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HomeMy WebLinkAbout19288-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19965 Date JUNE 11, 1991 THIS CERTIFIES that the building. Location of Property 2405 GRAND AVENUE House No. County Tax Map No. 1000 Section 107 Subdivision ACCESSORY Street Block 6 Filed Map No. MATTITUCK, N.Y. Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 1990 pursuant to which Building Permit No. i9288-Z dated AUGUST 1, 1990 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 STRUCTURE 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 GEORGE G. LESSARD SR, Rev. 1/81 1~0w~wr I~I0. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N"_ ~ 9288 Z Do,e ...~....~,.,.~ ...... ..-~.... ......... I,..~....o Permission is hereby granted to: ~ //) .... . ..a~_~..,..~~...;.~ ................ .~.~& ...... ..,...~..:,..l.~..~.~..~.. _, ~ ......................................... ~ ........ .~=~ ...................... ~ ...................... ~. ................. .~.~ ............. at premises located at .~...~...o..~. ........ ..~f~.,.~..T~;...~,.....~....~...~.....~,. County Tax Map No. 1000 Section .... /...O....~. ......... Block .......~....~.. ........ Lot No ....../...~.. ............. pursuant to application dated ...... ...~...,~ ....... .~..~ ............. ,19..~..1~, and approved by the Building Inspector. Rev. 6/30/80 ~RGY FOR 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate cf Code Compliance from archiuect or engineer responsible for the building. 6.Submi~ 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. :. 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 Oqcupancy 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 Jb-NE I1, 1991 ew Construction ........... Old Or Pre-existing Building ................. ocation of Property 2405 GRAND AVE. MATTITI~CR, N.Y. House No. Street Hamlet · ~wer or Owners of Propers- GEORGE G. LESSARD SR. 107 6 14 ~unty Tax Map No 1000, Section .............. Block ................ Lot ...................... ~bdivision ...................... Filed .............. Map ............ Lot ................. ~rmit No. 19280Z AUG. !~ 1990 GEORGE G. LESSARD, SR. ..........' - --. Date Of Permit ...... ... ..... Applicant ..................... . . .. . ... 'alth Dept Approval · ' ......................... Underwriters Approval .................... ... .. anaing Board Approval ........................ quest for: Temporary Certificate ...... .. ... Final Certicate ........ .,. e Submitted: $ 25.00 GEORGE G. LESSARD, SR. ........................ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: TOWN OF SOUTIIOLD BUILDING DEPAIITMENT SOUTI4OLD, NEW YORK STOP WORK ORDER TO: GgORGE & FRANCES LESSARD (Owner, Owner's Agen~ or Person Per.~orm~ng Work) 2405 GRAND AVE., MATTITUCK, N.Y. 119~ (Aaaress o£ above-namea person) YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 2405 GRAND AVE., HATTI~IICK, N.Y. ! 1952 t. Aoaress where work is to be stoppea) TAX MAP NUMBER 1000-107-06-14 Pursuant to section 100 of the Code of th.e Town of $outhold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: BUILDING PERMIT # 19288Z WAS ISSUED IN' ERROR. ACCESSORY STRUCTURE DOES NOT COMPLY WITIt SgTBACK REQUIREMENTS. · CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN BUILDING PERMIT PROIII.I~4 ~IS RESOLVED AND PERMIT IS RE-ISSUED. Failure to remedy the cdnditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprlxonment or both. DATED: 9/26/90 BUILDING INSPECTOR / CODE' ENFORCEMENT OFFICER VINCENT R. WIECZOREK FOR PUBLIC ACCESS TO RECORD TOWN OF SOUTHOLD SEt. lION I. TO 'BE COMPLI::It::I.,~ BY APPLICANT SEP ~BA 1990 INSTRUCTIONS TO APPLICANT: Please complete Section I of this fo--, - ~ve *~- ¢--~ to the Agency Freedom of Informat on Officer. The Freedom of In~rm~J~r~°(~i~rrl~will return one copy to you as a response to your request, or as aninterlm...resp, o_n.s.e.' .~ TO: FREEDOM OF INFORMATION OFFICER AGENCY NAME: "J~/ 0'~: AGENCY ADDRESS: I HERE~Y Ap,~Ly ~0 iNSPECT THE FOLLOVIItNG RECORD {Please de~crLbe Lhe r~.ord sought. If possible, supply a date, a file title and number, and any other informa- tion that will help locate the record desired): Signature of Applicant and Printed Name: ~-Y.~---t~ Applicant's Mailing Address: ~.~ ~t~ Date of Application: SECTION II. FOR USE BY AGENCY FREEDOM OF INFORMATION OFFICER ONLY [ ,,~ Approved []' Denied: (for the reason[s) checked below) [ ] Confidential Disclosure [ ] Part of Investigatory Files [ ] Unwarranted Invasion of Privacy I ~] ~Record of ~hich This Agency is Legal Custodian Cannot be Found [ J Record is Not Maintained by This Agency [ ] Exempted by Statute Other Than the Freedom of Information Act [ ] Other [specify): [ 3~Receip~ of this request is acknowledged. requested record until There will be a delay in supplying the for the following reason: Signature: Freedom of Information Officer (9° SECTION III. NOTICE TO APPLICANT YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION IN WRITING WITH- IN 30 DAYS OF THE DENIAL. INFORMATION AS TO THE PERSON TO CONTACT IS SHOWN BELOW. THE CONTACTED PERSON MUST RESPOND TO YOU IN WRITING 4I/4THIN SEVEN 8UStNESS OA¥S OF ~t~EC:EtPT ~I3F YOUR ~,~P~AL. Name: Southold Town Board Business Address: 53095 Main Road Telephone: Southold, New York 516 765-1800 LAW WAS FILED WITH THE DEPARTMENT OF STATE ON 7/23/90. THIS LOCAL NO RESPONSE FROM SUFFOLK COUNTY DEPARTMENT OF PLANNING. ?~]?