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HomeMy WebLinkAbout13851-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34246 Date: 03/31/10 THIS C~KTIFIES that the building BATHROOM FACILITY Location of Property: 1025 TERRY LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 65 Block 1 subdivision Fil~ Map No. Lot No. SOUTHOLD (HAMLET) Lot 19.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 13851-Z dated APRIL 10, 1985 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 BATHROOM FACILITY AS APPLIED FOR. The certificate is issued to SOUTHOLD PARK DIST (OWNER) of the aforesaid building. SUFFOLK COIHT~Y DEPART1~ENT OF }t]~JELTH APPRO~rAL C10-07-0007 03/02/10 EI.Rt-£KIC3%L C~KTIFICA~ NO. N 038804 10/11/88 PLU~ERS CERTIFICATION DATED 05/17/89 PECONIC PLUMBING & HEAT /~ ~u~ho i/z ed~ignature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) NB 13851 Z County Tax Map No. 1000 Sectio,n .......(~.....~.....'~..'~..... Block ...... ..~....~. ........ Lot No....~...C~..:..~ .......... pursuant to application dated .... ~.O~..~......~....~.. ............... , 19.~...~..~, and approved by the Building Inspector. Fee $~ .......... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDl]NG 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 Depa~ment with the following: A. For new building or new use: 1. Final storey of property with accnrate location of ail bnildings, prope~y lines, streets, and anusual natund or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form), 3. Approval of electrical installation fi-om Board of Fire Unde~fiters. 4. Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lead 5. Cmmnercial building, industrial building, multiple residences and similar buildings and installations~ a ce~Sficate of Code Compliance fi'om architect or engineer respo sible for the building. 6. Submit Planning Boaid Approval of completed site plan requirements. B. For existing buildings (prior Io A[n'il 9, 1957) non-conforming uses, or buildings and "pre-exisling" land uses: I Accuratesmwey(dp~ope~U s ~vin~,rdll>ropedyJmes. st~eets, buildmgandunusualnamialo~ topogmphi,: features 2 A propcd3 complelcd :q>pli, mhm :md c<)Ii5(lll Io lll:5[)~ct signed by Ihe applicanl. I}a Ce~titicale (dOc( up;~nc5, s denied, the Building ]nspe( h*l shall slate thc' ~eascms d~erefln m wfidngto tim apl)licam Fees I Ccdil~calc cq'( )('~UI)dm y. Nov. alu. clime $.'5 0~ h ..'xddithms Io dwell ~g ~2q 00, Ahe~ation; Io du.c li~ $, $24 0~ 4 Ul~clatcd C;crtificalc oI ()CCUlUmCy I;5( 00 [)ate, New Constm,ct'o ~ /' ()Id o~ Pte-exisling Building: I lamlct Owner oi' ()Wl/eis of Prope~lx: ~ o [& m[~ Suffblk C6unty Tax Map No 1 0(~0, Secti(m ~ Block [ lr,t I Snbdix ts~on I;ilcd hlap I Heslth Dept Approval: ~ ~ [Indem'rile~s Approval: - Planmng Board Approvah Request fo[: TempomU' ('crtificalc lqnal Certificate: ~ ~ (check Fee Subnfitted: $ ~ ~ 775/3 __ (check one) Applican61~ilJff~CLeD PARK DISTRICT P.O. BOX 959 SOUTHOLD, NY 1197~-0930 ' THE NEW YORK BOARD OF FIRE UNDERWRITERS ]0010'~ BUREAU OF ELECTRICrT'Y {'-- )(: I(~:N °8~5 JOHN STREET. NEW YORK, NEW~j,y96~21]~/~YORK 10038 N 018~0~ ~t~ ~ppll~ti~ No. on file THIS CE~IFIES THAT ~ examined on ondfound to be in ~m~ian~ with the requi~lne~ts of th~ ~. RXTUIm OUTLETS SIRVlCl IXSCONN~CT NO. Of ~,. I -. I ~ ~. 1.~/2w ij~3w3~3w3,~4w Ho.o~cc. coND. OTHER AI~ARATUS: CC. COND. EXHAUST mEWS (; & S CONTRA(Tro~ i~OX ~]15 This certificate must not be alte,,~ in any manner; re4urn {o the office of the Board if incorrect. Inspectors may be credentials. CM'Y FOR BUILDING DEPARTMENT. THIS COPY QF CERTIFICATE Id!ST HqT BE A~TER~ I1~ ~uiY .M~4~ ~_.~. ..... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. t,~j~ Owner (please print) Plumber ~£oO/O (please print J I certify that'the solder used in the water supply system contains less than 2/10 of 1% lead. (plUmber's ~gnature) Swo~rn to befor~ me this ¥ day o f ~/}//~(~/ Notary Publi~'~ FF0/~ County James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghoaio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0498C Date December 9, 2009 THIS CERTIFIES that the new and separate sanitary system with traffic bearing covers At Founder's Landing Park, Terry Lane, Southold Suffolk County Tax Map #65-1-19.1 Conforms to the application for a Trustees Permit heretofore ~ed in this office Dated 5/3 !/07pursuant to which Trustees Wetland Permit g6677A dated 7/24/07 was issued and Amended on 2/27/08 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the new and separate sanitary system with traffic bearing covers. The certificate is issued to SOUTHOLD PARK DISTRICT owners of the aforesaid property. Authorized Signature FIF.LD INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TO~NN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . . .I..0 .... , 19 .~.~. 4,pproved..~..1.0 .., 19~ .~. Permit No..I..~.<~.~.~.1. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No ................. BLDG. DEPT. TOWN OF SOU'fl4OLD INSTRUCTIONS a. This applicaUon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with: .-ts 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 street r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli ation. 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 permi mil 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 Occupanc,. ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th~ uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o .egulatinns, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described he applicant agrees to comply wit.h all applicable laws, ordinances, building code, housing code, and regulations, and t; Jmit authorized inspectors on prem, and in building for necessa .ry~ /, (Signature of applicant, or name, if a corporation) (Mailing address of applicant) rate whether applicant is owner, lessee, a~ent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) · applicant is a corporation, signature of duly anlborized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No ......................... /,/ Electrician's License No Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. w. Hou~ Numar ... Street H~let County Tax Mnp No i0~ ~ction Block ~ Lot ' Subdivision ............ ~ ~ .................. Filed Map No ............... ~t ............... (N~e) State existing u~ and occup~cy of pmm~s and intended u~ and occupancy of pmpo~d construction: a. Existing u~ and o~upancy ...... ~ ~ ~ (~...~. ~... ,. ,. '. , -~?, ~ b. Intended u~ ~d occupan~ ~ ~ ~ ,., ~.. ,,, ~ ,,. ...~. · Additi 3. Nature of work (check which applicable): New Building ......... on ........ Aiteretion ......... Repair Removal Demolition Other Work (Desc~ption) 4. Estimated Cost .... ~* · ..*/ ........................... Fee ................. (to bo paid on filing this application) 5. If dwelling, number of dwelli~ units ................ Number of dwelling units on each floor .............. . if garage, number of cam ...................................................................... 6.If business, commercial or mixed o~:upancy, ~pecify nature and extent of each type of use ................... ?.Dimengons of ezbttin~ structures, if any: Front ..... . .......... Rear .............. Depth ............ · .. Number of Stories ..................................................... , Height ............ DimensiOns of tame atmctura with alterations or additions· Front ...... Depth ........... , .......... Height ....... . ............... Number of Stones ................ ~ 8. D~,~n~onsofanfiran~wconstruction: Front . . (..~.... a, / ~ r~*h ~'~'' ' .~.~.~ ~ ~l! ~ ...... ' ., . ge .................. r ........... *~. .. rm~mt~ ..... ~.'.... *... INBmBor el .nton~ ........... ~ .............. 9 Sizeoflot: Front .'~?..~'.~ ' . ..... Rear ~ ~-'~' ' "~.~;~" "~"~,'~'~,'~ ........ of rch. ..'.. ......................... of Former O er . :... '.. :... ': ..... 12. Does proposed construction violate any zoning law ordinance or reoulation . 14. ~ame et owner o~ prem~es ~¢ ~-~.~..~ ;. ~.~¢.~. ~./~. Address ~..~.~.~.,..~.-.~:.. Phone No ............... Name of Architect ~:.~q.'.~..~..~'.4.~?~.... . Address ~,~v~v~, .~_~_.~ Ph~n~ ~'~ Name of Contractor . .~.~.~. ~. ¢.~...'~.. ~?..~.~.. .. .. Address .~'.~..~'¥./~?.?.. ~'~..~ i i. . Phone No~ ~,.~,.. -J..~. ..~.°. . .. PLOT DIAGRAM Locate clearly and distinctly all building, whether existing or proposed, and. indicate ail set-back dimensions fro~ ~roperty lines. Give street and blo~k number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, ~OUNTY OF.. ~'.~.~..~..~.~..~-~-.... S.S ...... ~ ...... ?~-' ............... ~.*. ....... be~g duly ~om, depoms ~d ~ys t~t he ~ ~e appli~t (N~e of individ~ ~ conUact) ~bove n~. ~1~ is tbo ....................................................................................... (Con.actor, agent, co~o~te officer, etc,) ~f said owner or owne~, ~d ~ duly au~o~ to perfo~ or have petered ~e ~id work ~d to m~e ~d File this ~pplication; ~at ~! s~t~ ~nt~ work will be peffo~ ~ ~ m~t ~t fo~ ~ ~e application fded ~e~. Sworn to befo~ me ~ ............ day of , ~ot~ Pubic, . .... ~w. · .x ...... Court TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the fol~pwing reasons. /__/ An application for Certificate of Occupancy /is not on file. /_ No Underwriters Certificate on file./ / / The check is(outdated/not on file.) _~/No llealth Dept. Approval on file. /_/ N~ final inspection has been made. Building Permit Please contact our office on this matter. Thank you for your cooperation. ~,~ Building Dept. *** ~_//~No Plumber Solder Certificate on file./ ( all permits involving plumbing being issued after April 1,1984 ) Town Hall, 53095 Main Road P. O. Box 1179 Southo[d, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 1, 1995 Southold Park District P.O. Box 959 Southold, NY 11971 ***** SECOND NOTICE ***** 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 is not on file. (Enclosed) ** No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 xx 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 # 13851-Z 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 1631 ) 765-9502 Telephone (631 ) 765-1802 October 4th, 2006 Southold Park District P.O. Box 959 Southold N.Y. 11971 TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: __ An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. ' The check is (not on file) $25.00 Returned outdated No Health Department approval on file. No final inspection has been completed. No Plumber Solder Certificate on file. (A~I permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: # 13851-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired, a renewal fee may be required. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ New York 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 16,2008 Southold Park District P.O. Box 959 Southold N.Y. 11971 To Whom It May Concern: It has come to the attention of the Southold Town Building Department that a Certificate of Occupancy has never been issued for Building Permit# 13851. In order to rectify this situation please submit the following to this office so that a C.O. may be issued. lfyou have any questions feel free to contact this office at 631-765-1802 between the hours of 8AM-4PM. An application for Certificate of Occupancy is not on file. (Enclosed) iltricalCertificate on file. c~ ;Se;~;°mne nfil ~$p2r5~ ia01 o n fi 1 e' No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval. gREASE TRAP 15.5' SEPTIC CORNER ~ CORNER[] POOL #2 39' 31' > o SUFFOLK S,C. TAX SURVEY OF PROPERTY S]TUA T£ SOUTt2OLD TOWN OF SOUTHOLD COUNTY, NEW YORK No. 1000-65-01-19.1 SCALE 1"=20' JANUARY 4, 2006 DECEMBER 18, 2009 ADDED SEPTIC SYSTEM AREA = 85,925 sq. ff. (TO TIE LINE, 1.975 ac. BULKHEAD & SEA WALLB) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEO~ON 72D9 OF THE NEW YORK STATE THE EXISTENCE Of RIGRT Or WAYS AND/OR EASEMENTS OF RECORD. iF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM AS ESTABLISHED D ADOPTED STATE LAND N,Y,S LIc, No, 50467 Nathan Taft Corwm III Land Surveyor Fax (631)727-1727 Trl COUNTY DEPARTMENT OF HEALTH SERVICES H.D. Ref. No. ~-~O _ approv~l is granted for the conetrucUon of the sewage and water supply facilities fer/~,,~,.