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Home My WebLink About19703-z • FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20780 Date JUNE 9, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 7930 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 1991 pursuant to which Building Permit No. 19703-Z dated MARCH 8, 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 ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to WILLIAM ~ PHYLLIS JAROSZ ,:;.avers ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A [iNDEF.WRITERS CERTIFICATE N0. N-216800 - DECEMBER 13, 1991 PLUMBERS CERTIFICATION DATED N/A ding I spector kev. 1j 81 IrORM NO. >f TOWN OP 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) N~ 19 7 0 ~ Z Date ............:.~.~~..:~a.....~ I9...~1. Permission is hereby granted to: ..ta:. ~ ......~~o • • k at premises located at ...............~~~t~......cAra~ricc~ti~.....~:............................. . County Tox Mop No. 1000 Section Block Lot No../3:.~........... pursuant to application doted .........~/..a`5 19.. ~l, and approved by the Building Inspector. Fee SJ ,IO.C~.. e Ing nspector Rev. 6/30/80 Form No. 6 TO[,rN OF SOUTlIOLD BUILDING DEPe1RTP1ENT TOWN HALL `"ld~ - ~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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 19, 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 siCe plan requirements. E. 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 Co the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additi s to dwelling $25.00, Alterations co dwelling $25.00, Swimming pool $25.00 Accessory building $25. Additions Co accessory building $25.00. Businesses $50. 2. Certificate of Occupancy on Pre-existing Euilding - $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/`Co/mQmercial $15.00 Date ........~,(.?.,1. Z . :ew Construction..--77.... 01d Or Pre-existing BuiQlding...../. .ocation of Property. !.l,.5~./. ~~lG~'~~.VfFi~ .~./.v~ ......~0. {J.~~? Ll.....: house No. Street Hamlet p nwer or Owners of Property .L~<.'J~A!`7. ~.(.:.:~/~l.~.... .!'t~0)r~ c' ~ /--77 ounty Tax Map No 1000, Section.~/........B1ock....~..........Lot..l. J.! ubdivision ....................................Filed Ptap.... .....Lot.....- : .....Date Of Permit.. G/..Applicant ///~t~.4.(.~r. rmi t No. I.~ 7O 3 ~ ! ~`.~~~!'n .77F7..cc. ~alth Dept. Approval......:" ...............Underwriters e\pproval..~~~~i.l~7j~....... Canning Board Approval I ~qucst for: Temporary CertiFicate........ Final Certicate... 'e Submitted: V.. sx,. ~ u~33 . O 7~~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS pAGE 1 ,LQ01105 BUREAU OF ELECTRICITY U 85 JOHN STREET. NEW YORK. NEW YORK 10038 Dere DECEMBER 13,1991 Applirarion No. un file 75576291/91 N 216800 THIS CERTIFIES THAT only the elec[rical equipment os described 6efom and Introduced by the Rppflcant named on [he obone application number in the premiaea of WILLIAM JAROSZ, 79-30 SOUNDVIEW, SOUTHOLd, N. Y. in thefolloainp htcation: ? Baaement ? let Fl. ? Ynd FL GAR .tiertion Blork !.o[ moa ezornined un DECEMBER 09 ,1991 endJound to be in cmnplianee Feirh the requiremenra q/ Ihia Board. FlXTURE KBTAClES SWITCHES flXTURES RANGES COOKING DKKS OVENS DISH WASHERS EXHAUST FANS , OUTLETS INCANDE]CENT flUdE]CEHT OTHEn /VAT. K W. AMT K. W. AML. K W. MIT K. W. /JAI. N P. 7 6 1 5 DRYERS FURNACE MOTORS FUTURE AFFUANC! REDERS EFKIAL RlC'FT 71ME CLOCKS Yss UNIT HEATERS MULTI-OUTIE! DIMMERS AMr. K. w. al N. P. GAS N. r. AMT. No. A w. c. AML AMr. AMT. AMPS. TRANS. YAl N. p SYSTEMS AMT. WAR] NO.OF FEET SlRVICE DISCONNECT NO.OF S E R V I C E AML. rvvE MITER I ~ ]w l A ] I ]W ] 1 tw NO. OF Cf. COND. A. w. O. A w c A. w c. Ie0U1?. FFR 8 OF CC. COND O< NIiEG ~ NI ~G NO OF NFUIgAI] ~ NEUTRAL OTHER AWARATUS: PANELBOARDS:1-3 CIR. 100 G.F.C.I:-1 ,~~~V p , / WILDWOOD ELECTRIC LIC.