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HomeMy WebLinkAbout25652-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26698 Date: 09/21/99 T~IS CERTIFIES that the building ADDITION Location of Property: 7930 SOUNDVIEW AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 59 Block 9 SOUTNOLD ( HAMLET ) Lot 13.1 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1999 pursuant to which Building Permit No. 25652-Z dated MARCH 26, 1999 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM JAROSZ & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A FORM NO. 3 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) PERMIT NO. 25652 Z Date MARCH 26, 1999 Permission is hereby granted to: WILLIAM JAROSZ & WF. 7930 SOUNDVIEW AVE SOUTHOLD~NY 11971 for : CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7930 County Tax Map No. 473889 Section 059 pursuant to application dated MARCH Building Inspector. SOUNDVIEW AVE SOUTHOLD Block 0009 Lot No. 013.001 16 1999 and approved by the Fee $ 75.00 re ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-t802 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 lines, 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 contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and and installations, a certificate of Code Compliance from ar, responsible for the building. 6. Submit Planning Board ApprOval of completed site plan requi: For ex~sting buildings (prior to April 9, 1957) non-conforming '7pre-existing" land uses: 1. Accurate survey of property showing all property lines, stre SEP .91 IB unusual natural or topographic features. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~ ....... New Construction ........... Old Or Pre-exis~ing Building.....~].~>.[~ .... ro ert-. ~. -~'' ' .................. Location ox ~ p y .. · · House No. Street Hamlet f ty ~.z~/~ ~ --~.-.~.~.~'~'~'~' ..... ' .................. Onwer or Owners of Proper ................... i f ............... County Tax Map No 1000, Section ............. Block .......... Lot.. K.~..~. ....... Subdivision .................................... Filed Map ............ Lot ...................... Permit No. ....Date Of Permit ...... can .... ' ....... Approval ~----~ Underwriters Approval ......................... Health Dept. ..-.... ................. .. Planning Board Approval '..'iq .... Request for: Temporary Certificate ........... Final C~erticate ..... Fee Submitted: $ ...... ' '::~ 765-1802 BUILDING DEPT. SPECTION [ IUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACK/&~IMNEY _ ~ DATE ~/ INSPECTO~~ / 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUG~PLBG. [ ] FOUNDATION2ND [ ].~I~ULATION [ ] FRAMING ~'~FINAL [ ] FIREPLACE.~HIMNEY /~ /~ INSP 765-1802 BUILDING DEPT. ] FOUl 1ST ] INDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REM~ DATE NSP£CTOR 0NDA~ION (Is~) UNDATION (2ND) I)ATE IsULATION PER N. STATE ENERGY · POP&f NO. I TONN OF SOUTHOLD BUILDING DEPART~dF. NT TONN BALL SOUTHOLD, N.Y. 11971 ~L: 765-1802 Disapproved a/c ............ INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CtlECK ......................... SEPTIC FORH ................... NOTIFY: CALL NAIL TO: .. a. l~his application mst be caupletely filled in by type~iter or in ii aed su~itted to ~ ~ildi~ Ins~tor 3 ~ts of pl~, ~a~ plot pl~ ~ ~le. F~ ~i~ to ~le. b. Plot pla ~ l~tim of lot ~ of ~ildi~ m ~s, mlatio~ip m Mjoini~ p~ms or ~llc struts or ~e~, ~ givi~ a ~tail~ ~ripti~ of l~t of ~ ~t ~ ~ ~ ~e diem ~i~ is ~rt of als ~liati~. c. ~ ~ ~ ~ ~is a~ltcati~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pe~t. d. ~ ~al of ~is ~li~ti~, ~ ~ildi~ I~ctor t~ll is~ a ~ilding Pe~t to the ~li~t. ~ ~11 ~.~ ~ ~ ~s ~il~le ~r i~ti~ ~$t a ~rk. 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' N,Y, ~ ~ 3D View of Your Deck 7,930. $cu~v,Lew AvG. ~cuzl[eL~, ~y 11971 3D View of Your Deck 3D View of Your Deck 7950 Saun~vl~o Ave. $~u~J~,~, NY 11971