HomeMy WebLinkAbout16905-ZFOPS4 NO- 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin9 Inspector
To~nRall
Southold,
CERTIFICATE OF OCCUPANCY
NO: Z 30263
Date: 06/28/04
mir CERTIFIES t~at the build/ng ADDITION
Location of Property: 1860 NORTH BAYVIEW RD EXT
(ROUSE NO.) (STREET) (HAMLET)
Co%umty T~3~ Map No. 473889 Suction 79 Block 6 Lot 3.4
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 1, 1988 purs,,~t to w~ch
Building PeT~t{t No_ 16905-Z dated APRIL 30, 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
~s SCREENED PORCR A/DDITION DJ~D A DDITION TO AN EXISTING OIFE FAMILY
DWELLING AS A~PLIED FOR.
The certificate is issued to DANIEL & 5~ARY REGAi~
(OWNER)
of the aforesaid building
Er.Rt-£~ICAL C~rIFICATE NO. 88882H 06/10/04
Rev. 1/81
TOWN OF Sou'rHOLD
BUgLDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDgNG PERi'iT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CC)MI>LEI'ION OF THE WORK AUTHORIZED)
N-.16705 z
Permission is hereby granted to:
- ~
z~.~ ...... ¥...~..~.._~..~f.
~-~~~ ....... ~...~,~..~.~...~.~ ..........
County Tax Map No. 1000 Section ....'..~..~... .......... Block ....... ~ ..........Lot No ......
pursuant to application dated ................................... , lC)..__..~....~, approved
amd by the
Building ~nspectar.
Rev. 6/30/80
Form No. 6
TOVqN OF SOUTHOLD
BUILDING DEPARTMENT
TO~VN H_&LL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY -
This application must be filled in by typewrker or ink and submitted to the Building DcparLmeut~,itl~e fo~l--~_i~g:~
A. For new building or new use;
1. Final survey of property x~4th accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval flora Health Dept. of water supply and sewerage-disposal (S-9 form).
3. _Approval of electrical i~stallation from Board of Fire Undemciters.
4. Swuru statement flora plmnber certifying that the solder uscd in system contains less than 2/10 of 1% lead.
5. Commercial bnilding, industrial building, multtple residences and sirmlar buildings and installations, a certificate
of Code Compliance fi-om architect or engmeer responsible for rhe bui]ding.
6. Submit Plann/ng Board Appro'~ al of completed site plan reqn/remcnts.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~pre-existing" laud uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topo~m-aphic
features.
2. A properly completed application and consent to inspect signed by thc applicant. If a Cmlificate of Occupancy is
den/ed, the Building Inspector shall state the reasons flaerefor in writing to the applicant.
'5
C. Fees 1. Certificate of Occupancy - New dwelling $25?30, Additions to dwelling $25 00, .adterations to dwelling $25.00,
SwLw~.Aug pool $25.00, Accessed~ building 525.00, Add[tion~ to accessmy buil~g $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Cmlificate ofOccnpancy - Residential $15.00, Commercial $15.00
House No. / Street
New Constmctiou:
Location of Property:
~ Date.
Old or Pre-existing Building: ~
checkone)
Handet
Owner or Owners of Property:
Suffolk ComliT Tax Map No 1000, Section
Subdivision
perrmtNo. 13 ~/7,..~DateofVermit.
Health Dept. Approval:
Block ~
Filed Map. Lot:
~,(/~O.. ~.~?'Ap p licant :~)/,gt/~/,<,~'~- >w/~,-a/f'
Unde~ri~ers Approvah ~ ~
Planning Board Approval: .~/t'.~
Request fox': Temporary Cm~ificatc
Fee Submitted: $
Final Certificate:
~ (chcck one)
Applicant Signature
Issue Date
6/10/2004
Electrical Inspection Certificate
Elec/ricallnspe~ion Service, Inc. Application Number
375 Dunton Avenue 8~8§2H
EestPatchogue, New York 11772
(631)286~642
Issued To:
Street:
Village:
Section:
Contractor:
Mr. Regan
1860 North Bayview Road Extension
Southold Zip: 11952 Town: Southo[d
'~ ~ Block: C Lot: .~: 2_
~C'~.~,~ .~-~~, Lic.# //~
[] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement ~ HotTub
[] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters AfC Pans
1 3 1 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Off Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
Bldg. Permit: / £ ¢ ~ 5-.7
)ther Equipment
--xteneion
President
Rough InspecUon:
IrL~pector:
Inspector: John Mc Mahon III
This certificate must net be altered in any manner. Inspectors may be identified by their credentials.
