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Home My WebLink About11417-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18382 Date SEPTEMBER 19~ 1989 THIS CERTIFIES that the building Location of Property. 10725 SOUND AVENUE House No. County Tax Map No. 1000 Section 122 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 1 Lot 5.3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 1981 pursuant to which Building Permit No. i1417-Z dated OCTOBER t3~ 1981 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 ADDITIO~ TO EXISTING ONE FAMILY D~T.LING The certificate is issued to NANCY C. BURT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-553522 - MARCH 10, 1982 N/A ~Building Inspector Rev. 1/81 FOF, M NO, ~ TOW~ O~ S~OU*~O~O BUILDINa TOWN :HALL SOUTH'OLD, N~ Y. : BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREM~IS~S UNTIL COMPLETION OF THE WORK AUTHORIZED) N? 11417 Z ? Permissior~ is hereby granted to: ULL ....... ~..b. ........... ~... ~: ..... : ............................................. t ........ ~1:'"'?"'"'~ ......... .............................................................................. , ......... ~.,..,~ ......... ~...,,:....~..~..~..LZ ................ Couh~ T~x ~op No. moo so:t,o, ........ [.~.~.,. mo:k ,...;:..~ ........ ,...;Cot No.:..~.,~.=~. .......... pursuant to application dated :~....,.5,~,~ 19,,.~ ...................... ~ ...... .~, and approved by the Building Ihspector. ........ , ]: BUil~ing~l~ect~r Rev. 6/30{80 ~ , ; ~ : TOWN OF SOUTHOLo BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - APPLICATION FOR NEW CONSTRUCTION -- ..... OLD OR PRE-EXISTING 11971 BLOG, DEPT. TOWN OF ~OU~'HOLD CERTIFICATE OF OCCUPANCY DATE . . ....... BUILDING. ~ .... VACANT LAND ........ HOUSE NO. STREET HAMLET Co:aaty T~= ~ap No. ~000 seetion/.~R,MO~loc Subdivision Piled Map Loc ' Permit No ........... Date qf Permit .......... Appticant Health Dept. Approval ......... Underwriters Approval ~t~ , Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate . ./. ............ Fen Snb~itted: $-~.~..2~.2f .......... APPLICANT.~i 10/14/88 , I I APPLICATION FOR CERTIFI~ # 'This application must bei filed Inspector with the following; I. Final survey of property streets, and unusual nature3 2. Final approval of Health Del 3. Approval of electrlcal iustl 4. 8worn statement from plumbex than 2/10 of I% lead. 5. Commercial buildlngs,[indusl bu'ildings and installatlons or: Engineer responslbie for 6~ guhmit Planning BoatdlApprov For ex/sting buildings (Prior t and "pre-existing" land ' · I. Accurate survey of property unusual natural or topograph 2. A properly completed appllca and a certified abstrfict of ; show single and separate own~ · li.,a Certificate of O~cupanc reasons therefor in writing 3. Date of any housing cfide or pertinent informationlrequlr For Vacant Laed'Certlflcate of I. An application for Vacant la and a certified abstrfic£ of separate ownership oflthe en he application. If a Cert~ shall state the reasons ther~ I. CRRTIFICATR O~ OCCUPANCY , Alteration to D~el!liug Addition to Accesslory 2. ~ertlflcate of Oec~hpauey 1. Copy of Certificate of 4.; Vacant Land ~ertif'icate · 5. ~pdated Certificat~ of Oc 6. Temporary Cert~f~cate of FOP~NO. ~ ~OWN OF SOUTBOLD BUILDING DEPARTMENT TOWN,ALL 65 - 1802 ~TE OF OCCUPANCY INSTRUCTIONS in type~rrlter OR ink and submitted to the Building ~r new buildings or new use: h accurate lo~ation of all buildings, property lines, or topographic features. t. of water supply and sewerage-dlsposal(S~9 form). llatlon from Board of Fire Underwriters. certlfy~ng ~hat solder used in system contains less rial buildings, multiple residences and similar a certificate of code compliance from the Architect the building. ~ ~1 of completed site plan requirements. April 9, 19570 non-conforming uses, or buildings ~owing all property lines, streets, buildings and [e features. :ion, a Consent to inspect signed by the applicant :itl, issued by a title company which shall ~rship of the entire lot prior to April 9, 1957. , is denied, the Building Inspector shall state the o the applicant. afety inspection of b~ildings or premises, or other d to prepare a certificate. ccupancy: d Certificate of Occupancy shall be submitted, itla issued by a title company showing single and :ire lbt prior to April 9, ]957 shall also accompany !icate of Occupancy is denied, the Building Inspector ~for in writing to the applicant. - New Dwelling ~25.OO~itlons to Dwelling $2~ 5.00, Swimming tool, $25.00. Accessory buildin~ $~Z5~.00 ldings, $25.00 - Businesses $50.00. on pre-ex/sting dwelling - $100.00. cupancy - $5.00 - over 5 years - $]0.00 f Occupancy - $20.00 cupancy - $50.00 Occupancy - $25.00 Residential $50.00 Commercial 1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JO]iN STREET, NEW YORK, NEW Y~ORK 10038 o,,t~ March 10, 1982 ~pplication ~o. o.f~ 145978-81 only the elec~ical e~ip~le~t ~ ~scri~e~ an~ it~t~duce~ ~llcant ~med on tke able ap~llcation number in the pretnises of inthefollowinglocatio?.