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Home My WebLink About21700-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22728 Date NOVEMBER 16, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 18915 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block I Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1993 pursuant to which Building Per,lit No. 21700-Z dated OCTOBER 8, 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 ACCESSORY SHED AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JAMES LIEBL & LIN]DA COUTURE Rev. 1/81 /Bull[ding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. 21700 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ................................. at premises located at.,..../. ~..~.../.....0~',....... ,..~, .~~..¢:~-~r;~'.. ~. ............ : .............................. ............................................................ ~,,~.....~..~ ........ ~ .......................................................... Coun~yTax Map No. 1000 Section ............. ~"-.,Z~...... Block .......... .~.. ............ Lot No ..... ../..~ ............. pursuant to application dated ..... ~.'~.... .................................... 19...~''-~'' .... Building Inspector. and approved by the ,~ ~ Building In~p 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 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. 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 ail 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.OO j Date ~ ...'./.. ............................ :~ew Construction ........... Old Or Pre-existing Building ................. P top er ty.../..~. ~./..~.. House No. Street Hamlet Onwer or Owners of Property ............................. <5-/ / ' County Tax Map No 1000, Section .............. Block... Lot Request for: Fee Submitted: "ubdivision Filed Map Lot Permit No ............... Date Of rm~ ................ Applicant ............................. !lealth Dept. Approval .......................... Underwriters Approval ........... ?lanning Board Approval ........................ Temporary Certificate ........... Final Certicate ..... ~'f APPLICANT ' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~NAL REMARKS: DATE INSPECTOR FOUNDATION FOUNDATION 2. ROUGH FRAME & .PLUMBING 3. IHSULATION PER N. STATE ENERGY (1st) CODE FINAL (2nd) ADDITION~b COMMENTS: FOHM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 APPLICATION FOR BUILDING'PERNIlT INSTRUCTIONS BOARD OF HEALTH 3 SETS OF PLANs SURVEY CHECK sE,T c';g ............... I,tA I L Date ~- ~ f/ 19 ~-~ , a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s(;2ts 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 st?eets o,t 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 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 demgi~ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bulldog code, housing~odo~de, and regulations, and to admit authorized inspectors on premises and in building for necessary in~ /j~.,~ ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises ~//~c2094¢~ ./~...' . .,~/~ ,e~ '~ c~. (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. '...c~L~.~ ~.~. ............... Plumber s L~cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................. ltouse Number Street Hamlet County Tax Map No. 1000 Section ' ~/ Block / ' Lot Subdivision..; ..... . ............................. Filed Map No ............... Lot ............... (Name) 2: State existing use and occupancy of premises ~dj intende~use and ~ct~ncy of prop~s~:~ a. Existing use and occupancy . / ~ .~ ~ ~ ' ' '.~ '?'; ~' :~,.';.- ,$. Nature of work (check which apphcable): New Building.......... Addition ...,... Alteration ....... .... Repair .............. Removal .............. Demolition .... ; ......... Other Work ............... ! .... -~' (Description) 4. Estimated Cost .... o o, . ' ' 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. I business, commercial or mixed occupancy,, specify nature and extent oLeach type of use ............ 7. Dimensions of existing structures, if any: Front .' .............. Rear .............. Depth .............. Height Numbdr of Stories Dimensions of shine structure with,i aiterations or additions: Front ................. Rear .......... Depth .... ' ................... i Height ........... · ...... ,.. Number of Stories ...... ~ ....... 8.H'Dimensi°ns of entire/new construction.i . Front../.~..~ ...... ....:.Rear .x.~. ........... Depth Z4~ I0.9' DateSiZe of lot: Fronteight of Purchase.../.c? ......... .".,';-..~."L:'. '/' 'a'°/o5;.. Number of Stories. .....",- z,z,> ','d 2 ~L' ........' ... ....... .... Rear/"" ....... Name/' q "~' ~:f ~o'r~r Ow" "':::' ':: i~:..~ f: ~ ...... ,'~:"i";i: -'~'~,~..~ ~'~: 5: ' :': :i. . i"i{:' 11 Zone or use district in which premises are situated 12, Does proposed construction violat~ any zoning law ordinance or regulation' ~b . . . 13. Will lot be regraded ....... .....O. ................ Will excess fill be removed from premises: -- Yes 14. NameofOwnerofpremises..~_~?..~..*../'~ .M../,~Z,~ aaa ..... ph,,.,~,.,;~'g'Y--~-/ r~ame olArchltect Addr~eq ~.~ .. 7a,.~- Name of Contractor q' Address ' Phone No ' 15. I$ this property within 300 feet of a tidal wetland? *Yes ........ No....c~;~/ .... ~If yes, Southold To~n Trustees Permit may be required. · · i PLOT DIAGRAM Locate clearly and distinctly all bBildings, whether existing or proposed, and, indicate all set-back dimensions from property roes. Give street and block number or descnpbon according ~o deed, and show street names and indicate whether interior or corner lot. STATE OF NF~R ~'Z~"3 l[~' ; ' covey s,.s ..... t .3..C.. (Name of individual signidg contra~t) above named. ' 76R,~B02 9 AM TO 4 PM FORTNE FOLL(')WJNG ~NSPECTIONS: r.r I. FOUNDAT!QN~ "'~O ~/QUIRED ~, r'iNAL ; CONSTRUCTION MU$T' I~6~ COMPLETE FOR TF~ R~OU~REMENT~ OF THE N,~; ~l%TE CONSTRUCTION 8~ ENERGY CODES, ' NOT RESPONSI~L6~ .... ~?SIGN OR CONSTRUCTION ERRORS being duly sworn, depose~ and says that he is the applicant lle is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulYi~ authorized to perform or'have performed the said work and to make and file this application; that ali statements contained in this application are irue to the best of his knowledge and belief; and that the work will be performed in the mannerJset forth in th&application filed therewith. ' Sworn to before me this ,1 V' CIA REL. GLEW : ' / / --,./ / // . · I~ry Pub.~, s~e of NewYork . . , ~///I/7~/~ · Ne. 4879506 I /o ,r ........ ~' 7'~-& ........ "/' ''d, :T--'~ .............. QuMISed n Suffolk Cou ' . · k t I~. 87~22,30. W, I00. 00' TOW", C: :". : SUtTVHY OF DESCt?IBED PRO?Et~TY AT SOUTHOI D TOWN OF SOUTHOI D, SUFFOLK COUNTY, NEW GUARANTEED TO .' FIt?ST AMEt~ICAN TITLE INSURANCE CO. OF N. Y,, ADVANTAGE ABSTRACT COt~P., dAMES I IEBI and UNDA COUTURE SUFFOLK COUNTY TAX MAP DISTRICT SECTIQN BLOCK LQT I000 51 I 15 SURVEYED : DEC, 15. 1.9~2 SCALE " I'=50 ' '=HARRY P. HILLEBRAND:-, LAND SURVEYOR II CHURCHILL LANE - SMITH'TOWN, N,Y. TEL. 54,3-51~,9