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HomeMy WebLinkAbout16957-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19604 Date DECEMBER 21, 1990 THIS CERTIFIES that the building. ALTERATION Location of Property 220 BAY LANE (PVT RD. 14) House No. Street County Tax Map No. 1000 Section 24 Block 02 Subdivision Filed Map No. ORIENT Hamlet Lot 21 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1988 ~ursuant to which Building Permit No. 16957Z dated MAY 11~ 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 CHANGE WINDOWS & MOVE PORCH AS APPLIED FOR. The certificate is issued to GORDON MEYER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N038802 OCT. 11, 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF $OUTHOLD 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_ 16957 z Permission is hereby granted to: ...~..-..~,..~.~.~. .................. ~ ............ '....~.... ..... .C~..~ ........ ~.,..tt,.._.a..~.~.-..7. ............. ,o ...... .......~ ~t~r.~. ~) ~ at premises I~ated at ~00 .~ ~ ....... .~....~.~..~.~.~ .............................................................................................................. _, _, Building Inspector. 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: I. 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. 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 New Construction .... Old Or Pre-existing Building .... HOUS;'~;i ................... ~S~;;~''' Hamlet rop r y ........ .... ................................... County Tax Map No 1000, Section .......... Block .............. ~ ...................... Subdivision .................................... Filed Map ............ Lot ..................... . ~ ' ~-~///~... Applicant ~.i~.~(.~.?'.d.~..C.~.~. ~/~ Permit Xo.../.~.?.~T..~.'.~...Date Of ~erml~.~_/. ...... .~..~.. ~. Health Dept. Approval .......................... Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ....... %~..,.~.~.O. ~. ............. x OUTE~ITS ~RICEPTAC:LISI SWITCHES This certificote m~st not be oiled in any rf~nner; return to the office of the Boord if incorrect. Inspectors may be COPY FOR BUIL.DIHG DEP~R?MEHT. THIS COPY OF FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDZTIONA'L COMME 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~/~/~'~ DATE ~/~-- ~///~f~f INSPECTOR~~ ~/ INSPECTORS (516) 765A802 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 lvtain Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD December 7, 1990 Gordon Meyer 220 Bay Lane Pvt. Rd. %14 Orient, N.Y. 11957 RE: BP16957Z dated May 11, 1988 Dear Mr. Meyer: I am writing to you regarding the above permit. This permit has expired. I am enclosing copies of the notices sent to Sorenson Carpentry to try to close out this permit. 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, alteration new dwellings, and it is unlawful to occupy or use said structure until the Certificate of Occupancy has been issued. or Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation. Yours truly, Enc. Secretary 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 21, 1990 Sorenson Carpentry Inc.'. Box 253 Orient, N.Y. 11957 Re: B.P. #16957Z Alteratiom Gordon Meyer _ Dear Bob: In going through our ready for C.O. files this permit is ready for C.O. The underwriters certificate is in the file and it has had it's final inspection. Ail that'is needed is the application (enclosed) and a check for $25.00. Please contact our office if you have any questions. Ene. Yours truly, Secretary TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 DEC. 15, 1989 SORENSON CARPENTRY INC. BOX 253 ORIEl, ~.Y. 1195~ TEL. 765-1802 To Who~m This May Concern, We are unable to complete your Certificate of Occupancy because .of Lhe following reasons. ~/ An application for Certificate. of Occupancy is not on file. E~CLOSED -'/~ /5/ -No Underwriters Certificate on file. The check is(outdated/not on file.) $25.00 /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ti ! ~__9__5 ~?~_, Z GORDON MEYER ALTERATION Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 ~L¥ I~ 19~g~x TEL. 765-1802 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 is not on file. /--_// No Underwriters Certificate on file. /_/-4 Tile check is(outdated/D~ /_-/. No Health Dept. Approval on file. /-'/ NO final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit tt .I -~ ~ ~ ~ Z Building DDpt. this matter. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) '1 SF, TS OF PI,ANS ....... FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CIlECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 E×a,nin d .... hq :'.., 19 Approved...:.~...%.(/., 19~.~.PermitNo.!.~..c}.g?% Disapproved a/c ..................................... NOTIFY CALL ................ MAlL TO: BO, ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis 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 pubhc 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 to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessT~~ p~ ~/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contract~l~t~ij~,l~aer or builder. .............................................................. .... Nme of owner of premises ................................... N~ .8UI~G. DEPARTMENT .AT ...... (as on the tax roll or ~I~ AM ~ 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CON, TRACTOR'S RUST BE.. SUFFDLK COUNTY LICENSED Builder s License No .... /.-,~..~. ~..I... ~..]]~ ....... Plumber's License No ......................... Electrician's License No .............. FOLLOVVING INSPECTIONS. t. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & Pt. UMBING ~. INSULATI~ 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No. ~ ~1~,' THE REQUIREMENll OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location of land on which proposed wo'rk will :. ;~d~ ........................ . ........ .......... ~' ~ ...............~'~ i ' Hamlet House Nmn ber County Tax Map No. 1000 Section ....... ~.~.('[ ........ Block ..... ..ZT .......... Lot ..... ~./. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and ir~tende~, use q,nd occupancy of proposed construction: a. Existing use and occupancy t/~/¢~ ' ~ b. Intended use and occupancy ........ .~..~../~...'~-]. .................................................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ......... Alteration ..... ,. Repair ............ Removal .............. Demolition . .......... L.. Other Work ............... fi ~' i (Descrip~tioh) 4. Estimated Cost .... (~.C).... .......... i ...... Fee .... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units £ ............... Number of dwelling uni!s on each floor .... If garage number of cars 6,If business, commercial or mixed occupancy, specify nature and extent of each tylie 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 ...................... Heig? ... l[][i,.~[~iii ........ Number of!Stories ...................... 8. Dimensions of entire new construction: ,Fll~li'~"'_'2,'~II[ll~[~ ,Rear ........ ! ....... Depth ............... Height ............... Number of Stonl~l~i,~'~,~.~'?..~,~ ............ ~ ~ ,;.~. ~,~-- i''' ~'' '~ ............. :',"5" .... 9. Sizeoflot: Front ..... ;.~.~... ....... ~t~ ~]~ ~ ~ ~ 'ceph .4-'~i~~ 10. Date of Purchase .. ~ [t...~ ....... ~-~.{~l~/r'6t"~: '-ff--Z~'~'~ 112.1' DoesZ°ne or use district in which premises are sit~a~.~~ 0~ .......... x' ~' '~w('~?It~;.'~$' ~ '~t ' a'~ ..... proposed construction violate any zoning law, ordinanc~ m regulation: ¢~.~. '.i',' '~.'~ u~l~' ~f' '~!~l' · · 13. Will lot be regraded ............................ Will excess fill be removed fro~.i~:c 0 Yes No 14. Nme of Owner of premises ~Og0o~ ~Address~ 0~'~; Ph~a~OC~O~ Nme of Architect ...~ ....... ,..;. ~. ~ .~ ....... ~d~ress ........... 1 .,~*;~..~ .~ne No...~ ~*.q, ~T~.,. N~e of Contractor .. ¢~q~.. ~[~ ~ess ~0~, ~~ PI~ 15. Is this property located within 300 feet of a tidal wetland? · If yes, Southold To~ Trustees Permit maybe required, t , ~fl~D~l.~ PLOT DIAG~M ,, ({)tl, l~' ~- q~(" ~ ~. ', Locate cle~ly ~d d~stinctly ~1 buildings, whether exmtmg or proposed, property nnes. Give ~reet ~d block number o[descfiptio~g t~eed, m~8~6~rm'n~es~afid ih:d~it~ ~ether interior or corner lot. ~ .... ~ ./~-" '~.~ ~ .... . ~__ , STATE OF NEW YORK, COUNTY OF ' S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ; above named, l He is the ............................................................ '. i ............................ (Contractor, agent, corporate officer, etc.)i of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of h~s~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Z 'h