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Home My WebLink About19221-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19262 Date AUGUST 3, 1990 THIS CERTIFIES that the buildin~ Location of Property 2305 BAY AVENUE House No. County Tax Map No. 1000 Section 31 Subdivision ALTERATION & REPAIR EAST MARION~ N.Y. Street Hamlet Block 17 Lot 8.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 1990 pursuant to which Building Permit No. 19221-Z dated JULY 23, 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 ALTERATIONS & REPAIRS TO DECKS OF EXISTING ONE FAMILY DWELLING The certificate is issued to JOHN MASSARO & ORS. (owners) 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 FO]I[M NO. 9 TOWN OF SOUTHOLD BUILDIHG DEPARTMEHT TO~'H HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Z Dote .......................................... , i ~....,.,.,.,.,.,.,.,~.. Permission is hereby grant, eltraL ...... County Tax Mop No. 1000 Section ..... .~'./. .......... Block ....... ../..~., ....... Lot No ...... ~..~.Z ......... pursuant to application dated ......... ~. ..............................., 19~., 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 OC( This application' must be filled in by typewriter OR ink 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. Z. Final Approval from Healtk Dept.- of water §upply 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 conta~s ~ less than 2/10 of 1% lead. 5. Commercial building, indus.trial 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) 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 oC Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees ~. 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 Date ..... ~../.~ ~.. ........................... :~ew Construction .... ~ ...... Old Or Pre-existing Building. Location of Property..~.~ ............... ~....~... .............. .~.~....~. · Street . Hamlet .... Onwer or Owners of Property...~.~...~z~_~... -~ ~ ~/~ ~ ~,~ ~,~ ^ Couety Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdi~ision ' .................................... Filed Map ............ Lot ...................... Permit No ............... ..Date Of Permit ................ Applicant ............................. [~ealth Dept. Approval ................ .......... Underwriters Approval ............. ,, ~lanning Board Approval ........................ Request for: Temporary Certificate ......... Final Certicate ........... Fee Submitted: $ ............................. FOUNDATION (1st) FOUNDATIOn4 (2nd) ROUGH FRAME & INSULATION .FLUMBING PER N. Y. STATE ENERGY CODE FIr;AL ADDITIONA'L COMMENTS FORM NO. 1 TOWN OF SOUTHOLD DUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ,~pp,o,,ed . .7, ~. 3. ..... ,19~& Pc=i, No./.?.~.~.Z. Disapproved a/c ..... API~ICATION FOR BUILDING PEEMIT INSTRUCTIONS BOARD OF HEALTH su~:vEY .. '.. '.: :.:: SEPTIC FORH ................ CALL . . .Z . . MAIL TO: ~LDG. DEPT. TOWN OF SOUTHOLD Date ..i..'2/ F .. ....... a. Tlfis applicaiion must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with :tx 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 :.teas, and giving a detailed description of l&yout of property must be drawn on the diagram which is part of tkis appl/- c. The work covered by thi~ application may not be commenced before issuance of Building Permit. d, Upon approval of' this application, the Building ~nspcctor will issued a Building Permit to the applicant. Such permit :<! be kept on the premises available for inspection throughout the work. . ~'. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 'z;1 have been granted by the Building Inspector. ' V'PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the · ,:J:nz Zone Ordinance of the Town of S~uthold, Suffolk County, New York, and other applicable Laws, Ordinances or · :,~'mns. for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein described. · :pplicant agrees to comply with all applicable laws, ordinances, buildihg code, housing code, and regulations, and to ::::: xuthorized inspectors on premises an,d in building for necessary inspections. (S~nature ot apphoant, mi fia-n~e, ifa corporanon) ......... &. ~..