/~ I HAVE HAD LOCAL LAW lq, 1990 A Local Law in Relation to Accessory Buildings. BE IT ENACTED by the Town Board of the Town of Southold as follows: I. Chapter 100 (Zoning) of the Code of the Town of Southold is hereby amended as follows: 1. Article III, Section 100-33 (B) (Accessory ~uild- ings) is amended to read as follows: B. (1) On lots containing up to 9,999 square feet, such buildings shall be set back no less than five (5).feet from any lot line. (2) On lots containing from 10,000 up to 19,999 square feet, such shall be set back no less than feet from any lot line.- square feet buildings ten (10) (3) On lots containing from 20,000 up to 39,999 square feet, such shall be set back no less than (15) feet from any lot line. square feet buildings fifteen (4) On lots containing from 40,000 up to 79,999 square feet, such shall be set back no less than feet from any lot line. square feet buildings twenty (20) (5) On lots containing in excess of 80,000 square feet such buildings shall be set back no less than thirty (30) feet from any such lot line. Article III, Section 100-33 (Accessory Buildings) is amended by deleting, in its entirety, sub- section (C). II. This Local Law shall take effect upon its filing with the Secretary of State. TOWN OF SOUTIIOLD BUILDING DEPARTMENT $OUTHOLD, NEW YORK STOP WORK ORDER (Owner, Ox(,ner'$ Agent or Person Perrormzng Work) (Aoaress o~ aboqe-nkmeo pers~'fi/ " YOU ARE HEREBY NOT~IED TO SUSPEND ALL WORK AT: (Aaotess where work i e Pursuant to section / ~9 0 ~ of the Code of th.e Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. - CONDITIONS UNDER WHICH WORK MAY BE RESUMED: Failure to remedy the c6nditiorks aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER [3, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 TEL.: 765-1802 E. amined 199.9 Approv~~..A., 19~. P. Permit No/..9..~...~.'.g. ~ Disapproved a/c .................................. /~ ............... . ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD O~ HEK~TH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ....................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: a. Tiffs application must be completely filled in by Wpewriter 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 9f 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 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess~//ns_~pections. ~ .~,,_.~, O ~ - ~' "~"f'- v'' (~'~-..'~N...: ..... (Sig~l~ture or applicant, or ntame, if a corporanon) . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .. ................................................................................. Name of owner of premises .......................................................................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~..~..~ .~. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on w ~ich proposed worli2,vill be done ........ ~... ] ................... ....... ..... .......................... House Number Street Hamlet County Tax Map No. ,000Section ..... /h.Z ....... Block ..... ~... ' ... Lot ................ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constrnction: · , ~ a. Existing use and occupancy... ~...~.,.~l./~...~,..t~t ...~..~.~..t...? ........ ~; '~'' "/.: ................ b Intended use and ~,e,,,~o,,~-v / "~' [ .t..g. t.O, ~ .,'~. ~-~eq · ~ ~q~.__ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair Removal Demolition Other Work 4. Estimate'd Cost .... i .......................... Fee .................................... ~! (to be paid on filing this application) 5. If dwelling, number of dwelling] units ............... Number of dwelling units on each floor .............. If garage number of cars ' 6. If business, commermal or m~xEd occupancy, spec nature and extent o f each type of use .................. 7. Dimensions of existing stnictur~s, ifany: Front ............... Rear .............. Depth ............ Height ............... Number of Stories ................................................ Dimensions of same structure With alterations or additions: Front Rear ..... Depth . Height Number of Stories Dimensions of entire new constp~ction: Front Rear Depth ..... Height Number of Stories Size of lot: Front Rear Depth ...... 9 ' 10 Date of Purchase ~ Name of Former Owner pr~mises are situated ...... 11. Zone or use district in which ................................................... 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ~ ................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises~ Address Phone No ' Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor 4 Address Phone No 15.Is this property located within 300 feet of a tidal wetland? *YES .... NO .... *If yes, Southold Tow~ Trustees Permit may be required. [ PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, CO.[I~TY OF S.S .......... ........... . / · (I~ amc of individual signi ag contract) above named. being duly sworn, deposes and says that he is the applicant He is the (Contractor, agent, corporate officer, etc.) of said OWner or owners, and is dui authorized to perform or have performed the said work and to make and file this application; that all statements conta ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner'set forth in the application filed therewith. Sworn to before me this ............... l.,_ . ? ,day f .. · HELEN K. DE ¥OE : : ..... NOTARY P~i~tLIC, State of New Yod~_ ' No. 4707878, Suffolk County,~',t (Signature of applicant) le~ n Expires Mamh 30, 19