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HomeMy WebLinkAbout35613-ZFORM NO · 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34573 Date: 09/22/10 THIS CERTIFIES that the building DECK REPLACEMENT Location of Property: 225 GOLDIN LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 135 Block 2 subdivision Filed Map NO. __ Lot No. __ SOUTHOLD Lot 15 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated J~JNE 4, 2010 pursuant to which Building Permit NO. 35613-Z dated JUNE 4, 2010 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 IN KIND REPLACEMENT OF 6' X 10' FRONT DECK AS APPLIED FOR. The certificate is issued to HENRY F & NELL P KELLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~.RCr~ICAL C~TIFICATH NO. PLIERS CERTIFICATION DA'r~u N/A N/A N/A Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35613 Z Date JUNE 4, 2010 Permission is hereby granted to: HENRY F & NELL KELLY 53 LONG HILL PLACE TRUMBULL,CT 06611 for : REPLACEMENT OF AN EXISTING 6' X 10' FRONT DECK AS APPLIED FOR MAINT~NG EXISTING SETBACKS.REPLACES EXPIRED BP # 32193 at premises located at County Ta~ Map No. 473889 Section 135 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 225 GOLDIN LA SOUTHOLD Block 0002 Lot No. 015 4, 2010 and approved by the 4, 2011. Fee $ 175.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 32193 Z Date JULY 10, 2006 Permission is hereby granted to: HENRY F & NELL KELLY 53 LONG HILL PLACE TRUMBULL,CT 06611 for : REPLACEMENT OF AN EXISTING 6' X 10' FRONT DECK AS APPLIED FOR MAINTAING EXISTING SETBACKS. (REPLACES BP #27605-Z) at premises located at County Tax Map No. 473889 Section 135 pursuant to application dated JULY Building Inspector to expire on JANUARY 225 GOLDIN LA SOUTHOLD Block 0002 Lot No. 015 10, 2006 and approved by the 10, 2008. Fee $ 150.00 Aut hori z e~d~J ignature Rev. 5/8/02 COPY 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. 27F~---Z Date SEPTEMBER 10, 2001 Permission is hereby granted to: HENRY F & NELL KELLY 65 PRINCETON ST ROSLYN HEIGHTS,NY 11577 for : REPLACEMENT OF Ai~ EXISTING 6' X 10' FRONT DECK AS APPLIED FOR MAINTAINING EXISTING SETBACKS at premises located at 225 County Tax Map No. 473889 Section 135 pursuant to application dated AUGUST Building Inspector. GOLDIN LA SOUTHOLD Block 0002 Lot No. 015 27, 2001 and approved by the Fee $ 0.00 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 _'5--Jz~ ~-&d~ ~ q .. APPLICATION FOR CERTIFICATE OF OCCUPANCY This apphcat,on must be filled m by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: ' 1. Final. survey 0fproperty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ' - .2. FinM ApprOval from Health DePt. of water supply and sewerage-disposal (S-9 form). · 3. Approval of eleCtrical installation'from Board of Fire Underwriters. : 4. Sworn statement fromplumber ceitifyingthat the Solder used in system contains less than 2/10 of 1% iead. '5. Commercial building, industrial building, muitiple residences 'and ~imila~ buildings and installations, a Certificate. . o f Code Complianc~ from architect. 0f engineer responsible for the building. '6. 'Submit Planning Board Approval of 6ompleted site·plan requirements. ' B..For existingbuildings(prior to April 9~ 1957) non-conforming useS~ or buildings sad ~'pre-existlng'"lsad uses: 1.. Accurate surV6y o~'prep6~Yshowing all property lines, streets, building and unusual natuntl or topographic" features. 2. A properly completed application and consent to inSpect signed by the applicant Ifa Certificate of Ocoupancy 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 $2~.00, Swiraming pool $25.00, Accessory building $25.00, Additions to accessory building ~25.00, Businesses $50.00. 2. Certificate of Oocupancy on Pre-existing Building - $ 100.00 3. · Copy of Certificate ofOecupancy - $.25 4. Updated Certificate ofOccopancy - $50.00 5. TemporarY Certificate o£Ocoupancy - Residential $15.00, Commercial $15.00 -Blew Construction: / Old or Pre-existing Building: I-ocaiion of ProPeWY~-~ ~.