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HomeMy WebLinkAbout18827-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18901 Date MARCH 16~ 1990 THIS CERTIFIES that the build~ng. Location of PropertL 60435 MAIN ROAD House No. County Tax Map No. 1000 Section 56 ADDITION SOUTHOLD Street Hamlet Block 03 Lot 12 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 21r 1990 pursuant to which Building Permit No. i8827Z dated MARCH ir 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which t-his certificate is issued is DECK ADDITION TO F~ISTING ONE FAMILY DWELLING. The certificate is issued to (owner) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MICHAEL T. FRARI~E N/A / Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 18827 Z County Tax Map No. 1000 Section ..... ~.....~,. ......... Block ....... ~ ........ Lot No .......... ../,.,, ~... .... pursuant to application dated ....... ~../~ ................................ , 19.~.~..., and approved by the Building Inspector. Rev. 6/30/80 TO~N OF $OUT~OLD BUILD~NG DEPART~tENT TO~N ~ALL SOUTDOLD, NEW YORK 765 - 1802 11971 P~LDG. D~PT, TOWN OF SOUTr~OL APPLICATION FOR CERTIFICATE OF OCCUPANCY CONSTRUCTION ..~.....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ........................................................ LOUSE NO. STREET ~AMLET Owner or Owners of Propercy..,.'~'. ............................................ Tax Map No. 1O0O Secciom ...... Block .... Lot' . Subdivlsiofi'. ...................... Filea Map Permi~ ~ealch Planmius Board Approval Request for Temporary Certificate No ..... Date of Permit ~'/~).App£icant -//-/~ ....... Dept. Approval . .~.~ Underwriters Approval ........... ....... Final Certificate Fee Submitted: APPLICANT. rev. I0/ 14/88 II II · ? TOWN OF SOUTHOLD BUILDING Di[PARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, ORDER TO REMEDY VIOLATION Date September 13 19 89 (owner or authorized agent of owner) 60435 Main Road, Rte 25; Southold, NY 11971 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances.'or Regulations ............................................ at premises hereinafter described in that A DECK ADDIT~0N HAS BEEN CONSTRUCTED (state character of violatiom) WITHOUT OBTAINING A BUILDING PERMIT in violation of ARTICLE XXVIII CILa~PTER 281 (State section or paragraph of ~pplicab[e law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDZATEL¥ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .6..0..4..3..5...~.a.~..~.q.a..d.~....S.9..u..c.,h.9..1..d., ............................. County of Suffolk, New York. SUFFOLK COUNTY TAX MAP ~ 1000-56-03-12 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. · 6uzco (C~rt.) ' / ORDINANCE INSPECTOR Vincent R. Wieczorek FOU~DATIO:~ FOU:~DATIO:~ 2. ROUGH FRAHE & -PLUMBING 3. INSULATION FERN. STATE EIIERGY CODE 4. (1st) (2nd) ADDITIOUA~L COMMEI,;TS: -- BOARD OF HEALTH .......... Fo, No., SO,VET ................... TOWN OF SOUTHOLD CHECK .................... BUILDING DEPARTMENT SEPTIC FO~M .............. TOWN HALL ~OUTHOLD. N.Y. 11971 N~ - '~-/X ~ ~/// MAIL TO: ................... Approved .......... ]9. , ~c~it No. . .................. D[szppmv~d ~/c ..................................... APPLICATION FOR BUILDING PERMIT Date . ~ .............. I9[ INSTRUCTIONS a. Tlds application must be completely filled in by typewriter or in ink and submitted to thc Building Inspector, wi 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 str or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tiffs al cation. c. The work covered by tiffs 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 shall be kept on the premises available for/nspection throughout the work. e. No building shall be occupied or used in whole or in part for a0y purpose whatever until a Certificate of Occupn 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance. Regulations, for the construction of buildings, ad~ditions or alterations, or for i:emoval or demolition, as herein descril_ The applicant agrees"~ comply ',v~th ~ali applicable laws, ordinances, building code, housin~' codc,~and regulations, ami admi~ ;~u&h6ti[ed irtsl~'ectors on premis!s artd ::n building for necessary inspej~r.,s./ /f 2 ~4~ t '~', .-::-,7- ' " ...... ~~l~'~x/"' ~o'r ..... /" "5' - - . (Sionature ut applicant, or na e, if a co p anon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Name of owne. a' of premises ...