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HomeMy WebLinkAbout16908-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19515 Date NOVEMBER 16t 1990 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 2000 FAIRWAY FARMS House No. Street County Tax Map No. 1000 Section 109 Block 05 Subdivision FAIRWAY FARMS Filed Map No. 6066 CUTCHOGUE Hamlet Lot 14.10 Lot No. i0 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6t 1988 pursuant to which Building Permit No. 16908Z dated APRIL 22~ 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 DWF3J.ING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED HENRY P. & MARTHA A. POPE Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K:EPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED) lye_ 16908 Z Permission is hereby granted to: ,,, .... ~ . ,,~ '" _7_ /~' /, ',.X..(/,' ~ :-/" . · . ....... ,o .~_,,i,,~...;.~.....:.~..~;~.,.,~.~.....,~......~,,t.S~ ................ ........... ~t ~,m,,, ,ocated o, ...,~.~'.~'.....~~~..~.,~ .................................. i ............. County Tax Map No. 1000 Section ..... /..~...~.. ....... Block ......... ~ ..... Lot No ..... ./. . .,~. ,. ./. .6. ..... pursuant to application dated ........ ...~/./~.. .................................. , 19.~..~., and approved by the Building Inspector. Rev. 6/30/80 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 "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. 2. 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 ~C__~t~ Dat? ..... ~(!~l.~..C). ........................ /ew Cons~ru~~.. Old Or Pre-existing Building ................. ~ocation of Property. ~0o0 ............................ t ~ (~.~:. .... House No. Street Hamlet )nwer or Owners of Property .... ~ounty Tax Map No 1000, Section ......... Block ............. Lot ....~ ........... obdivision... . ID ........... lealth Dept. Approual .......................... Underwriters Approval .... . ..................... ~lanning Board Approval ........................ {equest: for: Temporary Certificate ........... Final Certicat~e ...... ~'ee Submitted: $ ........... OUNDATION~ (1st) OUNDATION (2nd) OUGH FRAME & -PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ~'ND [ ] INSU/I. ATION FRAMING [/.-~FINAL DATE INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ] [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE TEL. 765-1802 TOWN OF SOUTtlOI,D OFPlCE OF BUILDING INSPECTOR P.O. BOX ~!79 TOWN 1 IA LL SOUTIIOLD, N.Y. 11971 Mr. & Mrs. Henry Pope Box 6 Cutchogue, N.Y. ll935 To Whom This May Concern, November 9, We are unable to complete your Certificate of Occupancy because,of the following reasons. /_~/An application is not on file. (ENCLOSED) / / bio Underwriters Certificate on file. /~f~ 'Pho check i:;(ox%VCX~lOXll~X~ot on file. ) /.~/ No }lr2a].th Dept. Approval on lilt. /-~/ No final inspection hits been made. for Certificate of Occupancy $25.00 P]ea:;e contact our office on this matter. Thank you for your cooperation. lhLilding PermLt tt I 6 9 0 8 Z Building Dept. **~/~/ tie Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) u~,~Ju~NCY OR ~'-~ iS UNLAWFUL INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIF.,CZOREK, Ordinance ROBERT FISHER, Assistant Fire Buildin~ Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 F~x (516) 765-1823 Telephone (516) 765o1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 2, 1990 Mr.& Mrs. Henry Pope Box 6 Cutchogue, N.Y. 11935 RE: Building Permit #16908-Z Premises: 2000 Fairway Drive, Cutchogue, N.Y. Suff. Co. Tax Map #1000-109-5-14.10 Dear Mr & Mrs. Pope: 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 'FORM NO. I SURVEY · ~,...0.,..~,. , TOWN OF $OUTHOLD CHECK . .'?~',g:7 .... BUILDING DEPARTMENT §gPTIC ~ORM ............. : TOWN HALL NOTIFY .... $OUTHOLD, N.Y. 11971 ,~.//...~ ' TEL.: 765-1802 Examined ~' 19O~t~ Approved. ~r/.~../~. ......... 19 ~..ffPermit No../.~. ?~..~..~j/ Disapproved a/c ..................................... (Bu~ldin~ inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL · MAIL TO: 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 t,o comply ~!th all applicable laws, ordinances, building code, housing co~q~e,~nd regulations, and to admit authorized ins~t'O~Po~J~e~!and in building for necessary insp3~ti~llSC*X-~2~.~t,,~ ~ ~ ............ ........ . ..... .......... ¥~, (~orXh~am e~'fff'~ corporation) .7...-~... OI~L'JI?'~W~¢ ¢ a/i,a : ~ , . ~' .!~ 2 '(M;fiiJing address Of applibant) State whether applic~J~J~t~J~,l~Snt, architect, engineer, general co'n[l'fidf~f;' electrician, plumber or builder. .................... L/..t44 .I~. ~ ............... .amc of ow,er 4.. t .............................. ~ ~ ~ t,,tJA (as on the tax roll or latest deed) If applicant i~~,q~horized officer. .......... ~~j~.~ ........ ALL CONTRACTOR'S MIIST BF. SUFFOLK COUNTY LICF.NSF.D Builder's License No...~ ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~."I~. 19.~.~. ~0-.~[4~.% ~.~.~.t364.~ ..................... ....-~...o..~. .......... ~.l.~.~.,u~q...~. ~ ................ .~.~.T~t~2~o.c=7 ................ House Number Street Hamlet County Tax Map No. 1000 Section ...[.9.~ ........... Block ...~.. ............ Lot.. !~.~.J..O. .......... Subdivision .... ~..~/l..f)-~.~,.~..~..~.1-~.~ .............. Filed Map No..&'. ?.(q.Cq. ....... Lot ...~-.C). ......... (Name) 2. State existing use and occupancy of premises and intended use and occnpancy of proposed constrnction: a. Existing use and occupancy ......... .~..k~.~..c~....-~,/~...1~...~-X ................................. b. Intended use and occupancy ,3 t .~. [). ~)(z3~L(.~ . , ";" ' '.. :4.. 3. Nature of work (check which applicable): New Building .......... Addition ...; ...... Alteratiog., ....~_~... Repair . Removal Demolition . . · Other Work '~ .~.r~.~ .... ~[I (Descriplion) 4. Estimated Cost ............ .,~. ~ .c2 ................. Fee .............. '~ i ......... i .~ " (to be paid on filing this application) 5.' If dwelling, number of dwelling ~nits .... r. ~ .... 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 .............. .R. ear .............. Depth ............... Height ............... Numoer of Stories ..... i ............................................... Dimensions'of same structure w alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories ~- 8. Dimensions of entire new construction: Front . .'~.. I ~ ~..~. .... Rear [. ~ Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front ~ Rear Depth ................ 10. Date of Purchase ....... ~..[.~.~.~ ......... Name of Former Owner . {~..=~.~....~.~7~..~ ........... 11. Zone or use district in which premises are situated .... (Y~.,~. .......................................... 12. Does proposed construction viol~ite any zoning law, ordinance or regulation: ~ ~i(~. ....................... 13. Will lot be regraded ......... ~ .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises [lr~ ~,o. p.t~. .......... Address~..~..~J~o~l.. Phone No..'7.~...htT.~[ .)<~.... Name of Architect .......... ; ................ Add ess ................... Phone No ................ Name of Contractor .......... Address ' & ...... Phone No.,,),. 15. Is this property located within 300 feet of a tidal wetland. Yes ..... No /~-~.. · If yes, Southold Town TruStees Permit may be required. i PLOT DIAGKAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~.umber or description according to deed, and show street names and indicate whether interior or corner lot. AP, PROVED AS NOTED __ NOTIFY~U~G DEPARTMIg~T OCCUPANCY OR USE IS UNLAWFUL WITHOUI' CERTIFICATE OF OCCUPANCY 765-1802 9 AM 10 4 PM IrOR THE FOLLOWING IN~P~: STATE OF NEW YORK, S.S CObB[FY OF ................. : .' ' .' '. ..... . ' '.i ................... being duly sworn, deposes and says that he is the applicant (Name of individual slgmgg contract) above named, i He is the ...................... i .................................................................. ! (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 manneri set forth in the application filed therewith. Sworn to before me this ................ · ~ ....... day of i.. ~0~ ~ ~ a ~.~ (S~gnature of applicant) I No. 4707878, Suffolk C~my~,~ O 7~.o i TO THE ASSIGNEES OF THE LENDING INSTF ~.0~NO_ Pr4Y L o T ~ 8~'~',zo"~J bt. oq ' MOg.. 1:2. IV E~ l)--- 4.. NO. { DATE DWN. BY DATE CHK'D BY ~ATE JO~ NO. FILE N0. SCALE SHEET OF WOO O ~ u~v~y c~ L~T' Io MAP' ~ FA,tz.w~A¥ FAiZM~ FLEP: FiEld. t~; t~l~f' ~ '~r1'~ATEI~ AT 9'OtOh/ ~'g' ~,UTIA~,L~, s.p~:a¢~: c~klTy, kI.y. NELSON & POPE CONSULTING ENGINEERS 572 WALT WHITMAN RD.' MELVILLE, LI. N.Y. HA 7-5665 11747