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HomeMy WebLinkAbout20862-zNo Z-210~? FORM NO. 4 TO~N OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date SEPTEMBER 28, 1992 THIS CERTIFIES that the building Location of Property 235 DOLPHIN DRIVE House No. County Tax Map No. 1000 Section 57 ADDITION Subdivision SOUTHOLD SHORES Street Block 1 Filed Map No. 3853 GREENPORT, N.Y. Hamlet Lot 42 Lot No. 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1992 pursuant to which Building Permit No. 20862-Z dated JULY 29{ 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A HOWARD F. MALONE, JR. Rev. 1/81 Bui din nspeotor FORM 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? 2086~Z Date ~ ~9 ................. , Permission is hereby granted to: ...~ ....... ~ ...... ~.: ...................... .~ ~ ,¢/- . //~z ......................... .~.......: ......... ~:.~.... .................. './ ..~.d~ ........ ~.....~..._~...'.. .......................... ../.. ............. ~ ......... .../.. elt- .................................................. · ~ ........ ~~ ......... "''~ ........ /~.~z-- .................. , ............................. ~~....x........~.~z~...../...)....', .................................. County Tax Map No. 1000 Section ...~.~.. ........... Block ...... ...~>.~.. ........ Lot No ...... . ..~....~:.. ......... pursuant to application dated .................. .~.~......~. ..................... , 19...~....~., and approved by the Building Inspector. Fee $.....L~'..~...:...~... .... ~Buddlng Inspector ' Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPA .......... ~ ....... .... '"" 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 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 ~md similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subm%t Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing alt 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, ~itions to dwelling 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 - $1OO.O0 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 ..... ?, 7 ??.~. '.] .~..~. '. ...................... New Construction ........... Old Or Pre-existing Building..~ L~cation of Property...~.~..~i ........ ~.~..J~.~,~.~..~./..~.~,.[[[[[[[[[[[[[ .................... ,, House No. Street Hamlet 0 wer or Owners of Froperty../ . .g £, ' County Tax Map No 1000 Section 7 ~ · ~ / · *.,**.*.......olocm .... .., ........ .Lot .... . ........ .... Subdivision ' ................... Filed Map ....... Lot ...................... Permit No, ~...~. ~.~.~..Date Of Permit............ ,..~-'--~--~ ~ .Applicant..~ .~.~...~...~'... ~........~/~'~--(~ Health Dept. Approval ........ ~-. ................ Underwriters Approval .... ~ ..................... Planning Board Approval ~ Request for: Temporary Certificate..Z~..~.]... Final Certicate ........... Fee Submitted: $ ............ 2 .............. .. . .............. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or 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 SEPTi~BER 23, 1992 : HOWARD F. HALONE, JR. & 235 DOLPHIN DRIVE SOUTHOLD, NY 11971 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. The check is ~m~kaxm~/_ 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 ~ 20862-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~u1¥ 27~ 1992 Howard F. Nalone 235 Dolphin Drive Southold, New York 765-5281 Southold Building Department Attn. ~. Horton ,JUL 2 ? 1992 Dear Mr. Horton, Enclosed are all the documents I believe you requested regarding my deck project. As you suggested I have changed the plan. This one sure has less post holes ~ I hope everything meets with your approval. you require please call me. If there is anything sinc}~rely, / Howard F. Malone BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL 7G5-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] IN~U~TION FRAMING [/~'FINAL FOUNDATION FOUtSDATIO,U ROUGH FRAME .FLUMBING I;;SULATION PER N. STATE ENERGY CODE FI;~AL ADD/TIOP~A'L COMMENTS Examined ..... .7.~.~. ..... Approved ...... ~..~. .... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19~.,k ., 19 ~.J~. Permit No...'~?.~..~.~. · Disapproved a/c ..................................... , ~ ~ i, JUL ~ T 1992 . . . T©~Vi~. OiL Ca~%Wf'!gLD (Building Inspector) Application No .................. Date .ri .