HomeMy WebLinkAbout18816-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18862
Date MARCH 6~ 1990
THIS CERTIFIES that the building.
Location of Propert~ 5005 DEPOT LANE
House No.
County Tax Map No. 1000 Section 96
Subdivision
ALTERATIONS
CUTCHOGUE
Block 004
Filed Map No.
Street Hamlet
Lot 08.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 23, 1990 pursuant to which
Building Permit No. 18816Z dated FEB. 23~ 1990
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 ALTERATIONS TO EXISTING WAREHOUSE. THIS REPLACES UNFINISHED
PORTION OF PERMIT 16446Z
The certificate is issued to
HARVEY POLLAK
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
rOU~W NO. ·
TOWN OF SO~THOLD
B~ILDING D~PARTM[NT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
...~;.~.~....,~.~..~.,.~....~,,.~,.: ........
,.,~ .~,,~......~,:~., ....... .u..~.q. .~. ............... _ ~.~
.......................................................................................................
co~,~ 'to,, ~ ,~. ~ooo sec,o, ......... ~.~.~.... ~ ...... .~.~ ........ ~ ,~...~.~..I. .............
Building Inspector.
Building Ins~ctor
Rev. 6/30/80
1FOm,l~ NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
pursuant to application dated .......... ~,~...~..~ .............................. , 19.~..~., and approved by the
Building Inspector. ~/'~ /~/~//~7
Rev. 6~30/80
TOWN OF SOUTHOLD
BUILDING DEPART)lENT
TOWN HALL
SOUT~OLD, NEW YORK
765 -- 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
~OUSE NO. STREET BAMLET
O~er or O~ner~ of Property ...... ~.....~ ........ ~ .................
~o~=~ ~=~ .~. ~o. ,000 ~o~<~?~o=~ ~ ~o~- g,/
Subdivision ....................... Filed Map ........ LoC ..........
P,r.it No/?Z/.~~ ..Date of m,J ...... ~f--Appticaut -- . .........
Bealth Dept Approval
' ' ................. Under~ri~ers Approval ..............
Plana~uB Board Approval
Request for Temporary Certificate ...~... Final
CertificateY ...............
]0/,4/88
FORM NO. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN IIALL
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewiter OR ink and submitted to the Building
Iuspcctor with the following; for new buildings or new use:
{. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less'
than 2/10 of IZ lead.
5. Con~erclal buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings
cud "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
· If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing cede or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
]. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire 10t prior to April 9, ]957 shall also ace~s~pany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
CMP~I~ICATE OF OCCL~f~CY - New D~elliag ~25.00, Additions To Dwuiliug
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.00 Residential
Commercial
et. 10/14/88
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
J
INSULATION PER N.
STATE ENERGY
CODE
(lst)
FINAL
(2nd)
ADDITIONAL COMMENTS:
Examin ...... 19 ...
Approved .~...O~A~....~... 9, 19 ~.~.. Permit No. ] .~o.~. ~.~. ~
Disapproved a/c .....................................
................................ .......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
- .,~...
3 SETS OF PLANS '.1~.'''.
'FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOtD CHECK J~- .i~-7. -.
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
NOTIFY
S, OUTHOLD, N.Y. 11971 ~.-').."-~../.~..'~,~.
TEL.: 765-1802 CALL ....
MAIL TO:
Date . .S .e .p .t ? .m .b .e .r . .1., ..... , 19 .8.7.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of~lans, 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 streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 permit
shall 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 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, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
Richard Saetta General Contractor, Inc.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
qt.?. .................................................................
Name of owner of premises .ff.a.r.v.e.y..P. ql. 2. a.k. ............................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Nameandtitleofco~orateofficer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No...%~Q~fi~! ................
Plumber's License No .........................
Electrician's License No..1. Q{9. xE. ...............
Other Trade's License No ......................
1. Location of land on which proposed work will be done[ .................................................
............ ................... C.u.t.c.h.o. gu. . .............. : .............
House Number Street Hamlet
County Tax Map No. 1000 Section . f.~..O.O. 5. ~..~. ..... Block ...~. ............. Lot....c~... [. ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
· Existing use and occupancy .... P. qt.a.t, qe..gr.a.d.i.n.g .{ .w.a.r.e.h. qu.s.e. .........................
Intended use and occupancy .... L.i. gh.t' .S.t.o.r.a. ge. ...................................................
Nature of work (check which applicable): New Building Addition .......... Alteration . .X ........
Repair .............. Removal .............. Demolition .............. Other Work ............
(Description)
Estimated Cost $10,000.00
' (to be paid on filing this application)
If dwelling, number of dwellin~ units ...N/.A .......... Number of dwelling units on each floor ................
If garage, number of cars ...N1.A ...................................................................
,. If business, commercial or mixed occupancy, specify nature and extent of each type of use . CommercS_aJ_ ..........
h Dimensions of existing structures, if any: Front...6.0: .......... Rear . 7.2.' .......... Depth . .1.2.3.' ..........
Height 48 ' Number of Stories 1
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ....1.8.'.~J'.. ..... Rear . .1.8.'.4y ......... Depth . .1.~.'.~:' .........
Height 18 ' Number of Stories 2
Size of lot: Front .... ~.~'./-f ............ Rear . . . .l!c:~....",,~./.~.../ ..... Depth ...~'.~..~../ ..............
Date of Purchase ............................. Name of Former Owner .............................
Zone or nse district in which premises are situated...I.n.d.u.s.t.r.i.a.1 .........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: . .N.o. ............................
13. Will lot be regraded .... ~N.o ...................... Will excess fill be removed from premises: Yes X No
14. Name of Owner of premises .H.a.ry.e3..Pg.l.l.a.k ...... Aaa~ 445 Griffin~ Avenue~h~,, No..7.2.7.-.QQ3.3. .....
Name of Architect . J~w~'.e~.c.e..T.u.t.hj.l.1 .......... Address 1.~.}.3.ei~[.~i~(~i'.L.~... ,..~.~l~one No ~.7.7.n1~6.5.% .......
Name of Contractor R.. ,g~e.t&a..G.e~'.l....Qo/~t.r...,..IAfldress .4..B.o. oy.l. eg .A.l.l.e.y.,..~.rffi!Cone No. 4.7.7.nl.6.3.3. .......
[5. Is th±s property located within 300 feet of a t±dal wetland? *Yes ..... No . 2(q.
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
*roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
nterior or corner lot.
See attached plans.
;TATE OF NEW YORK,
~OUNTY OF...S.uf fp.l.k ........ S.S
·..Rg.bg.r.t' ~ .de. t. t. a. .................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bore named.
te is the...C9.n.t.r.a.c.tpr..: .C. 9r.p°.r.a.i.e.O.f..fi.c.e.r. ..........................
(Contractor, agent, corporate officer
,f said owner or owners, and is duly authorized to perform or have performed this
pplication; that all statements contained in this application are true to the best of
~ork will be performed in the manner set forth in the application filed therewith.
;worn to before.me this' -
........ lst.. i ......... day of... Sepl;e~ber .......... 195.7.
~otary Public ..... .S .u .f .f9.1 .k ...................... County
BEVERLY A. BREDEMEY[R ............. ~~ ..........
~o+,ary Public, $~te ol New
No. 4734549, Suffolk
t~ ~.~,,~a0, 1~.~ (Signature of applicant)
FORM NO. 1
~ ~ 0 ~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
,,~OUTHOLD. N.Y. 11971
Examined .~. ' .~.~. ~> ~ TEL: 765.1802
............ ~,...
~,,~o,.,, ...~ ~ ...... ~ ~"~, ~o/~/~
....
A .~ ~ t~ui din~ In~ector)
FEE: / ~ ~ ~. ~APPLICATION FOR BUILDING PER,lIT
Non~ 8ulm~ ~~ AT .
FOLLOWING
1. FOUNDATION ~ RE~ffi~ INSTRU~IONS
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY
2'~'a'~'.~;'''~'''2jj''
CHECK .............. . .
SEPTIC FORM ................
NOT I FY;
CALL
;g "i ...............
.... .F?,..~<~ ? ~
...............
