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Home My WebLink About3776-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33870 I~mte: 08/03/09 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 4415 N BAYVIEW ROAD SOUTHOLD (HOUSE NO.) (STREET) (M3~MLET) County Tax Map No. 473889 Section 79 Block 3 Lot 14 Subdivision Filed Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 2009 pursuant to which Building Permit No. 3776-Z dated AUGUST 3, 2009 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 ONE FAMILY DWELLING WITH COVERED ENTRY AMD ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to JOHN H & REBECCA J BECKER (OWNER) of the aforesaid building. S[;F~)LKC1)[~I~i"~DEPAR~NTOF~I{APPRO~-AL ELR~i-KICR%L ~TIFIC3%~ NO. pL[~B~I~S C1LRTIFICJ%TION DASD N/A N/A N/A Signature Rev. 1/81 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 Deparnncnt with the/bllowing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and nnusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation fi'om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less thau 2/10 of 1% lead. 5. Cmmnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buildiug. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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 topogTaphic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa 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, Swinmfing 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- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: }louse No. Old or Pre-existing Building: Street Date. ~'~,~Z'.~'-~ ~ 7 (check one) Ha~nlet Owner or Owners of Property: ,,,.?~ ,~/,t~ ~ ~ ,~e~e,c~:.~ ~ Suffolk County Tax Map No 1000, Section,(/?~ ~ ~o _~ Subdivision Permit No. '"~r'7 ~:~ Health Dept. Approval: Planning Board Approval: Request for: Tcmporary CertiScate Fee Submitted: $ ~¢ .~ (~ .~ Date of Permit. ~ ' ~-Iw-/.,, g Block ~_~. - 2~-/'~ Filed Map. Applicant: Underwriters Approval: Lot Lot: Final Certificate: (check one) · /" Applicant Signature FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... ~- ..331.?. ........ Date ............ NOv~,al-~r...6., .................. , 19..t8. THIS CERTIFIES that the bui[din9 located at E/~..Ha.y~w..,Roa~ ............................... Street Map No ....................... Block No ....................... Lot No..~.outh.Cllll,...JllL~...~Q~¢~ ......................... conform~ substantially to the Application for Building Permit heretofore filed in this office doted ......................... ['lt~bZ. ti~'y...;~6., ............. , 19...~.~J pursuant to which Building Permit No.....3..7.?...6..Z.. da'ted .............. F. eJ;i~lct,~'~r.y...2~, ........... , 19....~J~J 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 ........ ..... pr.:iv, ate..on~..£~Ll~..~e~l l~g .......................................................................................... The certificate is issued to ....~ohtl..Be&:ker .......................... (owner, lessee or tenant) of the aforesaid building. Health Dept. Approval~ O~tober 29, 1968, Robert Villa Building Inspector [ FORM NO. 2 TOWN OF SOUTHOLD BUILDING 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? 3776 Z Permission is hereby granted to: to ~" ~ ~ ¢. ~w..a~e.. ~'~,~ .. ~1,~ ................................................................................... at premises located at .,~/~i.....IJll~.~...tO...~ ........................................................... ........................................ ~m~l~l~.~ ....... !1.~.1~.~. ................................................................................... pursuan+ to application dated ............................ ..~..?.~.. ....... ~ ............ , 19.....~..., and approved by the Building Inspector. Building Inspector 377~ ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~' ' f INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~ FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN~SULATION [ ]FRAMING / STRAPPING [//]/FINAL ~p.. ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC~ON. [ ] FIRE RESISTANT PENETRATION REMARKS: (~)~ ~/'~ DATE INSPECTOR gm~D ~S~EC~IO~ mn'OR~ I DA~E[ COYaV~TS FOUNDATION (1ST) ~, ~ FO~DA~ON (2ND) ~ ROUGH F~G & ~ PL~G ~ ........... ~ ~ ~S~ATION PER N.Y. ~ ~ STATE E~RGY CODE ~ 'z/~ff~,, ~,>7 ~o'~ ~/.~~.0_~.~~J~_~.~ ~ FORM NO* I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , ]9...'..'... Permit No ............................. Application No. '~ ? ~ Disapproved o/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 of property 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 port 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, amd regulations. ~'Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ..,/..D.....~.~....~...../..~. I~,--C/~' L~ ../...~-~... ................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. location of land on which proposed work will be done. Map No.: .............................. lot No.: .................. Street and Number ......~./~... ......./..~..:..../~..~..~i~..L{..'~.....~...Q..~.... ........ ..C.....-~...~'....'~.~..~.r~.. ......................... Municipality 2,State existing use end occupancy of premises and intended use and occuponcy of proposed construction: a. Existing use and occupancy ............ ...~.../~' C ~ I~-J ~ /,- ~ ..~.~... b. Intended use and occupancy ....~.../...-1t,4'.~'.~..~....~..4~.,~...../..¢ ./..~.~..~..~...~./'~.~' ............................................... 3. Nature of work (check which applicable): New Building J Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ~ .?~. ~ .......................... Fee / O · ~ (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 ............................ 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 ./..~..,9..:.~..: ................. Depth ./.~..d.:.~:~....~.~.d.;.~-,.~ t 10. Date of Purchase .;~...~...44~-..~,.$..'