The URL can be used to link to this page

Home My WebLink About19053-z~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20420 Date DECEMBER 19~ 1991 THIS CERTIFIES that the buildin~ Location of Property 750 VICTORIA DRIVE House No. County Tax Map No. 1000 Section 78 Subdivision ADDITION Street Block 9 Filed Map No. SOUTHOLDt N.Y. Hamlet Lot 71.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, i990 pursuant to which Building Permit No. i9053-Z dated MAY 29, i990 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 ~DDITION TO EXISTING DECK ON ONE FAMILY DWELLING. The certificate is issued to (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOSEPH & MARY KILKENNY N/A /// ~uilding Inspector lVOlt~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- ~ ~05~ Z 19.~..O.. Date Permission is hereby granted to: ............ ...~.~....~..:~.., ....... L!.~..~..~ .......... ' ......................... at premises located at ..~..~.~.........~..~::..~.,.e~. :.~......~.~...'~;~ .......... .~......~~ ...................... County Tax Mop No. 1000 Section ......... ..(~..~.o.~. ..... Block ....... ..O....~.. ....... Lot No..~..1~..~ pursuant to application dated ......... .~.....~..~...~. ................. , 19..~.~.., and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-i802 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 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. 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 Occupanck - Residential $15.00, Commercial $15.00 Xew Construction ........... Old Or Pre-existing Building ................. location of Property House No. Street Hamlet Onwer or Owners of Property.~i~e~. . .<~... , o~.~. County Tax Map No 1000, Section ...... ';ubdivision Filed Map Lot Permit No. Lf ¥3 .. ate of Per . ................ · -2" · .. .. mz~..~..~.../~f .... Applicant ~ . Health Dept. Approval .............. Underwriters Approval ~laosing Board Approval ............ .. ... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... .......... ......... :" INSPECTORS Victor Lessard P¥incipa[ Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 DECEMBER 13,1991 JOSEPH & MARY KILKENNY 750 VICTORIA DRIVE SOUT~OLD, I~Y 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) No Underwriters Certificate on file. . ~XX The check is ~J~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 ~ 19053-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FMMING [.~FINA-L~- FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: "\\t~ ~" STURTEVANT MILLWORK CORP. /- naersen DATE: Al~ )ERSEN'e PERMA-SHIELDe WINDOWS & PATIO 75 N. INDUSTRY COURT DEER PARK, NY 11729 QO./ PHONE (516) 667-6700 FAX (516) 667-6773 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTIIOLD. N.Y. 11071 BOARD OF HEALTR ............ · 3 SETS OF PLANS , SURVEY .................. · · · CHECK · ................. SEPTIC ~ TEL.: 7G5-1802 Exa,,, ned .... Appro, cd .... ''~ ~ '~'-~., 19~J0. Permit No. }. ~.9.~..~.~...~. Disapproved al{: ..................................... ........ ........................ (Building Inspector)' ........ APPLICATION FOR DtJILDING PERMIT HA-fL ;0: INSTRUCTIONS . ~ : · a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building E'UPector' 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 ,,' ' - cation. ~zvm= a detailed description of layout of property must be drawn on the diagram which Jspa~ of this appli- ~. Thc work COVered by th.is 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 throuetmut the work. e. No building shall be occupied or used in whole oran part for any purpose whatever until a Cer~ifi~te 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 '0ur~uant to the Building Zone Ordinance of the Town of Southoid, Suffolk County', New York, and other applicable Laws. Ordinances or Regulations. for the construction of buildings, additions or alterations, or for removal or demolition, as her~ described. T!m .applican.t agr?s to comply with all applicable laws. ordinances, buildin- c ' ¢, - aclm,t authorized mspccto: on prem,ses and m buffdmg for necessar!~fii//~t/~s?de' housm., code. and r~nons, and to · .~ ta,gn~ur~,~ot applicant, or name. ~'f-a cot or~ ~o'n~ ' ' ' · . · ..... ~.': :-.'-~..~.~..'~..~....'~...-~..~.,~...e~.. (Mailing address of applicant) State whdther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, ptnmber or builder. , ame of o, n r of premise . Z 'X' ..................... (as on the tax r ee If applicant is a corporation, signature of duly authorized officer. Buildcr's License No Plumber's License No ..................... Electrician's License No.. . Other Trade's License No ..... · Location of land on wi,ich proposed work will be done: HOUse Number Stre ' ' ....................... Hamlet Co tyTaxM pN IO00S ti 7~ · ~. ................ Blbc~ ...... Lot 5 bdj i Jo ........... (Name) .............. ot ............... 5tale e -' ' ~Shng usc and occupancy of premises and intended use and occupancy of proposed constructJo~ a. Existing Usc and occupancy ~. ~Z~.~. .... · ntended use and occupancy /ff~O'/~e~ ~ ~ ........................ ~ ' ' ~ ............... 3. Nature of work (check which applicable): New Building ...... Addition Alteration Repair .............. R~moval .............. Demolition ........... Swimming ~ o'0 I. ............ Tennis Court Ac'cessory Building '''1~ ..... · ......... Fence ....... Other ~4ork ............ 4 Estimated Cost / az,c~ev-~ Fee ' [ (to be paid on filing this application} ....... ?.-. ..... Number of dwelling uqits on each floor .... ,O../g'..~ ........ $. lfdwelling, numberofdwcllingun}tS e, ~ . If garage number of cars ' 6, If business, commercial or mixed olccupancy, specify nature a.nd extent of each type of use ................... 7 Dimensions of existing structures if any: Front · ' ' Rear ' ' ' Depth' Heiaht . . Numbc¥ofStories 'th] dditi Dimensions of same structure wi alterations or a OhS: Front ................. Rear ............... ' Depth ................. ' Height Number of Stones 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9 Size of lot: Front ' ' Rear Depth 10' Date of Purchase ............. : ................................................... · · ............ : ................ Name of Former Owner ........................ .. . 11. Zone or use district in which premises are situated .... ; ................................. 12. Does proposed Constructionviolat: an i , ' ' '. ' 'fi, Y'~ ......... · .~ ¢ y zen ng law, ordinance or regulation ................................. 13. Will lot beregraded ,;..g.o.. . , . . .,~,,. ~ · .,,.y~. ............ Will excess fill he removed from premises. Yes 14..N, ame of Owner of premises/.~./d-~.~ ~. ~.<~/~e~.A.A~ddress~.~.. V./.=.-/oe,,.~..~,.... Pimne No. ?~.-~.'; ~. ,~..d'.q..~ . ~ame of Architect .....-,--':zT:...-., ,~ 'Yea .... ' ' m,~,.. ~,-, ' Name of Contractor .... ,..l. e/,~7. ....... i ........ Address .... IS.Is this property locat6d within 100 feet of a tidal wetland.* ~If yes, Southold Town 'trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all b~uildings, 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 corner lot. ' STATE OF NEW YORK, COUNTY OF ................. $[S .............................. I ................... being duly sworn, deposes and says that he is the applicant (Name of individual signi~!g contract) above named. , 13e isthe , (Contractor agent corporate officer etc ) ....... of said owner or owners, and ~ duly aut mr zed to pc;form or have performed the said work and to make and file this application; that all statements contaiimd in this application are trne to the best of his knowledge and belief; and that the Work will be performed in the manner :;et forth in the application filed therewith. Sworn to before me this · ..: .............. or.i...' .... o,a ub,,c .... · · ............ ~ .... County ~k~ PUBLI~ ~of New York . ~. 47078~8, Suffolk I~m ~pires March 30 t9 H (S~gt~iture of applicant}