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HomeMy WebLinkAbout16764-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19558 Date DECEMBER 5~ 1990 THIS CERTIFIES that the building REPAIR Location of Property 51555 NORTH ROAD House No. Street County Tax Map No. 1000 Section 135 Block 2 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1988 ~ursuant to which Building Permit No. 16764-Z dated MARCH 4, 1988 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 8TRUCTURALLYREPAIR EXISTING PORCH. The certificate is issued to EDA AURICHIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / Building Inspector TOVv'N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE WORK AUTHORIZED) No_ 16764 z Permission is hej'eby, granted to:~. .-' Ze.e..7:~...~..~. ........................ ....... ..... · . .:~~ ...... ~ ................................................. County Tox Map No. 1000 Section ...Z~.~...~ ..... Block .......... ..~... ....... Lot No .......... ~ .......... pursuant to application dated .....~../../...~. ...................................... , 19...~.....~', and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD · BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application 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 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. 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 i. Certificate of Occupancy - New dwelling $25.00, Additiohs to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additi6hs to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 3. 4. 5. ~ew Construction Old Or Pre existing Building Location of Property .................. House No. Street Hamlet Dnwer or Owners of Property .... x County Tax Map No 1000, Section...I ~- .Block.. ~ ...Lot Subdivision ................................. Filed Map ............ Lot .............. Permit No .......... Date Of Permit ...... · .............. Applicant ............... Health · Approval ....................... Underwriters Approval .... . ..................... Dept ... Planning Board Approval ....................... Request for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted: $ .... ~..~ .................... ......... c o ........................ TOWN OF $0UTHOLD OPFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 November 5, 1990 Eda Aurichio 51555 North Road Southold, N.Y. 11971 TEL. '~ ,65-18C~ 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 llot on file. (ENCLOSED) /--/_,/ b~o Underwriters Certificate on file. /.~.wff The check $25.00 i:; (q(~%~[,X~[~d/not on file. ) /.~/ No tlealth Dept. Approval on file. 7-_'/ No final inspection has been made. this matter. Please contact our office on Thank you for your cooperation. lhiildir;q PermJ_t II I 6 7 6 4 Z Building Dept. ***/~/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION ROUGH FRAME & .FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L~ HARRIS, Supervisor Southold Town Hall P.O. Box ! 179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 29, 1990 Pride Building Co. Inc. P.O. Box 1464 Southold, New York 11971 RE: Building Permit ~16764-Z Premises: 51555 North Road, Southold, N.Y. Suffolk County Tax Map 91000-135-2-8 Gentlemen: 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 alterations or repairs to an existing structure, 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 possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar cc to: gda Aurichio Z3o,,~/N/c ~. 4~ ~c-D,4 ,4L/,P/CZdO 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... ~Repair ){ .~. ......... Removal .............. Demolition .............. Other Work ............... . .~.~/.~. c]~ ~ (Description) 4. Estimated Cost ........... ~. ......................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, 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 ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimension~s~9,~egti/.ilM~ew construction: Front ............... Rear ............... Depth ............... Height . . J ] ~ .~..'.~..... Number of Stories ........................................................ Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will tot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ NameName of°f Architect ...~l.~.r. 'm'' ...................... ~'l ff .~ .~.~ Address .'...; ................... Phone No ..... .~.6¢. · .~'~ ~-~.~.~- · - · ........ Contractor . .,.,~m.,,~> t~. ....Address .............. Phone No. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. '8. 9. 10. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He 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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. f..~. ...... day of....~.~ ........... 19 Notary Public ......... ~.~4-...~.-..~.q~..~..'¢~ . . County "' '/ "'-- /'fE[EN g. O£ VOE / // (Signature of applicant) ~OTARY PUBLIC, State of Iqew 'taCk ~/o. 4707878, Suffolk County . Ten,n Expires Maroh 30, lg Examined ~/.~... ......... , 19 Approved.q/.~. ., 19 Disapproved a/e .............. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEFTIC TOWN HALL NOTIPY 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL (Bt~ilding~spector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY . . CHECR :. ~(q:: : FORM ............. : Date ................... 19.,. INSTRUCTIONS a. Tins application must be completely filled in by Wpewriter 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 ~f lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli- cation. , e, The work covered by tins 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 pa[t for ~any purpose whatev~,, un~it a. Certificate of O~e~pancy 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on prexr ises and in building for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Name of owner of premises .... ~.~a ..... ~. t),.~.'l.c.~, f0 ................................ ................... ,~ (as on the tax roll or latest dded) If applicant is a corporation, signatuie of duly authorized officer· ~{N~me and title of corporate officer) . ALL CONTRACTOR'S MUST ~g SUFFOLK COUNTY LICENSED Budder s License No .... /2~ ,~.Q~ p/..~. .......... Plumber's License No ....... ~ .................. Electrician's License No ..... .................. Other Trade's License No .... .................. I. Location of land on which proposed work will be done House Number i Street Hamlet County Tax Map No. 1000e oectiion ~2o~- Block Lot Subdivision ................ i ..................... Filed Map No ......... . ...... Lot ............... !Name) 2. State existing use and occupanc.v of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy., ...... ~./~<. · · ............................ b. Intended use and occupancy ~. .d~ ............................