~..,.,. ~,~.. w.q. ~./:~..~/.?/.,.-. (Mailing address of applicant) · ",~ether applicant is owner, lessee, agent, architect, enoin r, general contractor electrician plumb~f'or builder. Las on rue tax rou or :ant is a corporation, signature of duly authorized officer. · (Name and title o£ corporate ~t'ficJr') .... .... ~ .~..~.. .... ~..... iq:amber's License No ......................... /-~zctrician's License No C:her Trade's License No ...................... t':cation of land on which proposed work will be done; ff~ ~~7~ , . ~ . ' N b St ''' ' ....... : ::use um er reet, Hamlet Coun a o. ection ............ Block ............... Lot ..... Subdivision ....... .................................... Eiled Map No ......... Lot (Name) .................... State e ' , x st ng use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy ................. f B. Intended use and occupancy ................................ ~m );4,, · Na!ture'of workXcheck which applicable): New Bu lding ........ Additian .......... Alteration ........ Report_ . ....... . . moval,, ..... · .. · . .. Demo 'tion, .. .... . ... . ......... T~nn~.s Court: .......... Accessory Building .......... Fence .. Eshmated Cost ....... ~ ......................... · I i (to be paid on filing this application) If~welling number of dwelling un~i .~. Nomber of dwelling units on each floor ./. If garage, number of cars ...... %4i .................................. ... .. .. ... . .. .. .. . If ~usiness. commercial or mixed occupancy, specify nature and extent of each type of use ......... . . ...... , .... if'any: Front '~..--f>. ' Rear c~ ~ Depth D~mcnmons of ex,sting structures l l~ieht Number 'of Stories /. D men ORS of,same structure with alterations or additions' Front .......... Rear ... Depth . !i'!t ~.C'; · ;..; .......... Height ...................... Number of Stories ....... . ..... Dilnensig~',.~ ~f e~,i;,; n_e~¥ construction: Front ............... Rear ............... Depth . . ,. tt~ight ~ ~2.; · · ~#.~ .L~ .~umber,;of Stories .............. : .......................... Size of lot: Pcont ......... ~. [ -.. ~o~, north ' Da're of ~urc~Ss( ; ....I.- ........ Name of Fo'r,,", n Zo{ne or,use dmtrict in which premise~ are situated ...................... I3I o ' ~ <}es pr poses Construction violate any zoning law, ordinance or regulation: ............................. \v01 lot be regraded ............ . Will excess fill be removed from remises: Yea .... No.. Nahae of Owner of premises . Address Phone No e of Architect .... ! .... Address .......... Phone No. .. N:~Jne of Contractor' ~ . ' .... ...... I .... Address ............ Phone No ....... .Id this property lee,Gted within 300 feet of a tidal wetland? ~¥gS .... }t0 .... ~-I.~ yes, Southold Town T~ustees Permit may be required. ! PLOT DIAGRAM ~ j I.a~ate clearly and distinctly,all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~:'~'rIiY lines. Give street and block number or description accord~g to deed, and show street names and indicate whether .::er~ or corner lot. FEE~ BY: NOTIFY --BOILB/NI30EPART~'N'r A 765-1802 9 AM TO 4 PM FOR ~H1 FOLLOWING ~NSPECTIONS: 1. FOONDATION ~ TWO REQUIRED FOR POURED CONCRETE [2. ROUGH - FRAMING & PLUMBIiNG [~: INSOLATION FINAL-CONSTRUCTION M0$' BE COMPLETE FOR C.O. AU. CONSTRUCTION SHALL M ET THE REQUIREMENTS OF THE .Y. STATE CONSTRUCTION & ENERGY CO~ES. Nor ~ONSIIWI DESIGN OR CONSTRUCTION IIRROR8 ', :,u OI. NEXV YORK, ':; ['Y OF.. ... S.S .... (Name of individual signing, act) · ,'~' 43 Bcd. being duly sworn, deposes and says that he is the applicant (Si~mre of apphcant) r . } Q It. on. t.ra' 'ct'or,~. gent, corporate officer, etc.) , d owner or owners, and s du y atit ~o~d t~ ,~.rform o said we · ':: , -- · , , r ]lave performed the ' rk and to make and file tills : hca :on that all statements contai,m~l in this application are true to tile best of his knowledge and belief; and that the ' :~: wltll be.performed in the manner sct forth in the application ~lcd therewith. . .3rn !o before me th,s i · . .~ ....... ..... a~ o~..~. 5 ....... , ~ ~(ta~ Pubhc, ' .... County Ir J 0~1~ in 8u~k ~ fl