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HomeMy WebLinkAbout16893-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25278 Date: 09/24/97 THIS CERTIFIES that the building ALTERATIONS Locataon of Property: 3085 BAYSHORE ROAD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 6 Lot 6 Subdivision Faled Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore faled an this office dated APRIL l, 1988 pursuant to which Building Permit No. 16893-Z dated APRIL 15~ 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 as ALTERATIONS TO SECOND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certaficate is issued to WALTER F. SHIRLEY KIEFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 H037266 09/30/93 09/22/97 WALTER KIEFER Building Inspec/r IrOl~t~ NO. · 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) 689} Permission is hereby granted to' ....... ..s....~ {~:.....~~~_~ ........ ...... ~~...~e.~ ................. ~~ .......... ~a.: .............. ~,~,,~ ,,~,,~ ~, ..... s.~.~r_...~~_~ ....................... ........................................ ~ ~~ ........................................................ County Tax Map No 1000 Section pursuant to apphcahon dated ...... Budding Inspector. · ~'.~.././.. ............ , 19~'.~., and approved by the u~g Inspector Rev 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ 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 buzldzngs and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval ef 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, bulld~ng and unusual natural or topographic features. 2. A properly completed application and a consent to ~nspect smgned by the applicant. If a Certificate of Occupancy is denied, the Bulldlng 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 accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exzstlnK Buildlnm - $I00.00 3. Copy of Certificate of Occupancy - .25~¢ 4. Updated Certificate of Occupancy - $50.00 5. Tsmporary Certificate of Occupancy - Reszdentlal $15.00, Commercial $15.00 Date ............. New Construction ........... Old Or Pre-existing Building ..~ ............ ,-- Location of Property. ~.~.~.~.. ~ ...... ~~~... ~ .~ .... Onwer or O~ers of Property..~~. ..... ~~.. 1~~ ....... 0oo, ...... .... ....... ...... .......... Subdzvzszon ....................................Fzled Map ............ Lot ...................... ~ No.~f~ ..... ~ o~ ~i~ ................ A~Z~= ............................. Health Dept. Approval ..........................Unde~rzters Approval ......................... Planning Board Approval ........................ Request for. Temporary Certificate ........... Final Certicate..~ ..... Fee Submitted: $. APPLICANT Town Hall, 53095 Mare Road P O Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD CERTIFICATION DATE: Building Permit No. Owner: ~ &% ~-V~-~_ ~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature)' ~ Sworn to before me this N~y Publlc, ~-//~'/~3 ~'< County THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 8[~6[~ BUREAU OF ELECTRICITy J--- 85 JOHN STREET, NEW YORK. NEW YORK 10036 O, te SEPTEMBER 3~,1993 Apphrat,onNo on/de 5575748S/8S H ~37266 THIS CE~IFIES THAT WALTER KIEFER, 679 BAYEHORE ROAD, GREEN?ORT, N Y. ~sexe,ntnedon SEPTEMBER 16,1993 andfoundtobetncompltancewtththeNa~onalZo7lect~calCode Lot FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES gLUCY~SCENT DRYERS OTHER APPARATUS MOTQRS~ 12-F SMOKE DETECTOR.-1 S E R V I I bJO OF HI LEG DISH WASHERSl EXHAUST FANS H P MULTI-OUTLET t DIMMERS UNIT HEATERS NoSYSTEMSOF FEET A,~T~ I WAITS ¢ E WALTER F. KIEFER 152 HACKETT PL RUTHERFORD, NJ, ~7~70 GENEEAL MANAGER This cert,flcate must not be altered tn any manner, return to the offtce of the Board sf incorrect Inspectors may be )denhfled by their credenhol$ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~NSU~TION FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [~/~RAMING ~r]FINAL DATE~ INSPECTOR h~ ~ INSPECTORS (516) 765-1802 VICTOR LESS.AR]D, Principal CURTIS HORTON, Semor VINCENT R. V~IECZOREK, Ordinance ROBERT FISHER, Assistant F~re Btuldmg Inspectors THOMAS FISHER GARY FISH SC(2YrI' L HARRIS) Supervisor Southold Town Hall P O Box 1179, 53095 lvimn Road $outhold, New York 11971 l~ax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPF. K2TOR TOWN OF SOUTHOLD November 2, 1990 Walter & Shirley Kiefer 3085 