~.. ........ ./...~.~.5.~.. ......... Name of Former Ownerx~..~..Z~..E...~...¢..4¢/~?. ,~.p...4¢1.. ................ 11. Zone or use district in which premises are situated ....,~.....~... $ ~ .... 12. Does proposed construction violate any zoning law, ordinance or regulation? ~/O 13. Name of Owner of premises'JL~.,4/:.~.e.¢/~....~. ......... Address<Fb_...~.~..¢~'x~7.~.X'.~'.~...,~...~,. ........... Phone No~.~.:$~:.5-~..~...o Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ............. ..~'....~....u~....~..-~... .................. 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 NEW ~-~.~.~ tSS COUNTY OF~~ ........ .................... ~ ...... ~....~.....~..~~ ........ being duly sworn, deposes and says that he is the applicant . ( al~e of individual signing application) .~ ~ ,,-~ above named. He is the .............................. ~..E ......................../';~.~l~ .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his 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 ............. of ....: ......... · ,,- ,_ .... ................... Notary Public, F.Y../::~.,~,~i;.....Q/'..:.....~/L~..~..:' County ~/ (Signature of applicant) '~, NOTARY PUuLr3, S~ae ;~,',' Y Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 John & Rebecca Becker PO Box 368 Southold, NY 11971 June 4, 2009 Re: 4415 North Bayview SCTM# 1000-79.-3-14 Violation To Whom This May Concern: BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631 ) 765-9502 It has been brought to my attention that you have yet to apply for a certificate of occupancy for your single family dwelling (BP #3776Z). Pursuant to Southold Town Code, Section 144-15 (A), "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector. In addition, we have evidence that shows that a deck was added to the dwelling without the benefit of a building permit, which is also a violation of Southold Town Code. Pursuant to Chapter 144-8(A), (1) of the Southold Town Code, "No person, firm or corporation shall commence the erection, construction, enlargement, alteration, removal, improvement, demolition, conversion or change in the nature of the occupancy of any building or structure, or cause the same to be done, without first obtaining a separate building permit from the Building Inspector for each such building or structure." You have ten days from the receipt of this letter to contact me at (631) 765-1802, between the hours of 8:00 a.m. and 4:00 p.m., or legal action will be taken against you. Damon'~dlli~-,, Z~ing l~pector ~ Southold Building Departi~I~l$...............~_.___._ SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date October 29, 1968 Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities at e./s Morth Bayview R~d~ Son'hold (Give deed location) for a structure located have been inspected by this department and found to be satisfactory. District Engineer .... District Engineer Builder-Ow~er - John H. Becker FORM NO. ! ·OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved " 19" '~ 7 7 ~' ~ ........................................ , ........ Permit No ............................. Disapproved a/~c~..: .' .................................................... Application No. -~? ~ ~ APPLICATION FOR BUILDING PERMIT Date ............................................................ , 19 ............ 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 of property 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 o 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. ~(Signature of applicant, or name, if a corporation) V(Address of applicant) v State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number .............................................................................. .......... c~.~.~.~,~..T...~..o...'.-~.. ................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ...... ~.../..Z~...~-.~....~.......~...~..~....~..~..~....Z~.~-~'....~.~..~/"~"~.. .............................................. 3. Nature of work (check which applicable): New Building ~il ....... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ (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 accupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensians of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..... ~......~'. .................... Rear ...~...~.....~.. .............. Depth r~.~... ................. Height .................... Number of Stories ..~- ................................................................................................................ 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction Violate any zoning law, ordinance or regulation? ............................................................ 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 N~/~v-e~,,O.~ t~ COUN~ OF~~ .... ~'~' ' .................... ~ ...... ~.~.~~ ........ being duly sworn, d~oses and says that he is the applicant (~e of individual signing application) ~_0 . above named. He is the ............................. ~.~ ......... J. ............. ~ .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said Work and to ~ke and file this application; that all statements contained in this application are true to the best of his 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 ............. o, .............. ............... , ~ ~ ~ ~, r: ~ ~ 4~..~.~.~.~c....~~ ...................... ~ot~rv ~ublic;.~.~,?~....~..;..~~.. County ~ (Si~noture of opplicont) ~OTA~';' FCT~ ;, S.,. , ' ~ ~/ ,I 7-,'o ~ 1~Lo" /2;0" /2 - '0" 3~L~' D/A//IVG; J 14:4. % ONE, FAMILY RESIDENCE HERMAN N. YORK. ARCHITECT PLAN NO,...~. No.. L~,f..-~. 1 ONE FAMILY R E. 5 II D F-. N r" E HERMAN H. YORK ARCHITBE-.I' PLAN NO,...~ 't II , i__ j, ONE HERMAN FAMILY ~E. 5 1D E N C;E. H. YORK. ARCHITECT d~ c-z24c~ (N,~) ~-L w v'~ 7-/o/v,F ..... 2c,~. ~'0:/-'o" PLAN NO ~ DR~WINa NO ,.~c~.~-,~' o y- ~h£ C ONE FAMILY RESIDENtE hIF_.RMAN H. YORK.AIRCHITECT