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HomeMy WebLinkAbout16904-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19568 Date DECEMBER 7, 1990 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1350 SEAWOOD DRIVE House No. Street County Tax Map No. 1000 Section 79 Block 8 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1988 pursuant to which Building Permit No. 16904-Z dated APRIL 20r 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 ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to FRANK & JOAN SOKOLICH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 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) NO_16904 z County Tax Map No. 1000 Section ............ .."~.....~..... Block ............. ~ .... Lot No. pursuant to application dated ............................................. , 19...~.~../ and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD Jr ............ i TOWN HALL ii 765-1802 U BL .................... a-: BLDG. DEPT TOWN OF SOUTHOLD . g2PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be f±lled in by typewr±ter OR ink and submitted to the bu±lding inspector with the following: for new bu±lding or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. F±nal Approval from Health Dept. of water supply and sewerage-d±sposal(S-9 form). 3, Approval of electr±cal installer±on from Board of Fire Onderwr±ters. 4. Sworn statement from plumber certify±ng that the solder used in system contains less than 2/10 of i~ lead. 5. Commercial bu±ld±ng, industriai building, mult±ple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buiiding. 6. Submit Planning Board Approval of completed site plan requirements. For existing bu±ld±ngs (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of property showing ali property lines, streets, bu±lding and unusual natural or topograph±c features. 2. A properly completed appl±cat±on and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Buiiding Inspector shall state the reasons therefor ±n wi±ting to the appl±cant. i. 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 ........................................ . Xew Construction · ' Old Or Pre -existing Building ................. Location of Property ......................................................................... House No. Street Hamlet Dnwer or Owners of Property ....... . ..... County Tax Map No 1000, Section ..... 7..~.. .... Block ....... ~ ....... Lot ....... ~ 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: *.. ~--~) ~.~..~' '' " '- .~ :';- .; ~,' '~' ?*~?~":'~;'?~8¥~'~:~5'.~ ,~.~,~~.~.~.~]~~';': D: < J-'~' ~:' %/ ~ ,x..~ ,~t~;, ,:'~; 3UNDATION ( 2nd ) 3UGH FRAME & ~?LUMBING ~SULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL 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 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road $ourhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDINO INSPECTOR TOWN OF $OUTHOLD November ~8, 1990 Frank & Joan Sokolich 401 E. Brinkerhoff Ave. Palisade Park, N.Y. 07650 Re: Building Permit #16904-Z Premises: 1350 Seawood Drive, Suff. Co. Tax Map ~1000-79-8-5 Southold, N.Y. Dear Mr & Mrs. Sokolich 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, alterations 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 Examined Approved. 19 Disapproved a/~;~!~j.,j~. ~'~5~46c~ ~0~$0t4' '~ ........... .. ~m~uATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY '~ SOUTHOLD, N.Y, 11971 CALL ................ TEL.: 765-11302 MAIL TO: ~/~ I ~ ~~~/~u Date ................... 19... 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 purp0?e whatever until"a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i~suance 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 alt applicable laws, ordinances, building co~;ke, hou,ffing ~ode, and regulations, and to (Mailing address of applicant) State whether applicant is owner, lessee, agent, a~chitect, en~neer, general contractor, electrician, pluml~¢r or builder. Name of owner of premises ~.t~/~'~...~.~-~.~L~..d.'~... X,~.//(e~?~. ~. ...... ~ ' ........................... · ' : ' '; ~(as on the tax:mlI or l~atest d~ed) If applicant is a corporation, signature of duly authorized officer. ........ · ....... OCCUPANCY OR ALL ... BE o.=Y , E,CgE IS UNlaWFUL Builder's License No .... ~.~o-34,4/2~.... ............ ' - - Plumber's License No. ~ ' ' Electrician's License No ....................... Other Trade's License No ...................... WITHOUT CERTIFICATE OF OCCUPANCY 1. Location of land on which proposed work will be done ............. ' ..................................... / .~. .?~. . ..s ~ ~. r_z/,e. ,¢ c/ d b. . . $ ~. ~. ~ o g ff. ........................................ , ............. House Number Street Hamlet County Tax Map No. 1000 Section ...... .ff]..~. ........ Block ..... E ........... Lot...~..~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended hse and occupancy of proposed construction: a. Existing use and occupancy. ..................................................................... b. Intended use an~l occupancy ......... ~ ................ 3. Nature of work (check which ~pplicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair ......... Removal ........ Demolition .............. Other Work ...&~v-~ .... ~ I ~ ~,(Descrip.tion) 4. Estimated Cost .... d~.~.. · · .i ........... . ............... Fee .. APPI~D/[$.~0~r~ ..... 5. if dwelling, number of dwelling units ............... Numbed_of..~.,.~, ,,.,-,, .,,. ------~,-rcu.~~a~ll~mz }mitsx~n eac~ ~. i.: ...... garage, num,berofcars .... i .......................... ............ 6. If business, con~mercial or mixed occupancy, specify nature and ~181C,~tO~c~l~Ck/~ .FO~ ! ............. 7. Dimensions of existing stmctuCs, if any.x Front ............. FO~N/i ~88P. fiCtlONS; Depth . I, ........... Height ............... Number of Stories .............. L FOiIN~fflON.~1..-.. ~1~ ............. Dimensions of same structure with alterations or additions: Front ~0~.l~.~ar .................. Depth ................... [... Height ................. .~: .~..Ol.~'b~[~ .~J~l~ ........... ".8. Dimensions of entire new construction: Front .......... . $'~~-~.-.Z.~2~e~th ~ ... Height ............... Number of Stories ' ' ' $' 7~f' o' ' ~i~i~'MUS? .......... 10. Date of I?urchase .......... :: .................. Name of~~j~ '~'~. 1~. ~ .#.~, ............. 11. Zone or use district in which premises are situated ........... $?AI~ '~N81~,l~ .&' ~1~¥ ............. 12. Does proposed construction violate any zoning law, ordinance orO~l~#[~iol~...1~8~. ~ ............. 13. Will lot be regraded ........ . .................... Will ex~/~~l[~~ Yes No 14. Name of Owner of premises . ': ..... Address . Phone No ....... Name of Architect ......... ! .................. Address ................... Phone No ................ Name of Contractor ........ !2 ............... i. Address .... : .............. Phone No ................ 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Tm stees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from propeIty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATF, OF NEW YORK. ' '~' '.8.S COUNTY~OF.. .............. '.. - I~>n ' -. HELEN K.'DE VOE NOTARY PUBLIC, State of NeW York No. ,1707878, Su~lk Count~...~ ........................... , ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the ...................... i ................................ · .................................. i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements dontained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerl set forth in the application filed therewith. Sworn to before me this i .......... , ...... .... · County ~---~..~---------) '-' (Signature of applicant)