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Home My WebLink About15994-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15769 May 20, 1987 No .......... Date ..................... THISCERTlFIESthatthebmlding. 10' x 26' addztion to existing one family 'd~ellffig ............................ Locatlon of Pro erty 3000 Soundvzew Avenue Mattltuck, N.Y. P - P;~f, se No .............. 'S'~;eet ................ County Tax Map No. 1000 Section .0.94.... Block 02 .Lot 03 Subdivision ..................... Filed Map No ........ Lot No ........... conforms substantially to the Apphcat~on for Building Permit heretofore fried in th~s office dated Play 12, 1987 15994 Z ............... pursuant to which Building Permit No ................... dated. Ida.....y 18, ..........I 987 ... was msued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which tins certificate is issued is ....... 10' x 26' addltion to exzstlng one famzly dwelling GIANCARLO BUGANZA & LINDA BUGANZA The certificate ~s issued to ..... ..... ?oYn'~;, l~}c~;~}9~c ............ of the aforesaid building Suffolk County Department of Health Approval lq / A UNDERWRITERS CERTIFICATE NO. $ / A N/A PLUMBERS CERTIFICATION DATED: 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) N~ 15994 Z Permission is hereby granted to: · ~,:..L~...~.,.. ~.~,, r~. ................ ~ .......... .~ ....... L~......~...q. ........ ~~.~,.~.~~~ ..... 7.~. .......... ~...../ ............ ~t promi~o~ I~at~ ~t ..~.~.....~~......~ .......... ~~ ................. County Tax Mop No 1000 Section ...... ...C~...cJ..~. ...... Block .......~.....-~:.. ....... Lot No ........~X.~ ......... pursuant to application doted .... ...'~ ....c~.J .,-,-,-,-,-,-,-,-~... ......... , 19 ?...'7., and approved by the Building Inspector. Fee $..~).:...'~'.. ..... Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Aa Thru applicatton must be filled m typewriter OR ~nk, and submitted ! ~ to the Bufld,ng Inspec- tor with the followmg; for new buddmgs or new use: 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2. Final approval of Health Dept, of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical mstallat~on from Board of F~re Underwmters. 4. Commercml buddings, Industmal buddings, Multiple Residences and similar buildings and mstalla- tlons, a certffmate of Code comphance from the Architect or Engineer responmb~e for the buildmg. 5. Submit Plannmg Board approval of completed rote plan reqmrements where apphcab[e. For existing buildings {prmr to Aprd 1957), Non-conform~ng uses, or buildmgs and "pre-exmting" land uses: 1. Accurate survey of p~operty showmg all property hnes, streets, buddings and unusual natural or topograph m features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddmgs 3. Date of any housmg code or safety mspect~on of buddmgs or premises, or other pertment reforma- tion requ ~red to prepare a cert~fmate. C. Fees: 1. Cert~f~cate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0 00 2. Certificate of occupancy on pre-exmtmg dwelling $ 50.00 3. Copy of certlficate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date . ..~..'~, / ~.. /.?..o~. ...... NewConsbcuct~on ..... Old or Pre-ex~sting Bu ddmg ........... Vacant Land ......... Location of Property ... House No. Street Ham/et Owner or Owners of Property ...................................... County Tax Map No 1000 Section .... ~.../~. ..... Block ..... .~. ~ .... Lot .. z:~.o. ,~. .... Subdw~s~on ................ . .z~ ..... Fded Map No ........ Lot No ............ Permit No. Date of Permit Applicant . . Health Dept Approval ...... ~ ............ Labor Dept Approval .... .x~..,~ ................. UnderwmtersApproval .... .....4/'~'.... .........PlanmngBoardApproval ..................... . Request for Temporary Cert]fmate Fee Submitted $.. ~'--~--' ~ Construction on above descmbed budding and permit meets all apphcable codes and regulations. ^pp,,ca t. ...... .............. Rev ~0 10 78 KANTOR, DAViDOFF, WOLFE, ~ABOINO & KA$S, P ATTORNEYS AT LAW April 29, 1987 TELEX 311315 F ~ K CO~P CABLE ~NSHARY Town of Southold Office of Building Inspector Town Hall P.O. Box 1179 Southold, Long Island, New York 11971 Attn: Georgia Re: 3000 Soundview Avenue Mattituck~ New York Dear Georgia: With reference to the above noted premises, enclosed please find an application for inspection, together with a form o£ Consent to Inspection. It is requested that an inspector from your department be sent out to inspect the premises and issue a certificate of occupancy on a pre-existing structure. I have enclosed our check in the amount o£ $50.00 in payment of your fee in connection with this application. If additional information is needed, please give me a call at 212-682-8385. ~.incer Armbrecht TA:ez Enc. FEDERAL EXPRESS 1235C #2 Memorandum from.,.. BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ H,~.L, Sou'r~OLD, N Y 11971 765-1802 KANTOR, DAVIBOFF, WOLFE:, RABBINO & KASS, P C ATTORNEYS AT LAW 5I East 4~No StReet New YORK, N Y 100~7-5497 (212) 682-8383 May 12, 1987 TELEX 311315 CABLE KANSHARY Mr. Thomas Fisher Building Department Town of Southold Town Hall P.O. Box 1179 