HomeMy WebLinkAbout25039-zFORM 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. 25039 Z Date JULY 15~ 1998
Permission is hereby granted to:
RICHARD & MIRIAM KLEIN
9955 SOUNDVIEW AVE
SOUTHOLDiNY 11971
for :
CONSTRUCTION OF AN ACCESSORY DECK WITH SCREENED BUILDING IN THE
REQUIRED REAR YARD OF A DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 059
pursuant to application dated JUNE
Building Inspector.
9955 SOUNDVIEW AVE
SOUTHOLD
Block 0002 Lot No. 005
10 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Nall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25987
Date: 09/23/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 9955 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 2 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10, 1998 pursuant to which
Building Permit No. 25039-Z dated JULY 15, 1998
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 ACCESSORY DECK WITN SCREENED BUILDING IN REQUIRED REAR YARD AS
APPLIED FOR.
The certificate is issued to RICHARD & MIRIAM KLEIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
For~ bio. 0
OF SO THO D
BUILD
DEP
' TOWN HALL
L ................. _~ 76S-1802
[~q~ DEPL
.... ~ '.-~'~i,:2I~J~LD.~.~..~ APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the bull(
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ail buildings, property
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contain
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bull
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For ~xisting buildings (prior to April 9, 1957) non-conforming uses, or '~uildings
'!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 applic~
If a Certificate of Occupancy is denied, the Building Inspector shall state th~
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 $25.0(
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinK 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 ......... ~. I.//~.~. .................
New Construction ......... Old Or Pre-existing Building .................
Location of Property .... .~ ........... ~/~.~.~j
House No~---. Street Hmml et
.C.
Onwer or Owners of Property ...................................
Section. ' q O0 ~-
County Tax Map No 1000, ...Block ..... ~. ......... Lot ........... ~, .....
Subdivision Filed Map Lot '-
Permit No .... .. ..... . ..Date Of Permit .... . cant ................ . . . '...,..
Health Dept· Approval .......................... Underwriters Approval ....................
Planning Board Approval ............... ..... . .
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate ...........
APPLICANT
:OUNDATION (1st)
~OUNDATION (2nd)
{OUGH FRAME &
.FLUMBING
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] IN~SULATION
[ ~"~INAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS r^G~,l
119se~,~ .U.EAU OF E.ECT.,C,TY
[~, 40 FULTON STREET, NEW YORK, NY 10036
"'" "Da~t~ ' DECEHBER 21,1998 Application No. onfile 17369698/98 N 474830
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
RICHAD KLEIN, 9955 SOUNDVIEW AVENUE, SOUTHOLD, NY
in the following location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block Lot
was examined on DECEMBER 07,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
4 4 5 4
1 F
1 t00 CB 1 X 1 4 i 4
PO BOX 38
GREENPORT, NY, 11944-0038 GENERAL MANAGER
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
PORH NO.
TOI4N OF SOUTUOLD
BUILDING DEPAR]I4I~t{T
'i'OI~H II^LL
SOUTIIOLD, N.Y. ll971
TEl,: 765- {802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
NOTIFY:
CALL ..................
NAIl. TO: ....................
Date ................ ,19 ....
a. ~ 'ibis application must be completely filled in by type~vriter or in ink ~nd ~mltted to Um {h~ildin§ T,~pector
3 .sets oF pla, accurate plot [)lan to scale. Fe~ according to sche~hlle.
b. ~ Plot plan sho~i~ location of lot and of buildi~q~s on premises, relationship to adjointn~ premises or l~blic
streets or areas, and §lying a detailed dem;ription of layc~t of property mmt be dra~n oe tim diallran ~h|d* Is l~rt of
this application.
c. 'll~e ~ork covered by al,ts application my ~ be commenced before isseance of Ilutldin~ Pemlt.
d. Ur~n approval of thin appItcaCion, the Ik~llding Inspector will issue a Buildin~ Pemil: to tim applic~nl:. .~h
permit ~bell be.kept on tim p~,~,dsea available ~or tospec~ton ~hrc~cut ~be
e. No beildln~ ~bell be occupied or used in ~hole or in part for any purpose ~hatever tmtil a Certificate of
Occupancy shall have been granted by lira Ik~tlding Inspector.
