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HomeMy WebLinkAbout19346-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24036 Date NOVEMBER 20, 1995 THIS CERTIFIES that the buildin~ AGRICULTURAL STRUCTURE Location of Property 4310 HORTONS LA.&255 OLD NORTH RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1990 pursuant to which Building Permit No. 19346-Z dated AUGUST 24, 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 AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JAMES & POTA PLEVRITIS N/A N-365475 - OCTOBER 4, 1995 N/A Rev. 1/81 /~ild~g Inspector · 0~[ NO. ~1 TOWN OF $OUTHOLD EUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... !,/~.z~.~ ............. ~..'.~..~.., ........ .... ~~ ,~.. /i~' . ....................................... ..~ ............... .~..~.. ~.-..~:;-.._..; .......... :..;....:;.....;.....~ ................ :.;a.~...:.r...:~.~....~.; ....... ~ ....... at premises located at .~...~.~.....O.......~..~.....~1~....~....~.....~...~:.......~..~...... County Tax Mop No. 1000 Sectio~.~..O....~...~. ...... Block ..... ..~......~.. ....... Lot No.......~.....Z ........... pursuant to application dated ...L~Z4~.~..........-~..~ ...... , 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 , '~ ~ · , ' Form No. 6 TOWN OF SOUTHOLD 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: I. 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. .h 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. Subm%t 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 I. 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 New Construction ........... Old Or Pre-existing Building...~./-- ............ Location of Property.~.f~..~.~.~..~.~Z~..~70~.rZ~..~b....~.'.Q ...................... ,, House No. Street Hamlet Onwer or Owners of Property... :~.a:~-~...~ .fq.-.~ .... [4~.~-~. ',~J.~/& .......................... County Tax Map No 1000, Section .... ~.6'~. .... Block ..... ~ ......... Lot ...... ~l ............. Subdivision ..................... ; .............. Filed Map ............ Lot..] ................... Permit No..ZF~.~.~. Z...Date Of Permit...~/~./~..~..Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: .Temporary Certificate ........... Final Certi~ate// .... ~ .... ' Fee Submitted. $ .............. ....... ' ~ ~t , , / ~~c~ · Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1995 Mr. James Plevritis 147-66 7th Avenue Whitestone, NY 11357 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ** xx No Underwriters Certificate on file. xx The check is outdated. S25.00 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 # 19346-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. THE NEW YORK BOARD OF FIRE UNDERWRITERS 11750~33 BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date OCTOEER 04:1995 ~pplication No. onfiie 10291795/,. 5 N 365475 THIS CERTIfieS THAT MR.& MRS. JAM~S PLEVRITIS, 4310 HOR~ONS t2~NE & O~ NORTH RD, SOU~O~, N.Y, in the fotlowing locatlon; ~ Basement ~ Ist FI. ~ 2nd ~3. OUT Section Bilk t~s exa,nined on ~TE~ER 21,1995 and found to be in compliance with the Na~onal Elect~cal Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: PAN~LJ~OARDS ~ 1-6 CIR. 60 G.F.C.I:,~2 S E R V I C ~ ~c~ ^. w o NO Or NO, O E CO.0 OF CC, COaO AWG OF Hi-LEG OF NEUTRAL Q.C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948 LIC. t~3823 GENERAL MANAGER Per , . This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BU LD NG DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Impector Thomas Fisher ]~uilding Inspector Gary Fish Building Inspector Vincent R. Wleczorek Ordinance Inspector Robert Fisher Assistant 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 SgPTE~BgR 21, 1992 Ifil. &. I/RS. JiMg$ PLEVRITI8 6310 HORTO}~'S L~, SOUTltOLD~ NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) m No Underwriters Certificate on file. ~ XXX 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)o BUILDING PERMIT 9 19346-z Please contact our office on this matter. Thank you for cooperation, SOUTHOLD TOWN BUILDING DEPT. FOU~___~DATION ( ls t) FO,UNDATION ( 2nd ) 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated ......~.~.~...'.'.~.. .............. 19 .~. · Street ~v ~ Hamlet c.~t~ ~ ~ ~. ~ooo s~t~ ... ~ ..... ~ ..... .~ ...... ~ ...~Z,..~... Subdivision ................. Fi]ed ~a~ No ................. ~ot No .................. ,, returned herewith and disapproved on the follow~g grounds... ~... ~e. ~. .... .... ~...