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HomeMy WebLinkAbout16911-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z19348 Date SEPT. 11, 1990 THIS CERTIFIES that the building ADDITION Location of Propert~ 850 MAJORS POND RD. House No. Street County Tax Map No. 1000 Section 26 Block 02 Subdivision Filed Map No. ORIENT Hamlet Lot 39.11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 1988 pursuant to which Building Permit No. 16911Z 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED STUART AND CAROL MAGER N/A Building Inspector Rev. 1/81 FOR~ NO. O TOWN OF SO~JTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 Z Permission is hereby granted to: --/ .'~ ...~.~....~...(..~ ............................................ ,,;~'~,,~ ~n, ~ //¢~7 '"~"~' '~'~'~ 9-'"~ '"' -/' ........ : ....... ~'~'"" ................. . .......... ........................... .. ~' " · I / ~ '~'~ ' / County Tax Map No. 1000 Section ......... ..~..~.. ...... Block ............. 2. .... Lot No .......3....,~.,~..,g./..... pursuant ,o application dated ........ ..~.../..~.. .................................... , 19~..~.., and approved by the Building Inspector. Fee $..~w~._ ~/~,. / B~ding Inspector Rev. 6/30/80 P L. 0 C C Form No. 6 TOWN OF SOUTHOLD - ' ...... · BUILD [i~G DEPARTMENT .............. ~ .... TO~ HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY~ ~LOG. ~:£:fi[ This applfcation must be fflled fn by typewriter OR ink and submitted to the fnspector with the follo~fng: for ne~ buflding or new use: ~fnal survey of property with accurate location of all bufldfngs, property lines, streets~ and unusual natural or topographfc features. 2. Final Approvai from Health 3ept. of ~ater supply and sewerage-disposai(S-9 form) 3. Approval of electrical installation from Board of Pipe Underwriters. S~orn statement from plumber certffyfng that the solder used in system less than 2/10 of iZ lead. 5. Co~ercial buildfng, industrial buflding, multiple residences and sfmilar buildings and fnstallatfons, a certfficate of Code Compifance from archftect or engfneer responsfble for the bufldfag. 6. Submit Planning Board Approva~ of completed site plan requirements, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 9/10/90 Date ........................................ . New Construction. ~ ........ Old Or Pre-existing Building ................. Location of Property 850 MAJORS POND RD. ORIENT ~ I~ouse No. Street Hamlet STUART ANO CAROL MAGER 0nwer or Owners of Property ................................................................ .. County Tax Map No 1000, Section...26 B1 k 02 ~ [1 ....... .... oc .. .......... ....Lot... ~ .............. Subdivision . . Filed Map ........ Lot ..... Permit No 16911Z Da~ Of Permit ...... ~ ...... Applicant. 4/z2 §9 ........................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...x~. ....... $ 25.00 check 2766 Fee Submitted: ............................. cARo ............. 3UNDATION (1st) DUNDATION (2nd) DUGH FRAME & .PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL ~ ~.~ADDITION~L COMMENTS 'I'()~VN OF SOUTIIOLD OFF/CF OF BUILDING INSPECI'OR P.O..BOX 728 TOWN IIALL · (~OU'I'IIOI,I), N.Y. 11971 ']'0 Whom Th£s ~Olay Concern, TEL. 765-1802 h'e are unable t:o complete your Certificate of Occup4ncy becau,,]e .of the following reasons. /fl// An ,q>p[ication for Certificate of Occupancy / / ?1') U%~ c'r',,'rit'(,rs Certificate on /~// Iht tin'ok is (c. '4~g~l-L~/not on file. /_/ ~:~, !hmlLh Dept. Approval on file. /'~? ~:,~ £ina]. ~n:H~ecLion has been made. I']~:,~,,,,,, contacL our of[ice on this matter. £or your cooperation. Dc, pt. Plumber Sol. tier Certificate on filc. ail pnrml, ts involving plumbing being isnn{:d ,lfter April 1,1984 ) VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 20, 1990 Sorenson Carpentry Inc, BOX 253 Orient, N.Y. 11957 Re: B.P. ~16911Z Stuart Mager-porch addition Dear Bob: I am enclosing a copy of the letter that was sent to you Oct. 11, 1988. The job passed inspection and all that is need is an application and a check for $25.00. I am enclosing an ap- plication. I am sending a copy of this letter to Mr. Mager. He also has a permit outstanding for his pool, B.P. #14472 which has never had an inspection and does not have a C.O. Yours truly, c.c. Secretary Stuart Mager TOWN OF SOUTIIOLD OI'VICF OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTI{OI.I), N.Y. 11971 To Whom ' ',. ~hl... May Concern, TEL. 765-1807. We are unable to complete your Certificate of Oc~'up,mcy bec;,.u:;c,..of tho following reasons. /./ An ,,UplJcation for Ccrtificate of Occupancy /-/ N'~ Undcr',:z;itt,rs Certificate on file. /~ The ch(,ck i~;(~/not on file.)~S,~ /~_/ H~> UpnlLh Dept. Approval on file. /ii/ lh~ fina] in:qmction has been made. this matter. I']e,,,::~: contact, our office OI1 Thank 7on for your cooperation. ***/__/ HO Dlll~lber Solder Certificate on file. ( ail perm[ts involving plumbing being issued after April 1,1984 ) ^pp ved ........ Pe=it No. '1 EiET,q OF PI,AN:', ....... ~o.~ ~o., su~v~ .. TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT S~.PTIC PORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALl, ...... MAIL TO: Disapproved a/c ..................................... · ' ~ln'~'Inspectori ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in by WI: ector, 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 public streets or areas, and giving a detailed description of layout of property appli- cation. · C c. The work covered by this application may not be commenced befc~.~ d. l_lp~n appro~Fl~.crt~thit.~l>l~ion, the Building Inspector will is[~u~7~l~ermit to the applicant. Such permit shall be kept~on"the~ulji~'~. . . }~for inspection throughout the w k'~-"~ e. No bui~4i~g.~i'~ll.be llcxl_uJ0ied or used in whole or in part for a~ ~ ~ Certificate of Occupancy APPhlf/~Ill~ ll~ljg~l~/(~41pF-~4q,th, Building Department f(~'~ti~'f~nc~d:q'l',~r81~ pursuant to the Building gon~;~)rdl~n~l~j~..~,~.~.]l]outhold, Suffolk County, New' YBr~,, ~an~5[li~, Ordinances or Regulat/oas, for~e ?~sat~c,t_ioh'_ 6~'~tlil'~mgs, additions or alterations, 0i~ fdr r~'nio~a~k~r~ilS~i~erein described· The applicant ~r~_~t~l[ly ~vi~l~all applicable laws, ordinances, building cDd_~j_e ho~illg c_od~.~a~lations, and to admit authorized ~n~>~cl[olr~r~plid~,i~s and in building for necessary inspo¢tions'i ............ .................. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant 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 ..... l .~.~[~.l . ~..~ ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ..... ~ .... ~.J ....................... [~'6 i,,~.~4~"-o/,tS ~ ~ ~ ...O~.L~'~.~../.W,~.. t/9~'7 ....... House Number Street Hamlet 3~' Ii County Tax Map No. 1000 Section .... ~.~ .......... Block.. ~ ............. Lot... P: q.,.~... 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 ..... .C~....tM..~..~...}~.. [..~.'-J use and occupancy .......... .~6 ~-..~.~.... ~ ' ~OJ'~.~ ~ ................................ b. Intended property lines. Give street and block number or description according to deed, and sho~ interior or corner lot. 3. Nature of work (check which applicable): New Buildin~ ' Addition ,. j ........ AlterationV/(9~....~.q Repair .............. Removal: .............. Demolition ........... I... Other Work ....... : ........ (Descriplion) 4. Estimated Cost ...... %q9.?... .......... ............. Fee .......... ............................ (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uniis 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 ....... i ....... Depth ............... Height ............... Number of Stories ............................ , ............................ Dimensions'of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height .............. . ........ Number of!Stories ...................... 8. Dimensions of entire new construction: Front .......... ~ ..... Rear ........ ....... Depth ............... Height ............... Number of Stories ............................ i .................... ........ 9. Size of lot: Front . ...':'~:r(~... o?.~. f ...... Rear .... ~-.-~. ~-., ~( ....... :Depth . .~--tr.O ............... 10. Date of Purchase ............................. Name of Former Owner ,i ............................ 11. Zone or use district in which premises are situated ......................... 1 .................... ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...,~.O ......................... 13. Will lot be regraded ...... .'~..~. .... _. ............. Will excess fill be removed~from premises: Yes 14. Nmne of Owner of premises .~q~'3J..t}~., .U..t'.~,O.~,r~.. Address/~/°o~..~.~. g~.~Ftk~'q~.~ Phone No ~,.~5 .~.~ Name of Architect ........................... Address ..... ~ ......... i ....Phone No ................ Name of Contractor .......................... Address .... : .......... i ....Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLO-F DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from street names and indicate whether APP. R( rED AS NOTED OCCUPANCY OR USE IS UN WFUL WITHOUT CERTIFICATE . OF OCCUPANCY THE cooE DESIQN~~, STATE OF NEW YORK, S,S COUNTY OF ~ ................................................. being duly sworn, depo]ses and says that he is the applicant (Name of individual signing 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 s~id work and to m~e ~d file this ;~pplication; that all statements contained ~ this application are true to the best ofhi~ knowledge and belief; and that the work w~l be performed in the m~ner set forth in the application filed therewith. Sworn to before me this . .~ .... d:[J/,.. ':,~. ,. ......... day of ....... ~ ...... , 19 NOth~ eubli~,' .~ ~..~.q .~.~ ....... County ~ ' ~ ~m~'Expire~47078 ~mcl~ .... ~ ~ (~ignature of a~plicant)