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Home My WebLink About12966-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18087 Date JUNE 6~ 1989 THIS CERTIFIES that the building. ACCESSORY Location of Propert~ 1905 GP~ND & 2900 WES~VIEW DR. House No. Street County Tax Map No. 1000 Section 107 Block 08 Subdivision Filed Map No. MATTITUCK Hamlet Lot 42 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26r 1984 pursuant to which Building Permit No.. 12966Z dated MARCH 30~ 1984 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 BUILDING. The certificate is issued to THERESA & HENRY ZIMNOSKI (owner, ~X~~E) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ /Bulling ~inspector Rev. 1/81 FOBM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12966 Z Permission is hereby granted to: ' ...... ~.....c.:~.~.~.~..: ............. ............................................ ~0....~~.~ ............ ~.&. :~....~ ......... ~ .................... County Tax Map No. 1000 Section ...... ~...O....-]. ....... Block ......... ~. .......... Lot No ....... .~.....~.. ......... pursuant ,o application dated ......... ....~, .~..-'..~...~. ............. , 19.~..~, and approved by the Building Inspector. Fee $...1 .................... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD ~ffILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ............. · ......... . . HAMLET / HOUSE ~ STREET 0~ner or O~ners of Prope=~sM~.C~<~.~. ~ . ~. -~O.~.[5.~ ....... CountyT apNo. 1000$ectionZ4..%Bloe . .... Subdivision ....................... P~rmit No. /~?~4Z..Dat~ o~ Per.it Health Dept. Planning Filed Map ........ Lot .......... ........ Applicant ................... Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: .......... ~ ~¢~ ....... Certificate ................ rev. 10/14/88 FIELD INSFECTION 1. FOUNDATION (1st) COMMENTS FOUNDATIO;I 2. ROUGH FRAME & ?LUMBING (2nd) INSULATION FER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 1197i TEL. 765-1 ~0~ This is Co advise you chat the job under building permit no, ._12966Z issued to Henry Zimnoski on _~30/84~____ for Accessory is completed and a final inspection has ( ) has not ( x )"been done. fn order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to thc above office with a check for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without n Certificate of Occupancy. Please he]p ns to clear up th.is matter so that legal action does not have to be taken. ,. Thank yon for your prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar encl . ' FORM NO. '[ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~,OUTHOLD, N.Y. 11971 TEL.: 765-1803 E×amined. f ,.. .... 19t . Approved . .~t .c~. ?~....L?.~.~ .... 19 9'[. Permit No../.~ .~ .~. ~..~-. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 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 building for nece~ .... ..y (Mailing addr~s~ of applicant) i ~ . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise~ ..... ~ .......................... u///q& on the tax roll or latest deed)APPRO¥~.D~ AS NOTED If applicant is a corporation, signature of duly authorized~o~ficer. DATE: B.P. '~ (Name and title of corporate officer) Builder's License No.~ 7..~ Plumber's License No ......................... Electrician's License No ....................... FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - Cr3N'STRUCTION MUST Other q~rade's License No .................... 1. Location of land on which proposed work will ~g ~one.~~~E.~ ............................................................ House Number Street pEq~ CONSTRUCTION ERR ,q~. ]ooos o. e mock rot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '~~:: ~Z~:~ b. Intended use and occupancy . . 3. Nature of work (check which applicable): New Building . .6<",/,,,,, Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ........................... Fee ...................................... ~' (to be paid on filing this application) $. If dwelling, number of dwelling u~its ............... Number o f 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. Dnuensxons of ex~stxng structures, ~f any. Front ............... Rear .............. De ............... Height ............... Number of Stones,. ................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... . Height ........... .,..., ...... Number of Stories ...................... 8. Dimensions of entire new construction: Fron .. . Rear ....... De ............. Height ............... NumVer of Stories ....................................................... 9. Size of lot: Front.../.f)..~.....i .......... Rear .... Z ~.. ~ .......... ~i~it~ ' j '~ '~.. ~)...~ ............ 11. Zone or use district in which premises are situated .................... ' ......................... 12. Does proposed construct~v?late any zoning law, ordinance or regulation: .'~'~..~ ......................... 13. Will lot be regraded .. · .~.]~t~ · · · ~..-. · .~ ........... ~1 e~ fill ~o~d~from premises: ~es 14. Name of Owner of premise~~ .~ss ~[~~. Phone No~.~c.~ Name of Architect .............. Y.. ~ ......... Address .. ~ ................ Phone No .............. /. N~e of Contractor .......... ~ ................ Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and block ri'umber or description according to deed, and sl3ow street names and indicate whether , STATE OF NE K COUNTY OF ................. S.S ............................. ! .................... being duly sworn, deposes and says that he is the applicant ~'(Name of individual signing contract) above named. : He is the ...................... i ................................................................... (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 this application are true to the best of his knowledge and belief; and that the work will be performed in the mannei set forth in the application filed therewith. Sworn to before me this NELEN K, DE VOE NOTARY PUBLIC, S~ate of Nevi Yor~ .......... : No, 47078Z8, gulf01! C0uAty...~ //f (Signature of applicant) lerm Yx~re,s