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