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Home My WebLink About11930-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~2689 Date August IO, ~;;.][~i , 9~.~.. THIS CERTIFIES that the building addition Location of Property .. r~ Soundview Ave. Southold House No. ........................... 's't/e i ....................... County Tax Map No. 1000 S~ction '.. ~ ...... Block .. O~ .Lot OO~ Subdivision ~ Filed Map No. x .Lot No. conforms substantially to the Application for Building Pe~it heretofore filed in t~s office dated ..... ~.~T. ~.~., 19 ~. pursuant to w~ch Building Pe~it No. ~ ~ 9~O~ dated ...~999.~ .~ ........... 19~., was issued, and conforms to a~ of the requirements of the applicable provisions of the law. The occupancy for w~ch t~s certi~cate is issued is ......... ~e certificate is issued to ...................................... (owner, ~) of the aforesaid building. Suffolk County Department of Health Approval ......................................... UNDERWRITERS CERTIFICATE NO ..................... ~.~. .................... Rev. 1/81 z~oP,~ No. ~ · · TOWN ,DFi BUILDING D~PAR~ENT TOW SOUTH'OLD/N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON T~H,E PREMISES COMPLETION OF THE WORK ^UTHORIZED) N°. 11930 Z Permission to at prefnise~ located at UNTIL ~ULL is hereby granted to: / ..... ~.,,.,~_z~.,.,,.,...,.,,...,..~,,,~ ........... ..... :: ....... ........ .... :~.~.~.~,.. ..~,...~ ...... Couhty Tax Map No, 1000 Section .....>,,r..~ ;. BIO~ i:..~']...~.. ........ iLLot No.~)~ ......... pursuant Jo appllcaton dated ~~~.::;:....., 19~,, and approv~ by the Bu ding Ospector. . Fee *.~,~ ............ Rev.. 6~30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,?=othold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Co Fees: 1. Certificate of occupancy on pre-existing dwelling / land use Certificate of occupancy $5.00 2. 3. Copy of certificate of occupancy $1.00 ~ --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ~ Vacant Land Location of Property 7.~..~. ~. ..... /~: ~., .~. 0...~. ~/~ ~.q~.~/?.~.~:~.../¢~...,..~.. ~...~./~..~. ~..D )/~;. ~. ,.~', House No. Street 'Ham/et Owner or Owners of Property . .~. ~.4~./..~.'...~, ,~,~,/L~,, . ... .. ........................ .... County Tax Map No. 1000 Section ...~.~..~. ....... Block .. ~..~.. ........ Lot...~..~. ~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./].(~...~. ~.. Date ofPermit ~/'Z.~/~'.-~.Applicant....~.~.*.~.C'..~.~......~. · .~.~..~.~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval.. ~. ~.~/. 7~.~..~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Construction on abo~e described budding and permit meets all applicable code~ Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ~A~ ~[~ i~¥J,~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No. o~ /ile ~5183 ~x[~ N 647285 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the able application nu~nber in the premises of in the following location; ~ Basement '~ 1st FI. ~ 2nd FI. Section Bt~k Lot was examined on and found to be in compliance with the req.~rements of this Board. FIXTURE OUTLETS FIXTURES SWITCHES NCANDESCE NT FLUORESCENT DRYERS FURNACE MOTORS FEEDERS TIME CLOCKS VAPOR RANGES OVENS FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E 2/O 210 Rudolf i~im~l;ein .Flor~il Park, N.Y. 11001 This certificate m~ust not be altered in any manner;, return to the office of the Board if incorrect. Inspecto GENERAL MANAGER 11, may be identified by their credentials. ' MANNER. FIEDD INSPECTION FOUNDATION FOUNDATION {2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS PHONE: (516) 7§5~3B47 DANIEL T. SMITH ea/ -:- 640 MECHANIC STREET -:- P.O. BOX 572 -:- SOUTHOLD, L.I., N.Y. 11971 Sept.21, 1982 A~praisal of house for Mr. Rudolph Bernstein. House is located on private road off Soundview Ave., Southold, N. Y. Contains approximately 1200 square feet of living area. Wood frame construction. Exterior covered with hand split red cedar shingles. Interior walls covered with 3/4 inch vertical pine boards. Kitchen with exoeptional cabinets. One bathroom average. One bathroom extra large and very expensively finished with imported tiles, large vanity, mirrors etc. Appraised Value asof Sept. 21, 1982 f~ Daniel T. Smith New York State Depe~ment of Environmental Conservation Regulatory Affairs Unit Bldg. 40, SUNY--Room 219 Stony Brook, NY 11794 (516) 751-7900 Robert F. Flacke Commissioner October 4, 1982 Mr. & Mrs. Rudolf Bernstein 128 Bellmore Street Floral Park, NY 11001 Dear Mr. & Mrs Bernstein: We have received on this date an application for an addition to your existing home located off of Soundview Avenue in the Town of Southold. Based on the photographs that you have submitted as part of your application, the Department has no problems with issuing you a Freshwater Wetlands permit for the construction. Unfortunately, it will take approximately two weeks before you receive said permit. This letter shall serve as confir- mation that a permit will be issued. Very truly yours, Michael J. ~Ftscina Senior Environmental Analyst MJF:cz FOIt~ NO, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. , proved ..... ........... , Perm, No. Application No ........~ .................... Disapproved a/c ..................... [~ ........... .~. ................................. ,Z. .................. ................ .............. APPLICATION FOR BUILDING PERMIT 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 plon 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 areas, and giving a detailed description of layout ofproperty must be drawn on the 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 worE. e. 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 Lows, 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. ' t~gnaTure OT applicant, or nome, if a corporation) ~. ... ~l~~. ,~ I.~)~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ui,der's L,cense .......... ..... Plumber's License No .............................. . Electrician's License No .......... ~.; .......... , . ......... ''--'"-- Othb~ Trade s License No. 1. Location of land on which prooosed work will be do~e. Map N~.; ........................ : ....... :~ ...... Lot ~o; ........................ .... ~~ ~.~ Municipa~i~ 2. b[ate exisHng use and occupancy of premises and inCended use and occupancy of proposed construction: ~. ~i~,.,.~. ~.~ occ~.~ ........ ~....z~......~.~...~..;. ............................................................. ~. ,.~.~d.~e~do~.~.c~ ...... L ...... ~. ........ ~<~.~..~.~.~ ............................................................. 3. Nature of work (check which applicable): New Building'. ................. Addition ....... Alteration .....: ........ J. t 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, Dimensians gq existing structures, if any: Front ...... .(Zt..~. ................ Rear .......... ~.~.. .................. Depth .................... ' Height ....... .//-¢ ............ Number of Stories ................................................................................................................. Dime'nsions of same structural with alterations or additions: Front ............ .~.~.. ................. Rear , / Depth ....... .~.~e ................... Height ........ ../..~.~ ............. Numbe~r of Stories ................................ 8. Dimensions of entire new con. struction: Front .......... ~ ............ Rear .~ .......... Dep~~' l-leight .................... Numberl of Stories ......................................................................................, ,~, ,t ~/,,,f ................ '~'"~ 9. Size of lot: Front ......... /.~.~ ...................................... Rear ....,~./.~.1. .......................... Depth.~.:../..~..(......([.5/.;f.,~.....' 10. , Date of Purchase ................. ~ ...................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................ /~.¢~'.,5'./...~.~..~..'..../.~../. ........................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ...... .~..¢?& .............. Will excess fill .be removed from premises: ( ) Yes (3(.) No 14. Name of Owner of premises ..... '4,~.v..~.[t[:/Z....,Z .~..C,'r..'r/.. ~z..~..~'.z.. Add ress ,r. x~'.:~, a...z..~r..:.~.. ..... Name of Architect .............L~..i/~.~Zr2....~.~........~../-/..// ................ Address ....................... ;. ....... Phone No ....................... Name of Contractor ...... ~.~./..'k....~...¢~.~./.J .................... Address/~..,/~z .~..~.~...~...~.~?/~/.~ .~.'.~,~Phone 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, j---' : 2 ),e / S'FATE OF COUN' (1~ ame of individual above named. contract) duly sworn, deposes and says that he is the applicam //~tractor~gent, corporate officer, c.) of said owner or owners and is~uly aut[~ori~ed to perform or have performed the said work and to make and file this appli'cation; that all statemeq"ts ~ontained in this application are true to the best of his knowledge and belief; and thru' the work will be performed in ~the manner set forth in the application filed therewith. Sworn to ~before me this ,-~--~ ~- ..... ~ day of ~~:': ...... , 19~ ~ Public .............. ~~un~ ~~ .................. ~, 5~.~125850, Suffolk Co~/ ~ - T~rm ExDIr~ ~arch 30. r NOTING 5~PARTM~NT AT 765-1802 9 AM TO 4 PM FOP-, TH[ FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST' OCCU?AHCY OR USE iS UHLAWFUL WlTl~il~T CERTii:IC~,TE OF OCD?~.NC¥ Notes Dat,e Issue _. I J, Drawing Number Notes // rJ Date Issue Drawing Number Notes L r _L L _~ T Date Issue Title E L~-VA.?I OtO~ FI"LO lOT Floor Scale Drawn by ~,, f~-, Project Ef:,E:F/.4,O STI F--R, Number Drawing Number