Bayshore Road Greenport, N.Y. 11944 Re: B.P. 16893Z Second floor alterations B.P. 17151Z Deck addition Dear Mr. & Mrs. Kiefer: I am writing to you regarding the above permits. have expired. Bot~ermits BP16893Z had an inspection on 7/14/88 for the insula- tion and passed, however no one ever called for a final inspection. BP17151Z has never had any inspections. If the work is completed please call for final inspections on both permits so that Certificates of Occupancy can be issued. If the work is not complete a new permit will be required. Your prompt attention to this will be appreciated since the permits have expired. Thank you. Yours truly secretary INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. VqlECZOREK, Ordmance ROBERT FISHER, Assistant Fire Bmldmg Inspectors THOMAS FISHER GARY FISH SCOI.'I' L. HARRIS, Supervisor Southold Town Hall P O. Box I179, 53095 Mare Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 8, 1993 Walter & Shirley Kiefer 3085 Bayshore Road Greenport, NY 11944 Re: Building Permit ~17151-Z & 16893-Z Premises: 3085 Bayshore Road Suff. Co. Tax Map ~1000-53-6-6 Dear Mr. & Mrs Kiefer: During a review of our files it was noted that the above building permit(s) has/have 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 construction of additions, accessory str~ct~res or new dwellings, and zt 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 cooperatlon in this matter. Victor Lessard, Principal Building Inspector VL:jb INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTI~ HORTON, Semor VINCENT R. V~IECZOREK, Ordinance ROBERT FISHER, Assmtant Ftre Bm~lmg Inspectors THOMAS FISHER GARY FISH SCOTT I,. HARRIS, Super'nsor Southold Town Hall P O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Ol,'/e'lGE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 2, 1990 Walter & Shirley Kiefer 3085 Bayshore Road Greenport, N.Y. 11944 Re: B.P. 16893Z Second floor alterations B.P. 17151Z Deck addition Dear Mr. & Mrs. Kiefer: I am writing to you regarding the above permits. have expired. Bot+ermits BP16893Z had an inspection on 7/14/88 for the insula- tion and passed, however no one ever called for a final Inspection. BP17151Z has never had any inspections. If the work is completed please call for final inspections on both permits so that Certificates of Occupancy can be issued. If the work is not complete a new perraxt will be required. Your prompt attention to this will be appreciated since the permits have expired. Thank you. Yours truly Secretary Town Hall, 53095 Main Road P 0 Box 1179 Southold, New York 11971 Fax (516) 765-1 ~23 Telephone (516) 765~1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 17, 1997 Walter & Shirley Kiefer 3085 Bayshore Rd. Greenport, N.Y. 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on flle.)$25.00 No Health Department Approval on file. No final ~nspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 16893-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUG~J3G. ~OR~MN~NA~ION ZND i ]~A~'ATIO"~ FINAL N DATE ~/~~J~/~ INSPECTO~~ j OUNDATION ( 1st ) OUNDATION I 2nd ) DUGH FRAME PLUMBIN~ ~SULATION PER N. STATE ENERGY CODE FI~AL ADDITIO~IAL COMNEIITS: VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Mare Road PO. Box 1179 Southold, New York 1197I Aprxl 1, 1988 Mr. Walter Kiefer 152 Hackett PI. Rutherford, N.J. 07070 Dear Mr. Kiefer: Please contact our office regarding your ap- plication for a buzldxng permzt. Since your house is on the bay zt will be nec- essary for you to get D.E.C. approval and from the town trustees. Also since the deck will fall within the 75' line you wzll also have to file wxth the Zonxng Board of Appeals. Yours truly, Secretary POllM NO I SURVEY .~.~<~ ...... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM .............. TOWN HALL NOTIFY TEL.. 7~] B0~ MAIL TO: , , 19[8?erm,t No/~OO ?3: (Bufld[~In§pector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a Tt~s application must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with sets of plans, accnrate plot plan to scale Fee according to schedule b Plot plan showing locatton of lot and of bmldtngs on premises, relationship to adjoining premises or public stme or areas, and glvmg a detaled description of layout of property 'must be drawn on the diagram which is part of this app cation c 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 apphcant Such perrr shall be kept on the premises available for mspectlon throughout the work e. No building shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to tl Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demohtion, as hereto describe The applicant a?grees to comply with ali apphcable laws, ordinances, building code, housm~ code, and regulat~ons, and admit authonzed inspectors on premises and m building for necessary inspections ,q_ /? ~/ ' ~) (Si=nature of applicant, or name, if a[~orporation) (Mailing address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlde Name of owner ofpremmes /(-2,¢&-z"',~%:.