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Home My WebLink About36062-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34821 Date: 01/26/11 THIS CERTIFIES that the building ALTERATION Location of Property: 54255 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 61 Subdivision Filed Map No. SOUTHOLD (STREET) (HAMLET) Block 2 Lot 10.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4, 2010 pursuant to which Building Permit No. 36062-Z dated DECEMBER 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 ALTERATION TO AN EXISTING HISTORICAL BUILDING AS APPLIED FOR. The certificate is issued to SOUTHOLD HISTORICAL SOCIETY ( OWNER ) of the aforesaid building. SUF~OLKCOUNTYDEPARTMENTOF HEALTH APPROVAL ~.RcrKICAL C~KTIFICATH NO. PLIERS CERTIFICATION DA'r~u N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36062 Z Date DECEMBER 4, 2010 Permission is hereby granted to: SOUTHOLD HISTORICAL SOCIETY PO BOX 1 SOUTHOLD,NY 11971 for : CONSTRUCT AN ALTERATION TO AN EXISTING HISTORICAL BUILDING AS APPLIED FOR. REPLACES EXPIRED BP # 24804 at premises located at 54255 MAIN RD County Tax Map No. 473889 Section 061 pursuant to application dated DECEMBER Building Inspector to expire on JUNE SOUTHOLD Block 0002 Lot No. 010.003 · 4, 2010 and approved by the 4, 2012. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 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 A~THORIZED) PERMIT NO. 24804 Z Date MARCH 30, 1998 Permission is hereby granted to: SOUTHOLD HISTORICAL SOCIETY PO BOX 1 SOUTHOLD~NY 11971 for : CONSTRUCT AN ALTERATION TO AN EXISTING HISTORICAL BUILDING AS APPLIED FOR. at premises located at 54255 MAIN RD $OUTHOLD County Tax Map No. 473889 Section 061 Block 0002 Lot No. 010.003 pursuant to application dated MARCH 17 1998 and approved by the Building Inspector. Fee $ 150.00 Building Inspe~r Rev. 2/19/98 ORIGINAL 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 Department with the following: A. For new building or new use: 1. Final survey °f ProPertY with accurate location of all buildings, property lines, streets, and unusual ustural or topographic featm~s. ' 2. Final APProval from Hcalth Dept. of water supply and sewerage.disposal (S_9 form). 3..Approval of electrical installation from Board o£Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commereial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit PI.arming Board Approval of completed site plan requirements. Bt F~r exis~ng bui~dings (pri~r t~ Apri~ 9~ ~957) n~n-c~nf~rming nses~ ~r bui~dings and ``pre-existing~ land nses: 1. Accurate survey 0f pr0perty showing all property lines, streets, building and unusual natural or topographic features. . 2. A properly completed application and consent to inspect signed by the apPlicant. If a 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 $50.00, Additions to dwelling $50.00, Alter · Swimming pool $50.00, Accessory building $50.00, Additions to accessory building ~ 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: Date. , Businesses $50.00. BLDG. DEPL TOWN OF SOUTHOLD .. Suffolk County Tax Map No 100'0, Section / Subdivision ' [ 22,1.4~1 PetmitNo.. 2/~c-{ DateofPermit. '-~/~o{~.~_'~ Health Dept. Approval: Old or Pre-existing Building: ' (check one) House No. ~ Street Hmlet O~erorO~e~0fPrope~y: ~C.'