The URL can be used to link to this page

Home My WebLink About20842-zFORM NO. 4 TOWN OF S0UTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No ~-20913 Date AUGUST 5~ 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 680 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 4 Lot I3 Subdivision Riled Map No. Lot No. conforms substantially to the Application for Building Permit 6eretof0re filed in this office dated JULY 14, 1992 pursuant to which Building Permit No. 20842-Z dated JULY 20, 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 DECK ADDITION "AS BUILT" TO AN EXISTING OWE FAMILY DWELLING The certificate is issued to GARY PORTADIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bu~in~ Ins~ect0r Rev. 1/81 FOUM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 20842Z Permission is hereby granted to: ..~/...~.:...~ .~/~i ............................... ,'/~ ~.~"~....~.. ......... .......... ...................... to ~ ... ,~,~.. ~.' ,,/~c ,,;/-/ ~ ...~...~... ....... ~ ....................... ~,~.~ .................. ~ ....................................... ....d.....~...~.~.........f.,~...~.-~ ~ ; ....... ~...~....,:.~..~:~ ........................................................................ ,~/ .d..~..-z .' ..~...~. .... , ~ .'-. es I te ~ ....~.....~....~'..~....~'.~.~'.~/......~....~..'~':; ...... at premis oca d at .............................. .~.. ........................................... '. .... : ..................... ............................... ~'.r.,x..~..,.~ .... 7'"' County Tax Mop No. 1000 Section ....~....~. ............. Block ..... ..Z~..~... ........ Lot No ........ ./...~.... ......... p,rsuan, to application dated .................. ..~/.,~...~.. ........................ , 19...?..'~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~'i~ , UL ~ ,!J~)~:~ TOWN OF SOUTHOLD ~-! t, . · Building Department --: Town Hall ' '" ' ~ 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'Instructions A. This application must be filled in typewriter OR ink, and submitted ,,, aaa=a~a to the Building Inspec- ' tar with the following: for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). .3. Approval of electrical installation from Board of Fire Underwriters. ;4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. ~5. Submit P!anning Board approval of completed site plan raqu foments where applicable. ' B. For existing buildings (prior to April 1957), Non-conforming us~s, or buildings and "pre-existing" . land uses: ; 1. Accurate .survey of p=operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner'as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $'5.'00, over 5 years $10.0{3 . 4.Vacant Land C.O. $'20.00 ~t/~ " o.oo Date ...... ¢-- NewC°nst;~uct;i°n"~'' OId°rPre'exist~ngBuilding .. ......... '.. Vacant Land ~ Location of Properw ............ 6 ........ .Wb.. ~.~..~.t~N~...~..V~....~. ~(..~.,... ~. ;' Owner or Owners of Property .... .~'. ~,:,,~,/X..~.~..~.~.. ~ \ N/N. ..~ ooo ..... ..... ..... .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval ......................... Labor. Dept. Approval ........................ Unde~riters Approval .... .. ~ .................. Planning Board Approval ...... ~... ~ ......... Reque~ for Temporary Ce[tlficate ................... ~1 Certificate ~ ~ '~" 'l '~ -~' ' '~ ' Fee Submitted$ .~.., .................... ~ ~ / o · · .. ~~. · ....... .......... ~.0. ~30X 70~ 5o~ CUTCHO~U~ t.l., N,Z 11935 GARY FLANNER OisEn COUNSellOR At LAW P.O BOX 706, MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516-734-7666 FAX 516-734-7712 July 14, 1992 Re: Portadin to Zeisler Our File # 5333 Gent]emen: Enclosed please find an application for a building permit for a deck addition and a Certificate of Occupancy for same. The owner of the premises will be at the house this week and he can be reached at 765- 3836. GARY FLANNER OLSEN GFO:lmk Enclosure Southold Town Building Dept. Main Road Town Hall Southold, NY 11971 7G5.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~]~AL REMARKS: DATE INSPECTOR FOUNDATION FOUNDATION R. ROUGH FRAME & ·PLUMBING ®· INSULATION PER N. STATE ENERGY CODE (2nd FINAL ADDITIONA'L COMMENTS: ~- Permit No Approved ...... ~:.~. ...... 19... ............ Disapl~roved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : Town HAL' .OTIFYjr sou,,OLD, N.,. ,:071 .-g.4 ...... ... TEL.: 765-1803 CALL MAIL TO: 'x~7 ~: ,t ,: .~.,,~. Y..