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HomeMy WebLinkAbout19156-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19922 Date MAY 20, 1991 THIS CERTIFIES that the building Location of Property 445 MARLENELANE House No. Street County Tax Map No. 1000 Section 143 Block 3 Subdivision Filed Map No. ADDITION LAUREL, N.Y. Lot Lot No. Hamlet 29 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1990 ~ursuant to which Building Permit No. 19156-Z dated JUNE 25r 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 DECK ADDITION & SCREENED IN PORCH ADDITION AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 RICHARD & MARIA ZAHRA TOWN OF SOUTHOLD BUILDING DEPART/v~EN'~' TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 19156 Z Permission is hereby g~nted to: v) ....... .................................... a.~.....~'....~,. ................................... _~ ,_...~.,-~, .~..~..~. ~;.~;.../z~.? at premises ,ocat,ed at ........~.....~..~......~.J,~ ....... .,.~...~;..,~.............../-/ ......................................... CounW Tox Map No. 1000 Section .............. Block --~ Lot No..~....~... /..~.._~ .................................... pursuant to application dated ............ ~ ........................... , Ic) ........ , and approved by the Building Inspector. Rev, 6/30/80 Form No. 6 TOWN OF SOUTtIOLD 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer r~sponsible 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. C. 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 - $I00.00 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, Con~ercial $15.00 ......... ................... Date . ~ew Construction .......... ~Old Or Pre-existing Building ..... . ..~'~.' ~ ocatio of Property:. ..... .... .... ....... .... House No. Street Hamlet )nwer or Owners of Pro ert '~ ~ ~"~""' :ounty Tax Map No 1000, Section..~.Y..~ ....... Block ...... ~ ........ Lot ........ ~.,,~. .......... ;ubdivision .................................... Filed Map ............ Lot ..... ~ ................ 'ermit No..~/.r.~...~....Date Of Permit .... ~../.~.~Z~.~.Applicant ........ ~ ........ ~ ........ [ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate..../. ...... ee Submitted: ~ ,.~'~, Of) qt ?gt-/ ..... . ........................ Richard Zahra 23 Wood Avenue Albertson, N.Y. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL SOUTItOLD, N.Y. 11971 MAY I0, 1991 11507 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 Cer¢ificate of Occupancy is not on file. .(ENCLOSED) /_--//No Underwriters Certificate on file. /~/-~ The check is (o~-~[~7not on file.) $25.00 /~/ No 11ealth Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit Buildinq Dept. ***/-_/ 1 9 1 5 6 Z No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1984 ) 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION SST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING /~ [ F~~INAL I NSPECTOR~~,/ /~// ?'iELD -~ ..... FOUNDATION (2nd) ROUGH FRAME & .FLUMBING INSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~ ,=o,,.~,.,o...D [ ] ,NSULA.,O. DATE INSPEG"'TOR ~<~Z~x.~' / .... /oo_ y~ .... OCCUPANCY 0~ USE IS UNLAWFUL WITHOUT CERi1FICATE OF OCCUPANCY HOWBRD H. STEIN I ~-L HO . I-! ~ left, .: OCCUPANCY OR USE IS UNLAV,~FUL WITHOUT CERilFICAI"E OF OCCUPANCY I-"1 ~GU~ J ~ BUILDINGDEPART~ENT ~, Z ~~ J, TEL: 765.1802 Dis:ppro~cd afc ~uildi~nspectorf ..... APPLICATION F~H BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLA~tS SURVEY ............. SEPTIC ' ' ' CALL HAIL TO: . .... INSTRUCTIONS a. This application must be completely filled in by typewriter Orin ink and submitted to thc Buildingl~Pector' with 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 of lhyout of property must be drawn on the diagram which i~lmr[ of this applJ- cation. c. The work covered by this application may not bc commenced before issuance o£ 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 throuo_hout the Work. e. No building shall bc occupied or used in whole or ~n part for a.ny purpose Whatever until a Ce~tifical~ of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBy MADE to thc Building Department for the issuance of a Building Permit Im-~Uant to the Building Zone Ordinance of the Town of Southold, Suffolk County. New York, and other applicable Lax~. Ordinancea or Regulations. for the construction of buildings, additions or alterations, or for ~:cmoval or demolition, ns h~ein described. Thc applicant agrees to co,.