HomeMy WebLinkAbout12519-Z FOU~ NO. ~
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)
N0. 12519 Z Date ............ .(~..~. .... ]~.....-7. ............... ,19...~.....~
Permission is hereby granted to:
......~..~.~....L..~..~.~ ..... ~,
..~.~:~ .... ~.5.5...-t. ........................................
..... ..~..~.~. .... ~...:~..: ..................
at premises located at ......~..~o..-~....~.. ..... ~~. . .~. ........
County Tax Mop No. 1000__Secti°n..[~'"'~'"'~"'"{~ ....... Block ....... ..~ ............ ~)~L°t No .... !.~.:..J
pursuant to application dated ....... .~¥.~....~....~... .................. , 19..~...~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
£OEIH £NO. O
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 buildi]
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property line~
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form2
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar build~
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Vpre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicar
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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinR Buildinm - $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
Date...~. ~.~ .~. .........................
New Construction ........... Old Or Pre-exis~ing Building.
Location of Property...~.~. ~q..
House No. Street Hamlet
Onwer or Owners of Property..~-~..~2..~.~....~..).~.~..~.. ...................... ' ..............
cOunty Tax Map No 1000, Section .............. Block ................ Lot ..................
Subdivision .................................... Filed Map ............ Lot ..................
Permit No3.~.P!5...~. ..... Date Of Pe'~it..~..*.~.~..~.'.~...Applicant .........................
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certic .ate.~. .........
APPLICANT
FINAL
FIELD INSPECTION DATE COMMENTS
1.
F 0 O__N D A__T I O__N ~ (1st) t
FOUNDATION (2nd) ......
_oo(
ROUGH FRAME &
PLUMBING
"
m
INSULATION PER N. Y. ..
STATE ENERGY
qO~E -
ADDITIONAL COMMENTS:
Examined ...
Approved . ..
Disapproved a/c
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-180:a
19. 3.
.~..~.., 19~.. Permit No. ~ .Dy..~.
Application No.. )..b,..~.."7'. ! .~ ......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date
.... ~.u.n.~...2 ? .......198..3.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ets 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 streets
Dr 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 permit
hall 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
hall 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
luilding 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, ~ ...yffo~moval or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, !milding, e'o¢ ~ housing,~ode, and r.e~ulations, and to
dmit authorized inspectors on premises and in building: for necessary'In~p~q'6ns//f.
of ~l~fflicant, or name, if a corporation)
P.O. )x 1047, Main Rd., Southold, NY
(Mailing address of applicant)
Rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Rudolph H. Bruer, Esq., Agent for Applicant
qame of owner of premises Kenneth P. Brown -
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized 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.
Hamlet
Block ........ .4 ......... Lot .... .1.5...1. ..... .~....
Filed Map No... ~i~.'.! ........ Lot 1~.;..
House Number Street
County Tax Map No. 1000 Section ....1.2.6. ...........
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work..m.e.~.9.1..s.h.e..d..
__la (Description)
4. Estimated Cost.....~-~. ~ .............................. Fee../. ~.~
(to be paid on f'fling this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensiom of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ................................. : ......................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .... 1~.0~ ........ Rear ....1.0.' ......... Depth ...7. [ ..........
Height ............... Number of Stories ....... one
7. S~ze' of lot: Front 100.00' Re ' 2~'~'. ~b'" ...................1~'.'~ .... a fi3' ~"3 ~ ' ~75 '
............... ar ...................... Deth ·"
Date ~" ' Oct~ober 21, 1957 _ ~.17! .._...._ ................
3. o~ rurcnase Nam a r rn ur c Down s
............................. e of Former Owner .......... -. ..... ...........
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning lawl ;~'a;~;
t..Will lot be regraded .............. na ........... Will excess fill be removed from premises: Yes
L Name of Owner of premises . .K?.n.n.e..t.h..p.:..B.r.o.w..nAddress . .F...1.o.r.J:.d. 9 ......... Phone No.9.0.4. .4. .2.8..5. 971'~
Name of Architect ........................... Address ....... : ...........Phone N° ...........
Name of Contractor .......................... Address ' Phone No ................
5\
nrtvL°catelin~.Cl~Ut3Gi ~e~o&- s from
· o_e_ ~. ;'>. hether
terior or corner \1~
\6
·
'ATE OF NEW x ul~a,,.,
)UNTY OF .... I~ lJ~).I~ .....
S.S
RudolPh H. Bruer
............................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
0ye named.
is the ............ Agent.
