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Home My WebLink About17054-z~~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22569 Date SEPTEMBER 2, 1993 THIS CERTIFIES that the building ADDITION Location of Property 680 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1988 pursuant to which Building Permit No. 17054-Z dated JUNE 3, 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 Ta The certificate is issued to MICHAEL A. KAZAN & BETH HERMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NJA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Buil ing Inspector Rev. 1/81 rosax xo. a 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) 0 017 0 5~ Z Date .........:`~...R.~/f'lR:.....°'~ ...................... 19 g Permission is hereby granted to: ..~f.~'. ~ ~ .............~ 8 ~~--............. .. ~.4~..~...:U:.~.r......~..~.'.3. ~.~...... to .~~:^.'.RN!-`:4:~k.......~.....~.S.kk.....4~.dF1~:tr.+`/.~...A..NA~'1..... ~~ ................ ... ,v,....~ ....................... M~....~r~:....... ~ n t1.... ~...,.. ~...9.~. of premises located of .. ..............~~!!:!:trc.C~.......... .. ...R..F.~t~A.~L........................................ ................................................................................................................................................................ .....................................................................qq.......................................................................................... County Tax Map No. 1000 Section ...~..1..~.......++Block ........Q..e~.......~~ppLot No........~.~--....... pursuant to application dated ........... .~..`N ..................... 19.k..0.., and approved by the Building Inspector. Fee $..~~.:... J. ~9 'u-t Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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-~' 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. s B. 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. 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-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 Date :JvGv57. .s~:~... ~.~~.53 .................... New Construction....... Old Or Pre-existing Building... / ......... Location of Property...~'..c~.~ ....................SMS7l~r...~1J............~~FCdn/~ L........... House No. Street Hamlet Onwer or Owners of Property.[!l4NF1,EL ~~AJJJJ(( ~C!Iii,n;"!./,,,!2?~,?K,,,~~j'Y~,~u~,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.... 9b.1.......Block...~ ........Lot...L~C~ ............... Subdivision ....................................Filed Map............Lot...................... Permit No.. .. .......Date Of Permit... .. ....Applicant... .. .. ..... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ ............................. ~) C p ~ ~~ ~ 9 _ APPLICAN :in -. ~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: DATE ~~ ~"~ INSPECTOR [~ FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING [ FINAL ..LL 1. .. ~,{..~v.. I/n..., li vv:.. ... .. ... , r•, a H H _ (1st) ONDATION ~ ~ c UNDATIOIJ (2nd) _ -- ~ _ 0 6 UGH FRAME & ~ PLUMBING y R7 SULATION PER N. Y, H STATE ENERGY ~ O DE C x a 3/ ~~ .ma y r~ ):'IiJAL r ~ pp z 3 ADDITIONAL COMMENTS: x . A " r~ x ~• ~ ~ H ~ H O a z ~z a ~.. • r Z H d t*1 b y ~ '4~. 1 .a U ~j ..C 0 ~~ 0 n P 0 V i b G A S (5 6) 76 ~ so2 O~OS~FFOLkCO ~~ VICTOR LBSSARD, Principal p ~ CURTIS HORTON, Senior r°n 2 VINCENT R. WIECZOREK, Ordinance p 'r ~ ROBERT FISHER, Assistant Fire ~0 ~p~ Building Inspectors ~ ~ THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT 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 February 28, 1991 Michael A. Kazan 215 East 68th Street New York, N.Y. 10021 Re: Building Permit #17054-Z (Deck Addition) Premises: 680 Smith Rd. Peconic, N.Y. Suff.Co. Tax Map #1000-98-3-32. Dear Mr. Kazan: 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 construction of additions, accessory structures, alteratian~ or new dwellings, and it is unlawful to occupy or use said structure until the 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 (516) 7 5~ 802 ~~oSOS~FFO~~-c~ VICTOR LESSARD, Principal ~ ~ CURTIS HORTON, Senior r°n y VINCENT R. WIECZOREK, Ordinance p ROBERT FISHER, Assistant Fire '1' ~ p!~ Building Inspectors ~~l ~ ~~ THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supexvisox Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765.1800 February 28, 1991 Michael A. Kazan 215 East 68th Street New York, N.Y. 10021 Re: Building Permit #17054-Z (Deck Addition) Premises: 680 Smith Rd. Peconic, N.Y. Suff.Co. Tax Map #1000-98-3-32. Dear Mr. Kazan: 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 Southald Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful tc occupy or use said structure until the 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 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .. ~ •*~• • •> 19$g. BOARD OF HEALTH .... ...... 