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Home My WebLink About20719-zFORM NO. 4 TOWN OF~SOUTt{OLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2213B Date FEBRUARY 4, 1993 THIS CERTIFIES that the building_ ADDITION Location of Property 2515 SOUNDVIEW AVENUE House No. Street County Tax Map No. 1000 Section 68 Block i Subdivision Filed Map No. PECONIC, N.Y. Hamlet Lot 8 Lot No. conforms'substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1992 pursuant to which Building Permit No. 20719-Z dated JUNE 12, 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 WINDOW & DOOR ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. LYNN McWHOOD (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-24311 - JULY 17, 1992 PLUMBERS CERTIFICATION DATED N/A /B~ldi~g Inspector Rev. 1/81 FOBM NO. ~ TOWN 01: $OUTHOLD 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~N? 2071~Z Permission is hereby granted to~ - ,~ ...... £~......~..V..,: ............................... ................. ; 7~'"'Z'/;TJ--;"~ .... ~......:..:./.._.;...~ ....................... at premises ocated at ............. ~d...~...~'..~..~......~T.~ ..~......~..."~....~:...:; ........................... .................................................. ..~ ............ ~~..~.....~ ..................................... ............................. ~¢~...~. ................ J...'. ............................................ County Tax Map No. 1000 Section ....... ~,f/ /.~,- ....... Block ..~, ,~,, ............. Lot No...~,,, ,~,, ............. pursuant to application dated ........... .~..././. ................... 19..~.,,.,~,, and approved by the Building Inspector. Fa.ndin~a Jr~p~tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD 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. 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 Certifidate 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. ~Temp°rary Certificate °f Occupancy - Residential ~15'00' C°mmercial $ii'00 'Date ..9.~.~.~.~ ...................... LocationNeWC°nstructi°nof Property ........... ..............~.~'OldOrPre-existing..~...~...~/]~....~..~.Building ........... House No. Street Hamlet Onwe= or Owners of P roperty...~.~ ....... County Tax Map No 1000, Section...~..~.f ..... Block ..... .~.~..' .... Lot .......~. ............ Subdivision.... . Filed Map Lot Permit No~.~..?~.~...~....Datc Of Permit..~.7~..~...Appl I~ealth..D p . Approval ................. ......... Uuderwriters Approval ..... ~...~ ............... Planning Board Approval ........ ~?.!.~. .......... Request for: Temporary Certificate ........... Fina~tic~te...~... .... Fee Submitted: $ ....... q~. ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS 3. I.~,~'[~L BUREAU OF ELECTRICITY ~- B5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES T~AT only the electrical equipment ~ ~scrlbed below and introduced by t~ applicant ~med on the a~ve application number in the prorates of in the ]oJlowing location;' ~ Basement [~ Ist FL ~ ~tnd FI. 0~? Section Block t~s examined on J [[ ~ ~ ~ ~ ~ ~. 9 ~ ~ and found to be in compliance with the requirements ~¥ this Board. Lot FIXTURE OUTLETS SWITCHES )RYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS INCANDESCENT ~tUORESCENT OTHER SYSTEMS NO. OF FEET E )THER APPARATUS: DF~Fg~T2 RE~OVgD ~S PER S E R NO, O~ E[C~,¢ON D. C NO OF HI-LEG 275 'rOJ/I~ HRRBOR LA~E ~ ~OlI~'J~OJ',D, NY ~ 1197 l GENERAl. MANAGER perll , x'~ this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ide~' / i~E'by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY hU~NNER. Examined ...... 6¢.2:.. Approved ....... .. Disapproved a/c ..................................... FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 .F.~ ., 19f~'Pennit No. gOARD OF HEALTll ......... 3 SETS OF PLANS .... ' ..... SURVEY ................... Clt£CK .................... SEPTIC PO [t:l .............. HAIL TO: · u,,,qxmi o p ctor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in 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 public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. ~:. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ha/l 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 untiI a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY blADE to the Building Department for the issuance of a Building Permit pursuant to the /uilding Zone Ordinance of the Town of Southold, Suffolk County, Nexv York, and other applicable Laws, Ordinances or ~.egulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herefia described. :he applicant agrees to comply with all applicable laws ordinances~/.ffj~ja/¢,h~ousing code, and regulations, and to dmit authorized inspectors on premises and in building for necessa~. Inspe~ ~-~. . :. . ' C'"~i~~-~:e, if a Corporation) .../%< .~. :.q../,/~.././.¢.q;.f ..................... (Mailing address of applicant) irate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ -/y ,, ....................... , ..... . ...................... /~g,#U I~./~ IIU.II;D ...... / \ // // . tas on the ray. roll or latest deech. ~//)./~,&. P, I / ~~/// // I .--, ' ' FEE ' O~t,~:9 BY. · '/'-./.~..~/~'/~r~... J. ._~.~.~o ' N~Ii:IFY BUILDING DEPARTMENT A? ~/ ~,~ ..... u uuc u~ curpura[e OHICeU FOLLOWING INSPECTIONS: m~mber's License ~o ........ : ............... 1~!7~1r CE~TIHCA?[ a, Electrician'sLicense No. OF 0C,CIJPA~CY 4. ill, at co~sr~,.CrlOn a~UST ...................... 8~ COMPLETE FO~ C 0 Otber Trade's License No. , ALL CONSTRUCTION SHALL Location of land on which proposed work will be done ................ '" ~'>¢S ,;,'("~ Rr'{;;pO{~% i4Lr- FOR ~ ~ ~ e~ ~ ............ ~.:Mo~:.'. ......... llouse Nuln bcr Street HamJqt County Tax Map No. I000 Section .............. Block ............... Lot ........... Subdivision ..................................... Filed Map No .... Lot ............. (Name) ........... . · · State existing use and occupancy of premises and intended use and occupancy of proposed construction' ................... u' ................... ~., ..;'::::Y;?.:?.i,:;~,¢'., ......... 3. Nature of work (check which! applicable): New Building ...... Addition .,Mteration Repair .......... Removal .......... . .... : ............. Demolition · · · · · ............. Other Work' .......... 4. Estimated Cos escription) If dwelling, number of dwclli~ ~. (to be paid on filing this application) 5. g units . · Ifgarage, numberofcars ...l ..... ' .......... Numberofdwcllingunitson each floor .......... 6. If business, commercial or m~led occupancy, specify nature antl extent of each type of use ................ 7. Di~i),ensions of existing structuires, if any: Front ......... ' ................. Heioht ............... ~u:m bet of Stories .......... ' ' ' ' ...... Rear .............. Deptli .......... Dimensions of same structur~ 'vith alterations or additions: .... ~' Frout ................. Depth ................ 4'" Iteight .......... ' ....[' 'i ........ Rear ................. gD. 'hZ tuber of Stories ....... 8. Dimensions of entire wconstruction: Front ... · .............. Height m .... ',: ~a£ ............... Depth ............... Nu ber of Stories .............. 9. Size of lot: Fi'ont . .T ....... ~ ............ Rear ..... ' ....................................... ............... Depth ...................... 10. Date of Purchase ~.. I1. ' ................... Zone or use district in wl~ich p~emises are situ~[/t~ i ~ .~¢q. rnc~ ~.~xlFt°,~r Owner ........................ 1 2. Does proposed construction violate any 2m,~n,, 1 ';.' .............................. ' ' 13. Will lot be regraded [G.r.9 I ....... ~, ,aw, ormnance or regulation: b.b.~. ' .......... 14. Name of Owner of premisesL.~/~O..~i¢ ~'~c~: ...... .~;'~,Vfll ex~c..es~s._.fill be removed from p'remises: ' ' 15. Is this re e · . · .............. ~ooresg-v~..r?.~ aau r~ ' ' j ........ y s, Southoid Town Trustees Per~ ...... Y.es.; ...... No..~.. .... '". i PLOT DIAGRAM Locate clearly and distinctly alll bui dings, whether existing or proposed, an& indicate all set-back dimensions frown property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. TATE OF NEW YORK, love nanled(.Name of individual signing ~ont~a'cii .......... being duly sworn, deposes and says that he is tile applicant ' is the .......... ~ (Contractor, age~ ............... tc.) ' said owner or Owners, and is duly authorized to perform O~ed the saki work ~nd to m~e and file this pi/cat/on; that all statements contained', in this application are true to the best of bis knowledge and belief; and tliat the ~rk w/Il be perfumed in the manner set ~forth in the application filed therewith. om to before me this la~ ~1~ June ~z, ~ ~ (Signature of applicant) (,