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Home My WebLink About33024-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nq: Z-33797 Rte: 06/25/09 THIS u~KTIFIBS that the building ADDITION Location of Property: 400 NOKOMIS RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 20 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 2007 pursuant to w~/ch Building Permit No. 33024-Z dated MAY 21, 2007 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 REAR PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HAROLD F & EILEEN WALTERS ( OWNER ) of the aforesaid building. SIIFP~)I=KCOI~I"fDEp~/~T~TOF ~]~LTHAPP~O~-$J~ N/A EL4~t-rKfCAL C]~RTIFICATH NO. N 172365 02/01/91 I~LU~ERS ~KTIFICATION DA'£~U N/A Rev. 1/81 Form No. 6 TOWN OF SOUTIIOLD BUILIlI~G DEPARTMENT TOWN HALL 765-1802 APPLICAT/ON'FOR CRRTI~'IC~TE OF occUPANCY -This. application must~be filled.in by tyl~-Wfitcr or ink and submitted to the. Building Department with A. FOr new building or'new use: 1.. F~n*t mU'roy of propoRy with acoamto location of all buildingg, property lines; streets, and unasu ~' ~Fi~ Ap~val from H~ Dep~ 0f?~ ~pply an~ g~ve~go-dispom(S-9 form). ~. ~ppr0va~ ofeleCUicalias~lation ~om Board of Fire Undormite~. 4. Sworn sta~., ant from plumber ~ that the solder used in system, oonmin~'!css than 2/10 of t°~ lead. 5. Commewial'buildiag~ industrial buildingi-mtillipl~ residanoes and slmflar ~din~ ~d ~1~o~,. a ~~ 6. Submfft Plmming Board Apl~oVal of completed site plan requirem~mts; For eXiSfing'buildln~s (prio? to April 9, 1957) nonconforming .roes, O.r buildings, and ~pre-eMsting, land. uses: 1. ' Aoourale stWeey of~ope!ty'~howi~g all property.lines, stree~,.bui!din~ and.unusual natural or topographic features. 2. A:pr~peqy completed'apptiCatimi a~d c0ns~nt to inspect signed by the applicant. If a Certificate of Occupancy is denied, ~e Building Inspector shall.state the reasons therefor in writing to. the applicant. C. Fees -L Certificate:of Occupancy - New dwelling $25.00; Additions to dwelling $25.00, Alterations to. dwelling $25.00, .'Swimmin~ pool $25.00, Accessory buildln~.$25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate ofOccupancyOn Pre-existing Building - $t00.00 .3. Copy of Certificate ofOccupancy d $.25 Utgiated'Certificate of Occupancy - $50~00 T~mporary Certificate of Occupancy. Residential $15.00, Commerciai $15.00 Date. I-]kmlth Dept. Approval: · Planning Board Approval: Request for." Temporary Certificate Fee Submittbd: $ Old or Pre-existing Building: Fried Map. Applicant: Underwriters Approval: Finai Certificate: (check one) Hamlet. (check one) Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS :, 1_ (I 0 ! 09 '$ BUREAU OF ELECTRICITY I--- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Da~e F~[~'UA~Y tU,~99~ Appl~ationNo. onfile ~9~]()~]9{~/()(~ N ~723~5 THIB CE~IFIE$ THAT o~y t~ e~t~ ~ulpment ~ ~d~ ~ a~ int~ by t~ ~nt ~ ~ t~ ~ ~pl~t~ nu m~r ~ t~ p~m~ of in l~ fol~ing ~ation; ~ B~nt ~ IAt FI. ~ 2~ FL 0U'[ ,~tlon Bilk ~t ~s exami~ on 3ANUAffY 2~, ~99~ and f~nd to be in compliance u, lth ~he requlremen~s of th~ B~rd. DRYERS FURNACE MOTORS FUTUI~ AIq~IANCE FEEDi4S TIME CLOCKS UNIT HEATERS MULTbO~JTLET SYSTEMS NO. O~ FEET DIMMERS SERVICE D~SCONNECT S E R V I 4: E CUTCHOGII[:, NY, 11955 This ¢~rti~Qt~ I11~! llot b~ QIt~fed in Qny mQrlnef; r~urn ~ lite o~ice o[ the BocIr~ i~ irlcorrecI. !nsp~or$ mQ¥ I~ ilIelttiI[~] by theif ¢l~d~ntial$. COFY FOR IUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY IMHHER. ! I i t~dS examined on ana $ound to oe in compliance wlt~l t~e equi nent ~ ' . [~ FIXTURE ~'~A~St ~IT~ ~ ~XTUR~ I ~ES IC~KiNG~KS OVENS m~WMHERS ~HAUST FANS ~ SMOKE DF~CTOR: - 3 ,, *NO V~DAL DEFECTS: An electrical survey has been made of the exposed electrical, equipment in the premises i~dieated." "No obvio,s unsatisfactory eonditiol~ va~ found~ GARY DOROSKI 425 MONSELI, LANE CUTCHOGUE, NY, 11935 LIC,{2941-E m MANA(Nt This certificote must not De o[tered in o.