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Home My WebLink About19824-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19921 Date MAY 20, 1991 THIS CERTIFIES that the building ALTERATION Location of Property 2785 YOUNGS AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 1 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1991 pursuant to which Building Permit No. 19824-Z dated APRIL 30, 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 REBUILD EXISTING PORCH AS APPLIED FOR. The certificate is issued to DANIEL CHARNEWS & WIFE (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 1 soissi xo s 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) N o 19 8 2 4 Z Date 19.`x.1. Permission is hereby granted~~t++o~: ...5~?2~.wa~Q...... of Premises located ot .r~.7.~.`wl....{\........~.~:4 County Tax Map No. 1000 Section ..W.......... Block Lot No...~.5............ pursuant to application doted 19.9..1.., and approved by the Bu{Iding Inspector. Fee 5...~.... ' Building Inspector Rev. 6!30/80 i ~ Form No. 6 ~ ~ ~ ~ ~~~~C~~~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT E,Vy MAY 141991 ~ TOWN HALL ~~~14444k, 765-1802 z., .,.~tM1~.,,~. ~ Y {"s~i~.. ~it.~~~a`~`.a~ 1171,;~~, (r}=,'-yfit.9i!-Ed3Ewd7 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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-O 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. B. For existing buildings (prior to April 9, 1957) uon-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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellin $25.0 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildi-ng - $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 $15.00 Date "~~:'.9.~ New Construction.......~./.. .4 Old Or Pre-existing ,B,~u~i"l"ding. ~ Location of Property..K.•IY.S ..................1:Y--::~,,.~;,,,,.,,,c~T.W,C„~V,L.~I:-°'t,.,,.,,, House N',oA. v Str t Hamlet Onwer or Owners of Property..l:~?r(d:~~/J.,.~~.f11N,~„~,~,~,~1,),~JS County Tax Map No 1000, Section..Q,6,~,,.....B1ock...~.~..........Lot...?? S Subdivision ....................................Filed Map............Lot...................... p 4~ Permit No...~.`Y,~;~~,-,, ,D /atledOf Permit.~1.2~ af...Applicant.....~?:,~J• Health Dept. Approval.....~1/`/1t,/ ................Underwriters Approval... .':Y.J~................ Planning Board Approval....!~,/.~1 Request for: Temporary Certificate........... Final Certicate..~...... Fee Submitted: a.~j O ~ I ~ o~/ APPLICANT ' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. O FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~ c i DATE INSPECTOR 1 'r'IE~D I;:SPEi^.iiUfJ ~~Ui,:E ~ i;OMMLNT3 ~ I 'v `'A 1 . , ~i R1 H H FOUt7DATI0N (1st) ~ ~J c FOUNDATION (2nd) _ m 2. o ~ ROUGH FRAME & ~ ~ PLUMBING ~C 3 . x m m IIJSULATIOPI PER N. Y. - • • STATE ENERGY CODE a S 4. ~ H k FIiJAL . ~ I o s z ADDITIOPIAL COMMENTS: m x . •J ~ ' - x .a a " H H O ,,,Q Z ~ 1 • ~ R7 . • A r - H ti ~ f. ~ F~ a ' * ~ "~ha a,u.'~"'x..3.s~,.a.r L~'~ xu)~` ,...a ~r.:~ x' - n+ stE,. L~c,.:..•.;a-_•h..gv...a.YZ....~a,:a."...:«,..,...nP~n .4.,r.,va.. ,vet .;a.+,e:.,. Pvt....%f'.fv..~..m~.;~-rM{k. ,.-r~°k+r&e.,"c'@~~~,.d'- BOARD OF HEALTH 3 SETS OF PLANS ' ~ FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK . , 1~ S.='S; + i, BUILDING DEPARTMENT SEPTIC FORM z 91991 TOWN HALL vOUTHOLD, N.Y. 11971 NOTIFY ~ / ~ ~ c~ - BLDG. DEPT. TEL.: 765-1802 CALL . UF.°, t17MULU Examined. .,.,19g~ p ~7 l( MAIL TO: Approved ~ . 19 Permit No. 1. 7.4 a.7 Disapproveda(c (Building Spector) APPLICATION FOR BUILDING PERMIT Date . ~ 19~~. 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 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 b0 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 issuance of a Building Permit pursuant to the i Building 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec~ti~s. ~ Q~ (Siggature of applicant, or name, if a corporation) ~ sa s~lw~-D . ~..~C,,u,~o t a (cJ~- • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of Premises R f.. VVI,M ...~LQ!r^... C ~c:lit N4,w5 . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . (Name and title of corporate officer) Builder's License No . . Plumber's License No . . ` rectrician's License No . . Other Trade's License No . . 1, Location of land on which proposed work will be done . , , , , . , , , • , , , 1 s House Number StrL~et • • ~ ~ • • / Hamlet County Tax Map No. 1000 Section .....LJ r? Block , , , , , , , , , Lot . ~ ~ . Subdivision Filed 1\Iap No. Lot . (Name) 2. State existing use and occupancy of prerises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~°2~• • • • • • • • • • • • • • • • • • . b, Intended use and occupancy ~ ~ utl • • ,'(;~?(Z.~, , , , , 7~xGYM~thter °'P,;rj~ tsr'g ~iJ•'t14 k*A =MrM . ......gRi>e1 i~ rift's€',f~ =i~ rrti§#t~udS . . I 3. Nature of work (check which applicable): New Building Addition Alteration Rem Repair ¢val Demolition Other Work , , . ~'ik ~ i~',~'.! ~ ; ~1,,~~;(Description) 4. Estimated Cost ~ . ~~~1+?('~' ~ . Fee . `sd~.•................................ . I (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . Fgarage, number of cars , , . ...........................:......:....e.................. business commercial ormixe . ~ occupancy, specify nature and extent of each type of use . . . . . . . 7. Hem`l~sions of existing stru Nu ns, if any: Front . . . . . Rear Depth . berofStorics Dimensions of same structure with alterations or additions: Front .Rear . De th ! 8. Dimensions of entire new const He~gltt ' ' ' Number of Stories . ........ruction:Front... ........•Rear ...............Depth Height ...............Nutr?berofStories. ~ 9. Size of lot: Front Rear . Depth . . 1 1. Zone or use district in which re • ' ' ' ' ' • • • • • Name of Former Owner . . . . , Date Pf Pp rchase mises are situated . . P 12. Does ro osed construction violate any zoning ]aw, ordinance or regulation: . Will lot be regraded , .Will excess fill be removed from premises Yes No i4. Name of Owner of premises . , ' , , , , , , , , , , , • , , , ,Address . .Phone No. . Name of Architect , , ,Address . .Phone No. . Name of Contractor , ~ .Address . ~ ~ ~ • .Phone No........ 15.Is this property localited within 300 feet of a tidal wetland? *Yh .NO.. *If yes, Southold Town Trustees Permit may be required. - I PLOT DIAGRAM , Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-ba k dimensions from property lines. Give street and black Number or description according to deed, and show street names a d indicate whether interior or corner lot. ail I ~ i ~ / ~ tJ ' i I J STATE OF NE1V RK~r~~ ~ ,COUNTY OF. .~??!~c iS.S GUi/~~Ah`iS • • , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual sign~ng contract) above named. ~ r ~ He is the.......Lit-~? (Contractor, agent, corporate officer, etc.) ~ ~ • • ~ ~ • ~ ' ~ ~ ' of said owner or owners, and is duly authorized to perform ofi have performed the said work and to make and file this application; that all statements contained in this application ar4 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application tiled therewith. Sworn to before me~jthis ~[.~/j~~ .daY f~ Y;1.~......., 19:1 f Notary Publi~~~~ K-"',~.~",~ . Count Y NeayPuhlta8tate NwvVhri' No,+{879 GwtNbdMBuHN Cou (Signature of applicant) ONmn~on Bpdra D~amWr s.llllr~ . ' ' ' , , - _ ~ . I, ~ ~ ~ I, I I ~ I ~ M -'i! 6 ~ ~ _ I ~l. ~ e~- + ~ - R 1~ I ~ ' ' I t~ ~ ~ - I, f+f ~ ~ ~ , I ~ i I ~ ~ RU ; m ~ y~.6 IIR"do ~ ~ I + I I E': ~ III' I .alp 3-.LZ. III `q + 4 rjj Sgc- II ~ . P I ~1 -ts~c~Ra ~ I i II '{I _ ~ ~ { ~ IrthtGKp"C~~541A4 I t r F- ~ F. ,R-m .c cT ~ v. I I ~ _ . - _ - ill - t - . ~ - ' r I I - - .r _ I - - - ` - _ A rp ~aa~o a~ NoT~~ OCCUPANCY OR ~ OATE:.~-.80 9L B.P.u / 3 USE IS UNLAWFUL FEEs~• ' BY , 6.~-- WITHOUT CERTIFICATE - ~ - NOfIFV Rl11LDING DEPARTMENT AT OF OCCUPANCY ' ~ 786-1902 B AM TO A FM FOR THE 11: - ~ FOLLOWING INSPECTIC3n!S - - i. FOUNDATION - TVVO REQUIRE6 - FOR POURED CONCRETE ~ _ 2. ROUGH -FRAMING & PLUMBING " 3. INSULATION ' 4, FINAL - CONSTRUCTION MUST , BE COMPLETE FOR C.O ' ALL CONSTRUCTION SHALL MEET t - THE REQUIREMENTS OF THE N.Y. - STATE CONSTRUCTION d ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. f 1 S 1 v EOWARO E. WILLIAMS h~ - ZI g .Ir,"UC ' BUILDING CONTRACTOR - 150 SEAW000 ORfY~ SOUTHOLO, N.Y. 1197f % A~ an.. 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