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Home My WebLink About8966-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCf No Z 18283 Date AUGUST 14~ 1989 . THIS CERTIFIES that the building Location of Property. 13090 House No. Street County Tax Map No. 1000 Section 54 Block 3 Subdivision Filed Map ONE FAMILY DWELLING SOUTHOLD Lot 14.4 SOUNDVIEW AVENUE Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 1976 pursuant to which Building Permit No. 8966Z dated NOVEMBER 17, 1976 ..... 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 PRIVATE ONE FAMILY DWELLING The certificate is issued to EDWARD POLCER & wf (owner, _ ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL MAY 12, 1977 by R. VILLA UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N334953 APRIL 28, 1977 Building Inspector Rev. 1/81 FORM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. CerfiFicnfe OF Occupnncy No.~?.6.6~. ....... Date ............. .Htl~r... ~3 ......, 19.77. THIS CERTIFIES that the building located at . ~...~9.~.n~, .V.~.~.~..Ay.~. ..... Street Map No..XX ......... Block No .... XX ..... Lot No, .. Z,x.. 8o.utholkl.. N.,.¥, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... N.°.v... ~,[19.7.6.. pursuant to which Building Permit No...~.9.6..6.Z. dated ........... ~io..V.. J.7...., 19.?.6.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is P. rivaie, one .faily. ff~ll~ig ....................................... The certificate is issued to . 1~:~. ~Al~t~ra..~pi~L~ri. 9sI,®l~ ....... .~qrl~r ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~4~y.. 1~...i.9.7.7. · lay. Fl.,. ,Villa... UNDERWRITERS CERTIFICATE No..~.3~3 .... ~p?.,. ~.8...t. 9~.~. ................ HOUSE NUMBER .. 13~0,, ..... Street .... Soll,~ld, Ave. · f:lollt}ho~cl ............... ............ .......... TOWN OF $OUTHOLo BUILDIHC DEPART}IENT TOWN BALL $0UTHOLD, ~E~ 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.AUQU~.I~: 1989 NEW C0::STKUCTIoN ....... OLD OR PRE-EXISTING BUILDING. X -VACANT LAND ....... '2ocs~ien of Property.. 1~09 Sounduiew Avenue, Southold, ~ew York HOUSE NO. STREET HAMLET !]user or Owners of Property. Edward Polcer ~nd Judith Polcer, his wife i:ouo:7 ram Map No. ~000 Sec:ion 054.00 Block qJ.~0 .q%5..~4 ...... - .... Lot'.. i'ubdivi=ion ~crmit !eai~h Filed Map ........ LoC No..~%6~. .... Da~e of perai~lT.~ov. 1976 Austra Spilva deLehr ........ Applicant ........ ..... N334953 Dept. Approval May 12~ - Underwriters App~o~al.k~.28~.i977 Approval .. Wpdated for Temporary Cer~ificace ....... ~Lvnwaxl Cer~ificn~e Sub=irked: $..50.00 Former Certificate of Occupancy No. Z7662 .._~/~May 13, 1977 APPLICANT ..... . ~ _ A~torney for Contract ~urc-b~e~'~l?'~'~--.--. ~/ Ann De Angelis PHILIP B. MATTHEWS STEPaEN L,H~, m IV~ATTHE'6~S & I{AlVf ATTORNEYS AND COUNSELLORS AT LAW ~5 H~PTON ROAD SOUTHAi, iPTON, N.Y. 11968 516-283-2400 TELECOPIER 516-287-1076 August 11, 1989 Building Department, Town of Southold, Main Road, Southold, NY 11971 Re: Edward and Judith Polcer - Ann De Anqelis I am enclosing herewith an application for an updated Certificate of Occupancy on premises at 1309 Soundview Avenue, Southold, New York, together with our check drawn to the order of the Building Department, Town of Southold in the amount of $50.00 in payment of the same. If possible, I would like this certificate of occupancy issued in the name of Ann De Angelis, who is acquiring the premises from Mr. and Mrs. Polcer. PBM:ja Enclosures Very tru~l,y/.yours,~ ~// ~ l~Oll~Z NO. 6 TOWN OF $OUTHOLD , Building Depmtment Town C:lerkc Office Southold, N. Y. 11971 APPUGATION FOR CERTIFIGATE OF OCCUPANC:Y Instructions A, This application must be filled in typewriter OR ink., and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. 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 disposals(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, AAultiple Residences and similar buildings and installations, 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 property showing all property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Dete New Building ......%~......... Addition ................ Old or Pre-existing Building ................ ¥ocant Land .............. Owner Or Owners Of Property ..~./~.?..:~...~'...~...~......~.~.L.[n.?.~........~.~....~......~....l~.~.J~ ....................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~...~..~..~....~.Z,.... Date Of Permit~.~..,././~.~..~.Applicant E°..?...?...~O..i~...~...~......~'i~....?....~..~...J...~l...C?. ...... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ~l..~.~.!.l,...~..~.,,...L~.~/...~.. ........... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .... ~ ............................ Fee Submitted $ .....~...~ ................. Construction on above described building ~.~ermit meets all o~c_bl~e~cTs and ~.l~e~gul~/otions. Applicant .~.~.~.~ ........ ~.~ ..~ ............... Sworn to before me this ....... Z ...... dayof ............... .~ ........., ......... Z (stamp or sZ~ . ~:' 7,,~i~: ,;'/THE; NEW YORK BOARD OF FIRE UNDERWRITERS f~l.::!L' :"')',7!~- .- '' '/: ' BUREAU OF ELECTRICITY ' ~ !l :'~; '/~;':i~;: , ' 85 JOHN STREET, NEW YOrk, NEW York 10038 THIS CERTIFIES THAT ~ ~ ' ., ~ , , , .