Loading...
HomeMy WebLinkAbout18081-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20762 Date MAY 29, 1992 THIS CERTIFIES that the building ADDITION Location of Property 56863 MAIN ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 3 Lot 17.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 1989 pursuant to which Building Permit No. 18081-Z dated APRIL 28, 1984 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 DECR ADDITION TO AN EXISTING ONE FAMILY DWELLING A5 APPLIED FOR The certificate is issued to WALTER & CAMILLE ROHR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A _ i ` _ Bua ing Inspector Rev. I/S1 roaac xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTI4 FULL COMPLETION OF THE WORK AUTHORIZED) N $ 0 $1 Z Date ............a. g................, I9.g q. Permission is hereby granted to: ......~:~:~......~n....... .....:T~.~:..!. 4. ~ ~ to ..~::~....s~.,....d4.~:....~:~~ ~!:u....r,~....,.a~~.......a:~-... at premises located at ...~Zo.4S4.e3......rtl,lMc......1?..ti1...... .~5... .4^G.SAXtS~S:4..~ H"~lY County Tox Map No. 1000 Section~C~.~.~,.... Block .......;~..~,.....vv. Lot No...~.~:...~.... . pursuant to application dated s~ ~ 19..R.q., and approved by the Buildfng Inspector. Fee S.. .s............ . Building Inspector Rev 6!30!80 ,..n_ ~a ~d:l ~9 Form No. 6 ~ y ~ ; ~ TOWN OF SOUTIIOLD ~1 Z f ~ BUILDING DEPARTMENT ~s../ TOWN HALL BLGv.DCpT. 765-1802 ONJN OF vOCfTNOLO ~ . xa _ APPLICATION FOR CERTIFICATE OP OCCUPANCY A. 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 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 Pire 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. 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. 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 Euilding - $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 6ccupancy - Residential $15.00,/ Commercial $15.00 Date g. !ew Construction........ 01d Or Pre-existing Building . ocation of Property. house No. Street Hamlet nwer or Owners of Property.:Y.~... .~!'u; ounty Tax Map No 1000, section. v.lD.3 .......Block......`..........Lot ubdivision .................................J...Filed Map............Lot...................... ~rmit No...~.~:'..~.~....Dste Of Permit../.~.°~~~ ~....Applicant ~alth Dept. Approval ..........................Underwriters Approval......................... Lanning Board Approval 1 quest for: Temporary Certificate........... Final Certicate........... 'e Submitted: $.....~~a r('~ f rt.-} '1n 7/. 11~LiCA13T (516) 765 802 o~~SpFfO(,~COG VICTOR LESSARD, Principal y` SCOTT L. HARRIS, Supetvtsor CURTIS HORTON, Senior y z Southold Town Hall VINCENT R. WIECZOREK, Ordinance P O. Box 1179, 53095 Matn Road ROBERT FISHER, Asststant Fire ~y ~ Southold, New York 11971 '~0,~ ~0 Fax (516) 765-1823 Building Inspectors ~ Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 19, 1992 Mr. Walter Rohr 56863 Main Road Southold, N.Y. 11971 Re: Building Permit #18081-Z (DECK. ADDITION) Premises: 56863 MAIN ROAD, SOUTHOLD, N.Y. Suff. Co. Tax Map #1000-63-3-17.3 Dear Mr. Rohr: 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 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as passible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gar J. Fish, Building Inspector GJF:gar 1::LD i;.S. c ..u;: ~IDnTc I ~0:`iMLNT~ 1 1. y ix r ~ ~ H _ r'OUNDATION {1st) ~ ti ~ ?OUNDATION {2nd} m ~ z o r ?OUGH FRAME ~ t PLUMBING ~ i v, 3 3. ~ ~ m ra IIISULATIOI7 PER N. Y. STATE ENERGY CODE 4 . .rl y F` FS;iAL s a F E ADDITIOIIAL COMMENTS: x m ' x ^o r H A ' • a H H O C • m 2 a ~ ~ ~ H _ Z O 'O H a izu ~ INSPEC'T'ORS y ` gOFfD(k (516) 765-1802 S~p~© CO , ' Oy SCOTT L. HARRIS, Supervisor VICTOR LESSARD, Pnncipal _ ' ~ CiJRTIS HORTON, Senior ~ ~ Southold Town Hall VINCENT R. WIECZOREK, Ordinance "p ` ~ P O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ti p~ Southold, New York 11971 `~~'Jj -abJ~y1 Fax (516) 765-1823 Building Inspectors - Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 19, 1992 Mr. Walter Rohr 56863 Main Road Southold, N.Y. 11971 Re: Building Permit #18081-2 (DECK ADDITION) Premises: 56863 MAIN ROAD, SOUTHOLD, N.Y. Suff. Co. Tax Map #lOD0-63-3-17.3 Dear Mr. Rohr: 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 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as gossible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTAOLDj TOWN BUILDING DEPT. ~c~~f' ~-~riC~ GarYfJ////. Fish, Building Inspector GJF:gar ~r~g (~~n]~/7~ BOAFD OF HEALTH . ~LI V Lyn 3 SETS OF PLANS 4•.K . ~j~V FORM N0.1 SURVCY D.- ~jC~ ~ II; TOWN OF SOUTHOLD CHECK .T~t,~J......... . ~r.V#v i;i BUILDINGDEPARTMENT SEPTIC FORH M1 w? TOWN HALL TOWNI-GF S0~!TNrf 0 p SOUTHOLD, N Y. 11971 NOTIFY q TEL.. 7G5 1802 CALL ....7~°S.-. 3.91...... . MAIL T0: E:camtned ...24... 19$~. APProved ."".~i~-Y..s~-.~..., 199. Permtt No ~ g~$I Z' Disapproved alrc . .F.S/' (Budding Inspector) r APPLICATION FOR BUILDING PERMIT / Date u~ IS~% INSTRUCTIONS a. This application must be completely filled to by typewriter or to 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 premtses, relationship to adioming premtses or public street or areas, and giving a detatIed description of layout of property must be drawn on the diagram which is part of this appl, cation. c. The work covered by thas application may not be commenced before tssuance of Building Permit. d. Upon approval of tltts appltcatton, the Building Inspector will issued a Building Permtt to the applicant. Such perms shall be kept on the premtses available for inspection throughout the work, e. No bwlding shall be occupied or used m whole ar m part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to [he Building Department for the tssuance of a Btuldmg Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appltcabie Laws, Ordinances o Re¢ulattons, for the construction of buildings, addthons or alterations, or for removal or demolition, as herein descnberl The applicant agrees to comply with all applicable laws, ordinances, building code, haustn~ code, and re~ulatians, and II admit authorized inspectors on premtses and to building for necessary inspections (Signature of applicant, or name, tf a corporation) (Mailing address of appitcant) State whether~~~~pphca t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder :Name oC owner of premtses w' ~:'f.~~. J `-r!.~~... C.._ jt?F~/!!•~~:~ ~ ./.l{.'f~~~ !UbWn'~g''~ (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer (Name and title of corporate off/ici~er) Bwldcr's Ltcensc No .~4j.7.~'~~.C•'•z. Plumber's License No . Electrician's Ltcensc No Outer Trade's Ltcensc No . J I, Location of land on which proposed work will be done. ~!`.'.?~/.'lr/U~SC~, , /2Pit7 • • lTJ C.t'/~~`,n ~j~z ,,~~yy~~ .....~....,C ~`6 . ~,G 3........ !.'fir ~ `rh.. ~ ~cx~.t`; ~a~~ ~ . FFouse Number //St22reet Hamlet County Tai Atap No 1000 Sccuon ..O. rP..J Block , , , , Lot 7 . . Subdt~ision Ftlcd ~fap No Lot . (N.une) State e~tsting use and occupancy of premtses and intended use and occupancy of proposed constntctton: ~~^^r ~ a. E~tstmg use and occupancy c>.~/t~/ • JGC •CW~/~ b. Intended use and occupancy . Ff-?ecee-P<q~-.................. , . 3. Nature of work (check which applicable) New [3utLiltng Addition . • • • • • rVteratton . Repair Removal Demohuon ~k•~~~... /u (Doscnpnon 4. Estimated Cost l.~C~U,,.f>Cl Fee (to be paid on Fling this apphcatton) 5. If dweihn;, number oC dwelling units Number of dwethng units on each floor . If garace, number of cars 6. If business, cotnmerctal or tuned occupancy, spectty nature and extent of each type of use • . 7. Dtntenstons of cxtsttne structures, tf any Front Rear Depth . Het.ht .Number of Stones Dimensions of same structure with alterations or additions Front Rear . Depth Ilctgltt . ..Number of Stones . Dimensions of entire ne~v construction. Front Rear Depth , Hei;ftt umber oC Stones . . . 9. Size of lot. Front ~r~`-/. • , Rcar pth Dc 10. Date of Purchase ....................Name oC Former Owner . . 11. Zone or use district to whic}t premtses are situated . 12. Does proposed construction violate any zoning law, ordinance or rcGul.ttion• . 13. ~Vdl lot be re;raded \Vill excess fill be removed Crom premtses: Yes ; 14. Name of Owner of premtses ....................Address P}tonc No . Name of Architect 7 Address Phone No . Name of Contractor~Tl,'~~t:~-. Address Pp'W L~g,~.~6"... .Phone No..7fo5 L«.~~z iS.Is this property located with in 300 feet of~~~~'i~aZ wetland? zYES....NO.... *If yes, Southold Town Trustees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly alI buddings, whether extshng or proposed, and. indicate alI set-back dimensions fr~_ property fines. Give street and block number or descnption according to decd, and show street names and matcate wheti tntenor or corner lot. / / I sC' ~ Su?V~/ ~ vtc( ~l G. ~~Y~r.v ~7.s STATL OF \Et4' YORK, S.S COU;~TY OF . 6cmgdulysworn,dcposesandsaysthathetstheagphca (Name of individual signing contract) above named. ilcisttte (Contractor,agcnt,corporatc officcr,ctc.) ~f said owner or owners, and is duly authonzcd to perform or have performed the said work and to make and file t: tpphr_anon, that all statements contained to this apphcatton are troe to the best of lots 1.nowlcdge and belief, and that t work tvdl be performed to [tte manner set forth to the apphcanon Cried thcrcwith. sworn to bciore me t}tis ............~.~P..... ..day of. 19~~. ~/n_ ~y/ /I.......... .otary Public, J~?~. •...~:4 ~!'!Lr...... County ~ `~~~w HELEN K t1E VOE • • . ~~70~R78 gu41o1kCou~t (Signature of applicat Terns Expires h4arch 30, i ~ - • ~ ~ a a ~~~i i~I~~~ ~~r_' ~in~ ~ )l l fjlj'ItJ1 T L' 7. It' ~ IL ~ 'l ~ ~ ~ f CR ~ it tyti ' e. r Cti t 1 ~ l~ ~ ill ~ ~ ~ -rat. Ott, ~ ~ r. ~;'t.l~<~ ~ r~ z ~ " to I ~ ~ r ~ 4,,~0 t11.