HomeMy WebLinkAbout20209-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southotd, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20881
Date JULY 23~ 1992
THIS CERTIFIES that the buildin~
Location of Property 2595 VILLAGE LANE
House No.
County Tax Map No. 1000 Section 26
ALTERATION
Street
Block 1
ORIENT~ N.Y.
Hamlet
Lot 21
Subdivision Filed Map .No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 7, 1991 pursuant to which
Building Permit No. 20209-Z dated OCTOBER 15~ 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 REPLACE EXISTING WINDOWS & INSTArJ. NEW WINDOWS IN AN EXISTING
THREE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
PIERRE GAZARIAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
I~'OR~ NO, I~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NE 20209 Z
Permission is hereby granted to: .
..................
',,~----
=, ,r.m~.. S~a*ed ~, ..~~~...~ ................................................
County Tax Map No. I000 Section .......... ~..... Block .......... Z ....... Lot No .......... ~.~.. ......
pursuont to application dated ...... ~..~./.~.. ................................ , 19...?.,~and approved by the
Building Inspector.
Fee $.. ~...c~./...r~
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~\LL
765-1802
APPLICATION 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
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 Plauning 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 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 - $10.00
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 Proper~y ........................... . . .... .. , ....... x .............
House No. Street Hamlet
Onwer or Owners of Property .......
County Tax Map No '1000, ~ecc ...... : ....... Block ..................... ~ ...............
Subdivisio~ ................................ -. -- Filed Map.. ~ ......... Lot ................. . .
Permit No ........ rate Of Permit ..... * ~l'
Healch..Dept. Approval ........................ -- Underwriters Approval ........................
Planning Board Approval .............
Request for: Temporary Certificate ..... ...... FinallCerticate. . ....... ...
.......... ....................
MinutesS°uth°ldoontlnued~°wn Board of Eppeals ~~~November 6, 1958
C~air manr ~I believe from what I have been told and know ~f this
property, that~e could consider this under Section 180lB.
On m~qtig~ made by Mr. grigonis, Seconded byMr. Doyen and carried~ it w
Voteote of of the the Bo~Bo d. Ayes Mr. Gillispi , . osenberg. M~. Grlgonla
mr. Bergen amd Mr. Doyen.
PUBLIC HEARING: Appeal No, 117 of ~illiam H. Sorenson, Orient, N.Y.
for a variance in accordance with the. Zpning Ordinance, Article lll,
Section 300, Subsection i and Section 305 for permit to use an existing
non con forming two family dwelling for three apartments. This propeety
located on the e~st side of Village Lane and the South side of Navy St.,
Orient, N.Y. and bounded by land of Harris on the south. Fee paid $15.00
Chairman read the application for a variance, notice of disapproval
issued to applicant by the Building Inspector and legal notice of hearing
with affidavit attesting to its publication in the official newspaper.
Chairman: "Is there anyone here who wishe~ to speak for this app-
lication?''
Mr, Sorenson stated that he had nothing to add ~nd stated that the
house needed modern ization badly. -
Chairman:
application?"
"is there anyohe here who wishes to speak against this
~r. Terry: "It was investigated by the investigating committee.
committee contacted people in the area who had no objection b~t dinner
wish the Zoning to be changed, and therefore, the investigating comm-
ittee turned in an unfavorable report on the change."
The
Chairman: "It would be my opinion from wha~ I can learn from the
situation, that this would be an improvement both for the applicant and
lo~sl~N motion made by Mr. Bergen, seconded Mr. Doyen, it was unan-
RESOLVED. that a variance be gr~nted· ~ .~ ~to us: a two~ family_ dwellin~
L three'a~partments. The condition of the~ap~liC~tion is that the resid-
~\ence 'be limited to use by three familie~s. ~ ~'~
Vote of the Board. Ayes ~- Mr. Gillispie, Mr. Rosenberg, Mr. Gregonis~
Mr. Bergen · ~nd Mr. ~oyen. ~ .
Minutes of the previous meeting held on October 23, 1958 were on
motion made by Mr. Grigonis and seconded by Mr. Bergen, and carried,
it was
INSPECTORS
Victor Lessard
Principal Building Inxpector
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
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
.TI1LY 17, 1992
pIgRRg-AI~RE CAZARIAIq~
BOX 5
ORIENT, ~ 11957
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 ~x~Inot 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 $ 20209-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION (1st)
FOU;~DATIO:4
2.
(2nd)
ROUGH FRAHE &
.PLUMBING
I~SULATION PER N. Y.
STATE ENERGY
CODE
Fi;;AL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
REMARKS:
FOUNDATION ;ZND [ ] INSULATION
FRAMING [~FINAL
765.t802
BUILDING DEPT.
