The URL can be used to link to this page

Home My WebLink About22433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23329 Date NOVEMBER 4, 1994 THIS CERTIFIES that the building ADDITION Location of Property 11130 $OUNDVIEW AVE. House NO. Street County Tax Map No. 1000 Section 54 Block 6 Subdivision Filed Map No. SOUTHOLDw N.Y. Hamlet Lot 2.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1994 pursuant to which Building Permit No. 22433-Z dated NOVEMBER 2, 1994 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 ADDITIONARO~-ND EXISTING INGROUND SWI~4ING POOL "AS BUILT" The certificate is issued to of the aforesaid building. PETER & DIANE LUHRS (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD TOWN HALL SOUTHOLD, N,Y. N~ 22433 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .... ........................................... .... :~~ ~J. ............ ~¢... ................ ~.....::/)s ~/--~' r.~,,,, b g,,~ ,o ..... ~.,.:~..~,: ........... ~ ............ >~,.../...........-~..~,~...A.......~ ............... ..,~... ............... ~. ................. ~:..,-.~ ..................... .,....~... ............................................. ~.,~ ........... :. ................................... .../....... ............................ %.. .............................................. Counfc Tax Map No. 1000 Seoflo,........~.~ ......... Block ...... ~..~... .......... Lot No. ......¢~...;~ .......... pursuant to application dated .......... ~..~'~,....'"~"~ ........................ 19,,...¢ ,./~,,,.., and approved by the Bulldl~lnspector, Fee ~.,...,~..,~,,',.,~ ..... ~f l~uildlng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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,~ons to dwelli.n~ $ Alterations todwellzng' $25.00, Swzmmlng' ' pool $2~7I~0," 'Accessory' building" ~ ' $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $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 ........ /.~. 77. f../~.~.~ ..................... New Construction ........... Old Or Pre-eXisting Building...~..~%.......~..~ Location of Property.././..~.~.~ ...... .5~ ~..F/.~.~...~.~. ~ ........ ... .~ ~.. ~-~)..~. ......... House No. Street Hamlet Onwer or Owners of Property ~.?~...~. .~...L~. ~.~.~. COunty Tax Map No 1000, Section .... ~.~. ...... Block ................ Lot .... i ............. Subdivision. . . Permit No.~.' .'~.' ~i~i~i~ ~ ~i. ....... .~.//.~.l~.Fi~ed ~Map.~. Applicant..~..~_~°t'~ ..................... .~.~ / '~''/ Health De t groval /~' · .... Underwri s Approval .... ~.]~ ...... P · PP ..................... 'ter Planning Board Approval .... ~ ~ ....... Request for: Temporary Certificate ........... Final Certicate.....~.~. .... Fee Submitted: $ ..~..~..~ APPLICANT' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION ] FRAMING __ [ F'~INAL REMARKS. ~ DATE ///~/~~ I NSPI'CTOI~ ~pproved ..... (///.~. ...... / FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.: 765-1802 ., 19./. _ ermit No ...... Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS .......... SURVEY ................... CI1ECK ....... MAIL TO: . ·// or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the ~uilding Inspector, with 3 gts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be commenced before issuance of Building Permi$. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit aall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy roll have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the .uildirlg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he a_pplicant, agrees to comply with all applicable laws, ordinances, building code, housinnumn.g~ode and regulations and to Jmit authorized inspectors on premises and in building for necessary inspect' ns..~...~ ' (Signature of applicant, ~me, if a corporation) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, e~ builder. ..................................... .... , ..................... ,~ame of owner of premises ........ ~ ...... ~.'P...~. .................. NOTIt~I .SUILDINO. OEPAS~ENI 31.. (as on the tax roil or latest'ltl~l~O~} S ~ TO ~ P~ FOR THE f applicant is a corporation, signature of duly authorized officer. ................ · ~;...: ............. OCCUPANCY OR ~,ame and 'tie o~co~orate o~ficerDsE IS UNLAWFUL Builder's License ~o ................ WITHOUT CERTIFICATE Pl.mber's License ,o ........ : ...... OF OCC'UPANCY Electrician's License No ........................ Other Trade's License No ...................... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCR=It~ .2. ROUGH - FR/~IING & IW. UMBING 3. INSULATION 4. FINAL - CONSTRUCTION 'MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSffiLE FOR DESIGN OR CONSTRUC~ION ERRORS · Location of la.~ on which pr,~oposed work will be done .................................................. ff. .c ......... House Number Street Itamlet CountyTaxMapNo. lO00Section ..~..~/ ............. Block ...~.'. ............ Lot...d:/ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex/sting use and occupancy ......... / ........ _/ /., b. Intended use and occupancy ...... (---~.~.~K. 10. 11. 15. Locate Clearly and distinctly ali property Hnes. Give street and block interior or corner lot. Nature of work (check which ~pplicable): New Building .......... Addition .......... Alteration ......... Repair .............. Removal ~ .............. Demolition .............. Othe~r,k ~ ' (Description) Estimated Cost.. ~...?.~ff.,. ~.... Fee ] (to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars ~ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ~ Dimensions of same structure with alterations or additions: Front Rear Dep th He/gilt ........... ·" · · Number of Stories ' Dimensions of entire new construction: Front Rear .............................. Depth ....... Height Number of Stories ....... 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 violate any ................................................... ' zoning law, ordinance or regulation: .., ..................... Will lot be tegraded .. Will excess fill be removed from premises: Yes No Name of Owner of premises ................... Address ................... Phone No ................ Name of Architect Address ~Phone No Name of Contractor .......................... Address ............... ~... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold town Trustees Permit may be required. PLOT DIAGRAM buildings, whether existing.or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether (Name of indN~dual ~bove named.. lc is the (Contractor agent corporate officer etc ) ,f said owner or owners, ~d is duly anthorized to perform or have perfomcd the said work and to m~e ~d file this pplication that all statements contgl~ed in this application are true to the best of his knowledge and belief; and that the ~'ork will be perfomed in the m~ne~ ~et forth in thc application filed therewith. ,worn to before me this a [ ....19. ~ ~bl~ Stere o~ ~ ......................... No. 4879505 I ~mi~n E~res De~mbe~ 8, 19~/