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HomeMy WebLinkAbout17912-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26005 Date: 10/05/98 THIS CERTIFIES that the building ALTERATION Location of Property: 3100 INDIAN NECR LANE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 1 Lot 2.14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 12, 1987 pursuant to which Building Permit No. 17912-Z dated MARCH 13, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy £or which this certificate is issued La ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JUDITH LYNN RANDLETT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/02/98 PLUMBERS CERTIFICATION DATED N/A a!i[. ui ding Inspector Rev. 1/81 fOHM N0. ~ 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 017912 ~v~Z Dare ..3~3 19.09 Permission is hereby granted to: ~-!-G.......y.1..% ...1...........1.1941 d' ,%r y~,~J~....~ ct premises located at .......s.~.lQ..Q... ~~b~1f:t~ ~.ia?.......~.G..f!1.5~. ~r~~,!!C~................................................................ . . County Tax Map No 1000 Section :l..(~ Block Lot No .......4r..1 lf.. pursuant to application dated , l~ 19 artd approved by the Building Inspector. pd Fee 3..~~~r/~,/• J-nG~iL ~~SC7'3 yam, y~~ wldi 1 for Rev 6/30/80 f~~~~~ rows xo. a 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°- 15632 Z 19.Q.~ Dore Permission is hereby granted to: ...y~....- . at premises located at ...u~..~~Y.aA....r~-l,:Grr..~,..-..~.......... ......................................................................qq...v~..............................\\............................... County Tax Map No 1000 Section .....0..1..0....... Block .......~..3...... Lot No.... °Z.:.?...i...... pursuant to opplicotion dated 19.A..~., and approved by the BwidSng Inspector. Fee ~ Building Inspector Rev 5/30/80 ro rm ivu. v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ ~ ~'~r^ 765-1802 vv~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the build in 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 li lead. 5. Commercial building, industrial building, multiple residences and similar builds 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 ac '-`pre-existing" land uses: L. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. v 2. A properly completed application and a consent to inspect signed by the applican~ 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 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 accessary building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiall $15.00, Commercial $15.00 Date ~ New Construction........... Old Or Pre-existing Building....... 2 1 p. Location of Property.......-11Q~........ `~C~;10./~ .!~i 4+:...:~........ ~::C:~'~(~........ House No. Street Hamlet Onwer or Owners of Property...........~~.JJ County Tax Map No 1000, Section...~.O........Block....r...........Lot.....:~..~. J'........ Subdivision ....................................Filed Map............Lot................... Permit No..l~ ~ J.~~.".~:..Date Of Permit ................Applicant.....................,.... Health Dept. Approval ..........................Underwriters Approval...................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: /~1{~~ A r ~ .Y..I`~'L~CJ4~......... 