The URL can be used to link to this page

Home My WebLink About19292-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19969 Date JUNE 11, 1991 THIS CERTIFIES that the building. Location of Property 54325 MAIN ROAD House No. County Tax Map No. 1000 Section 61 Subdivision ADDITION SOUTHOLD, N.Y. Street Hamlet Block 2 Lot i0.3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated_AUGUST 2, 1990 pursuant to which Building Permit No. 19292-Z dated AUGUST 2, 1990 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is PORCH ADDITION TO FRONT OF HENRY W. PRINCE BUILDING 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 SOUTHOLD HISTORICAL SOCIETY Rev. 1/81 ~Buflding Inspector ~ NO. 0 TOWN OF SO~"~40LD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ ~ 92~)£ Z Permission is hereby granted to: .... ~~.=___~..~ ....... .~.~_. . .,..~~~..~/...~.~ ~... ~ ~.~.....~~.... ~:...~~ ......... :~ ................. at premises I~ated at ,,.~~~~ ........ ~ ................................................ ............................................ ~~~ ...................................................................... County Tax Mop No. 1000 Section ........ .~..../.. ....... Block ........... ...~.... ..... Lot No ......./..~!...~.. pursuant to application dated ........ .,.~//,.~'... ................................ , 19~....., and approved by the / Building inspector. Fee $ ~,.~..~.,~ Rev. 6/30/80 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 ali 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 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 sijned 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 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 ew Construction ........... Old Or Pre-existing Building...~,~. ........... ocation of Property 54325 ~ain .R.o.?.d Sou%hold House No. Street Hamlet nwer or Owners of Property Southold Historical Society ~unty Tax Map No 1000, Section. 61 2 10.3 ............. Block ................ Lot ...................... ~bdivision ................. · Filed Map Lot -'rmit No...lS~92 ....... Date Of Pe~ 8/2/90 S.a.m.? ...................... Applicant .............. . ~alth Dept. Approval .......................... Underwriters Approval ......................... anning Board Approval ...................... . . .quest for: Temporary Certificate ........... Final Certicata ............ e Submitted: $ ~-~-, f)O. .... · ..... ............. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOL~), N.Y. 11971 June 3, 1991 SOUTHOLD HISTORICAL SOCIETY 54235 MAIN ROAD PRINCE BUILDING SOUI'HOLD, N.Y. 11971 TEL. ,765~1802 To Whom This May Co,ncern, We are unable to complete your Certificate of Occupancy because .of the following reasons. / /_--//An application for Certificate of Occupancy ~ not on file; ' (ENCLOSED) /_--//No Underwritero Certificate on file. /~--/~"~The check is(~_~xD~d/not on file.) $25.00 /_-/ No Health Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit It I 9 2 9 2 Z Build J. ng Dept. ***/--/ No Plumber Solder Certificate on fi, le. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTIIOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK TO: STOP WORK ORDER SOUTHOLD HISTORICA~ SOCIETY ~O',vnet~ Owner,s Agent or Person PeLrormmg Work) 54235 M~IN ROAD SOUTHOLD (Aaares~ o£ above-name(~ person} YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 54235 MAIN ROAD S0UTHOLD (A~ores$ where work is to be stoppea) TAX MAP NUMBER 61- 2- 10.3 Pursuant to section 100-28i .... of the Code of the Town of Southotd, New York you are notified to immediately suspend ail work and building activ{ties untie this order h~ been rescinded. BASIS OF STOP WORK ORDER: CONSTRUCTION PROCEEDING WITHOUT A BUILDING PERMIT--- _ PERMIT REgUIRED UNDER ARTICLE XXVIII SECTION 100-281 · CONDITIONS UNDER WHICH WORK MAY BE RESUMED: HAS BEEN DULY ISSUED. WHEN A BUILDING PERMIT Failure to remedy the c6ndltions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: __ .8/2/90 BUILDING IN6~ECTO~// CODa ENFORCEMENT OFFICER THOMAS J. FISHER TOWN OF SOUTIIOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK TO: ~TOP WORK ORDER SOUTHOLD NISTORICAI~ SOCIETY (Owner, Owner's Agen~ ot Person Per~ormmg %York) 54235 M~IN ROAD SOUTHOLD (Aac~tess ot above-namea person~ YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 54235 MAIN ROAD SOUTHOLD ~Acaress where work is to be ~toppea) TAX MAP NUMBER 61- 2- 10.3 Pursuant to section I00-281 of the Code of the Town of Sourhdid, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASfS OF STOP WORK ORDER: CONSTRUCTION PROCEEDING WITHOUT A BUILDING PERMIT--- PERMIT REQUIRED UNDER KRTICLE XXVIII SECTION 100-281 · CONDITIONS UNDER WHICH WORK MAY BE RESUMED: HAS BEEN DULY ISSUED· WHEN A BUILDING PERMIT Failure to remedy the c6nditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED:__ 8/2/90 CODE ENFORCEMENT BUILDING IN{PECT~,%// THOMAS J. FISHER OFFICER FOUNDATION ( ls t) .i FOUNDATION (2nd ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FI;IAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK TO: STOP WORK ORDER tOwner, Owner's Agent or Person Permrr~4ng Work) (A~ress o~ abov~-namea person~ / ' YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: I~Aclclress where work is ~0 be stoppeo) Pursuant to section /00-~/ 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 ha~ been rexcinded. · CONDITIONS UNDER WHICH WORK MAY BE RESUMED: Failure to remedy the c6nditions aforesaid and to comply with the applicable provlsion~ of law may constitute an offense punishable by fine or imprisonment or both. DATED: ://~// BOARD OF HEALTH ............ FORMNO 1 3 SETS OF PLANS ............ · SURVEY , TOWN OF souTHOLD -~.~H~CK ............... BUILDING DEPARTMENT SI~I'TIC FORi'! ~ ~'' TOWN HALL ' ' ; ' · · APPLICATION FOR BUILDING PERM IT INSTRUCTIONS a, Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building li~speetor, with 3 ~cts of ~lans, 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 or areas, and cation, alvin= a detailed description of lhyout of property must be drawn on the diagram which is part of this appLi- ¢. The work coverec~ by t~s'apphcatmn 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. ¢. No building shall be occupied or used in whole or in part for a.ny 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 3uilding Zone Ordinance of the Town of St'uthold, Suffolk County, New York, :md other applicable Laws, OrdLnances or ~cgulations, for the construction of buildings, additions or alterations, or for z:emoval or demolition, as herein described. ;'he applicant agrees to compJ~{;w, itl~ aJl"0~pttcab~e laws, ordinances bull ' · ' .... '.' ' . " led/~iogn~?de, housin~ code, and regulations, and. to dm~t authorized inspectors 9ha premises and in building for necessary'insp :,'ate whether applicant is owtl~f,~lts's~,, agent, architect, engineer, general contractor, electrician, pluraber or builder. ,amc o owner o rem scs '' ( th II d d) .................. 'applicant is a Corpora~,i.9$1?~j-gnltui%<6f dul¥ authorized officer. htle of corporate officer) Plum bet's License No ....................... Electrician's License No ..................... OtherTrade' License No Location of land on which proposed work will be done; ........................ llouse Number Street, ..... H.~tnlet ........... County Tax Map No. 1000 S~ction .' ............ · BlOck ..... ~... .......... Lot ..... /~:2, ~ ,. S bdt ......... .., -~: u vision .......................... ........... ed Map No. Statce.' ' - (Name) .............. Lot ............. o use and occupancy of pr{:m,?es and m tended use :md ocCU-a-. .- ' ..--.,-.~j ~ ]-)'"~"~Y o~p. roposed constru.ction: B Intended · · use and occupancy ............................................................. Nature'ofwork (check which applicable): New Uuilding .......... AdditJon ........... Repair ............ ' v i . .. .R.~.mo ali .............. Demohtlon ........... Swimming poo~ .. . / ~ Tennis Court .... .''Acqessory Building ........ '''' ' ' ..... Estimated Cost f. ,2,-~ ~ Fee ' ~ ' ! ¢ ~a n m ,Sappl~9~ lfbusi iai ' d ~ cify ' ''~ ..................................... ness. commcrc orm~xc oqcupancy, spe natnrcan cxtcntofeach typcofu~e ....... Di si f i ti i( Front R D ............... men OhS o ex s ngst~cturcs, any: ·., ............ car ............... cpth ................ H?ght ............... Num bet; o f S~odes .................................................. D~mens on~ of same st~cturc with ~ltcrations or additions: ~ro4t ' ' ............... · · Stories Dimensions of entire new construction: Front ............... Rear ............... Depth ................ Height Number]of Stories · .............. . = ......... ......... ll..- l. ipg.ll[ ..... ...... Size of lot: Front ' ' ' ..................... Rear .......... Date of Purchase ..... · ..... · Name of Foyer Owner Zone or use district in which premis~es are situated ............................ Does proposed construction violate hny zoning law ...................................................... WHI lot be , ordinance or regulation: ................................. re?faded ' Will exces~ fill b~ removed from premises: Yes N~e of Owner of premises ' ....... ...... ' .............. Address Phone No N~e of Architect .... ~. Address .................................... ......................................... Phone No ................. N ~e of Contractor ............ , ..... ~ ........ Address ................... Phone No ............. Is this property loelte within 300 feet of a tidal wetland? ~gS .... NO .... ~lf yes. Southold Town T?ustees Permit may be required. ,. ' PLOT DIAG~M Loca~ cle~ly ~d dia/~ctly.~l bu~dNgs, whether existing or proposed, ~d. indicate MI set-back d~ension, from ~pemy Hnes. Giw street ~d block number or desc~ption accordNg to deed, ~d show street nines and ~dicate whether :flor or comer lot. - ,'~TE OF NEW YORK, UNTY OF ................. ' AP, PROVED AS I~OTED 765,-1802 9 AM ~ 4 PM FOR FOLLOWING INS~C~ONS: 1. FOUNDATION . ~0 REQUIRED FOR POURED CONCR~ 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUC~ON MU~T BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF ~E N.~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPON~IB~ FOR DESIGN OR CONSTRUC~ON ERRORS .............................. ' ................. being duly s~vom, deposes and says that he is the applicant · (Namc of individual signing dontract) )vc ~amed. is thc [ ' ' (Contractor agent corporate officer ere ) ' ;aid owner or owners, and is duly au}horized to pe,rform or have performed tile said work and to make and file this lication: that all statements contained in this application are 'true to the best ofhisknowledge and belief; and that k will be performed in the manner setiforth in the application filed therewith. ~m to before me this · ..................... day o] ..................... ,19... ary Public I, -, ,I