¢ House No, Street ¢ Hamlet 'a lthD*.Appr , : ' .' '::/ Pjanntng Board ~1: : : ~ Unde~t~ ~pm & . R~uest for: Tempo~ Cc~ificatc . Final Ce~ifi~te: _ V (ch~k one~ ~ F~ Submitted: $ ~ 'Q ~ ~//~ ~ ~q 533 ~ ppli~t ~i~a~ure / 'Suff°lkC°UUtyTax. MepNo'[O00,Section'. ' /~:-~ -.Block-~ Lot.' /.~' Subdivision ' ' Filed Map. Lot: (check One) INSPECTION [ ) FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~LATION [ ] FRAMING / STRAPPING [,,,,,]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ION [ ] FRAMING / STRAPPING [//~:INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIREIIESiSTANTC01A'TRUC110~ [ REMARKS: DATE ~ INSPECTOR TOWN OF $OUTHOLD BUll,DiNG DEPAR~ ToWN SOUTHOLD, NY 11971 TEL: 765.1802 PERMIT NO. BUILDING P]~RMIT APPLICATION CHEC'Wr.t~T Do you lmve or ne~d ~ho followi~ before applying ? APPLICATION FOR BUILDING PER1MxI'. Date iNSTRUCTIONs ,2O sets ofpt,nn, accurate plot plan to scale. Fee acco~ to schedule. b. P10t plan showing location of lot and ofbuildh~ on premises, relationship to adjolni-~ premises or public streets or areas, and waterways. C. The work covered by this application may ~ be comm~ced beforo ism~noe ofBuilalng PemliL ch Upon approval of this application, the Builditig Inspector will issue a Building Permit to the applicant. Such a peiafit shall be kept on the premises avsi!sble for k~pection throughoui the work. . e. No building nhsl! be occupied or used in whole or in part for any purpose what-so-ever until a CetO~cate of Occupancy is issued by the Bkilding li~pector. APPLICATION IS ld~ll~Y MADE to the Buildi~ Department for the isstumce ;f a Building i~-, ~.: t pursuant to the Buildln~ Zone Ordinance of the Town of Southold, Sttffolk County, New York, and other applicable Laws, Or~ns~es or Regulations, for the co~truction ofbuilaln~; additions, or alf~ratious or for removal or demolition as herein de~'ibed. The applicant agrees to comply with all applicable laws, or'in,noes, I0uildi~$ code, housing code, and re~,lflfions, and to sdmlt authorizedinspectorsonpi~aises~dinbufldi-gfornecessaryinspec~i~'ons. ~~ /~ -fi- ' tname, ir a corpo~on) State whether applicant is owner, lessee, ag~t, architect, ~ngineer, general contractor, electrician, plumbe~ or buildor Name of owner of l:~'mise~ / (as on the tax ron ~r lat~t deed) If applicaat is a corporation, signature of duly authorized oticer (Name md title of corporate officer) Builders License No. Plumbers License No. Electrie~n~ License No. Other Tradc's License No. 1. LoCation oflond on which proposed work will be done: C,,/ House Number Street County Tax Map No. 1000 Section Subdivision Hsmlet Block '~ Lot State exi~n; use and occupancy ofla~;.es and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ Nature ofwork (check which applicable): New Bulklj.g Repair Removal Demolition If dw¢lling~ number of dwelllng units If garage, number of cars 0 Addition ~ Alteration Other Work Fee (Description) (to be paid on filing this application) Number of dwelling unit~ on each floor If business, commerciai or mixed occupancy, specify nature and extent of each type of use. 7. Dimenmons of existing structures, if any:. Front Rear Height Number of Stories Dimensions of Same structure with alterations or additions: Front Depth Rear Depth Height 8. Dimensions of entire new construction: Front Height /.,~ '/' Number of Stories 9. Size of lot; Front ~7~/ Rear 10. Date of Ptmflmse' /7~ ? Name of Former Owner Number of Stories Rear · ,/~ ! Depth Depth 11. Zone or use district m which prermses are situated t, ', '12. Does proposed coustmction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 14. Names of Owner ofprernises. Name of Architect Name of Contractor. Will excess fili be removed from premises: Address Phone lqo. Address Phone No Address Phone No. 15. Is this. property wi*hl-100 feet of a tidal wetland? *YES NO · 1~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to prope~ lines. 