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Home My WebLink About20488-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southeld, N.Y. CERTIFICATE OF OCCUPANCY No Z-20760 Date MAY 29, 1992 THIS CERTIFIES that the building Location of Property 3665 PARKVIEWLANE House No. County Tax Map No. 1000 Section 15 Subdivision ACCESSORY Street Block 1 Lot 35 Filed Map No. Lot No. ORIENT¢ Hamlet' conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1992 pursuant to which Building Permit No. 20488-Z dated F~RCH 9~ 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 BUILDING (SHED} AS APPLIED FOR The certificate is issued to BRUNO & FELICE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-028796 - ~AY 19, 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~OB, M NO, ~1 TOWN OF $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,o 20~88Z Permission is hereby granted to: ..... ~....o.~.....~.......la. ....... .:.r~.:.. ................. ~ ~.~;/ ~ / . at premises I~ated at .................. ~..~.~ ............. I ....... ~ ....................... County Tax Map No. 1000 Section ...... ]...~/. ........... Block ......... /. ..........Lot No ........ e~......~/.. ....... , / pursuant to application dated ................ .,~.../.~.. ......................... , 19.~....~., and approved by the Building Inspector. /~Jing Inspector Rev. 6/30/80 Form No. 6 TO~CN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ ;-PPLICATION 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. Commercial building, industrial bu%lding, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Plauning Board Approval of completed site plan requirements. ¸5. 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 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 $15.O0 ~¢0 Date .. ~. ~.~..~.-..~.~. ................. New Construction .... ~. ..... Ol~d Or Pre-existing Building ................. i° °i iii iiii Location of Property...~..~.~.~.. ?..~..~Y/.'.~.....~..~ ..... 0.~[~: . ~/ House No. St;ce; .......... 7' ....... JJ;~et .... Onwer or Owners of Property.. ~-~/~.+ ~ ~¢~ County Tax Map No i000, Section .... /~.'~' ..... Block...~ ....... ] .... Lot..~ ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No.g~.~$~ ..... Date Of Permit.~¢f~ ...... App]icant...~t~.~¢~/ ......... Health_Dept. Approval .......................... Underwriters Approval.~. ~<~{~% .... Plashing Board Approval ~¢~ Temporary Certificate ........... Final Certicate..~.~ Request for: .. '" ..................... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~1~.67.[~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oate F~i%Y 1~,t992 ~pptieatlonNo. onfit~ 77~1~392/92 }1 0~8796 PffR~I~~ NO. 2~4882 T~I~ C[~TIFIE~ T~AT only the electrical equipment ~ ~scrlbed below and int~ue~ by t~ applicant ~med on the a~ve application number in the prem~es of in thefollowlng h,catlon; ~ Basement ~ Ist Ft. ~ 2nd ~. Sectlonl Ii BI~ Lot ~%5 ~s examined on ~[~ Y ~ '~ ~ 19 q ~ and found to be in compliance ~'ith the require,tents ~f this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCEN? OTHER DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS [JNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICER 0ISCONNECT R V I C E OTHER APPARATUS: MO~'OR~t ~ ~I~ tf.P. S E A W, G. NO OF HI-LEG OF CC CON0, A.W G, NO. O~ NEUTRAtS A.W.G. OF HbLEG OF NEUTRAL B. ~MNON GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire 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 ti/kY 18, 1992 505 SOIJIqt 10th STREET ~ ltYI)E PARK, NY 11040 Premises @ 3665 Parkview Lane, Orient, NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xxx 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 # 20488-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL .,..-- INSPECTO ?OUNDA~ION (1st) FOUEDATION (2nd) 2. ROUGH FRAME & -PLUMBING e INSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS.. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ DATE ~'~////~"'-~/~'//~, ,, . INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FO~~UNDATION 1ST [ ] FOUNDATION 2ND ~ ] FRAMING REMARKS: ROUGH PLBG. INSULATION [ ] FINAL DATE INSPECTOR..~ FORM NO. 1 TOWN OF SOUTHOLD 'BUILDING DEPARTMENT TOWN HALL ~OUTHQLD.. L~.~¥. 'L1.9,71. .... f,L)W'L;. / ' ,, , TEL,: 765-1802 Exa,n,n d .. ....... 19 Approved... ...... , ........ Disapproved a/c BOARD OF HEALTH ........... 3 SETS OF PLANS CtlEcK SEPTIC FORH . . .... F/ MAI]~ TO. (~ i/?'ain ~d Inspector)' ........ APPLICATION FOIl BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building L~staeetor, with sets of pta. as, az~arat~ plot plan to scale. Fee :recording to scheduIe. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street: or areas, and giving a detailed description of layout of property must be draxvn on the diagram which is part of tkis appli. cation. ¢. 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 m 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 purxuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re,'ulations, for the construction of buildings, ad~ditions or alterations, or for iemov ' ' , The.apphcant agrees to comply with all apnllcable law: ,~.'~.-~.~%,:~,~ .... . :al or. demohtmn as-hereto descsioed. edm:t auth. o~ized inSlSeCtm~ on -rem~ ..... ,a':_ ,,_. .... ' .......... c~.,. ouuum, g coue, nousxng code, and regulations and ( ~nature ut apphcant, or name, if a Corporauon) (M~iling address of' applicant) State ~vh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the'ta'x rol~ or l~t;st deed) ' If'applicant is a corporation, signature of duly authorized of fie. er. (Name and title of corporate officer) Builder's License No Plumber's License No. Electrician's License No Other Trade's License No... ,4//~ .............. I. Location of land on which proposed work will be done; flouse Number Street Hmnlet ..... CountyTax Map No. 1000 Section ..... /.~.. ........ ' Block ./ ................. Lot ..... ,' Subdivision ...... . ' · · ..................................... Eiled Map No. (Name) ............ Lot .............. :- State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy. / ~ z /~ ~Ir// ,-:o .......... ~ .~./v'..../.r~e'~.~'..' ....... ,~ c,. ;,. ~ ~. ?. ~;. B. Intended use and occupancy .... /... /.~,>a~'.. ~.. Z~o/7'-// ,~_oo 3. Nature of work (check which applicable): New Building ... ddition .......... Al' ........ ,. Re air ........... R'm6val .... ncm,~U,ion ........ Swi,'r~ing n0o3.'~u~]j- p . . .. 1~ I ' ' ................... ' ~' '~'~:" ..... ''' Tennzs Court ......... Accessory Building... ~ . .'.. Fence ....... ~Ot~b~r Wor.~:....~ ...... 4. Est:mated Cost ...... ~.OO~.? ......................... Fee .................................. , tSxt ha paid on filing this application~ $. If dwelling, number of dwelling ~nits ...... , ........ Number of dwelling units on each. floor.- ...... --.... ~..~,,s,~... If garage, number of cars ..... !..- .,'"~-~..'..~//,~. ................................. -_~ ........... 6. If business, commercml or mixe~l occupancy, specify nature and extent of each type of use ....... ~. .......... 7 Dimensions ' ' ' if any: Front Rear Depth of ex~st~ng structures . Height ............... Number o f Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... I*Imght ........... ,/ .......... Number of Stones ............ .. ....... 8. Dimensions of entire new constr~ction: Front ..... /.A2. :.0.~'... Rear ...~,,~./:O./.~ ..... Depth ../.-~'./7~..//... ,., ~ 1~. t! , · He:,,ht ... ',,~..Q ....... Nun~ber of Stones .... ~...., .... ; ........................... .,~, .......... 9. Size of lot: Fi'ont .... 2..~0~ ~'.0~ .......... Rear .. ~.,,4..O.,,./.,~, ............ Depth ...... /.4.6..,: .~. ...... 10. Date of Purchase . .~/f./. .... ; .................. Name of Former Owner .. ;,~'.~z~-~'. .$/,aitO'.~/te ........ 1 I. Zone or use district in which pr~mises are situated .............................. ,... ... . 12. Does proposed construction vioiate any zoning law, ordinance or regulation: .............................. i . 13. Will lot be regraded ..... ~J.O, ................... Will excess fill be removed from preXaisaa: . Yes. ~ No. Name of Contractor ...... .~ ....... : .. .......Address ................... Phone No ............ ~bc.. [.~.~'a r.h. ia property located withxn'300 feet of a tidal wetland? mYP. S .... NO.~.. ~If yes, Southold Towh Trustees Permit may be required. i PLOT DIAGRAM Locate clearl and distinctly all buildin~,s whether existing or proposed, and. indicate all set-back dknensmns £ om property lines. Give street and Mock number or description according to deed, and show street names and md:cate whether interior or comer lot. STATE OF NE~,~:~,~ ...... ~.. o~ .... , ..................... being duly sworn, eposes ~d ~ays that he is the applican (Name o~mdtv~duaI stgmng contract) above named. I ~ is thc '. .... ~ ~<~ ' - (Contractor, agent, corporate officer, etc.) of said owner or owners. ~d is ~uly authorized to pe,rfsr~ or have perfo~ed the said work and to m~e and file thi application; that all statements co:trained in this application are true to the best of his knowledge and belief; and that th work will be perfomled in the m~ ~er set forth in tho application filed therewith. Sworn to before me this~, . i 4 -- ' ' Nota~, Pubhc, · County N~W Public, StYe of N~ (Signature of applic~- ~mmlss on Expires Dec,bar 8, 19 ~o~ ~000 ~o~ 0 =~0