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Home My WebLink About21876-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22863 Date FEBRUARY 3, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1580 SOUNDVIEW AVENUE House No. Street County Tax Map No. 1000 Section 68 Block 4 Subdivision Filed Map No. SOUTHOI/)~ N.Y. Hamlet Lot 16.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3~ 1994 pursuant to which Building Permit No. 21876-Z dated J~/qUARY 18, 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 SCREENED IN ADDITION WITH BRICK IN SAND FLOOR ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to BARRY SAVITS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-299711- DEC. 21, 1993 N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, 2~876 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby grc~ted to: ..... ../:.~.~..:.......~.z~ ................... :........ .............. ..~~...~....zz~: ............... . . ,o ...~~.~: ......... ~ ......... ~~....z~..,,.~~ ................. ,~ ~z ....... ~, , , , . , .~< . . . . z~. . . . . ~: ...... ~ ~ ~ .......... ~ . . , . ~. . . .~ ~:~ ............ ~. . . . . ~~ ....... ~~ ........ ~ ....... ~~. , ,, ~ ~,~ ~ ~......Z~ .................................................................. .......................................................... ~~ ............................................................................ Cou~TQxM~p No. ]000 Seoflo~.....~ ............ Blook ....... ~ ......... Lot NO ...... Z~n.,~ ........ pursuant to ~pplicoflon d~fed ................ ~. .............................. ] ~....~ end ~pproved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: 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 ~lectrical 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · Date .~g~.~,.~.j..~.~.-- -- ................ New Construction ........... Old Or Pre-existing Building.,..P~....., Location of Property .... ~-~. ...... .~.~.~.~-~..~.~.,. ................................. House No. Street Hamlet Onwer or Owners of Property.~.~-~..~.~.5~.~ ...................................... .. County Tax Map No 1000, SectiQn .... G.~ ....... Block ....... .~. ....... Lot ..... l.~,.~ ............ Subdivision . Filed Map Lot Permit No..~.~..~.~ .~..."~....Date Of Permit.. l ~ ~.~. ..... Applicant.. ~.~Z~.~.~.~. ~r-~..~..~. Health Dept. Approval .......................... Underwriters Approval ......................... . Planning Board Approval ........................ Request for: e Submitted: Temporary Certificate ........ .. . Final Certicate ........... $ .... ................. .................. .. APPLICANT :.YORK iBOARD .... "' ': THE' NEW " ~FIRE: UNDERWRITERS ' :PAD" ,,~ THIS CE~IFIES THAT o~y the e~trlcal ~ulpmenZ ~ ~c}lb~ be~w a~ {~t~uc~ by BARRY 8AVITT~, 80UNDVI~W AV~., P~CONIC, in the follOwing locatlont , ~ B~ment ~ Iht Fl. ~s examined on D~C~B~R 14,~993 and found to be tn compliance with the N~onal Et~*~ Code. FIXTURES RANGES OVENS DISHWASHERS EXHAUST FANS FIXTURE SWITCHES OUTLETS KUC~ESCGNT; 6 2 6 OTHER DRYERS FURNACE MOTORS I~SO$RS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF F~ET SERVICE DISCONNECT ,i S E R OTHER APPARATUS: O & 8 CONTRACTOR BOX 215 HOUTHOLD, NY, 11971~ NO. OF CC COND. A, W. G. PER ~ Of NEUTRAL FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, { ] FOUNDATION ZND [ ] INS~TION [ ] FRAMING [C,,]"FINAL REMARKS: ~ DATE · .~ FORM NO. 1 t TOWN OF SOUTHOLD JAN 3 - tV)4 TOWN HALL SOUTHOLD, N.Y. 11971 .~ ........ ~' ,~TEL.: 765-1802 ' .- ..' ,. CALL Approved ................. 19... Permit No ............ Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~'~tg.O~q~7.. · a. This appIicafion must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets. 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 or ~reas, and giving a detailed description of layout of property must be dr'awn on the diagram which is part of this appli- cation. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will ispued a Building Permit to the applicant. Such permit shall 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 shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, 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. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..................... ROBINS. &.SPE'EO', lNG.' .... . .... --' (Signature of applicant, or p.~En. B0~ajo~rporation) GREENPORT, N,Y. 11944 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .~.,W .~ 4. ~.~,m~..-.~.. ~ ........................................................... Name of owner of premises .~. (g.,..~,/ff (~.. 0M/.. ~{k l (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. , / . (Name and title of corporate officer) Builder's License No..[Z,.C/.?~...h(. [ ........... Plumber's License No ......................... Electrican's License No ....................... Other Trade's License No. ' .. Location of land on which proposed work will be' done ..................................... ~ ............. .......................... .......... ............ House Number Street Hamlet County Tax Map No. 1000 Section ..... .~..~ .......... Block ..... "~ Lot.. /.~.: ./.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use an) occupancy of proposed construction: a. Existing use and occupancy ( ~g2~5 . :.~, , . .... ................ b Intended use and occupancy ~/c.~..~. . ' Repair ........... Remqval .............. Demolition .............. Other Work ............... .~.Z,.~./~.O.~. I (Description). 4. Estimated Cost 'i ......................... Fee ........... i (to be paid on filing tills application) $. If dwelling, number of dwelling ~nits ..... /. ......... Number of dwelling units on each floor .......... j.".>.. 6 ' If busine'ss ................................................................ If garage number of cars ! ........ · , commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front...~..o .o. '. ....... Rear ../.~.o.. '. ...... Depth ...~..o{ ......... Height .. ~./ ......... Number of Stories ..... ( ............................. Dimensions of same structure with alterations or additions: Front ... Z~. o. .........' Rear ....... ./.00 ¢ ...... Depth ..../[~. ~ ............ [. Height ...... 2.1~.t ............. Number of Stories ..... ( ......... ~ ........ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............ Number of Stories .. I ?oC.t. '". .......... .............................. 9. Size of lot: Front .... , Rear · · Depth [./...~.e~ .t ..... 10. Date of Purchase ........... i ....' ....' ......... Name of Former Owner ............................. 11. Zone or use district in which pre~nises are situated ..................................................... 2. Does proposed construction violate any zomng law, ordinance or regulation: .... t~.O .................... .~_~.. 13. Will lot be regraded ...... ~...4. · -..._. ............ Will excess fill be removed from premises: Yes 14. Name of Owner of premises P/~. ~.&.cJ..['~q.!Jt~ .... Address ............ Phone No ...... Nme of Architect ..~. ........ ,.5../. ............ Address ................... Phone No .............. Name of Contractor/~6B./.O.~. ~i~P.&.~ ]~C Address ~..~, ~o..X .~'7~ .~.%~: Phone No ~f ~ ~/~od 15. I~ th±s property within 300 feet- o£ a t±dal wetland? '*Yes '.'.t. .'.' No 7~ ................ If yes, Southold Town Trustees Permit may be required. I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF . . ....... ..... ~..~Q{5.(~.~ ...... i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .................... ~ ! (~{}~t'r~gent, corporate ofhcer, etc.) .... of said owner or owners, ~d is duly ~uthor~ perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner s~t forth in the application filed therewith, Sworn to before me this ~ ~ota~ Publl~. State of N~w Y~k ...................... No, 4879505 i _ z (Signature of applicant) - Qualified In Suffolk Coun~ ~ . ', ~mml~lon ~ires De~m~er 8, 19~