HomeMy WebLinkAbout18753-z,~ . .
FORM NO. 4
TOWN OF SOUTHOLD
' BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 2-22199 Date MARCH 19, 1993
THIS CERTIFIES that the building FOUNDATION
Location of Property 525 ORCHARD STREET NEW SUFFOLK PII'
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 5 Lot 36
Subdivision
Map No. Lot No,
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 24, 1990 pursuant to which
Building Permit No. 18753-Z dated JANUARY 24, 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 FOUNDATION UNDER AN EXISTING BUILDING AS APPLIED FOR.
The certificate is issued to ROBERT GOODALE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
B ilding Inspector
Rev. 1/81
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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)
Na 18753 Z
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Permission is hereby grunted to:
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at premises located at .....~...~.~.Jr...~....Q~~.2^~~ ...1.~
................................................: y.+~g.~ ......u.:-fir. rl..c:'rr.:.............................
...........................
...........................
...........................
County Tax Map No. 1000 Section ......~.,1.7........ Block ...... `~..~........~.sLot No.....~..~r...........
pursuant to application dated .............I~,~~,,,~,,,,,,,,,,,,,,,,,,,,,, 19.1.Q, and approved by the
Building Inspector.
Fee $...,l.,s~
....... ... .~ ..... ....... ..:4!a.f........
uild g Inspector
Rev. 6/30/80
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Furm No. 6
TOtJN OF SOUTIIOLD
BUILDING DCPART:IFNT
TowN nnLL
765-1802
APPLICATION FOR CERTIFICATE OP OCCUPANCY
'~. This-application must be filled in by typewriter OP, ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property eaith 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-° form).
3. Approval of elecCrical installation From Board of Fire Undenariters.
G. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17, 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.
d. For existing buildings (prior to Aprii 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
1. Certificate of 6ccupancy - 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 I're-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 Occupancy - Residential~}$15.00, Commercial $15.00
Date .~..!- ~~ ............................
S
:ew Construction....... ~. Old Or Pre-existing Building..
.ocation of Property..~l.~.~~~~ ..................~~~..~~f ;"~"~.~......
Hausc No. Street Hamlet
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'nwer or Owners of Property. ...~!:1:'~.. ~!f'f~~/.l.!/!-' .....................rte../...............
uunty Tax Map No 1000, Section..~.~......B1ock..,~..........Lot...-r?l` :..............
ubdivision ............. .. ..............Piled hfnp........ Lot..
~rmlt No~D..~~l.~.~ ....Dike Of Permit ................Applicant. ~. ~:~:~?,.....
~alth Dept. Approval ..........................Underwriters Approval..:C.....................
inning Board Approval... ..................
~qucst for: Temporary Certificate........... Final Certicate...~.....
c Submitted: $,,,.. .. .., .............
-„
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
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OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
MARCH 10, 1993
ROBERT GOODALE
665 STILLWATER AVENUE
CU'LCHOOUE, NY 11935
PREMISES @ 525 ORCHARD STREET, NEW SUFFOLK, NY
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Sox 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
PLEASE NOTE: PERMIT 1118792-Z HAS EXPIRED/ RENEW PERMIT.
t
To Whom This May. Concern: '
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An apglication far Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
~a..~
xXX The check is not on file.)~s:VD
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, 198A).
BUILDING PERMIT # 187
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
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OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLI~
February 7, 992
Mr. Robert Goodale
665 Stillwater Ave.
Cutchogue, N.Y. 11935
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
Re: Premises: 515 Orchard Street, New Suffolk, N.Y.
Suff. Co. Tax Map #1000-117-5-36
B.P. #18753-Z & 18792-Z
Dear Mr. Goodale:
During a review of our files, it was noted that the above
building permits have expired and Certificates of Occupancy have
not been issued.
We would like to bring to your attention that it is
unlawful to occupy or use said structure until the Certificate
of Occupancy has been issued for for these building permits.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you in advance for your anticipated cooperation in
this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING D?;PT.