( .2.? ............ 19q. L-- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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, 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 neces~~r.~n~/~//~,~,~ ¢. ~ .-....~.-: v.-..;... ./.. /(S'~plicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .0...r-.~..X2 5'.f~ .............. : ............. ; ............................ : ............. .:_ ...... Name of owner of premises../~.O .~. ~./r~.~... ~.?...~.,.. ff.~.. 7~ ~ ~.~.~....~..t...~./~.C.~...~..e. .... (as on the tax roll or latest deed) APPR01/£D AS N01£D If applicant is a corporation, signature of duly authorized officer. ........ ; CCUPANCY OR ' . .... = ...... USE Builder's Liceuse No. -I-S. UNIgWFUL DATE: ?,'~'"'~"~' B.R # FEE: , BY: N~I~ BUILDING DEPARTMENT ~T 7~-1~2 ~ AM-~ 4 PM FOR THE FOLLOWING INSPECTIONS; 1. FOUNDATION ~0 REQUIRED ROUGH - FRAMING & PLUMBING Plumber's License No ' T OU C FOR POURED CONCRETE ..... 'T ERTIFICATE .,NSU T,O,..' T Electrician's License No .~.~ ,~,~ ,~,~a, ,.~.- ,, 4' ~ ~ ~ ~fl~] BE COMPLETE FOR C.O. Other Trade's License No ...................... ~ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS ~F ~HE 1. Location of land on which proposed work will be done .................... STATE' ~STROCTI~N ' &' '~ERG~' ....... House Number Street County Tax Map No. 1000 Section ................. Block / Lot ..................................... Subdivision .~.{~ . ~~ ......... Filed Map No.. ~ ..... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~r~ b. Intended use and occupancy ........ ....... ~. · · · · · ·, · · .--~ ~ ...... ,;=~ [~.~ :~ ~g~ ............. ~ ........ 3. Nature of work (check which applicable): New Building .......... Addition...~. ..... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) Estimated Cost . Fee ...................................... (to be paid on filing this applicat{on) If dwelling, number of dwelling units ............. .. Number of dwelling units on each floor. .............. If garage, number of cars ......................................................... · ....... : ...... Occupancy, specify nature and extent of each type of~l~.e ..... :. ·.: ........... '~ i"h Deptl~If business, commercial or mixed .............. Dimensions of existing structures, if any: Front ............... Rear ....... Height ............... Number of Stories ......................... ~ · (~..~: ..~ ..... : ........ ~ ...... ...... ~. Dimensions of same structure with alteratmns or addit~ns: Front ....... ar .......... ? .... Depth ................. Height ....... r~. ............. NtTml~ rXo f/l~o~es .......... :...? .... n~ .~. R~.k~..'./,,,~..,r~.,.. Depth ....... , . Dimensions of entire new construction: Fro .......... , .... Hei ht .' Number of Sro ~(~..~ .x...//...2~.. ..... ............... ; ..... g .............. rlis~....,z../. . -- ; . Size of lot: Front ............... ./d...~/,Rf,~,~ ~ .~...IA. '../.../*'f. · Depth ................... Date of Purchase .......... .c.~.: . /~. .... Na~/[ of Fo~er~wner ........................... Zone or use district in which premises ~re situated ...... I ....)'~' '.'~: .............. ~ ........ ~ ...... Does proposed construction violate any zoning law, ordinance o/: regulation: ............... ~ ........ r ...... Will lot be regraded ............................ 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 .......................... Address ................... lihone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from, properly lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ,LQY_. N,O.'~, .P.~tzEf;~ ¥0 'MAP QF 5©UT~OL ~ .~f-f,:'ff,: ~",I~ILfiL~ !.N THE. ? 7 0 (,N&I~ Ik.' l'r,.f:.K 0 "}'~'. ,,~ ,5'~,'W,-I04 0":',' ~ STATE OF NEW YORK, ~ ~ ~ ': co.u,m:y .OF....~bt,~(k. ...... ~,'~ . ~ ~, (Name of individual signing contract) ~bove named. and ~ays that he is the applicant -~He is the .............................. ~.~.g~A~' .................................................. , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~_r~set forth in the application filed therewith. Swom to before me this ~) , · ....... .... ........ ....... ~ Notary Public, . ..... ~....'.~.., ~Z"~'C~unty --,- (Signature of applicant)