6Zs'crS_">~0~ APPLICANT c a ~a~ o~~ ~ ~ G TrtJ F%• C X > m m A k rt k 'e N ~ C4 } v r ~ ~ °v m . 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TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~7$~x3 Date ....~'ug...16 19.77 THIS CERTIFIES that the building located at . I,ridi.aal .l3~srk .k~. &.~rBa.7.i$treet Map No. East .$1~-1.sBlock No.. .Lot No. 3..... ~'Scon$.c, , ,1!I.'x'. , , , , , , , , , , , con11forms substantially to therequireme is f, , o fsm ly d 1 n ~ated before Agx 23. 19.57. pursuant to whiche~rk~ioAte~~Y„o Z~~pancy dated Aug 16. 19 77 , was issued, and conforms Cto all of the re3g34uire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is N • C • Q~e f @mily , dwe l l~.ng . , . , _ , . . The certificate is issued to liobext Adipi6txo Owner . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pee-ex~atiag UNDERWRITERS CERTIFICATE No..R~e-eXf.S~~nB HOUSE NUMBER .2 Q Street ..Indian. heck..Lane . 3450 Leslie Road Cv~ Building Inspector • ! HOUSING CODE INSPECTION August 15, 1977 #2900 Indian Neck Lane - 3450 Leslies Road R-1 PeCOnic, N. Y. Sub Div.: East Hills, Section I, Lot #3 (North Section A, Variance Appeal No. 2262, April 21, 1977.) Tax Roll: Robert Adipietro Occupied: Mary Speed Upon receipt o£ an application for a Pre-Existing Certificate of Oocupancy, I made an inspection of this one-story wood framed building. I was admitted to building by Mary Speed and began this inspection at approximately 12:05 P.M. The building has two bedrooms, a full bathroom, a room with living and kitchen facilities, and an entry vestibule that con- tains a qas fired hot water heater and electric water pump for domestic water, Heat is furnished to building from a gas fired free standing space heater located at north end of living room. Building is constructed on piers and is skirted. Total square toot area of building is 440 square feet. The minimum required for a one-family living unit is 850, violation of Chapter 100, Zoning Code of the Town of Southold, Section 100-31, Bulk area. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Vestibule - enclosure structural members laying on soil, no £i oun~ation, dirt floor covered with plywood, Article III, Section 52-30 C. Cooking range - gas, no shut off valve at unit, Article V, Section 52-52 B 2. Hathroom - floor covering deteriorating at base of toilet and batTi tub, Article III, Section 52-32 D. L_a_mp cord - outlets in northwest bedroom and living room on-~ase~ard, Article V, Section 52-56 A 1. Inspection completed at appro ately 12: 0 P.M. Resp ul t~bmitted, E r~'a~in 1 Building Inspector EH:med TEL. 7G5-1802 Q~oS~FF~tJ, COIF TO'SVVN OF SO~T'Tt30b,33 f : ' ~ ~c OFFICE OF BUILDII•IG INSPECTOR q M1 P.O. BOX 728 2 - ° E ~1. ~ TOWN HALL D ~ C, ~ ~_`r i ~ ' I ~ "O/~© SOUTHULD, N.Y. 11971 ( 1 ~ b ~'.2~ C E R T I F I C A T I O N - Pate f V~ rCh 1~{ Building Pler'm/a.t No. ` s 3 Z Owner ~tClt~l (please print) Plumber `~tjSS~ 0.1,~.6~-a/~,L- , ~U C~ y 1`. GLt.~~ ~E ~ y (please print) 1 i certify that the colder used in the water supply system contains less than 2/10 of 1~ lead. ~ " iplumber's signature) Sworn to before me this day of _?y/~i~ ~,c. L/d2 19~~. Notary Public tlotary Public, _ County ' NOTARY HQfu.1.