Date ' · .... 19...
b.~fp~ ,_[~f-~ ~,ut,lJ, . .. ee accoming to schedule
or aref,~ ~ff[~ .~_~_~6~ ~.0f bmldmgs o. premises, relationship to adjoining prem~, p~b,c streets
. '~~escmpnon ollayout of ro ert - . .
ca~n~-G~N~N ~E~ P P Y m~t be drawn on the dmg~m wh~ m ~of t~s appU-
d. ~~~}~n may not be commenced before issuance of BuQding Pcmit -
shall b~~~~ Building Inspector wQl i~ucd a Building Pemit to rhea ~ . ·
. ,~ ~ pectmn throu- out t PP ~ Such p~mzt
shall hh~ .... m whole or m part for agy purpose whatever until a Cc~ifi~ of
"V~~~~~o~. o~up=cy
xpp.'J~/~.~ ~,v, ~v ~ WM FOR THE
"~ ~ ~ o~ ' P for the ~ssuancc of a Bmldmg Pe~t
. ' t~~uthold, Suffolk Cou . ~nt to the
~=ulat'?fi~~~ef bu~d~gs, additions or alte-~5~e~ ~°rk' ~d ?the(applicable ~. O~ces or
· nc app~es ~R~m.~,~,,~,~.~.__'' ~ . .. ,,~,,~-~, ~r ~or removal or ecmolition, as he~ d '
~dmit au~am~ ~~'~t~acau~e mw~. ommances, bufld~ code hm.qln- ~ ..... escnb~d.
~,. -,2~ .... ~a prcmzses and m bmldMg for nccessa~ insnecti~nq ....... ~ ..... anu rc~=aon~, and to
'} F~L · COnSTRUCTiON MUST .~ .... ~-'~
? COM,~r~ ,o~ c.o· .~. ~~'
ALt. CONSTRUCTION SHALL UE~ · . (Signature of~pplicant, ;; ~;~;,
. .~,ATE CONSTRUCTION & ENERGY ............................ '
CO9[S NOT RESPONSlSLE F~ ......
- (Mailing address of applic~t)
~tatc wh~V~i~~R~gent, ~chitect, engineer, general contractor, electrician, plumber or builder.
...... ............................... ........
.....................
wne premise .~.~ .~...
(as on the tax roll or latest deed) ........
fapplicant is a Corporation, signature of duly authorized officer.
....... ~;~i'~'"i';;;'~;-; ..... ; ..........
a dtitc o raeoffic r)
....... . ..... USE IS
WITHOUT CERTIFICATE
'aZion o~hnd on which proposed work will b: duce; '
: Number ....... ''' ' ~
Strcc& ' ' ' ............................. .
Hmnlct ·
'TaxMapNo. 100OSection /~O ~ ~ · '
...... m,,k .~ ~, / . ·
............ Lot
.................. Kiled Map No
(Name) " · Lot '
ting u~e and occupancy of premises and intended usc and occupancy of proposed cons~n~ction:
....g
· - . .... ~I ~[.~ .....
~tcrior or comer lot.
IA/ T ll
· Nature of work (check which applicable): New Building .......... Additian ....
Co., x.v ..... ................... ................ l'-- ' ' '
(to bc paid on.Ibis
if d~vc{ling, number oC d~vciling unit~ ............... Number of d~ve{liog units on each Hoot ............. . .
If garage, number of ca~ ..........................
If business, commercin{ or mixed occu~nncy, s~ecify nator~ and ~Xtcnt of each typ~ of us~ .~ ~.~.~ ~.~..
0t .~ .... P
. Dimensions of existing structures, if any: Front...~ ....... Rear .... ~. ~ Dc th .
Dimensions of same structure ~vith alterations or additions: Front Rear .
Depth Hci~tt ' Number of Stoics
,.' Dimen~iona of entire new construction: Front Rear Deoth
Hct~ ~t ............... ~umber of Stofiea .............. ; ..... . ......... ,... ~,e~fiM~;~,,;
~. Size of lot: Front . t ~ , .
~.1 ............. R~ .... ~.L~ .... ~ ..... o~.,. .... ~,~.~ .......
......................... Name of Former Owner : ................ , .......
~:. Zone or u~e diet'ct in which premise ara aituated ~ ~ $.~I~ ~, ,.
:.. Doc~ proposed co~tmction violate any zoning law. ordinance or regulation: . ~; ,'~.; '~:?~'~ ,~. ~-.~. ~ ' ;~. ....
' ~.~ ve~,o~'~
,.. WUI lot be rcg~ded ........... Will cxcc~ fill be rcmo
t N~e of Owner of p~ises Addre~ Phofie ~No
N~e of Architect .......... A~dre~ ~a~'Nb ...... ....
N~e of Cont~tor ~. ~C~.~~ .... Addr~ ~'~ ~K.~, Ph~e ~o. ~Z~'-~ .~..