Thomas J. Fisher,
Building Inspector
TJF:gar
(a po D ~'~ ~ 765-1802
~(~S , BUILDING DEPT.
INSPECTI~JN
[ ]FOUNDATION 1ST ( ]ROUGH PLBG.
( ~e]/FOUNDATION 2ND [ ) IN5U4ATION
[ ]FRAMING
[ ]FINAL
REMARKS: d ~ ~• `~ ~ `~~~ -
DATE ~7.0~~INSPECTOR Vf.~~ .
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspectrn
Telephone (516) 765-1802
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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
February 7, 1992
Mr. Robert Goodale
665 Stillwater Ave.
Cutchogue, N.Y. 11935
Re: Premises: 515 Orchard Street, New Suffolk, N.Y.
Suff. Co. Tax Map #1000-117-5-36
B.P. #18753-Z & 18792-Z
Dear Mr. Goodale:
During a review of our files, it was noted that the above
building permits have expired and Certificates of Occupancy have
not been issued.
We would like to bring to your attention that it is
unlawful to occupy or use said structure until the Certificate
of Occupancy has been issued for for these building permits.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you in advance for your anticipated cooperation in
this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
E Z I~Yr
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
'/ TEL.: 7G5-180
Examined .. l~~ ~r........, 19 ~ / ~i
Approved ....<./..~....., 19~~.. Permit No. l.~~S;3,/'
DisapProveda/c .....................................
................................ ....
....... .......
..uildmg inspector)
BOr1FD OF HEALTH ............
3 SETS OF PLr1NS ............
SURVEY .....................
CHOCK .................
SEPTIC•FOFCf ................
NOTIFY ~
CALL .....................
MAIL T0:
~~~~
APPLICATION F'OH BUiLDiNG PER(v11T
Date . /:--„~~„o~ ./.~..., 15...
TNSTRUCTTONS
xi -
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building 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 premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par[ of this appli-
cation.
e. 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.
e. No building shall be occupied or used in whole or in part 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 of buildings, additions or alterations, or for removal or demolition, as herein described.
T1te applicant agrees to comply with all applicable laws, ordinances, building code, housinti code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inSpection_. ,~ r, , ,
' v-' 'VC L'""y' . .
rgna[ure of ~ plicant, or name, if a corporation)
(Mailing address of applicant)
State/whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . !:'~1Q1~?~7.-.-. ~~..~U~~l'vf':: .
..........................................
(as on the tax roll or latest deed) -
Ifapplicant is a corporation, signature of duly authorized officer.
..............................................
(Name and title of corporate officer)
,/~~,~
Builder's License No. ~~f!JS-r_ ............ .
Plurnber's License No . ....................... .
Electrician's License No . ..................... .
Otlrcr Trade's License No . .................... .
Location of land on which proposed work will be done;
IlouseNumber Street. ~ Hamlet
County Tax \tap No. 1000 Section .....~ .1. ~ • • • ~ • • • • . BI'ock ...... ~ , • , , , , , , , Lot .. ~.~...... ,'' , ,
Subdivision .............. .... .............. Filed Afap No. .............. Lot ............. .
..(Jdame) '
-• State existing use and occupancy of premises and intended use mid occupancy of proposed construction:
a. Existing use and occupancy . -~il.~fla.l~'fd'n~1..~~9x. •~/~'~~~• • . .. ........... O1' ............. .
b. Intended use and occupancy .. S~/-- • • • ' GF!~ ~G~,j~' ' ' ' ` ~;~,'~ ................ ............
3. Nature of wo check which applicable): New Eluitding ... , . Addition ....... , .. Alttrationi~~~ . .
Repair ..... R~mova' ............. . Demolition ..............Swimni~~
Tennis Court ......... Accessory Building..........Fehce ......,Ot ~iQ~,
•~ .... her o ,
4. Estimated Cost . , ~l~.C`YJ.~° . . ....... . ............ Fee ..... .. .. s ................... ..
,, (to be paid on'Ciling'ths apE~lJsntion~`~
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ......... , ......
