The URL can be used to link to this page

Home My WebLink About20252-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20495 Date JANUARY 23, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 2535 CEDAR LANE (PVT. RD.) EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 4 Lot 10 Subdivision Filed Map No. I~t No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1991 pursuant to which Building Permit No. 20252-Z dated NOVEMBER 1, 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 ALTER ROOF LINE ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to KEN & NANCY STEIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / ~ /~ ~uilding Inspector Rev. 1/81 lrOUM bO. S TOWN OF $OUTHOLD BUILDING Dt=PARTA&EN'r TOWN HALL SOUTHOLD, N. Y. BUILDING PEBA41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 20252 Z Permission is hereby granted to: ~OO I ' ..... .~..~.,L....~:..c/.:......~..~..~.~..~ ............... ...~.....~.~.f~.~....~ ........... ;. ........... .: ......... :~ ......... ;. ............. ~. .................... .:. ................. :. ...... · i e I at ~ I~u~ ~' at pr m ss oc ed at ...~...~"~.~ ...... ~.~..~.~. ........ .~..)......~...o:~. ....... ....~.....~k~.-~.. County Tax Map No. 1000 Section ..... ..C~...~.."] ....... Block ............ .~ ....... Lot No. O pursuant to application dated ..... ,~.~.~A~.....]. .................. 19..~1..I.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 .i. Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN UALL APPLICATION FOR CERTIFICATE OF OCCO~AI{~W (,' ; ,~ This application must be filled in by typewriter OR ink and submitted to the b~ilding inspector wi~h 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 I% 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. 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. 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 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 Occupanc~ - Residential $15.00, Commercial $15.00 hocation of Property....~a~9~...~.~..J..~.%.~a~_..~.~. ~.~ ...../"~]'5~ ............... .... ~'~"~...~. ..... Hbuse No. Street Hamlet ':o n y No 000, ...... nlo <..P.f .......... ............... ;ubd~vlston Filed Map ~ Lot Permit No.~~..Date Of Permit.//.:.g. 7 ~ .... :[ealth Dept Approval ' · ................ Uaderwriter Approval .'! ~in Board Approw~l ~q,est for: Tempornry Certificate ..... ...... Final Certicate ....... .... CO ~ ~0 ~ ~ ~PLICANT INSPECTORS Victor Lessard Principal Building Inspector 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 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 JANUARY 6, 1992 GEORGE TERRY CUSTOM BUILDER 600 HIGIt~OOD ROAD SOUTHOLD, NY 11971 Rig: HR. &. HRS. KENNETH L. STEIN 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. 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 ~ 20252-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: HR. & MRS KENNETH L. STEIN 765.-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING DATE INSPECTOR ~/~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] ~JNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR FOUNDATION ( la t ) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIO~J~L COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 '~) ., 19.~.). Permit No...~..~.&..~.~..~/~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF. HEALTH SURVEY ..................... c}mcK .~.. ~ .llg6 ............ SEPTIC FORH ................ NOTIFY CALL FLAIL TO: 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 pict plan to scale. Fee according to schedule. b. Plot plan sliowing 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 tiffs appli- cat, ion. c. The work covered by tiffs 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 m3y 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 bui/dings, additions or alterations, or for removal or demolition, as herein described. The applicant aerees to comply with all applical~ie laws. ordinances, buildin~ code, housin~ code, and regulations, and to admit authorizec~ inspectors on premises and in building for necessary'in~j,i~ns. (Signaturc=*%f applicant, or n~m~e~j~r~a cort~o'r~t~:n~' ' ' · q .7./.. ............ tlx, Iallln= aaores~ oi appdcant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. / .. ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorized officer. (Name and title of corporate officer) Builder's License No.../~..O..~.. ~../~..~.~. ..... Plumber's License No ......................... Elecmc an s L~cense No ....................... Other Trade's License No ...................... Location of land which proposed work will bc done ' ... .. 3.'. ...... .d. ¢. .&q. ?. :. . .,) . . . . . ,. .o. ........ }louse Number Street, Hamlet County Tax Map No. 1000 Section ff. 7 .............. Block .... .~ ............ Lot .-/~.. /0 Subdivision ..................................... Eilcd Map No. ~" . .... Lot ............... (Name) State existing use and occupancy of premises and intended usc and occupancy of proposed construction: ' ' ~.2~ ' fi C7~. ~'4·,O,J ~9'&,D a. Ex~stmg use and occupancy ..... 3. . ~ ~ F. ............. ~toY~g.*e.~¢~ ~ ............ b. Intended use and occupancy e ~ / ~ ~ ~ ~ ~n:.m:.~ ;. ,~,,[~ s~ ~',~A~i)~O .......................... ~} ~-~i~ ~¢a~5.~. ~;J ~y~: ~ .......... 3. Nature of work (check whict~ applicable): New Building ..... Repair l~emovai ..... Addition .......... Alter~]~ ............................ Demolition .............. Other Work 4. Estimated Cost ~ ~ (Desc tion) dwelling, number of dwellI /. (to be paid on filing this application) $. If ng units ... If garage, num bet of cars .. l i ......... Number of dwelling units on each floor... ?....' 6. If business, commercial or mixed occupancy, specify nature and extent of each ty Dimensions of existing structures, if any: Front ~pe ofuse ! Hey, bt /2q/ ..... , · ..... Rear ......... De th . ' '" "-" ........... ~'~nmoer ot Stories l ~ ---- · ..... Dimensions of same structure w~th alterations or additions: Front ,.5-7. ,,~..,- ........... Rear. ' ............ Nd:3. ......... Depth..,~q'..¢/ , ,, . , / ~,. ," ........... 4 .... rtmght . 8. vimensions of entire ne~v constructio-' ~-^-J"" ' ;":.h ............. Num bet of Stories... ~ ............. Height ./, .c~, / . ;3!- T '"'m · '~' '? ....... Rear u.~'.c.~ .......... Depth 3~.~i ~ ,.. ' ~ ..... ~...~UmoeroIStories .. / i ....... 9. ~zeoflot:Front. ~ ,I '. ..... C~'~'"' ....... · ... ....... i ii i 10. Date of Purchase I ~ ......... 1 1. Zone or use distric} }~ k~l~i~l] 'n'~-~';;,,'~ .-''' '- .... ; 'hO' Nam.e/of F~o]'roer~Owner ;...: ~ .......... 19 '" r ......... areslmateo .~.~.$g.q¢m7/3 i ........... · ~. ~oes proposed construction viOlafo a ...... : , -. , .... ~.' .................................. 13. Will lot be regraded . ~0,.~.O i ...... y ~,,mng law, ormn,',a.n, ce or regulatmn: ..................... ..... · ' '/3'";:~ .............. ~Vdlexcessfil.lbcr~mo e from premises: Yes N ~,4. ~arne o! Owner of pr~mises ..~fO. ~t/~9..¢%.~.~.~.' Address.~'.r. aco~.,v$ ~t w-6~' '~.~t (N~ Nme ofContrac**- ~.~i '~ ............. aoaress ~[o¢~-~..'. Phone No..~TIx ~OZO ~tt yes. ~outhold To~n Trustees Permit may be required· Yg8 .... ... ~ PLOT DIAGI~M Locate cle~ly ~d dist~ctly ~1 hurtings, whether existing or proposed, ~d. indicate ~1 set-back d' ' propegy Hnes. Give street ~d bloc¢ number or ~ensmns from description according tc geed, ~d show street nines and ~dicate whether interior or comer lot. C ~ ~~ ' /2 'V°w STATE OVNE~~ /~j · · ...... ( am~ of individual sig~g ~ontr~t~ .......... b~ing duly sworn, deposes ~d says that he is t~e applicant above named. ~ Work wm h ...... .~ :_ .~ ........ ~ .... ~P a. are true to the best of his knowledge and behe. nd o -, o~ iJcnv..cu m ;.c mminct set torul ih tile a~,:~-.: .... ,,., , . . f,a that the OWom to before me this , erewKll. ........ ... .... L- /' N