~ t11 ~ ~ ~ ~ ~ Iy,~r:~~'V ~U C;~ctt ~'-i~•p ~(qf flllltss ~ U Cit ~ m T} t~~`~` ~ ';~Ir~~ izl~ Iii ~ ~ i`~ D ,f_~~ m , ` ~t ~ CYO ~v ~ ~ C1 ~ ~ ~ c / ~ _ . / • tiC 1 ~ ~ o ~ ~ l , ~^hg OFF- >ti< •u r d ~ o 1., h d U ~ n - T ~lR I~ o m a ri ~ O ,T ~ r A l9 t•, m „ 'c"5 ~ irk. A ~ `pC D ~ aim - x D z ~ dp°- ~s J m ~ < fiI I F n S ~ n ? ~ \ C~ ~ •Zy cj r ~ < r'~ ~~t i! ~ ;c ~ t K ~1 y~~~C la Yj) ,1 ,r2r~'~~O ry~~ ~w'y r ~ r i Y o nlm ~ wi ~ aJ h ca ;I , ~ ` 1- VJ; .fY D A ttt M 3. In ~ 1 ~ •C!' J •~,:I ,,t r ~T m ~ D O m C c 0< 2 t~ I Gl .n S m m f.l Y D_ ul v In ~ Z A ~ ~ Z 1 m ~ f,~ ~ t4 ~ t~ 6~ LL C Ct to D 1 J m N -C,l A A m to 'f in ~ 't m f ~ s t ~ "nl d C`' 'Tt tit N A~ -1 O -r < O O p r(<. p< n P K T tK = I- LY 't'~ to ~1 < m A- r r A 3 D ~*1 i i r r CJ O r5~ iJ D r0 m •+t c n ~c D x 3 y m O m_ x r~ m m to r 'tt i,~ r r5, D ~ o Z n m v n A N ~ { ~ 1 t < I t~ r- T t m vl ut ~r f D n O 'r N n ~ O 1 rn D ~ x Q ,,Jt re _ { ~ •t' T m J Ri O rn 2 ( ~ fl p O A C 'i O 2 C ~c^t~ ~ ~!~D i zpZ -Zi -~i ~~~m _ cc -1 S 2 m v ~ ~ 1 k (;t r A< m= Z N D t i ~ 3 t r' { O to in D ~ -ri _ tTi 1-~~I t ~ •Dc ut m ~ ~ D O Z = r Sr~r - " ~ ~ , » to t ` ~ it... lw.~ r0 rn ~ D D rmir ~ Z fft v ~~F F m y` z 'i G(1 C~ ~ t^ A r D D m ..t--1 /r off,. q _ , ¢ n < i<n D 1' ~ O O 1 A D ecn ~~ek ~e.~fz r Y~ ,i"~? iar, 'Cryitil D O<~ uSiOnm-Zr t.l~ , 4 e *a` r_ ~~a ~ ~ tl r Z Ori m I ~ D rD- ~t x m r r Y". _ _ ~ i i ~ i Mn i i .S ~ ' ' i - ~ I ~ i - ~ ~ T ~ ~ I - - ~ ~ ~ ' 1 F1 _ f/ li*' A ' ~ ~ i _ ~ ~ i ~ - I I.._._.~- k E - ~ n ~ ~ ~ , tr f S ~_I 1 - 1 ~ _ ~ h ~ 1 ` ~ ' R` r ' w , _ ~ ~ ~ i ~ ~ ~ ~ .I t. , C ' i. ~~N' f'_ c~_ y r I ,I,,, r - - , o-, ~ Irv - d I . - - .5..'Y,. - , A i~ 1 r ~ -a r yyr., • tYll' '1~5 r. , y I ~ ~ ~"X6"/?~~ APPROVED AS NOTED j ~ ' i - .DArE iA B.P, N / 04 w 4 -,.r,:--• w- r - ~ FEE: sL'-~ BY'- • ~ NOTIFY BUILDING DEPARTMENT AT ~ .I - ~ ~ - ' ' '765.7802 9 AM TO ~ PM FOR THE I t • ~ FOLLOWING INSPECTIO!~IS OCCUPANCY OR _ ~ ;/~ryl.pYh,~•,~~'~' 1: FOUNDATION - 7W0 REQUIRED ~ - .FOR POURED CONCRETE USE IS UNLAWFUL I rxa ` 2: ;fl0UGH -FRAMING & PLUMBING WITWOU7 CERTIFICATE ~ ~ t ~ ~ ~ - - i n 3. INS CATION t U ` ~ ~ - ~ ~ ~ ~ ~ ~ 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY ~ ~ ~ ~ . , ~ , ~ ~ r . ' SE COMPLETE FOR C.O. - ~ - ' ~ - ALL CONSTRUCTION SHALL MEET • v , - r - " ~ ' ' " "THE- REQUIflEMENT~ OF THE N.V. - -,(~.,O I r,~-, ro" - i,' a STATE' CONSTRUCTION 6 ENERGY ~ ~ ^..-.2~'~ "~~"U- "T---. - ~ ~ ' ~ ~ _ ~ ~ ~ _ ~ r -COp~S. NOr' RES,PONSISLE FOR ~ ~ ~ ~ - ,7 ' ~ OE$10 - -;1 ; ~ N QR CONSTRUCTION ERRORS ~ ~ " . ~ ~ ~ ~ . • ~ ~ ' . - ~ - i ? II' t ' t k~ 1 t~~~ . MFR h - i" ~ L ~W .~.,..-~-n r,„ i! 4 ,.~A r , x ~ +a - ~ I, - ~ - - - - - - } _ I . i ~fi'" - ~ _ y1~T1~ . _ - . _ ~ j .itlt D ~ t . r - _ - I d, --r ~ a ~ s ~ ~ _ ~ ~ - ~ ~ ~ ! ~ 1 ~ii d~ a~. { _ f try ~^fij~Lf31r I _ q ~ _ r y_""r--"' .,y i ~ ~ ~ t :'1 - ~ _ ' •v ~ - _ ~ ~ ~ ~ " I ^ + i ~ ~ l . . a~ _ _ - , ~ ~ - . ~ 1 - ~ - " ~ Y~ / ~r , I g MKS, ~1_CCFF~~ _ i r . ~ 4 ~ k s~rv c~ ~ ~ i. ~ _ " .r A„~ ~ f? S~1f t I i ,~`rb,i~'~`, ' ~A~P'P~R~d~'V~ED AS NdiED ' ~ DATE -Z(3.+LLB.P. # ' O $/'Z: fbS~~nf~~ a FEE; S'7J.r 8Y: V. S'.L. ~ ~ . - t. - - ~ NOTIFY BUILDING DEPARTMENT AT - ~ 765-1802 9 AM TO 4 PM FOR THE I ' - FOLLOWING INSPECTIOMS. -OCCUPANCY OR 1. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL, ~ '~P+r?~"~ 2. ROUGH FRAMINGR&TPLUMBING WITHUUT CERTIFICATE ~ ; ~ _ ~ ' a. INSUUnoN OF OCCUPANCY' 4. FINAL CONSTRUCTION MUST ~ - - ~ ~ ~ 8E'COMPLEfE,FOR C.O. _ - ALL ,CONSTRUCTION SHALL MEET ~ ~ _ THE'REOUIRF,FAENTS OF THE N.V. I u ~ ' ~ ; ~ ~STgTE CONSTRUCTION & ENERGY - - ~ l ~ _ k/i~ ~ _ ~-0 - - ~ ~ " COOE$,.;NOT .RESPONSIBLE FORD=~r~tf~x'-,- . ' DESIGN OR CONSTRUCTION ERRORS