~ K DBE ot~New YaM No 476)878, Seftoik Cowdy Term Expires Meroh 30,19 w s O~~g11FFQ(,I-G' O Gym o N Town PalQ53g0951M79 Road Oy ~ .1C Fax (516) 765-1823 Southold, New York 11971 ~~l ~ ~~0~ Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 27, 1995 Ms. Judith Lynn Randlett P.O. Box 423 Peconic, NY 11956 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is outdated. ;25.00 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, 1984). BUILDING PERMIT # 17912-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. __..LL 1..... ~ ..v.. ~w +ac. II y ~ 'a C: • ~ . 3 H , y OUJJDATIO:! (1st) ' - - ~ C N OUtJDATIO;J (2nd} ~ z o ~ OUCH FRAME & ' PLUMBING c ~ m H ~ iJSULATIOCJ PER N, Y. S ft I, STATE ENERGY ~ CODE s a ~ 3 m • c H FINAL / o s z ADDITIOPI COMMEJJT ~ ` x H Q . Y r H ~ S d b H t ~ ~ ~ S r~ = f'i't n ~ ~ ~ ~ C%~CV - i.1-- w ~~s'~` ~ ~ - ~ ~ Y T s~ i~ ~ ^ ~ ~ ' i y Iy(, i W { V-~ ~ ~ W _ ~ _ ~ ~ ~l ~ ~ ?OY6S ~ L.~ ~ - . ~ ~ ~ ~ ~ ^i 1". ,rL -!Tr 7 . ~ - r- s . m ~ ~ ~~n ~ytCi~ ire ~ ~ m~ ~ N C~~ a~ rs~:~, ~ y'h` ~e,Z~' 9~m~ I-F-s-~.I z / ~z x < N ~ _ ~ ~ f ~ ~ LS1 ~ / x ~ t % X ~ y~ ~ ~ I ~ ~ ~ r !Z ~ E V ` ~ ~ ~ > ~ V'~ X _ \ y ~ _ r ..t. _ ~ ~ ~ ~ v ' ~ ~ I U V L1~ N~`, - - - ~ _ . L~ L ` `1 ~ F - f - i - i 1 n C~ i ~ F ~ I I _ I 3 ~i I - - - - - w ~ ~ 8 Y c ~.os E r \c C ~~5~ c}~ ~ ~~On ~ m ~ ~ ~ ~ r- ~ ~ r y _ I ~ ~ V .r i ~/'-tkS-ti n > ~ ~i n`7 [n 9 C ~ 8 0~ ' a ri i ~ ih ...i C ~ W -r ~ d F- ~ ti~ Z ~ V ~ a:JJa d I-:- - - -y - - - ' - r l i ~ ~ 'j ~ ~ ~ ~ ~ - -I- 1 j i / ' f ~ l ~ ~ ~ ~ ~ i( ~ ~ \ d ~ i ; ~ ~ v U ~ ~ H o .o ~ ~ \ ~ G ~ ~ \ ~ ~ \ ~ D O ~ C fit ~ w~~ ~ c ~ r.r min 1 G` z r u o c ~ ~ ~ E AGO c ~ ~ ~,~o~ i l x7 I ll~ ~ss.iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS TION [ ]FRAMING [ FINAL REMARKS: ~ `~i ~f DATE ~ 1 INSPECTOR rf/~'"" 17l( v 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: a DATE ~ ~ INSPECTOR \ ' 765-1802 BUILDING DEPT. 1 NSPECTtON [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~Z~u~~ J DATE ~ INSPECTOR / BOARD OF HEALTH .Y ~ 3 SETS OF PLANSS • } W; • 'M FORM NO 1 SURVEY TOWN OF SOUTHOLD CHECK ~a~`f ~ BUILDING DEPARTMENT SEPTIC FORM TOWNliALL NOTIFY SOUTHOLD, N.Y 11971 ~73y_ 6 ~s-6 TEL.. 765-1802 CALL MAIL T0: Examined «C , 19$1 Approved l.S° , 19~'~ Permrt No ~ / - ; Disapproved a/c tU~ ~ 1 ? ~ i 2 /3 ~7/ -1 .~4W 1219~i (Bw mg Inspector) APPLICATION FOR BUILDING PERMIT Date v~.Q-t'1 ...~r 19 g ' INSTRUCTIONS a. This application must be completely filled m by typewriter or m ink and submitted to the Bmlding 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 premtses 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 tkiis application may not be commenced before Issuance of Building Permrt. d Upon approval of this apphcatton, the Building Inspector will Issued a Butldmg Permrt to the applicant Such permit shall be kept on the premtses available for inspection throughout the work. e. No building shall be occupied or used m whole or m 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 Braiding Permit pursuant to the Buildrng 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buflding for necessary inspections. (Signature of applicant, or name, rf a corporation) ~X 11231 P~ ~o+r'~ i e 1 fU,~, ((q 5; v~.. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . Name of owner of premises ~ ~ l ` i' 1 L • .l~~~d (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No t 3 Z ~f f . Ph:mber's License No - . Electrician's License No Otner Trade's License No . - 1. Loc~on of land ou ~ ;DicQh proposed work writ be done . - . o.. , . e~) ~~d~o:i~ ~Ucr.