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HomeMy WebLinkAbout19072-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26100 Date: 11/12/98 THIS CERTIFIES that the building ALTERATIONS SOUTHOLD Location of Property: 145 BUDDS POND RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block ~ Lot 4 Subdivision Filed Map No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 1998 pursuant to which Building Permit No. 19072-Z dated JUNE 4, 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 WINDOW ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GENEVIEVE CALLAGRAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/B1 N/A N/A N/A TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Yo NO_ BUILDING PEP. MIT COMPLETION OF THE WORK AUTHORIZED) / pursuant to application doted ..... .~../.~.i~. .................................... , I9~....~.., and approved by the Building Inspector. Fee $...~....~....~ Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/UkATION [ ] FRAMING [/~/]'FINAL [ ] FIREPLACE & CHIMNEY INSPECTO~~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 ofproperty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Realth Dept. of water supply and sewera~e-~isposal(S-9 form), 3. Approval of electrical installagion 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. Fbr existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~:~,re-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 Buildins - $i00.00 3. Copy of Certificate of Occupancy - : .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. . ........................ . New Construction .......... Old Or Pre-existing BuildiRg ................. House No. Street Hamlet Onwer or Owners of Property ....................................... County Tax ~ap No 1000, Section ...... .~. ..Block... Lot. Subdivision ................................... . Filed Map ............ Lot ................. .. . .. Permit N~ ................. I~O~k ~ Date Of Permit ..... ~.%.~..~. .... Applicant .......................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval.......... ............ . . Request for: Temporary Certificate ........... Final Certicate ........... FOU~IDATIO.~; ( 1 st ) FOU!$DATIO;! (2nd) 2. ROUGH FRAME & .PLUMBING INSULATIO~ PER ~. y. STATE E~IERGY CODE Fi::AL ADDITIQ~I L CO~.MEi. ITS: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 16, 1998 Ms. Genevieve Callaghan 145 Budd's Pond Rd. Southold, N.Y. 11971 Re: Building Permit # 19072-Z (Alterations-Window Change) Premises: 145 Budds Pond Rd., Southold, N.Y. Suff. Co. Tax Map #1000-56-5-4 Dear Ms. Callaghan: During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Michael J. Verity Building Inspector MJV:gar 3. Nature of work (check which applicab{e): New Building .......... Addition ...... ,~... /dictet:on ........... Repair ..... ......... Rbmoval .............. Demolition ... ............ Swimming pool. ............ Tennis Court ......... Accessory Building .......... Fence ....... OCher Work ............ 4. Estimated Cost .... /.0.~000.o. ...................... Fee · -' ' (to bc paid on filing this application) S. If dwelling, number of dwelling units .... .~ .....; .... Number of dwelling units on each floor .................. Ifgaraee. numberofcars. .................................................................... . . ... 6. If business, commercial or mixed occu0ancy, specify nature and extent of each ty.p¢ of use ................... 7. Dmmnsmns of ex:st~ng structures, if any: Front...~ .......... Rear . ..ff..2z.... ...... , ' ' * ' Depth . .,~.tT" ......... Hci'2ht_ ............... Nmnbcr of Stories . . ~../' .............................................. . . . . . Dimensions of same structure with alterations or additions: Front . .~'.,,~ ' Rear . Depth .... ~ ..... e~.~t ....... Height ...................... Number of Stones .. Z ................... 8. Dimensions of entire new construction: Front . ~,~..': .~. ...... Rear ............... Depth . .,~..~ ........... Hei,,ht .... Nu nher or c,,-,,4,.o / Size oflot' Front..../O0'...._O0) ~' ,- -,-~""~'% ~ Depth .Y~..,~:,:~ .... /..~.~.:t~.~ Date of Purchase .. 77./.q :.~o~.. ................. Name of Former Owner /~7/t~.7~0~..5~. ~ .~.q.~.