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Home My WebLink About15727-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. g-16144 Date September 8, 1987 ADDITION & DECK ADDITION THIS CERTIFIES that the building ................................................ 590 Soundview Avenue Mattituck, N.Y. Location of Property/t[~s~ ~[o1 ....................... '8~e~ ...................... Hamlet County Tax Map No. I000 Section 100 ..... Block 0 I .Lot 28 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated March 2, 1987 pursuant to which Building Pemlit No. 15727 z dated March 3, 1987 wasissued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED "'d: 6'.' '~6' l'~dLbb'f '~/6b'15 '/~iJk'u'~' 's'~6q/~'. .................................... WILLIAM & ANNE CREMERS The certificate is issued to ..................... ~o.~nb),./~7~:x .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. F E ND I NG PLUMBERS CERTIFICATION DATED: August 31, I987 BlWilding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NM 15727 Z Permission is hereby granted to: ......... ..~... c~-- · ,~ ' ,~ p~i,s ~,~ ~ ..~.~....~~~_~..:...~,~.~.~ ..................... County Tox Mop No. 1000 Section ..... /......'~... ......... Block ...... .~,....) ........ Lot No.......'~...~. ............. pursuant to application dated .... .)~~....w~ ................... , 19..~...'].., and opproved by the Building Inspector. P Building Insl:ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP~ Instructions 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 d[sposal-(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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" · land uses: 1. Accurate survey of p~operty 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 .......................... New Cons t r uc b i on ...... Old or Pre-ex isting Building~ ............ Vacant Land ............. Location of Property...~.~.~.z? .......... .~.'..~.~'..Z~../~../'.~--..~......~..F~..~_~.,. ...... /~..~..~.~ ,~ House No. ., , S~ree¢: Harnle~t Owner or Owners of Property . ,,,~..~.~.4~.~?.,~.....'~.'.....~....,~.."?~..'~..'~. ..... ~...'~--.t~...~...'~.., . . County Tax Map No. 1000 Section...x~.4~.4~, ...... Block........~........ Lot...............~O' . Permit No./ 2 Date of Permit ,Z . .^pp cant ...... ... . . . .' .' .' ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval Planning Board Approval Request for Temporary Certificate ................... ..Final Certificate . .................. . ... Fee Submitted $ ............................. Rev. 10-10-78 OU~ DATI 0.~; OU.~DATION (2nd) OUGH FRAME & FLUMBING iNSULATION ?ER N. Y. STATE ENERGY CODE ADDITIONA'L COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTltOLD, N.Y. I t971 TEL. 765-1802 CERTIFICATION Building Permit No. /,~-~7~ Owner ,~ ~ ~/A'~/~.'~ -- (~lea~e print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befor6~? me~_ his ~day Notary Public,~. ~ County BARBARA $~r £PNOWSg~ Netar~ Public, State of New York No. 4844752 Ouelifie~ in Suffolk Counw ~ Notary Publffc 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T [Z*~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~RAMING [ ]FINAL i/ · ~ ~ ~-/ ·, DATE ~'65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ~OUGH PLBG. / FOUNDATION 2ND [~]' INSULATION [ ] FRAMING REMARKS: FINAL DATE 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/ULATION / [ ] FRAMING [~fFINAL DATE INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL DATE ~///~//~ '"'~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. NDATION ~ND [ ]INSULATION FR~ING [ ]FINAL RrMARKS: ~ ~ INSPECTOR INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR THE NEW YORK BOARD OF F1RE UNDERWRITERS APPLICATION NO.0 LOCATiON~ - /- -- got $ ~BDIVISION M~ FI1£/2 IN THEOFF/C~ OF TIlE CLER,~ OFSUFFOLH COUNT)' REVISIONS YOUNG & YOUNG z;O00STRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FO R - ~,q~-'~,r~',~'$ ,~~ w,~L~ .~,,~ ~. ~ LOT NO. I," SALTAIRE ESTATES'/ /_g' , 'or) TOWN OF SOUTHOLD -~o,, ,.~..0%- ": "1'0 [PAT. JAN ~ 1973 ]NO. 7-.5 ~'0 Approved .~.. ~...., 19~..Q. Permit No. l .-,%--. .~. 9.~. .~. Disapproved a/c ..................................... . (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH · 3 SETS OF PLANS .q~;~'~'. 'FORM NO. 1 SURVEY ...O...~. TOWN OF SOUTHOLD CHECK ....... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL ~,9,OUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL ................ MAIL TO: Date / ........ 19 .~ INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, wit 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 description of layout of property must be drawn on the diagram which is part of this ap 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 pen 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 Occupa~ 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code,3~d relations, and admit authorized inspectors on premises and in building for necessary inspecting., , /// ) ...... (Signature of appl!cant/ffr namewll a corporation) · .3-. (Mailing address of applicant) 'g'~ //ff~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Name of owner of premises . . .~. $,4 g~'~./;,J . . . ~T.. . . . ~. ~/~i ..... ~~ ..................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... ~.4,..."~t-~'~.. .............. Plumber's License No ......................... Electrician's License No..&.~ ............ Other Trade's License No ...................... I. Location of land on which proposed work will be done~ .......................... , ..................... .... .............. .... ./4..o..e_. ........... .......... House Number Street Hamlet County Tax Map No. 1000 Section ..... /..~.. ......... Block ...... ./ ........... Lot. Subdivision..$~.4~"~./.,~..~-.'~......~'.~..~'.,~.~.-$. ....... Filed Map No... ,.~..~' .~e?- ..... Lot....~.'/ ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ........ .~..~.~f.°. · .~..~..~.'~..ir ......................................... b. Intended use and occupancy .......... .~--.~, ~9..~.'.'.~t~...-~.. ..... . .e2./~....~ ?. ~ ....... 3. Nature of work (check which applicable): New Building Addition....v ...... Alteration .......... Repair .............. R. emovaI .............. Demolition .............. Other Work ............... ~,f/) .... _~ (Description) 4. Estimated Cost ...... '.'..Z~ ~...~..o. .................. Fee ................................ · (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... d ...... Number of dwelling units on each floor ...... /. ......... If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify ~ature and extent of each type of use ..................... 7. Dimensions of existilag structures, if any: Front . ,.~.~.e.~..~[... Rear . ~ .r.d'. 5.. · Depth....~..q ~.~..~.'... Height ./,~. ,..~ ...... Number of Stones ... /' ................................... /' · 'e .... Dimensions of sa[ne structure with alterations or addiQoxts: Front ....ff.,~'...~. ........ Rear .... .,-~...~..('. ....... Depth .... 4g~....q/.e. ......... Height .... /~. ~ ~.. ~t ...... Number oftSt,o~es ..... it ......./ · · ',r .... 8. Dimensions of e.nj)ire%l~,ew construction: Front / q a~ Rear /.p d? Depth dj' iff Height . f/r~.. ,~. ..... Number of Stories i i i' i i 1 2 i i i i i i... iilj "iiiiiiii ....... 121111i iiiiiii 9. S~ze of lot: Front ...... Z'.~P/.~. ';.¢.~q. ........ Rear ....... /~..th.~..~.O. ..... Depth .~.~./.Z.~.'q... 10. Date of Purchase .......... ./: ~.Z.~ ............ Name of Former Owner ..... ~l~- -, ~ ................. 1 I. Zone or use district in which premises are situated ..................................................... l 2. Does proposed construction violate any zoning law, ordinance or regulation: .... /t4/..° ..................... 13. Will lot be regraded ............................ Will excess fill be remo~d from premises: Yes 14. Name of Owner of premises . .~.3..~*eq.~"../?/.~-..~..... Address .--,q~...,~..'hrS..~(..t~q... Phone No.. aC ~.~.:..,-~'~:~..,~ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~ ........... · If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate ail set-back dimensions from >roperty hnes. Give street and block number or description according to deed, and show street names and indicate whether nter/or or corner lot. ;TATE OF NEW YORK, $.5 2OUNTY OF ................. ................................................. Oehlg du,y sworn, deposes and says that he is ~h~. applicant (Name of individual signing contract) bore named. te is the ......................................................................................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that ali 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 therewith. ;worn to before me this .............. ~. ......... day of ..... ~otaryPublic, ....~.X~...~...~..~.q~-.... County ..... .~Q/...~__~...,~.y~...' , ~/ Httt~lt ~'~E ~ (Sjt~ffature of applicant) NOTI~,Y PUSLIC, ~ar~e d ~ . No. 4707878, Suffolk Ceunty mrna ~oire~ March 30, 19_ ,I 2/10 of 1% LEAD. PLUMBER CERTIFICATION ON LEAD cONTENT BEFORE cERTIFICATE OF occUPANCY 1802 9 ~,~ TO ~ PM ~OR THE OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE C!iF OCCUPANCY