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Home My WebLink About20986-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22246 Date APRIL 7~ 1993 THIS CERTIFIES that the building Location of Property 11610 BAYVIEW ROAD House No. County Tax Map No. 1000 Section 88 Subdivision ACCESSORY SOUTHOLD, N.Y. Street Hamlet Block 5 Lot 26 Filed Map No. Lo% No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1992 pursuant to which Building Permit No. 20986-Z dated SEPTEMBER 28, 1992 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 STORAGE SHED The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A CHARLES A. CARDONA~ JR. ~'Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22237 Date APRIL 2, 1993 THIS CERTIFIES that the building Location of Property 11610 BAYVIEW ROAD, House No. Street County Tax Map No. 1000 Section 88 Block 5 Subdivision Filed Map No. ALTERATION/DECK ADDITION/RAMP SOUTHOLD, NY ~amlet Lot 26 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1992 pursuant to which Building Permit No. 20986-Z dated SEPTEMBER 28~ 1992 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 CONVERT ATTACHED GARAGE TO HABITABLE AREA~ DECK ADDITIONAND HANDICAPPED RAMP TO EXISTING DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES A. CARDONA, JR. N 267562 FEBRUARY 25, 1993 APRIL 1, 1993 spector Rev. 1/81 FOB, M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-°N? 20966Z Permission is hereby granted to: ......'~ ?.. & ~ .~ ~.~ ......... . ..~R.~.& ....... ~..~. ,,.~.~..~ .......... ~o....~,...~,..~,.....~.~.......,.~.....~...~.,. .... ,~ ........ ~ , . I/ ~.~.....~..~-~-,-~.~..~~:~:~.~,_. ,.~_~ ...................... at premises located at ....[.!.~../...~.......~.~...-.~...~.~g ................... ...... X ...... .~.~....~ ....... ~.,...~ ................................................................................. County Tax Map No. 1000 Section ..... .~.~..~ ........ Block .... .CI.~'~.. ......... Lot No....~...~ ............ pursuant to application dated ...~..~..~......~....~.~ ~" -- ........ , 19.~...~.., and approved by the Building inspector. Fee ~....~..~ ............. Rev. 6/30/80 TOWN OF SOUTffOLD OFFICE OF BUILDING INSPECTOP. P.O.-BOX 728 TOWN HALL . SOUTHOLD, N.Y. 11971 C ERTI F ICATIO~ TEL. 765-1802 Building Permit No. C~O.~_~ ~--- (please print) (please prznt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. - v ~pl~mber's ~gnatura) swo, z, be :or 19 f.~, . Notary Public,/~.~/~%(,/C County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTFIICITY BS JOHN STREET, NEW YORK, NEW YORK 1OO3B THIS CERTIFIES THAT o~ly the electricaJ equipment ~ ~scr~bed beJow a~d i~troduced by the applicant ~med on the above applicatio~ number i~ the premlses of in the followlng location; ~ Basen~ent ~ Ist FI. ~ 2nd ~. O1J'~ Section Bilk u, as examined on [t ~] ~ ~([~¥ 22,1993 andfoundtobeincotnpliancewiththereqt~iretnentsofthisBoard. Lot FIXTURE i SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, in pectors may be identified by their credentlals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AMY MANNER. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fi21ed in by ~ypewriter 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 b~ildings 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-~onforming uses, or buildings and Vpre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildimg 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 t9 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 - $i0.00 · '4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia% $15.00, Commercial $15.00 Date..~l~..l~ ............................. New Construction ..... .~.... Old Or Pre-existi~Bu. ild,ing................. Location of Prope~ty...l~,~.(~. ................ ~ ..................."'""'~. House No. ~treet Hamlet Onwer or Owners of Property..~..~ ...................................... County Tax Map No 1000, Section....~?~..~. ..... Block...~.~.. ....... Lot.~,~ ................ Subdivision ................................... . Filed Map ......... ...Lot ...... Permit No...~..(?.$.~..~...Date Of Permit. ?/~/.~..~%...Applicant..~..ff./.;?."9. i~iii Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ...... ~-- . · ' ' .............. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~?r~?. ~,~' ........... - This application must be filled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new bui.lding 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-~onforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all prop'erty lines, streets, buildimg and unusual natural or topographic features. 2. 'A properly completed application and a consent toTinspect 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 ODcupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions t9 accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $i00.00 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 ... r''~ .................................. New Construction .......... Old Or Pre-existing Building.....~... Location of Property.. i~.~.~ ........... .~.~.~ .~. ~....~.c~..~ .... iiii i .~..C)...°~..~. [~...' ....... House No. Street Hamlet Onwer or Owners of Property..~.~[~.. ~.~.~ ...................................... County Tax Map No 1000, Section .... O.~.~ ..... Block,..~.~. ........ Lot....~r~ ............... Subdivision .................................... Filed Map ............ Lot .................. ... . Permit No .... ~.~.g~...~Date Of Permit..~/~ ~1~.~.. .... Applicant ~. [ II~.~.~..~.YI.~ .~l ....... Health Dept. Approval .......................... Underwriters Approval.~..~Y~.. ~ ........... .... Planning Board Approval ........................ Request for: Temporary Certificate ...... Final Certicate. ~ Fee Submitted: $ ........ ~,~. ~ . .C~.. ........... I/q-SPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building lnspecto~ Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOVWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516 765-1800 APRIL 5, 1993 WILLIAblT. COI~AY BUILDER BOX 1902 SOu'£HOLD, NY 11971 P,~: CHARLIgS A; CARDONA (SIED) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~_r~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20986-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. { J FOUNDATION ZND [ ] INS_ULATION [ ]FRAMING [~FINAL ~ R"rMA~-- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION SST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION .~] FINAL DATE INSPECTOR PECTION ~x~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE '//////~/~ INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION 1ST []/ROUGH PLBG. / FOUNDATION 2ND [ ~] INSULATION FRAMING REMARKS: FINAL INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ]/ROUGH PLBG. / FOUNDATION 2ND [ ~ INSULATION [ ] FRAMING FINAL REMARKS INSPECTOR 765..1802 BUILDING DEPT, INSPECTION ~ FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE OUNDATION OUNDATION OUGH FRAME & .PLUMBING I;SULATION PER N. Y. STATE ENERGY CODE Fi:~AL FORM NO. 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c .... . ......................... :211~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INS~FRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY ................... CIIECK[ .................... SEPTIC FORH .............. CALL ....... HAIL TO: a. This application must be completely filled in by Wpewriter 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 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 demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. -- (Signature of applicant, oMl~e, if a corporation) ..... . . . . t o.a. . . . . . d. ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises ..(~.~.C/..C~..~..'..~.'~ ./~..~?.~...~..C,'"' '~ "'~-- -- ...................... ;-. ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly a .uth~orized officer. (Name and title of corporate officer) Builder's License No .... 13 .......... Plumber's License No .... ./.O..~[(5 ............... Electrician's License No... ~..q.~.q.-..~. .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be'done .................................................. .... l l .................. . . .............. .................. tlouse Number Street Hamlet County Tax Map No. 1000 Section ...... ~.~. ........ Block ....~.. ............ Lot...~...c,:, ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. , %~. ~ -, ~ .. ................... b. Intended use and occupancy 3. Nature of work (check which apphcable): New Building .......... Addition .......... Alteration ...... Repair .............. Remov, al, .............. Demolition · · . Other Work ~r~r~. 4. Estimated Cost ........................... Fee ........................... (to be paid on filing this application) · ~it ] 5. If dwelling, number of dwelling u s .............. Number of dwelling units on each floor ! If garage number of cars ~ .... 6. If business, commercial or mixed ~ccupancy, specify nature and extent of each type of use ..... .--7 .............. 7. Dimensions or~,e~xisting structuresi if any Front. . .,~1~... Rear .~SK .. De"*h ~¢ Height ...,Q.~ ......... Number of Stories ....... ]:~. ................................. · ......... Dimensions of same structure with alterations or additions' Front e~,q Rear..q. 5t ... ' Depth ~ Height ,,9 ~ t ' "i'~' ' ' :' ' ' ~ ;~: ' ' ' -.fi ............ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... 9. Size of lot: Front ..... I.k[. ........ . ........ Depth ..... 10 Date of Purchase ' ' Name of Former Owner 11. Zone or use district in which premises are situated .... ~.~. ?-/.O. ................................ 12. Does proposed construction violaie any zoning law, ordinance or regulation: ................... ' ' i ...... 13. ' ........... Will lot be regraded .... ~1~.._.. ....... .. .......... Will excess fill be removed fro.m premises: ~. --Yes 14. Name of Owner of premises .~rl¢~ .~.Cttrd~..~. Address . J[,Io ~.?w'e~o ~,..o~4/. Phone N~ ' ~/6,5/6 7~ e et Arcmrect · ..~. i · · Address .~ Phone No . .ame.o.f Contractor . ~... (~,qX ..... . ....... Address .~.a ~e..{~0;x.~e..,v~.d. Phone No.7(,dT':O?&.q~... 15. ~s t~is property within 300 feet et a tidal wetland? *Yes ........ No.-~.. ..... ''' ' · If yes, Southold Tdwn Trustees Permit may be required. 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 nhmber or description according to deed, and show street names and indicate whether interior or corner lot. ..........~ (~-'~{' ''~' ~ ~~. [.( .[.C~ ~YiJ~,..~'~.....~ ...... being duly sworn, deposes and says that he is the applicant (Name of individual signinl; contract) ~. above named. )f smd owner or owners, and is duly autho-fizerkT6 perform or have performed the said work and to make and file this ~pplication; that all statements contain'ed in this application are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner sbt forth in the application filed therewith· worn to before me this ^ · ' . ~ ~bllo, St~to of N~y~ ~.~' 'fl ~~..~~.~ . -- Ouallf,~ ~}~d;;2"' ~ ~~ -~" rSign~a~ica~t) ~mml~lon E~irea D~mb BAYVI E \V bl.68 O0 3,0 LOT Z8 +\ o INC. OVEIZ ?00' - TO WELLS AND POOLS TEST NOLE <J NOTES: 1° LOT NU#,.BEIZ$ SNOWN P..I~FEI~ TO"/AAP OF TEEIZY \VATE2S" FILED IN TNE SUFFOLK COUNTY CLEF~K'$ OFFICE AS tAAP Ne '~90t '2' DATUZA .,: AS,.SO/AED 17.0 ELEVA'~[ON AT J~OUTI4WEST COIZNEV,. OF P~E/AIS~5 ~OI^p/:,NY AND TO THE $OUTI4OLD SAVING, ~ANII, I3 SURVEYED 6, L~1, 7 ~, 1973 20DEIZICK VAN TUYL, aC. GIa. EEN POET, NEW