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Home My WebLink About20124-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20201 Date SEPT. 9~ 1991 THIS CERTIFIES that the building. ADDITIONS TO EXISTIING DWELLING Location of Propert~ 3100 SOUNDVIEW AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 10~0 Section 94 Block 02 Lot 04 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 3, 1991 ~ursuant to which Building Permit No. 20124Z dated SEPT. 6~ 1991. 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, FIREPLACE AND CARPORT TO EXISTING DWELLINE. The certificate is issued to EDWARD ZIMNOSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FO]eM NO. ~ TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Ne 20124 Z Permission is hereby granted to: ~.~..~.'b...~..~~.~ ...~~.~.~......~ .................... ,o ..~~...~..A&k..~.....~........e~l~.~.....,a..:..~......~ ....... ~ ..... ] ................ I~ ....... ~ .... '~""W'"; ....... ~ ........... ~'L ...... ~'"';F .... at premises located at ..~/.~.....~.~.....k~...~......~.:. ........ .~......~.....~. Coun TaxMo No 100 ~e~tion....~.~.,~.. n,~k (~' Lo, kS,~ ~LJt' pursuant to application dated ..... "~k~ ..................................... , 19..~..k, and approved by the Building Inspector. Fee $..~ ................... Building Inspector Rev. 6/30/80 FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING II~$ULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: Foim 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-ex~sting 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 Location of Property.....~L.~'~ House No. Street Hamlet Onwer or Owners of Property .............................. ...... . . County Tax Map No 1000, Section .... .~..~ ..... Block....~, .......... Lot.....~. ................ Subdivision ................................... Filed Map ........... Lot ............. Permit Xo...~.~./.~.~..~...Date Of Permit ................ Applicant ............................ .. Health Dept. Approval ......................... Underwriters Approval .................. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ ...... Fee Submitted: $ ...................... ~d~ ~ ~V~O I ~PLICANT BLDG, DEPT, ' TOWN OF SOUTHOI. ) ~ Exmnincd ................. i9.., Approved · .~. ~t~..~...k., 19 .~/. Permit No. ~,,~ .~../.~..1{."~. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 INSTRUCTIONS BOAKD OF HEALTH ......... 3 SETS OF' PLANS .......... SURVEY ................... gill;C}[ ................ · . . . SEPTIC FOR,"! .,; ............ ;a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~'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 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. c. The work covered by this applicatibn 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 until a Certificate of Occupancy hall 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 ;uilding 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. 'lie applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized-i~.spectr~rs ?n premises and in building for necessary inspections. ~ '- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect engineer, general contractor, electrician, plumber or builder. qame of owner of premises . . ..................................... (as on the taxx roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .................... ...... Humber's License No ......................... Electrmmn s hcense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ............. ........ ................. tlouse Number Street Hamlet County Tax Map No. I000 Section ..~../~..-:.7.&.-Y.../71L.. Block ...... ~ ......... Lot... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposedconstruction: a. Existing use and occupancy .~.~.. ~.,adi... ~.. ...................... ., ................ b Int d du nd "'" ' ' '"""' · ene se a occupancy ............. · 3. Nature of work (check which pphcable): New Building .......... Addition .......... Alteration Repair Removal Demolition .......................................... Other Work ............... 4. Estimated Cost · ....... .... : (to be paid on filing this application) 5. If dwelling, number of dwelling u'nits ............... Number of dwelling units on each floor ...... · If garage, number of cars ..... ' ......... 6 If business commercialor .............................. 7' Dimension's mixed occupancy, specify nature a'na extent of ea~ type of'u; . ..................... ............... · of existing structuresi if any: Front Rear Dbpth Dimensions. of same structure with alterations or ........................................................ additions: Front Rear Depth i Height ................................... 8 ........................................ Number of Stories ...................... . Dimensions of entire new constru~ction: Front Rear Height Number of Stories ............................... Depth ............... 9 Size ofl~: ............. Front i ' .................................................... Rear ' ' ...................... Depth lO Date of Purchase ' ' ........................................... ' ' Name of Fenner Owner Zone or use district in which prmhises are situated ..................................................... Does proposed construction violai 12. e any zoning law, ordinance or regulation: ..... , ............ ~ .............. 13. Will lot be regraded ........... Will excess fill be removed from premises: · ' '" ............. Yes No 14. Name of Owner of premises .... ................ Address ................... Phone No ................ Name of Architect ............................ Address ................... Phone No ................ Name of Contractor .......... ! ................ Address ................... Phone No ................. 5. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold T6wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from }roperty lines. Give street and block n~mber or descriptioil according to deed, and show street names and indicate whether nterior or coruer lot. ' · APPROVED AS NOTED COOES, NOT RESPONSIB~ FATE OF NEW YORK, OUNTY OF S.~ ................................................ being duly sworn, deposes and says tliat he is the applicant (Name of individual signing contract) ~ove named· : is the ......................... : ................................................................ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner se~ forth in the application filed tlierewith. ~om to before me this ~ No. 4,952246, Suttol~ uountvl (Signature of applicant) Term Expires June ~/2 19 ~'.~