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Home My WebLink About19618-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAN~f No Z-20426 Date DECEMBER 23t 1991 THIS CERTIFIES that the building Location of Property 95 THIRD AVENUE House No. County Tax Map No. 1000 Eection 67 Subdivision ADDITION PECONIC~ N.Y. Street Hamlet Block 6 Lot 2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1991 pursuant to which Building Permit No. 19618-Z dated JANUARY 9t 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WILLIAM R. & EILEEN BLACKHAM Rev. 1/81 spector FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH HAM. $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 19618 Z Permission Is hereby granted tol , __ ~,o .-~ ~ ................ pursuant to application dated ............. /...~. ................................ , 19 .~....., and approved by the Building Inspector. '~ I//~/~/ ~ee $... ~..~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the cBhildiBg . inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property iin~s,' 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. 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: l. 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, 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 ate Z'. ........................... ~w Construction ........... Old Or Pre-existing Building ...... .../.. ....... Location of Property. ~_~-- ~Jt~ ~ /~-~ ~'~ ,/LZ~, , · ............................... ~ ............ , ....~. .~t.~.. .. ... /. ......... House No. Street Hamlet County Tax Map No 1000, Section .... ~[~ ...... Block ..... ~. ......... Lot...~- ................. :;ubd £visio. ............................. ....... Filed Map ~ ........ !!ealLh Dept. Approval .......................... Underwriters Approval ......................... .'l.muing Board Approval ........................ .leques~ for: Temporary Certificate ........... Final Certicate.. 7Ce Submitted: $ -.'-~D.] .................... ~O ~l~O ~ APPLICANT 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 SCOTT L. HARRIS, Supervisor Southold Town HaH 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 NOVI~'IBER 12, 1991 WILLIAM R. BLACKI~,M 5 FIELDSTONE LANE AVON, CT 06001 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. The check is ~_~_m~/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 ~ 19618-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-~.802 BUILDING DEPT. INSPECTION , [ .] 'FOUNDATION 1ST ROUGH PLBG.~ FOUNDATION ZND [ ~]/~)~ATION FRAMING ~/J FINAL INSPECTOR FOUNDATION (1st) FOUNDATION 2. 12nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: October 30, 1991 William Blackham 5 Fieldstone Lane Avon, CT. 06001 Mr. G. Fish Building Inspector Town of Southold Town Hall 53095 Main Road Southold, New York 11971 Subject: Premises #95 Third Ave. Peconic, NY. Suff. Co. Tax Map #1000-67-6-2. Dear Mr. Fish: Enclosed, please find the building permit for the two decks I replaced this past year. I would have brought it to you in person but as you know I live in Connecticut and generally go to Peconic on weekends when your office is not open. I want to thank you for your assistance in making the necessary additions and corrections to my non-professional architectural drawings. We are very happy with the results and feel the decks really enhance the appearance of the cottage and our neighborhood by Goldsmith's inlet. Yery truly yours, William Blackham Enc: BB/blc VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 11 79 Southold, New York 11971 October 22, 1990 Mr. William R. Blackham 5 Fieldstone Lane Avon, Ct. 06001 Re: Premises: ~95 Third Ave., Peconic, N.Y. Suff. Co. Tax Map 91000-67-6-2 Dear Mr. Blackham: During an inspection of the above premises for a new septic system, it was noted that a deck addition has been added to the above dwelling without a building permit. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction of additions to an existing dwelling. It is unlawful to occupy or use said addition 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. GJF:gar. Gary J. Fish Building Inspector FOR~! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO I~EMEDY VIOLATION (owner or authorized agent of owner) "'i~'~J~';;'~"of o~;'er or authorized agent of aw er) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ............. : ......................... Other Applicable Laws, Ordinances'or Regulations ..................................... : ...... at premises hereinafter described in that ...~~....~.,..~:~r:..~~t.~..~..~r / (state character of violation) ..~../..:,~:.~:~.......,6..~.....~,~_>....~.:~;.,...~.~.~~,~ .~..f~.:~,....r,.~..?.~.~ ......... : .............................................................................................................. (State sect/on or paragraph of applicabl~low~ ordinance or reg61otion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .~..:....u.,~.~.4.~.::.~?,..:-...~.::.:...:.:~.,....~,~./.:~,~' n~. ............ Cau~y of ~uffo~, ~ew Yar~. 's~o,.~ co.~ ~ ~r ~ v/~>~ -~, ~ ~ Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 October 22, 1990 Mr. William R. Blackham 5 Fieldstone Lane Avon, Ct. 06001 Re: Premises: ~95 Third Ave., Peconic, N.Y. Suff. Co. Tax Map %1000-67-6-2 Dear Mr. Blackham: During an inspection of the above premises for a new septic system, it was noted that a deck addition has been added to the above dwelling without a ~uilding permit. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction of additions to an existing dwelling. It is unlawful to occupy or use said addition 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. Building Inspector GJF:gar 765-'~802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL DA,, INSPECI'OR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH ........... 3 SETS ?~ PLANS . C,,ECK .;;~ .............. SEPTI ' ' C TEL.: 7G5-1802 CALL ................... Exa,nJncd.Z/..~. .......... 19,~,. ..~ ~/ MAIL TO: ........ : .................... -. ~ ·, -. ... ~:~ ~ ~ ~ ~ ~ .................... ~,,.,~o ,,~,~ ............................. fl.;el .... . .... ~,J ........... ~ I~'['~-~ ~ ...... ~'~ ...... ~-..//~ ...... ~77J..::" ' ..... ~J 1~'?~ ...... // APPLICATION FOR BUILDIN, S /TOWN OF ~OUT~OLD ~. T]ds ~pp]io~tion mus~ be compJetel~ fill~ in b~ ~pe~vfit~r or in ink ~d submitted ~o ~h~ Buildin~ b. PJo~ pl~ showin~ loonfion o~ Io~ nnd oE ~uild~s on premises, rel~fionship ~o ~djoinin~ premises or or ~rems, ~nd ~iv~ ~ dec,led dssoripfion o~ h~out oE proper~y ~us~ be dr~%vn on ~he dJ~rnm ~vhioh is p:~ caQon. ~ c, The work covered by tMs application may not be commenced before issunnce o~ Bu~d~ Permit. ~, Upon approval o[ this application, the Building Inspector will issucd ~ Building Pc~it to the ~pp~c~t. · sh~ll be kept on the premises nwflnbte for ~spcction throu~out the work. ~ e. No build~ sh~ll~ be occupied or used in whole or in p~rt ~or ~ny purpos~ whatever until n Ce~i~c~te shMl hnv~ beengr.anted by ~e Bulldog Inspector. ' APPLICATION iS HEREBY MADE to the Bulldog Dep~ment [or the issu~ce of n B~lding Pe~it pu~unn' Building Zone Ordin~nc~ o[ ~ Town o~ Southold, Suffolk County, New York, ~d other applic~5le ~ws, ~e$ulntions, for the const~ction of bufld~gs, additions or nlterndons, or for removal or demolition, ns heron T]ic applicnnt a~recs to compl~ with ~I1 ~ ...... ~ u~-~um laws, oralnances 'Oufld~ c h ' - admit autho~zed ~s · . . . . g~~usm, code, and re-ulatzon: , pectom on premises and mbulldmg for necessn~ mspe ~ ~ ~.~ · .~ ....... F. TL~C-~...~ ' ~gnaturc ol applicant, or n~me, (Mailing address of applic~t) Stat~ whether applicant ~s owner, lessee, age,t, ~chitect, engineer, general contractor, electrician, plumber Nameofownerofpremises ~k~ ~ ~c,<,4~ ................................ (as on the tax roll or latest dead) ' ' ]f applicant is a corporation, signature of duly authorized officer. Builder's License No Plumber's L~cense No. Electr~cbn's License No. .~ Other Trade% License No 1. Location of land on which proposed work will be done, .. - ~ , ~,~ ~'~ . House Number Street ' '' - ....................... Hmnlet ...... .... ............... Lo~ .. . , (Name) Eilcd Map No 2. State existing usc and occupancy Of premises and in[ended usc and occupancu ~r....,~, . . A. gxisting use and occupancy..~2~17~ ~Mg , ~. I~e~e~ use ~ occupancy ~. Nature of work (¢h~¢k wh ch ap.phcable). N~w ~uildi~ .......... A~ditio~ .......... ~I~io~ .... , .~ ~ Y ~ ~ ......... 4. Es1~maIcd Cos~ ..................... ~ h~ paid on filing this a~lication~ 5. If dwelling, number of dwellin nits .... / Number of dwelling units on each floor If garage, hum bet of cars .... ~ ' " ......... fi. If business, commercial or mixe ecu a , i a t r e f a p 7 Dimensions of ex sting stmctur~srfFo.ny: Front ' Rear Depth H~ight ~ ~'~ 0f Stories ............... Number ....... , ............................................. D~mensmns of same structure wltb alterations or additions: Front ................. Rear . . Depth ................... ~.. He~tl.~ .. &-~t ............... Number of Stones . . . , , , , ....... 8. D~mensmns ofentlr~ new constmct~on~o~t~.T.~.. R~ar~l.: .4~.%<~.. Depth Height,..~ ~.,,~ ........ ~ ,, Number, ~ of Stories ............ ......... ; ................... _~' ' ........ ~. s,~ oho,t:~../4P... 4 ........... ~r:.- .... (~.7 ............. mpth ...44~ ........ 1 1. Zone or use flmtnct m wlnch prCm~ses are situated f~o~ I c ~/~ ~a ~&~,~ t ~ i2. Does propos~d construct~on vio}at~ any zoning law, ordinanc~ or regulation: ..~ ........................... 13. Will lot be regmded .. ~/~..; ................... Will excess fill be removed from pr~es: . Yea .... 14. N~eofOwnerofnrem~ ~lOC.t<~.~. Addrc~.~/)~a~ ~' PhoneNo.~9~Y~7~7~ · ~ ~3 'r ................... ~k~"~:'~w~;' ... ~.. N~e of Architect .... ~..., ................. Address ................... Phone No ......... N~e of Contractor . .~/~... [ ........ i ........ Address ................... Phone No ............ ~ · t~.La ~kia property located vlthia't00 feet of a tidal ~etlaad~ *Yg8 .... ~0.~. · If yes, Southold lov Iru~tees Permit may be required. PLOT DIAG~M Locate cle~ly md dist~ctly ~ bu~d~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from propmy ~nes. Give street ~d block number or description accord~g to deed, ~d show streei nines and ~dicate wheth,:r interior or comer lot. ~ ~ STATE O1: NEW YORK, 115 - ' ........... bciub duly sworn, d2poses and ~ay.q thvt h". is the applicant (Name of individual si~ning contract) above named. He is the '. ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to pe,rform or have performed the said ~vork and to make and file thb application: that all statements co,tamed in this application are true to the best of his knowledge and belief; and that thc work will be performed in the manner set forth in the application filed therewith. Sworn to before me tiffs I ........................ day , .. ,, ~'~'~' ~ ~ County My ~mmissi0n Expires March 31, lOOl ,' ' ' ' (Signature of ap~icant REQU(RED PLUMBING JCTION MUST SHALL MEET OF'\THE N.Y. & ~'"NERGY FOR ERRORS Z~ (::3 :::0 \ \