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Home My WebLink About22769-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23759 Date JULY 11, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 10425 MAIN BAYVIEW ROAD House NO. Street County Tax Map No. 1000 Section 88 Block 1 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1995 pursuant to which Building Permit No. 22769-Z dated 'MAY 17, 1995 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MIKE & II{ENE VENETIS PENDING - JULY 10, 1995 /~ =~i~ding Inspector / FORM NO.3 TOWN OF$OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 22?69 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) /o ~'z ~ ~-~j~'~ ~: ...... ,o.~~~ ....... ~ ....... ~~...'....~~ ~-. ...... ....... ......... .~~'....~~~,.,. ~.~.. ~~...~ ~ ....... /~' ~ .~ -~, ~...~ /~~ .......... ~..~~ .......... ~~ 2 ....... ~-~ ...... ........................ , ....................................................... ~~ .................... ., ............... oo,,~x~,o. ~000 ~o,o,...E.~. ......... ~,o~, ......................... ,~o,,o....~. .................. pursuant to application dated ............................................ 1 9~ ..... and approved by ~e Building Inspector~_..! Fee $...7...~..~ Rev. 6/30/80 i TOWN OF SOUTHOI,D ,, JUL I 0 ~ BUILDING DEPARTMENT i ~J TOWN HALL ~ TO~flq OF $OUfHOLD J 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. 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. New Construction ........... Old Or Pre-existing Building... Location of Property../.~...~.. ~.~.. ........ ~.~./.~. ~. House No. 'S~ee'~ ' 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 Buildins - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 Date ...~..~..~..~.~.~.f .~.. ............... Hamlet Onwer or Owners of Property .............. ~.:~. F..F~.~..~" ..... County Tax Map No 1000, Section .... Block ............. Lot Subdivision .................................... F'ilcd Map ............ Lot ...................... Permlt blo .......... Date Of Permit ............ Appl±cant ............................. llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approw~l ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765~1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 27, 1995 Mr. & Mrs. Mike Venetis 10425 Main Bayview Road Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22769-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT DATE COld'lENTS _ __ ~OUN~ATIO~ (~Sm) FOUNDATION ( 2ND ) II PLUMBING INSULATION PER N. Y. S~A~n~ ~mR~ II CODE II BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 100,38 D.te JULY 14,1995 Applic. tlo. No. on.file 07382295/95 H 046196 THIS CERTIFIES THAT MIKE & IRENE VENETIS, 10425 in the follolvlng location; [] Busement tvasexaminedo. JULY 15,1995 MAIN BAYVIEW ROAD, SOUTHOLD t N.Y. [] Ist FI. [] 2nd FL OUT Section Block and found to be in compliance with the National Electrical Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E )THER APPARATUS: G.F.C.I:-2 E R v I C OF CC. COND. NO. OF HI.LEG A W G NO OF NEUTRALS A.W.G. OF HI,LEG OF NEUTRAL MIKE-IRENEVENETIS 10425 MAIN BAYVIEW ROAD SOUTHOLD, NY, 11971 rh[s certificate must not be altered in any manner; return to the office of the Board if incorrect, fnspector$ may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEreD IN ANY MANNER. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2NO [4 ] I~LATION [ ] FRAMING [~] FINAL [ ] FIREPLACE&CHIMNEY DATE '~~? INSPEC~ FORM NO. 1 TOWN OF SOUTHOLD ~SUILDt,~JO DEPARTMENT. TOWN HALL SOUTHOLD, N.Y. 11971 TEL,; 765-1802 Disapproved a/c ................................... ~. ] . .. . I~! ~-..~i' ")~ ~ "~ I (BuildingSlfispector) '. il.! - I 1995 :!, ,;; ' APPLICATION FOR BUILDING'PERMIT ~ ~ ~;;-L~-, ~_~p~ ........ ~ B~ARD OF HEALTH SETS ......... . CIIECK .............. SEPTIC FORH ...:.:..::.. CALL ~ . . ~ ............ HAIL TO: . ..... WIT O T F ATE ,0F OCCUPANCY Date · 19 a. Tkis applicati°n must be completely filled in by typewriter or in ink and submitted to the Building inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 6uildings on premises, relationship to adjoining premises or public sti'eet or areas, and giving a detailed descriptioh of layout of property muir be drawn on the diagram which is part of this appl cation. · c. ' The work covered by this application may n~t be co~ .m,e, gced before issuance of Building Permit. . d. Upon approval of this application, the Bgilding It/~6&o{~ill il;sued a Building Permit to the applicant. Sueh~ermi dh.all be kept on the premis~.