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HomeMy WebLinkAbout19329-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19307 Date AUGUST 20~ 1990 THIS CERTIFIES that the building Location of Property 4960 HORTONLANE ~ouse No. County Tax Map No. 1000 Section 54 Subdivision ACCESSORY SOUTHOLD, N.Y. Street Hamlet Block 32 Lot 21.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1990 pursuant to which Building Permit No. 19329-Z dated AUGUST 17, 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 SHED (AS BUILT) AS APPLIED FOR. The certificate is issued to CHRISTOS & CHRISTINA ~ERVENIOTIS (owners.) of the aforesaid building. SUFFOLK COUNTY DEP~IENT OF HF~%LTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In~pect6r Rev. 1/81 TOWN OF $OUTHOLD BUILDIhlG DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) co,,,,,,,, To,, Map No. J000 Sect,o,, ........ .,~..~... B~ock ........... ~ .... Lot No ........ ~./.-...Z:. pursuant to application dated ..... ~ ................................. , 19.~.~.., and approved by the Building Inspector. Fee $.. ~)~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~I ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accura[e survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Ce~tificate of occupancy New Dwelling $25.00, Accessory ,$~0.00 Business $50.00 2. Certificate of ~)ccupanc¥ on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O.' $ 50.00 Date .Aug.~st..1.5.~..lp.9. Q ....... Accessory Structure NewConstt~uction. x.. Old or Pre-existing Building .... VacantLand Location of Property 4.9760 HortOn Lane Southold , House No. Street Ham/et Owner or Owners of Property . . ~b~.i. stOS. an.d Christina Verveniotis Countv Tax Map No 1000Section 0;54. Block 32 Lot Subdivision ................................./~,~,~. ~ ~ Filed Map No .......... . .Lot No ............... Permit No..~ ~ate of Permit .. 7('?/.8. 7.Applicant . . Owner .S.%m.e., ...................... Health Dept. Approval .... '."(//..~. ............... Labor De . royal ..... ~'/,~. · ........... pt App . . . . Underwriters Approval ........................ Planning Board Approval ................. Request for Temporary Certificate ~ Final Certificate Fee Submitted $.. ~10...00 ..................... Construction on above described building and permit meets all,~pplicable codes and Rev. co- _ 173o? regu lations. Applicant ~ "]~/~'~'~'~'~' '~5...'~.. ,~,~-'~,~,~. ~.~,..~,~, -~-/- · .~,~. ' CHRISTOS and Christina VerveniOtis 7G5-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION :END [ ] INSULATION [ ] FRAMING [~'"~FINAL 3 ~"~ REMARKS~~~'~. , DATIr VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 23, 1990 Mr. & Mrs. Christos Verveniotis 42-11 163rd Street Flushing, NY 11358 Re: Accessory Shed @ 4960 Horton's Lane, Southold, NY S.C.T.M. ~ 1000- 54- 03- 21.1 Dear Mr. & Mrs. Verveniotis: We received a complaint regarding the accessory shed on your property stating that there was no building permit issued for the shed. According to Article XXVIII Chap. 100-281 & 100-284, a building permit is needed for a structure and a Certificate of Occupancy is needed before it can be used. In order to aviod legal action, please contact the Building Department in~nediately to resolve this problem. Thank you for your cooperation. Very truly yours, Southold Town Building Dept. Vincent R. Wieczorek Ordinance Inspector 3. Nature of work (check which applicable): New. Building ....... Addition .. . Altd~afi0n .... Repair ...... ~emoval ''' '' :, ..... Accessory 'f~lil~'fn k ............. Demolition .............. Other~3V rk ...... 4. Estimate'd Cost $1 , 000 (Description) 5. If dwelling, number of dwelling units (to be paid on filing this application) If gara,'e, number of cars of dwelling units on ............... Number each floor ....... 6. I£ business. Commercml or mixed occupancy, specify ............................................ 7. Dimensions of existing structures, ir any: Front ............... Rear ..... Depth nature and extent of each type of use .......... '. . Height ............... Number of Stories ......................... of same structure with .................................... . .......... Dimensions alterations or additions: Front ....... · · Depth ...... Ileight ......... ' ................ Rear ...... imensions ofent " · ....... Number of Stories ............. ~ ''' · 8. D ire new construct on: Front ...~/~ t~....~. .... Rear . ../.O. ~'7" De-th Height .. fi3o.5 ......... Number of Stories ......... ,- --~, .......... 9. Size of lot: Front . .3.15 · ; ...... 10. DateofPurchase . . ' ........... Rear ...' 314.66 . ' ..................... . ' ................. Depth .. 425.75 ........................ Name of Former Owner .................. 11. Zone or use district in which premises are situated.. R .......... i i... i ..................... ' 12. Does proposed Construction violate any zoning law, ordinance or r ......................... 13. ' ...... ' ...... Will lot be regraded .... egulatlon: ..... .a.D. .... .... ' ' ...................... Will excess fill be removed from premises: 14. Name of Owner of premises ...... Name of Architect ............. ' ............. Address ................... Phone No. Name of Contractor ............. Address ................... Phone No ............ ......................... Address .......... Phone No ........ · ........ 15.Is this property located within~00 feet of a tidal wetland? *YES .... NO..x. - · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or COmer lot. API~IfOVL/I) AS NOTED F ~ NOTIFY 76,%-1802 9 AM ~ 4 PM~OR THE FOLLOWING iNSPECTIONS: 1, F~NDATION , ~ REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSU~oN 4. FINAL CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL ~NSTRUCTION SHALL ME~ THE REQUIREMENTS OF ~E N.E STATE CONSTRu~oN & ENERGY CODES. N~ RES~NSIB~ FOR DESIGN OR C~STRUC~ON ERRORS STATE OF NEW YORK COUNTY OF SUFF~L.'K S.S qbr&sto~' .V.e. rv.e*~iotis & Christina Vervenit~t.i~ (Name ofindivJduaI'signink c~ntract) .......... being duly sworn, deposes and says thath~ley.~are .the -~.~:~ ute applicant above named. te is the ........ ' · ontractor, agent, Corporate officer, etc.) ' ' ' ..... said Owner or owners, and is duly author/zed to pc?form or have performed the said work and to make and file this Pplication; that all statements contained in this application are true to the best ofliis knmvledge and belief; and that the tork will be performed in the manner sci forth in the application filed therewith. worn to before me this i.sy.ina' y.e.ryy.n. .o.t. .s ' ... ('Signature of applicant) ........ _JL:::~' , COUTHOLD, N.Y. 11971 BLDG. DEPT, , TEL 765-1802 Vxamined .......... Disapproved a/c ...................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ............. NOTIFY CALL MAIL TO: Date ...A.u.~qs..~. 3.5. ...... 1.9...~0 Other Trade's License No ..... I ................. Location of land on which proposbd work will be done ' ' 49-60 Horton. L.ane, Southold, Ne.w. Yo.r.k. [louse Number Street· Hamlet County Tax Map No 1000Sectioh 0.54 ' Block 03. Lot 21.1 Subdivision . Eiled Map No Lot (Name) State existing use and occupant remlses and intended use and occupancy o roposed constrtt~tion b Intended use and occupancy Sam~ ~i ' " OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Builder's License No .......... I ......... n../.a ..... Plumber's License No. El art's ' ectrici License No ...... i ....... .. . ...... INSTRUCTIONS ~ a. Tlds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tkis appli- cation, c. The work covered by ttfis application may not be commenced before issuance of Building Permit. d. Upon approval of this applicalion, 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 occupie~ or used in whole or in part for a[w 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, Ord/nances or Regulations, for the construction oflbuildings, additions or alterations, or for removal or demolition, as herein described. The applicant agree, s ,t0?.~o~p,l.7.~,~{..~ll applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized ins~ed{"o~"d'fi*f~'f~ni}es and in building for necessary inspection~ ~¢~ ..... i~ -;;:"] (Sgnatureotapplicant orname ifacor orauon : ,.; . ,:. , ,,, , '? ,':s,' v:i ~;r~""" . .4 2.-.1.1.. J 15.3.r.4. ~.t.r.e.~.~.,..~.u.s.h.~.n. cjz' ?.Y.. J ,1.3.5.8 .., ,, , ~ 'e~!!~,: ,":, ' (Mailing address of applicant) State whether, apphcant,,fs ~owher. l~'~see, r,."°ent,, architect, engineer, general contractor, electrician, plumber or builder. ............................. I. · · ~Q,gp.~r s ........................................................ ~ amc of owner of prem~e~ '. I~IS~'~L ~o.8.~ ar~ .C~.r.tstin.o..Ver.v. er~iOg. J. 8. (as on the tax roll or latest deed) Il' applicant ifa kq[~rq~j~,~ign~}~l~.~.'Util~,~ff~,thorized officer. [ amc aaa title of corporate officer) Finest Quality · Custom guilt ®. Discount Structures ® storage ® game room ® boat house ® cabana ® play house '" · workshop ALL THE RIGHT REASONS FOR PURCHASING e utility A NOR'FH IFORK WOOD DESIGN STORAGE SHED · fire wood Delivery is FREE* Customized designing to yo~ ~r specifications Completely constructed an i assembl~d Ready for immediate use No middle man - all work done at our shop Many styles available - all sizes All wood construction - stronger, longer life Fully painted and trimmed abot sram paints, exclusively - choice of colors Foundation is 4X4 pressure treated timbers Floor: 5/8 or 1/2 inch AC ext~erior ply, Floor joist 16" on center "OUR" BARN Maintenance free 5/8" exteiior grade texture T 1-11 siding Aluminum jalousie window 0r wood window Screened vent Reinforced and framed double swinging doors Heavy gauge galvanized hinges and door latch Roof trusses 2X6 and 2X4 double gussetted for maximum strength Maximun head room 5/8 Exterior grade plywood r6of Self-sealing 240 lb asphalt shir~gles All wood corner molding, Weather tight Immediate delivery from inveptory. 3 to 4 weeks on custom orders "OUR" QUAKER NORTH FORK WOOD DESIG~ ~ COMPARE BOTH OUR QUALITY AND PRICE 43305/~IAiN ROAD, SOUTHOLD , (1/4 mile east of Peconic Lane) ALSO: GAZEBOS, DECKS, CUPOLAS AND DOGHOUSES. HiO W TO F I N D U S_ ~ SOUTHOLD TOWN ,M a ~ n Road Free deNvery within 20 mites. 1:. TOWN i0'['.' ,~GL.IT'HO L'D,NEW YOiE~ '~O':JF_..S: LOCATION HAP · 6:,co'~ I~