~1563-E C~/~~ 4th STREET P.O.BOX 808 TENJBtAI MANA09 WADING RIVER, NY, 11792 Perll 6 Thit certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. INSPEC'T'ORS - . - ~ Victor Lessard ~FO~o~UFFO(~-~o Principal Building Inspector , Curtis Horton ,W ti~ G% SCOTT L. HARRIS, Supervisor " Senior Building Inspector o , ~j y x ~ Southold Town Hall Thomas Fisher ~ ~ 'r rj P.O. Box 1179, 53095 Main Road Building Inspector ~.^~y~ ® ,~.r Southold, New York 11971 Gary Fish Oj .~o,.-. Fax (516) 765-1823 Building Inspector _ Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspeaor Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 1, 1992 JUfv - 3 WILLIAM JABOSZ ~ 7930 SOONDVISW AV6NQE SOOTHOLD, NY 11971 To Whom This Diay Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x%% An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. %>i% 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 # 19703-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING INAL REMARKS: ,dni . ~ ~f~ DATE G ~ ~ INSPECTO ~r~L.~ ~ I!'in.L Ij .;.`?:'*IENi° ~ _ _ ~ ~O 1. S~ _?`Q ~ H W - - - H OUtJDATIO:J (1st) m ~ FOUtJDATI01f (2nd) _ - ~ 2. z o ROUGH FRAME g V` PLUMBIiJG c ^ y H 3. m ~ ~ . y INSULATION PER N. Y. STATE ENERGY CODE x a r GQ T m 4. FI;JAL ~ ~ ~ ~-_i ~1 ~2 O GAO ~ i, 2 <J ADDITIOIIAL COMMENTS: s y , m ~x~~ a a\ H H O Z m ram - a v `I~ m -a H D y BOARD OF HEALTH J SETS OF PL,IYS ,0~(1 ~A~ w~ fOHM NO.t SURVEY Q. M1~--~ ~ ~i~ ~ ~f ~ TOWN OF SOUTNOLO C11CCF ~~./3~7 j""","` .°-•°,.~~,•......n''_t' HUILDINGDEPARTMt:NT SEPTIC hORa•_.~, 1_. 7Gr•~"r„ ~'4r.i TOWN HALL . ' SOUTHaI~_CLL,Y_1'171 t:OTI FY ; rsr~s 0~ O-!i TEL.:7G~~1G0.. CALL ll Exatttincd..~ (9,~~,/ MAIL T0: ~~5-(e//,S` ~2 /~y Approved ...../.'!/P.,....., 19/.~ Permit No...I C.7~.~~ . Disapproved aJc - - . • . • • . • • • • . i ~ tilding Inspector) APPLICAT1ON FOR BUILDING PER(v11T Date . IS g~ I INSTRUCTIONS a. This application must be comp~etcly tilled in by typewriter or in ink and submitted to the Building Inspector, uric sets oC plans, accurate plot plan to scale. Fes sccotrting to schedule. b. Plot plan showing location of fat and of buildings on premises, relationship to adjoinin; premises or public sire: or areas, and giving a detailed descrip6,ion of layout of property must be drawn on the dia;ram which is part of this app 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 appiicyZt, Such perr. shall be kept on the premises available (or inspection thrau }tout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Cetiiticate of Oceupa:.: shall have been granted by the Building lnspcctor. APPLICATION IS HERESY MADE to t!.te Buildin; Department for the issuance of a Building pe^it p:•.;sttant to t: Building Zone Ordinance of the Town', of Southold, Suffolk County, New York, and other applicable Isws, Ordinances c Re_ulations, for the construction of b;ui]di+tgs, additions ar alterations, or for re 1 or de , cs herein describe: The applicaat a^_rees to comply with ;111 applicable laws, atdinances, bteildtng ^ c, ,eusii code, c~ r ^t,. iians, and t tdmit authonzcu inspectors on premtsess and in building for neccss~ry inspec s. ~(Si;natnr - applicant, ~ r name, iC~a~co~ rauon)~ .7134. Q,vw, C~i/i .~i:y:-~-.:........ ~ tl 1, ~ , -„fir s=~~~ s State tvhether applicant is owner les$ee, agent, architect, engineer, general contractor, electrician, plumber or builder Name oC owner of premises...