The URL can be used to link to this page

Home My WebLink About20703-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21048 Date SEPTEMBER 28, 1992 THIS CERTIFIES that the building ADDITION Location of Property 18075 8OUNDVIEW AVENUE SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block i Lot 8 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1~ 1992 pursuant to which Building Permit No.. 20703-Z dated JUNE 10~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROY IVAR MARTIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-250288 - SEPTEMBER 15, i992 N/A Rev. 1/81 i'l ~i ~g ~nspector · o~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER/VIIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No-No, 2070~Z Date ................ .~././.~.. ............................ , 19..~...~. Permission is hereby granted to: _ ....... ........................ ............. 7..~.....z~..~..~.~~a . ....... ,~ ~,,~. ................ ~,o~ ~, //~ ................ ~....~~<.~ ................................... / .... ~ ................. ( at pr ' d ..................................................... ~ ........................... : ...................... ................................................................................ ~~ .......... ~, ................................. co~.~ T~ ~p ~o. ~000 ~t~o~ ...~l ............. s~ ....... ~( ......... Lo~ ~o ...... ~ ........... ,~., ,o ~,,~,,o. ~,~ ................. ~fZ ........................... . ,,..~e~.~ ~,o~ ~, t~, 8uildlng Inspector. Fee $ .................... Rev. 6/30/80 SEP 2 L 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. Swern 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 an~ 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. C rtzflcate of Occupancy - New dwelling $25·00, Additions to dwelling $25·00, Alterations to dwelling $25.00, Switaming 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 - $i0.00 4. .Updated Certificate of Occupancy - $50·00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 '~ew Construction. ~ Old Or ~re-existing Bu±lding.~. .............. '" House. No. Street Hamlet )nwer Owners of Property · ou,tyNo 000, Section .... ...... ..... .......... ot.. .......... ubdivision ...... '.'. ~ Filed Map ~ Lot ealth Dept. Approval~.O.,~'..,~'~,,.,, ......... Underwriters Approval ..................... -quest for. Temporary Certificate .... Final Certicate .... ~ ...... ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~/FF~MING [ ]FINAL REMARKS: '~'~-~-~ DATE INSPECTOR, -~' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ../ FOUNDATION ZND [~JI~ULATION FRAMING REMARKS: FINAL TRUSTEES John M. Bredemeyer, I/I, President Albert g. Kmpski, gr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 May 22, 1992 Roy Martin 18075 Soundview Ave. Southold, NY 11971 RE: SCTM ~51-1-18 Dear Mr. Martin: After an on site inspection the Southold Town Trustees found that the proposed addition to the existing dwelling is out of Trustees jurisdiction as it is greater that 50' behind bluff and is landward of the Coastal Erosion Hazard Area line. If you have any questions, please do not hesitate to contact this office Ve~uly yours, %~Shn M. Bredeme~er, III President, Boar~ of Trustees JMB:jmt cc: Building Dept. ..... ~//O . Examined Approved .. ~'/~.': :/' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19~. Permit No. Disapproved a/c ..................................... APP' CA ,ON BU m Nc INSTRUCTIONS BOARD OF HEALTIt ......... ;//SURVE ......... ........... · s pr c ..... a. This application must be completely filled in by typewriter or in ink mLU suomitted 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 public streets o~ 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 Penuit 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, additinns or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing c,ode, and regulations, and admit authorized inspectom on premises and in building for necessary inspe tr2~ns. / ~ -- (Signatu~F~of applicant; or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. ~Z (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autt?rized officer. Builder's License No .......................... Plumber's License No ......................... Electrigian's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be'done. /.2~.~.~'.~...~..~.~,dPl/l£~d /~v'¢, 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 anti occupancy of proposed construction: a. Existing use and occupancy . . ../~f?.~.ff..~¢ ...................................................... b Intended use and occupancy 3. Nature of work (check which ap .~.. ~llcable) New Building ....... Addition .., .... Alteration Repa/r .............. Rem, vel .............. Demolition .............. ~er Work ............... 4. Estimated Cost ~'oo, '~ (Description) · ~ ................................. Fee ~9--c3..O..O. (to be paid on filing this application) 5. If dwelling, number of dwelling ~:nits.../ ............ Number of dwelling units on each floor../. ............. If garage, number of cars ~ 1 6. If business, commercialorm]xed!oceupancy, specify nature and extent of each type of use ....:~. ................. 7. Dimensions of existing structureq, if any: Front. ~.,~& 7'~/'~). Rear .............. 'Depth .............. Height Number of Stories /. Dimensions of same structure w~h alteratmns or additions: Front . ,gAg...7>,~o.~../?g~O. Rear ................. Depth i Height Number of Stories ] · Depth ..ff.~. ........... DJmens~ons of entire new constructmn: Front . · ,/~: ....... Rear .... ~. ....... Height . ,~ ............ Number of Stories · Size of lot: Front do.. ................. Rear.../.q.o.*. .............. Depth 7.~'~..~.qa. *. [. ..... Date of Purchase .... ]-~.~$. q ....' ....' ........ Name of Former Owner . ~...~....~'P~.o...,~.~'. ............ 11. Zone or use district in which pre/nises are situated ..................................................... 12. Does proposed construction violet& any zoning law ordinance or regulation A/et ........ 13. Will lot be regraded .. ~o.. ~:..~q "~ .... : ~' '2.z '~ ..... Will excess fill be removed from premises: Yes No 14. Name of Owner of Prem_.~ises /,~.~'. ]Y,o.~.. _.~7~J~t.~.~... Address/~q2~. ,.~o.t~,qO~';~.tdj~u'.& Phone No. ~..".~. v~.~ .... N e of Architect .../~.. Jt'~. /vJ~.~t.t~. ...... Address ape _..,..? ~, _ , · .................. Phone No ................ Name of Contractor .{:F..o.J': . 4~.~F4 /~J~.~'U. TP aeh4,.,~ ~* Ph,,,,o ~T,, 15. 14 th:cs properl:y w:[th~.n 3~0 f~el: of' a' l:'±dal wel:land* *¥e~ ~I£ yes, Soul:hold T~wn Trusl:ees ?erm~.C may be requ±red. 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 ri'umber or description according to deed, and show street names and indicate whether interior or corner lot.. 5'/Ju j4 7> Vt ~ tO R STATE OF NEW YOI~ , sis ' [( f 'nd' ~dual signing contract) being duly sworn, deposes and says that he is the applicant above named. He is the (Contractor, agent, corporate officer, etc./ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contair~ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this ,/~ ........ ......... ,19.q Notary Public, .. '. County ' ' (~' ROB~ .R)'._!,)~0n, JR. . ........ . . NOTARYPU_~t~IC~t~tiiofN,Y. '" ' ' ( ignature'o;ap~li~in'ti No. 472_,~.__9~ Suffolk Ceudx., .Tefra Exldres:M*y 31,19 ~ UNDERWRITERS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY /I I FO~'ATION --- , '(lst) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI~IAL ADDITIONA'L COMMENTS