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Home My WebLink About20851-zNo Z-22036 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date DECEMBER 16~ 1992 THIS CERTIFIES that the building Location of Property 900 KING STREET House No. County Tax Map No. 1000 Section 117 Subdivision ADDITION NEW SUFFOLK, N.Y. Street Hamlet Block 8 Lot I6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28, 1992 pursuant to which Building Permit No. 20851-Z dated JULY 28~ 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 REPLACE PORCH ADDITION TO AN EXISTING ONE FAMILY DWE~.ING AS APPLIED FOR. The certificate is issued to CARL AVENT (owner) 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) N°N? 20851Z Permission is hereby granted to: ~ .. .... ../...~... ~ ........ ?~ ........................... - -~,--~....~,.~.,~ .......... ..z.:.~ ....... ./../.2~ · . ~ ........... ~.~ ............... ~~. .................... ~.~:~,..: ......... .......................... ~ .... ~. ....... .z4.. ................. ~,~ P .................... ~ ........... ..~.~ ........ .r.. ...... ~ .......... ~....~......~ ................... ............. ~ .... ....~.~.~ ./..~./.~/~ ........ ~.~ ................... ....................................... ........ .................................................................. County Tox Mop No. 1000 Section ...... /./../?. ........ Block......................~4;P Lot No ....... ./..~. .......... pursuant to application dated ........... ~ ..................................... , 19.f.~.., and approved by the Building Inspector. /~:Suildlng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, i957) 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 ........ ....... New Construction ........... Old Or Pre-existing Building ................. Location of Property. House No. Street Hamlet Onwer or Owners of Propgrty. C.O~..~.~fg.~ ...................................... ... . . County Tax Map No i000, Section./7.~.Block ....... ~. ....... Lot .... ./.~. ............... Subdivision .................................... Filed Map ............ Lot ...................... No. ~.Q~.~J. ~..... Date Permit Of Permit....~.~...-.~..~...Applican ........... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate .......... '~ Final Certicate ........... Fee Submitted: $ ~.. ~.~..~. .... 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 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 DRCEHBER 9, 1992 SIDNgY BEEBE & SONS BUILDERS, INC. P. O. BOX 979 CUTCROGIrg, NY 11935 P~: CARL AVENT 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 is not on file. (Enclosed) No Underwriters Certificate on file. 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 ~ 20851-Z Please contact our office on this matter. cooperation. CC: CARL AVENT Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ZND []INSULATION FRAMING []FINAL REMARKS:~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~[ I~~NAL ~o~_!~¥~o~ ¢ ~ ~ ~_~_) ~OUI~DATION ~2nd ) ~OUGH FRAME & -PLUMBING :~SULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONAL COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ...... Z.' .~. .... , 19 Approved ....... ~...., 19 ~}de'Permit No. ~.~..~../..~... Disapproved a/c ..................................... BOARD OF HEALTH .~/ ....... 3 SETS OF PLANS .......... SURVEY ..... SEPTIC FORH .............. (B/6ildino Inspector) A.F)PLICATION FOR BUILDING PERMIT INSTRUCTIONS · 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 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 in building for necessary,ipspections. , , .... ~,~ .~..,¢., ..... ~F~..~.~. ~....~.-. ~?~ -- (Sign t~re of a~plicant, or name, if a corporation) ~a~c. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· · ~e.~..~/... d;,~/.~..~.... ..................................................................... Name of owner of premises J/~- ~t~ ~ _ ................... , .......' ': ....... ; '~ ...... :.' 'APPROVED'AS N~ED ....... Las on the tax roll or ~arest deea~ ~/~/~ DA~, BR~ If applicant is a corporation, signature of duly authorized officer. ~ ~ ' FEE: ~/~ ~ .~' , · - .BY: .... .................... 765 1802 9 AM ~ 4 PM FOR THE (Na~ and title of corporate o~fi~ ~ ~ ~. A ~, ~ '~ ~ ~' v ~ ~ :::~ .~ ~ ~:;7d} ~ :~ ~ FOLLOWING INSPECTIONS: Builder's License No... ~, ~ 7. g~'."~.~ ~'. ~~' ~' ~ 1. FOUNDATION . ~O REQUIRED ~ ~ , t~ ~ ~ FOR POURED CONCRETE UNlaWfUL Plumber's License No. '- . ................... 2. ROUGH - FRAMING & PLUMBING 3. INSULA~ON ~ h/ Electrician's License No .... ~ ~'~:-~0 U:~~,~'~r~'~'~ r~ P~~.~ ~ r[ ~'~C~ }~ '. 8EFINALcoMPLETE' CONSTRUCTIgNFo. C.O. ' MUST Other Trade'sLicenseNo. OCCUPANCY ......... ~ THE REQUIREMENTS OF THE STATE CONSTRUCTION ,~ ENERGY 1. Location ot land on which proposed work will be' done ..................... OChrES: · NOT. · RESP~91BLE' .~.~.~. S ~t.. ¢~.~ r&.. F~5 ~4~ ~ ........................... ; ................. House Number Street Hamlet County Tax Map No. 1000 Section .. I t~.'~ ...... mo~k ....... ~ ......... Lot .... Z ~ ............ Subdivision: .................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ................................ .... 3. Nature of work (check which applicable): New Building ........... Addition .......... Alteration .......... Repair .............. Remgval .............. ~o'~mo~. ~.~..~.a~..~..... Other Work ............... ~ ]41 ~.OO ' ' (Description) 4. Estimated Cost... · .......... : ...................... : Fee ...................................... i (to be paid on filing this application) 5. If dwelling, number of dwelling umts' .[..~ ~' · .......... Number of dwelhng 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 structures if any' Front. ~. ~' ................................. Depth ............... Height ............... Number of Stories ....................... Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth .' Height ' Number of Stories 8. Dimensions of entire new construetmn: Front ............... Rear ............... Depth ............... Height . N mber of Stones .................................... 9 Size of lot: Front ' Rear Depth 10.. Date of Purchase ....... ....,..~ · ·: ....' ......... Name of Former Owner .... ·. .... h p ? ' ' ted ......... " ' ............. 11. Zone or use d~strlct ~n whm r m~ses are mua .................................... ~. . 12 ti iftte fi ni g 1 ~{~0 ............... · Does proposed construc on rio ny zo n aw, ordinance or regulation: ......................... 13. Will lot be regraded ....... :d. i .................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises . '~..¢..,~f~'.~'..~. .. Address ................... Phone No ............... Name of Architect ........ ' address 15. Is this property within ~00 feet of a tidal wetland? *Yes ...... ~.. No ......... " *If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all Ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. / STATE OF NE~¥..YO:I~:, COUNT OF .... ;0 7-4 (Name of individual signiog contract) above hame& ~ .... being duly sworn, deposes and says that he is the applicant He is the ............................................................. I (Contractor, agent, corporate officer, etc.) ..... of said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this application; that all statements contaibed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner Set forth in the application filed therewith. Sworn to before me thi~ ............ 2 Notary Public, . unty/'/] __ · .. .................. Camrni~Ou,,#fl_~d I. 8uffolk-~UnlW I$!~..~ (Signature of applicant) ! ~mrrERs CF. RT~F~AT~ OOCUPANCYOR .... US'E_ IS.._UNLAWFUL .............. .' i t