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HomeMy WebLinkAbout19805-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR%~MENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20436 Date JANUARY 2~ 1992 THIS CERTIFIES that the building. ADDITIONS Location of Property 305 SANDY BEACH ROAD House No. Street County Tax Map No. 1000 Section 43 Block 4 Subdivision Filed Map No. GREENPORT~ N.Y. Hamlet Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1991 pursuant to which Building Permit No. 19805-Z dated APRIL 24, 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 I~T & 2ND FLOOR DECK ADDITION TO EXISTING ONE FAMILY ~ELLING AS APPLIED FOR. The certificate is issued to GEORGE & GEORGIA HOLEVAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMF~T OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 lding Inspector FOaM NO. ~ 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) No- 19805 Z Date Permission is hereby granted to: ~ ...~ ............ ./X.;.~ ........ ~'"~..~~ ........ :....:..~ ........ ...~.~.......~.~.~.: ................ _ ..... ~..~.....,...~.-.~.....~.....//.., · / ~~....~..~. .~.~J.~..~>~...X~..:~...~: ~::. - at premises ,~ated at ~..~.~~. ......... :~~._' .... ~,~.~,, to .,,,,~.,,on ~.t~ ...... :~.Z. ............................... .,,~....n~ .,,rov~ ,, t~. Building Inspector. ................ Rev. 6130180 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 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 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. 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 "'?.~ ~ ~ .... ............... i .... ........... Old Or Pre-existing .Building ....... ~j~ ..... Construction Location of Property ..... .~.O.~......~.?.~...~..~..'.~. .... ~.?.; ....... ~.~..~?. -~.K ........... House No. Street Hamlet Onwer or Owners of Property..'~.~...~. ......... County Tax Map No 1000, Section .......... Block .............. Lot .................... ;ubdivision ................................... · Filed Map ............ Lot ..................... . 2ermit No ..... Date Of Permit ..... .~..Applicant .................. {ealth Dept. Approval ...................... .. · · Underwriters Approval ..................... .. .. 'lanning Board Approval ~equest for: Temporary Certificate ........... Final Certicate .... ~ .... ~-c~~ ~/~-~/~ ' ''' 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 13, 1991 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 George & Georgia Holevas 58-25 229th Street Bayside, New York 11364 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X_X 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 19805-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. NOTE: PERMIT REQUIRED FOR ACCESSORY SHED. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistat~t 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 November 13, 1991 George & Georgia Holevas 58-25th Street Bayside, New York 11364 Re: Premises at 305 Sandy Beach Road, Greenport, N.Y. Suff. Co. Tax Map ~1000-43-4-3 Dear Mr. & Mrs. Holevas: An accessory shed located in the rear yard at the above premises apparently was constructed without a building permit. According to Article XXVIII Chap. 100-281 of the Code of the Town of Southold, a building permit is required for an accessory shed, and an inspection and Certificate of Occupancy is also required. Please contact me as soon as possible so that we may resolve this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar FOU~DATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL AI ?IONAL COMMENTS 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INFLATION FRAMING [ '3~ FI NAL 76S.'t802 BUILDING DEPT. INSPECTION ',,,[ ] FOUNDATION ZST [ ']' ROUGH PLBG.' {~. ] FOUNDATION 2ND [ ~TION, . [ ] F~MING · [ ~] FINAL, DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]. I~ILATION/ FRAMING [//~ FINAL INSPECTOR 76S-1802 BUILDING DEPT. PECTION FOUNDATION 1ST [ ] ROUGH PLBG. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH ......... 3 SETS OF PL~S .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~ 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 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 oi' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this 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 any 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 buildings, additions or alterations, or for removagor demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu~,lding code, ~gusing,jcode, and regulations, and to admit authorized inspectors on premises and in building for necessary,~n,~ctiocs. //.~//,,~ ,~ ................. --' (Signature of applicant, or name, if a corporation) o, sr. 9,,. . ....... , .............. '* (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ .................................................................... Name of owner of premises . .~.O.~C,.~...~7~.-~.~..~.~.. ~.O.D....C~.~..-~r...I.~....~ ~r~..~ ................ (as on the tax roll or latest deed) 'If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...4~ .~./~...~'.~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... .~.~. ......... Block ..... ~. ............ Lot .... .~ ............. h Subdivision...S.'~-~I~[x'~.~...~.~vl~.~ ...... Filed Map No..' B~ .... Lot.. ~.O ' ' ' (Name) ............. -" ' .......... L Stateex~stinguseand~ccupancy~fpremisesandintendeduseand~ccupancy~fpr~p~sedc~nstructi~n: .. a. Existing ,se and occupancy ..~r~...~.~.. --~~' .... ."i.. '..:~." . , , ' .... ,,., ~ : ,,, ~.;,; ,. 3. Nature of work (check which applicable): New Building .......... Addition ...... x?... Alterati,o~. .......... ' Repair .............. Remoyal .............. Demolition .............. Other Work .1~..~_-_-~..O~. ...... 4. Estimated Cost .. o__.O ~ ription) · 'i [oo .................... Fee ................................. i (to be paid on filing this application) 5. If dwelling, number of dwelling units .... · ~ ......... Number of dwelling units on each floor. 3./oqr. ......... · If garage, number of cars ...... i .................................................................. 6. If business, commercial or mixed ~occupancy, specify nature and extent of each ty. pe of use .......... i ' ' 7. Dimensions of existing structures~ifan,,. ~,--* t~'1) ,, ,t~l ,- - ~.1~ ........ Height . ~-.~ ........... Number of Stories c~ ........ imensions,,o,.fsa e structure with alterations or a~d¢itions: Front HI,'..~. ~.'.~-f49.. Rear. ~.t')4~'. ~ .. .epth .....~H;.. :.. ...........i' Height ....&~'.. ~ ............ Number of Stories .... oD, ...... 8. ~menmons o~ enure! new construehon:, Front ....%0 ......... Rear .... .'/,~. '. ....... Depth .... ..~.! .. I0. ~a[e o~vurcnase ...~.~..1~ ....... ........ Name ofFomer.gwner ~ ~l~ . 11. one or use d~stnct ~n which pre~mes are mtuated .~M. ~[$~¢T~[~ ............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded ... ~ .... '~ ................ -- Will excess fill be removed ........................... from premises:, . Yes 14. Nme of Owner of premises ~..~... Address ~r[~ .t~SF: ~p..~: Phone No~?.~.. N~e of Architect . ~ ...... ~- -~ . . . Addres ~- - 15. ~s this property within 3QO feet of a tidal wetland~ *Yes ~ ~ ......... If yes, Southold Tqwn Trustees Pe~it may be required. .... PLOT DIAG~ Locate cle~ly and ~sfin'ctly ~1 build~gs, whe~er existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Hnes. Give street ~d block nqmber or description accord~g to deed, and show street nines and ~dicate whether intefiororcomerlot. . ~ ~ ~. STATE OF NEW YORK, 2OU~Y OF .......... S.S ....................... being duly sworn, deposes ~d says that he is the applicant (Name of individual signingicontract) ~bove named. {e is the j (Contractor, agent, corporate officer, etc.) ,f said owner or owners, ~d is duly authorized to perfom or have perfomed the said work. and to m&e ~d file ~is pplicafion; that all statements containdd h this application are true to the best of his knowledge and belief; and that the ~ork will be perfomed in the m~ner se~ forth ~ the application filed therewith· ;worn to before me this ,,; (S~gnaturo of a ~c~t