INSPECTION
]'FOUNDATION 1ST
[ ] FRAMING
'!REMARKS:
[ ']'_ ROUGH PLBG.'
FOUNDATION ZND [ ] INSULATION
[ ] FINAL
OCCUPANCY OR
,,,,Wi~THOUT .CERTiFjC~:, T',
ty~w y C
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
BOARD OF HEALTII
3 SETS OF PLANS .....
SURVEY
CIlECK . ·
C^LL ....
HAIL TO:
INSTRUCTIONS
? a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
,ets of plans, accurgte 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
)r'areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
c. The 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. Such permit
.hall 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
.hall 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
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or
{egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Ire applicant agrees to comply with all applicable laws, ordinances, building code, housing code,.~t, ffd regulations and to
:dmit authorized inspectors on premises and in building for necessary insp,0~q~ ons.
-' (Si~nature°~'t'~ ~~of applicant/~~a corporation)
.............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~ame of owner of premises .~.(ff'../ff.~.~.~ 4~.'.~ .~....~.?.('.~../~.~.
(as on the t,ax roll or latest deed)
;f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... ..~ff...0..~..W.~ .......
Plumber's Licens~ No ..... '
Electrician's License No. /
Ot mr Trade's License No.-<'. ....................
Location of land on which proposed work will be done..' ............. ' ....
llouse Number Street Hamlet
County Tax Map No. 1000 Section ....... ~..~ ....... Block . O] Lot 2 J
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .........
b. Intended use and occupancy .~..~.~ .... '...
)f work (check which ' '
a, pphcable): New Building .......... Addition .......... AlterationV ..........
.............. Rer~ova! Demolition
Other Work
1 Cos ....... i ..... escripfion)
· ' i ..................... Fee ............
i (to be paid on filing this application)
5. If dwelling, number of dwellin~ units ............... Number of dwelling units on each floor
· If garage, number of cars .... ~ .......... · ...............
If business, commercial or mixed occupancy, specify nature and extent of each t eofu
7. Dimensions of existing structures, if any. Front .. . ., yp se ....................
,," ............... r~Umber of Stories ....... ' .....
Dimensions of same structure ~ith alterations or additions: Front .........
, . · ............ Rear £.~..~..
Depth ................... ~ Height ............
8. ' ..................... Number of Stories . V .'-~..o. ................
Dimensions of entire new const[uction: Front ............ Rear .
Height ............... Nun~ber of Stor/es ............. Depth ...............
9. Size of lot' Front /3.~.¢~ ~. ,- ! ...... t .........................
· ': ~z .... , .......... ~ear . ,~c.v~ De,,th
10. Date of Purchase ,r.~.t. Id,!
7 ......... '~- ' }: '',";'", .................. r~amcofl~'ormerOwnerO~h'~.~,~
I 1. t~u.c u~ u~u Ul~.rlc[ In which premises are situated ...................... r ......
12. Does proposed onstruct~on v~olate ' ' ' ' ...... . ·
c ' ' ' any zoning law, ordinance or regulation: .P~'.? ...............................
13. Will lot be regraded g(.~ '
..... '~'~ ................. wm excess fill be removed from vremises' /u,6 Yes N
14. Name of Owner of premises/.~'l~tz~: ~A~-~f,4~~ ^~a .... P.,~,n,,~ 3-~,~,~---.,-'- - ._ _ o
Name of Architect fi(.~ ~ --,, * ......... /. ........ Phone No. 7 ~.J. ~.7..~.
Name of Contractor ..~V..~-... '] ............... aaaress ................... Phone No ................
· ' ', ................. Address ................... Phone No ......... . ......!.
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No .........
· If yes, Southold ~own Trustees Permit may be required.
PLOT DIAG RA/Vl
Locate clearly and distinctly all lbuildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines· Give street and block mmber or description according to deed, and show street names and indicate whether
interior or coruer lot.
785-~802 9 AM TC) -4 PM FOR THE
1. FOUNDATION [WO REQUIRED
FO~ POIJ~ED CONCRETE
2, ~OIJG~ - FRAMING & PLUMBING
3. INSULATION
CONSTRUCTION MUST
SE COMPLETE FOR C. Oo
AI.L CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
TATEOFNEW~--~.R~Kff'-~ rtl S'~
'OUNTY~F ...... .LC. ~.[.~.. ..,
...... c
.(Na~ m e o f individ t~il'si~i~l~i'co~'t;a'c'ti .......... being duly sworn, deposes and says that he is the applicant.
~ovc nanlea.
' (Contractor agent corporate officer etc )
' said owner or owners and is duly a~thorized to perform or have performed the said work and to make and file this
~plication; that all statements containeld in this application are true to the best of his knowledge and belief; and that.the
ork will be performed in the manner set forth in the application filed therewith.
yom to before me this
County