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Home My WebLink About11783-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24606 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building Location of Propert~ 2165 BAY AVENUE House No. County Tax Map No. 1000 Section 31 Subdivision ACCESSORY EAST MARION, N.Y. Street Block 17 Lot Filed Map NO. Lot No. Hamlet 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1982 pursuant to which Building Permit No. 11783-Z dated JULY 7, 1982 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 ACCESSORY ~MOTE DECK The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 DONALD & JEAN FAZQUEZ ' ' InSpector/ BUI~ BUILDING p/ERM~ iT (THIS pERMIT, MUST BE KEPT ON~ ~H,E" · R~,EA ~ IS cOMPLETION OF THE WOR~At~TH~RIZED! 11783 Z Date .~ P~r~issiofl is hereby ora . : ; : i at plremis~ located at ..... ,approved by the TOWN OF SOUTHOLD BUILDLNG OEP AItT~ES~ TOWN u~kLL 765-1802 ~%PPLICATION FOR CERTIFICATE OF OCCUP~~YCY JUN 2 8 I.O,96 BLDG, DEPT. ZOWN OF $OUTHOLD ~bis application must be ~i~led in by ~ypewriter O~ ~n~ and submitted ~o the building inspector with the following: for new building or new use: i. Final survey of property wi~h accurate location of all buildings, property lines, streets, and unusual nature! or topographic features. 2. Final Approval from ~ealth Dept. of water supply and sewerage-disposa!($-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. : 5. Commercial building, industrial building, muitipieresidences and similar buildings 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 e~isting buildings (prior to April 9, !957) non-conforming uses, 'or buildings and "pre-existing" land uses: I. Accurate su~zey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect si=~ned by ~he applicant. If a Certificate of Occupancy is denied, the Building inspector shall sta~a the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool '$25,00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin_~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢. / 4. Updated Certificate of Occupancy $50.00 · 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / , ............ . ............. New Construction ....... j... Old Or Pre-e.~sting Buildino. ....... ~/~ ...... ,%~ Location of F'roperty..~,/.~. ~ ....... .//~ ~ .......... ./~.~ ~J-~ ......... ~ouse NO. ~/ Street ~ ~r~l et County T= .~a~ No ~000, Section// --"~-.~/ ...... ~loc~ .... Z.:2: ......... ~.et .... .~ ................. ~ealth Dept. Approval ................ Underxcriters App,'oval ......................... Planning Board Approval ........................ laquest for: Temporary Certificate ........... Final Cerricate ........... ,/ ~I'E~ INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME PLUMBING INSULATION FER N. Y. STATE ENERGY C~ODE FINAL Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4644 DATE:. August 29, 199, ISSUED TO .. ?gnal.~. and Jean ,~zquez. g. nllmri atian Pursuant to fha provisions of Chapter 615 of the Laws of the State Of New York, 1893; and Chapter 404 of fha Laws of the State of New York 1952: and the Soufhold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on A~gust .~8 1996 , and in consideration of fha sum of $150 paid by Mr. & Mrs. D. Vazquez ................. of .............. N. Y. and subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: a 11~ X 16' detached deck approximately 40' from wetlands. all in accordance with the detailed specifications as presented in the originating application. by be IN' WITNESS WHEREOF, The said Board of Trustees here- causes its Corporate Sesl to be affixed, and these presents to subscribed by a majority of the said Board as of this date. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . . /0 ., I File No ................................ To ~ .~. .~:~., . . ~. ~z~ ~.~ z. ..... ~.~. ~ /.~...'. ........... . .~.~~. .~..~ ...... ~ PLEASE TAKE NOTICE that your application dated .... ~d...~ ......... ,19 ..... for ~t tz c~n~tr~ct ~~ .~. ~~...~.. ~ ............ ~. at LocationofPro~erty d~ ~ ~/ ~ ~/~ ~'~ County Tax Map No. 1000 Section .~...,... Block .../. ~ ....... Lot . .~5. ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds./.'.M..-5.~..~.c7..~. . .°~.....o7~....~./~x~c7~ ~.. ~- ~. ~/zT. Zd~..~.. ~X~. Z~./.~...,~.~..~ ~ ~ ~ ~,~, o~ ~ ......... ~~... / / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INS.~ATION [ ] FRAMING [/~FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~.~/~ ~/'' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... Application No..l ]..~.~. ~.~. (Building Inspector); APPLICATION FOR BUILDING PERM IT INSTRUCTIONS a. This application must be completely filed in by typewriter or in ink and submitted in triplicate to the Buitdi 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 stre{ or areas, and giving a detailed descriptiou of layout of property must be drawn onthe diagram which is part of this apr. cation. 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 pern 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 whatever until a Certificate of Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bnildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for n~cessar~Pe~tiona. ~ ~~ r l l ., .._ ...... : .... '(Signature of ~l~plicant, 4~ tgdme, i~ corporation) ' (MaiYing address of applicant) State whether applicant i~owner~,)lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Name of owner of premises . .~..0..A~..~..L.L~ ........ k...J.-~d.~/. L~, '.~~. SOT. El) .... 07 .n?. ............... (as on the t~'~l.or latest ~. ):~ If applicant is a corporation, siguature of duly authorized officer. FEE:.f~.. b~F_/ BY.: NOTIFY BUILDi'NG DE A-'~EN]- AT (Name and' title of corporate officer) Builder's License No ......... . .~-..~.. Plumber's License No ......................... Electrician's License No ....................... 765~1802 9 AM TO 4 PM FOR THE FOLkOWING INSPECTIONS: l. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. R~UGH - FRAMING & PLUMBING 3. I F~SU t_Af'ION 4.' FINAL - CONSTRUCTION MUST Bt CftMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET Other Trade's License No ...................... THE :REQUIREMENTS OF THE N.Y. - ~T,~-TE ~CONSTRU,~T2,ON,~_~NERGY Location of land:on which proposed work will be done.. DESIGN OR CONSTRUCTION ERRORS. House Number Street Hamlet County Tax MapNo. 1000 Section ... ~.~.~ ......... Block ...~ .~. .......... Lot...~e~.~ ..... Subdivision ..................................... Filed Map:No ............... Lot ............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: / i. Nature of work (check which applicable)'~ew Building ....'"~2.. .... Addition ....~. ..... Alteration . ~.; ....... Repair .... ~ ......... RemOval .............. Demolition · v' "..'--7. ...... Other Work ~..~../v~. ( ~..~.~J~ ~ o~ ~'f (Description) Estimated ........................... Fee... if.,. .............. (to be paid on filing this application) If dwelling number of dwellin units '--'- Number of dwelling units on each floor If garage number of cars i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... '~. ............... ..... . Fr f? 7. D~mensmns of ex~sttng strnctures, ff any. Front.../ ........... Rear .../.~' ......... Depth . ..~.~ .......... Height ~ ~..~ ?7. ~ Number of Stories 0.~.~-.. ' Dimensions of same structure with alterations or additions: Front ...~'~.&l.g~ ....... Rear .. J..,444~ ......... Depth ...... ~ ........... ;.. Height ...... ~ ............... Number of Stories... ~ ................ ~. Dimensions of entire new construction: Front .. [~..F..7'. ...... Rear ../.~,. ~Z~. ...... Depth ../.2. f./.'- ...... Height ... ~.-.F.~. ....... Number of Stories ..... ~ .................... ~ .............................. ~. Size of lot: Front ...~.~"~. ~.~'. .......... Rear .... ~.F-'F. ............ Depth . [.0,~. ff.U ............ ).' Date 6fPurchase ... ~..~.c~..! [ff.?.~ ............. Name of Former Owner gi//~:~. ~,. ~,'~.,~./.kfF. ............ I Zone Or use district in which premises are situated !. Does proposed construction vioiate any zoning law, ordinance or regulation: ...A/ts. .......................... t. Will lot be regraded ...... ~.~ ................. :'. Will excess fill be removed from premises: Yes No · . Nmne 9f Owner of premises ...??..A4~ ........... Address...~.~.4 ......... Phone No..~.7. ~.'~ .~. ~.~./... Name of Architect ......... '---- ............. Address ................... Phone No ................ '-'- Address Phone No Name of Contractor ............................................................. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate ail set-back dimensions from roperty lines. Give street and block lnumber or description according to deed, and show street names and indicate whether ~terior or corner lot. /0o r~T YATEOF K,/2y /~ ~ ,,o : · :('~'~~c'on't ~act) ~/~/ F_~being duly sworn, dep°ses and says that he is the applicaut )ove named. ' ~ , (Contractor, agent, corpm'ate officer, etc.) f said owner or owners, and is du:ly authorized to perform or have performed the said work and to make and file this oplication; that all statements cotltained in this application are tru~ to the best of his knowledge and belief; and that the 'ork will be performed in the manoer set forth hi the application filed therewith. worn to before me this