HomeMy WebLinkAbout15845-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31057
Date: 07/25/05
THIS CERTIFIES that the building ADDITION
Location of Property: 410 SILVER COLT ROAD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 95 Block 4 Lot 18.37
Subdivision FiledMap No. __ Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 31, 1987 pursuant to which
Building Permit No. 15845-Z dated APRIL 3, 1987
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 SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HENRY & SUSAN BOGARDUS
(OWNER)
of the aforesaid building.
SUFFOLK COUN~"f DEPARTMENT OF HE~J~TH D~PPROVAL
HLECT~IC3%L CERTIFICATH NO.
PLUMBERS CERTIFI~-ATION D~r~o
N/A
N/A
N/A
A~u 't/iz ~/g~ture
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING D~rPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
No_
BUILDING PERMIT
('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
15845' Z Dote ....~..........~. .................. , 19.~...'7.
Permission is hereby granted to:
.................
.....
at premise ,ocatedat.....~../..' .).O......~...~...~-'~'m ~ I ')'''-'~ ~., ...... .~d~~~ ..............
County Tax Map No. 1000 Section ..... ..0....~....~,. ..... Block ...... ..0...~. ........ Lot No ...... I...~..!...~';L.~...
pursuant ,o application dated ........~...~.......~........~./. ................. , 19.~...~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
..... ..\PI'I.I('.\ I I(}N fOR Clql/'I IFli'A l'1( OI.' (~('('UP.kN(",
This application mnst be filled itt by t.,,q,~ewriter or ink and submitted to the Building Departmen! with the following:
For tleW building or ~lew ase:
1. Final suw,'ey of propelXy with accurate location of all buildings, property lines, streets, and mmsnal natural or
-. tin;d :".lq:;,,'..d ll,q. ll;aittti)t'l.t , t ,'.,ti,:; -tq',i,I) .,;,,l:,.",.c~:t~': dt'p,',;hlt>,-'¢
5. Ok~mmercial building, industrial building, muluplc residences and smdlm buiklmgs and msta[latious, a certific
of Code Compliaure front architect or engineer respoasible for the building.
Submit Plannh~g Board Approval of completed site plmt requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us,
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features
2. A properly c~nnploted application and a cousent to inspect sigmed by the applicant. If a Certificate of Occupan~
is de~6ed, the Building hmpector shall state the reasons therefor in writing to tho applicant.
1..Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0{
Swimming pool $25.00, Aocessory building $25.00, Additions to accessory building $25.00, Businesses $50.0
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Photocopy of Certdficate of 0ccupaney - $ 0.25
4. Updated Certificate ofOocupanoy - $50.00
5. Temporary Certificate of Occupancy - Residemial $15.00, Commercial $15.00
Date.
N~v Construction: Old or Pr~"~xiffing Building:.
LoeationofPropcrty: %to ~ik~-x' ~o=:~L-X' ~
Hotme No. St~-,t ~
Suffolk County Tax Map No 1000, Section ~_e_e_e_e_e_e_e_e_e~k'- Block
Subdivision -4. Filed Map.
?emdtNo. 1~_~ ~ff "~Z_DateofPerrnil ~/~/8~ Applicant:
Health Dept. Approval: ........ t [nderwriters Approvak
Platmmg Board Approval:
Request fbr: q emporau' Ce~lificatc Final Certificate:
(oheok otto)
t ismml.~t
Lot I' fi?,.
Lot:
(check one)
765-1802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[~NAL
OUNDATIO.~;
(1st)
OUI~DATIOI;
(2nd)
OUGH FRAME &
?LU~-~BING
NSULATIO~; PER N.
STATE ENERGY
CODE
FI:~AL
ADDITIO~L COMME~ITS:
OCCUPANCY OR
USE IS UNLAWFUL
WffHOUT CERTIFICATE
OF OCCUPANCY
T ' ~/.t //// // /{ // I
~a" '4. ~ X
/
/
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORMNO. 1 SURVEY .........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL
O MAIL
Examine . .~. .... , 19 .~.~.
Approved~'~...~.. · ·., 19f7. Permit No./..~..~?..~'~..~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
TO:
Date .3.':.3.t. ........... , 19 ~
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 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 shah 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 applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary, inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.............. ....................................................................
Nameofownerofpremises ~4er,~c .,,~ ~(xf~. ~ ~,,D,~v,o ~.....~.~O$:~,j:~..~).?.~.. (as on the tax roll or latest deem
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No .... ~ ..............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done ..................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .... .O..el, .~' ........Block .... .O..~,. .......... Lot..1..~.: .~..7. .........
(Nmne)
2. State existing use and occupancy o£ premises and intended use and occupancy of proposed construction:
b. Intended use and occupancy' ........ .~ ~ .r~. .~. . ..................................................
Natme o! work Icheck which applicable): New Building .......... Addition .......... [// Alteration ..........
Repair ....... Removal .............. Demolition .............. Other Work ...............
(Description)
4 Estimated Cost ~ Z , .%)~2~.~. · · .~'f~-T.. .................... 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 of cars ........................................................ ~ ...............
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front...G,.O..' ........ Rear . ~5'.~'"..' ........ Depth ...S.~. ~
Height .... L~ . Number of Stories ..... l ........................................ ,.= .........
Dimensions of same structure with nlterations or additions: Front .... ~.{~ .......... Rear ...-5.T4 ........