INSPECTORS
(516) 765-1802
VICTOR LE~ARD, Principxl
CURTIS HORTON, Senior
VINCENT IL X~IECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISH~zR
GARY HSH
SCO'rr L I-IARRIS, Superv~or
Southold Tow~ Hall
P.O_ Box 1179, 53095 Main Road
Southo[d, New York 11971
Fix (516) 765-182~
Telephone (516) 765-1800
Ol-~lCE OF BUH_DI~G INSPECTOR
TOWN OF SOUTHOLD
November 28, 1990
Daniel & Mary Reagan
1860 N. Ba!rview Rd. Ext.
$outhold, New York 11971
Re: Building Permit ~16905-Z
Premises: 1860 N.Bayv±ew Rd. Ext.,
Surf. Co. Tax Map ~1000-79-6-3.4
Southold, N.Y.
Dear Mr & Mrs. Reagan:
During a review of our files, it was noted that the above
building pexmit has expired and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures, alterations or
new dwellings, and it is unlawful to occupy or use said
structure llntil the Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your coopsration in this matter.
Very truly yours,
SOD'i'~OLD TOWN BUILDING DEPT.
Victor Lessard,
Principal Building Inspector
VL:gar
BUILDING D£PT.
INSPECTION
/
[XFOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE;
BUILDING DEPT.
INSPECTION
[ ]~,OUNDATION 1ST [ ] ROUGH PLBG.
(_./j FOUNDATION 2ND [ ] INSULATION
FRAMING
FINAL
REMARKS:
INSPECT(~R
7~5-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T [ ] ROUGH PLBG.
[ ] F IUNDATION AND ~NSULATION
[ ~FFR~MING [ ] FINAL
REMARKS:
DATE
INSPECTOR/~ ~'~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST { ] ~OUGH PLBG.
/
I_ ] FOUNDATION ZND [i/~ INSULATION
[ ] FRAMING [ ]FINAL
REMARKS: ~~-~
DATE
INSPECTOR ~ ~ ~
OUNDA'TION (lst) ~
~UNDATION (2nd)
JUGH FRAME &
-PLUHBING
,~$ULATION FER N,
STATE ENERGY
CODE
FINAL
ADDITIONAL
'l St,VI'~; nl? PI,^N!; ~-,~' .....
~ORMNO- 1 SURVEY .~.'-~-~- .....
TOWN OK SOUTNOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
Qisapproved a/c ................................. :~ - .
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ..... i ..... , 19
-e'ts of
b_ Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
)r areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this appli-
:arSon_ - '
c. The work covered by tiffs application may not be co~mnenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will,issued a Building Permit to the appEcant. Such permit
~hali be kept on the premises available for inspection throu~hout the work.
e. No building shall be occupied or used kn whole or in part for any purpose whatever until a Certificate of Occnpancy
shall have been granted by ~e Building Inspector. -.:i
APPLICATION IS HEREBY MADE to the Building D~rtrnent for the issuance of a Bu/lding Permit pursuant to the
Building Zone Ordkn~nce of the Town of Southold, Suffolk County, New York, and other applicable LawL Ordinances or
Regulations, for the construction of buildings, additions or'alteratidns,, or for removal or demol/tion, as herein described.
The applicant agrees to comply with all applicable laws, ordhiances; burring code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for nec~ssar'yiinsEe~ctions. _ . /)
: ' : (Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, enDneer, general contractor, electrician, plumber or builder.
Name of owner of premises .... ~_/At' ...... , ........... : .... .~ ...... .~. .................................
(as on the tax roil or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer) -
ALL CONTRACTOR'S M[IST j~E SUFFOLK COUNTY LICENSED
...... :7~4 .~..~.__ .& ~.~ .~
Builder's License No. ..
