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Home My WebLink About18364-z i Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24242 Date MARCH 26, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 340 POQUATIICR LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1989 pursuant to which Building Permit No. 18364-Z dated AUGUST 9, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued ie ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to J. WILLARD & CAROL R. ROOSEVELT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCDPANCY No Z-24243 Date MARCH 26, 1996 THIS CERTIFIES that the building ADDITION Location of Property 340 POQUATUCR LANE ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1992 pursuant to which Building Permit No. 21049-Z dated OCTOBER 26, 1992 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie STORAGE ADDITION TO S%ISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate ie issued to J. WILLARD & CAROL R. ROOSEVELT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /a! Building Inape for Rev. 1/81 arosai xo. s ' 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) N°- 18 3 6 4 Z Date ......e~~ 19.x..1. Permission is hereby grante to: ro C'~~.e'~~!.L:l......~~t.....~~~~~k.~..... 4~~~:~~..~t...~'J.......~~.....~'??.~?fr .seal ~4 ~ " G~~~~t1~.....G... ..h.'~..... . ~~T at premises totaled at ...~..~.f.~.....~ County Tox Map No. 1000 Section .........'~....7...... Block Lot No. ~i....~ pursuant to application doted .....7/.~r...y? 19.,9„ and approved by the Buildin~~ector. _ ~ ~ ~ ~ so Fee S..j~.o`.?........To~,QL o uildi Inspector Rev. 6/30/80 ~l Form No. 6 n ' ~ TOWN OF SOUTHOLD - ~ ~ r. BUILDING DEPARTMENT ~ ' ~i~ ~y.wa~.y~",..°_.M.. I TOWN HALL r~ ~ 765-1802 L 0 it,4;~, APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This~'~i°pl~caEion~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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cade Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. 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 y ~l 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 l.~- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia/Jl $15.00~j, Co/mmercial $15.00 Date .~f • °?:J/ . l/ New Construction........... 01d Or Pre-existinog Buildinng.~,... Location of .Property... Lc ...............d, t~ ,C~ .'7.1.:~ .fir' (.~-...L-:~. ?'~-...........J~..~l ~'7- House No./ 1 / p~~ Street n Flamlet IJonwer or Owners of Property~c f 9J:. ti . ~ . t"~~~ ~ 1County Tax Map No 1000, Section....~~ ....Block... ~..........Lot..~ ~ ..~j Subdivision...' .................................Filed Map............Lot...................... Permit No..!`~:~ .J~...Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.~..... Fee Submitted: $.~a.'.1 C . ~l.z ~~a Ka y a ~ Form No. 6 - TOWN OF SOUTHOLD may,,, ~ ~ f~ ~ ~ ~ BUILDING DEPARTMENT TOWN HALL 765-1802 ~ i.,,.,. - - APPLICATION FOR CERTIFICATE OF OCCUPANCY i A. This"applic~t`ion 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 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. B. 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 ~ 2____ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 Li 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiah $15.00~j, Commercial $15.00 Date ~ New Construction.....•..... 01d Or Pre-existing Buildinng~..~~... Location of .Property.. J.~'~. ~ ...............~v °J, .Cf .':.1. ri .L~.l.~...~~.!'?'~.............~ ~l ,~,rL r i. House `N'o~. 1 / p~~ _Street I~amlet JOnwer or Owners of Property!. ~i.(,/ ! ~!9/.:..~. qq .........~...............o JCounty Tax Map No 1000, Section....ci`~ ....Block... ..........Lot..( Subdivisio+nQQ ...................................Filed Map............Lot...................... Permit No.lj)~~ ~ ..Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.C! Fee Submitted: $..`~.'.5 ~.dl.z.:~..~ PL~ AN~ • S 16 Oa co~~a~ I G rss-aso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING [ FINAL [ ]FIREPLACE & CHIMNEY REMARKS: ~ DATE ~ INSPECT r1cI,D i;;S:c.::iU;' ~~'Jh:~ C'v:`4MENT.^, Gn I. I W . n b` a H~' OUIJDAT20?I (1st) ?OUNDATIOIJ (2nd) z g 0 ?OUGH FRAME & ~ ~ O PLUMBING y 3 , .a a IIdSULATIOIJ PER N. Y. y STATE ENERGY CODE 4 . ~ ~ __f -3 FIIJAL ~ ~ s~ ADDITIONAL COMMENTS: ^^^.~"'~~~iii M x ~ ~~N o ~ a ~ m - J m ^o H a Y D P1 ~ r ~ r \ ~ ~ ~ ~ ,r, ~ ~ r - r~ ~ ~ { ii ~ In A 1 Awls ~paVS O~~SUFFO(~-Co Gym o ti x Town Hall, 53095 Main Road p ® ~ Fax (516) 765-1823 Southold, New York 911971 y'jlpl ~.