5.Is this property located within {00 feet of a tidal w~ia~'&~"~YgS-*-~O~--
PLOT DIAG~M
Locate cle~ly ~d dis~ctly ~1 buHd~, whether existing or p~posed, ~d. infl~a~ ~1 setrback d~on$ from
:ope~y Hnes. Give street ~d b~ock number or deception accord~g to deed, ~d show g~ ~ea ~d ~ whe~r
S.S
:OUNTY OF ......... ... ....." ·
................ · .................. ~ ............. being drily sworn, deposes and says that he is the applicant
(Name of individual signiag ?at[act}
bovc nam'cd.
is ,he ..... . .~.: x~ .=?..,e~....C'..'.~d...7..'F...,7.~.. ?...,'3:~... )'. ........................................ : :..
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to pe,rform or 'have performed the said work and to make and file this
Pplication: that all statements contaiued in this application are true to the best of his knowledge and belief;and that the
'ork wiJI be performed in the manner set forth in tile application Qlcd therewith. '
worn to before mc this
(Signature of applicant
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 12, 1990
Henry A. Pollack
c/o Riverhead Corp.
Box 608
Riverhead, NY 11901
Re:
Building Permit #16446Z
5005 Depot Lane, Cutchogue, NY
SCTM #1000- 96- 04- 08.1
Dear Mr. Pollack:
Please be advised that B.P. #16446Z has expired. It was
noted by Inspector Curt Horton during an inspection, that a
major structural timbers were removed rendering the building
unsafe. The contractor, Richard Saetta General Contracting,
Inc., was notified to take necessary steps to make the building
safe.
To date the Building Department has no record of
for inspections to determine the structural safety of
building.
any request
the
The expired building permit must be renewed and inspections
must be done immediately. It is unlawful to occupy a building
without a Certificate of Occupancy.
The above violations are accoridng to the Code of Town of
Southold, Chapter 90-3; Chapter 100, Article XXVIII, 100-281 and
100-284.
Thank you for your cooperation in immediately resolving
these violations.
Very truly yours,
Southold Town Bldg Dept
Vincent R. Wieczorek
Ordinance Inspector
(Cert.)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. ¥.
ORDER TO REMEDY VIOLATION
HENRY A. POLLACK
Z RIVERHEAD CORP.
(owner or authorized agent of owner)
BOX 608
........... .g.~.g.~ n~ ~,n.,...~l... Z......I.J.~.L ...................
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CU. 45
CH. I00
Other Applicable Laws, Ordinances'or Regulations .............
at premises hereinafter described in that A NON CONFORMING BUSINESS IS BEING OPERATED
(state character of violation)
IN A "LIMITED BUSINESS'" DISTRICT, SITE PLAN APPROVAL HAS NOT BEEN GRANTED,
I~O"g~ZRTIYIC~'TE"'OIr "OlZCUI~E'TCY"]IA'~"~E~N"'r S~-UED'"F~II"~X P'rRE'II"~U ~'D'I'N~"P~'rm £ t
~16446Z AND A POSSIBLY UNSAFE BUILDING IS BEING USED.
in violation of CH. /~5, ART. VIII-100-81, ART. XXV, 100-253, ART. XXVIII-100-286..
(State section or paragraph of applicable law, ordinance ar regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to Comply with the law and to rdmedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
5005 DEPOT LANE, CUTCDOGUE
...... ; ......................................................................... County of Suffolk, New York.
SUFFOLK COUNTY TAX HAP # 1000-96-04-08. ]
Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of Iow
may constitute an offense punishable by fine or imprisonment or both.
ORDINANCE I~SPECTOR
VINCENT R. ~/IBCZOREK
/ooo ' ~-~/_ ~.~
OWNER
FORMER OWNER
RES.
SEAS.
TOWN OF $OUTHOLD PROPERTY RECORD CARD
VL.
STREET VI LLAGE
sz, 2',
FARM
LAND IMP. TOTAL DATE
NORMAL
Acre
4/%,o o
AGE
NEW
FARM
BUILDING CONDITION
BELOW ABOVE
:ST. SUB. LOT
ACR.
TYPE OF BUILDING
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
Value Per Value
Ac re
House Plot
BULKHEAD
DOCK
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
Porch
Porch ~:~
Breezeway
O.B.Total "j ~¥y'7~. z
/
Oundation
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Both
Floors
Interior Finish LR.
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
DR.
BR.
OCCUPANCY OR
UNLAWFUL
USE~'"
WITHOUT CERIIFIC~,~
OF OCCUPANCY :
4~
DEPOT ,L A NE
J
C
? ·
R
L
N£W'WdL. L5
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