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Home My WebLink About19570-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuuFANCY No ~-23030 Date JUNE 8, 1994 THIS CERTIFIES that the building. Location of Propert~ 1350 BEAWOOD DRIVE House No. County Tax Map No. 1000 Section 79 Subdivision ADDITION SO~THOLD Block 8 Filed Map No. Lot No. Street Hamlet Lot 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4, 1990 pursuant to which Building Permit No. 19570-z dated DECEMBER 10, 1990 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 TO CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DW~.ING AS BUILT. The certificate is issued to FRANK SOKOLICH of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner) N/A N/A Rev. 1/81 //Building fnspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, J4. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 19570 Z / Date ....... ...../..~..'./.~ ................... Permission is hereby gmn,ted..~o: / ~..~. ..... ~ ......... ~~~~.~...,...~ . / .~ / _ ~ . ~ .~ / . ~ ...... .~..~....~~....~ ......... ~/.~ ........ ~...~ ........... ~ .................. / '. ~ ~/~ .~ ..... ~t pre~,,.. ~.ted .~ ....................... ~~ ..... ~ ...................... ............ ............................................... pursuant ,o application doted ...... ..~'. ,~..~...~.... .............................. , 10.~.,~,, and approved by the Building Inspector. Rev. 6/30/80 Form 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. Submit2 Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-~onforming 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 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 Occupancy - Residential $15.00, Commercial $15.00 New Construction/~/~..~If?~. 01d Or Pre-existing Building ................. Location of Prope~ty/~.~.~~ ~ ........................... House No. Street Hamlet Onwer or Owners of Property ................................ ~ount¥ Tax Hap No 1000, Section .............. Block..'...~o.~ ....... Lot ................... Subdivision Filed Map Lot . . . Permit No ...... Date Of Permit .... cant .................. Health Dept Approval ...... Underwriters Approval ............... ~lanning Board Approval ........ ..%. ............ lequest for: Temporary Certificate.. ?ee Submitted: $ ................ . .. . ........ . Final Certicate ........... APPLICANT 'OU~IDA'TIO.~; ( 1 st ) 'OU~;DATIO~'I ( 2nd ) ) :OUGH FRAHE .PLUMBING :I~SULATIO}; PER N. Y. STATE E~;EF. GY CODE FI;;AL ADDITIO~A'L COI.~.~-IEI;TS: FORM TOWN OF souTHOLD BUILDING DEPARTMENT TOWN HALL TEL.: BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK .................... SEPTIC FORN .............. CALL -~. ............. Approved ........ , 19~.~. Permit No .......... .......................... ...... / ~ildin~ Inspector) · APPLICATION FOR BUILDING PERNllT Date ................... I5. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to thc Building I~p~bar, sets of p!~-~, --,',,rata plot plan to scale. ~ acco~ing to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sire: or areas, and giving a detailed description of layout of property must be drasvn on the diagram which is par~ of this ap.r cation. c. The work covered by this application may not bc commenced before issuance or Building Permit. xlo Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perrr s.hall 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 a0Y purpose whatever until a Certificate of Occupma: 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 t. Building Zone Ordinance of the Town of Soutaold, Suffolk County, New York, and other applicable Laws. Ordinances Regulations, for the construction of buildings, additions or alterations, or for femoral or demolition, as herein descr/be, The applicant a=~rees to comply with all applicable laws, ordinances, building code, housinz code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. (Signature ot applicant, or name, if a corporauon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...... (Na~; and title of corp~r'ate ~}ficcr) ...... Builder'S License No ..... ~.~1~[7~=~. .......... Plumber's License No Elcctrician's License No ....................... Olber Tradc's License No ...................... Location of land on which proposed work will be do~.e: House Number ' Street Hamlet ' ' zg - Couney Tax Map No. I000 Section .............. ~lock ........ Lo~ ... " Subdivision ..................................... F. Hcd Map No. . .... Lot ........... (Name) State existing u~e and occupancy of premises and in~ended u~c ~nd occupancy of proposed con~tr,ction: Existing and occupancy ..................... o¢ u a cy : ...... 3. Nature of work (check which aPplicab e)' Ne~v Building .......... Additic, n .......... Alteration ......... Repair ....... R' I ' ....... s~moval .............. Demol tiaa ............. Sw~.,'n~.ng pool. .......... Tennis Court.. ..... IAccess°ry Buildlng .......... Fence . 4. Estimated Cost · ''/~' '~' '~''' ...................... Fee ........ ' ..... Other Work; ......... i ~ba he. paid on filing this application) 5 If dwelling number of dwelling~umts Nnmber of dwelling units on each floor lC garaee number of cars 6. If business, commercial or mixeld occupancy, specify natnre and extent of each type of usc ................ 7. Dimensions of existing structures, if any: Front .... Depth . Height ............... Nuq~ber of Stories ................... D: .....:- ~ · · ...... ~...ne~gnc ...................... Number of Stones ........ . 8. ..c.a*uns mentire new consmmt,on Front .............. Rear ............. De th 9. S~zcoflot: Pt~l~[ I~ ~'"" I .. ' .............................. 10. Date n f P,,.--~..~ · ............... Depth ........ -,~ ........... .. .......... ; .................. Nam Farmer 1 I. . uae ulstrt¢£ In wlll~l)'premlseS are situated ......................................... 12. Does proposed Constructton Violate any zoning law, ordinance or regulation: ............. 13. Will lot be regraded ....... }. ..... Will excess fill be removed from premises: Ye: . ' :.... . ...... 14. Name of Owner o remi~¢s ..; ............ Address ................... PhoneNo ............. Name of Architect ......... ~ ................. Address ............... Phone No ............... Name of Contractor ~ - , ........ ~ ................. Address ............... Phone No .............. I~.li~ ~b.i~ property located within'3~O feet of a tidal wetland.* '*YES .... NO .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dim~n:ior.: ,":' - property Lines. Give street and blockl number or description according to deed, and show street names and indicate w:::::, interior or comer lot. STATE OF NEXV YORK, ISS ~ COUNTY OF ' ............................................. being dnly sworn deposes and says that he is the appli ('Name of individual s'gn~mg contract} .... ' .... above nam'ed· He is tile ...................... , .......... . . . ' (Contractor agent corporate officer etc) of said owner or owners, and is duly authorized to perform or have performed tile said xvork and to make and file ti: a~plication: that all statements contained in this application are true to the best of his knowledge and belief; and that work will be perforator in the mannc:r set forth in the application filed therewith. Sworn to before me this Nota~, i Public ......... .~. .... County ~ttOl ~ t~ roE' (Signature of appliean: