The URL can be used to link to this page

Home My WebLink About22987-z i Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24048 Date NOVEMBER 28, 1995 THIS CERTIFIES that the building ADDITION Location of Property 200 ROGERS RD. SOUTHOLD, N.Y. House No. Street Hamlet r County Tax Map No. 1000 Section 66 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1995 pursuant to which Building Permit No. 22987—Z dated SEPTEMBER 5, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to VIRGINIA SCHMIDT & OTHERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 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 AUTHORIZE Date ........... ........... ............ ............... 19�`f... elf° 22987 Z Permission Is hereby grante . ....... .... .. d.................................. 1410 ...... ........ ...� . ......... .... ..... ............... ...................... .......... ............ ........ .. ... .......6�...... .......... ............ .. ........................................ .................................................................................................................................................................. ......................................................................... ......................... at premises located at.........ao ... ..... ....... ................................ ............................................. .................................................I...... .......... ..... .. .. . .. County Tax Map No. 1000 Section ........... !, ... Block.......... ......... Lot No. /46�p.................. pursuant to application dated .................;,� .. ... �........ 19...::.. ...., and approved by the Building Inspector. Fee$..../,,07-. .... ............... Building Inspector Rev. 6/30/80 " Form No. 6 nu '- m`ot -� fc _•��- � �� ly ;�: TOWN OF SOUTHOLD �OX `u �_ ". "" s.�H, BUILDING DEPARTMENT TOWN HALL 765-1802 �,[1PPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lines, . streets, and unusual natural or topographic features. 2. Final 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 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 buildings andand installations, a certificate of Code Compliance from 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 and '.'pre-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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0?0, Commercial $15.00 Date . . . . . . ...� . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing QBuilding. . //jj��. . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . ./ . L��S. . . .,G�c . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . J. . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . .Block. . . . . . .I. . . . . . . . .Lot. . . . . !. ... . . . . . . . . . . . . Subdivision.' !q P®N . .(_ �. . . . . .Filed Map. . . . . . . . . . . .Lot. . � . . . . . . . . . . . 7]Permit No. �3.99V- . . .Date Of Permit. .o.``: . /. . .Applicant. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final. Certicate. . . . . . . . . . . Fee Submitted: $ . . . . . . . . . . . . . . . . . . APPLICANT. . . . . . . . . T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE INSPECTOR �� OFFOIlr O c� Gy'c y 2 Town Hall,53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 16, 1995 Ms . Virginia Schmidt 11 Birch Street Danbury, CT 06810 . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on 'file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22987-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD ------INSPECTION=RPPOR'f--I�=DATE ==11=====�_______________________COMMENTS=====_____________ II II H FOUNDATION ( IST) --- I --- ---- -- - I II IjC-----ii FOUNDATION (2ND) C=f --------------------------- � ------------------------- ------- li II ROUGH FRAME & 11 II PLUMBING — II I� II II - II INSLJi.ATION PER N. Y. ----- to �� --- -- ------- H STATE ENERGY CODE II II \ Ii--- -II— — — 01 t II r� II FINAL. ��------ ADDITIONAL COMMENTS: • t 1 H z r a ,d 12' l i'C 2" x 8"Joists if Apo D �QT DATE: B.P# FEE: BY: 8' NOTIFY BUILDING OE1POR 76 5-1 BC2 SCAM TO 4. TH FOLLOWING INSPEIr 1. FouND,ATIE?PIP :n-ri-10, FC)R POURED CONCRETE 5/4" X 6"Decking 2. rOUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 13.E COMPLETE FOR C.O. ALL CONSTRUCTION SHILL MEET THE REQUIREMENTS OF THE N.Y. $,TA-E CONSTRUCTION &. ENERGY CODES. NOT