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Home My WebLink About15096-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19278 Date AUGUST 7r 1990 THIS CERTIFIES that the building. ACCESSORY Location of Property 450 SOUNDVIEW AVENUE EXT. House No. Street County Tax Map No. 1000 Section 50 Block 4 Subdivision Filed Map No. SOUTHOLDr NEW YORK Hamlet Lot 2.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11~ 1986 pursuant to which Building Permit No. 15096-Z dated JULY 18~ 1986 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 NON-HABITABLE ACCESSORY BUILDING AB APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 F~ANUEL & GIANNOULA MARKOZANIS H-012777 - NOVEMBER 10~ 1989 N/A /~ Building Inspector I~0~1~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 15O96 Z Permission is hereby granted to: . ........ .= ............... ..... ...~.~..( ............. ~.~....~......~.~ .................. ,,,, u. . "~"-" ............................. ;'"2'"'"'-" ........................ ~, premises located at ...~...,~..',O .......~.L~.~..Y~.....~.:...~.....~....~ County Tax Map No. 1000 Section .... .~.,,~--'~.... ......... Block ....... ..~..~ ........ Lot No ..... ..~....'~..2..J ....... pursuont to applicotion dated ........... ~ .~./. .......................... , 19.~...~.., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property Ifnes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont~ns ~ less than 2/10 of 1% lead. 5. Commercial building, indus.trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan reqairements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' · 2. A properly completed application and a consent to inspect signed by the applicant. · If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 , ' Date ....... ~J ~.~. Locatto. of Pro~er~ .... ~..~. &eW. Hb W/ew7 . ~d, ~ ..: .................... House No. Sa£eet Hamlet Couaty Tax ~p No 1000, Section .... ~n ...... ~loe~ .... ~.Y ......... ~ot..~....~.. ............. - ~la..ing Board A--rova' ' ' Reques~ for: Temporary Certificate ........ Final Certicate..~ .... .... THE NEW YORK BOARD OF FIRE UNDERWRITERS ?, O 1 c, ~,! ~, BUREAU OF ELECTRICITY ['--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Mdy t/is ~&ectr4c4d equtpnteat as del~riM bMo~ ~md latroduLMd by t/kc I/NIdlo~t t ~,n4N/on the .bo~e COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MAHHER. 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION :)ND [ ] INSULATION ] FRAMING [~NAL REMAR~ DATE: ~+/~/'. INSPECTOR.~ FIELD f~sU~CTION FOUNDATION FOUNDATION ROUGH FRAME & (1st) (2nd) PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .... I..~...., 19~. Approved . ~.~ .I. ]g. ·., 19~~.. Permit No. I~'0..~0..~.. Disapproved ale ..................................... TOWN CF ~OU'IHOLO Received ........... ,19... - ' .,, ~. , (Building Inspector) ~ ~' APPI~ICATION FOR BUILDING PERMIT ~'~ ~ 'v ~ ' ·" Date 19 · ,~,p' '~ '. '.~ ~ INSTRUCTIONS a. This application lffus~ be comlSl~ely, .flll[6d in by typewriter or in ink and submitted to the Bml&ng Inspector, w~th 3 sets of plans, accurate plot plan to s~le. 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 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 all applicable laws, ordinances, buildin~o:~~ode, afl)d regulations, and to admit authorized inspectors on premises and in building for necessary~ ~g~'~~pplicant, or name, if a corporation) (Mailing address of appli6ant) State whether applicant is_owner, lessee, agent, architect, engineer, gener',fl contractor, electrician, plumber or builder. N~me or owner of premises .~--...~. -~..~..~'°.~..~..1:-. ..... ~'~-...~-.O.Z~ .~.'. ~TZ: :~]~/-~ ~*. ~._.~,~ ?~.