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Home My WebLink About23882-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24840 Date JANUARY 10, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 135 ISLAND VIEW RD. House No. Street County Tax Map No. 1000 Section 57 Block 2 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 31 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1997 pursuant to which Building Permit No. 23882-Z dated JANUARY 7, 1997 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 A 5' x 6' EAST SIDE STOOP ADDITION & EXTEND EXISTING WEST SIDE STOOP OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELEANOR KRAVITZ (owner) of the aforesaid building. 'SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/~ lvO~.M NO. ~1 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) ~o. ~ z ~o,,..~.~.......7... ...... , ,,.~.~ ..... ~:.y..~...:.z.x..~ .......................... ...~f~.~ ./..,.......zz~y. _ County Tox Mop No, I000 Section .............. Block ................ Lot k4o....~...../.. ........... pursuant to application dated ........................ ~..~.....~,......., 19...~....7, and approved by the Building Inspector. ,/ Budding Insl3e~ror Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEP~KTFiENT 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: i. 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 1% lead. 5. Commercial building, industrial 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 requirements. 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 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. Ceruificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential,S15.00, Commercial $15.00 Date ...(/..~.f.~..~ ........................... New Construction ........... Old Or Pre-existing Building...~.~ ............ Location of Property.../. House No. Street ~m]et Onwer or Owners of Property...f~.~.~..A~.9?,..~.~.~ ~].~ ............. County T~ Map No i000, Section...~.~ ...... Block ...... f~ ........ Lotl...Z.~ .............. Subdivision........................ ........ , . .. Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ...................... Approval ........................ Planning Board Request for: Temporary Certifi e .......... Final Certicate ........... Fee Submitted: $,~..~~ ......... :..~..~~._~j~ ~ '~ ~ 0 APPLICANT I" I I'.'1,1) I IHi '1:; ( IIl~,l'~)ll I' D^'I E Al)t) I '1 I 011^ l, (.;(AtII'II~, lt'l',q ,. FORH NO. TOWN OF SOUTItOLD BUILDING UEP^EI~tgNT TOWN llALL SOUTIIOI,D, N.Y. 1197 TEl..' 765-1802 BOARD OF IIEALTII ............... 3 SETS OF PLANS ............... SUEVEY ..... .-, ................. CllECK ......................... SEPTIC FORH ................... NOTIFY: CALL . . , ............... NAIl, TO: .................... 3 ~ts of plus, ac~rate plot plan to scale. Fee acco~ir~ Co b. Plot plan ~{tg ]~nti~ of lot ~ of lmild{~9 ~ 1~i~9, relati~ship to ~joinlng, p~{ses or d. Ui~ n~l oE th[, ~llc~t{~, the lk~ild[ng Ins~etor will ~ a ~Hdlng ~m[t to the ,~[{~nt. Such ~m{t ~mll I~ kept ~ tim ~[~9 ~il~b],e for {ns~ti~ th~t the ~rk. e. ~ ~{Id}ng ~mll I~ ~pi~ or u~l in d~le or in ~rr for ~ ~l~ Am~WATI~ iS ~n~m~In ~ to U~ l~}ldlng l~qrt~nt for U~e {s~o~e of a ~]ldlug Pemlt ~r~qllt tO the ~iidltg r~e ~lh~m:e of the ~ of ~U~o]d, ~[Folk C~ty, ~ Yo~k, n~l outer ~llcable ~dati~s, for tie ~st~Li~ of lmHdi~Mg, amities or olterati~, ~ for r~al or ~lit~, ~ lmre{n re~t.ti~s. ~1 to ~{t m~tl~ri~l i~,~tor, ~ l~i~s m~ in ~ildbM for ~cess~ (gi~ture of u~llem~t, or ~, if n eor~rathm) .................... 2 ....... , ............... ~.~.5 (~ill~ ~lres. of n~lica,,t) State ~ether applicm, t is c~n~er, ]es.~ee, ~ngeut, architect, ehghmer, ge~ral cmtraetor, electrician, plmtmr or t~dhler. (n~ ~ tim Ca ~11 or (l~ne ami tltl.e of corporate of[icer) lk~ltders l,lcen~ No .......................... Plmimrs lacen,m No. Electrh:innul,mense' No. . .................... Other 'FRO', l,lt~m ~) ..................... I. l~ati~ si lm*l (m O}ich p~l turk will Im ~ .............................................................. .........._ ................. ' ..............' .................................. I~ ~r St,mt ~,nty Tax g,p ~. I~ ~etlm .. ~..7 ........ Bl,rk ....... ~ ....... tot ....~.t ........ ~lxhws~c~.. .......................... ..... .... . FiI~ ~p NO ............... . l~t .............. . (~am) 2. Stale ex,slug o~ ~ mm~r7 si ~,{~s a. 15xmtlt~ opm at~l ~mq}m~ 'J. r~lJlll~ ull ~)~1~ (d.:(:k ~}lidl nl~{)licldH,e); hk.~ ]klihlifi8 .......... ~klirio, i ...~ .... Alleulli(Jtl .......... I1 . I~tJl, J.~,l c~l (~,1: ,~., .' .......... fee .............................................. (10 I~ paid o, fi1 '~'. If ~k~ll{n{t, l~{mr ol: ~k~llh~jl u.}l', ..... ~ ...... {i~l~r o{~ *k~llln~ u~HLs c~ ~mh flexor ................ ~. IH.un~lc.m o~ ~xl.l:l~B ,t~l~:[ure,. I~ uny; l~r~H ......... I~' I~pLh IkHBhl: ....................... '.. ~.~1~ o~ 8Lorle, ...................... {H,uu~i~m o~ ,~.~u ,~(~L~r, v h ~ller~l~m o~ ~hllLIo~m: Fron~ ............... lk~r ............... IkuHh .................... Ikl~t .................... ~{~l~r of Il. I){,~nt{i~m o1~ m{l:l~'~ ~ i~,~sl~l~:l'lcx~: F~x,H: ..... ~ ....... I~ur ............... l~plh .............. I~{l~{I ....................... ,.. ~{~r o~ HI.orle~ ..................... ~. ~ ,r ,.,., ,~,-,~ ..... k~A~. ......... ,~,- . ...... k<~... ,~,,,, ...r.~X ......... Iii. I~He o~ }~,'clm,e ............. , ........ I{~ of Fro,ur (~ ........................................ I {. Yx~! or ime d},Lrlcl: I~ ~JHch ~)rc~.l,e, nrc I~it~mled .............................................................. I]. Ik~t~ i)r~qx,md ~ ~ r ~:cl~l vlo~nt~ m~y ~,{1~1~ 1~. ordhm~:~ or re~fl,l.l{~; .~.~. .................. 13. IJ[ll h~l; }~ ~ei{rl~{I .................... ~}1} ~c,~l, fill {,~ ra~l~cd ~&w.~ ..... ~u~., ~.,.~.~, .~.~ .......... n,~ ~u~J). ........ ....... ........................ ~u,~.,, .~X...~..e.e...,o,., ,~, .~Z~.. {~i. h~ Ihi~ pr~H~H:y ~}lhln ~ i:ce~ o~ n [ld~i ~tlm~l'l * YIn{ .......... ~) .... ~... CIA}RE L. GLEW Notary Public, stere of NewlYO~k No 4879505 n.mlified in Suffolk County Commiss on Expires December,8,