HomeMy WebLinkAbout16914-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19844 Date APRIL 9, 1991
THIS CERTIFIES that the building.
Location of Property 900 BLOSSOM BEND
House No.
County Tax Map No. 1000 Section 115
Subdivision Filed Map No.
ADDITION & ALTERATION
MATTITUCE ~ N.Y.
Street Hamlet
Block 6 Lot 24
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. 16914-Z 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 & ENCLOSE EXISTING SC~WED PORCH ON EXISTING
ONE FAMILY DW~3J.ING AS APPLIED FOR.
The certificate is issued to DONALD E. HOUGHTON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CF~TIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-179731 - MARCH 21~ 1991
N/A
Building ~spector
Rev. 1/81
· 0uM NO. O
TOWN OF $OUTNOLD
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_]6914 Z
Permission ~~....
is hereby granted to:
.... ~.....~....../..e.~ ............................................
· .~....~/.~..... ~. ~/.~ //~ ~- _
....... ~'~ ..............., ....... i'~"' ..........................
,o.. ~,~~_~~..'i.. ~."~......~...~.......~....
at premises located at ..... ~.~...0.......~....~~ ...................................................
................................................. ...............................................................................
Count/ Tax Map No. 1000 Section ......... /../.~...... Block ............. ~?.... Lot No ..........~.....~......
pursuant to application doted .............. ~../.~.... .......................... , 19....~, and approved by the
Building Inspector.
Fee ~...~..~:~
Rev. 6~30/80
Form No. 6
A. ~hxs app±ication 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
Vpre-existing" land uses:
I. 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 $15.00
Date .~1..~.[~! ..........................
New Construction ........ Old Or Pre-existing Building...~.
Location of Property .... iii..~fi.. ~ ~.~.~..~.~ ~ ....... i i i i i i~ [~'.~ ~1.~-. ~ ~.~.' ......
House No. Street Hamlet
Onwer or Owners of Property..!~f~P...~..'.aO~ .................
County Tax Map No 1000, Section...!!.~. ....... Block...~ ............ Lot..~..~ .................
Subdivision .............. Filed Map ...... Lot ..................
Permit No.. ].~.~ J~.~....Date Of Permit... ~/.~. ~ ~.~....applicant..~.~.~..~ ...~. ~.C~.~ ~.
Health Dept. Approval .......................... Underwriters Approval. ~.~ ..~.{.~ J.~[ .......
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate....~z. ......
Snbmitted: ...................
....... ............
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
r~ B$ JOHN STREET, NEW YORK, NIEW~ YORK 10038
I ~L~R,CI~ ?.~ 1991 7~8 ~,O9~/c~o N ~ 7 ~7~;~
Date ~pplieation No. on file
THIS CE~IFIES THAT
only the el~ trlc~ ~uipmen~ ~ ~ri~ be~w a~ int~uc~ by t~ applicant ~ on the a~ application number in ~he prem~es of
DON HO~(;I{TON, 900 BhOOSSOHBEND~ ~A'['{'I'['IJC~ N Y.
in the followln~ loca~*~a ~ABq~nt I~t FL ~ ~nd FL ,~ctlon Bilk Lot
u~s examined on and found to be in compliance with the require.tents qf this Board.
FIXTURE I~ECEPTA LEI W T H I FIXTURES RANGES ICOOKING OECKS J OVENS I DISH WASHERS EXHAUST FANS
DRYERS J FURNACE MOTORS j FUTURE AFl,lANCE I~ED~R ~I~CIAL REC'ET TIME CLOCKS ] B~LL 1UNIT HEATERS MULTI-OUTLET DIMMERS
T j TRANS ~ SYSTEMS
SERVICE DISCONNECT / NO, Of
AMP ~ ~'~UJP IJ2W J.ff3W 3~'3W 35;4W NO O~E~C~.COND OF%C C(~ND NO OF HiLEG O~ H, jEG~ NO OFNEUTRALS O~ NEUTRAL
OTHER AI~ARAt US:
AhBERT J.BRUNS
40 DIVISION
FARMINGDAhE, NY, 117~5
b'£C. # i{556-g
J MANAGER
1 I
Per ! i ~ , ' ~''' ~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDIHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST blOT BE'ALTERED IH AblY MAblNER.
TOWN OF SOUTIIOLD
OI:I:ICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN tIALL
SOUTIIOLD. N.Y. 11971
DONALD E. HOUGHTON
P.O. BOX 1087
MATTITUCK, N.Y. 11952
NOVEMBER 19, 1990
TEL. 765-I 802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
An application for Certificate of Occupancy
id not on file. ENCLOSED
No Underwriters Certificate on file.
The check is(outdated/not on file.)
No Ilealth Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
BuiJding Permit It I 6 9 I 4
Bullding Dept.
***/5!
Z deck addition, close in screened porch.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,19~4 )
OUNDATION (2nd)
0UGH FRAME &
,?LUMBING
~SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
BUILDING DEPT.
INSPECTION
FOUNDATION ~,ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
( ] FRAMING [/,,~L
DATE I~/. le//c/ o_ .
INSPEC'TOR ~
765-'~80~
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [~'I~NAL
REMARKS-'
DATE
INSPECTOR~
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
TOWNOFSOUTHOLD CHECK d~.ll~5
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1803
NOTIFY
CALL
MAIL TO:
Disapproved a/c ..................................... ~~;~ ./
'; TOWN OF 8OU~OLD , ,
DATE' B.R
765-1802 9 AM ~ 4 PM FOR THE ~ ......... '
FOLLOWING INSPECTIONS: INSTRUCTIONS
1, FOUNDAT~N - ~ REQUIRED
CR E
d.~'~-~p~the Building Inspector will issued a Bufld~g Pe~it to the app~c~t. Such pe~it
sh~ ~ff~~le~spection throughout the work.
e~f~~~sed in whole or in p~t for any purpose whatever until a Certificate of Occup~cy
shall ~~[~ ~e Building Inspector.
~PLICATION IS HEREBY MADE to the Building Dep~ment for the issuance of a Btfilding Pe~it pursuant to the
Building Zone Ordinance Qf the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or
Regulations,' for the'conit~ction of build~gs, additions or alterations, or for removal or demolition, as herein described.
The applicant a~ree~ t6 .~b~ply with all appQcable laws, ordinances, bufld~g code, hous~g code, and regulations, ~d to
admit auth°riz{d ~s~e~y~s?n premises and ~ build~g for necessa~inspections.
,) "~ ~,t ' ~ (Signature of applicant, ~name, if a corporation)
' x ~ (Mailing address of applicant)
~ wner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.............................................. 0CCUPAN¢ 0R
(Name and title of co,orate officer)
Builder's License No..[g ~ ~. g l .............
Plumber's License No ......................... w[T~0UT
Electrician's License No. Z~.¢/. 7.[ ...........
Other Trade's License No ......................
I. Location of land on which proposed work will be done ..................................................
... 3 .o.c?. .... .~. t..0.5¢.O.,(4... ~.F_...AJ CP.., ........ .~ A T.T.I.T D.¢ J4,.. ...........................
House NumberStreet Hamlet
County Tax Map No. 1000 Section .. ]! .~. ............ Block . .~. .............. Lot..~...~. ..............
Subdivision .~..~.T. tiT.t) C .~...E. ¢.'~AT.E.~. ....... Filed Map No. '. ~ ~ .~.~. ..... Lot...~..41. .........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ~..~?. !.O. [/~.TI&[, ................. ," ', ......... ', .........;¢ ......ff
b. Intended use and occupancy .... ['~.¢. (P.~.II~ L ...... ~...~..~.~f...~. ~..~.~
3. Nature of work (check which ap~,lieable): New Building Addition ........ Alteration ......
Repair .............. Removal ............ Demolition .......... Other Work ...............
~ i (Descrip.tion)
4. Estimated Cost ..-7.}~.t).=:. :t ........................ Fee ......................................
, (to be paid on filing this application)
5. If dwelling, number of dwelling Units ...~.~..L ......... Number of dwelling units on each floor ................
If garage, number of cars ..... , ..................................................................
6. If business, commercial or m~xed~ occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structure% if any: Front ............... Rear .............. Depth ...............
Height Number'of Stories
Dimensions'of semestral[rifle wiil~ alterations or additions: Front ............. Rear ..........
Depth ................... ~.',: .Height ...................... Number of Stones ......................
"8. D~ ensmns of enhr~ new constIilOJ~on Front . . ' Rear ... De th ....
Height ..... -',.: ' .. ~Nlllnber~of Stories ....
10. Date of Purchase ...... ,J 9L~ g.. ~.~ ........... Name of Fomer Owner . .~0C..$ [I~[.~ ............
Zone or use d~stnct m whmh premxses are s~tuated ..................... '.: :': 7';': .": ....... 7v :,.r... -;. ~ ......
12. Does proposed construction violate any zoning law ordinance or regulation: ,~p ........ '~ ~ ~ ; ~ ...
13. Wffi lot be regraded ... ~ ..... , .................. Will excess fill be rem3veg~se~:, ~ ,,,~m.~, No
Nme of Architect ......... ~ ................ Address ........... O__.,_ ,~r~one-~o-. ........ v ......
15. L, this property located 300 feet of a tida~
~If yes, Southold To~ Trustees Permit maybe required,
, PLO7 DIAG~M
Locate clearly ~d distinctly ~1 buHd~gs, whether existing or proposed, and, indicate} ~t-5~ ~,onstons from
property Hnes. Give street and Mock number or description according to deed, ~ff~ ~T~e ~ther
interior or corner lot.
~, ......... being duly sworn, deposes and says that he is the applicant
above named.
He is the ...............................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is dul5 authorized to perform or have perfomed the said work and to m~e and file t~s
application; that all statements conta ned ~ this application are true to the best of his ~owledge and belief; and that the
work will be perfomed in the m~net set forth in the application filed therewith.
Sworn to before~me this , .~~.,
Note, mubli~. ~. Coun y
No. 52-9703725 Su~olk
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, A~$istant Fire
Buildin~ In~pector~
THOMAS FISHER
GARY FISH
SCOT1' L. P~'~RR*~, Supervisor
Sourhold Town H~II
P.O. Box 1179, 53095 Main Road
Sourhold, New York 11971
F~x (516) 765-1823
Telephone (516) 765-1800
O~tCE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 2, 1990
Mr. Donald Houghton
Box 1087
Mattituck, N.Y. 11952
RE: Building Permit #16914-Z
Premises: 900 Blossom Bend, Greenport,
Suff. Co. Tax Map #1000-115-6-24
NoYo
Dear Mr Houghton:
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
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