ICgaraSe,numberofcars .... .......... ................... ....... ................... ...
6. If busir:ess, commercial or mixed gccupancy, specify n/lure and extent of each type of use ........ , ,
7. Dimensions of existing structures,'C any: Front .~(C/ ........ Rear .~.......... Depth...3,~ ,
Height ..~G~.,...:;.'s;-~1~6c{fo SCOrics.yZ:. .. ................. ..
Dimensions of same structLre iwtEh hl~ia~ions or additions: Front ... .. Rear . . .
Depth ..................... Height .... , ................. Number of Stories ............... , ......
8. Dimensions of entire try `~ tron:tFront ............... Rear . , .............Depth ........ , ...... .
Hci;ht ....... , •~4VU~' of.5tories .
9. Size of tae: Front ..-`r~.•6. ... , ... ....:....... . ................................. .
... i. .. .. Rear ~? p ..
i0. Date ofPurchase .~Q; ,iY'y, , , , f , ,, , , , , , , , , , , , Namc of Fonnrr Owner-,ry,~~~t,~..~2 Q,d1't,~?', , , , ,
l 1. ;(ono or use district in which pretrlises are'situated .. , ~.-............ ............... . ...... . ... . . .
....
12. Does proposed constn.ictton v~olafe any zoning law, ordinance or regulation: /l.!'~ ................... . . „ ... , , .
13. Hill lot be regraded ....: ~~ 1Vill excess fill be removed from premises: Yes ...: Nu ;,
14. Name of Owner of premises .~Q~~~E ,lh:t~{ddress 7,.~,$.S'7~1,!'1~i .1~.... Phone No.~` ~/',~~/.5s :7. ,.
' Name of Architect i. ,Address ...................Phone No........ , . ..... .
Name of Contractor ~ , . , , , , ,
•/~~z~:~au~`:•:... ...Address .. ........ ... ..Phone No.. . ti,.
15.Is Chas property located within 100 feet of a tidal wetland? *YF•5....NO....
*If yes, Southold Town ,Trustees Permit may he sequined.
PLOT DIAGRAM
' Locate cleazly and distinctly all Buildings, whether existing or proposed, and. indicate all set-back dlfnensions from
property lines. Give street and block n}imber or description according to deed, and show street names and indicate whether
interior or corner lot. 11 .,. t a~ ~-; ~ ~ -
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STATE OF NE1V YORE, ~~S S
COUNTY OF .................
•••••••••••••••••••••••••••~•~•••••••••.••......., bcingdulysworn,deposesandsaysthatheistheapplicant
(A'amc of individual si n}ng contract) ,
about named. ~
licisthe .................... ~ .... .. .....:.........
(Contractor, agent, corporate officer, etc.) • • • • • • •
of said owner' or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work wilt be perfornied in the manner set forth in the application filed therewith. '
I i"
Sworn to before me this '
• .........::1:3. ...day oF. .............. 19 ~~/. ,
Notary Public, ......~?~,.:..::..~Q.UQ'4-.... County
~ KDEYOE ' ,nature•of applicant?
~- N6TARY PUC. State of New Yak S
Ne. 4 ~Or Miroh 30,1~~
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AP ROV, AS NOTED
DATE: /q ,.~ OD9~~ a.P q 7S3
FEE 7r % BY'
NOTIi=Y RI IILDMG DEPART NT AT
765-1802 9 AM TO 4 P FOR THE
FOLLOWING INSPEf,TICNS:
i. FOUN DATIUN - 7W0 REQUIRED
' FOR POURED CONCRETE
2. ROUGH - FRAMING S PLUMBING
~~" i ~ ! . ~ ~ 3. INSULATION
' `"~ '~' ~' "'`~ 4. FINAL - CONSTRUCTION MUST
' BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHAH MEET
THE REQUIREMENTS Of THE N.Y.
STATE CONSTRUCTION '~. ENERGY
CODES. NOT RESPONS"LE FOR
De51GN OR CONSTRUCTION ERRORS
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