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Home My WebLink About11924-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16134 Date Sept. 4, I987 THIS CERTIFIES that the building ,...A.d..d..t.q .s..t p.r.a.g.e..b.u..i .1.d.i.n. g ................. Location of Pro crt 4 115 Soundview Ave, Soutl~old House No. Street Hamlet County Tax Map No. I000Section ...0..6.8 ...... Block .... 0..1 ......... Lot p/o 15 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .S.qg .t :.. 1.4. ~..1.9. 8..2, pursuant to which Building Permit No.. ! ! .9.2.4. Z. ............. dated .. S..e p.t.....2.1.,.. ! .9 .8.2. .......... 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 ......... .... Add it:.Lqu. ;t.o..ap-..e.~; ~-~.t. in. g..s.t.q .r .ag.e.. b..u.i.l_.d..ipg.....( .s.t.o.y .e..r.e.m..oy.e.d. ). ....... The certificate is issued to MICHAEL & RITA HAGERMAN (o wrier, ~ ~t~ffu~aY~t) of the aforesaid building. Suffolk County Department of Health Approval ........... .N/A ........................... UNDERWRITERS CERTIFICATE NO ........ N8 1 6 8 7 5 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 /~ilding Inspector TOWN or SOU~HO~'D i BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE/~ISES UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) 11924 Z Date Permission is hereby granted tq: . ~ ~ ., / t ......... :..e2...~.~ ................................................................ ,..,.: .............. """'""'7' .............. ~-' .... ~ ................ ~ ........ ' t' ." at ,rem,ses ,oc"-ec~d at .............. ~.. ....... .~-.~...~. ......... ~ .......~ ........ ~ .....~ ................ .*' ~ ................. i' ............................................................. ;' ?" .......... ;"'7''''~ ........... ? ........................................ County Tax Map No. 1000 'Section ....~..~..~..'.,..;. Bl°ek ,..~..../. ........... iLot No. -.~· ./.5-.~..~?~ ~,~a~, ,a o~',~o,,a~ da,ed ~,~'~.~:...~.~...-.~ ~,.~ a~d o~,o,e~ b, t~e Building I~spector. ; Bulldlng~ln.~ectot' Rev. 6/30~8o 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--iS-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 buiMings (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 informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 ~. 5.Updated C.O. $ 50.00 Date ... ' ..... .g/ /.~'~..~.... NeWtons truc t/on ...... Old or Pre-existing Building ............ Vacant Land ............. LOcatiOn Of PrOperty .Z:.lJl.s ......... House No. Street Nam/et Owner or Owners of Property ...... [.c. ' 'C ' ' j ' 0~ ~,v~. ~. .................... County Tax Map No. 1000 Section ... D.~ ~ ...... Block .... ~)./ ....... Lot... O,/.~.-¢~. .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..~.,..~..Z.. Date of Permit .¢~//,.%.. ,Applicant ...u~...~[~.~,~. ........ Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval . . ..~.)/~.~, ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $../.9 ........................ Construction on above described building and permit meets all applicabJe codes and regulations. Applicant.. ~..~.'.../~,~. ~.~ ............... FIELD I~SPECTION FOUNDATION (ls%) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~,ODE FINAL ADDITIONAL THE NEW, YORK BOARD OF FIRE UNDERWRITERS ~ : ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK~ 1003B.~. O.,e June 25, 1987 ~4pplicatlonNo. onfile 484170/87 the electr,cal equipment ~ ~scribed below a~ introduced by t~ appllca~t ~med on the a~ve application namber in the premises of Ha~orman~ 4115 Sound V2ow ~venuo, .~ t. Southold~ inthefollowlnglocatlon: ~Basement ~lstFt: ~2ndFt. garage~- ' Soo,i.n: Bt~k~):: Lot ~sexa.tlnedon June 15, 198 7 ~ : . andfou,td to be in cootpliat~ce u'ith th~ reqt*ireotents of tbis Board. FIX?URE FIXTURES RANGES OUTLETS SWITCHES PLUO~ESCEN? DISH WASHERS EXHAUST FANS TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /Z~ An application for Certificate of Occupancy is not On file. /5~~ No Underwriters Certificate on file. /_~/ The check is(outdated/~Qt on /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _~[ ..! _~ _~ ~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a of Occupancy. Clear up this ma~ter as soon so ~hat legal action does not have to be taken. Thank you for your prompt attention. Certificate as possible ~CAL. E..SO .1 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~.ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION DATE I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1803 Disapproved ale ...... :_:... ........ .- ....... -,, ~-,, ,: ~ ......... / APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No'..~//.~..~.~. ........ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or are~, and giving a detailed description of layout of property must be drawn on the diagram which is part of ~ appli- cation. c. The w°rk cOVered by this application may not be commenced before is~uanca of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall 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 what~ver 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 (hxiinance 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 a~rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspecto~ on premises and in building for necessary inspe.c~[on~ __ .q.t.t.f . ., . ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .I.cl ................................................................... owner of premises .... {'~ (~ h ¢ ~.~....~.:. ~:{0.,~4 ~'.~..~ .~. ........................................ Name of (~s on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) No...~-~ ................ Builder's License Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ..................... .50. .......... . House Number Street Hmlet CounW Tax Map No. 1000 Section ...,~ ....... Block .... O/ .......... Lot ~.. ~ff~ ...... Subdivision ........ ~ ........................... Filed Map No ............... Lot ............... (Nme) 2. State exist~g use and occup~cy of pmm~es and ~tended use 9nd occup~cy of proposed construction: a. Exist~g u~ and occupancy ... - 3. Nature of work (check which applicable): New Building .......... Addition ....... t~. Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 6 oo fo / (Des0ription) 4. Estimated Cost ......... ,. ....................... Fee ..................................... (to be p~d on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ If garage, number of c~s ..... ................................................................... 6. If business, commercial or mixed occup~cy, specify retire and extent of each ty~e of use ..................... 7. D~ensions of existing structures, if any: Front .... I.~ ......... Rear ... ~¢ ......... Depth...&~.~ ....... Height ... ~.~ ~ ........ Number of Stories .... ~ ................................................. D~ensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth ...................... HeiSt ......... ~ ............. Numb~r~f Stories ...................... 8. Dimensions of entire new construction: Front .. [~ . Rear .... ~ 2 ........ Depth ............... Height ............... Number of Stories . ....................................................... 9. Size o~lot: Front .S~.~ .O~a~ ~O ...... Rear ...................... Depth ...................... 10. Date of Purchase ........... .................. Name of Fomer Owner ............................. 11. Zone or use district in which promises are situated ..................................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: .... ~O ................. ; ....... 13. Wffi lot be regraded ............................. Will excess fill be removed from premises: Yes No 14. Nme of Owner of premises . ~.~ ~a.~ .~g~Or~.~ Address ... $.~ ......... Phone No. ~ & .g~7 (} ~ .... Name of Architect ............................ Address ................... Phone No ................ Nme of Contractor ......... ; ................. 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 whether interior or corner lot. STATE OF NEW YORK, COUNTY OF.. S.~. ~0L~ ....... iS'S ..... ha.e L..' .............. being duly sworn, deposes ~d says that he is the applicant (Name of individual s~g contract) above named. Heisthe ...... 0.~ R~.;~[[~*~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authored to perform or have perfo~ed the said work and to m~e ~d file this application; that ~1 statements cont~ned h this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ..' ......... ~ ..... day o;..~ ~~., 19~~ No~r~ PubI~,~Z~ .................... ~ ~ ~County~~ ' ' "~;e'~:;~l~t~~~"~~' '~ . .I H ~".f 765-1802 9 AXA TO 4 P,M FO~ FOLLO~VING ~. FOUNCAT!O~ - ~*/O FOR POURED CONCR~E 2. ROUGH - FRAMING 8~ 8. INSULAT!3*~ 4-FINAL- CO~'~7RUC%DN 6AuST BE COX¢,~LE~E FOR C.O. ~LL CONSTRUCT:ON SHALL THE REQUIREMENTS OF THE ~ATE CONSTRUCTION & ENE~ CODES. NOT RESPONSIBLE FOR D~IGN OR CONSTrUCTiON i - Sip i lie ~