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
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