10 ~n elevatzon above m.,an sea el. ~'~'" ' - ~ / ~ ~ ' I~:Therefore, nolRer~it iJ required under:the:Tzdal .a~ds Act I{A~tzcle 25 ~'Of the E~viro~en~al'C0nservatien Law)~. P?ase b !v~sed, hqWever, that :'no constructio~,.sedim~ntation Or disturbance of. [kind may l~ake place, I' seaward of th~ il0 'con,our:or t0pograp~i% Cres~ w !ut ~ pe.~mit. ~'~our re's~ohsibi'li~y to,ensure that all'inece~sar~ prgcaut~ons'are taken to' [~'prevent any'sedimentation or other alterat~on-or-~s~urbance ~o the' [:ground surface ,or.vegetation ~n thcs area as a resUl~ of your.pro]ect.. ' i; Such Dr~cautioHs may 'include providing~adequate work a'rea between the.._' · I..10' c~ntour or topographic crest and the project (i.e. a 15' to 20' w~de~ r~'construction area)~r erection'o~,a temporary ~ence,.barrier, or hay .bale b~rm. , ' Plea'se note that any additional work, or modification to the project as. dekcribed, may rec~uire authorization by this Department. Please contact this office if such are contemplated. ' Please be.further advised that this letter,does not'relieve you of the responsibility of obtaining any necessary permits or'..approvals from other trh'Z y, Deputg~Regio, PeFmi t FORM NO· 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved J.~.., 19 .]A-.Permit No.~ .~..~.t.~..~ Disapproved a/c .' .~. ~ .~..o~. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURV£Y ................... CHECK .................... SEPTIC FORH .............. CALL ................... HAIL TO: a. This application must be completely filled in by Wpewriter 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, relationship to adjoining premises or public streets m' 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, bdilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. , -- (S/~gnature of applicant, or name, if a corporation) . . . .//fr./ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~'/./~... ~..~...~.' ........ · ' ' ;o'li ;; ilt; t' fi;id') ................. If 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... ~/./~ ............... 1. Location of land on which proposed work will be'done .................................................. ...... z.z .e7. ............ zex&.. ................. ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... f.~. ......... Block ~9 4 Lot ~ /&~ / ' Subdivision ................ (~'a~) ................ FiledMap No..~ ...... Lot ..~.~ ...... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ~~ ~:~'~ ,', ~,'?', 10. 11. 12. 13. 14. 15. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ...... Other Work ~ (Description) Estimated Cost .......................... Fee ~."~ t.. i (to be paid on filing this application) If dwelling, number o f dwelling units ............... Number of dwelling t~nits on each floor ................ Ifgarage, number of cars .... ' If business, co,mmercial or mixed occupancy, specify nature and extent of each typ~ of use .... ; ................. Dimensions ot existing structure~ if any' Front 72- . ~o~ t,4e~ ...... ' v- , ~' .... .',, .... ' .................. ...... Depth... ~. ~ ...... rie:gnt ... ~g,.. r- .... Number of Stories / '/:z~ - Danenmons of same structure wi~h alterations or additions' Front ~'. 7--- Rear ~2~ ....... De ~ I . ~? .................................. pth ...... 3.~ ........... i. · Height ..... ,,~g .............. Number of Stories ..... F././.2~. ..... .. ....... Di tru mensions, of entire new cons , trion: Front ............... Rear .............. Depth ............... Height ............... Number of Stories . Size of lot Front /~rg> . . .~.~ ~ .~ Date of Purchase ........... ~ ............... Name of Former Owner Zone or use district in which pre[nises are situated ..................................... Does proposed construction violate any zoning law, ordinance or regulation: . .A.d.~) ..................... Will lot be regraded ... ,/~.. i .................. Will excess fill be removed from premises: Yes ,~ No Name of Owner of premises ' Address Phone No Name of Architect : .......... ~ ................ Address ................... Phone No ................ Name of Contractor .~,~ ~.,.J~cr.~ ..... Address/,s,;e.. ~*/~W ~(/,~,9...Phone No . ',,~,4~.- ./.~? Is this property within 300 feet of a tidal wetland? *Yes~.~.'~N; ...... i.. ' ....... · If yes, Southold Tbwn Trustees Permit may be required. ... PLOT DIAGRAM Locate clearly and distinctly all property lines. Give street and block interior or corner lot. STATE OF NEW YORKL¢a . . COUNTy OF ............ (Name of itddividual signing contract) above named. 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 ........ being duly sworn, deposes and says that he is the applicant He is the ~ (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly :iuthorized to perform or have performed the said work and to make and file this ~pplica!ion; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'a, ork will be performed in the manner set forth in the application filed [herewith. ~worn to before me this i ' .................. of. o1 ............ ~ %tary Public,~../0~.' .Zg.~'X..~('~-~.q..C~. '. County O-A~t; t. ~.t'X~ [ ..... . ......... Notary PubliC,No, 4.e ~:,~iSt'~te of ~S~w%~, (Signature of ~pplicant) Oualifiod m $uffotk Coanty ~ ~m~ion ~ire$ O~m~ 8, lg ~ '