~,r ~.5'/.//,,,e~.r-/v!.~, /~'-,.~'-.z=7.,,<~.. (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No Plumber's License No Electrician's License No. .. Other Trade's License No Location_of land on wtuch proposed work will be done House Number Street County Tax Map No 1000 Section Hamlet Block ~ Lot ~ Subdivision Filed Map No . Lot (Name) State exmnng use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy /::~z.?/~,57~ ..,,( ,~ ,~_ ~-%'-/~/~. ~_C ... b Intended use and occupancy /~z?m~ ~ a_~...%p~..~ c,~'.~..a~. ~e?~... 3 Nature of work (check whmh apphcable). New Buddmg. .. Addttton -- ¥~Q~ ~f-~. Alteration Repair ~'~ Removal .,. Demolition Other Work (Descnpllon) 4 Estmlated Cost ~ ~ . . Fee ............ ' (to be paid on filing th~s application) 5. If dwelhng, number of dweIhng units .~y~/~f~z~. umber of dwelling umts 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 D~nenmons of existing structures, if any Front -Fc> Rear --ff Q Depth 8 9 10 11 12 13 14 Height Number of Stones Dm~enmons of same structure with alterations or additions Front Depth . J3'"- Height .... D~menmons of entire new construchon Front Height Number of Stories Size of lot Front ,/o~-O Rear Date of Purchase .. 5~. 7./~'.~ dL''- . Name of Former Owner Zone or use d~stnct ~n which premises are situated . .. Rear . .',~c) . Number of Stones ....... Rear .-~.c, Depth .... Depth Does proposed construction violate any Zoning taw~ ordinance or regulation A/o ....... Will lot be regraded Zk/F.9· .... ~ . Will excess fill be removed from premises Yes Nc Name of Owner o£prem~ses~?~_z~-2;-/C' /~-.~7'~=z~..Address~'~'~ .~:J~,J/,f/M~z~,a~hone No~.~-- Name of Architect ~r".~/.~' ,,f-~Z;>/-~M~ . Address ~'/..oT/'/~'3//~'~.~rf Phone No ~.~- ~'-,~-,B / Name of Contractor ........... Address ...... Phone No ...... 15. Is thzs property located wzthin 300 feet of a tzdal wetland? *Yes ..... No .~ *If yes, Southold Town Trustee~ Permzt maTbe required. PLOT DIAGRAM Locate clearly and &shnctly all bufldmgs, whether exlshng or proposed, and indicate all set-back dimensions from property hnes Give street and block number or descnphon accordmg to deed, and show street names and mdmate whethe~ mtenor or corner lot TI'ATE OF NEB' YORK, fOUNTY OF SS (Name ot m&~dual s~gmng contract) being duly sworn, deposes and says that he is the apphcant Ie is the .......... (Contractor, agent, corporate officer, etc ) ~f sa~d owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this ,pphcation, that all statements contained m this application are true to the best of his knowledge and behef, and that the ,york will be performed m the manner set forth in the apphcation filed therewith iworn to before me thls ~otary Public, day Of- Ho. 470~78, Te~ ~ March F .' ~, ~,~ ~.;. , ' ~ ~- ~~ :~:" =:=~ ='~ ~.,-~- ~:~ .... WITHOUT 0 ~_ .___ ...... ~=,== =~===:_ =~.= :=._:. _. " -, ~ . - . -- ~m -~z~'-=?-'-~- -- -- .... NOTI~ B~nNG DEPART~EN~ AT -- 765-1802 9 AM TO 4 PM FOR TH~ PLUMBERCERti~i~TiON $O~DiNWA~R 1. FOUNDATION - ( s=oucHc~=. ~o~n~.= on rD. sAKmt~ ~m: a. A~ =c~c. uon~ s[JZ~ co. roJ,n ','o FOR POURED CONCRETE CERTIFICATE OF OiCCUPANCY EXCEED 2/10 of I~ ~AD, ............... ~ - ' =o o,.=~?Rod=zo~ o, =~.=z,~, ~,o,-' ,~,oo, A,= =oo.' o~z,z.=s u.~=, ANY WAY. IT IS A VIOLATION OF THE LAW FOR AN PERSON UNLESS ACTING UNDER TH DIREOTION OF LIOEN~ED AROHITECT '] ALTER ANY ITEM ON THIS DOGUMENT CFu¢~~) WARNING IT IS A VIOLATION OF THE LAW FOR ANY PERSON UNLESS ACTING UNDER THE DIRECTION OF LICENSED ARCHITECT TO ALTER ANY ITEM ON THIS DOCUMENT IN ANY WAY. PETER T. PODLAE A.I.A ARCHITECT II II ii II V,X ,T d} L II I 4- ec. I=f~. I -k WARNING FF IS A VIOLATION OF THE LAW FOR ANY PERSON LNLES$ ACTING UNDER THE DIRECTION OF LICENSED ARCHITECT TO &RCHI?~C? -j