17. If elevation at any point on prope~y is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF ) O~p~/~of~)/divia,,ff~gL/ontraet) above ..med.bcing.dulysw°m;dcposc~ and ,ay~ that (s)he is the at>plicant (S)He i~ me, (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 atld file this application; that all statements contained in this applleation are tree to the best ofhis knowledge and belieP, and that the work will be performed in the manner set forth in the application'filed ther~writh. ' Sworn to before me *his dayof (Q,.,.,_,- .,.., .t 200f uNDA J- cOOPER Term E.~ireS Deoem~r -TOWN OF SOUTHOLD PROPERTY R_~CORD CARD OWNER STREET 22~_~ VI LI..~.GE DIST. SUB. LOT ' FO~R~WNER ~ Z N E ' S W ~PE OF BULLDOG AGE BUILDING CONDITION N~ NOeL BELOW ABOVE FARM Acre V~lue Pet V~lue Acre Tillable 1 rilloble 2 ~il~ble 3 V~dlond ~womplond FRONTAGE ON WATER ~ ~ ~ ~ BULKH~D Bldg. :.xtens~'i -~tensJon Extension Porch Porch 4/~. COLOR Foundation Basement Ext. Walls Fire Place Type Roof tR~,eation Room Breezeway Driveway ;Garage Patio Total Bath :loors rnterior Finish Heat Rooms I st Floor Rooms 2nd Floor Dinette K. LR. DR. BR. FIN. B. Building Permit/(5.(.-). (snecKust P._Erocedure Approve_d by;.Siqnature Application Received / Complete Plan Review / OK for Permit Date. Permitlssued Plan Amendment ( if applicable) Final Inspection Complete I OK for C.O. {el~close inspection report sheet~ C.O. Issued BLDG, DEPT, ~ L TOWN 0IF $OUTHOLD 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 10th, 2006 Henry F. Kelly 53 Long Hill Place Trumball, CT 06611 RE: 225 Golden Ln. SCTM #135 0002 015 Dear Mr. Kelly, Please be advised that your Building Permit # 27605 issued Sep. l0th 2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the stmctnre. L~0. o~ To renew your Building Permit, please submit a fee of $00.00 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. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765- 18(12 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF 8OUTHOLD Henry & Nell Kelly 53 Long Hill Place Trumbull, CT 06611 May 27*h' 2010 Re: 225 Goldin La. / Violation SCTM # 1000-135.-2-15 To Whom It May Concern: Your BUILbING PERMIT # 32193 issued July 10th, 2006 for construction of a DECK ADDITION has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by 5outhold Town code. Pursuant to 144-15A, of the Southold Town Code, "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. Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $150.00: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Damon Rallis, Zoning Inspector 5outhold Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 22nd, 2009 *FIRST NOTICE* Henry & Nell Kelly 53 Long Hill Place Trumbull, CT 06611 RE: 225 Goldin Lane (beck) SCTU: # 1000-135.-2-15 To Whom It May Concern: Please be advised that your Building Permit # 32193 issued July lOth, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BUILDING DEPT Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF $OUTHOLD December 28th, 2009 F'rNAL NOT3:¢E Hen~/& Nell Kelly 53 Long Hill Place Tvumbull, Ct 06611 RE: 225 ~oldin La. (bECK AbbJ. i.LON) 5CTM: # 1000-135. -2-15 To Whom ];t May Concern: Please be advised that your Building Permit # 321c~3 issued ,Tuly lOth, 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $150.00: at that time we can schedule an inspection by one of our Building ]~nspector's. you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BUILDIN~ DEPT ~ B NOTIFY BUILDII 765-1802 9 AM ~ INSU~TION ~ FINAL - CO ALL CONSTRU~ ~TI STATE CONS~ IU ~~E DESIGN O~ CO , AS NOTED FOR THE REQUIRED IG & PLUMBING MUST SHALL MEET FS OF THE N.Y. & ENERGY ;PONSIBLE ~ ERRS... 'OCCUPANCY OR JSE IS UNLAWFUL CERTIFICATE OF OCCUPANCY ,od