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HomeMy WebLinkAbout20357-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23588 Date APRIL 4, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 60 GREAT pOND WAY SOUTHOLD, House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 Lot 10.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 1991 pursuant to which Building Permit No. 20357-Z dated DECEMBER 30, 1991 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED IBA & ANGELA p. MILLMAN 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~ 20357 Z ....... ~ ........... ~. ............ ~....j. .......... ,o ........................................ ~ .......... ~-.....:-.~.....~...~ ...................................................................... at premises located at .,.~;~.~. ....... .~'~/.~ .................. ..~..~,, ............................................................ ~oun,., To,< Map ~o. ,O00~S,,,on ...... .C'.~.1 ...... B,oc,¢ ...... ~.."1 ......... Lot ~o..~ .......... pursuant to application dated~CJ~:~)~....~.....~. ............ , 19.~.J .... and approved by the Building Inspector, Rev. 6/30/80 Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ? ~ , ' · APPLICATION FOIl CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bnilding inspector with the following: for new building or new use: 1. 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 installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contairs 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. B. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing land uses: 1. Accurate survey of property sho~ing 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, Swirmming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.O0' New Construction ........... Old Or Pre-existing Building .......... Location of Property .... ~.~....~.......~9f%~...~..~-.~.. 'i..ii '[i.~.~4 ....... · '' House No. ' Stre~ Hamlet .... Onwer or Owners uf Property ..... .~.. '~. ' .... .~k~ ...... County Tax Map No 1000, Section....~..? ....... Block ..... ~. ....... Lot .... /d~). ~ Subdivision ........................ Fi~ed .. · · ' Map Lot Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ............ Request for: Temporary Certificate ........... Final Certicate.../... .... '.. , cq ........................... ....... PLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 31, 1995 Mr. & Mrs. Ira Millman 60 Great Pond Way Southold, NY 11971 **** SECOND NOTICE **** 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 # 20357-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard Principal Building Inspec~or 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 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 SOUTHOLD APRIL 9, 1992 IRA & ANGELA MILLMAN ._~q.(~gO'~PRIVATE ROAD #32 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. xxx 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 ~ 20357-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ?OUNDATION~ (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ~DDITIONA'L COMME~TS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL · ~ DATE ~,~////~/I NSPECTOR ~,~/ ~'~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND ROUGH PLBG. I.~U~LATION ,~INAL [ ] FRAMING REMARKS: .... z ~ DATE /~_-//~/,,~ INSPECTOR_.~/~ FO,qM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTltOLD, N,Y, 11971 TEL.: 76.5- 1~302 Disapproved a/c ........... . .(l~ui]ding Inspector) ........ APPLICATION FOR BUILDING PERIVilT ItOARD OF Iq£ALTI1 SURVEY .L~. ................ C · HOT i F'/: CALL NAIL TO: Date . l.z./.a..6.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale· Fee according to schedule. 'b. Plot pian showing location of lot anti of buildings on premises, relationship to adjoining premises or public streets - areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o£ this appli- ttign. c. The work covered by this application may not be C~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wdl issued a Building Permit to th~ applicant. Such permit a. ll be kept on the premises avadable for inspection throughout the work. e. No building shall be occunied or used in whole or in part for any purpose ~vhatever until a Certificate of Occupancy all have been granted by the Bui'lding Inspector. APPLICATION IS HEREBY MADE to the Bu Idin~ Department · for the ~ssuance of a Building Permit pursuant to the dlding Zone Ordinance of the Town of Southold, Su~ffolk County, New York, and other applicable Laws, Ordinances or :gulations. for the construction of btii/dings, additions or alterations, or for removal or demohtion, as herein described. on eu inspectors on premises and in budding for necessary nspecUons '-~] = , na re=maUons, and to (Sienature of~pplicant, or name, ifa corporation) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general COntraCtor, electrician, plumber or builder. meofownerofpremises ._~r"O Or'l~/ ./~..D. ge/a ~.. /~,'//rr~a (as on the t..zx roll or Infest deed) q)plicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... { ~ .). ,~ ~..5 . ~'.~. ..... Plumber's Lieense No ........ : ................ Electrician's License No ....................... Oilier Trade's License No. ' ' Location or,and on which proposed ,~ork ,vi, be done ..... .6.9.. ~C{~.?.~ Ca .~. aZ. . .......................... /. .................. ~,~5-> rd. t. ~.t. £, Ilouse Number Street Itamlqt :ou.ty ra~ .~ap No. ~000 Section ... 5fi~ ........... ,~ock ..... 9.. ~ubdi,'ision .~.t?F.g.o.~.~.q~t. og...0_.,~O..,~o~,.¢~t g:~,~ ga,, ..... (Namd)' "' .... '.. br.,,--=./. Filed Map No ............... Lot ..... .. J ......... ;tare existing use and occnpancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy . · .. 3~.... ~.5...q.. ~,',,/e-.. ~/,,re~e ..O....&~.. ~o..'/.~.. 'n,endeduseandoceup=ncy..'. ............. .... " :73 3 ',, [