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Home My WebLink About23682-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24754 Date NOVEMBER 20, 1996 THIS CERTIFIES that the building ADDITION Location of Property 415 AQUAVIEW AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 2 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28th, 1996 pursuant to which Building Permit No. 23682-Z dated SEPTEMBER 16, 1996 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM A. GEROSA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Qas— Building Inspecto Rev. 1/81 FORM NO. f 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) N? 23682 2 Date ............1 .1.. J.................................. Permission is hereby granted to: ... o...... ..... .� ...................... to ............% T........... ...: .. �/ ...../ ....AIE.v.�Xl. fT.� ........... ...�%! ^ ........... .............: ll.^.! ..... .s. .. .........1�.. ....1� A.'.. ..... .: ..:.......... at premises located at .......... .../...i��. ...... .. .1�..../. ......,,r .:................................. ....................................................................... ...... .j::.... ��. 0.:! ......................................... ......................................................................j........................................................................................... County Tax Map No. 1000 Section e "/ Block ...!��;......... Lot No. ....:-��.... ........... ............ '' .... pursuant to application dated ........... �tlz .... ...... 19/.x'"., and approved by the Building Inspector. Fee $.../J...................�. ......... . ................................... ilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25v 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .{ 3 . /!�D.0' .!. . . . . . . . . . . . . . . . . . . . New Construction. .k C.� Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . �.�.r. . . . . . .QUA.- /IC /. . . . .*.V . .�iE�7,T. MA-IQIO1 " . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . � L�;I NI . . . :. G� D j -/> .4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .2. 1. . . . . .Block. . . . . ;?7. . . . . . . .Lot. . . 71. 1. . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .2.-._3. . 6/'a .z". ate Of Permit. . . . . . . . . . . . . . . .Applicant. Health Dept. Approval. . . . . . . . ...IVA . . . . . . . . . . .Underwriters Approval. . . . .�A . . . . . . . . . . . . . . Planning Board Approval. . . . . . �� . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. "�. . . . . . . Fee Submitted: $. .2. .5 .: ....... . . . . . . . . . . . . . . s a a--1 . .I. :.D. . .. . . . . . . . . . . . . . . . . . . . . . trFP1,I_CANT M.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�LATION [ ] FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: �r �Z (��- a, DATE IN8PECT0 r I ELL t NSPECT 1Ot1 ItEtIMU, DA•rF COHMENTS tl FOI►NDA'I'T ON ( 1!;,I,) ID i I r•uuNllnTioN (2tvu) z Ilk HOUGH FRAMh 6 1 . 11 C, PTAIM11I NG 1N;III.A'rioN vi-m N. Y . CODR, 1 1, 1 NAT, i II I 11 I A11N 1'I'I UNAL COMMI,N 1;: -. . --.--- ------ -- - - <--- �A - Ld t1,1 OH` t7 j t�1 1 '. BOARD OF ilEAl:rl1 . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUT11O1.D SURVEY . . . . . . . . . . . . . . . . . . . . . . . . AUG 281996 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALT. SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG.DEPT SOU'rliOi.D, N.Y. 11971 h TO&N OF SOS 1'EH ?l)' TET.: 765-18O2 NOTIFY: ..�...m_.-._�_.. „o.,�...m.-�a��..,.___ CALL �7 . . . . . . .Y l07 !.. /!` ..., 19 MAI 1. TO: . ..0?-��!!K q W k ApInTved...,... . . ..., 19?.P Permit No. ✓� I. 00_0..CaPA�.. ........ Disapproved a/c .................................. FIA$.r..!AAA J OA-f. ..y .. .....................................................jipe a 3q (Ikui Idir or)APPI.ICATION ILDING PERMIT Date AUP:� . . .L . . , 193.(e INSTRUCTIONS a. ltnis application must be completely filled in by typewriter or in ink and submitted to the lkuilding Inspector with 3,sets of: plans, accurate plot plan to scale. lee according to schedule. b. Plot: plan slxuwirng 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 application. c. lbe work covered by this application may not be commenced before issuance of Tkuilding Permit, d. Upon approval of this application, the Tkuilding inspector will issue a ikuilding Permit to the apfilicant. Stich permit shall be kept on the premises available for inspection thrcxnghaut the work. e. No building shell be occupied or use(] in whole or in part for any purpose wliatever until a Certificate of Occupancy shall. have been granted by the Ikuilding Inspector. APPi.i WFI(IN IS IIERET3Y MAIC to the Ikuilding department for the issuance of a iluilding Permit pursuant to the ikuilding 7Aaie Ordinance of the Town of Southold, Suffolk Canty, 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. llue applicant agrees to comply with all applicable laws, ordinances, building code, housing code, anti regulations, and to admit authorized inspectors on premises anti in building for necessary inspections. . .. .... ................... (Signature of appli nt, or name, if a corporation) I.Ooo CeA-A-..P/2 F,fs i M,+1910 ,- . (Mailing axklress of applicant) 1 1 g 3 p State whetlwr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .<o/!! r.RA.C.T. . ........................................................................................... Nave of owner of premises .... I LL/A'�t..... '.., G'CQ OS!4 ................................................. (as 0" the tax roll or latest deed) If applicant is a corporation, signature of duly autlxmrized officer. ......................................................... (Name and tittle of corporate officer) ikui lders license No. ,Z ,, ,,,�'� - • Plcrdmers T.icense No. ......................... Electricians License No. ..................... Ocher Trade's License No. .................... q.� A rd,vk v le lav I. [ncation of Land on wlnidn proposed work will be ckxne...... .. .............� A ........ 5.�...�t!I A-R.l O iv.........�'..../.I .................................................. House Number Street rr llamlet .. . Cxxunty Tax Map No. 10(10 Section .... .1....... Block .... ....... lot ., S.!.�...... Subdivision ...................................... riled Map No. ...... int (lame) ... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......S.� '��L e. ..... ( -G �.'... .. . b. Intended use and occupancy .......`...� .......................................................... Ram e of work (cl►eck width apldicable): Nuw Ikrilding .......... Acklition .......... Alteration .. . ..... .. Helm ir ............ Ita►tUval ............. IknxlliLior► ............ Other Ik►rk 'De.c.k............. ....... (Tlescr i pC ion) �I. 11"Ailliated U)SI: . .. .::!J........... . fee .................................. ............ (fo Ile paid clr► filing this appllcat ior►) 5. If chxa l ing, n><ui►er of ckaell ivy; units ............ ilnber of d►ael I ing imilis cx► each floor .... ............ If garage, ►xnber of cars ........ .. ........... ................. G. If lxnaioess, cAnnlercial or a►ixeel occupancy, specify rlaCure and extent of each type of use....... ... ............ n ! � a 7. Uinlensia►s of existing strnrctures, if arty: 1?rcx►l.l. .9. , 11/ //..._ Rear .7 ..... iplh .`t�4... . ..... ik:igl►t ...._��.............. Usiber of Stories _ . ...1._'1.2....... .. Din►eosicx►s of serve stnrcture will► alleraHoos or axkliCions: Front: .... .... ... .... Rear .... ........... Iktplll .................... lleigl►L ... ... ...... .... .. .. Mn1►er of Stories ....... ........ It. Dimleosicx►s of entire mw corrsCnrcCicxl: Grcxll . ........... .... Rear ....... ........ Depth .... .......... IleigJ►L Usiber of SCories ....... ............ 1 9. Size of lot: Frrx►t .... .