~.f':' .~.~.g..~/5. ~7'7,. ~.1/.-~/..~..L.: .............................................. -~ ~, . (as on the tax roll or latest deed) apphcant ~s a cor, por~tion, signatcre of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ~..(~. .............. r/L Plumber's License No... Electrician's License No Other Trade's License No OCCUPANCY OR USE. !$ UNLAWFUl. WITHOUT C£RTIF!CA T£ OF OOCUPA , , I. Location of land on which proposed work will be done; }louse Number Street, Hamlet County Tax Map No. I000 Section ..5"-(/2 ..: BlOck 3 Lot / 2 ..... Subdivision ......... /~.~. ....................... F, ilcd Map No .......................... Lot . . (Name) -. State existing use and occupancy of premises and intended use attd occupancy of proposed construction: a. Existing use and occupancy ......... .................... b. Intended Use and occupancy. 3. Nature of wolk (check which applicable): New Building ................... . Al't~ration ......... ....... R~m .............. ti n ............... o P .......... Repair ....... ,~ ,wal . Demo i 'o Swimming, ool Tennis Court .... ,~ ..... Accessory Building .......... Fence ....... Othllll~ger~.~n~n. ...... 4. Estimated Cost . ~q /,~, db 1:,,, ~' 5-0, dO ~1~ t' ,., ~ '. . (to be paid bh~filing this applicat!on} $. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ....... ]~.... '... If gore-e._ number of cars .................................................................. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structures, if any: Front..,. ~.c_~. ....... Rear .... ~. ~. ........ Depth ...~ .... Heizht .............. Number of Stories ........ /. ......................................... Dimensions of same structure with alterations or additions: Front ................. Rear ............. Depth ...................... Height ...................... Number of,Stories ................. 8. Dimensions of entire new construction: Front Rear ......... Depth .... Hm~.ht ............. Number of Stories .......... · ............................... 9. Size of lot: Front ..... jt.q~q ............. Rear ........ [. ....... Depth ...~.~. ~. ....... ' ~ i 10. Date of Purchase ..... .~..:~..5'~. ................. Na.m_~_of Former Owner ............................ 11. Zone or use district in which premises are situated .... ~ .......................................... 12. Does proposed construction vigl~[e any zoning law, ordinance or regulation: ...~.~). ........................ 13. Will lot be regraded ....... ~/~. ................. Will excess fill be r~moved from premises: Yes .... N~ 14. Name of Owner of premises . ./~/{~¢. ~ .~..P~.[.4~., Address . ~C~.~. fl].~?, j~..,4.P... Phone No.. 7~ .~. 7. (/.3.3 .... Name of Architect Address Phone No ..... Name of Contractor ..... ' ....... Address ................... Phone No ..... ~-.. ~. ~.. IS.Is this property located within 100 feet of a tidal wetland? ~YES...'NOr/~.. · If yes, $outhold Town Trustees Permit may be required. PLOT DIAGIbkM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate Idl set-back dimensions fron property lines. Give street *nd block number or description according to deed, and show street nmTtes and indicate whethe interior or corner lot. AP~P ED AS NOTE 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TXNO REQUIRED FOR POURED CONCRETE 2. ROUGH o FRAMING & PLUMBING 3, iNSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAII MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRLtCTtON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YOkT~, , ~, - COUNTY OF~ i .~'X~9..L'~. .... S.ti (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicar l'h: is the ...................................................................................... ;. (Contractor, agent, corporate officer, etc.) ~~r owners, and is duly authorized to pe,rform or have performed the sa{d work and to make and file th applicatio~at all statements contained in this application are true to the best of his knowledge and belief; and that tb Work will be performed in the manner set forth in thc application filed therewith. Swam to before me this ............. .4/ ........ day of .... . . . ........... Ia Notary Public, HELEN IL DE ¥OE No, 4707878 Suffol~ Cou~. Term [xo res Umch (Signature of applican 0z ~ <~ ~o~ 0