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
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