APPLICATICIi IS IEi~IBY ~IA~ to the Ii, tiding I~epartr,enC for tim is~nce of a ]iuildiutl Pemlt pursuant ~o the
Ikdildin§ Zone Ordinanc~ of the To~ of Sc~lthold, ~uf[olk County, Ney York, and otl~tr applicable I.~vs, Ordinances or
l~ulations, for tim construction of hdldin~s, additions or alterations, or for r~oval or de~olition, as herein
desertl~l. 3he applicant ~greea Co conply with all applicable lays, ordiuances, I~ildt~ code, housiu8 code,
re~dations,,m~] to ~Jmtt ~Chorized inspectors on premises and in buildin~ for necessary insl~ctions.
(Signature of applicant, or nave, if a corporation)
(~ilil~ ~ss of a~]Jcant)
State d~etber applicant is miner, lessee, agent, architect, engineer,'ge~eral contractor, electrician, pludmr or In~ilde~
.................................... O~.o..~.e. ~ .................... , ........................ AF~RQVB) AS ll01lD .........
(as on tim tax roll or latest deed) NOTIFY tIUlLDIN{~ ~ AT
~utberi?~ud officer.
If applicant is a corporation, signature of duly ~ . ~ --766-{802 { AM ~ ~ ~ THE
......................................... ~',.'.. :.~r.v-~,~ / / ~ 1. FOUNDi~N .- ~R~UIRED
(l~e a~ tltle of corporate officer) OCCUPANCY OR
USE IS UNLAWFUL
a,U,~ra Uee.~ No ..................... WITHOUT CERTIFICRTE
el~.bers ~.i~ec~ No .......................... OF OCCUPANCY
Electricians License NO ......................
FOR POURED CONCR~,m ~
2. ROUGH - FRAIVlING & PLUMBING
3. INSULATION
4. FINAL - ~CONSTRUCTION MUST
BE COMPLETE FORC.O.
ALL CONSTRUCfION ~HALL MEET
THE RE~UIREMENT~ OF .THE N.Y.
Otber T~a~e's License NO ..... ~'~% _ / L_ _,(3~E)~S.~I~)~STATE CO~S'I~,.C!ION & ENERGY
....................... ~ ................... ~ .....? ....... ..' ............................... ~' ' ' ~' ' '1 ']' '~"
~,~ ~,,m~ No. ~ ~ton ~ .......... ~ ..e.e.4~ ...... ~t ..~ .......
~i i i~ Fil~ t~p ~ lot .....
(~)
2. State existing u~ a~ ~ of premiss a~ tnte~ ~e ~ ~o~ of pm~ c~stn~tion~
~. v~ti~ ,~ ~ ~y ....... ~ ........................ : .....................
,,. .................. ....... ............. ................
15.
locate clearly and distinctly
frou properl:y tines. Give sl:r~el: ar
tA~etimr interior or corner
~. DIn~ml~m o[ ~[atlng atn~t~rea, IE any: ~tmt ................ ~ar ............... ~pfih .........
IHnensi~s o~ ~m ~t~re ~lth alteratkms or '~l~Jona: ~ront ............... ~ar
fl. Diu~nslmm o~ entire ~ ~s~r~t:i~ l~t ................ I~ar ............... ~pth ..............
~m o~ firddt~ .................................... ~lress .............................. ~ ~ .............
PLOT D~AORAH-
:1 bl~ ~d~r or ~ecripti~ accordin~ ~o t~, a~ ~ street m,~s a~l I~lica~e
(~ ~0'~ i~1 i~Ydi~l.L~l~dn8
i. a,. ............ ....
(C~)tractor, asent~
o~ ~ahl (~r or ~rs, nnd 18
that th9 ~rk will Im ~r~on~l In
..................... lalng duly sworn, de|x)sas and says tha~: he Is the appl. i(mnl:
corlx)rate ofl~leer, etc.)
autlmrJzed to perfons or ht~e I~rfor.~l the ~{tl ~k at~l to n~ke taxi file thla
a[~ in this nl~)tleatlm~ are tam to the Ims~ off his kt~l~e and I~l. ie~ taxi
.~mner ~t ~orth in tile al~l, ication fll~l tlmr~[flt.
......
o1~ Publio, State of N~W York
No. 4951364i
Quellfied n fiuffolk ~ou~ty ~.
Corem ssion Expires Me~ 2~, 19 ~
(Sll~nt:ure of ^ppl|eont)
9-03-~995 11~2A~ F~O~ - ~00~0~0~0~00 ~.2