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HomeMy WebLinkAbout19150-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23576 Date MARCH 30, 1995 THIS CERTIFIES that the building ALTERATION 250 SOUTHERN CROSS ROAD & Location of Property 875 EADTWOOD DRIVE ~UTCHO~UE NY House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 3 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1990 ~ursuant to which Building Permit No. 19150-Z dated JONE 22, 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 ALTERATION TO ENCLOSE KXISTINO DECK OF A OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH & THOMAS HOEY of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 ~9150 Z Permission is hereby granted to: ..... :::::::::::::::::::::::::: ~ ........ ~ ........... ~., ...... L.s ................ ,o..~.~....~....~.~.~ ...... ~....'"'w~;.-..~. ........................ at premises located at .............. : ...... County Tax Mop No. 1000 Section ......... L~...Q ........ Block ...... .c~..~. ...... Lot No.....-~....~L ........... pursuant to application dated ..... **~...~]...~ ............................ , 19..~...O.., and approved by the Building Inspector. Fee $..~.....;.~ ....... ~"'*Bu'rtlding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ !~[~/. ~P~i' 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. Appro~l~ of electrical installation from Board @f Fire Underwriters. 4.. Sworn ~tatement 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. '~J. Fees l. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $I~.00f, Commercial $15.00 Date ..... ?!: .......................... New Construction ........... Old Or Fre-existing Building ..... ~. ........... Locatio~ of Property .... l ,,~ f~ ~ ~vg. ¢~r~W.~ ................... ....... .~'! ...... ~>.,~ ................. House No. Street Hamlet 9nwerOwners of Property .7~...~.f.~'~ ~ .~.£f~f~'~-/ .~...~ $ounty Tax Map No 1000, Section .... /./..0 ....... Block. 0 ~ ...... Lot. S,h~i~ ~0~ ~ .... Fi]ed Mnn ~ Lo~ Permit No ./?./.~..0 ].~. .Date Of Per 2 ~ A,~,~]~,,~r ~LI%~ ....... ' mit. 7. ............. ~,~, ............................ ~.., .. .e th De t. Approval. .... U. orwriters Planning Board Approval ........................ Request far: Temporary Certificate ........... Final Certicate...~. ....... Fee Submitted: J.tJ 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 March 22, 1995 Mr. & Mrs. Thomas Hoey 4351 Auburdale Lane Flushing, NY 11358 **** SECOND NOTICE **** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed)** No Underwriters Certificate on file. xx 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19150-Z Please contact our office on this matter. cooperation. Thank you for 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..~, TOWN, OF SOUTF~OLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN HALL SOUTIIOL~), N.Y. 11971 August ]5, 1990 TEL. 765-1802 Timothy Quinn IO3 Linda Lane Riv~rhead, N.Y. 11901 RE: ELIZABETH HOEY To Whom Thls:.May Co~cern, 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) /--/ No Underwriters Certificate on file. /? The check is(~m~Y~not on file.) $25.00 /5/ No llea~th Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation~. Building Permit t~ I 9 I 5 0 Z Building Dept. ***IX/ NO Plumbcr Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ,r.~AL REMARKS: INSPECTOR/~ ~///'~ DATE FOUNDATION FOUNDATION 1st) 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS'. FORM NO. 1 TOWN OF gOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 11971, TEL.: 705-180~ Disapproved u/c ......... (Buildin~ Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY: HAIL TO: · ,~Lmg nsc and occupancy of premises and in/ended Use nad Occupancy of proposed a. - is,l.gus a. occupancy.. y. /zy :zz - ._ b. intended Use and occupancy ~ ' '~ ' ~ ..... ; ..................... LocaHon ofland_~on whi~, proposed work will be done: . · .. '~s- .~,~-- /~ Z~~ 'C~0'7-~//~ ~k ~j' Ilousc Number S/rcc~ ......... ~mlct ...................... .......... Block ................. Lot /~'~ Subdivision ...... · · · · ....................... ~ ...... Riled Map No (Name) Lot · INSTRUCTIONS a. Thls application must be completely filled in by typexvriter or in ink and submitted to the Duilding I~Pector sets of plans, accurate plot plan to scale. Fee aCcording to schedule. *a ' b. Plot plan shosving location of lot and of buildings on premises, relationship to adjoining premise~ or public streets or areas, and giving a detailed description o£ l~yout of property must be drawn on the diagram which/~parr o£ th.is applJ- ca, Hon. c. The work COvered by th/s application may not be commenced before issuance of Budding Permit. · ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appt/crmL Such permit shall be kept on the premises available for inspection throu,_hout the work. e. No buildhlg shall be occupied or used in whole or ~n part for any purpose whatever until a Cex~tifica~ of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBy MADE to the Building Department For the issuance o£ a Building Permit pu~uant to the Building Zone Ord/nance of the Town of Southold, Suffolk County, New York, and other applicable Laws. O~dinances or Regulations, for the construction of buildings, additions or alterations, or for ~:cmoval or demolition, as ~ described. The applicant agrees to comply with all applicable laws. ordinances, building code, housin~ code, and x'c,g~atmns, and to admit authorized inSpectors on premises and/n building for necessary inspections. · (Slgnatur~ o£ apphcant, (Mailing address of applicant) State wl~c'ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ............ . ..... o/V (7', ''az- v ' ameo ow e o premi= (.'.z. .. ' - ' (as on the tax roll or latest dee'd)' ' ' It' applicant is a corpo?tion, signature o£ duly authorized officer. (N ;;;,;~'dd; ~?'~;;a;; ............... am officer) Plum beds License No ......................... Electrician's ~cense No ..................... Olher Trade's License No .............. ........ .Nature of work (check which a~plicablc): N'c~v Building .......... Add --~. lllllllcra o .. ......... Rcpair .............. Rt~moval ............. nc,-,~,:,;-- ~ .~ ~~ · ........ ~ .... Accessory Bu~[d~n~ ........ ~___~ ~ ~ _ ~/.e~ ~' 4. ~tim=ted Cost .... ~.~.., ...... ~ ~ (to bc paid on ~lin~ this ~pplic=tion) 5 ]~dwcllin= ~umbcr o~dwcllin~ ~ntts Nnmbcr ' ' .......... ' oE dsvdlln~ units c=ch Root I~ number o~ cars ' .... on .. 6 ~busincss commercial or mixed occupancy .................................. ' * ,5nCCJ~V ~3~urc =nd extent oCr=ch tv c o~usc ..................... · ~m~c~s~onsotex~st~ngst~cturcs,~=ny: Front . ~/ - Hc.",~ i ,~ _ ~ · ~ ....... ~ ..... ~c=r .... ~.~ ........ DhncnSions o~ s=mc structure w~th ............................................... Depth ~ tlci~t ' alterations or additions: Front . Rear ......................................... Nu ubcr S Dimensions of entire new con~tmction: Front .... ~ .... Height Num~bcr o~ Stories ............... Rear .............. Depth ............... Size of lot: Front i ............... Rear Depth Date of Purch=e ........... i ...................................................... ~--e or ...... ' ~ ......... ~ .................. Hame of Foyer Owner ...................... cs proposed Construction violate an,, zonin. 'aw ~' ·" , wm tot De re~dcd .; ....... i ................... Will exccca fill bc removed 5om premises: Yes . N~ f 0 of p~cmi ~ ' · e o wner scs .............. Add PI No N~c'oF A hit ...... rc~s ................... tone ............ ................... Address ................... Phone No ................. N~e of Contractor ......... i .............. Address ............ Phone Ho. ¥ · 15.is chis p=oper~y loca ed ~[chin [00 Eee~ of a C~da[ ~eC[and1 ~YES .... ~0 ~ yes~ SouEhold To~ Tru=~ees PermiC may be required. ' PLOT DIAG ~M . Locate c]e~lg ~d dist~ctly fll~' buHd~gs, whether existing or proposed, ~d. indicate ~l set-back d~en~ions from accord~g to deed, ~d show stre=t n~es and ~dicat~ whether 11. 13. 14. property lines. Give street and b!ock humber or description interior or corner lot, STATE OF NEW YORK, BOUNTY OF S.S .................... being duly sworn, deposes and says that he is the applicant c d v hi: i ra above named. -~c is the .......................... (Contractor agent corporate officer etc ) )f said owner: Oi' turners, and is du y authorized to pe,rform or have performed the said Work and to make and file this :Pplication; that all state~nents contained in this application are true to the best of his knowledge and belief;and that the york will be performed in thc manner set forth in tim application filed therewith. .. ;worn to before me this ' i . :Otary Public, (Signature of applic=.nt)