~_~__ is not an expressed nar imphed approval to discharge ~ or occupy this building(s). This approve[ expires erie · from the date of approval. ,I h T-OW I 01 Main Road "0. BOX 1412 Southold N.Y. 11071 · JFFOLK COUNTY ,DEPA~UENT OF HEALTH SERVICES Ooly fl,O. Ret. No.~ disposal and water supply facilities ~nd is r?ot art expressed nor implied approval to discharge AP~ o 9 ~985 ~ DATE - A. STRANG architect Main Road RO. Box 1412 Sour,hold N Y, 15971 516- 765 - 5455 A~,?~O~,j~D AS NOTED F~E: 0 BY: ~'/, C, /-~' _ NOTiFY~UILD~NG D~PARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FQLLO~NG INSPECTIONS 1. FOUNGAT ON - ~0 REQUIRED CONCRETE - FRAMING & pLUM~qqG ~'AIteration of this Document except hy an Architect or Licensed Profes. sional Engineer, is if legal", Sec[ion 7209, Subdivision 2, N, Y. State Education Law. Architect nod Engineer's Seal sod Signature aery good for initial use of drawing. Changes, alterations or re- visions to er re-use of dray/legs with out Architect or Engineer's Approval voids Seal and Signature o~ same liCCU ' CY-OR TOY N4, (,F-.EE K GARRETT A. STRANG architect Main Road P,O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 ~.FT '~IZF_: -~ ;~.4 AC~.Ef To(o.H.\'V/A.x) ................ :-=~-l() ( >i--== .................... , ..... "'Alteration of this Document except by an Architect or Licensed Profes. si0nal Engineer, is illegal". Section 7209, Subdivision 2~ .IN, ¥. ,State Educat. ion Law, Architect ced Engieeer's Seal amd Signature only good far initial use of drawing. Chan~es, alterations or re- visions to or re-use o¢ drawings with. out ArcWtoct or Engineer's Approval vows Seai and Signature on same. GARRETT A, STRANG ar'c,hite.ct Math :Road RO. Box 1412 Southold N.y. 11971 510 - 765 %5455 _ EQ IqlTA'TIOk ' .k eT'E S: NO ,¢-.A~ r'Alterafion of this Document except by aa Architect or Licensed Profes- sional Engineer, is illeg, al". Section 7209, SLDdW'slOn 2, ~1, y. State Education Law. Architect and EnCneer's Seat and Si[nature only [ood for initial use of drawing. Clmn~as, alterations or re- visions to or re-use of drawings with- out Architect or Engineer's Approval voids Seal aad Signature on same. GARRETT A. architeC~ Main Road P. 0. Box ~412 Sour hO~dN>Y', ~'971-~ . ' ' 5~6-~,6s,.s4,S.~ ,. ! ¢~ALE ~';I~'~" FL O©F-.. ?LAk~ "'Alteration of this Document except by an Architect or Licensed Profes. sionai Engineer, is Secdon 720:% Subdivision 2, N.Y. Stale Educstion Law, Architect and [ngi.eer's Seal and $ig.afure only good for ini[ia[ use of drawinE. Changes, alterations or out Architect or Engineer's A~prova .POLI'T-Hi I , . iELE,VATI OM ezAl_P._ 'GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 6TO~ FIniSH ~Wteratien of U~is Document except DS~bre edy ~oea fer bitial use af , · ' ' byan Architect or srooal En~h~aer, is ;JeWel', ,, Section 7209, ,h4' S..~ v~ on 2,,, out Architect or Engfnear's Appro'¢al Mai~ ~oad' ~ ""' H, Y. Stale gducaticd Law, voids Seal and Signature on same " '" ' ~' ' ' ?LAM nAItsratlon of this Document except by an Architect or Licensed Profes- sional Engineer, is illegel". Section 7209, Subdivision 2, N.Y. State Educatioq Law:. Architect earl Engineer's Seal and Signature only good far initial use of drawing. Changes, alter~tbns or re- out ,%chibct or Englneer's ~"n',',al GARRETT architect Main Road RO. Box 1412 Southold N.Y. 11971 516 - 765 - 5455 A. STRANG ,i