~ · · · (as on the tax roll orF~:[atest d~e~)~. ~ ~ BY: V' ~ t ~- _ If applicant is a co~oration, signature of duly authorized officer. ~TI~ ~I~ING DEPARTM~ AT 7R5-1~2 9 AM T0 4 ~ ~ THE .............................................. F~LOWlNG INS~S:~ , (Name and title of co.orate officer) * 1 ~UNDA~I[}N ~O REQUIRED Plumber's License No. ~ ~O~ O ~' ...................... . ¢~u~UCT~ON MUSI ~ a~ COM~.~e ~OR C.O. Electrician's License No. ~.,~ ~L~STHUCT~N ~ ME~ j ...................... 1~ 8tQU~R~UE~T8 ~ ~ ~.* Other Trade's License No ...................... ~4 COOES NOT ~~E ~R House Number Street Hamlet County Tax Map No. 1000 Section .... PT.P ....... mo,k ...... ....... lot o2. / Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use aad~occupancy of proposed construction: a. Existing use and occupancy .. ,~ ............... ,, . . ; ..,..,',' ................... b Intended use ona ,-ccu ..... '"~'/ ~ ~ ':'" ' ':' ' ": Nature of work (che~k'!w. hich applicable): New Building . .. ' 32 . ' i , '/.'g:,t~.. Adz ,;~. ·. ....... · Alteration' .... :... Repot ........... q,. Removal ....... Demolition .............. Other Work ............. I ' ~ (Description) 4. Estimated Cost .O~' .O ........................ Fee .O.. (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. It' business, commercial or mixed occupancy, specify nature and extent of each tyne nf u,:- 7. D~menmons of ex~stmg structures, ff any: Front... 1..~.~ .Z. '.'.... Rear . ~ ~,.'¥.%-~..:~, ............ Depth..~...~ .'~. Height Number of Stories Dimensions'of same structure with alterations or additions: Front ................. Rear ..... I ............ Depth ...................... Height ...... /.~2. ......... Number of Stories ................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height .............. : N.u,¢. her of Stories 9. Size of lot FrOnt I ~ . Rear ~i .... ~t ........................... .............. ~,dLg. . D~,tu ~2-.~'7~ ~ ~;' 10. Date of Purchase ~Jrq~'/llr'~·: .... g''' '~,' ~' ~"' · · ............................ F.a~t~t~/~'~ .~ ~...~-~...~... !&.. 11. Zone or use aistrict in which premises are situated... ]. ICILY.....: :'. ?.~..[. ~J~. .... ' ..... " "" .................... 12. Does proposed construction violate any zoning law or 13. Will lot be regraded .......................... [~l¥1~ss ~~l~.~premises: Yes N .... r~14,1f/}' ~ - ",s~ uc 14. Name of Owner of premises ................ __~_ {jl~tr. ~ .... ~,/~tone No ............... ............ Name of Contractor..M..Pt~.t.t.t.t.t.t.t.t.t.~p.~.. i .' .~..~.~.' i .~.I 15. Is thia property located within 300 feet of a ..... ~o ..... · If yes, Southold Town Trustees Permit mag be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro~ property lines. Give street and block number or description according to deed, and show street names and indicate whetht interior or corner lot. STATE OF NEW YORK, COUNTY OF .............. S.S (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant above named· . He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of 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 work will be performed in the manner set forth in the application filed therewith· Sworn to before me this ............. [/...~..~-A~J.~J~J~ ..... day of.., .... ~/ ,/ff"~t ........ , 19~.. ........ o.nt soUND AREA "28, 411 SO. FT. ~N*C SU~ $ P. O. BOX 9A, 09 MAIN R O O $OUTHOLD N.Y. 11971 pl~ft -~, ~'¥ .. 0 L~ r~ / /o ~ ~URVEY FOR EMMANUE~ MARKO - AT ~OUTHO~D TOWN OF ~OUTHO~D SUFFOLK COUNTY , N. Y. ~000 50 - 0 4 2.5 SCALE I , , 40 ' MAY 5, 19~6 I. IC. NO. 49668 ENGINEEF~S , P.C. ZANIS Prepared in accordance with the minimum standards for titlo surveys as established by the L.I.A.L.S. and oFpro~'ed and adopted for such use by The ~'~ew York State t. and Title Association. 86 - 240