~~/~ ............................... RV 1/80 dom BLDG. DEPT. TOWN OF SOUTHOLO FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC';;& ................. NOTIFY~ TEL.: 765-1802 Disapproved a/c ............................. ~ (B uil ~i'fi'-g Inspector) APPLICAT~Orq FOH BUILDING PERMIT CA~L ................ ~L~/'~.~L TO.~ -,/ ..... b/d I c t....fi.Lee D ............. .......... Date ................... 15.... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Ifispector, 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 or areas, and giving a detailed description o£ lfiyout of property must be drawn on the diagram which is part o£ 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 throu~out the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate o£ Occupancy shall have been granted by thc Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance o£ a Building Permit pursuant to the Building Zone Ordinance of the Town o£ Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction o£ buildings, ad~ditions or alterations, or for removal or da~nolition as her ' ' T!~ ..appli,can.t agr, ees to comply wit.h all app, ilcable laws, ordinances, buildin~ code h~uOff-~/,~,~,. ~-~ --.., e.~ descmb, ed. aomir anmonzed inspectors on premises and m building for necessary inspections. , ~.7~ ..... -.~ ,eoUmUons, ana to · (Slgnatu it a &rpor3fidn) ' ' State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) Ii' applicant is a corporation, signature of duly authorized officer. Builder's License No .... O../40..~.~...{.~.. ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done: llouse Number Street, Hamlet '' County Tax Map No. 1000 Section ........... lock ..~ os : ................Lot .............. Subdivision ..................................... Eilcd Map No. (Name) .............. Lot ........... St~,te e" ' x~st ng use and occupancy of prem:ses and intended usc and occupancy of proposed constrsction: A. Existing use and occupancy....~.~.. ................ ~O.e' ) ..... B Inte ded and occupancy ~,epair ............ L~movm .............. ucmonnon ........... ~ ~- t'~ "~l~llPllr~' ,~1~,, Tennis Court ......... Adcessory Building ..... Fence . ;.P. ~Other 4. Estimated Cost .. ...................... ..... .... : ....... ..... ,vt .... ~" ' i (to be phid on filing this applicati'ol~ each floor 5. If dwelling, number of dwelling units .., ............. Number of dwelling units on, ..... t ............ If garage number of cars * ' · nature and extent of each type of use 6 If business commercial or mixed Occupancy specity ................... .- · ' ' · ~ ' ' ' ~ D~pth . 7 Dimensions of existing structures !if any: Front Rear . . )- Height ............... NmnbCr of Stories .......................................................... ' witfi alterations or additions: Front Rear Dimensions of same structure ......... Depth ..................... ~ Height ........ '.-'t ........... Number 9f Stt~ries ........ ~; ~ ~'~' w, ~t' · Dimensions~o ~nt'tlfe. pew constrn~tion: Front . ~..~ .~. 7'.~.*~... Rear .. 2-~'.~ ...... Depth ~.. (?. 7.0'.... 8. Height .~ ]z' ~--~.' .... lNumb~r, of Stories .............. ;.?... :. ,' ............ -'' ':--' 'f/-~ .......... 9. Size oflOt:ofPurchaseFront ..... '~'~'~'~'Y'tq~'y ..... '. Rea"....r,~.t~.~.;..~?~.~of Former,Owner ...... Depth . .~,$.~.t~.,.?: ........... 10. Date ...... J. ~,t.~.t~.~ ............... Name ............................ 11. Zone or use district in which premises are situated .................................................... 12. Does proposed Construction violate any zoning law, ordinance or regulation: ................. - 13. Will lot be regraded ......... ............ Will excess fill be removed from'premiSes:" 14 Name of Owner of premises i j.... Address . Phone No ................. Name of Architect Address Phone No · Name of Contractor .......... i ....... i ........ Address. ~, ........... Phone No .... ~ ~ ~I'O': .d~. ( .... 15.Is this property located within 300 feet o ~''tid'a'l' wetland? *~ES.. · If yes, Southold TowniTrustees 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. STATE OF NEW YORK, COUNTY OF ................. ~ ' being duly sworn deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ' ' (Contractor, agent, corporate 6fficer, etc.)' , . ' of said owner or owners, and is dully authorized to pe,rform or have performed the said work and to make and file this application; that all statements contained in this applic,~tion are trtte to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicat-ion filed therewith. Sworn to before the this ........ day o;r .... P I c. .: . v. .. coumy r~ of applic~t) t~ -O 0 d < © © © k ,, ~7Z i/ L~ '