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Home My WebLink About14757-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy THIS CERTIFIES that the building DECK & INGROUND POOL ADDITION L ..... 14850 Soundview Avenue Southold, N Y. ocanon oI rroper~y .................................................. ' ............. House No. Street Hamlet County Tax Map No. 1000 Section 0 5 0 .Block 0 6 ..... Lot 02 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 10, 1986 14757 Z ...................... pursuant to which Building Permit No ...................... dated ..... A. p..r .i.1.. ! .5.,.. [ .9 .8.6 ....... 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 ......... DECK & INGROUND POOL ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ..... JAMES A. & MARGUERITE S. SCHONDEBARE ................ ?oW.'o;, 'I xf ................... of the aforesaid building. Suffolk County Department of Health Approval ........... N./..A ............................ N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FO~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 147~7 Z Permission is hereb/granted to: ~.~.~L....~..:.~.: ...... ~L.~..~..(, ......... ,o ...................................................... m premises located at ..L~.?..?.......~).t,~r~:~.~.U./-~,x,,~.....~ ....... ..~..~ ......... County Tax Mop No. 1000 Section ...... ..~...~ ...... Block ....... ..~.....~. ....... Lot No ..... ..~..~ ......... to application dated ...~ ....... ~..~. ..................... , 19.]..~., and pursuant Building Inspector. Fee $~.....C.~.. approved by the Building Inspector Rev. 6/30/~0 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 disposal--(S-9 form or equal}. 3. Approval of electrica{ 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 p~an 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 property 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 , 5.Updated C.O. $ 50.00 Date .... M. gy..8~ 1987 NewC°nstruction Old or Pre-existing Building Vacant Land 14850 Soundvlew Avenue Southold New York Locatio. of Property ................................................................... House No. Street Nam/et James A. & Marguerite S. Schondebare Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 50 Block 6 Lot 2 5675 2 Subdivision......,..........................M/° Northwood Ests. FUed Map No ........... Lot No .............. · 14757Z 4/15/86 George N. Terry Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... X Fee Submitted $ .,~, ~ ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ....... 31~g~'~l'~6fi$fiS&fi&~& ......................... Rev, 10-10-78 FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: ~,QLJND 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1803 .... 19. b Examined ' ' '~' ' f..~. ·., 19~ [ q['~ ~ 7 ~ Approved ... Permit No. . · Disapproved a/c ..................................... Received ........... ,19.. (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 Bnilding 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, buff.ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~c.tions. ~. "' ~'lica~nt: ;; ]:a~c~'3~a'tio'n', .... ( 'g pp ' ~" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....,r,. .............................................................................. Name of owner of premises ....~..~. ~: .J~..~.a;...,~.'.c~.j~p. O.d~. ~..'P. C..~ ..................................... (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 .................... Plumber's License No ......................... ~, , Electrician's License No ....................... Other Trader's License No..~ .~.e~..' '/ff'e'~' '/5/' ' ']f~" '~' '~a-/ / 1. Location of land on which proposed work will be done ..... ff..fi.~. ?... ~.~..~?. ~..~./x/. ........... '..' ............ .~' ...... L .¢. ......... . 79. . .............. ?. id..' House Number Street Hamlet County Tax Map No. 1000 Section ...... .~..D. ........ Block .................. ~ Lot.: ................. Subdivision.. fl./.o. ~. ~..~. ~O.,~O.d. ~X '.].~ .~. ¢.~.' ......Filed Map No. ~'-.~..7..$1 ...... Lot....2~. .......... (Name) 2. State existing use and occupancy of premises and intended use and oc?upancy of proposed construction: a. Existing use and occupancy / tt-~t't? ~ S ! ~ C ~' b. Intended use and occupancy .~. g'fl. Z.Ze.~. k*.e. .g~z/..~,~...~.~. d~...~..o..C$7 O..t4 .r/. t/--t6. . .~.O.O ......... 3. Nature of work (check which applicable): New Building Addition .~)...~..~:.... Alteration ...~ ..... Repair .............. Removal .............. Demolition ............ ,. Other Work ............. (Des. cription) (to be paid on filing this application) 5 If dwelling number of dwelling units Number of dwelling units[on each floor If garage number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each typei of use ..... ~ .............. 7. Dimensions of existing structures, if any: Front. .C~.~.,. Rear .. ~.. ~-. ~ Depth ~ .(~. Height c~ .~./ Number of Stories ~ Dimensions of same structure with alterations or ad.~itionk: Front . ~ ~L, ....... . Rear .. ~ ~ .......... Depth ./.~2 .~../ ............... Height . .,~./7(. ..... ; .......... Number of Stories ...~_ ....... I ........ 8. Dimensions of entire new construction: Front .... 2..7. ....... Rear . rZ3.7.... I..' .... .Depth./.~. 2. ......... Heaght .... e~ ......... Number. of Stories .... 7.;..~ .................... ..... .~__~/~.. ) ........ 1 0. Date of Purchase ...... '..'~7..".: ................. Nar0e of Fonmer O~vner .. ,~. 1 1. Zone or use district in which premises are situated../r~e.~, t~.ett.~t.t.;~. ~ ....... !. ' ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: /~.o..: .......................... 13. Will lot be regraded ./~)e> ................. ' ......Will excess fill be removed from premises: Yes ~) 1 4. Name of Owner of premises .................... Address ................ i, · · Phone No ................ Name o Architect ................. Address ... g ...... ~, . Phone No ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indfcate all set-back dimensions from property lines. Give street and block number or description according to deed, and show ,~treet names and indicate whether interior or corner lot. ~T~ATE Z NEW YORK, S S OUNT / F ........... ' ' ·...~.~/~' ..~...:.~..2....~r~-,.,-~., ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing/contract) tOove name0. ~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 h~s knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. gworn to before me this ............ tt~-· ......... dayof .... ~ ......... 19 .~.. o,a. ....... Ooun ~.4707878, Suffolk County ~ ? I (Signature of applicant) Term Exp~es M~reh 30,1~,.2..~ / ffl,-L c c_ q ' m x/?f ,, I '1 " A FiLL I '