& was examined on [~ 1st Fl, [] 2nd FI. Section Block and found to be in compliance with the requirements of this Board. OUTLETsFIXTURE SWITCHES FIXTURES RANGES 2OOKING DECKS OVENS DISH WASHER EXHAUST FANS Lot 7 7 DRYERS FLUORESC~N¥ S E OTHER APPARATUS: t{lec. Room tieal;er~l-g.0,g-l.5,1-l.25,1.75~8 1 G.]~.I. 1 ~b~oke Detector R V I C OF CC. COND . OF HI-LEG 210 AW, G OF NEUTRAL Ruland Elec. Co., i,,3, /~~;/~2~~ th, Board ,f ,pcoCrect. ,nspecto[s may be identified b~e~ c~nfia;~. COPY FOR BUI lNG DEPARTMENT. THIS COPY E FOUNDATION (1st) FOUNDATION 2. (~nd) ROUGH FRAME & FLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: COMMENTS , , ~ . ~,=, X_ ..... 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~r,,~AL DATE NOTiFv B,~:~ N~ DE2ARTMENT A~ 765-i8uz"~ ~ A;"/' TO 4 PM FOR T, FOLLOVv ~N~ ....... ~' ', ~x":' ' ~4 REQUIRED F~ ~:'~:~ CDNCRETE 2. ROUGH ~ ~ ..... ~ 4~ ~ NAL CDNSTRUCT~ON DE ~':~c FOR C ~ THE REQU:REMENTS OF THE N v STATE CONSTRUC%ION & ENERGY CODES. NOT RESPONF/~LE FOR DESIGN OR CONSTRUC-'3'4 L L b FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 DJsap2rovcd a/c ....... ;...~ .................... f. (Building Inspector) Application No .... /../..?./.~... APPLICATION FOR BUILDING PERMIT D ....................... 19. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 giviug a detailed descriptiou of layout of property must be drown on the dia~am which is part of this apF cation. c. The work covered by this application may not be commenced before issuance of Building Pem~it. d. Upon apprc','al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen~ sball be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any purpose whatever untQ a Certificate of Occupan sh~l have been granted by the Budding 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 ~f Southold, Suftblk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe (M~iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Nmne of owner off ren~ If applicant is a corpor~~re of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ~ ............. mlunlber s ~icense N°' ~/' ~~,/f~ ,f, ,,,f, ..... Electricians License No.' .~[~[.. .... 1. Location of land on which proposed work will be done ...................... ~, ........ . .... j ............ &z... ........... House Number lO ~.~ Street County Tax Map No. iOOO Section .. 1...~:. ,~ ....... Block~:'.. Lot..~3.,..~D ..... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ................................................................... Intended use and occupancy L Nature of work (check which applicable): New Building .......... Addition fi:'..... .... Alteration .......... Repair .............. Removal .............. Demolition ............... Other Work ............... ,.-2, ,.~._ ~ ~ '~ . ~ ~ (Description) Estimated Cost .~., ~.' ~..g?! ........................ Fee ..... /. .............................. :..' (to be paid on filing this application) ;. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ i. If business, commercial or mixed occupancy, specify ~ture and extent of each type of use ..................... I. Dimensions of existing structures, if any: Front ..... ~ ......... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 5. Dimensions of entire._..o new construction: Front .~.?.)('.,~.~. .... Rear ............... Depth ............... Height /.q/...~. :/~'. ..... Number of Stories..~ ....................... ......................... L Size of lot: Front ' · ~ ...................... Rear ...................... Denth ...................... ). Date 6f Purchase ............................. Name o f Form er Owner 2.'~:i/,4/./J-....~ (-5..-~--./.~../.. ....... 1. Zone or use district in which premises are situated ..................................................... -- .~.Does proposed construction violate any zoning law, ordiaance or regulation: ...~ ....................... L ~fil lot be re~.ad~d ...... ..~ .... .,,.-.,o .... .4 ....... Will excess fill b~removed from premises: Yes ]~o/' ~. Name of O, ncr of preml~°f~. ~f55/~ff~A~..... Address~Z?--~. ..... Phone No~.~.¢/. .<j'.~. fi7 ~... Name of Architect ...,~ ........ ., ...... /2 ....... Address ........ ,, .......... Phone No ................ Name of Contrac~.~ . . Addres~~2. ..... Phone No.~ ~'~..~..~2 ..,.~.~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number ~r descript, i~n according to deed, and show street names and indicate whether terior or corner lot. rATE OF NE~R,Y~ ~ S S ......... being duly sworn, deposes and says that he is the applicant ,,~. Name ~f indMdu'aI iigning contract) >ope named. e is the ................. ~ ............................................................ (Contractor, agent, corporate officer, etc.) £ said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed t!~erewith. worn to before me this otary Pub, lic(~~-)~r~,t~t ......... ,,'m · · .~. ~~ New Yo~ ~ IIOTARY PUBLIC, ~,te of New J0fl~ ..... #o. $2-8125856, Suffolk C~_n~ (Signature of applicant) · Term Expires March 30. 19~