¥ moaner; return to the office of the Boord if ~.correct I.spectors moy be identified by their credentials. COPY FO~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AI4Y MANNER. FORM NO. 3 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) PERMIT NO. 33024 Z Date MAY 21, 2007 Permission is hereby granted to: HAROLD F WALTERS & WF 400 NOKOMIS ROAD SOUTHOLD,NY 11971 for : BUILD AN ADDITION TO AN EXISTING DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 19039. at premises located at 400 NOKOMIS RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0003 Lot No. 020 pursuant to application dated MAY 21, 2007 and approved by the Building Inspector to expire on NOVEMBER 21~8./ ORIGINAL Rev. 5/8/02 FO~,M NO. ~ TOWN OF SOUTHOLD RUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP, MIT (THIS PERMIT MUST BE KEPT ON THE PREAAISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted ~ . ~ to ...... ~ .......... ~ .. at premises located at ..... ..~.~.~...~.. ....... ..~../../..~'~'~'~!....,~..~--. ...................................... ...................................... ..................................... County Tax Map No. 1000 Section ......~...~... ......... Block .....~... .............. Lot No ...... .~.........~... .... pursuant to application dated .............. ~...~....~......., 19.,~...~., and approved by the Building Inspector. Rev. 6/30/80 T~ OF SOU'~HOLD BuILOt~G DEPARTMEHT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUII COMPLETION OF THE WORK AUTHORIZED) NO_ 017133 Z Pe,m~ission is hereby granted to: . ~ . ....~..~....~...~~. ..... ~t~.~ ...... .~.~....z~..~/ ~ ..~...~~~...~...~,..:~.../.~...~ / :::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................ ~...~....:...~...~;....~ ....... : ........................... ............................................................... LL.~/... .~...L ................................................................ : .... County Tox Map No. 1000 Section ....~....~. ......... Block ...... ~.. ............ Lot No....~..~. ........ pursuant to application doted ........ ..~....,~../...~ ...... ~.....'~......., 19x~...~ and approved by the Building Inspector. TOWN OF SOUTHOLD SUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5283 Z Permission is hereby granted to: .............. ll,b..Will,elm. ............................... at premises located at ............... Jll~lle~....~llllJlaJllJ~j..~ ................................................................... ......................................... ~J~l~lt ............ Ii.Jl~ ............................................................................. pursucu~t to application dated .................... ..~dJ~ll ......... ~ .................... , 19..J[~., and approved by the Building Inspector. ' Iv Buii~';ng Inspects? ( TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESI .ST~NT(~tSlll~ [ I FIRE RESISTANT PENETRATION REMARKS: ~/x~/~_ ~ DATE INSPECTOR · OUJD.TIO.I FOU:;DATIO:! 2. ¢2nd) ROUGH FRAME & .~LUMBING INSULATION FER N. Y. STATE E~IERGY CODE ADDITIONA'L CO...~ENTo . 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 April 19, 1990 Mr Harold Walters Nakomis Road Southold, New York 11971 Re: Building Permit #5283Z (1971) Surf. Co. Tax Map ~1000-78-3-20 Premises: Nakomis Road Southold, N.Y. Dear Mr. Walters: The above building permit has expired and a Certificate of Occupancy has never been issued. You are in violation of the Code of the Town of Southold as this building permit has now been voided. Please contact this office i~muediately to avoid legal action. Very truly yours, SOUTHOLD TOWNz~UILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 15th, 2007 Harold F. Walters 400 Nokomis Road Southold, N.Y. 11971 RE: 400 Nokomis Rd. (addition) SCTM # 78 3 20 Dear Mr. Walters, Please be advised that your Building Permit #19039 issued May 22nd, 1990 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 11971 TEL.: 705-1802 Disapproved a/c ........................ BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CIIECK NOTIFY: CALL ..~ .................. HAIL TO (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tills application must be completely filled in by typewriter or in ink and submitted to the Building, hlSPector, with sets of plans, accurate plot plan to scale. Fee aCCording to schedule. b. Plot pl:m showing location of lot and of buildings on premises, relationship to adjoining prcmi~-~_ or public streets or zreas, and givin~ a detailed description of layout of property must be drawn on the diagram whichislra~ 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 appli~mL Such permit shall be kept on the premises available for inspection throu-_hout the work. ¢. No building shall be occupied or used in whole or ~n part for any purpose whatever until a certificate of Occupaa'lcy 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/.m~. Ordin,'mces or Rcgulatioiqs, for the construction of buildings, additions or alterations, or for/'emovaI or dcmolition, -~ h~ein described. Thc applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and ~ations, and to admit authorized inzpector~ on premises and in building for n¢cessary,~n~Spections. · t = o[ aPr,leant, or name if'a c'o~o'ra~n')' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pimnber or builder. f apphca ,t ,sa corpora ,i(?h;.,i&m~. ~;t~;~a!t~lli~tt~ thorized officer. 3lgaR (Name and t~tlc of e. omor,a..t?. Builder's License No ..... *~i ......... Plumber's License No Electrician's License No .................... Other Tradc's License No ................... 1. Location of land on which proposed work will be done; ouse Number Street. Hamlet ..... C tyTxM p N ' IO00S ti .7.~. i, .~ Oun a a o. ec on ......... ~ Block ........ ~.. /.:' ........ Lot .... . S bdi isio ........ u v n ..................... ;" ............. Eiled Map No ...... L (Name) ......... ot .......... State e-' ' x~stmg usc and occupancy of premises and intended use and occupancy · of proposed/:onstrt,ctiom · -- 3. Nature ofxvork (check which applicable): New Building .......... Addition ... /dtcratzon · · - Repair ............ . . R~moval .............. Demolition ... ............ S~,,imn. ing pool ............ Tennis Court .,fi~/,/ ...... Accessory Building ...... . & .Fence ....... Other {-/o r k ......... 4. Estima,edCost .... ....................... . (to be paid on filing this application) $. If dwelling, number of dwelling units .......... ; .... Nnmber o f dwelling units on each floor .............. Ifgaraee. numberofcars ..................... .. ..... .. 6. If business, commercial or mixed occu0ancy, specify nature and extent o £ each type of nsc ................... 7. Dimensions of existing structures, if any: Front ·, ... Rear Depth .... ,.. Height ............... Number of Stories ............................................ Dimensions of same structure with alterations or additions: Front Rear Depth ................. Height ...................... Number of Stones ......... 8. Dimensions ofentire new construction: Front............ . P, car ...... ... Depth .... '' Hciuht ... Number of Stories 9. Size of lot: Front ................... .. . Rear ...................... Depth .................... 10. Date of Purchase ............................. Name of Former Owner .......................... . 11. Zone or use district in which premises are situated ...................................................... l_. D d I i 1 di ti '~ ocs propose construction vio ate any zon ng aw, or nancc or regula on: ................................. 13. Will lot be regraded .: .......................... Will excess fill be removed from premises: Yes .... No.. I ~ Name of Owner of premises .' .... Address Phone No ' Name of Architect. ...... . . .......... ........ Address ................... Phone No ............. . . .. Name of Contractor ' Address Phone No ,v. .... · IS.Is this property located vithln ~00 feet of a tidal vetland? *YES .... NO .... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. \ OCCUPANCY OR USE l$ UNLAWFUL wrrno C CA;E OF OCCUPANCY STATE OF NEW YORK, COUNTY OF ........ . ....... ;'f'i ........ s ........ 't .............. being dnly sworn, deposes and says that he is the applicant (Name ndividual igning con tact) above named· (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pc,rform or ]lave performed tile said work and to make and Sic this application: that all statetnents contained in this application ,are true to the best of his knowledge and belief; and that the work will be perforator in thc manner set forth in thc application filed therewith. Sworn to before mc this o lic ................................ County ' '-- ~. 4707878, ~uffolk ~/ Term Ex,kcs Ma.ch 3~, (Signature of applicant) TOWN OF SOUTHOLD BUILDING DEPARTMENT ,/. TOWN CLERK'S OFFICE ~/'~'/' ~ $OUTHOLD, N.Y. ?~ Examined: ......... i~ .......... 19. ~/ Applica ion No ................................. Approved ........................................ , 19 ........ Pemit No..~....~... .... Disapproved a/c .......... ..~. ............................................ ~ ....................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 applicable laws, ordinances, building cede, housing code, and regulations. ......... .............................. (Signature of applicant, or name, if a corporation) Eo. "PA oeo (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . If applicant is a corporate, signature of duly authorized off'ce . , ~ .................. ......... 1. Location of land on which proposed work will be dcune. Map No.: ...... ..~.........n ................. .~Lot N_o. ~......,e ............. Street and Number ............ ~.~.......~....~..~ ........... ~..o...~ ......... ~.f ............. Municipality 2. State existing use and occupancy of~ntended use and occupancy of proposed construction: a. Exisiting use and occupancy ............ F.; ...... / ................................................................................................... b. Intended use and occupancy .......... ~~ ....... ~...~..~ .................................... ' ..... 3. Nature of work (check which applicable): New Building .................. Addition .... .~,. .......... Alteration ~ ........... i~ Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ · ~'O-O ~ Fee ~,,,,~ 4. Estimated Cost ........ ~4~ ....................................................................................................................................... (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 tTpe of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height Number of Stories Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front ............ /......-'~... .............. Rear /~ ~ Depth ~ Height .................... Number of Stories ........ ~ ........... 9. Size of lot: Front ...... ?~......~,. ........... Rear .............?.,...~.... .......... Depth''''''~-'/''~'''- '"'"'" '" ]0. Date of Purchase ........................................................ Name of Former Owner ....~....~.';~.i'"'' / .............. ]]. Zone or usedstrct nwhch premsesarestuated .... .~.. ]2. Does proposed construction violqt(~ any zal3ing Iow~. ord nonce or reaulc~ea? ....... 2O ]3. Name of Owner of pram ses ~.~!~/'~.,~,.~A(:~lress ~ .................................................... .............................................................................. Phone No ..................... 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 property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~3~'. ~,/]~ _ ~..=;-....~..~...:.~ ..... being duly sworn, deposes and says that he is the applicant ................. ................. above named. He is the .................. ~~ . (Contractor, agar, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to make and file this application; that all statements cantoined in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set fodh in the ~plication filed therewith. Swam to before me this ........................................................... Noto~ Public~~.. Coun~ (Signo~re of applicant) ...... No. 52-8125850, Suffolk Co~ Term Expires M~rch 30~ 19~ ,I