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Home My WebLink About15908-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17647 Date DECEF~ER 29~ 1988 THIS CERTIFIES that the buzldin~ Location of Property 110645 SOUND AVE. House No. County Tax Map NO. 1000 Sectzon 141 Subdivision ONE FAMILY DW~T.LING MATTITUCK~ NEW YORK Street Hamlet Block 3 Lot 1.2 Filed Map No. Lot No. conforms substantially to the Application for Building Perntlt heretofore filed in this office dated APRIL 14~ 1987 pursuant to which Building Permit No. 15908-Z dated APRIL 15, 1987 was issued, and conforms to all of the requzrements of the applicable provlszons of the law. The occupancy for which this oertzflcate zs zssued zs ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR The certificate is issued to PATRICIA BOEHM (owner, ~) of the aforesaid buzldzng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-185 - DEC. 19r 1988 UNDERWRITERS CERTIFICATE NO. N788998-JANUARY 20r 1987 PLUMBERS CERTIFICATION DATED DECEMBER 19~ 1988-WAL'£~ BOF/~M Building 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) NO. 15908 Z Dote Permission is hereby granted to: ...... ,L. ~...~...***~.... Z.,~.. ~."~**..~.. .............. ' ....J.z..,..~.~....~.~......~ ...... ,o .~...~9~..c¢.d~, .................................... ..~...'"C..~..........-T=. ................................ t; ............................ o, ,,r,m,,, ,~o,o~ ,,,../.~.~.~....A~ ...... ~~.........~..~ .............. County Tax Map No 1000 Section .... ./....~'./.. .......... Block ...... ..~.....~... ..... Lot No .... J.:....)~'~. · ....... pursuant to application dated ....... ~,. /.~, ............... , 19.~....~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT ~AUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13467 Z , ..o..~ .~ .~...~ pursuant to application dated .................... 19 , and approved by the Building Inspector. F;' .... Rev. 6/30/80 TOWN OF '~OUTHOLO ~ FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This apphcation must be fdled ~n typewriter OR ink, and submitted ,m ~ to the Buddmg Inspec- tor with the followmg, for new buildings or new use. 1. Fmal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2.Fmal approval of Health Dept of water supply and sewerage disposat-(S-9 form or equal). 3.Approval of electrmal installation from Board of Fire Underwmters, 4. Commercmt buddings, Industmal buddings, Multiple Residences and mmilar buddings and mstalla- ttons, a certthcate'of Code compliance from the Architect or Engineer responstble for the buildmg. 5.Submit Planmng Board approval of completed rote plan requirements where apphcable B. For existmg buddmgs (prior to April 1957), Non-conforming uses, or buddmgs and "pre-ex~stmg" land uses: 1. Accurate survey of property showmg all property lines, streets, buddmgs and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condmon of bu~ldmgs. 3. Date of any housmg code or safety ~nspect~on of buddmgs or premmes, or other pertinent informa- t~on required to prepare a cert~hcate. C. Fees: Addztions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$I0.00 Bus,ness $50.00 2. Certificate of occupancy on pre-ex~st~ng dwelhng $ 50.00 3 Copy of cert~hcate'of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date ....................... New C OhS t~'uc ~c z on Old or Pre-ex~stmg Budding Vacant Land House No. Street Had/et Owner or Owners of Property County Tax Map No. 1000 Section ............. Block .... ~. ...... Lot ........ /. ...... Subd~wmon ....................... Fded Map No ....... Lot No ........... Permit No/.A~,~..~.... Date of Permit .~.~/'.~.~. ?.~pphcent . . . ?...~../.~..~....~.¢~ ......... Health Dept. Approval .., .................. Labor Dept. Approval ........................ Underwmters Approval ........................ Planmng Board Approval Request for Temporary C~rt~fmate ................ F~nal Certificate ...................... Fee Submitted $ .................... Apphcant v,..'~..':r .--~..-~-. ..................................... Rev 10 10 78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner bb'.~'~'-~: (please print) Plumber (please print) I certify that the solder used ~n the water contains less than 2/10 of 1% lead. supply system (plumber' s signature) Sworn to before;me this ]~ day of Notary Public, County Notary Publzc HELEN K DE VOE NOTARY PUBLIC, StYe of New York ~ 4707818, Suffulk Caunl'~. <. T~rm ExpJres March 30, l~ ~ / THE NEW YORK BOARD OF FIRE UNDERWRITERS 10ou60J BUREAU OF ELECTRICITY ~.,~ ~,,~.,,~.