~ , , .... : only the el~trical e~uipme~t'~ described b;low and introduced by the appllca~t named on the abo;e application number in the premises of- Hs ~ Leh~,.~ Soundv~ew Ave., e/o Hog,oas Lane, ' Sou~ho~d, L.I. OVENS ': V I 'C'' Cha:les' M. Hall " _So'old,. L.I. t1971 ' ~ , , tc ~657E , ~ 'p~_d TOWN OF SOUTHOLD~'.~"}j; TOWN CLERK'S OFFICE Ex, mi d ......................................... ]~ ........ ~ , o~sopproveo alc .................................. ~ .......... ~ ......................................... ........................................................................ · ......... ................... ........ APPLICATION FOR BUILDING PERMIT . ._ D0te ......... ................... . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pint plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, ancl~ 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 ghe p~emises available for inspection throughout the work. et 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 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 t~,.~ ¥, t t'~ Cq '...; ~ ~ £,.. ,~ O.: L ~ ~;~ If appl[c.~.n't.~is a corporate, signature of duly authorized officer. ............. ...... .............. l Name and title of i~orporate/officer) Builder's License No :' ,~.~I ~-.({~k ~ .2~ Plumber's License No ......................................................... E ectr can's L cense No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .............................................. Lot No ......................... Municipality 2.State existin~ use and oceupanc~ of cremises and intended use and occupancy of ~roposed construction: a. Existin~ use and occupancy .................................................................................................................................... b. Intended use and occupancy , ~'~: ~ l z~ ~ ~ ~ ~r~'~ N 3. Nature of work (check which applicable): New Building ..,...~., ............... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demo)ition ........................ Other Work .................................... / O (Description) 4. Estimated Cost .:.......~...?~..~..~.....~.. ................... Fee ..... .?....~.....: .................. i ......................................................... (to be paid on filing this application)~, 5. if dwelling, number of dwelling units .................Number of dwelhng umts on each f ocr ....: ............... ; ................... If garage, number of cars ..... ;~.~,, .................................................................................................................................. 6. If business, commercial or mixed occuDancv, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front ..... ..~...~.."~.. ..... Rear ...~. ....................... Depth ................................... He)ght ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ................. .. ....................... Number of Stories ................ , ...................... 8. Dimensions of entre new construction: Front ......~-.,~...~. ........... Rear_~...~.;.~'. ................. Depth .~2/..~. ....... ht , ~..~. .. , Number of Stories .... /. ~/~''~? ~/' ' ..................... Helg ........ ';';7~,"? ...... , r., ,.~ - ' ............ ,~ ~ ~" ............... 9. Size of lot. Front ..... ~'..~...~. ........................ Rear ...... /..~..'~.. .......................... Depth ...... .q..~... ..................................... 1~.' 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: ..... ~.Y.~ ................................................ 13. WiJl Jot be regraded ...... ,~....~. ............. 'i ......... Will excess fill be removed from premises: [ ] Yes [~ No 14. Name of Owner of premises .~J~.,t'.T.~.~/~....~...~..L.~..~..L~......J?...~.....L..?...~...~.~..; .................................................................. (Address) (Phone No.) Name of Architect ..................................................................................................................................................... , ' !Address) (Phone No.) Name of Contractor .......................................... ~ ...................... .'J..,~ ........................................... ~ ............................... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er in'terior or corner lot. STATF OF NEW YORK, ) SS COUNTY OF ......... ]~U~O~,I~ ......................... ) · ............... d,W sworn, deposes add says t at be tbe ,pp,cant above named. (N~me of [~d~j.$~a! ~t~h~ contract) He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in tbis application are true to the best of his knowledge and belief; and that the work win be performed in the mannem set forth in the application filed therewith. ...................................... day of ............ e ...... ;":"': .......... i~19 ............. / '! Term Expires Mac 30 Notary Pghhc,' .................................................................. '..r~dnty .... /~;~...~ ........................ '~'"~" ............. 'j ............................................. ?- / . .,'-~ ' / / '. / (Signature of applicant)