~o~ Telephone (516) 765-1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 6, 1996 Mr. & Mrs. Willard Roosevelt P.O. Box 90 Main Road Orient, NY 11957 Re: Building Permit #18364-Z & 21049-Z Premises: 340 Poquatuck Lane, Orient Suff. Co. Tax Map #1000-27-3-4.3 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. '~VDr1~ - - - - ~r _ F ~ ~ ~ v~ ~ - ~ ~ . C ~ ~r~ ~ _ ~ R e s~ ~ o o Y,S ~ ~ ~ ~ ~ ~ n, n~l- W ° d ~ ~__-=i - i ~ ~ ' c ~ ~ g~ i I . i ~ ~ ~ 1 d=---! Y-__~_ - - - -t ~ ~ o 'r a L 0 ro ~ o _ S N ~ ~i 4_._.. r s ~X ISTf~l6 f f 0(J$E- iBOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~ i/~ ~ ~7 ' TEL.: 765-1802 CALL ?O` e$ G ~ Examined o . I 19 MAIL T0: RR /c GG ~ l5 ~ ~ ' ~~pprovcd 19U(. Pcnnit No. la.~ ~ h Disapproved a/c U D JUL 2719 .....~..~'.~.~-.....-J....... C=====~~i°' 6I.GG.6EPT . ? ....~.t% ,.~,,,aTOWN_Of frtn-;-fC1i.G w d (B tilding pector) •`"9 APPLICATION FOR BUILDING PERMIT Date . 19~ / INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 part of this appli- cation. c. 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 ~~Q,'~q~~1~7~~ings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees o comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized•.inspue~or$?>rerr~ises-and iri'tiullding for necessary inspec 'ons. - $Yn 1~.8>sr'":~A?i:1s:1 ?'.i'r, l;i .~:;c;r~ . . ,y~•,1 P(7"t ~ ~•I : (Signature of appli ant, or name, if a corporation) ;1^IF,iFs?)'IfB #.v:'# 4'•s `r;! 7, I, , . ' ~T - t;_lep tP , ~ gt, (Mailing address of applicant) Stale whether ap'pB]i~C~hrit` is~ ~own/~er,Qless~eie,.;aoent, architect, engineer, general contractor, electrician, plumber or builder. ~ p Name of owner, f re tse Y~J S ~~tjY~. ~ `l•.... l\.Q.~.S.:~ ;P~~ _ i3r tF#:~;h~ ~ „i~,'- (as on the tax roll or latest deed) If applicant is 3`tlifpo'rd~'ifSrtl,`~~~n~ture'bf duly authorized officer. s8r ;'i'vM,''' ' (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . I 1. Location of land on which proposed work will be done. •r• • ; • • • •V•(~L~-~-(~~b l Efouse Number Street, Hamlet County Tax Alap No. 1000 Section Block , , , , , , , , , , Lot C. . Subdivision Filed ~1ap Na. Lot . (Name) State existing use and occupancy of pre ices and intendyd use and ccupapc of proposed construction: a. Existing use and occupancy ~..1• ~ . b. Intended use and occupancy p • • • • • . • R` aPPlicable): New Building • F... Addition .!Lt~'^.!`::.. Alteration . 3 Rat air of work (check which''moval Demolition Oiher Notk . . . ~l..~ / 6 ; ~ (Description) 4. Estimated Cost . .Fee . (to be paid on filing this application) fdw g units . Number of dwelling units on each Cloor . If ara~c.numbcrofcars 6. if bus' ' g mless, commercoi Idor mrzed occupancy, specify nantrc and extent of each type of use . 7.. Dimcrtsrorls of ex)st~ng structures, if any: Front . .Rear Depth . Ijeiuht'~ • Number of Stories • . • . • . ~ • ~ ~ ~ ~ ~ " " " " " Dimens D ~ with alterations or additions: Front . . Rear . .........:....'..,.Height......................NumbcrofStories..................... tuns o same structuN • • • . , ,Depth • 8. Dr wort of entire new con ~tnrction: Front , , , , , , , , , , , Rear . Hwaltt tjmber of Stories m 9. Size of lot; Front Rear . ....................Depth . 10. Date of Purchase ,,,,,,,,,,,,,,,,,,,NameofPormcrOwner 1. one or use district in tivhiclt remises are situated . I2. oes ro osed construction vi p p o p olate any zoning law, ordinance or regulation : . . 13. Hill lot be regraded , , , , , , , , , , , ,Will excess fill be removed from premises: Yes N< 14. Name of Owner of remises , ' , , , , , , , , , • , , ,Address . ,Phone No. . Name of Architect .Address ....................Phone No.............. . Name of Contractor • Address .Phone No. . IS.Is this propertq located with in 300 feet of a tidal wetland? *YES. .NO.. *If yes, Southold Towrn Trustees Permit may be required. - PLOT DIAGRAM ~ Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APpp ~D AE NGtED DATE:.:~L~~'ai S.RN ~,3/~~' 0 ' ' Nt7TIFY LDINO pEPART AT 78fi-1802 8 AM TO 4 PM FOR THE • FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBINQ 3. INSULATION 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS QF THE N.X STATE CONSTRUCTION dr ENERGV CgOES. NOT RESPONSIBLE FOR i)ESIGN OR CONSTRUCTION ERRORS STATE OF NE\V YORE, COUNTY OF 'iS.S ' ' • • • ' ' ' ' ' ' ' ' ' b • • • • • • • • • • • • • • • • being duly sworn, deposes and says that 1te is the applicant (Name of individual si~n~ng contract) about named. lie is the , . ~ ~ (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 61e this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the tvork will be pettbrmed in the manner set forth in the application filed therewith. Sworn to before me this a ~ .day of'... 19 ~./q Notary Public, +t J, ,t, ~p~;e.--. . • County HELEN K DE VOE ~ . ' NOTARY PUBLIC, State of New Y ~ ~ ~ ` . • • ~ ; • No. 4707878,SurtoikCouMyR/ (Signs ure of applicant) Term Expimx March 30,1° , , a • Ja i ~ r~ ' . . 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