Depth .... ~ ~ .............. Height ...~ .~. ................ Number of Stories ..... ~. ................
S. Dimensions of entire new cgnstmction: Front ...' .~.'.q. ........ Rear ... L~ .~ ........ Depth ... I..q. .........
Iteight ... J ?: .". {;r.~.ep.~.JNmnber of Stories .... t ...................................................
O Sizeoflot: Front . .~.tt9.-.'?~4.~. ........... Rear ..t..~.~.: .).~.' .......... Depth ...~ .~..O. ..............
10. Date of Purchase . . .~ .ct.~ .................... Name of Former Owner .............................
1 I. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.?. ......................
13. Will lot be regraded .... ~.~.~. .................... W/Il excess fill be removed from premises: ~=~ ' No
I4. Nmne of Owner of premises 13.e.'".r.'[..r~...'-~ .~¢y.~.~. Address .q,L~O. ~.\(,~..~...O~..k.Z .~hone No..?N~..-.'~..o..7.Z.....
Name of Architect ........................... Address ................... Phone No ................
Nmne of, Contractor ........ ~. I)'y?-. .......... Address ................... Phone No.
15. is this property located withln 300 feet of a tidal wetland? *Yes ..... No .l~i~ ...........
· if ?,-es, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly ~1 buildings, whether existing or proposed, and indicate all set-back dimensions from
,roperty lines. Give street and block number or description according te deed, and show street names and indicate whether
nterior or corner lot.
;TATE OF NEW YORK
'OUNTY OF ............ ...... S.S
· ..ti~:J~ 77 ~:~'O '7P7'...' :~<rSic . .°5~...~. ................ being duly
{N~aSne of inJividua'~igning contract)
bore named.
sworn, deposes and says that he is the applicant
(Contractor, agent, corporate officer, etc.) ~ mini .
I said ox ncr or OX',ULr add ts dul5 authorized to erform , l
-' ' "' ' ' '~'-' .' ' p or ha, e performed the said work ar/} to ~n~l~l~ fitathis
pplication: that all statements contained in this application are true to the best of his knowledge and beli~.ggll.d,~{ {lle
'ork will be performed :n the manner set forth in the application filed therewith. .' ~/-"X J-_e~!'
worn to before me this .':..~]m~'~.. '... - ..
/ ..... /-'7
.......... ia~ ol ............. ,19...
'otalTPoblic ?~'''" '} ..~.'!~..~/..g~..... County~
~'~ ~lc. s'~ o~ ~ ¥o,,~ ~ (Signature of at'
1 ~0. 4~078'/8, Sm'~oJk {~{r'. -'7
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 22, 1998
Henry Bogardus
410 Silver Colt Rd.
Cutchogue, New York
11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file).$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT #15845-Z Second notice
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
MARCH 8, 2000
31{D N~I F IC. ATION
HENRY BOGARDUS
410 SILVER COLT RD.
CUTCHOGUE, N.Y. 11935
TO Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is not on file. $2§.00.
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 15845-Z *
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
*THE ABOVE BUILDING PERMIT HAS EXPIRED.IT IS UNLAWFUL TO OCCUPY
OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN
ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE
C.O. SO THAT WE MAY CLEAR UP THIS HATTER.
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
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
Ks not on file.
/ / No Underwriters Certificate on file
(outdated/n~ on fil%.) ~-~.~D~
check
is
/Z/ No Ilealth Dept. Approval on file.
/Z/ No final inspection has been made.
· Please contact our office on this matter.
Thank you for your cooperation.
Building Permit f~ [ -~ ,~' ~ ~Z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing bein~
issued after April 1,1984 )
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 17, 2002
Henry Bogardus
410 Silver Colt Road
Cutchogue, NY 11935
To Whom This May Concem:
It has come to our attention that a certificate of occupancy has never been issued for
permit # 15845-Z, issued on April 3, 1987, for construction of a deck addition to an
existing single family dwelling at 410 Silver Colt Road, Cutchogne, NY, Suffolk County
Tax Map Number 1000- Section 95 Block 4 Lot 18.37. In order to rectify this situation,
you must submit the following to this office:
1.) A completed certificate of occupancy application (enclosed)
2.) A check in the amount of $25
If you have any questions, feel free to contact this office at 631-765-1802, between the
hours of 8 a.m. and 4:00 p.m.
Authorized Signature
INSPECTORS
(516) 765-1802
VICTOR LF.~q~, Princip*l
CL~'rls HORTON, Senior
VINCENT R. XVIECZOREI~ Ordinance
ROBERT FISHE~, Assistant Fire
THOMAS FISH£R
GARY FISH
SCOTt L HARRIS, Supervisor
Sou~hokt Town H~I
P.O. Box 1179, 53095 Main Road
Sou~hold, New York 11971
F~x (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 30, 1990
Henry Bogardus
410 Silver Colt Rd.
Cutchogue, N.Y. 11935
RE: B.P.15845Z Deck addition
B.P.16747Z Addition to existing dwelling
Dear Mr. Bogardus:
I am writing to you regarding the above permits. They
have both expired and you have not obtained Certificates of
Occupancy.
I am enclosing applications for the certificates. The
fee is $25.00 for each. They have had the final inspection
and passed, however #16747Z still needs a plumbers certificate
the underwriters certificate is in the file.
Your prompt attention to this will be appreciated as a
Certificate of Occupancy is required under the Code of The
Town of Southold. Thank you.
HKD:enc.
Yours truly,
Secretary