HomeMy WebLinkAbout20305-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26596
Date: 07/27/99
THIS CERTIFIES that the building ALTERATION
Location of Property: 2545 COX NECK ROAD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 7 Lot 9
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 2, 1991 pursuant to which
Building Permit No. 20305-Z dated DECEMBER 2, 1991
was £ssued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is WINDOW INSTALLATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARY C. HINDERLITER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
' Building I~ector
X~'OBM NO. 0
TOWN OF SOUTNOLD
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~ 20~05 Z
Permission is hereby granted to: , ~ / /'" /'~ / .;;,
.........
..~ ................. ~..~....~ ....... ~.~ .........................
,o~ ~~~'~~-'~~'""~'"'~'""~~ ....... ~....:~~
~~..
.~~.....~.....~~~ ...... ..
at premises I~a~at ~...~....[~.~~....~-~'"'"'"'"'"'.'.'""'"'""'..."__ ~-- .....
............................................. ~.~~ .........................................................................
co~.~ vox ~op ~o. ~000 s~t~o. ....... //~ ...... e,~k ....... ~.~ ..... ~ot ~o ....... *...~ .......
pursuant to application dated .../~.~.. .................................. , 19.~../...,'~' and
Building Inspector.
approved by the
Rev. 6/30/80
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
JUN I I
A~PLICATION 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 tham 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Complianc~ 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 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 dweiling $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 ...*~6l~ ~. ..........
New Construction ........... Old~ Pre-existing Building..~... ......
Location of Property.. .~ ........ t.?.~- ................ 79.~ .........
House No. Street Hamlet
Onwer or Owners of Property ........ .~.~/f..~?.. ..... ~....~.~% .... (~.7f~... ~f~f[~}.~ ~.. .....
County Tax Map No 1000, Section .... Jj.~f ..... Block ...... .~..~ ...... Lot .... ~.? ..............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No...~...........O~O~ ..Date Of Permit ...... !.~. J.~j~(Applicant ...~pk-~.~r~ ....
Health Dept. Approval ........................ .. Underwriters Approval ........................ .
Planning Board Approval ..................... .. .
Request for: Temporary Certificate. Final Certicate..A/
Fee Submitted: ........................... ...
APPLICANT
FOUNDATION (1st)
FOUNDATIO:~
2.
I ROUGH FRAME &
.PLUMBING
¢2nd)
13.
INSULATION FER N.
STATE ENERGY
CODE
FI;;AL
ADDITIOMA'L COMME~TS
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTOIq, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 27, 1992
ScoTr 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
Mary Lindsay Hinderliter
Box 184
Mattituck, N.Y. 11952
To Whom 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 20305-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTtlOLD
~ k~ ~ 765-1802 ~ I I ~QQQ
~ .~.~ ~PLICATION 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:
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
~ess than 2/10 of 1% lead.
5. Co~ercial building, industrial bu%lding, multiple residences and similar buildings
and installations, a certificate of Code Complianca from architect or engineer
responsible for the building.
a 6. Submit Plauning 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 all property lines, streets, building and
unuJual 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 - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, ~ommercial $15.00
..........................
Date . .
New Construction ........... Old Or Pre-existing Building .................
Location of Property .................................... ..
House No. Street Hamlet
t t .......
Onwer or Owners of Property... '~ .......................
County Tax Map No 1000, Section ..... ~l~f ..... Block .... ~3 ........ L t..~.~....o ........... .. .
Subdivision.. ~ ........................... Filed Map ............ Lot ..................... .
Permit No..~..~...Date Of Permit ...... cant ~ .......
. .. Appli ..............
Health Dept. Approval .......................... Underwriters Approval ........................ .
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.~ .....
Fee Submitted: $....~..~. ......................
~ ~ APPLi~C~J~T_
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Prtncipa[
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
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
February 27, 1992
Mary Lindsay Hinderliter
Box 184
Mattituck, N.Y. 11952
Re: Building Permit # 19287-Z
Premises: 2475 Cox Neck Road, Mattituck,
Suff. Co. Tax Map ~1000- 113-07-09
NeY.
Dear Mrs. Hinderliter:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
BUILDING DEPT.
INSPECTION
[ ]~,FOUNDATION XST [,] ROUGH/.PLBG.
F~XE~ATION 2ND [:]"~S~TION
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I~ULATION
FRAMING [~J FINAL
REMARKS:
DATE
( /'
INSPECTOR ,,~~' ~
;,"i '~", ,- 'i: , FORM NO. 1
~ , .~ TOWN OF SOUTHOLD
NOV 2 ?1991 ' i?, BUILDING DEPARTMENT
~'~ TOWN HALL
...... '~ SOUTHOLD, N.Y. 11971
{,.~.,~.,~. ' , i~,/ TEL.: 765-1802
Examined . .£ ..... , 19 .