~D ~'~f~ ~.~c' ( f / ;~ · Block (z~,/',.~ Filed Map. Applicant: Underwriters Approval: Lot: 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~" (check one) Applicant Signature ~;Ut fllKIrJ'~' ' Al)l) I'f'l ()liAr. (.;(it II itt. irt !~ t TOW,~ 9F FORN NO. I TOi4H OF SOUTIIOLD SUILDING DRPARTHENT TOt~N IIALL SOUI'IIOI,D, H.Y. 1197 I TEl.: 765- ~S02 PLICATION FOR BIIII.I)ZNG PRRNVr 1NS'rRUCTIONS BOARD OF DEALTII ............... /3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... n. 'lhla application treat he conpletely filled in by ty~riter or in i.k taxi mdmit~ I:o tl~ ~lil¢li~ llmle~:lor ~ 3 ~ts of pl~s, ~te plot pl~ to ~ale. F~ ~t~ to ~de. b. Plot pl~ ~ml~ l~tt~ of lot ~ o[ I~[Idh~s ~ ~[~s, relnti~ip to ~joint~ p~i~n or ~blic str~ts or areas, ~1 8[vl~ n ~tnll~l ~riptto~ of logit of pro~rty mint I~ ¢lr~ ~ tl~ dla~ dHch i, I~qr[ of this nlqfl icnti~. d. U~ a~al of fids a~li~ti~l, tl~ ~ildi~ trisector ~ilI tsm~ e ~lldl~ Pemlt to tl~ n~llcant. ~h e. ~ ~tldi~ ~mll ~ ~t~1 ~ ~l tn d~le or in ~rt for m~ ~ dmt~r ~mttl a C~rtlflcnte of ~y ~mll h~ I~ a~,t~ I~ Ue Bulldl~ Ins~tor. ~.lC3'rl~ 18 i~nI ~ to tie Bulhlt~ ~rt~t for tim is~e of n ~tldt~ ~mlt ~lrmmnt to 'the ~Ddati~a, f~ tim ~t~tim o[ ~Hldt~s, ~ltt~s or alteratt~s, or ~ ~,~al or ~1 iris, es lereln ~scril~. ~e a~ll~t ~a to ~ly vi~ alt a~llcable l~, o~t~es, ~lldt~ ~, I~ing ~, ~l reDdati~s,,md to ~it ~i~ i~tore ~ ~t~s ~ in ~lldl~ for ~s~ tnn~tl~s. (~ig~mture oE e~lic~t, or ~, ii o cor~rnti~O .... .... State d~ether applicant is ~r, leaP~e, agent, architect, engtneer,'general contractor, electrician, pl~d~er or InHhk ..... 4~.~. )/.c. ......................................................................................................... ~ o~ o~ o~ ~..~.a ..... ?J!/...~/~.~.'). ...... ~.'c..~/.~...~.t:¢.~.~. .... .~.~..~:t~.C~. ................................. (as ~ tl~ tax ~11 or lnte~t ~) tf a~tican~ ia a ~ati~, st~e of ~ly mtl~ri~ oEf~r. ......... .... ...... (~ aM title o[ ~r~t* o[fleer)~ Builders License N~ ..... .~. .................. Pl~be .rs.License No ....... t": ............... I. [~ati~ of Io~ ~ ~{dt ~1 ~rk will I~ <~ .............................................................. I~ ~r St~t I~let ...... ..... ....... ....... ..... ~Mivi~i~.... ............... . ,,.,.. ,, ,...,. ,,.. Fil~ mp ~. ............... fat ............ ., · State ~isti~ ~. ~nte~ ~ ~ ~ ........................ -~ ......................= ..................... 15. N;~tt~re of ~rk (dmc. k ~d~id~ applieahle); Ne~ Building .......... Addition .......... Alteration .~. ..... Relmir ............ Removal ............. I~l iti~ ............ Other ~ ~t i,nt~l ~$t . f~ ............... (to ~ ~id on fili~ this If ik~llil~, i~$~ler of ~llh~ imit$ - ~ rt,,i~r of (~lli~ tnlts on emi fl~r ................ I~i~t ...... .~.~ ............. Ksd~ of Sto~ie8 .. ~ ................. f)i,~i~,s of ~ *trimtite ~ltl, alter*tJ~ or ~itions: Fr~t ....... ~ ~ar ............... l~l)th .................... I~J~c ................. Kmi~r o~ Stories . si~ o~ ~o, t~.,~ .~ ............... ~ ..~ ............. ~th ~.~ ~,,~ o~ ~,~a,~ ..l~.8.