�.�......... Rear ....� I ..J..... .. T)e1)tl► ..� v.......... 10. Mile of 1lrrchase> ..................... Nine of Donner Onx:r ..... .. .zM.Q.gh.,�✓ ........... ..... ..... CII. 7Ax►e or use district in wl►icd► premit;es are situated .....P:-. 0........................................ ........ 12. Ibes proposed cclr►structicxt violate any zcx►Iog law, ordin►ame or regulal:ionl: ....��-!........ ..... 13. Will lot he regraded ......ell�o......... Will excess fill be reAloved froln premises: YES ON M. Miles of Omber of preni ses ��'��^ . ....�a�.�. Acklreas fi1Q�AV+Cw� �• /L(,!Ir1410�i I1►or►e No7 7[7 . .P�fk 2- M:nie of Architect ................. ..................... Address . .. ..... . . ........ ............ 11"ie No. ..... ........ New of CotAractor �!r'�...�/zGA"0-0 LV6.,K !...... fuklress � ?C„G%�fF/L On_ :A..t.M Fjr�- x>ne PToy�7"-?•.��J� 15. ]s this pmperLy )within 3M feet: of a tidal i'eCland? * YI1S ...K ._.. M .......... *IC YL'S, SCMIKIID 'IUM 'ITAISIl -S 113RMiT MAY IIL ItFtiXJIlti D. PLOT DIAGRAM icx:ate clearly and distinctly all Ix►ildings, vAiether existing or proposed, a►ltl i►lnlicate all seL—hack dimensions frcxn property lines. Give street and biock rrnber or description) accorYling to deed` anxl slow street r►arr►es aril irxlicaCe c ictl►er inferior or corner lot. SSG SU VaY l s rn n: ot-' tUW YMK, SS UAINIY (X- ....... Ill ... .L.r. ..Q.z?�KO.!N3.K J. .. ... ....... .....being duly sworn, delx►ses alxl says that he is the appl icarll (Manx: of lltilivldual s►glllllg ccm(racl) alxrve nuncd, lk! in (lie .... ... R-.. .............. .......... .. . .. ....... ............................... (Un►tractor, agent, corlx)raCe officer, etc.) ) of Said cawrxtr or cHnxtrtt, 1110 is duly acllhorizecl to 1x�rfonm or havct Ix!rforlled the paid wcrrk mlil to imike arxl file Ihin application; lhaL all sfatc31renl.s contailxA ill Illis appl ication are Oue to the bell: of his knowledge arxl Ix?l ief; alx) I hat. the work will he performed in [lie nla nmr set' forth io the application filed tl►erewith. :Jwcxn tc�:fore nrt this da of. .. ......... S!19 . .... l4otary N►l is . . fes..... ............ CLAIRE L,GLEW (Signature of Appl icon Notary Public,State of New York No.4879505 Qualified in Suffolk County �p Commission Expires December 8,19..,..; 'N_,r Lrev- � ! in I 00 C to thio ettrvey k a vba%d ,.,.a _�,'�'f� �,:� �� f s.�t�rlos a r»rwtr rratll�M t;�ation Lm opies of this rjm r nap na bUft ` .h j at *-%c ax�a a ar W net Mcadw ootal�t�tw k \ - oa a valid true oopyL antoes bxka*d loom dmf" a the person for VA01 1 f m No c -red,end on hts bdafftolte �• r► h � e� Q �,.: ny govertrtteMdepenG�rl/ fisted Careen 0110 ''•� to u c r s cr tha IenfAnQlnaO� kn:c :.rs are not banderraw V) to ad..:.mt� e,stainions or&AWL Mrt no 4. T -" r- •�� •"5 Jt�) I'(..�•"�i, -�-"- _ ... �'�"'� i i�+��r �� "' ..1� �r�.J�`. +._.�/P ..� _�'.} ,!j / f�'' r T J / a Oc rA rt 1 S 25gq ,t j E 1 _ I Li t At 0 S r. f AP a - r { tff r. u , h x" R� '- � L-y ALT V� ' I/F/c— r T y TRA 4 ; + " a CA C eFacf A 71 , a t# }� a • S t� i {�} +{ 8 � r 13 A+� :z -- VVI L. A Nl A. . OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE, pF t x OF OCCUPANCY 1 - - -- - - - - - r - -- AP FEE DATE: 7S� NOTED BY: L�t/ NOTIFY BUILDING DEPAR• ME TNT AT F765-1802 9 AM TO 4 OLM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION lD 4. FINAL - CONSTRUCTION MUST m BE COMPLETE FOR Q,O, ALL CONSTRUCTIOM,,.SHALL MEET- THE EETTHE REQUIREMENTS OF THE N.Y. _- STATE CONSTRUCTION & ENERGY jCODES. NOT RESPONSIBLE FOR R. ,�l T DESIGN OR CONSTRUCTION ERRORS 2 TkR T Pei z <8 G-0 r,• '} Ja5T AUGUG 2 8199681996 i i I h.J _ �^ BLDG.DOUTHOLD I�id •,i�. , �� '� ,�CCIL.r., = TOWN OF S Y' , iI}' I -_-----_—_—_-- j KIM T. DZENKOWSKI ..f-_--- ----- ---.. __. --- - - - - --- - - ___ - __ .-- Home Impmvemem - - ' - - - -- - - -- -- - 1000 Cedar Drive East Merlon, NY 11939 Phone 477.2455 P SUFFOLK LIC. 1112155-HI 13 F, 1G