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HomeMy WebLinkAbout19003-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19131 Date JUNE 11, 1990 THIS CERTIFIES that the building Location of Property 51090 NORTH RD. & House No. County Tax Map No. 1000 Section 51 Subdivision ACCESSORY 120 RICHMOND RD. Block 06 Filed Map No. SOUTHOLD Street Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 24, 1989 pursuant to which Building Permit No. 19003Z dated MAY 9, 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 STORAGE SHED AS APPLIED FOR. 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 KONSTANTINOS KOUKOUNAS Rev. 1/81 lVO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) 19003 Z County Tax Map No. 1000 Section ...... ¢.~/... ......... Block ........ ~.. ......... Lot No ......... ../...~.....~...... Building Inspector. and approved by the Rev, 6/30/80 FOU!IDATIO:! (2nd) 2. ROUGH FRAME & -?LUMBING INSULATIO,~; FERN. STATE E~';ERG Y CODE F_~::AL ADDITIO~A'L COMMEHTS: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 / APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 contm~ns ~ less than 2/10 of 1% lead. 5. Commercial building, indus.trial 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 reeuJrements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properiy completed application and a consent to inspect signed by the applicant. ' ~ If a Certificate o£ 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, Commercial $15.00 · I .L .o Date .~..£ .... ~ ............................. New Construction ........... Old Or ~re-existing Building. . ~ous~ No. Street Hamlet Onwer or Owners of Propert .. . ......................................... · ........... County Tax Map No 1000, Section .............. Block ........ Lot ................... Subdi$ision ......... ' .... ........................... ~%zee Map ............ Lot ........... No.. ~.. ~.~..~..~.~.~.. Date P.ermit Of Permit...~.L .~..~ .~..~... Applicant...~. ~ .~[~ ~ ~.~f. ~ '../.~..c~..~.TM ~ealth Dept Approval Underwriters Approval Planning Board Approval Request for:.Temp°rary Certificate ........... Final Certicate ........... Fee Submitted: $ .......... · ... TOWN OF $OUTHOLD OFFICE OF BUILDING IN~PECI'OR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 June l, 1990 Konstontinos Koukounas 24-13 35th Street Astoria, N.Y. 11103 TEL. 765-1802 To Whom This May Cogcern, 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) /~//~o Underwriters Certificate on file. /~ The check is(~X~XX~/not on file.) $25.00 /~/ No Ilea~th Dept. Approval on file. /5/ No final ins.pcction has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ. ng Permit tt I 9 0 0 3 Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) N/OIF JOSEPH ~ SA WIGKI SAt Prepared In a¢¢ordanca w#lt Iha minimum b~ I~e L.I.A.L.~. ~d ~pr~ved ~ adopled ROMANO 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 P~.?.. ~o~a~o~ o~o~ ~:~o'...~.~ .~..~.~~~~ ..... co~ ~ M~ ~o. ~00o s~t~o~ ...... ~Z... ~oc~ ...... ~. ...... ~t .. ~ ....... Subdivision ................. Filed Map No ...... Lot No .................. . d'.~,,~ . . . x ~ ~ .-. /~. . . .~. ...... ~. . ~?~, . . . . ~~ - .,,_ ~."-,~ _ .-Z ..<. ~ ',,/."..~d',.L ~.,_ --/-~ . x.,..~ ~ · -~..~~~~.d~,~.) ....................... Rv 1/8o COPY 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 November 30, 1989 Konstantinos Koukounas 24-13-35th Street Astoria, New York 11103 Re: Premises: 51090 North Rd. Southold, N.Y. Suffolk Co. Tax Map ~1000-51-6-15 Dear Mr. Koukeunas: Enclosed please find herewith notice of disapproval for the construction of an accessory shed on the above vacant lot. Please contact the undersigned to discuss possible alternative as to placement of shed. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas Fishe/, Building I~pector TF:gar 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 ~..?. County Tax Map No. 1000 Section ...... ~... Block ...... ~. ...... Lot .. ~ ....... Subdivision ................. Filed Map No ................. Lot No .................. is xeturned he.rewith and disapproved on the following grounds../~.~.~......~...~..~ ~ ~ .~...~.../~.-./~.....~. ...... .~~L... ~~/~,. -.~"- ~ ,__ ,~ .~ ~ ~, ~,~.. ~-~:"~ .~.. ~...~~~... ~_..~.. ~.~~ .... ~~ [in pector RV 1/80 ./ N/O/F JO~F. PH t~ SA WICKI SAt ROMANO LOLLS P' ~ . BOARD OF HEALTH 3 SETS OF PLANS 'FORM MO. 1 SURVEY . ~/ TOW~ OF SOUTHOLD CHECK .... .~. .... BUIL'D, INGDEPARTNIENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY MAILCALL ;d: .............. ' ' BLDG. DEPT, TOWN OF SOUTHOLD .... Date . INSTRUCTIONS a. This application must be completely filled in by typewriter oriri ink and submitted to the Bmldmg Inspector, 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 prem scs or public street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of 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 throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose whatever until a Cegt/fic~te of Occupa.ncv shall have been granted by the Building Inspector. 5, ' - APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit purxuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,'New York, and other applicable Laws, Ordinances or Regdlations, for the construction of buildings, additions or alterations, or for removal, or demolition, as hereLn described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( ign u p lc t na if c &~t~ l'F~ -Y ~/:° ~/r. )q~A.~-,~ ~-'z-. y rt r o~ ' "' " ' .......... W=i i.g ..... address .... of abbii~;) ............ State W~2'{fi~plic~nt is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N~e of os~r. of p=mises ........ ,'~ ~ ~',.' ' (as on the tax roll orlatest deed) If appl'ca,nt'a~:~ ebr~o)aii6n, ~gnature~ o,f duly authorized officer. ...... '.;.. ;'.-;?.'.. ~..' .... (Name and t~tle ofc0,~orate officer) · Electrician s Lzceme No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ ........... / ......................" ' "' '" ' H N be St ' ' ouse um r reel Hamlet Subdivision Filed Map No Lot ' State existing nsc and occupancy of premises and intended u~e and occupancy of proposed construction: a. Existing use and occupancy ..... .3. Nature of work (che~k which iaPPlicable): New Building .......... Addition .... AJteration Repair ......... . ..... Removal .............. Demolition .... ' ..... ' 2}7o05'o >,- " ........ OtherWo,k.. ............ 4. Estimated Cost ........... ,... ~ 3. _~p ~L~'. F_)O (Descriplion) i ........................ Fee ......... : ........................... ' (to be paid on filing this application) $. If dwellin= number of dwelling units " Number of dwelling units each floor If garage number of cars ................ ' on 6;,' If business. Commercial or mixled occupancy, specify nature and extent of pe of use .................... 7. Dimensions~o~xisting structures, if any: Front ..... ~ .... Re ' He:ght ..~ ........ NumberofS ,-i~ ~ ar .e~..! ....... Depth...~'~.. ........ Dmlenslons of same structuro xt, ltl, nlt,.v-.: ........ :-¢" '-' * .............................. --. ..........,.,u.~ ur aumuons: vront . - ' · D.epth 't~l~-~.~ .~:4'~ ....... ... Height ............. ., .... 8 Dtrnensl~l~o~ tvht~r~V~ew co--; -' '~ .'5'~ · ....... rmmo~er of Stones .................... ~ ,~mcuon: vront ... ,,-c:, . ,, ,,,. -. , . · H" .~5~' , "/~ ......... ~ear...~ eight ..· ........ Nu nber of Stom'e .......... Depth ~ 9.,S~zeo or. Front ... t~ .i~,~/r5 -,,w .................................... ' .----- '., · .. ,,car - ~" ./..'7..~.-.d,p ..~...'~. ~ 0. Date of Purchase . ..2.~, /% ~q ~ . · .~,'.'. a: .... <,ff. ......... Depth, . . 1. Zone or use district in which premises are situated ........... ' ............. 55/ ......... 2. Does proposed construct on violate any zoning law. ordinanc , ' · . 3. Will lot be re,,r-,~-a . e or r%ulatmn....~.~ .............. 4. NameofOwn,~-~r,, ,' '"7~-~,~,3,(~ ¢ ~,'.~,: ;/~_<; Wfll excess fill_be removed from prem,ses: _ .Yes Name of Architect ............... .~ r-~4ff:~,~ ~,~';,,g'e' · ,on .............. ..,... .... Name of Contractnr I ................ Phone No.: ........... · 5. Is this .......................... Address ................... Phone No ..... " property locatediwithin 300 feet of a tidal wetland? *Yes ..... No .~: .......... i*If yes, Southold Town Trustees Permit may be reouired. '::'' ; PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperW lines. Give street and block:number or description according to deed. and show street names and indicate whether :terior or comer lot. DATE: .,, _ R.R # ..... FEE: BY: .... NOTIFY BUILDING DEPARTMENT AT 76~4802 9 AM TO 4 I~M FOR THE FOLLOWING ~NSPECTION$: 1, FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION ' 4, FINAL CONSTRUCTION MUBT ~' H~' BE COMPLETE FOR C.O. ALL CONETRUCTION 8HALL MEET THE REQUIREMENTS OF 1HE N.Y. ' STATE CONSTRUCTION & .ENERGY :,vr s.s .... coo s. ,or RESPO, mU: Ot:XTV .................. D S GN OR CONSTSUCnO~ ERRORS .. · .~,~'/~'~t/t~:,c ' ~.t..:...~. . being duty s ~orn. deposes and says that he is the applicant ' (Name ofindMdual signing contract) . : is the ........................................... (Contractor agent .............................................. , , corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this .~lication: that all statements contained in this application are true to the best of his knowledge and belief; and that the ,ri: will be performed in thc manner set forth in the application filed therewith. 'om to before ,ne this : .., .....I ....... , HELEN K. I'!OTARY PUSL C;, Stott~ of ~e~ Yprk ..................... ~,. . · · No. 4707878, Suffolt Count~b t a~- [ Term [xpkes ~mcl~ 30, 15-.-l/~ ~ ' (Sign