\L 1,o.t,~~...-1 ~~C~~L~.... , N~~:.t ~~'1~.. It~SF~. House Number d Street Hamlet a, ~ yt County Tax Map No 1000 Section P ~ d~ - . -Block C~ Lot . Subdivision ~ /-~5-~, E`r i L I SeC~t+a`n , 1 Filed Mao No re a Lot . (Name) 2 State existing use and occupancy of premises_alndl intended use and occupancy of proposed construction a Existing use and occupancy ~ .~~T`l~~-Q,.-/. ~~;S ~Cle~1l1,C , , _ . b Intended use and occupancy ~ t ~ ~ 4'~C 3 Nature of ork (check which applicable) New Building Add+tion Alteratron . . '1CRepazr i- ~N.C2QfS4t+dva Removal Demol+hon .Other 11'ork . (Descnption) 4 Estimated Cost ~ a ~Q~ . Fee . ' {to be paid on filing this apphcahon) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cazs . 6. If business, commercial or mixed occupancy, specrfy ~nptare and extent of each t p~ of use . -~:~:YY1 . 7 Dtmenstons of fef~x~isting structures, tf any Front eC7` ...Rear . a Depth 3 Z, . Height ...~,.7. ' Number of Stones . . Dtmenstons of same structure with alterations or additions Front Rear . Depth ..Height Number of Stones 8. Dtmenstons of entrre new construction. Front . Rear Depth . Height ...Number of Stones ~ 9. Sue of lot. Front .~.~.3,'7:7. .Rear . Cle.~p,.~ ~ . ~ 3,~ Depth .I ~.,~t. ~ . IO Date of Purchase ~1lAY~-h, Z ~ "1 .Name of Former Owner ~<=!bQ2}'. ~G~ ~P ~~~'~O. 11. Zone or use drstnct m which premises are situated Z~ / !X?4. 54'-c=~-..Qr-I 6,~". N 1, ~azy: f" o-f' (~c:4. Z : 12. Does proposed construction violate any zoning law, ordinance or regulation YI.Q 13. Will lot be regraded .Will excess fill be~jemoved from premtses• Yes t 14. Name of Owner of premises.51.~. ~,t~ ~Q~U14( ~~.TAddress~L~X ~l~~~S~'~??t.S'-, ..Phone No ?.34, ;Cv~~L Name of Architect .Address Phone No. Name of Contractor ~.B..li(.C4.x.~.5o ~1 Address .~~~Y2~GJ21 ? N,~~. Phone No ~7::z~k. `.fit 15. Is this property located within 300 feetyyof a tigidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOTDIAGKAMed. Locate clearly and drstinctly all buildings, whether exrshng or proposed, and indicate all set-back dunensrons fro property fines Give street and block number or descnphon according to deed, and show street names and indicate wheth intenor or corner lot. _ = ~ r `J.~~ . ~',y", " : q tai b .l - t .~M1~{~ 'mac' • I• ~yt,~~•' 4~ r . I ~.i~gr~ I§C 3.+', ~ 4 ' ~r . - may' 1 ? , ~ /.'~k~'4 • ~ ; a ~"?3i , ~ ~ --y~, , i 3 ~ /,y, t e l lV1 l r s.i3'.33`3o"W. ,2x$.77 I NptAN ~P`~l~G14 STATE OF NEW YDRK C NTYOF StIF~°L~~~p.", S.S n4~-Zl~ .c-e~-c•~' being duly sworn, deposes and says that he is the applic (Name of mdrvidual signing contract) above named SHe is the . ~-e.7??--e~~' ~f. ~ w . . (Contractor, agent, corporate officer, etc.) of satd owner or owners, and rs duly authonzed to perform or have performed the card work and to make and 51e application, .that all statements contained in thrs applrcahon are true to the best of tits knowledge and belief, and that work will be performed m the manner set forth in the apphcahon Ciled therewith Sworn to before me thts ) ~a day of C~~'2G1~u.~-t~... 19 7 Notary Publtc, ~.~~Z~ County WAN L ?OIING Nebry lyWlp flab M Naw York, Cuaufiad m {Stgnature of apphc• {yftolk County, N~, 62. 4..b627D / p COmmreslon E~puN Maru# 30.