~ ............. ~,~ o~ ~,o,,~ ~ ................... ~ or u~ district In 0~t~ pr~i~ ~m ~i~t~ .................................. ~ ........................... Will lot I~ regr~ ..... Will ~:eas fill I~ ro~ ~on pr~nl~sT ~ ~b' ~A~b" ~'" n~ ............... · ~e of C~tr~tor ..~ ........................... ~klreaa ............................... H~ ~ .............. la Ihia pm~rty vitldn ~ f~t. ofa ti(~l ~tl~Y * Y~ .......... ~ ...~ .... PI.OT I)IAGRAH l~cate clearly m~l distinctly all buildi,~e, ~hetber ~isti~ or pro~, md l~i~te nil ~t-~ dl~iona · fr¢~, proi~cty Ii,ma. Oi~ et~t m~ b]~ a~imr or ~scriptt~ acco~ing to {~, ~ ~ street ~as a~l i~licat~ .~I'^'IF. (]1;' tt'.~l YiN~Kx. (llJHl¥ tX" .~.~:~ ....... ......... ..... , ~ : ............................ leis~l duly ~ro, ~lx)~s a,xl ~ys tlmt he ia tim af:pl, ica,~t (~ssm of isallvi{kud $igniHg e{~ttract) ,~ ~.~ .~ ..... Tg¢~ ...................................... (C~tractor. ~ent ~ cor~rute officer, etc.) ()f haiti (~r or ~rs, nIKI i8 duly ~Jtl~rJ~ to lerfonu or have i~rl:()rs~] tl~ ~id ~[k taxi Lo nG~ taxi file thin aiq)l icati(m; tlmt all 8tatu~nt8 c(mtaiwl in this niq)licati~l are tn~ to the list of hi8 M~l~e a[~ Imlief~ alxl tirol the ~)rk viii ~ ~rfon~l in tim ,~mr ~C forth in ~ al~LieJtion fil~ tlzr~ifl~. ~)rn to I~f()re ne ~[8 ....... ....... ..... (;3q~m :ute of Applicont) Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765 - 1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 22, 2000 Southold Historical Society P.O. Box 1 Southold, NY 11971 Dear Mr. Pettit: RE: 54255 Main Rd., Southold, 1000-610-2-10.3. Please contact us regarding Building Permit 24804-Z, issued March 30, 1998. (See attached). Was the work done on this permit? If not, the inspector will take a look so we can void the permit. Sincerely, Southold Town Building Dept. 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 June 5th, 2006 Southold Historical Society P.O. Box 1 So~tholdl NiYi 11971 RE: 54255 Main Road SCTM # 061 0002 010.003 To Whom It May Concern: Please be advised that your Building Permit # 24804 issued March 30th, 1998 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 $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 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Tinvnllall Anne× ,5~37,5 MaiIl Road ILO. Box 1179 Southold. NY 11971-09,59 Telephone (631) 76,5-180~ Fax ff531) 76,5-9,502 BI Ill,DING 1)EPARTMENT TOWN OF SOUTHOLD January 4, 2011 Southold Historical Society PO Box 1 Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. __Final Fire Inspection from Fire Marshal. __Final Inspection from the Building Dept. __Final Landmark Preservation approval. Building Permit:: 36062-Z minor alteration l'own ] hdl Almcx 5~375 Mam Road P.O. Box 1179 Soudlokl, NY11971-0!159 Tclclfllonc (631) 76.3-1802 l:ax ((3;31) 763-9502 October 4th 2010 BI ILl)IN(, l)l'J ARTMLN 1 TOWN OF $OUTHOLD FINAL NOTICE Southold Historical Society P.O. Box 1 Southold, N.Y. 11971 RE: 54255 Main Road (ALTERATION) SCTM #1000-61.-2-10.3 To Whom It May Concern: Please be advised that your Building Permit # 24804 issued March 30th, 1998 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before 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 Tnspectors. If you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BUZLD'rNG DEPT. 7010 0290 0002 &968 4523 Town ttall Annex 54373 Main Road P.O. Box 117!t South&l, NY 11!