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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 , I E×T EF41~ '¢hC) b~,G 1'-4 ,T $,5 "WOLMA.,LII~EP" 19"4AMI..qC ,~ 4*4 ,~, PEt2PO,'~MAIICE I~.ULi'~Tt.qG GLA~¢, CO~?LET~Ly PEPF~P~&,,q&"E I,qGUL/,,.Tf.U,D 5LA¢¢ ~.O,.M.?~F_TE,.Y j