~'~'~. ,/ .' .................. ............... ~uilding Inspector) JUL I ~ ~,.:, } 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 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 tkis 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 issuan~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York,/a~d Regulations, for the construction of buildings, additions or alterations, or for r/e'.~, or, The applicant agrees to comply with all applicable laws, ordinances, building/~de,) admit authorized inspectors on premises and in building for necessary inspec~.~ GARY FLANNER OLSEN, ESQ. (-Signature 6f app P.O. BOX 706 CUTCHOGUE, L.I., N.Y. 11935 ae Building Permit pursuant to the r applicable Laws, Ordinances o) 3r demolition, as herein described. ff. lsing co/aV/}t and regulations, and tc // .cant, or name, if a corporatJffn) (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ......................... ~..~4x~..n...~.. ~'%. ,~.~. ................... A.I~llOV£D AS' NOTED .......... Nameofownerofpremises ' ~'q'.,¢~...~..~.Y~?.../N .~.~' .'~ DATE .............. ~ (as on the tax roll or l~g~ deeld~:% NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO'4 PM FOR THE FOLLOWING INSPECTIONS: ALL CONTRACTOR'S MUST ~'I~"§'~fI~I~6L'K"C~OU~NTY LLCEN~SED Builder's License No ......... ~. ~{:~'~'' ~(~" ~'~'~3~ AA[~F'~ ~] 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH o FRAMING & PLUMBING 3, INSULATION <.~, .~,!y,~,~...~r~,aghg,.~ 4. FINAL - CONSTRUCTION MUST Plumber's License No. .......?- ~i~'~"~ ~¢%'~ ~~' 8E COMPLETE FOR C,O, 't':"~:~h:";'"" ~-- b~=~tJ~ ALL CONSTRUCTION SHALL ME~ Electrician's License No ......... ~ ................ ~¢~ [{}~¢? [~ .~. ~ STATE CONSTRUCTION & ENERGY Other Trade's License No ..... '~?~ · · Y? ?~}'~5~'~ ?.t Y ..... CODES. N~ RESPONSIBLE FOR DESIGN OR ~NSTRUCTION ERRORS Location of land on which proposed work will be done; ................................................. ....... .... .... .... B.t, ..... ............. House Number Street Hamlet County Tax Map No. 1000 Section ..... ~0 ......... Block .................. Lot ................ 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 ~ . .~e~ ........ 5. 3. Nature of work (check which apphcable): New Building Repair .............. RemOval ............. 4. Estimated Cost.....~..~.~.~..~.~. ............... If dwelling, number of dwelling gmts ............ .......... Addition" .......... tion .......... ,Demolition .............. Other Work ............... (De, scrip.tion) · ! .......Fee ...................................... ' (to be paid on filing this application) ·. Number of dwelling units on each floor ............... If garage number of cars ' If business ' ' ' specify nature and extent of each type of use ............... , commerclal or mixed, occupancy, ................ Dimensions of existing structur(s if any: Front Rear Depth Height Number of Stories Dimensions'of same structure with alterations or additions: Front Rear Depth .................... i' · Height ...................... Number of Stories .................... Dimensions of enti construction: Front Rea Depth re new .......... . ..... r ........................ Height ............... Number of Stories ...................................................... Size of lot: Front ' Rear Depth 10. Date of Purchase ........... i .................. Name of Former Owner ........................... 11 Z di i ' hp · one or use strict n whlc r raises are s uated .... , ............................................... 12 Does proposed construction violate any zoning law ordinance or regulation: 13. Will lot beregraded.........,...................i Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. 'i ................. Address ................... Phone No ................ Name of Architect .......... I ................. Address ................... Phone No ................ Name of Contractor ' Address ' Phone No 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all i 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 corner lot. STATE QI~ NEW COUNTY OF..~. ,. .., ...... ,. ...... ' ';':'~ ~ :'~ '(Name.'of,indi~i~ual ~ign~ng contract) ' above ~ffied.;~ ~, ~ ' . He ~s.the, ........ .... . ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be performed in the m~ne~ set forth tn the application filed therewith. Sworn to before me this Notary -m~~~ .... · County (Signature of applicant)