Plumber's License No ..... .~-/../.Q -~-... ~ -q .'.~
Electrician's License No .... F?'..~...~.....~...7. ~-/~ ~f
Other Trade s License No.../'~.L.[~. _K .... .~.. ~..~./~ o fdC f'
l'b~s application miJst be completely filled in by typewriter or in ink and submitted Lo the Buildhtg Inspector, with 3
plans, accurate plot plan to scale. Fee according to skhedule.
Location of Iand on which proposed work will be done ................................ . .................
..... ~oE.~..e..../Y..-__ ~. ~.~. ~ ~5- .~.. _8~?. ~.o....~ ?-:_. ......................... :...- ......
House Number Street Hamlet '~ ~
County Tax Map No. 1000 Section .... O.."]-. ~. ....... Block .................. C Lot .... .'-~... '...~.-7 .......
SubdMsion .................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
..E_~..~.- .............. - ,,--_,~---". ................... /
o uo=, .... .................. /
?
i. J. :; Nature of work (check which applicable): New Building ....... Addition . . .*f~ - - Alteration .......... '
Repair .............. Removal .............. Demolition ............. Other Work ...............
~ (Description)
: 4. Estimated Cost ......r~-__~.! /~2 L' -- ?.7..~.'~.i ........ Fee .....................................
(to be paid on filing this application)
.; 5 If dwelling, number of dwelling units ...... ~ ...... Number of dwelling units on each floor ...............
If garage, number o f cars .. .......................................................... .. .........
~ 6. , It- business, commercial or mixed occupancy, specify nature and extent of each type of use .....
.-; ....... .......
: 7. Dimensions ofe×isring structures, if any: Front ..... ('. ~. ......Rear .... ~..9 ....... D pth ...............
Height ..... . '-~. ~ .4... Number ot Stones ...........................................__ . ~:. ~,~ : .,-~. ......
Dimensions of same structure with aiterati~ns or additions: Froht .. ~....~:h'...~.'.
Depth .................... Height ...................... Number of Stories .... ~ ..........
~-7
Din]ensions of en~re new construction: Front ............... Rear ....... ; ....... Depth ..............
Height O. Number of Stories / .
..... :'' ..-- . ~ -. ............ ;w''-? ...................... ~.-;, ............
Size of lot: Front .t ..... /M./...; ...... · Rear ...... {.~... ? ......... Depth .....~.~ ........... ' .....
Date of Purchase ............ ~./~" ............ 5Jame ct Forr~er Owuer .... /..~t5 .....................
are
Zone or use district in which premis/es situated.../g. ............................................
Does proposed eonstruc~don violate any zoning law, ordinance or regulation: . . . _/..'~_ f-: ......................
Will lot be regraded ....... .'Y'ff.. q .............. Will excess filI be removed from premises: Ye,~s
Name of Qwner of premises 'fl..'f. ~...-.. ~.(f: ¢ :~7f'.. A~dress . ./~'~'~ .'~'.: .//~ .~??.*'/Phgne No..
Name of Architect ...... : .................. Address . ................... Phone No ................
· . Name of Contractor .......................... Address .... : ............. Phone No ................
:i5. Is this property located within 300 feet of a ¢idal wetland? ~Yes .... ~ ....
!{ *if yes, Southold Town Trustees Permit maybe required.
' { ; PLOT DIAGRAM
.} :i ~.ocate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dinaensions from
' ' ~r0iJerty hnes. Give street and block number or description according to deed. and show street names and indicate whether
( interior or coruer lot-
E OF NEW 'fORI2.
S.S
being dul}' sworn, deposes and says that he is the applicant
(Name of individual signing contract)
named.
(Coutractor, agent, corporate officer, etc.)
owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
that all statements contained in this application are true to the best of his knowledge and belief; and that the
,erformed m the manner set forth in the application filed therewith_
to before me this
.... -f~i%. i~.~. ...... Say of ...... ~. ...... , 19
. ,.., ~ / IV ,.
' ~ ~'b~ S~I* ~ ~t, ¥~1~ (Signature o f applicant)