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HomeMy WebLinkAbout21430-zFORM NO. 4 ToWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23067 Date JUNE 24, 1994 THIS CERTIFIES that the building Location of Property 11228 SOUNDVIEW AVENUE House No. Street County Tax Map No. 1000 Section 54 Block 6 Subdivision Filed Map No. ADDITION SOUT~OLD, NY Hamlet Lot 2.6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 1993 ~ursuant to which Building Permit No. 21430-Z dated MAY 21, 1993 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 DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate'is issued to JAMES & IX)RI HUNTER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N315590 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A MAY 31, 1994 N/A Bu£1dmng I~speotor/ L~ORMr NO. Ii TOWN OF SOU'FI'tOLD 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°-No. ~1430Z Permission is hereby granted to: ~...~...~..~'. ...... ~..~ Yv.~.~.x...~.~..~.~...~, at premises located at ...... ./..L...~...~..~......~'~/~~....: .......................... ................................................ ~....~.~:...~....~ ..................................... ......................................................................... /...../...~z..~.. ...... : ......................................................... County Tox Mop No. 1000 Section ...~....~....~'.. ........ Block ....~.. ............. Lot No....~...:...~.. .......... pursuant ,o applicotion doted ....... .~..~....../.~.. ............. , 19..~..~., and approved by the Building Inspector. Fee $....~.,~. ,.~., .~ Building Inspector Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 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. 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 Buildin~ - $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 ..... ~.~ ...~ .............. New Construction.~.. Old Or £ e existing Bu±ld'ng ............... Location of Property.//~.~....~.~ ...... ~ .............. House No. Street Hamlet Onwer or Owners of Proper y ............... w.~,'. ............................................. County Tax ~ap ~o 1000, Section .............. Block .............. Lot ................ Subdivision .................................... Filed Map ......... .~ ........ Permit No.~./..~..~..~i.Z~....Date Of Permit~//f.~. .... Applicant..........~....[[[[.iiiiiiiii Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... ~]'~... Fee Submitted: $.. ., .................... q3oq i ....................... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 12, 1994 Mr. & Mrs. James Hunter 11228 Soundview Ave. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx xx xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 # 21430z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for FOUNDA'TION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION.ZND [ ] INS~AJ~ION FRAMING ~!, ~NAL ~REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS i ~.~)I07~ BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ~ only t~ electrical ~uipmeng ~ ~scrib~ be~w a~ int~uced by t~ t · nu tuber in the prem~es of J~S ~ER, 1122'~ SOU~ VIeW AVg~, SOUTHO~ N,Y~ ?D ~ ~. the foBowlng h,e.t~on; ~ Basement ~ Ist Ft. ~ 2nd t3. OUT C/4:' ~"~ Bl~k Lot ~s examined on ~Y 23 ~ 1994 and found to be in compliance with the ~ FIXTURE FIXTURES RANGES OUTLETS SWITCHES FLUORESCENT OTHER 2 2 DIMMERS S STEMS DRYERS NoS .Y~F FEET SERVICE DISCONNECT S E R V NO. OF CC COND. A.W G, PER ~' OF CC, COND OTHER APPARATUS: G & S CONTRACTOR BOX 2.15 SOUTHOLD, NY, 11971 LIC. GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FoR BUILDING DEPARTMI~NT. THIS COpY OF CERTIFICATE MUST~ NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exanlined ................ , 19... Disapproved' a/c ................................ ~ .... BOARD OF HEALTH ........ 3 gETg OF' PLANS SURVEY ................. CIlECK .................. SEPTIC I'ORH ............ (Building Inspector) APPLICATION FOR BUILDING' PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ~ets 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 punic sfi'eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. ' 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 issued 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 l?y 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec~/~ (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, enoineer, general 'contractbr, electrician, plumber or builder. (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 ...... ' ......... Plumber's License No ......................... Eiectrician's License No ....................... Other Trade's License No ...................... Locati.on of land on which proposed work will be done ....... . House Number Street ............... I~i~'1~'; .................. Couhty Tax }./ap No. 1000 Section .................. Block ......... ' Lot. c:~. ~ . Subdivision ' Filed Map No ......... Lot (Name) State emstmg use and occupancy of premises and intended use and occupancy of ~ro,~d construc' a. Emstmg use and occupancy ?o~ /25 ~A,,,d ~- b. Intended use and occupancy . .~....d~....~:~...~ · 3. Nature of ork (check whmh ~Pplicable): New Building .......... Addition .......... ~[[teration . Re r ..... Removal .............. Demolition .... ; ......... Other Work pat c~. ' ' (D ipti ) 4. Estimated Cost F_C~OdP, ' ' 7.O~..t...t~...~ff. escr on · · ' · ............ Fee . . (to be paid on filing this application) 5. If dwelling number of dwelling units Number of dwelling units on each floor If garage number of cars ' · 6 ' If busine'ss ................................................................... . .... · , commercial or mixed occupancy specify nature and extent 7 Dimensions o! existing structures if any: Front type of use ,. of each ' Rear ' .... ' ..... .............................. Depth ............ Hight N n~be fSt les ..... i .... e ...... , ......... u ro or Dime i f s tmwith rio ..................... D pth ' nsonso ames cture, a ra ns or additions: Front ............... e ................ e ................. ! Hight ' 8 Dime si ns of ntir ~ru ti ' N b fSt ri ' ' . · n o e e new cons c onl Front ....... '. · ...... Height ' NuO%er of Stories .............. ; Rear ............... Depth ............... 9 Size of lot: Fro~t ........................ . ......... I ' Rear ' ' ' ............. 10' Date ........................... ~ ......... ; ........ Depth · of Purchase ...... .......... ;'' Name of Former Owner i ~ ~J'~'i"~ .... I1 Zone or use district in which ~ " ............... · pr~mlses are situated .............. .12. Does proposed construction violate any zoning law, ordinar~ce or regulat 13. Will lot beregraded ;. . .. i .... . . on: ... ' ........... · .......... 14 N fO fP ]n'i}es'.J! J i'Jjj'jj' .,.~W~ ~ fillb dfr i y · amc o wner o re ..... .-. dl exces eremove om prem scs: es N f A hit 1 · ,.. · · · ~,uuress ................... Ph No ............ ;'. ~' amc o rc eot ......... , one . .................. Address ........... '.. · Phone No .......... ,. Name of Contractor ........ 'akk' ', ........... .. · &ddress ............ :. . ~h,,,,~ ~,,~ .. · 15.' I.s this property within ~uu Feet of a txdal wetland? *Yes .... ~'~"~ ......... ; ~If yes, Southold . · ....... ~o..-.... ' .... T. own Trustees Permmt may be required. ' ...... "" i PLOT DIAGRAM Locate clearly and distinctly all i buildings, ~heth~r 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. I · ;rATE OF NEW. YORK, : :oum-v .... .. ........... ' ..... ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signingI contract) . bore named. ~. . re is the . . , (Contractor agent corporate officer etc ) r said owner or owners, and is duly ahflmrizcd to perform oi' have performed the said work and to make and file this ~plication; that all statements containcld in this application are true to the best of his knowledge and belief; and that the ork wilt be performed in the manner scI forth in the application filed therewith. .yore to before me this ..... ....... , '/' . . No. 4951364 I . ' ......... Qualified in Suffo k County'/4~" . (Signature of applicant) Commission Exp res May 22, ~9