~ o.~,,~ N 788998 THIS CERTIFIES THAT ~y t~e o~trJc~ ~ulpme~t ~ ~scr~ b~w a~ lntr~uc~ by t~ ap~icant ~m~ on t~ a~ applicatt~ number ~n the prem~s of ~r ~o~m, b~nd Avenue a~ ~nd o~ F~o~ Ave., ~tt~tuck, ~Y ~s examtned on ~XX~ ~ ~ ~ and f°uttd t° be ut t °mPltant t ~rtth lhe req~tretnt~nts °~ thls B°ard FIXTURE OUTLETS ~RYERS I ~URNACE MOTORS OT R APP R US FIXTURES RANGES OVENS D~SHWASHERS EXHAUST FANS E R V t AWO I NO OF Hi[EG ~ A W O 1NO OFNEUT~ALSI AWO Gleatt ~ra~l~y Box 382 ii Per_ Th~$ ce~f~cate must not be altered m any manner, return to the off~ce of the Board ~f incorrect Inspectors may be ~denhfted by their credentials COPY FOR BUILDING DEPARTHENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER / / / ,, J ; / L ., ,d.~N,.,, / '' FtELP~ IN~ECTION DATE COMMENTS FOUNDATION (1st) ........ I "' ' ~/7/' ~ ~ ......... ~ ADDITIONAL COMMENTS: ,. ~ll ~ '-~ ~ ' ' TOWN OF $OUTIIOLD OFFICE OF ~U~LDING INSPECTOR l'.O. BOX 728 TOWN HALL SOUTH'OLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under buiIdlng permit no, 134~7Z i~sued to Patricia Boehm on ---~Q/5/84 for New Dwell~n~ is completed and a final inspection has ( ) lies not ( x ) been done. tn order to complete this file, it is necessary that a Certificate of O~cupancy be issged. Please fill out the enclosed form, return same to tile above office with a check for $25.00paynblc to the Town of Southold. Please indicate to Whom th~ Certificate of Occupancy is to be mailed, and arrange wi~h this office for an inspection date Occupancy or u~e in unlawful without a Certificate of Occupancy. I']ea~te help I~s to clear lip ~his matter so that legal action does not have to be taken. Thank you for your prompt attenElon. VL:gar encl. Very truly Victor Lessard Executive Administrator TOWN OF SOUTItOI,D OFFICE OF BUILDING INSIq,('IOR ILO, BOX 728 TOWN IIALI, SOUTtlOLI),NY 1197~ rIEL 765-1802 April 15, 1987 Dear Mrs. Boehm: Mr. Leslsard has written a new for the one that had expired. The amount due for the new permit is Please 'send us your check and we wtll the permit to you. Old Building Permit #13467Z New Building Permit # 15908Z Thank you. Building Permit $402.50. mazl Secret.try 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION FRAMING [~ FINAL REMARKS'- DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL R~AR~ DATE 765-.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION ~)~ FRAMING [ ]FINAL REMARKS: ~".~// ~*'~:~/'~ ~ INSPECTOR 765-1802 ' BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [] INSULATION_ FRAI~ING [~FINAL ~ DATE ]'65-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ~ROUGH PI. BG. ~ ~ FOUNDATION ZND [ ~INSULATION~/~ [ ] FRAMING REMARKS: FINAL DATE 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 E -',m,ned. , Received ........... ,19,. D~sapproved a/¢ ' (Bm~dlng Inspector) APPLICATION FOR BUILIING PERMIT Date ./Z~.TC. ....... 1~.' INSTRUCTIO/NS a Tlus apphcatmn must be completely filled u/by typewriter or ~znk a~.d.-s-tt'o~t,tted to the Building Inspector, wlth sets of plans, accurate plot plan to scale. Fee accor~zng to schedule, f~,,~_ b. Plot plan showing locatmo of lot and of l:~ulldmgs on premises, relat~onstup to adjomtng premises or public strec _o.ro.a..r[as, and giving a detmled descnptmn of layout of property must be drawn on the dtagram whmh ~s part of ttus app c. The work cov~ ed by ti'as apphcatmn may not be commenced before ~ssuance of Buildtng Permit. d. Upon approval of tins apphcatzon, the Building Inspector wtll ~ssued a Buddmg Penmt to the apphcant. Such peru ·hall be kept on the p~tmses available for mspection throughout the work. e. No budding shall be occupied or used in whole or m part for any purpose whatever untd a Cerhficate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bmldmg Permtt pursuant to t Bud&ny Zone Ordinance of tb.e Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances Regulations, for the constructmn of buildings, add~ttons or alterations, or for removal or demohtmn, as herein describe The apphcant agrees to comply with ail apphcable laws, ordinances, budding code, housing code, and regulatmns, and admit authorized inspectors on premises and m building for necessary (S~gnature of apphcant, or name, if a corporatton) .... ............... ~"r" (Mai!rog addre~of apphcant)~ State whether apphcant ~s owner, lessee, agent, architect, engtneer, general contractor, electncian, plumber or build~ Name of owner of premises : .~..~,~.?....'~.~...~...