~7 Zone or Use district in which premises are situated ................................. (l~ 0 ~ ~ ......... Does proposed Construction violate any zoning law, ordinance or regulation: .............................. ~,~. Will lot be regraded .;. ~.0 ...................... Will excess fill be removed from premises: _..~Yes .... INo]. Name of Owner of premises ~ 0.~.~'~ ll/:JF~..*.~v~,~.~. Address/Y~.~Fj~. tt>~0. ~tff,;,.. Phone No..7.~';~?.~7....'~'~.. Name'of Architect ................ .C.q .c.c.c.c~fi~!~.t7.. Address .... ?.~..-rg.~.c.~.: .~.4.,.. Phone No .... ".'.':i ......... Name of Co~tractor ................. .' ........ Address .............. Phon~No ...... ~'... %.~-' .... IS.Is this property located within 100 feet ~f a ti~'l wetland? ~YES .... NO.~I~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ali 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.../~td.~..£.O.t: K ..... S.S · .. (Name of individ ual signing con tract) above named. being duly sworn, deposes and says that he is the applicant He is the ......... .Q.~.qt!~t.~.. ......................... :'. ...................... : .................: :.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application; that all state~nents contained in this applicrltion are true to the best of his knowledge and belief; and that the Work will be pertbnned in the m~ner sci fortl~ in thc application filed therewith. ./ Sworn to before mc this .'.'.'. ................ l ....... ............ ,9 %'ota~ Public ........ & .... County mE~ [~[~ (Signature of appllc~t) N~A~ ~BLIC, ~e of ~w g~ ~. ~o~n ~ ~ql T~m Exp r~ M~rch 30,1~ FORM NO, 1 TOWN OV SOUTHOLD '"" BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 Examinud~ ........... 19~. TEL.: 7G5.1802 Disapproved a/c ..................................... BOARD OF HEALTH . ..~.. ...... 0 , 3 sETs ..,IX.. SURVEY . ........ :::::: C~tEC~ ....4el. ~2f.:~.. ~ TOWN OF SOUTHOLD ~ INSTRUCTIONS set,a;f pTl~: a~P~ci~Cat,on, must bt comp. let~y filled ,n by typewriter or in ink and submitted to the Buildin~ P , rote ptot pmn ~o Scale. l~ee according to schedule. P or. i h · b. Plot plan showing location of lot and of buildings on premises, relationshi t ad' ' ' - ..or areas, and gwmg a detailed descri~ti,,, ~,c ~; ...... ~ . _ p o .jmmn= pre. m:? or public streets cation. ~' ...... ~,~,,~ u* properw must oe drawn on the dmgram which ~s part of this appli- · ¢. The work coverec~ by this app)ication may not be commenced before issuance of Buildin,, Permit. . ' d. Upon approval of this application, the Building Inspector will issued a Building Permit t~)°the applicant. Such permit shall be kept on the premises available for inspection throug, hout the work. e. No building shall be occupied or used in whole orin par~ for any purpose whatever until a Certificate 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 pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction f~buildmgs, additions or alterations, or for ~:emovai or demolition, as herein described. The applicant agrees to compty with all applicable laws, ordinances, building code, housin~ code, and red--elations, and to admit authorized inspectors on premises and in building for necessary inspections. ~gnature ot app mant, name, r (Mailing address of applicant) State whe'ther applicant is owner, ldssee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roil or latest deed) ......... If applicant is a corporation, signature,of duly authorized officer. e o ra officer) Builder's License No .... ~.../~/ff., f/~ ......... Plum bet's License No ......... , ................ Electrician's License No ........................ OtherTrade's License No. . Loeati0 ,n of land on Which proposed work wilt be done; H N b St .... ~ Halnlet '" Co ntyTaxM pNo' 1000S ti ' u a . ~c oni ............. · Blbck ......... Lot ~. /"' (Naine) ........... Lot .. ~... .......... State .' · ' . exatmg use and occupancy of;premises and intended use and occupancy of proposed construction: , ~ ,_4 a. Existing Use and occupancy .... ...... .... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/SULATION [ ] FRAMING [p,~ FINAL [ ] FIREPLACE & CHIMNEY RrMARKS: ~ ~ NOTES: LOT IVO'S.i REFER TO " tvlAp OF ~II. LOh/ POINT~ '~ F~L£~ ,u ~£ Su~. cb. CL~RWS oFrvc. Z As ,~,~P /vo. 4~ 5~ , 0 0 © 0 (3 O ©