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HomeMy WebLinkAbout17018-zFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19878 Date APRIL 29, 1991 THIS CERTIFIES that the building. ADDITION Location of Property 1185 ROSEWOOD DRI%~E House No. Street County Tax Map No. 1000 Section 113 Block 2 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated BAY 5, 1988 pursuant to which Building Permit No. 17018-Z dated BAY 20~ 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 DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 BRUNO & CAROL 8ABAT Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017018 Z Permission is hereby granted to: ...... .... u..~..~....~~...~.~..: ............ .~.~....~.,:~..:.....JL~.~.~ .... ot premises locoted o, ....}..L~.~~.~......~. ~.. ........ '..~).~~.~ ............ County Tax Map No. 1000 Section ....... //..,~ ....... Block ....~...~,¢. ........ Lot No ......(~.~ ........... Building Inspector. Fee $...~.~ ............. 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 i% 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. 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. 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 ...... ~/~/~ i i i i i i i .................... New Construction ......... Old Or Pre-existing Building .......... Loca tion of Property ....... ~ [ ~ ............ ~Q~-~Q~... ~.C,. .......... ~J.~C~ .......... House No. Street Hamlet Onwer or Owners of Property .......... ?~O~ ;t .~. ~/ .~ba~ ............ County Tax Map No 1000, Section...~ ...... Block ............. Lot ...... bdi ~'~' Su vision ...... % ~.~4~-.~ ...... Filed Map ............ Lot ...................... Permit No..l 20 L~ ~'-..Date Of Permit. .Applicant ..... '~f~tf]P .... '~.~.~'- Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .... ' ..... ~equest for: Temporary Certificate .......... Final Certicate .... ,ee Submitted: $ .......... ~-,~, ,0~ ....... TO~VN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 April 4, 1991 Mr. & Mrs. Sabat 1185 Rosewood Drive Mattituck, N.Y. I1952 TEL. 765-1802 To Whom 5Ills May Concern, We are unable r.o complete your Certificate of Occupancy because ,of the following reasons. /--~/An_ application for Certificate of Occupancy is not on file. (ENCLOSED) /~//~No Underwriters Certificate on file. /.-_~-/ '"'The check [:~(c~/not on file.) $25.00 /~/ No Health Dept. Approval on file. /-'/ No final insDection has(been _ mado. this matter. Please contact our office on Thank you for your cooperation. lh~ildir:g PermJ. t t! ! 7 0 1 8 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involv~.ng plumbing being issued after April 1,1984 ) INSPECTORS Victor Lessarcl Principal Building Inspector Curtis I-Iorton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 December 21, 1990 Mr. & Mrs. Sabat 1185 Rosewood Dr. Mattituck, N.Y. 11952 Re: BP17018Z DECK ADDITION S.C.T.M. 1000-113-2-4 Dear Mr. & Mrs. Sabat: I am writing to you regarding the above building permit which you took out 5/20/88. The permit has expired and you have never called for any inspections, and have never obtained a Certificate of Occupancy. You are now in violation of the Code oi the Town of Southold. Please contact our office regarding this matter. Thank you. Yours truly, Secretary 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ .] FOUNDATION 2ND [ ] INSULATION FRAMING ~r~ F~EL~'~INSPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ?DE FINAL COMMENTS ADDITIONAL COMMENTS: INSPECTORS Victor Lessard ?rincipal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 21, 1990 Mr. & Mrs. Sabat 1185 Rosewood Dr. Mattituck, N.Y. 11952 Re: BP17018Z DECK ADDITION S.C.T.M. 1000-113-2-4 Dear Mr. & Mrs. Sabat: I am writing to you regarding the above building permit which you took out 5/20/88. The permit has expired and you have never called for any inspections, and have never obtained a Certificate of Occupancy. You are now in violation of the Code of the Town of Southold. Please contact our office regarding this matter. Thank you. Yours truly, Secretary FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 Examined .... · .~-~. ~ ?' e., 19 .~.~. Approved ....'~.~' '~P' ', 19 '~'~' Permit No..~..~. ?. ~..~..~. Disapproved a/c ..................................... ................................ (Building Inspector) ~APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... §EPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: ~.0~ Date ................. , INSTRUCTIONS 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 area% and giving a detailed description of l~tyout of property must be drawn on the diagram which is part of this appli- cation. $:. 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 shah 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 iemoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ........... ............ (Signature ot app~li~ant, or name, if a corporauon) . . .o.,. . ?. . .TM , .... (I~ailing address oCapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... O. .c7 ............................................................................. Name of owner of premises ... ]~.(.c,l/q ©. ?... ~ r-o ....-~.~.'...~.~2c~..-Q-. ................................ (as on the tax rolI or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... l. Location of land on which proposed work will be done ....... /../.~'.~.....& ..7~/.~.~.o.¥'~/i' .~..F-... ................. ........................ ............................ House Number Street Hamlet County Tax Map No. 1000 Section ...... /./..~ ........ 'Block ~ Lot ~.. ~. Subdivision ..... '.~.~. >.~...~J.~.Qd,~. .... ~'~.~..~..~.~.' ..... Filed Map No...SX .~..~ ...... Lot.../-7 ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. /.~.(. c~ ..... .~..d./~'.A/./...~.. .............................. / b. Intended use and occupancy ..................................... ..... ' ........ · ................ ?/ lO. 11. 12. 13. 14. property lines. Give street and block!number or interior or corner lot. Nature of work (check which applicable): New Building ..... ' ..... Addition Alteration .......... Repa/r .............. Rembval .............. Demolition .............. Other Work ............... .... .~. ~.; .d~...~ i.c~. (Description) [:stlmated Cost.. .~ ....................... Fee ...................................... (to be paid on filing this application) If dwelling, number o f dwelling iunits ............... Number of dwelling units on each floor ................ If garage, number of cars .... ;.. ................................................ , ................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ..... ' .....i .'..; Rear .............. Depth ............... Height ............... Numbel of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................ .~;,;.. Hel ..................... Number of Stories Dimensions ' · ' ' ' ...................... of entire new construction: Front ............. Rear ............... Depth .............. Height ............... Number of Stories ......................................................... Size of lot: Front .......... ; ........... ' Rear .... ~ · · .' .............. Depth ...................... [)ate of Purchase .......... ~ .................. Name of Former Owner ............................. Zone or use district in which pr~mises are situated ..................................................... Does proposed construction yin!ate any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... ;,.' ................... Will excess fill be removed from nremis, es: Yes 1%/o Name of Owner of premises . L-~.'r.c~ ,,.o. T .C~,c~.l ..5~. ~.~.~Address . ~,.d...f~. ~.~ ~. q. q. ?:.??.~.cP~ne ~--7. ~,.~.'$. -: .~ .2 ? 7.~i.. Name of Architect .......................... Address ................... Phone No ................ Name of Contractor ......................... Address ................... Phone No ............ :... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions, from description according to deed, and show street names and indicate wheCher COUNTY OF ................ being duly sworn, deposes ~d 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, ~d is dul~ authorized to perform or have perfo~ed the said work and to m~e and file this pphcat~on, that all statements cont~ned ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ne~ set forth in the application filed therewith. Sworn to before me this .............. d~ of[ . , ~ ...... 19 N~ Publio, Stem ~ N~Yo~ (Signature of applic~t) No. ~7~606 _ QusIifiefl in Su~lk Coun~ co~ission ~pims December 8, 1 CertificaIion indicated h{,reon shall run onJy to U]e' pelsoH for wh~:n Ibc: *.Hrvn7 :s Fm~pared, and on his : :'t,e of th~s ¢,:!rvey iS ,', ';. , .;¢ ¢.a f~n',~' York State il C,. ,%;3[ OI eH~b(JSSed seat shall not be DOb~ALD J. TASE, L.S. -- SUCCESSOR TO -- RICHARD WILH EI'~ LICENSED LAND