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Home My WebLink About19576-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20118 Date JULY 29~ 1991 THIS CERTIFIES that the building. ALTERATION Location of Property 905 A~UAVIEW DRIVE House No. Street County Tax Map No. 1000 Section 21 Block 02 Subdivision Filed Map No. EAST MARION Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 7~ 1990 pursuant to which Building Permit No. 19576Z dated DEC. 12e 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 BATHROOM A~'£ERAT~O~ITHIN A SINGLE FAMILY DWELLING. The certificate is issued to INGEBORG TATJ.~tEK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N172733 2/7/91--N170141 1/18/91 PLUMBERS CERTIFICATION DATED...MIKE JACOBI--7/9/91 Rev. 1/81 leOB~ NO. TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING, PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 19576 Z Permission Is hereby granted to: ................. · ....'~ ~ "-h , ,o .. ....................... ,~ ........ ~ ........ ~"Zp"~ .......... '~"'"~ ....... ,~ .............. ~Z~ ......... -~_~ ~ .......... : ................... at premises located .t ~..~..~..~.~..~.~...1~L)..~L~.~.`.~.~.~..~..~..~..~..~...~..).~ County Tax Map No. 1000 Section ....... ..(~...~...[ .... Block ......~..,~, ....... Lot No .....).,~ ................ pursuant to application dated ~.~......'7.. ................ , 19.~..O...., and approved by the Building Inspector. Building Inspector TOW~ OF SOUTHOLD BUILDI2IO DEPARTNENT TOWN [h~LL 765-1802 APPLICATION FOR CERTIFICAT£ 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 proper~y 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 ~ira Underwricerso 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 C,~pliance from architect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. 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 ~o the applicant. :. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to d~elling $25.00, Aluerations to d~elling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildi,g $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Build~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 $15.00 · ~atc. ~t~.t~! .......................... ~w ¢onstr=tion ........... Old Or Pre-e×~ting ~uildin~...'~'~.~ .... :::..~.~ '''~"~" ocatio, of Property...~..A~.~...~...~..~....~.. ...... .~. ~..~.~.~.. . · House No. Street Hamlet ,,~ o~ 0~,~ o~ ~o,~...../,~.~ . .l~!/.~ck... .......................................... . ~=~ ~ ~.~ ~o ~000, ~.~o. .... ~.~ ........ ~o~ ..... % ......... ~o~ .... ~t ................ ;bdivision ................................ .... Filed Map ........ . .. . Loc ..................... : it ..... ate of Perm, ...... App,i a,t ............................. alth Dept. Approval .......... ............. . .. Underwriters Approval ......................... arming Board Approval ................. '. ...... ques~ for: Tcmporary Certificnte. Final ........................... ~?~ ......................... · . dd ~ ~OII~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Building Permit NO. O (p~ase print) Plum~er ~I~F~, (please print) I certify that the solder used in the water supply system contains less than 2,./10 of 1% lead. Sworn to befor,2 me this ./? da~ o~ /~-/ ,' 19 ~[ Notary Public,~~.__County (plumbe~ signature) Notary Public _ / ~ ,~¥/~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT o~y the electrical equipment ~ ~scrlbed belo~ a~ introduced by the applicont ~m~d on the a~ve application number in the premises of in the following b~cation; ~ Basement ~ Ist FI. ~ 2nd FL 0[1'~' Section Bilk Lot was examitted on [} ~ ~ ~ /] ~ ] q ~;) ~ attdfound to be in co,tpllan 'e n'ith the requ retnent.~ ~f this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES .'OOKING DECKS OVENS EXHAUST FANS FLUORESCENT OTHER DRYERS SYSTEMS NO. OF PEET OTHER APPARATUS: ~ R V t C ND. OF CC COND, A W G. NO OF HI-LEG A,W,G. A.W.G PER ,e' OF CC CONO, OF HbLEG OF NEUTRAL '~0, OF NEUTRAt$ BOX GENERAL MANAGER Per__ I t ). This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUsT NOT BE ALTERED IN ANY MANNER. ~-- ~5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT O~y the electrical equipment ~ ~scrlb~ be~w a~ int~duced by t~ appllca~t ~med on the a~ve application ~ber in the prem~es of in the fotlowing locatlon; ~ B~ement ~ Ist Fl. ~ 2nd FI, Section Bilk Lot ~s examinedon ~)~[~/~}t ~ ~L) ~ ] ¢)~ and found to be in compllat ce u' th the requ rements o~this Board. FIXTURE ['ECEPTACtRSI SWITCHES [ FIXTURES I RANGES ICOOt(tHG OECK$ I OVENS IDIEH WASHERS EXHAUST FANS SE~NNECT ~ NO. ¢ S E R V I C e OTHER APPARATUS~ SOU?~Oh~L NY, i '{ 9'1'1 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the I}oard if incorrect. Inspectors, may be identified by their credentials. COPY ~OR BUILDING DEPARTMENT. THIS COPY OF CERTIEICATE MUST NOTBE ALTERED IN ANY MANNER, FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMbIENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSU_I. ATION FRAMING [//VI~NAL REMARKS: DATE INSPECTION [ ] FOUNDATION 1ST [~-']'~GH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL Ld~. 0 ~4 0 0 C ~o 0 FORM NO. "J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHQLD,,. N.Y, 'L1.9.7 'L TEL.: 7G5-1802 Disapproved a/c ..................................... (Building inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS *t~ .... SUR¥~Y SEPTIC FORH ' ~OTIp¥~ ~ ^LL ........ HAIL TO: Date ~ December 1990 I9. INSTRUCTIONS a. Tiffs application must be completely filled in by typewri(er or in ink ~nd submitted to th~ Building I~p~tor, wit/ sets of plan~, nccurat~ plot plan to scale. Fee ~Ccording to schedule. b. Plot plan showing location o£ lot and of buildings on premises, relationship to adjoining premises or public stre.~ or areas, and -' ' ~ owm~ a detailed description of l.%you£ of property must be dra~vn on the diagram which is part of this apl: eat. ion. ¢. The Work covered by thi~ 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 perry ' shall be kept on the premises available for inspection throughout the Work. ¢. No building shall be occupied or used in whole or in part for a.ny purpose xvhatever until a Certificate of O,'cupam shall have been granted by th~ Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fo~ the issuance of a Building Permit pm'XUant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances Regulations, for the construction of buildingx, additions or alterations, or for ::emoval or demolition, as herein describer Thc applicant a"rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t .admit authohze~ inspectors on premises and in bull, inspections, j~ ...... .; · -'l P ~-.~.. ;n tare et aDnl//dnnt · '~17 ........ ~.,,,c. 1.[ a corporation) .1 No'rth StzVeet, Green art (Mailing address of applicant) State whe'ther applicant is owner, lessee, general contractor, electrician, plumber or builder Architect (as on the tax roll or latest deed) . If applicant is a corporation, signature of duly authorized officer. (N me and htle of corporate officer) ..... Builder's License No. HI 990 (3.Latson) Plumber's License No...63.4..?. (Hike 3acobi) Electrician's License No..2.8.0. (P. Burns) Other Tradc's License No ...................... 1. Location of land on which proposed work will be done; 905 Ahuavie0v Avenue, Best Harion, Ne~ York 9'05 gquavie~ Drlve.-. ................................. East tqarion Ne~ York · Il N bet ' ' ....................... Hamlet County Tax Map No. 1000 Section ... 21 '. . ............... Block 2 11 S bdl i i ................... Lot .' .......................... Eiled Map No. Stzte ..' · (Name) .............. Lot .............. c.xlstmg usc and occupancy of premises and in/ended use and · °cct~pancy o£ proposed constrnction: A. ExiSting usc and ' One Family O~el/in~} B Intended " NO Chanae and occupancy ' Tennis Court: .... Accessory §uJ. lding .......... Fence ..... J~;Othet 'WOrk; ... ........ $8,000. O0 4. Estimated Cost ............. I ................... , ..... Fcc ..................................... ~ (La bc paid on Eling this application) 5. Ir dwelling, number or dwell ng un ts ,1. Family House Number of dwcllil}g uni!s oQ each floor· ,. .... ' Ir garage, number of cars . . ,r ......... ";; '!.' ............. . ................................................... 6. ., u ~,,,~a~. uummcrcmi or mlxe9 occupancy, spec fy nat Ire and extent of caqh type,of, use,..; ..... .; ..... ' 7. Dimensio,~s,.of..existin.-stmcture:s, ifany: Front...'.4,9'-0", , n. 49' ["IS' ' IDonth "aa, n,, ....... Dimensions o£ same structure w th alterations or additions: Front OD. ~b0Og~ ........ Rear .no 'oha~ge ....... Depth.. DP. gB~lDg~ ......... J.. l-Icj&hi .qo..e_..h.a~,g,e .............Num bet of Stories ,~o 4:~q, ange ........... Dimensions of entire new construction Front .n.o..a.h.a.n.q.e... '.. ,. 'Re-r no .ahnno Dc th Date afpu.,.hao. 1955 : . l~.ca ........... ~ .......... Depth 2.5.5...0. ............... · ..,..-. u. u~c ulstnct in WlllCll premises arc situated.. Eesitdent. ial ....................................... D d · ocs propose Construction viol,ate any zoning law, ordinance or regulation: . .No, ........................... Will lot be regraded .... ;ID..., ................... Will excess fill hc removed from premises: Name of Owner of premises . .[.i. T ' n~ Ye'- .... :,c Nnme of Architect V.~~.. Name of Contractor ........................ Address ................... Phone No ............... 1.5..3Ls Ckig property Located within'3QO feet of a tidal ~etlaud? '*YES .... · If ;yes, Sou:hold Town Trustees Perml[: may be requJ, rad. PLOT DIAGRAM Locate clearly and distinctly dill buildings, whether existing or proposed, and. indicate all set-back dimcn:ior.~ :':,:. or description according to deed, and show stree~ names and indicatc w:::::.. 9. 10. I1, 12. 13. 14. property lines. Give Street and block[number interior or corner lot. 7,SS2/.:. £TATI~ OF NEW' YORK, COUNTY OF ................. (Signature of applic=n: HELEN&DEVOE NOTARYPUBLIC, StateefNewY0rk ~ No. 4707878, Suf101kCountyf.,, Term Expires aac~ ~0, t9 ~7/ S.S ................... being duly sworn, deposes and says tha~he is thc applJc::. . (Name oFindividual sign:iugc~ntract) abovc named. , ~ is the ' ' i (Con'llractor agent corporate officer gtc ) of said owner or owners. ~d is du ~ authorized-~o pu.fform or have peffo~ed dm said work and to m~e and file ~ll aPplicadon: [h~t all statements con~qined inHfis npplicadon are ~rue ~o fl~e bust o~his knowlcdgu and bcliu[;and flm~ u: Work will be ocrfommd in die m~n<r set [onh in lhu applicntiun ~lcd Hicrcwith. Swam ~o be[ore m~ Hlis ~ ................ ....... ..... ..... ,