Southold, L.I., New York 11971 Re: 3000 Soundwew Avenue Matatuck~ New York Dear Mr. Fisher: In accordance with our conversation, I am enclosing a check to the order of the Town of Southold in the amount of $75.00 representing payment for the fees for the building permit and certificate of occupancy which must be obtained for the above mentioned property. Please let me know if there is any additional which you require. Otherwise, we would appreciate your the issuance of the necessary document. information expediting Thanks for your cooperation. / Ver_y truly yo~rs~/'--) MWR:ez Enc. lZ04C #6 FEDERAL EXPRESS FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL.. 765-1802 Examined ... Approved ...... Disapproved a/c .... ·., 19 , 19 Permit No ..... BOARD OF HEALTH ...... 3 SETS OF PLANS .- ...... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT IN ST RUCTION S a. Ttus application must be completely filled in by typewriter orln mk and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stree or areas, and glvrng a detmled description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by flus application may not be commenced before issuance of Bmldmg Permit d Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the apphcant. Such pe,n shall be kept on the premises avaflable for inspection throughout the work. e No braiding shall be occupied or used in whole or in part for any purpose whatever uhtll a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmlding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demohtton, as herein describe The applicant agrees to comply with ali apphcable laws, ordinances, budding code, housing code, and regulatlons, and for necessary in ectl s admit authorized inspectors on premises and in bulldmg ~ect~ (Signature of applicant, or name, if a corporation) (Madmg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlde Name of owner of premises .... (as on the tax roll or latest deed) If apphcant 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~ .......... Plumber's License No .... .~'~. Electrician's License No .O"4t Other Trade's License No. . "~.'~. . . . Location of land on which proposed work will be done .... House Number Street County Tax Map No 1000 Section ~"Y.. Block .0. '~- Oml;t ............ .. ...... Subdivision(Nam~e) . Filed Map No ~ Lot . ~ .... State existing use and occupancy of premises and intended use and occupancy of proposed construction b. Intended use and occuvancy ~ . ~ ./o.~..zY'.'..,~..~. . .......... ...d~~ ~ ' '.. Nature of work (check whlci~ applicable) New Building Addition · / - · Alteration Repar ... Removal ...... Demolition ........... Other ¥,ork ........ ,~, (Description) Estimated Cost .................... Fee ,..4-'0, ----- / ' (to be prod on filing this apphcatmn) If dwelhng, number of dwelhng units .......... Number of dwelhng umtS on each floor .............. If garage, number of cars ......................................... If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......... Dimensions of existing structures, if any Front ~ ? Rear . .. ~.2~ Depth ....... Height .... Number of Stories ............. Dmaensmns of same structure w~th alterat,ons or additions Front . ~:'2~s 3. 'i'i. 'l~ear .-,~,~ -t~ / Depth ............. Height ............... Number of Stones.. / ~.~'- ....... Dnnenslons of entire new construction Front ....... Rear .......... Depth ........... Height .......... Number of Stones ............................... Slzeoflot Front ?o o .... Rear .............. Depth .... '~o~.. .. ~,77.~-. ,. Date of Purchase .................. Name of Forme~ Qwner ......... ,, .......... Zone or use district ~n which premises are situated .. t~.~ ~.~4e~r/-~O~ 7. ~_~5<~../~. ........... Does proposed construction violate any zoning law, ordinance or regulation' .. .. ~.~. ...................... Wall lot be regraded ..... ~.~* .., ......... Will excess filI be removed from premises. Yes No ~-- Name of Owner of premmes ~t g., .~.tx~l. ~f~ .. Address ............ Phone No ............. Name of Architect ................... Address .............. Phone No ............ Name of Contractor ................. Address ................ Phone No .............. · Is this property located withzn 300 feet of a tidal wetland? *Yes ..... No .~'... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buddings, whether ex~stmg or proposed, and indicate all set-back dtrnenslons from ~perty hnes Give street and block number or descnphon according to deed, and show street names and indicate whether enor or corner lot I ATE OF NEW YORK, S S )UNTY OF .... ....................... being duly sworn, deposes and says that he ~s the apphcant (Name of individual s~gnlng contract) ore named ~s the ...................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this ,hcat~on, that all statements contained in this application are true to the best of his knowledge and belief, and that the )rk will be performed in the manner set forth m the apphcatlon filed therewith. om to before me this ............... day of ................. ,19... taw Public, · ........................ County (Signature of apphcant)