~.a~Ll~l~le,f~r inspection .t. traqghou't the w ?k. · .-, ,. ~'L e." N6' bhildi'rig sfiaH ~e occupied ob used ir~whol~,or id phrt for Vary purpose whate~ver u~til a Certificate 6i'lD&~ ·anc- .. , . 9 ) ~ . . ' , ' £.p.l.k/Cpunty, Ne~tYork, and other applicable Laws,'Ordihances o meg[fl~ion{, for the con,trod!Ion of buildings, additions or aRerations, 6~ for removal or demolition, as herein described The applic~mt agrees to ~omply with all applicable laws ordinances buildhn~, code ho~qn- ,...m. admit auth{mzed inspectors ~ premises and Lq bufldmg for necessary i~spections ~. - .' , .. :. ; .,, .;~n '~ - ~ ,(Malhng address of apphcant) .l.i. State' whethe,/~app icant is o~ner, lessee 'aoent.l~ar~lkt~W%~o-· .... ~ · - . ' · ' ' ' I . I i . ' (as.o~rq the tax roll or Iatesr ae~d) ................ ~Ifl~appl!cantl? a corporaho~, signature of duly authorized officer.' ') Other T ' ' fade s Lmense No... .................... 1. Location of land on which proposed work will be done ..... / ....... , .................................... House Number ~ ~/"" ~ .... . Street / Hamlet Subdivision ...................... ; ............. ' Filed Map No .... Lot ............ (Name) ..... 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .... ,~ ~ :~ ~.. b. Inte ed Use and occupancy , . . . "' ' ' 10. Il. .12. 13. 14. 15, ' Nature of work (check wi}ich :applicable): New Building . ~ ........ Addition . .~ Alteration .... Repair ....... D,f,r .... Removal .............. Demolition . . . Other Work - ... . .... ' (Descr pt,on) i:stimated Cost ¥.i ' . ' . ' (to be paid on filing this appli tion) · . i . ca If dwelhng, number of dwelhn!g units'. ........... . Nu~ber of dwelling units on each floor.. ~ ..... ~.. If garage, number of cars ...i ........... i ..... " If business, commercial or mi.xled occupancy specify nature and extent of each Dimensions ' . . ; · , . type of use ..................... el emst~ng structures if any Front Rear Height Nu;m~er of Siories ............................. Depth ............... [ · Dimensions of shine structure ' ' ' or additions: Front Depth ' !wth alteratmns .................. Rear .................. Height . Number of Stories ' ' Dimensions of entire new consiruction Front ' ' .... Rear Depth Height ' Nu~nber of Stones Size of lot: Front ' · Rear " Depth Date of Purchase ' Name of Former Owner Zone or use district in which premises are situated ..................... "~ ........ Does proposed construction vi61ate any zoning law ordinal{ce or regulation. Will 16t be regraded ....... ;i ....... '~ ' '" .............................. ............. Will excess fill be removed from premises: Yes No Name of Owner of premises . .i ......... ;. ·. ,..... Address ...' · Phone No . Name of Architect ] ' Address Phone No · Name of Contractor ........ , .................. Address ............. . ...... Phone No ................ this property within 300 feet of a tidal 'wetland? *Yes ........ No ......... I.s . *If yes, Sou~hold Town Trustees Permit may be Locate clearly and distinctly al property lines. Give street and block interior or corner lot. required. · PLOT DIAGRAM : buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description accordin~ to deed, and show street names and indicate Whether STATE OF NE COUi, (Name of individual sigm~g contract) ~bove named· . '. ........ being duly sworn, depose~ and says that he is the applicant i (Contrac/~, ~'~;~t',h;r'porate officer, etc.) ' )f said owner or owners, and is dulyi authorized to p"'erfrn~or have performed the said work and to make and file this ~pplication; that al{ statements contailned in ttiis'application are t'rue to the best"of his kn. owledge and belief; and that the ?rk will be performed in the manneriset fort ~ in the application filed therewith. )worn to before me this ~rotary mubli~.'..~/. ~.. County uuallfled ' ~omml~ion E~ims Oeoembei.