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,