The URL can be used to link to this page

Home My WebLink About19984-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20427 Date DECEMBER 23~ 1991 THIS CERTIFIES that the building ADDITION Location of Property 280 POND AVENUE House No. Street County Tax Map No. 1000 Section 56 Block 01 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 2.30 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1991 ~ursuant to which Building Permit No. 19984-Z dated JUNE 26, 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 ADDITION TO EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. STEVEN & PATRICIA SPRENGEL (owners) SUFFOLK COUNISf DEPARTMENT OF HEALTH APPROVAL N/A. UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/Bi TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 19984 Z Permission is hereby granted to: ~-~ .~....~.~~...~..~.~ ....... ...~.~.....:..~.~.....~..: ........ .L ............. .~.~~ ..... ~ .~..,....I..L..~..~..~ .... ,o ..... u __ ~, ,~ (~ ~ ~'"'"'~'"i~'~'~ ................................ at premises located at. ~..~ g......). ~......~, .... County Tax Mop No. 1000 Section ....... C:)..~.~ ..... Block .......~..l ......... Lot No...sa~.:.~..~. ....... pursuant to application dated ........ ...~....~......~...~. .............. , 19.~...1.., and approved by the / Building Inspector. Fee $...~.~....~ ............. '""'"~"'"Bu-'iTding Inspector 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, indpstrial 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. i. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ ')re-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. J. 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. Temporary Certificate of Occupanc'y - Residential $15.00, Commercial $15.00 Date . .~/.~.,. '~Y' Z .ff.~.~ ..... ~:ew Construction ........... Old Or Pre-existing Building ................. l.ocation of Property ................. ~ ........ · House No. Street Hamlet ,3nwer or Owners of Property. z ......... .......... .................... County Tax Map No I000, Section..~.~...~ ...... Block ..... 0 / ...... Lot..~.~...~. :;ubd ivision .................................... Filed Ma~ c4 ............ ...................... i!e~lth Dept. Approval ...................... Underwriters .... Approval ..................... :'! uming Board Approval 2eq.est for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: q3 gq FOUNDATION Ilst) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. ,-~I~NAL REMARKS: // INSPECTOR ,~ FORM NO. 1 TOWN OF SOU~HOLD BUILDING DEP,~RTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 7t55-1802 xamincd . . ..~ . ~.~.., I9~ .I. ~sapproved a/c (I~uilding fnspcctor) APPLICATION FOi-~ ~UiLDlrxlG PERMIT ;OA,RD OF HE,'~LT~I SETS OF' PL.I~I~; .......... ~.dF. VE¥ ................... ClIECK ~T~c'~;;,:; ............... CAL~ ........ ~ ...... I'IA I L TO: Date ................... 19... · ocation o£1and on which proposed work will be done. ............... ...... . .............................. ouse Number Street Hamlet .... oun, ,000 ..... (Name) .... ate existing use and occupancy of premises anti intended use and occupancy of proposed constr(ctlon: . · .................................... ~.a~ .... Intended Use and occupancy ' .... ............... )plicant is a corporation, 51gp~tti~.of duly author zed of£ccr. x (Tame aha title of corporate officer) -- Bu,,de, s ieense No Plum beds License No ........... Electrician's License No .......... Other Trade's License No. .~ /' INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ of plans, accurate plot plan to scale. Fee according to schedule. ?. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c streets areas, and giving a detailed description of Iayout of property must be draxvn on the diagram which is part of this appli- ion. ',c. The work covered by this application may not be c})mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 11 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 II 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 lding Zone Ordinance of the Town of Southold, Suffolk Cou.nty, New York, and other applicable Laws, Ordinances or :ulations, for the Constructfon of bu;ldings, additions or alterations, or for removal or demolition, as herein described. : appl/canr agree~, to comply with all applicable laws, ordinances, building code, housim authorized inspectors on premises a~nd~in building for necessary nsvections. _ code, and regulations, and to ' (Signature of applica,V, : a,n c;~-t~ c} ;a'r io'n') .... (M,ailih'g ad~[e~s;~'pt~ applicant) ............ ,~, :e whether applicant is owner, ]essee, agent, architect, engineer, generaJ p,umberor,,der.. te of owner of premises .. ......................................................................... (as on the t~.t roll or latest deed) ~ atur~ o~ wor~ (checL~ w~ i . ~,, . ...... '"" aP~pimable): New Building ......... Ada~tion Alteratmn ....... ~.. acP~ ........ Removal .............. De,]ohtlon .... 7 ......... Other Work .OVa&Om. 4~.. 4. Estimated Cost" ~90-- ~ '< ' (Description) S. If dwelling, number ofdwe 1' ~ ' ~/~ (to he prod on fihng th~s applicatmn) n~ qmts . Z ( . t . . If garage, number of cars ~ -~?~V ....... N unber of dwelhng umts on each floor 6. If business, commercial or mix,.a~ ' .................................... ... ..... ' ~"l~cct pancy, specify nature and extene of each tym of use . . .~... ~ . . ;' ~nnensmns ot e, xJsting stmctures if an,,. Front ~ ,~ ~, ear &~.. Depth Depth ........ ~ ..... (~,,) ~Uons Front ...ff.h ...........Rear. 8, Dm~enmonsofent~r~cons.-.:.. - q ~2 ......... NumberoLgtones ~ . , ..... Rear.. I~U % · ........ I Zot e or tsc d strict in w -"~-'' · ....... ' ........ Name of Fo'mcr Owner ~v~l~k&~d'~7 .......... -. uoes propo.~cd construction v/ol,,~k .... . . ' ' '. ...................................... 3. W~I lot be re-reded n~ -,y ~-y ,.onmg mw, ordinance or re mlatio ~: "~0 " ' .......... 4. NameofOwnerofpremiscs~3k~/~'~'~'"..,.,?ll%cff~sd'ill?~r?pvs~l?pm premises:~/~ Yes No N~,~ of Com=~tor ~pk..~$,~fi ........ add~ ................ Pt one No ~. Is ehzs proper~y within 300~eet of - v~h'~, dres~ ..,~ ................ Phone No ..... ~o~u ~oNn Trustees Permit may be require~j .... l~o...y. ..... Lo,ate clearly ~d distinctly fll bu~ild~s wh~ ..... ' ropeny lines. Give street ~d block nu~ber~ des~y~' 9Xmnng.?r provosed, and. indicate fll set-ba~k d~ens oas from ,:efior or co~er lot. i ~npuon accoramg to deed, and show street n~es and indicate whet~er OCCUPANCy OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPAN~ ~y e named. NOTIFY ~tJILOING DEPART~ENT tiT" 765~1802 9 AM 3~ ~[ PM FOR THE FOLLOWING 1, ~OUNDATION TWO REQUIRED FOR POURED CONCRETE 2.ROUGH ~ FRAMING & PLUMBING 3.INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O, ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant the ................... ......... ~ ;'~' ' '~; .... 'd&3 ............. · .... Contractor, agent o pt;ra o~ffic;r, ' ......... id OWner or owners, and is duly authorized to perform or bare performed the saki Xvork and to make and file this :at/on; that all statements contained in this application are true to the bestofh/s knowledge and belief; and that the will be perforated in the manner set forth in the application filed therewith. ~ to before lne this . ........ ~...~..d~ o~ ..... ~_~_ ,o~/ Y Pu)hc, . ounty ' ' ~ ~[ .... ... . G~lffi~l. 8~dk~ ~q9 ~'-~ . (Sfgnamre ofapplicant)