~j;./' I,J~j1.:~i+.. >JrQ t~d r. ~ • Y (as on the tax roll of latest deed) ' If applicant is a corporation, signature of duly authorized officer. ' (Name and title of corporaic ofCtccr).. • Builder's Liccnsc Na_ - - - , Pluto bcr's Liccnsc No. , , , , , , , , , , , , , , , Electrician's Liccnsc No. , , ' , , , , , , , , OUter Trade's Liccnsc No. , , , , , , , , , , , , , . , Location of land on which proposcd',work will be dorc; vN UtetiJ 793D .....VQ. ~ ~u~ So~°~t ~to~c~ N Iloust: Nuntbcr ~ ~ 7................... Qtrcct ' ' .Hamlet • • • . • • • • County Tax Alap No. 1000 Section , ; Black , , , , , ~ ~3' Sulrilivision (N• t F.ilcd Alap N Lo o. u1c) ..............tLot..._........... State t:~isting use and occupancy of hremiscs and intended usernd occupancy of proposed construction: A. lrxisting use and occupancy......,.. B. Intended ~ ....:G CC~e>5®::~...h?Idt. ~A/Lo~c . use and gccup ncY•~ ...:t. ,°tq................. - 3. Nature of work (check which applicable): Ncw building . Repair . • . • Additicn .U~~gt{{cratio Tennis Couct ' • • RFmoval • , , , , , , , D,~¢¢molition . , St+i:nn>~T~1~o1 • • • • Accessory Building.(~q{Ag,2., ,Fence • .0[hec Work.. • • 4. Estimated Cost ~ duo. o o J ' ' ' ' ' • • • • • • . . - ~ Fee . • 5, 1f dtvcllin„ nutnbcr oC dwelling units , (tn be paid on films thts apolicatianj Jf gara,e, number oC cars ' • • • Number of dwelling units an each floor.... , "~LVp 6. TC business, commercial or mixed occupancy, specify nahtre and extent of each type of use • • _ • • - 7. Dintcnsions oC existing structures, if any: Front • • • • ' " • ' ' ' Hci^Itt • • • Rear Depth . . _ •••••••.......NutttbcrofStotics. Dimensions of same stnrcturc with alterations or additions: Front • • • • • • • ' ' Depth....... Rear.......... . Llcight . .Number oC Stories . • • 8. Ditncnsions of entire ncsv constntction: Front , • ~ , , • • • • • • • • • ' " • Hcigltt . , /p, , Number of Stories , l7N•~-- Rcar , . , , , , , , , , Depth . r~~ , , • • • - 9. Size of Ice: Front r~4.. ~O e~ . 10. Date of Purchase P.car • Depth . ~i 5 .4...... . Name of Ffformer Owner _ _ 1 I . Zone or use district in which premises arc situated r~ e.S J A gfJ'r tet•L, _ _ ' ' ' ~ ~ - • IZ. Does proposed construction violate any Zoning law, ordinance or regulation: , hra, • ~ • 13. 1Yililotbcregradcd 14. Name of Owner of remises t~t!tll • • e ' ' ' ' ' ' ' ' • 1Yill excess Cill 6c rcmoycd from premises- Yl~ Q. • , , p lukL.~•t,~QS~_•„Address.ScS~uc.~,V?-~!Jtr Name of Architect - t • • -Phone No.~~4: iao y~ ameofContractor.•••••• ""'••Address ..................•PhoneNo.............,, 1S_>:s this ro • ..Address ......Phone No....: , p petty located within 3p0 feet of a tidal•wetland? =YES....t70~. *If yes, Southold Town Trustees Permit may be required. • PLOT DIAGRApl Locate clearly and distinctly all buildings, whether'existing or proposed, and. indicate all set-back dimen~io-::: property lines. Give street and block number or description according to deed, and show street names and indicate tv::~::. interior or corner lot- - ___w_. _ _ ~ ~ (i ~ C 2~ v N - dta ~ ~ ~ ~~36 - - _ - _ 3~, ' rATG OF \ElV YOR(:, OUNTY OF S.S a sz. • • • • • . • being duly sworn, deposes and says that he is the applic~: • (Name oCindividual signing contract) tout named. eistltc (Contractor, agent, corporate officer, etc.)- • • • • • ~ • • • • • • • • • • • • • said owner or owners, and is duly authorized to perform or have performed the sail work and to make and file tl: Plication; that all statements contained in this application arc true to the best oChis knowledge and belie C; and (teat L': xk will be pcrl'omted in the manner sea forth in the application filed thcrcwitlt. nom to bciorc me this k tart' Public. ~ l County .,tR ts4ff. E ..,rei2~l~ i?z': , i4ie"tttrV FuB!.lC, Statr, of Ncri';^t;. 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