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
Dlication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
,rk will be performed in the manner set forth in the application fried therewith.
'om to before me th~
day of · ~~ ,19
· ....................... '~ ...... County / ~ ' -
......
l~i,i,, i~i,,.~'iu~c, :~o. Is-~~'5 (._~/] ~ (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 1 1971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
RE: BUILDING PERMIT ~
SEC. ~(~
This Building Permit has expired.
BLOCK
You are now in
violation of the Town of Southold Zoning Code.
Please contact our office, this matter must be
corrected.
Yours truly,
Victor G. Lessard
PrincipaI Inspector
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. ! 1971
TEL. 765-1802
This in Co advise you thaC the job under building
permit no. _.~~ issued to K~nDo_t-h Brown
on ~~s Accessory is completed and
:~ f~ patties has ( ) has not ( X')' been done.
In order to complete this file, it is necessary that
a Certificate of Occupaucy be issued. Please fill out the
enclosed form, return same to the above office with a check
for $10.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection date ,
Occupancy or use is unlawful without a Certificate of
Occupancy. Please. help ,s to clear up thia matter so that
legal action does not have to be taken.
Thank you for your prompt attention.
~'~o~-Very truly~,~/
Victor Lessard
Executive Administrator
VL: ga r
encl.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 13, 1998
Irene Miller
3809 211th St.
Bayside, New York
11361
Re: Building Permit #12519-Z (Metal Shed)
Premises: 8675 Peconic Bay Blv., Mattituck
Suff. Co. Tax Map #1000-126-4-15.1
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
MAR 18 '98 0~:36AM MORTGAGE DEPT MFBT. P.1
March 18, 19S8
YVONNE~U~LLAG~r~R.
N0r~h Fork Bank
Valley Stream Of'££c~
356 North C~ntral
Valley ~tr~nt, NY
516-872-680'0
To: OFFICE OF ~:LE BUILDING INSPECTOR
P.,O.
Re: Fmcpired bu~:ldlng permit
On behalf of ml[ mother, Irene Miller, I am responding to your
letter of 03/1~/98. We were un~w&~ =hat the shed on the premises
did noU have a.!Certificate of Occupancy. The shed stands unused.
Please advise Lis what the necessary proeedure is to rectify this
situation.
Ioan be r~ached at the following fax number, (516)568-0196, or
the following tlelephone number, (516)872-6800.
Thanking you inl advance for your help in ~his matter.
Yours truly,
Yvol~ne ~allagher
TOWN OF SOUTHOLD · PROPERTY RECORD CARD
Ioo~ - lpg- v'-15.~ ..
OWNER STREET ,~ '"7..~ VILLAGE,~., DIST.'// SUB. LOT I ~ ~ ICo~: ~,qt
FORM~ OWNER N ' E AC~~
Acre .
Tilleble FRONTAGE ON WATER ~
W~lond FRONTAGE ON ROAD ~ ~ ~. ~ ~
~eodowland DEPTH ~ ~,~ ~ ~.
House Plot' BULKH~D
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
- ~(.u.~, ~
Porch~, '~
Breezeway
Garage
Patio
O.B.
Total
¥¢/5
JFoundation
_~'Basement
_~-~ JExt. Walls
:ire Place
,Type Roof
Bath
Floors
Interior Finish
Rooms 1st Floor
Recreation Room Rooms 2nd Floor
Dormer, Driveway
Dinette
K.
- LR.
DR.
BR.
FIN. B
IS A VI~TI~ Of, ,
~ON 7~ OF THE NEW YO~
~T~ LAW.
~ OF THIS SURVEY MAP
~ ~RVEYOR'S IN~ SEAL OR
~SS~ SEAL SHA~ NOT ~E CO~I~E~
BE A VALID TRU~ COPY.
~UA~EE5 INDICATED HEREON SHALL
PREPARED, AND ON HIS BEHA~
~l~E CO.ANY, GOVERNMENTAL A~NC~
LE~D~G I~TiTUTION LISTED
THE A~IGNEES OF THE LE~I~
~ 0 T 0
I ~,j 0
' RE I$1 ,N
REVISIONS YOUNG & YOUNG
~ 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
OUNG HOWARD W. YOUNG
L ENGINEER AND I.AND SURVEYOR
YOR, N.Y.S. LIC. NO. 12845 N.Y.8. I. IC. NO. 48883
R:
/5,
FOLK CO., N.Y. I
NOT TO SCALE -- ~ DATE
INSTITUTION~ I~N~ 0~N[~.
~~m~ m Irm