~71-()93!~ Telephone (631) 765-1802 l:ax (63 l) 765-9502 $outhold Historical Society P.O. Box 1 Southold, N.Y. 11971 BI !ILDING I)H~ARTMENT TOWN OF $OUTHOLD November 10th, 2010 Re: 542§§ Main Rd. / Violation 5CTM # 1000-61.-2-10.3 To Whom It May Concern: You're BUILDIN& PERMIT # 24804 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-1§A, 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 5outhold in the amount of $1§0.00 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 YouF~s, Michael Verity'. ~hief Building Inspector 5outhold Building Department cc: Damon Rallis Zoning Inspector /~ - ~/- .z- ;~aTOWN OF SOUTHOLD OWNER FORMER OW!q E R ' - STREET ~-Z../ ~'5 $ SEAS. LAND IMP. N~ Tillable 1 Tillable 2 Tillable 3 Woodland Swumpland 3rushland Hou~ Plot iI. Aaa NORMAL Ac re VL TOTAL ~LO~ -' Value Per Acre FA DRMATE I ABOVE Value PROPERTY RE¢C~i~D su~.~.~~ VIL~GE E I' ~' W ~ ~PE OF BUILDING (~B. MISC. Mkt. Value m ~RKS FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD OWNER STREET VILI.~GE DIST, SUB. LOT S pW~ ~ . ~ ~PE OF BUILDING RES. S~S. VL FA~ ~ CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS , / / AGE BUILDING CONDITION 6 ~ D ~ ~c~e ~lue ~e~ ~lue ~c~e ~il[o~le ~lon~ B~shland FRONTAGE ON ROAD House Plot DEPTH ~ ~ ~ ,~ BULKH~D COLOR TRIM Type Roof M. Bldg. Foundation ~ Bath Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat Rooms 1st Floor Porch Recreation Roon Rooms 2nd Floor Porch Dormer Breezeway Driveway Garage Patio O.B. Total - .-.,r'"'- L|GI{T lr'OLl[' [~ STALE- I__1 12" X B" C:LG, JHTE~, 12" X ~" CLG. · $6" O, C. T'rP. ~ · 16" O. C:, TTP, / ~--FTO, (TOP OF II 12II X ~l, C~L~, JHTH, Ir' X ~" C;LC~ JHTH. · I~" O. C. 'FT3='. ~' · Ilo" O: C. TTP, ~1, I I E~ t 31'~1~" t ECZ rq-TiT-7 _, I ~ I' E ASEMENT FLOOF PLAN - P OF OSE SC;ALE 114" '"1"~' · NASSAUSUFFOLKBLUEPRJNTING CJJT , TO ~" X ~" : ~4" TH. ~TEEL C~tT NEUJ E~E~J'I I=C~,ETH TO A~.LC~J &" X ~" X ~/4" TH. STEEL I~EARING* t~. DO~N GiAt~Z~VENTA STAIR LIFT I~,AHE UNIT AND EX. TOIL. U /16" -.-I , ,~" e E~ STL. LINTEL ¢ ,-.XTRA STRONG · I . COLUMN U STE~ I COLUMN W/ UNDE~V~ITER5 CERTIt:ICATE RE{~UIRED ~ .~,ZALE~TCeq' TOP '~ BOTTOIVi PLATES [ TYF ENCLOSE COl ~;vlNS 8, GIRDERS ~ F BPD. JSTUDS __ ~ ~ ~EL ~I~EE NEW OPENG. ~ A~. ~J~T tN~ALL EINTEL ~ ~c~. ~J~T / L~ATI~ IN FIELD & PARGE JA~, L~ATI~ IN FIELD ~ TO CLEA~ 6~EL PATCH FLOOR. / ~I~E~ IN ~T. ~P~[~AS ~OTED , ff~' ~ ~"~CL~ J~Tfi. ," e 12" OJC. T~, ~ · 12", c, ~. 1 NOTI~765_18029aUILDINGAM ~DER4=~T~AT I FOLLOWING INSPE~IONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCR~ ~ ~ 2. ROUGH - FRYING & PLUMBING 3. :NSULATION 4. FINAL - CONSTRU~ON MUST ~.~. [ -4" ~L~ ~ BE COM~I ~ FOR ~0. A~ CONS~U~ON ~H~ ME~ ~1~ ~L~ ~ ~ ECTI~ ' ~. THE REQUIR~E~ OF ~E N.Y. ~ECTI~ ~ I LO~ ~ALL ~ITH STA~ CONS~ON & ENERGY ~D CAP. ~. -4"~ 5TL ~L~5 CODES. N~ R~NSlB~ FOR 4"e ~TL. COL~ ~ I~ x (4 L~ATI~5) TO ~T DESIGN OR CON~ON ERRORS (~) = x ~ ~D~ ~ -- (~) ~ x ~ ~ CCUPANCY OR ' TT~, ~ ~E. ~ TT~'. E~ ~DE USE IS U~L~FUL ,~., -p~ ,r-," ~ ~""" ~ 't'-"" ~ ~ITNOUT CERTIFICATE OF ~CCUP~C~ EXIHTINE~ PORCH 0 0 0 0 0 ,0 0 FIf BT FLOOf PLAN HCALE I/4." =1"~>" A REVISION 3t 1~i198: project title: t"10 1PIGA,'T'IOt4 : drawing title: drawn by: checked by: L. P'~P-LP--,'T'~, ~ date: scale: drawing number: