HomeMy WebLinkAbout16821-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19587
Date DEC. 14~ 1990
THIS CERTIFIES that the building.
Location of Propert~ 1030
House No.
County Tax Map No. 1000 Section
AMENDED MAP A
subdivision PECONIC BAY EST
ADDITION
BAYSHORE RD
GREENPORT
Street Hamlet
53 Block 04 Lot 35.3
Filed Map No. 1124
88
Lot No. 89 & 90
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9~ 1988 pursuant to which
Building Permit No. 16821Z dated MARCH 16, 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 CONSTRUCT A SUN-ROOM ADDITION TO EXISTING DWELLING
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N027517
PLUMBERS CERTIFICATION DATED
HAROLD & CATHERINE WEBER
AUGUST 12~ 1988
Rev. 1/81
!~0~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, FI. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
.......................
................
at premises located at ./...~..~..........~....~.~....~ ............ (~~ ........................
Coun~'y Tax Mop No. 1000 Section ..l~ ,.~ ........ ......... . . Lot No....
pursuant to application dated .... ~ ..~r~.....C~......C~. ....................... , 19.~.~..., and approved by the
Building Inspector.
Fee $..~..'~).... ..............
Building Inspector
Rev. 6/30/80
BLDg. DEPT.
TOW~ OF $OUTHOLD
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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
Vpre-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 Building - $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 Occupancy - Residential $15.00, Commercial $15.00
Location of perty ............. ~ ..... : ....................
House No. ~ ~,~t~reet Hamlet
Onwer or Owners of Property ......
..............................................
~, ctio ............ / ........ .......-. ....
Subdivision .................................... Filed Map ............ Lot ......................
Permit No./. ~.~..c~. ~..'~..Date Of Permit ................ Applicant .............................
Health Dept, Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate ...........
$ ........... (?. ................
/007 / APPLICANZ . '
- /
FOUNDATION
(1st)
FOUNDATION (2nd)
2.
ROUGH FRAME ~/
.FLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL
INSPECTORS
(516) 765-1807.
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
$COqT I~HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (I~16) 765.1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF $OUTHOLD
October 29, 1990
Harold & Catherine Weber
1030 Bayshore Road
Greenport, New York 11944
RE: Building Permit ~16821-Z
Premises: 1030 Bay Shore Road, Greenport, N.Y.
Suffolk County Tax Map 91000-53-4-35.3
Dear Mr. & Mrs. Weber:
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, 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
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INS~TION
FRAMING [/~]~FINAL
REMARKS:
DATE ,INSPECTOR
,.~ 765-1~02
BUILDING DEPT.
INSPECTION
FOUNDATION XST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
DATE
~ 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FFRAUNDATION 2ND [ ] INSULATION
MING [ ] FINAL
1205030
BUIqlAU OF EI..~GT'I~OITY
STREET
NBW
YO~
~lS C~F~S T~T
~ exami~ ~ ~nd to ~ M ~m~Mn~ ~t~ the ~ui~ments ~ th~ ~.
THE NEW YORK BOARD OF FRIE "UNDERWRITERS
TWIN FORK ELECTRIC
P.O. BOX 48
JAHESPORT, NY, 1.1947
Ill
blCgNSg NO, 3488 g
BOARD OF HEALTH .~ ....
3 SETS OF/ PLANS .......
FORM NO. 1 SURVEY .......... ~
TOWN OF SOUTHOLD CHECK .1~. o~,/~
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
, TEL.: 765-1803 CALL ...............
MAIL TO: ~'r~q.
Examined ..~, .[.~.., 19~.~. ·
Approved ..x~ .~. ¢~'t . .(.~.., 19 ~.?. Permit No..1..~.~.br.t..~--,..
Disapproved a/c ....................... , ..............
................................
(Building Inspector)
Date
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 code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspec,tio~. , , // ~'t~ ~7
........ ./~.'...~A/~...~..¥..../~..~....¢_~..4.~ ............
(Signature of applicant, or name, if a corporation)
(Mailiflg address of applicant)
State whether applicant is ~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~O/~t~j ~.~z~ .........................
(as on the tax roll or latest deed)
If applicant is a corl3oratior~, signature of duly authorized officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ...... ~'.~.(~ (~..~. ?.~_7- ........
Plumber's License No .........................
Electrician s License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
. ........................ .............
House Nun~ ....... Hamlet
County Tax Map No. 1000 Section ..... ~ ~ .~.~.. Block....~....~...'.g/ .... Lot..?7:.? ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ~ .... ' .................................................
b. Intended use and occupancy ....................................................................
3. Nature of work (check which applicable): New Building ' Addition V'/ Alteration
Repair .............. Remgval .............. Demolition .............. Other Work ...............
, (Description)
4. Estimated Cost ............ ~ ......................... Fee ......................................
I " (to be paid on filing this application)
5. If dwelling, number of dwelhng units ............... Number of dwelling units on each floor ................
If garage, number of cars .... I ...................................................................
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~,s~-u~e~o:;l~, w!th. alterations or additions: Front ........... . ..... Rear ..................
Depth ................... i · · Height ......... ~ ............ Number of Stories.
Height ..... ~ .~. ...... 'i~.lzr~ber of Stories ....../ .............................
[)ate of Purchase ' Name of Former Owner
Zone or use district in which premises are situated .....................................................
' O
121 Does proposed construction viol~tte any zoning law, ordinance or regulation: . .~/. ............................
13. Will lot be regraded ....... .~, .0. .... .a ........... Will excess fill be removed frCm premises: ' Yes No
14. Name of Owner of premises . .~-7~t.tq .d?.f...~? .~'7.... Address . .~'.T..~.../f~..,~..t'..,~... Phone No...~..77r.o. Z! y....
Name of Architect .... ~;~2~..t:.-~ .~..r,~.. ~.~..~..f ..... Address ...~.~ ........ Phone No...~..o2.*./'.-.?~. ~.~...
Name of Contractor .... jgt~.JtJ./..~.. ~. G~.~.¢!.~'>... Address .... : .............. Plione No ................
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~.. ~
· If yes, Southold Town Trt stee~ Permit may be required. ~
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and. 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
interk)r or corner lot.
STATE OF NEW YORK, [S.S
COUNTY OF .................
............................ i .................... being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
above named.
He is the .......................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this
application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann~r set forth in the application.filed therewith.
Sworn to before me this :
......... ' ...... .~..... ....day of,..'~.~ .......... , 19 J~.
Notary Public ...... ~...~.....X .... .~..Z<..~f..,s~-;w... County ..~
' NOTARY PUBLICi ~aie of New York / .......... ;.-,. . ' ..........
I No. 4707878} Suffolk gOu~lty~q ~,mgnarure of applicant)
' Term Exlg~s Mulch 30,15...,..~
USE IS UNLAWFUL
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T_[_~kL~ WLLL
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