3 SETS OF PLANS . ;,~.~ ..... . SURVEY ..........,p.'........ CHECK ........../........... SEPTIC FORM NOTIFY CALL MAIL Approved .. ./.~''4-... ~ .., 19~~. Permit No. ~ ~ QS~. ~' Disapproved a/c .................................... . .................................... .............. ••In~W:.. ......~~.... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ..................... T0: r~-.~ Date ................... 19... 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 ins ectio s. // (Signature of appppppp'''"'111lllicant, or name, if a corporatron) ...~!5..~ . 6,g~ti. S?, ..N.Y.,..N, .Y...!ooL.i......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .OWA!~ ........................................................................................ Name of owner of premises ..t~(CNAF.L... !~ . ~,f?u.F ..~,Fi,TN..H£~MAI~ ................................... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . .............................................. (Name and title of corporate officer) Builder's License No . ........................ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . Location of land on which proposed work will be done. ... 6~Q .. SM/7-1...~D. .............................. . ..~g.a ..........................SM~7K. ~~.~..................P;/coylG....................... House Number St//r~~eet Hamlet County Tax Map No. 1000 Section ........7..~...... Block .. $~-.•.~ 3........ Lot ..L.°.7 32 Subdivision ...!h!D!9!~.. N~Gk, pr?,~jC . . . . ......... Filed Map No. . ,r~. 5.j......... Lot ...1,3........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: r s7ozY... ~ls ~o~?C~...- a. Existing use and occupancy ......... • ..............................'........ . b. Intended use and occupancy ..I.. S TQK.Y... k~StD~N.4F .. ^..NCht .t;oy5?2UGT1o~J /S , ,~QP,.:CH, , , , , , , , , , , , , 3. Natpure of work (check which applicable): New Building .....'..... Addition .......... Alteration ./. , ...... . Ite air f.......... Removal .............. Demolition ./............. Other Work .............. . (Description) '~ e ...................................... 4. Estimated Cost .....750 .r .~ . • • • • • • • • • • • • • • ' ' ' ' ' ' ' ' ' Fe (to be paid on filing this application) 5. If dwelling, number of dwelling ~~~units ............... Number of dwelling units on each floor . , . , ........... . If garage,num ,~„afcars ...................................................'.....:.............. ~~ b~ ~r sat i''l pr mixed occupancy, specify nature and extent of each type of use ......... . .. . . . . . .. . . ~~irne~k~d sBO~P .. Ib;3„ i ,+ Structures, if any: Front . .$YiC.:..... 'Rear .... ..... Depth .. `F,7,3, , , , , , , , , 4, :}Height .. ; ~'F Number of Stories ... J ...................c.................. o,..:......... . I)' 6~~o ea tu` ture w i~` .,1 tthalterationsoradditions: Front .3.y+l........... Rear ...1..$............ ! Depth ......~$ 3, a,l.l,`. . , ' .Height ...... ... . .. . ....... Number of Stories ... T. . &i~ I)imensi'bnaol'entire neW, construction: Front ... RC•~........ Rear ...............Depth ..5,4.. Heighti' . '. '.. g4 ~ "...... Nur>}ber of Stories .. ;'"".... o . ... ........... .......... . 9. Size of lot: Front .... 5:4~. AA%c........... Rear .. ~. , So.dq , , , , Depth t37S; 85 ~ , , , , , , , , , .. . 10. Date of Purchase MAtG{ , ,2; ,15,g~', , , , , , , , , , , , ,Name of Former Owner .44SC?..................... . 1 1, i:one or use district in which premises are situated .. "A." . r2Ed~b~N. Y1 fl4 :............................. . 12, Does proposed construction violate any zoning law, ordinance or regulation : ............................... . 13. Will lot be regraded ..... -~ ~ ......... ..Will excess fill be removed from premises: Yes No ...... 14. Name of Owner of premises lv~•,ICA'i.Ah~,,.~•I~;RhI~!Jgddress.2!5•.~.4If~'.SC....PhoneNo 2!'~.:~~9:o$~r Name of Architect ......... : .................Address ................... Phone N ............... . ame of Contractor ........ . .................Address ...................Phone o. ...........:... Zrz-g~v°7r33 PLOT DIAGRAM ~ o'~fr ~~ . Locate cleazly and distinctly all! 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 interior or corner lot. i STATE OF NEW YORK, IS.S COUNTY OF ................. ~ (Name of individual sin ' ' ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant . • . • . • • ~ • • .. •g •rng 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 mannet set forth in the application filed therewith. Sworn to before me this ............~~... ....day of... ....... 1~~. ... .I /'. .. ., Notary Public, .... Ll~-P~!L! `.~j~..d~!~.l/ ........ County O NOTARY PUBEN K IQE VOE Yak ...... ' '"' ............... . PAo. ~7W878 Sultoiktlr~amry (Signature of applicant) Term Expires Much 30,18 S r v N Q a 11N O 7 C S f 1 r 0 4 Y