~2 , (as on the tax roil or latest deed) If apphcant ~s a corporat~oa, signature of duly authorized officer (Name and title of co,'porate officer) Budder's License No ......................... Plumber's License No ........................ Electncmn's Ltcense No ....................... Other Trade's I.acense No. ~ ................... on which p~oposed work will be done ...... .....~.~..qr'.,~. ~..../~.` ..c~....,~....-~...~ ............ 1. Location of land ltouse Number Street Hamlet County Tax Map No. 1000 S~ctmn ............. Block ..... ,.~ ........... Lot. fi. ... Subdw,ston...J~..~'.q~. 2-~ ) q ~0 ~,.c~. Fded Map No Lot (Name) 2. State ex;sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupar, cy ................................................................ . .. b Intended use and o~cupancy ,~")t/~~d;- ~-""~'~"~ ~. '~'~&"/'-)A-'~ZtS'- ' ' 3. Nature of.work, (check which applicable): New Budding ..... ' ..... Addition ........ .%.,.4rdterati°n ......... Repair ............ Removat .............. Demohtton .............. Other work .............. (Description) 4 EsttmatedCost . . .~.~./-- .~ ..................... Fee ..................................... '~ (to be paid on fihng this application) 5. If dwelling, number of dwelling units ............... Nnmber of 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. Dunenslons of existing structures, if any Front ........... Rear .......... Depth .............. Height ............... Number of Stones Dtrnensions of same structure with alterations or addmons' Front ................ Rear ................ Depth ............... , .. Height .................. Number of Stones .................... 8. Dimensions of entire new construction' Front ............ Rear .............. Depth ............. Height ............... Number of Stones ...................................................... Size of lot Front ...................... Rear ..................... Depth .................... Date of Purchase ............................ Name of Former Owner .......................... Zone or use district ~n which premises are situated .~ .................................................. Does proposed construction violate any zoning law, or&nance or regulation: ..................... Will lot be regraded ........................... Will excess fill be removed from premises' Yes Nt Name of Owner of premises .................... Address ................... Phone No ............... Name of Architect ......... . ................ Address .................. Phone No .............. Name of Contractor ......................... Address ................... Phone No ............... 10. 1I. I2 13. 14 PLOT DIAGRAM Locate clearly and d~stinctly all buddings, whether existing or proposed, and, indicate all set-back dwnensions fron property hnes, Give street and block number or description according to deed, and show street names and indicate whethe interior or comer lot. STATE OF NEW COUNTY OF,. ~.~ .)fi .~..,7.~.... s.s that he is the applican tName of individual s~gnmg contract) above named. tie Is the... O fal .................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have perforuled the said work and to make and f'de thJ apphcatxont that all statements contained m this apphcat~on are true to the best of hxs knowledge and belief; and that th work will be performed m the manner set forth m thc application flied therewith. Sworn to before me this ... LI~D^ ~ R6WAL~I ........ /~........~. .......................... h0~ Pure i~. s.,t~ o, r~0~, ¥0~ (Signature ot' applican! .~ No 52 4524711 t t~o ,AT, 5¸:. DESIGN #2505 © HOME PLANNERS, INC. SUPPLY sYSTEM CANN~ - EXCEED 2/lO of 1% LBA~. ZNLrra,r~I~,R CERTIFICATION CONTENT BEFORE5 ~/JERTIFICATE OF OCCUPANC If copper tubing is used ' [;or water distributing . fiystem; piping shall be ~ .DJ~ types K or L onJy oq : B.P. NOTI~ BUILDING DEPARTMENT AT 7&51802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCR~E 2. ROUGH F~MING & PLUMBING FINAL CONSTRUCTION MUST BE COMPL~E FOR C O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR5 w*~_~<-~,~ MASTER CLOSET BED RM. GATHERING RM. DINING DINING 154 X 170 120 X °JO TERRACE RAISED HEARTH ENTRY KI-E DN. NOOK CURB BED RM. ii°x 11° BED 0 IO x PORCH r566 SQ, FT. GARAGE HOME PLANNERS, INC. 23761 RESEARCH DRIVE, FARMINGTON HILLS, MICHIGAN 48024 ®' ,I 2 ~m I¢~ ,, . . /~/~ ~z~ : . --x ............ [1 ........ , i 11111 /I '~ I ~ ' , · , , , ,-- , I I I I I I I I [ ~ I t I I .I I I I I I I I~C q SEC 7'/0 ,/~A,~T/A L. P'L. OO H /=/.-AL/ r