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HomeMy WebLinkAbout5923-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26595 Date: 07/27/99 THIS CERTIFIES that the building ADDITIONS Location of Property: 20205 SOUNDVIEW AVENUE SOUTHOLD (HOUSE NO.) (STREET} (HAMLET} County Tax Map NO. 473889 Section 51 Block 4 Lot 7 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1972 pursuant to which Building Permit No. 5923-Z dated JUNE 5, 1972 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 ADDITION AND ~aT~D CONCRETE PATIO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALEXANDER G. LITRAS (OW~R) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building I nsp~to~ 07/23/99 ~ORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMEhiT TOWN CLERK'S OFFICE SOUTHOLD, hi.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5923 Z Permission is hereby granted to: ,o ..... ~,~..~..~.o.~...e.~....e..x..~?.~..~.~ ........................................................... at premises located at ..... l/~.....Jl~tl~..~.te~t..~'~ ......................................................................... ................................................... ~e~et~ ...... .~,¥., ......................................................................... pursuant to application doted ........................... ~.~i$..~. ............. , 19..~.., and cpproved by the Building Inspector. Fee $..~lz~l~ ......... THE NEW YORK BOARD OF FIRE UNDERWRITERS PAo . EURE^U OF E,ECTR,C,TY ~'~ 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 02,1999 Application No. on,re 18668699/99 H 065174 THIS CERTIFIES THAT only the eicct~cal equipment as described below and introduced by the applicant named on the above application number is in the premises of ALEY.%NDER G. LITR~£, 20205 in the following location; [] Basement was examined on JI~LY 23,~ ao FIX~JRE OUTLETS SOUNDVIEW AVF. aXKJE, SOUTHOLD, NY [] 1st Fl. [] 2nd FL Section BLock and found to be in compliance with the National Electrical Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. E SERVICE DISCONNECT NO. or OTHER A~PARATUS: ~{CLO£ED PORCH- ~ RANGES SPECIAL REC'PT. AMT. AMP. E NO. OF CC COND. PER ~ *NO VISUAL DEFECTS, "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactor~ condition was found. BE%T~LY PATERSON LITRAS 269 RUSSELL AVENUE TIME CLOCKS I UNIT HEATERS MULTI-OUTLET BELL SYSTEMS AMT. AM~S. TRANS. IAM~I H~. NO. OF FEET V I OF CC* COND. EXHAUST FANS AMT. H.~. DIMMERS C GENERAL MANAGER SU~TIELD, CT, 06078 This certEIcate must not be altered In any manner; return to the office of ~e Board If Incorrect. In=bectom may be Identified by their credentloll. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all properW lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. F~ -- ~ "POOLS $25.00ALTERATION $25.00 New Dwelling $25.O0, Accessory ,$|0.00 Business $50.00 pancy on pre-existing dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Da~e .......................... NewConstruction ...... Old or Pre-existing Building ........... Vacant Land ............. Location of Property ~ .......... ~ ,. ....................... House No. Street Hamlet Owner or Owners of Property ~..~.~'~l~,, .(~.:~.!![~_ ~r~.~ .................................... County Tax Map No. 1000 Section ~ I Block ............... ............... Lot.....,.....,.... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..................... .. Fee Submitted $ ~.K~.. ...................... Examined ..... .~.;/..~........'~... ........, Approved ........................................, FOBM NO. 1 *' ,, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19..~...~. Pemit No....'~...?...,..~,.,~......~.. .......... Application No, · .~...~... ...................... Disapproved a/c ............................................................................................ .............................. ................................ ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS t~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi 3 sets of plans, accurate plot plan to scala. 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 diagram which is part of this application. 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 applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No buBding 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 Zon Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction o4 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws.1 ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................... ......................................................................................................... Name of owner of premises ............. ~....~. ,~,.~"'~ ....... ...~.~..~.~.,/./.. ............................................................................. . If applicant i,s a corpora~re of dul~thorized officer. .............. ~ ';"~ ~"~i;~i ~ '~' ~ ~ ;'~'~:~'~"~'~f i c~ r~ ..................... 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number ................ /~/.~...~.......'~./.i./.~ ......w~,~.~..~..,~'.~...~...~....~.~ ................ .,,~.,.EX ,~ff~...~.. ,/,~,,, ....... Municipality 2. State existing use and occupancy of premises an.d intended use and occupancy of proposed construction: a. Existing use and occupancy ...... /......~.~.~z../..Z~....~../-~....'f./~./.~"z..~ .......................... Cx ~ ~,~'"" ....................................... b. Intended use and occupancy .../......Z~f-~.,,zz,~.~(..,~....~f...~./././.~/ ......... ~ ................................................. 3. · Nature of work (check which applic~bl.e!: N~ew Building ....................... Addition ........ ..~..~....~.i. Alteration .......... .'.... Repair ............. ............ Removal ......................... Demolition ........................ Other Work .............................. ': ..... (Description) 4. Estimated Cost .... '.~....,~,.~'/,~.~;:~..,..~...~.. ........... Fee ................................................................................................. (to be paid on filing 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. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height ........................................................... Number of Stories .........x~.....,T~.. .......................................................... 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 ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ........... ..~.'...~..¢..~.' .~.. ........ Rear ............. ~....~...:....~....~.. ........ Depth .......... .~.....~..~.....~ ....................... Height .................................................... Number of Stories ...................................................................................... 10. Date of Purchase ............. /...,,~...~...~... ....... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ........................ ~.. ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............. .~.?.. ....................................... 13. Will lot be regraded ............. x~.). ........... Will excess fill be removed from premises: [ ] Yes J~ No 14. Name of Owner of premises ..,~..~.~..~'.~'...~..../.~J~'x~:.~..~'~'../.........~..,~..~.,~./..'-~..Z~.~.....t~..' .~..,.......~..~.~.~ ..... (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ..... ...~.~'.~..t~..~..~.....~..~..~..~. .......... ~?~.~......~..~...~...4'.~.1~..~.~.~.~.~.~.~.~.....~..~...7...~.~.../.~.. {Address) ,/ ! (Phone No.) PLOT DIAGRAM ~.~, ,,,,~x~-,,, ~,-, x~, -~ .~ ~r~-~ Lid, ca,re d~earlv and distinctly ail buil~fl3gs, whether existing or proposed, and indicate all set-back dimensions from '-'lbRi13elr't~'~.~'h~-'i~l'~lO~n~{l~i~r description according to deed, and ;_how street names ind indicate wheth- er interior or corner lot. COUNTY OF ........~. .................... ) .......... · ~,.~~~.~.~,..~.1~ dul~o~d~ys that he is the applicant above named. He is the ................................................................................................. ...~M.~.z .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform,or have Dar-f. ormed'the-~aid work and to make and file this application; that all statements contained in this application are true tok. ,~,...._the~)~-~,~)~v~:lgb~h~'~--~; an~ that the work will ~ ~ormed in the ~nner ................ ~.....~....day of ......... ~ .......... :~. 55~ ~w~ ................ ........ .......................................... u[S~ture of appl~c~t} 0 G~©. //'7~/