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HomeMy WebLinkAbout2348-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTFfENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19221 Date JULY 17, 1990 THIS CERTIFIES that the building. Location of Propert~ 185 SUNSET WAY House No. County Tax Map No. 1000 Section 91 Subdivision ONE FAMILY DWELLING SOUTHOLD Street Hamlet Block 01 Lot 14 Filed Map No. Lot No. 180 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10~ 1964 pursuant to which Building Permit No. 2348Z dated APRIL 13~ 1964 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 ONE FAMILY DWELLING. The certificate is issued to EDWARD & ELIZABETH KATZER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ROBERT A. VILLA 5/21/64 UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 // B%ilding Inspector FOI~I NO. :~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2348 Z Permission is hereby granted to: ..................... S a~J. fJao.M ...................................... ~ pursuor/t to. Opglication dated .......................... l[~]:'7'"'];O ........... l~t~.~.., and approved by the Building lnspedtor ~, , ' ~ Bbilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY ~' " 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 su~ey 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 fo~). 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, indus.trial building, multiple residences and s~ilar buddings 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 bulldogs and "pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building ~d unusual natural or topographic features. ' 2._ A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~ Certificate of Occupancy - New dwell~~Additions to dwelling $25.00, ' Aiterations to~i00, Swimmi~ 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 - $5.00 over 5 years - $I0.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ........................................ New Construction ........... Old Or Pre-existing Building ................. Location of Property ........................... House No. Street Hamlet Onwer or Owners of Property ...................................................... County Tax Map No 1000, Section .... ~A ...... Block ..... 1 .......... Lot. ~.~ ~. .......... Su sion ................................. Filed Map ........ Lot... . Permit No .... ~.~. ~.?..~....Date Of Permit ...... ~..~..~...Applicant.. ~.~..7~.~.~... ~.~./~.~..~.~... ealt ept Approvsl Underwriters Approval 'Planning Board Approval / .? '" Request for: .Temporary Certificate ........... Final Certicate. Fee Submitted: $..t~....~ ..................... SUFFOLK OOU~@Y ])EP~I~TiiEI~ OF HEALTH Date May 21~ 196~ Building Permit No. 23l~8Z TO ~qOM IT MAY CONCERN: The sewage disposal facilities for a structure located at e/s Sunset Way~ Southold "(Give deed looation) have been inspected by this Department and fomud to be satisfactory. ~istrict E ng~6~f~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW~q CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATe OF OCCUPANCY No..~....~.~.~'~t ............. Date ............... .~.~Z....~9. ......................... , 19...0...bC.. THIS CERTIFIES that the building located at E/..~..~tt~8~tL..~8~. ....................................Street Ceaarbeaeh ?ark Map No ........9.0 .......... Block No ....................... Lot No. '1.80t ......... ,a¢~ut;bo~,d~...~.,.~r, ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ .~..~.?..~.~.....~..0. ............ , 19.(~?.~... pursuant to which Building Permit No...2:.3!.+..8.~... dated ............................. ,&~0~[,~.....~....., 19..~.~.., 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 ........ ..... ~£vate...one..,f.~iJ,~....d~l.li~g ........................................................................................... The certificate is issued to ..~[~.C].,..,]~[~Ze~ ............................... .0~/~ ...................................... (owner, lessee or tenont) o[ the aforesaid building. H.D. Approval May 21, 196t+ by R. Villa ................... · ...~.. :~'.~.~t ..... g Bu'~ - ilding nspector J ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~,~)~.~/ /...~ SOUTHOLD, N. Y. Exam,ned ........ ........ .................. ' '% 33 Approved ........................................ , 19 ........ Permit No .............................. ....... .~.,..,:,::::.~:.~.~:..~:~.~.-..~ ................. :~,.~,,~,~ ~ Disapproved ....................... : ........ ............... (Building lnspect~y"' ' ' APFLICATION FOR ~UILDING I~ERMIT Application No ............................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 applica- tion. ~ ~ 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 issue a Building Permit to the opplica,nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No bui~Lding shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H.EREBY 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, alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ...... C~.~.~.¢..:~.zFz;r...~,~...¢....C~.~'...~./~.: ....... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p~umber or builder. .....0...o....4(..~. ~-!~. L.o.:...~ ............................................... Name of owner of premises ...... ..~..~..(~...~..~.'ff~ ........ ¢~-~..~. Z.~-~/~. ................................................................................ applicant is o corporate, signature of duly authorized officer. ........ ........ ....... ~' (Name and title of corporate officer}.- 1. Location of land on which proposed work will be done. Map No.: .(.J~.ct.¢.~,.%.~'(.,4,.,..~.,G....~.JLl_ot No.: ...../..~..~ Street and Number ........ ......... ",.~.~.,¢,'~.~.,.~6,.?..,E..d.: ............... Municipality 2. State existing use and occupancy of premfses and intended use and occupancy of proposed construction. a. Existing use and occupancy ................................................................................................................................ b. Intended use and occupancy ....~..,r~.~;/./.~.~c~?. ............................................................................................... 3. Nature of work (check which applicable): New Building ....... ~ ......... Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Z .............. Number of dwelling units on each floor .......... ~.. If garage, number of cars .............. 6. If business, commercial or mixed occupancy, specify nature ,o:nd extent of each type of use 7. Dimensions 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 ........ .-~.~'.....~ ........... Rear ...... .~...~....: ............. Depth ..... Height ......,Z.O ................... Number of Stories ......... /. .................. 10. Date' of Purchase .......................................................... Name of Former Owner 1 1. Zon~ or use district in which premises are situated. 12. Does proposed construction violate any zoning ]aw, ordinance or regulation? ..... Z~...~.... Name of Arch tect .................................................... Address ...................... ..~..,~.~./..'~.......~...'Phone No. PLOT DIAGRAM LocaCe clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions fr, property lines. Give street and block numbers or description according to deed, and show street names and whether interior or garner lot. STAT[: OF!NEW YORK, ) COUNTY OF ............................ ) S.S. ..~'~,.~/g;P~.;..~.~,~'/~/.,/~. ............ ., ................ being duly sworn, deposes and says that he is the applica: u'~ame or ina~waua~ signing app Jcatiom above named. He is the ..Z~'O~'~/'~... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file applicationj that all statements contained in this application are true to the best of his knowledge a,nd belief; ar that the wqrk will be performed in the manner set forth in the application filed therewith. Sworn to b~fore me this ............ .......... o, ..........................