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Home My WebLink About16709-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20955 Date AUGUST 19~ 1992 THIS CERTIFIES that the building. RENOVATION Location of Property 10435 SOUNDVIEW AVE.&95 DOGWOOD LA. SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 5 Lot 35.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7~ 1988 pursuant to which Building Permit No. 16709-Z dated JANUARY 12~ 1988 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 RENOVATION OF ROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. LAWRENCE HERZOG (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-220222 - JANUARY 13~ 1992 PLUMBERS CERTIFICATION DATED N/A ~"~ B~l~d/r.~g~nspector Rev. 1/81 TOW'N 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) Z Permission is hereby granted to: ..7-.,~,C~.~...~ .......... .~b..o...~....~.~...~. ............................. ..~ ........ ..~~.~:..~.:.~.=.Lg.~.~ ......... . .~..~....~....~~'~....~.~ ........ ;.....:;...~;..~ .............................. ~...7~.._.:.~ . ot premises located at ..ff.~....~....~,~.?.~ ...... -~.....~.....,.~.....~. ~. '~'"'".'~~ County Tax Mop No. 1000 Section ...~.....~1..~..~.. ..... Block .....~.~.. ......... Lot No ......~.....~......t ........ Building Inspector. Building Inspector Rev. 6/30/80 BUILDING DEPART,~.IENT TOI4N HALL SOUTHOLD,. NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY HATE ........ i ....... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. L//-VACANT LAND ........ Location of Property ....................... HOUSE NO. STREET HAMLET Owner or Owners of Property ..................................... County T~x ~ap No. ,000 Se~ion .~.;~. Block .~.~ Lot' .~.~.:~. Subdivision ....................... Permit Health Filed Map ........ Lot .......... Dept Approval Underwriters '-Approval Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: Final Certificate ................ APPLICANT ............... . ............ rev. 10/14/88 FOP, H NO. TOWN OF SOUTHOLD BUILDING DEPA~TNENT TOWN HALL '~s app~e~on mus~ be~f~ed ~n ~pe~er OR ~nk and subm~ed ~o ~he ~u~d~ng ~nspeetor ~ith the following; for ne~ buildings or new use: ~. Final survey of property ~ith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Heaitb Dept. of wa~er supply and seweraEe-dlsposal(S-9 fo~). ~. Approval of eleatrlcat i~stallatlon from Board of Fire Under,rets. 4. Swor~ statement from ~l~ber certlfyi~g that solder used in system contains less than 2/~0 of IZ lead.i ~- Co~eralal buildings, ~zndustr~al buildings, ~ltlple residences and similar. buildings and ~nstall~t~ons, a certificate of code compliance from the Architect or Engineer responsibl~e for the building. 6. Submi~ Plannln~ Board Approval of completed s~te plan requirements. For exlstluE buildings (P.rlor to April 9, 1957] non-confo~ing uses, or buildings and "pre-existing" land u'ses. ]. Accurate su~ey of property showln~ all property lines, streets, 5uildings and unusual natural or top~graph~c features. 2. A properly completed ppllcatlon, a consent to ~nspect signed by the applicant and a certified abstract of title issued by a title company ~ich shall show single and separate o~ershlp of the entire lot prior to April 9, ]957. . If a Certificate of OcCupancy is denied, the Building Inspector shall state the reasons therefor in ~ing Co the applicant. 3. Date of any houslnE code or safety inspection of buildings or premises, or o~her pertinent info~tion ~equlred to prepare a certificate. For Vacan~ Land Certlflca~e of Occupancy: ]- ~ application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate o~ersblp of ~be entire lot prior to April 9, ]95~ shall also accompany the application. If a[Certlflcate of Occupancy is denied, the Building Inspector shall state the reason~ therefor in ~itlng to the appllcanc. 3. 4. 5. 6. :1 ~ 14/~8 · 'e'v. Oi/ CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupaucy on pre-existing dwelling - $100.00. Copy of Certificat~ of Occupancy - $5.00 - over $ yeara - Vacant Land Certificate of Occupancy - $20.00 Updated Certiflcat~ of Occupancy - $50.00 Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CQDE FINAL ADDIT!ON~L COMMENTS: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 31, 1992 SCOTT L. HARRIS, Supervigor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. Lawrence P. Herzog 99 Elm Street Huntington, New York 11743 Re: Building Permit ~16517-Z & 16709-Z Premises: 10435 Soundview Ave., Southold, N.Y. Suff. Co. Tax Map $1000-54-5-35.1 Dear Mr. Herzog: We are in receipt of your underwriters certificate for the above building permit. However, the check that we have on record is outdated, (Enclosed herewith). Please submit a new check in the amount of $50.00 and we will issue the C.O.'S. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary encl. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ [, ] FINAL - / NEW'YORK BOARD OF FiRE UND RITEItS P~,E ~ B 10000]2 BUN~AU OF EI.ECTI~IK~iTY { 85 ~HN S~E~. ~W YO~ ~W yO~ 100~ ~{~ ~E~I~E~ THAT M~. LA~RENCE AERZOG, SOUNDVIEW AV~;., SOIJTHO{,D, N.Y. in ttu,y,,~tm~i,,# t~,,th.,; [] ~,,.,,u,at [] {,t FI. ,~, ..,,.,t,~4 m, DECEMBER 3], 199l [] 2.d F/. OUT a~d fmJnd to be in cuntpflance with the requirements o~ tht~ ~uird. ] I 28 12 ~0 ] Fl: (i.F.C,] :-4 SMOKE DETECTOI~: - 1 KENNETH ANDERSON 20 VII, LIS AVENUE LAKE RONRONKOMA, NY, 1.3.779 s I I V I C I 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ P~OUTHOLD, N.Y. 11971 \ TEL.: 765-1803 Examined .~,'v4.~ .1..a:..., 19 .~.~. Approved .~e~)~ .~..., 19~.~. Permit No. I.~. .~.?.~..~.. Disapproved a/c ..................................... ...D. · ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Rece±vod ........... ,19... Date ................. , 1 ... - 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 t~r 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 {~ 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect.~.i. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ............................................................... Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..[.~.1.6. O... ~...~. ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1 0~/~'~ ~r~ 1. Location of land on which proposed work will be done. ( t.9 15 ~¥ t~ /~ ~(Y4~-tog~ Z , House Number Street Hamlet County Tax Map No. 1000 Section .... .1~ .~ ........ Block....~.~. .......... Lot....~ .~. ! 1 ......... Subdivision ................ ' ..................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ..... .b 5 ............................... a. Existing use aiSd occupancy . .~ ! .~.(;~.17~... F.'.~..~..t.L. ~;'.. ' ' b. Intended use and occupancy .................................................................... 3. Nature (~fwork (check which applicable): New Building ..... Addition i Alteration Repair .............. Removal .............. Demqlition ........... ... Other Work ............... ~, ~-~,.,^ tx ,~,z~ (Description) 4. Estimated Cost ...................................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of d~velling unit,s on each floor ...... If garage number of cars - -- ' ~ ... '.' 6. If business, commercial or mixed occupancy, speciLv n~ture and extent of each type of use ..................... 7. Dtmanslons of existing structures, if any: Front.. '.~.~. .......... Rear . .5..~.... ....... Depth ..~..O..' .......... Height . I .~.' I. ......~... Number of Stories ...... l .................... Dimensions of same structure With alterations or additions' Front -~.'~?~: i '~,~,." ~;~-~ ....... 8 io ti tie ' .-77' Depthr.~.~. ' · Dimens nsofen re new construc n:Front...............~ Rear ......... Height "~ Number of Stories 9. Size of lot: Front ' Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .: ........................... 11. Zone or use district in which premises are situated ...... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be remove~ 14. Nan~e of Owner of premises .................... Address ............... Name of Architect ........................... Address ............... Name of Contractor .......................... Address ............... PLOT DIAGRAM from premises: Yes No ·.. Phone No ................ ·.. Phone No ................ ·.. Phone No ................ 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. STATE OF NEW,YORK, ,, ,, COUNty .... .-.. ........................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove 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 application; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be pefformed in the manner set forth in the application filed therewith. Sworn to before me this ~ ............ ~day of... ~~ ..... ,19 ~.~ o a Pubi , ......... ~ .......... County UNDA J. COOPER / Leant) NOtary Public, State of Ne~Yor~/ No. ~,822663, Suffolk County,~ Term Expires December 31,