RESPONSIBLE FOR Q ES]GI &?fit CONSTRt1GTlOUERRORS PROPOSED DECK EXISTING STRUCTURE SCBAMT RESIDENCE 200 ROGERS ROAD SOUTHOLD,NYqnb wv is 19CAF ° 6 n lvcr ,y - - r Garage 35' i+ Proposed Deck o ' 8'X 12' Existing Structure 26' X 36' 35 15' - 10 w 'er e- Rar -oN.. i i iaN ..1 aithful anto atal Ca ti?p, August 16, 1995 Mr. Garry Fish Building Department Town of Southold Town Hall Southold,NY 11971 Dear Garry; Please accept my apology for"bulling ahead"with what I felt was a minor project at our family home on Rogers Road in the Beixidon Estates section of Southold. It was not my intent to ignore Town Codes and procedures, but rather my sense of urgency was prompted by my parents health problems. Currently the rear entrance to the house consists of 3 steps to the door with no landing or platform on top. This entrance,although grand fathered,presents a challenge to the most agile.Both Mom and Dad have fallen on these steps this summer when attempting to enter the house. Both are in their 80s, friable, and easily upset by confusion.Mom is currently in the hospital for foot surgery and Dad is staying with my sister in Bellmore,so it seemed an opportune time to correct the problem on a non-traumatic basis for them. The deck or replacement porch we wish to add will allow my parents to open the rear door from a secure platform. It will also permit my mother to exit the rear of the house in her wheel chair to which she will be confined for several more months. Although the size of this project is minimal from a construction point of view, it is paramount in the eyes of the family as a safety and comfort factor for my parents. Again, I apologize for the presumption that such a small project required a detailed approva$and ask your understanding of my concern for my parents well-being. Thank you for any assistance you may be able to give in expediting this application for a Building Permit. Sincerely, eV�ira E. Schmidt-Gedney i.�IIPOW 1 , J .. -. .., .. .,:. .,. „ .. ,..... .. .. RQUTE ,25 JERICH�1 Ti1�Nipli(� •� 4 17 i1 AO+ OIF N 8?E/Xtb0N ESTATES 1 l,... ''i• t 3 r�, To tNN bF Sd UTNd LO ,1 323t •%o j 5t iF• Lk CCyUN7Y N. Y 14 it p iY ► \ ` 'r �R,A, C6 f� N/CKLES Y y a� k aesS/. C .. .:.:pus. sy:.,..> •< :.- r.w x, w �ar R,..-.:�..+, f� ' S �*"_�,'��C \ �S..0 .a. } .,•. .F _ .,�_. /6 S 1 Y � � .' IVoier Nri�ir ejdi3dicwlreii��lAr6lrrd? ri}o �y� 4" � 4 N=`t, � ' � Or bi�lre3�heiiir!reirii !d Miiild�o'r/Ae�ub)l2.,'' �",� •s•, • i1 a :.�4I `�,r wa t•N 4' . k is .. i t ?vw rAM asWe - .. sue►. ,/ +} �) �,Sj ark p,� `�` ��r•f�f N714�I Ct171 C-. / O-71 _ +� . f Iy i '' } 41 �' � 11 i'i \�,�v. ��;.' I�f,N' w?.1��y� 1 ,iol� ♦4 � {a ��/� D• 4 ,Sr -T$�t � r.: t 7 k•� „.• .� v � b �A':1 di.. �l•a t'��i � y � N.S! •Y - h T _._:irk s '�t�i1 + ••- _ ��`� n ..-++s:. ,�'� y FF 1 .l t n -,ir t J '.; (,;v ii 1� ) j�, a � �' j •el 3• �4� Z =ae N �d ;r _ ,x 'Hi��'�tSl�b,.f�' =.� fi j�4�,+%"F U 1 y';fM yY i • `•1�l /9 r (I' 4 ., �.to��k n c � ""'+•."'1 Fb� �`.�a} a �� L! .6*!.>� (; „ . f ; 3f e•,.: �t tGG1 tiro b 1 �ul bi.ii 6 j i • M 04 N ,i y, e 4 i 1•f t'/, �.• „`d� 11 L i .'_Ii° ` Iie 2 ` h z'¢ L�%,cD� \.. J r I r a ��' L i g 1 r 3 `` ` 'ii ..n 1_T•Y ".,� \ �. '. N • +� d,iip•i �.:'/ J s.r,ea•.wt�m t t'Y\ i �4_ �� r x�f �,y�+-. „�,:,r.,.-•.-tea :,�.._,..•:•�:-�•- =_�__,e.;-;.,_:.,,, � ' ; _ '�-. a I/rwrody cli/!f�J�y(IA/3 Apo mo m9/6 JYrvrybtnir'rP/e r 1'fillshweairint'iek.ieiiwwrnrl�•rirsellpiwld • {, a Lreiw3ed lrrr',�%s� � � �, k, f4. '��.. ,...::.n..". -w.,.:.....- .. r.,,...;_. \t� nc 'a. r•y. ,.,..>,e-....,rn.x,. ,....:�:.«::.� •....,:..,,.., ..,.. •t. - LoNO ISLAND ' t UN SEIXE N ESTATEA, NPORT t :. leggy potty f�a"rEN$� a •.:� 1` F µOPOINT NT" 40UTN. �A7 �, __..._ • . A� A ,. tl �.. te.:v.! M4''�,;?Z�.'r"4�._s�....,.. .�'.s y.�t,,.,��..;i:'.�er.—.,.. _.�.._ .-,..� ...� c n,__ �a�Y.- 1.. t�`�_�_ �,5'_i� �(�C • r BOARD OF IIEALTII . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . .. . . . . . TOWN OF SOUTHOLD SURVEY . . . . . _ _ _ . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . . . TOWN HALL SEPTIC FORH _ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT I F Y ; Examined . . . . 19 ter . . . C n L L ., n 11, TO . �/� —a NA Approved . :/�� . . . . . 19 • . . Permit No.Co7. Disapproved.a/c . . . . . . . . . . . . _ _ . . . . . . . . . . . (Building Inspector) P ICATION FOR BUILDING PERMIT .C. tii!'•� �. . . . 19 :7 ,S Date INSTRUCTIONS t a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspectori with 3 sets of plans, accurate plot plan to scale. Pee 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-Pennit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building sliall 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., moval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances,/liuildir go e, housing code, and regulations, and to ndn,it authorized inspcctors oil premises and in building for necessa llnspecti it Signature of applicant, or nan`�6, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,I . . . . . . . . . . . . . . . Name of owner of premises . V! �!(tl/ . . �C'.N'yl�f/P/. . . . .t /`f��Jr : .'. . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. -� � (Name and title of corporate officer) Builder's License No. ' AUG 7 1 19g5 Plumber's License No. . . . Electrician's License No. . . . . . . - Other Trade's License No. 1. Location of land on which proposed work will be done. . . . . . . . . . . , . [louse Number_Map No. Hamlet l :� L� .County Tax ap No. 1090 Section Bloc . . . . , . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . Filed Map No. Lot (Name) ; . . . . . . . 2: State existing use and occupancy of premises and intended use and occupancy of proposed .construction: a. Exis(ing use and occupancy Prv�c,Li �- . . . . . . . b. Intended use and occupancy " /D2C�f s. Nature of work (check which applicable): New Building . ; . . . . . . . ; Addition . . . . . . . . . . Alteration i/ Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4 (Description) Estimated Cost . . . . . .. .... .�O ✓��. . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . .. Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, nunil)er of cars 6. If business, commercial or mixed occupancy, specify nasure and extent of-each type of use " 7. Dimensions of existing stnictures, if any: Front . . . . .d . . Rear �. Depth . . . I leight Nuiitber of Slorics Dimensions of Sallie structure with alterations or additions: FrontRear Depth . . . . . . . . � � . . . . . Ileight . .1A, — ' 3��° . . . . . . . : . : Nu m'be'r of Stories . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . Depth Height . . . . . . . . . . . . . . . Number of Stories . . 9. Size of lot: Front . . . . .�� . . . . . . ... . . Rear. . . . . . . ..7 I %. . . . . . . . . . . . . . . . . . . . . . :,. . . . . . . . . . . . . . 10. Date of Purchase . . . . . ..�ff�. . . . . eptit . Name of Fonner Owner 1 I. Zone or use district in which premises are situated . . . . . . . . 12. Does proposed construction violate anN' zoliing law, ordinance or regulation: . . , . . . • . . . . . . . . . . . . . . . . .. 13. Will lot be regraded . . . . ./,6. . . . . . front p . . . . . . . . . " " '^ . . . \'Vitt excess fill be removed from premises: Yes No 14. Naiiie of Owner of 1)remisesVi.pwIN1A 5C ory PTY-.0A . A(I(IressBC ,','-941 �5'0Ge I'll one No.7faS�:S-C�/• Nance of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . Name of Contractor Address . Phone No. . . . . . . . • . . 15. I.s this property within 300 feel of a tidal wetland? *Yes. No.'.Y. . . . . . . . . . . . . *If yes, Southold 'Town Trustees Permit may. be required. PLOT DIAGRAM Locale clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from properly lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Garage 35' - --------i�ProposedDeck 8'X 12' P4 � Vl cExisting Structure �— 35' 26'X 36' 15' 3TATE OF Nl�\ PORK, 'OUNTY OF . Itt t"�Lam. . . S.:S. � 1 �•t•�1• • • • L t p�•- • CT . . . . . being duly sworn, deposes and says that Ite is the applicant (Nance of individual signing contract) .bove named. leis tile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) .f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this phlication; that all statements contained in this application are true to. lice best of his knowledge and belief; and that the pork will be performed in the manner set forth in the application filed therewith. ,worn to before ine.this. . . . . . . . . . . .�9. . . . . . . .day of . . . . . . . . ... . . . 191C .5� lolary Public, County \ � . IRIS R.BEGORA . Notary Public,State of New York . ' No.olBE4844761 ( gna ire of applicant) oualifisd in Suffolk County / Commission Expires January 31,19 6