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
gO,\gO OF HEALTH .........
.~--~3 SSTS OF PLANS
SURVEY ............. . ......
/CHECK
SEPTIC FOR~I
Date ', 19
INSTRUCTIONS
a. TtQs 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·
' b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubhc streets
)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
--~ltion.
c. Tile work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. S~ch permit
.ball 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 whate~;er until a Certificate of Occupancy
.hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~rmit pursuant to the
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable ]Laws, Ordinances or
[egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
['be applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to
tdmit authorized inspectors on premises and in building for necessary inspections.
_ · ...... .......
' (Signature of ~!5plicant, or name, if a corporation)
..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder.
............. O..~.o .~.r. ..... . '
· ........ . ..................... . ............
Name of owner of pre nises
(as on the t,,q~x roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of co]'porate officer)
Builder's License No ....... ./~.1~' ...............
· /,~/~.
Plu uber s L~cense No ..... "
Electrician's License No ...... ~./.
Other Trade's License No ..... .C/f/~. .............
· Location of laud on which proposed work will be done.
llouse Number Street Hamlet
County Tax Map No. I000 Section ...... ~ 5.~ ....... mock . .~.¢ ............. rot...q.~ ....... : .....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
Slate existing use and occupancy of premises and intended use and occupancy of proposed construction:
a, Exist/rig use and occupancy ........
b. Intended use and occupancy
3. Nature of work_(check which aplplicable): New Building .......... Addition
.......... Alteration .........
Repair .. ~ ........ Removal ............ Demolition ............. Other Work ..............
! (Deso p.on)
4. E~timated Cost .~'.~.~
~ ~.~. (to be paid on filing this application)
5. Ifdwelling, number of dwelling nits ............. Numberofdwellingunitsoneachfloor ...........
If garage, number o£ cars ..... ,. ............................................................
6. If business, commercial or mixe~ occupancy, specify nature and extent of each t /4 ~
7. D~menmons of existing structure~ if any. Fron* ' ,, ype of use .. ~/~ .................
Heght .. ... . Nmn~er ~: '': ............. ~tear ........ Depth ..........
....... p ot ~[orles ................ . ................
Dimensions of same structure wiih alterations or additions: Front .
Depth ................... [. Hmgh Rear .........
t ...................... Number of Stories .......
He/gilt ............... Num' ' ' ' ' ' ......
8. Dimensions of entire new constnlction: Front ........... Rear .............. Depth .......
9. her of Stories ~ ........
Size of lot: Front . .,/p.o.. ' .................
I0. Date of Purchase ........... Rear .... /.9.9 ........... Depth /~.. ~
........... ," ................ Name of Former Owner ......
1 I. Zone or use district in which premises are situated ..................................... · ....
1 2. Does proposed construction rio alte any zoning law, ordinance or regulati ......
13. Will lot be regraded ..........................
f P ....... Will e~.¢ ss fill be removed from premises: Yes
14. Nam~ofOwnero remises ' , Address(..~/k' ~ ~,~ 9~.?'o~
.... · .............. Phone No. -
Name of Architect ............ Address ~ ~.r. ,.~: .~..c-... Phone No ............
NameofContractor ....... : ....... '" · .- ....
· ' '~ ................ Address .............. Phone No. ·
15. Is this property within 300 feet of a tidal wetland? ..... ' ..............
, *res ........ No...~.%~.
· If yes, Southoid Tgwn Trustees Permit may be required. ''''
I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from*
property lines. Give street and block n¢mber or descriptioh according to deed, and show street names and indicate whether
interior or comer lot.
u. POURED CONCRET~
2. ROUGH. FRAMING-& PLUMBING
3, INSULATION
4, FINAL . CONSTRUCTION MUsT
BE COMPLETE FOR
ALL CONSTRUcTIoN SHALL
THE REQUIREMENTS OF THE N,~
STATE CONSTRUCTION & ENERGy
, uM CONSTRU~ION ERRORs
FATE OF NEW YORK,
3UNTY OF .... SiS
(N ..... gi t) .......
amc of,nd:wdual mgn,n contrac
:ore nanlcd.
being duly sworn, deposes and says that he is the applicant
is thc
(Contractor a~entl corporate o~'ri'c'e; 'e't~i ............................
said owner or owners, and is duly a0tborized to perform or have perfonned the said work and to make and file this
.~lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
.rk will be performed in the manner sci forth in the application filed therewith.
om to before me this
..'.,
................ day of ............. 19
p '
tary ubl ........... County
· ~ t" F~J, BRAZDA
Notary Pabt,c, S~at~ of New York '~.
No. 473~77 / · ·
Qualified in Stl, folkJ~'ou~/y .....
Commission E×p!mr i ~.~/t (Signature of applicant)