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HomeMy WebLinkAbout16787-zFOtL,~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19653 Date JANUARY t1~ 1991 THIS CERTIFIES that the building ADDITION Location of Property 7945 MAIN ROAD (RTE 25) EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10~ 1988 pursuant to which Building Permit No. 16787-Z dated MARCH 10g 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A RAYMOND & 3~3DITH JACOBS Building Inspector Rev. 1/81 FOBM~ NO. 0 T(FW'H 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) No16787 z County Tax Map No. 1000 Section ...... ..~..~.J ....... Block .....,,~,,.,~., ........ Lot No. ,...,~,,,~ ............. pursuant to application dated .... .~..gI.~P~ ....... ,~'..~. ................. 19..~....~., and approved by the Building Inspector. Fee $....~...~.....*...../.... .... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ~/ .~J~.~ NEW CONSTRUCTION ..X. .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ .5 ' HOUSE HO. STRgg~ RAH~g~ o,~ o~ o~ o~ ~o~, .7~...~.. ,~..~. ~ .............. ~ouaty Tax ~ap ~o. IOOO Subdivision ....................... Filed Map ........ Lot .......... Uealth Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ---X .......... Fee Submitted: $ ...... ~ rely. 10/14/88 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL .-- ADDITIONA'L 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 SCCrI'T 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 29, 1990 Mr. Raymond L. Jacobs 7945 Main Road East Marion, New York RE: Building Permit %16787-Z Premises: 7945 Main Road, East Marion, N.Y. Suffolk County Tax Map %1000-31-2-28 Dear Mr. Jacobs: 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 additions, 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 7GS.t802 BUILDING DEPT. INSPECTION FOUNDATION SST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN.ION FRAMING [,~FINAL REMARKS: INSPECTOR Approved . .~...o~.q~.. [. O.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19.~.%. Permit No..J. (~ ?..~?..~. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This 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 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 cod~%housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection .~// (M~iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ;~'~d 2;~i: ~i ~remlses'..~.~. · · .~.px~. · .~.~~. ..... -~. .............. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CON, TRACTOR'S MUS~ ~U/i~FOLK COUNTY Builder s License No ...... 'r~Y-r~ ............. Plumber's License No ......................... LICENSED Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done .................................................. ............ ........ ............... ......... House Number Street Hamlet County Tax Map No. 1000 Section ....... .~.~[ ..... Block ........ .~.~-.. ..... Lot ..... ,~ ~). .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occ a Exist ng use and occupancy b. Intended use and occupancy .~. ~. ~) .... ~;..~ .-~...· ........... 3. Nature of work (check which applicable): New Building .. ' . Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work~s.,~. · · ~ ........ _~ ! . ~ (I~/p~tion) 4. Estimated Cost ...~'~'~'~'~'~'~'~'~.. ....... I ..................... · .... Fee ...~0. : ' (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 structure~ if any: Front Rear Depth Height ............... ·Num ~ber of Stories ........................................................ Dimansions'of same structure wi~h alterations or additions: Front Rear Depth ,' Height Number of Stories '- 8. Dimensions of entire new construction: Front ... ' Rear Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front ... I Rear Depth 10 Dar fP ha ' Name fF Ow · eo urc se ........... r ................. o ormer nar ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... i ................ Address ................... Phone No ................ Name of Architect .......... i ................ Address ................... Phone No ................ Name of Contractor ......... , ................ Address .... : .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ~uildmgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block fiumber or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, ~.S COUNTY OF .................. NOTI~ BUll. DING OEP,~I{'t~JI2NT AT ~65-1802 9 A~,~ 'FO ~,~ ~"ha FO~ THE 3. iNSULA rlOF~ CODES, NOT ~BPur[~s~j~.~ .............................. i ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, i He is the ....................... ~ .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application am 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 ........... /?' .... r ..... day of J.....~/.~ ........ 19..~f- ' Notary Pub'lc ..... ~. ~... ~..,t:..fi-/..p~___~.. ...... County ItB~N K~ DE ~£ ~' y (Signature of apphcant) NOTARY PUllLIC, State of New York . No, 4707878, Suffolk County~o lerm Ex~ires M~rch 30,