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Home My WebLink About20726-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20908 Date AUGUST 3~ 1992 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 21120 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot i4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 1992 pursuant to which Building Permit No. 20726-Z dated JUNE 17, 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 ABOVE GROUND SWIMMING POOL WITH DECK & FENCE AS APPLIED FOR. The certificate is issued to of the aforesaid building. ANNA ANDRIOTIS (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-242793 - JULY 15, 1992 PLUMBERS CERTIFICATION DATED N/A - / ui ding nspe to Rev. 1/81 i~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 20725Z Date .................. ~//...7.. ........................ ,19...?'~ Permission is hereby granted to: .... ............................ ...Z/~......~/~....~Z~.....~ ....... .... .~..~..~.~.~.~Z. ........... ~:_/.... ................... ..... ~..x.,. ............. ~. ........................... ~ ............ ~ .................................... ~ ........ ..~.: .......... ~ ~ at premises located at ........,'~..,/.../..~...~.. ................ .~..~.....,~/..~.....~../..~....,c~.. .......... ,.~.,.~..~..: ........................... ~ ,~..rz-/~ .. ~.~. ....... County Tax Map No. 1000 Section .......0,~..../. ............8lock ....... .~....~. ....... Lot No ........ ./....~.'.. ....... pursuant to application doted ................... ...~/,~. ................ i ....... , 19..~.~.~.., and approved by the Building Inspector. Rev. 6/30/80 Porm 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. 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 i. 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 $15.00 Date ....~... ....... ......... ......... · ....... ~'ew Constructmon ........... Old Or Pre-exmstln~ Buzldlng ..... Location of Property; .................................................... ~ ................. ,. House No. Street Hamlet Onwer or Owners of Property ........................................................ .. . . . County Tax Map No 1000, Section .... Block .... Lot .............. Subdivision ' Filed Map Lot Permit No. ate Of Permit .... ~ .~ Applicant. 0 ~ [~'~.. Health Dept. Approval .......................... Underwriters Approval ............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...% CO 0 APPLICANT FOUNDA'TION FOUNDATION ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE (1st) FI~AL f2nd) ADDITIONA'L COMMENTS (Use this form lo file a local law with lite .-~ecrelary of Stale.) Text of law should be given as amended. DS not include matter being eliminated and do not use italics or underlining to indicate new matter. ' 12~ t~,. Southold Local Law No. 2 ' " · ....................... of the veer 19 91 ......... / BLDG. DEP~ A local law in re at on to Accessor% Bud nfl Setbacks / TOWN OF SOUT~OLO Be it enacted by the Town Board '. · of (Name of Legialabve Body) Town of .. Southo d ............................... ax ~t '~e)~ .......... ~ ............................................................... fo ow~: II. Chapter 100 (Zoning} of the Code of the Town of Southold is hereby amended as follows: I. Section 100-33(B) (Setbacks) is hereby amended to read as follows: I. On lots containing up to twenty thousand (20,0001 square feet, such buildings shall be set back no less than three (3) feet from any lot line. A. On lots containing more than twenty thousand 20 0 ( ~u~p to th. lrt¥-nlne thousand nine hundred ninetv(_n;.~OOl:~sq~u~a~e feet, 3. On lots ~ontain~n9 in excess of thirty-nine thousand nine hundred ninety-nme (39,999) SqUare feet up to seventy-nine thousand nine hundred ninety-nine (79,999) square feet, such buildings shah be set bacN no less than ten (10) feet from any lot line. On lots containing in excess of seventy-nine thousand nine hundred ninety-nine (79,999) square feet, such buildings shall be set back no less than twenty (20) fee~ from any lot line. This Local Law shall take effect Upon its~filin9 with the Secretary of State. (If additional Space is needed, attach pages lite Same size as this sheet, and'number each.) oos-2,~9 (~ev.. ;'/9Ol (I) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [~FINAL DATE INSPECTOR INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fi'ce Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 30, 1992 NICKANDRIO~IS 21120 SOUND VIEW AVENIII~ SOUTIiOLD, ~ 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxw 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 $ 20126-Z Please contact our office cooperation. on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. 2 0 1fi92 Examined .......... , i9 .. Approved ....... 4//~.. ..... 19 q.~/.. Permit No. ~ .)~.d~. ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. · (Bu?din~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~,ts 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 prcmises 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 all applicable laws, ordinances,~uilding code, ho, t~g cod~, and regulations, and to admit authorized inspectors on premises and in building for necessary~.__-- ((x~ft,k~ ~.~ ' .... ~1~"~ (Mailing address of applicant) ~.~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~...~..~..~. ..... ~ .~..~.~...C~...~..~..... ~P~R0,..V[~D ~[$ "OTE~ (as on the tax roll ~ J~t~t'~; ~' ~' ~ ~' ~'~ If applicant is a corporation, signature of duly authorized officer· FEE: ~ BY: ~' ~ ~ NOTIFY BUILDING O~PARTMEN~ AT .............................................. 0CC PANCY · (Name and title of corporate officer)BSE ~$ ~N[AWF~L Plumber's License No. 0[ OCCUPANCY Electrician s Lzcense No .......................UNDERWRITERS CERTIFICATE REQUIRED Other Trade's~acense" .,oAT ,. THE REQUIREMENTS OF THE N Y. ...................... ,---- ,, [ SIATE CONSTRUCTION & ENERGY · 'IxPD,~',P X4~fSr~(~O~ES NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done ./..x~. .. House Number Street Hamlet County Tax Map No. 1000 Section ~-/ Block Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use an) occupancy of proposed construction: a. E isting use and occupancy ...... .¢¢e... b. Intended use and occupancy %~.~. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2~ ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET 3. Nature of work (check which applicable): New Building .......... Addition .......... Alterat./on .......... Repair .............. Removal .... Demqlition . ~. Other Work .~..-~.~ ~lg~&O~q') ~c,-) t ~ b&tr~ · ~;)/Dcyx,._. ( [%.C. Cl~'~So~.x/b (Description) 4. Estimated Cost ~00.~. ~-- (to be paid on filing this application) 5. If dwelhng, number of dwelhng umts ............ Number of dwelling units on each floor. · If garage number of cars .....: ....................... ' .............. 6. If business, commercial or mixedioccupancy, specify nature and extent of each type of use .............. . ....... · Dxmenstons of emmng structuresi ffany: Front ............... Rear .............. Depth ............... Height ............... Numher of Stories ...................................... Dimensions of same structure wit~ alterations or additions: Front ................. Rear .................. Depth ..................... '. Height Number of Stories 8, Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Numfer of Stories 9. Size of lot: Front ............ ! .......... Rear ...................... Depth ...................... 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which preraises are situated ..................................................... 12. '/Does proposed construction violate any zonin~ law ordinance or regulation: ......................... 13. Will lot be regraded ..... fi,)..Q .'. 7.. 'z ........z; · Will exc~ess~fill be removed from premises: ' Yes No 14. Name of Owner of premises ./ar ./~.~.~... $~ta. 0..gr.~ O?'Address ~.11 .to ~o~o~u ~/~,/Pht~n~ ~atne O~ ^rcmrect ........... j ................ Address .~,~...~?~ ?.4~,..,ff4~. .... Phon~No~,~ ........ · z /Z: oc~ .... N ,a~ne of Contractor .... : .....: ......... , ....... Address., ~.~--~. ,2~.~. Vhon~f ............ 15. I8 this property witln±n 300 feet ota t±dat wetland* ~Yes..(. ~ ' '' If yes, Southold Tbwn Trustees Permit may be required. ... i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines· Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NB~YOR~) ff'~ ., ~- i ....... ~.l.~..~.~ .( J: ~f{%. '.' .... ,,/j. .... ', b~;n~ duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named.' I He is the ............... ~ ................................................. ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly. ,~uth°fized to perform or have perfomed the said work and to m~e and file this application; that all statements contmqed ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the manner Set forth in the application filed therewith. Sworn to before me this ~al~l~ln$~ ~ , ~.. ~ ~ (Szgnature of applicant) IR~ 0 ,.~ --~:Itl/- IT-NOUT CERTIH.CATE -~-*-,, OF OCCUPANCY