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Home My WebLink About20825-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21033 Date SEPTEMBER 18, 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 530 SUNSET WAY DRIVE SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 91 Block i Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3~ 1992 pursuant to which Building Permit No. 20825-Z dated JULY 14~ 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 10'x8'UTILITY SHED ATTACHED TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAWRENCE & GLORIA SIMON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 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) NO_~.° 208~ Z Permission is hereby granted~to: , ~...~.~....~..~....'.~......~.~ .... /..~.?..~.~......~.~.~......(~.~ ....... ~.~~....~:.~ ....... I.~..~.~.~ ...... .................................................... at premises I~ated at ..... ~..~.~....~..~..~., ....... County Tax Map No. 1000 Section ...... ..~..~..) ....... Block ........ .C~..I ...... Lot No .......~...¢J ........... pursuant to application dated ...... ..~...~....~ ..................... , 19.c~.~..., and approved by the / Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT : APPLICATION FOR CERTIFICATE OF OCCUPANCY J ) ~'~-~ ~7 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 ali 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 inspallation 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 '.'pre-existing" land uses: i. ·Accurate survey of property showing ali property lines, streets, building and unusual natural or topographid 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 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.Cer. tificate 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. Temporary Certificate of Occupancy - Residential $15,00 Commercial $15.00 Date ......................................... law Construction ........... Old Or Pre-existing Building ................. "' House No. r ' ' ....... ·' nwer or Owners of Property.. ~ 0unty Tax Map No 1000, Section ..... . ...... Block .............. Lot ..... .... ~bdivi-sion " ' Filed Map Lot ................ uace Of Permit ...... Applicant ~alth Dept. Approval ......................... - Underwriters Approval ....................... arming Board Approval ..................... quest for: Temporary Certificate ........... Final Certicate.....~.. .... co 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 SEPTEHBER 14~ 1992 " SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 LANRENCE & GLORIA SIHON 150-28 22nd STREET NHITESTONE, NY 11357 RE: PROPERTY @ 530 SIR~SET ~AY, SO]]13tOLD To Whom This.May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy not on file. (Enclosed) No Underwriters certificate on file. The check is 5~~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 $ 20825-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. New York State' Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 (516) 751-1389 Thomas C. Jorllng Commissioner NO PERMIT NECESSARY - TIDAL WET~ANDS ACT Date: DEC No. Location: Dear A review has been made of your proposal Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the project is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit. Therfore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require 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 agencies. Very truly yours, ref: NPN disk#6 Deputy Regional Permit Administrator JUL 3 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 $OUTHOLD In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, tidal wetlands, fresh water bodies and freshwater wetlands, we will need a waiver of jurisdicition or a permit from the New York State Department of Environmental Conservation, Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Phone number.:.: DEC INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 JUL 3 :":' In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, tidal wetlands, fresh water bodies and freshwater wetlands, we will need a~_wDive_~r of jurisdicition or a permit from the New York State Department of Environmental Conservation, Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION ZND [ ] INSULATION [ ]FRAMING ~~ REMARKS: · .... DATE INSPECTOR 765-1802 BUILDING DEPT. ~/~ _~INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING _.~~IL~~ ?OUNDA~TION (1st) ~OU~DA TIO~'! ( 2nd ) ~,OUGH FRAHE & .FLUMBING ~NSULATION ?ER N. Y. STATE ENERGY CODE FI;;AL IONA'L COM~E~;TS: JUN - 3 1992 FORM I~O. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 BOARD OF HEALTH ......... J'3 SETS OF PLANS .......... ~/su~vEY ................... /C~IECK .................... SEPTIC FORH .............. Approved [ .~.., 199,~Permit No ............ ................................ ...... APPLICATION FOR BUILDING PERMIT CALL /~.%~. 7~° , MAIL TO: 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. ~i b. ' Plot plan showing location of lot and of buildings on premises, relationship te adjoining premises or public streets ~are%, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c~t~0n. , 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 ispued 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~o0s.[ .~ ~' ~ ~ ~'~ ~.~ . ................................... 4d,-iii¢ · . (Mailing address of applicant) %L' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................................... ~: ' ' ' ''. ' 'L '/' ~: ............ '('a~'on' ~t~e'ia'x' ;oi1 or latest deed)'"' If applicant is a corporation, signature of duly authorized officer. · (Name and title of corporate officer) l~.il~leds License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be' done ...... . :-~..~.. ? .... ~ .~....~. House Number Street Hamlet County ~.,~9~ j,~p~ction ~ / Block / Lot ..... S bd~ m~on., ;,. ;-....-...~ ........................... Filed Map No. Lot State existing use and occupancy of premises and intended use anU occupancy of proposed construction: a. Existing use and occupancy .... ~l . ~,5~ ....................................... b. Intended use and occupancy ..... ~.~'~.. ~ .......................................... 3. Nature of work (check which applicable): New Building .......... Addition Alteration "...' ....... Repair .............. RemOval .............. Demolition ............. Other Work ............... ,~,,Z! ~-o (Description) 4. Estimated Cost ' ~ .......... ,~..: ....................... Fee . i (to on filing application) be paid ttiis 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... ] .... · 6. If business, commercial or mixed occupant , specify natu e en of each type of use 7 D ....... if .......... · Jmenmons et ex.shngstructures, any: Front · .......... ,, ,. Rear ............ .. Depth ....... Height ............... Number., of Stories ........................................................ Dimensions of same structure wxSh alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories d , . 8. Dimensions of entire new onstructmn: Front ............... Rear ............... Depth ............... Height Number of Stories Size of lot: Front ' Rear Depth Date of Purchase I - ' Name of Former Owner Zone or use district in which premises are situated ..................................................... Does proposed construction violaS6 any z n ng }aw ordinance let' 132- Will l~t-$e regraded .......... 1 .................. Will excess fill be removed from premises: Yes No fp 14. Name of Owner o remises .... , ................ Address ................... Phone No ................ Na~ne of Architect i Address Phone No Name of Contractor : Address Phone No I~ this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold T~wn Trustees Permit may be required. ; ... i,, PLOT DIAG R,MM Locate clearly and distinctly all ~,uildings, whether existing or proposed, and, indicate all set'back dimensions fro~ tuber or description according to deed, and show street names and indicate whethe? 15. property lines. Give street and block m interior or corner lot. -- ~, ,~ APPROVED AS ~tOTED BUlL.DING DEPARTMENT AT 1802 9 AM~TO · PM FOR THE OCCUPANCY OR ou. Eo WITHOUT""'""'-C rE 3. m.s 0F c.o. OCC ALL )N SHALL ~ REQUIREMENTS OF THE N.Y. CONSTRU~ION .& ENERGY ~, CODES. N~ RESPONSIB~ FOR ~ ~ ~: ~ DESIGN OR CONSTRU~ION ERRORS STATE OF NEW ~RK. _ S S" · ....... ,-..-' · · · ................ being duly sworn, deposes ~d says thane is the applicant (Name ...... of mdw:dual mgnmg contract) above named. ' (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 contained [M this application are true to the best of~knowledge and belief; and that the work will be perfo~ed in the manner set forth in the application filed therewith. ' ~ ~g8 d. ~18~ ~ Sworn to before me this ,. ~. 41~610 .......... .......... ..... (Signature of applicant) JUN 3 I.:¢92