~.'¢'t~¢w/[th~fi[l~.h:lb'l~'lieab]e laws. ordinances, building code, housing code. and rc~ut/tions, and to admit authorized inspectors on premises and in building for necessary inspections. State whe'thcr applica ' i ' i' ~l;,is owner,' e~see agen.t, architect, engineer, general contractor, electrician, plumber or build;-r. ................ e.4. /. ............................ Name o£ owner ofnrcm/.e. / & PC r' v~l ?, ,~;' , (as on the .......... · .......... .. , tax roll or latest deed) .... IFapplic.~nt is a eo~6~[tb}i~, s~gmi,fii're,o£idhly aut~0rized officer. (Name and title of corporate officer) Builder's License No .... (~ ....... Plumber's License No ........ Electrician's l. jCen~e Other Trnde'~ License No ' House Number Street. . ~ ........... ; · ~. Countyr=,\~apNo'.1000S~c,io.. / Z/.¢'. m,,,ct .... · Subdivision Lot · BlOck ........................ ~ ...... F,,ilcd Map No ,.' S (Name) .............. Lot .. ' · ( ~n~ure~~or na'n~e, if~ Corpora,mn) (Mailing address of applicant) 3. Nature of work (check which applicable): New Building ........ d~i~cn ......... 7rattan .... ~, .... Rep:fir .............. R~mbval .............. Demolition lil~. ~ ~mi~~ hoot .... ~ ..... ·~... [Accessory Building ........ s. Ir dwelling, number of dwclhng umtS ............... Number o ~illii:g units on each floor ............... Irgarng:. number of cars ..... ~ .......... 7. Dimensions of existing st~etur{s, if any: Front ............... H igl N{b fsi ~ .... pth. . Depth ' tlci~t ................. Rear ........... 8 .................... ~ ........................ Number of Stories ............... . Dimensions of entire new conxt~ction: Front ..... ............... Rear .............. Depth ........ 11. Zone or use district in w~ich prqmiscs arc situated .... ~ .......................................... 12. Docs proposed Construc~mn viol'a~c a ..... : ........ ~ ' ' ~vm tot oe regndcd .; .... 1~? ...... N~c'of Architect .... ~ .. Address . . Phon~ No ............ N~c of Contractor ....... ~ · 15.Is thzs property located within IOO feet ~ ~es, Southold ~o~fi Tru=tees Permit may be required. PLOT DIAG~M Locate cle~ly ~d di*tNctly ~l'bufldNgs, whether existing or proposed, ~d. indicate ~I set-back d~endon~ from prope~y ~nex. Give ztreet ~d block gumber or desc~ption accord~g to deed, ~d zhow street nme, and Ndicate whether inte~or or comer lot. ' AP, AS NOTED OATE:~B.P. # ~ FEE ~_~.~.~ BY: ~ NOTIFY,"~B. UI/i/OiNG OEP~M~J'Y AT 76~1862/S. AM TO 4 PM FOR THE FOLt. OWlNG'INSPfcT. IONS: 1. FOUNDATION - ~/0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. iNSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES, NOt* RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS oo ~T~ATE OF NE~V YORK, · . (Ns'me.f individual signiug contract) ~bo¥c named. being duly sworn, deposes and says that Itc is the applicant lOtary Public .......... '..~. .... i. - . County i (Contractor, agent, corporate officer, etc.) f sald owner or owners, and is dul~ authorized to pe,rform or have performed tile said work and to make and file this application; that all statements contailned in this applic0, tion are true to the best of his knowledge and belief; and that the york will be per 'omled in tile manner[set forth in tile application filed therewith. ,XVom to before mc this .., ......... .~. .day of.