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Home My WebLink About19014-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19805 Date MARCH 18~ 1991 THIS CERTIFIES that the building ADDITION Location of Property 17235 SOUNDVIEW AVE. House No. Street County Tax Map No. 1000 Section 51 Block 1 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot I Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1990 pursuant to which Building Permit No. 19014-Z dated MAY 14~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 EDWARD C. BOOTH~ JR. N-161066 - NO%~4BER 15, 1990 / ~uilding Inspector TO$VN 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) Ne- 19014 Z Permission is hereby granted to: ......... ~ ..................... ~.... ....... .~.~.l ...... q County Tax Mop No. 1000 Section ...... ~...~..J. .......Block ..... ..~,.,). ........... Lot No ..... ..~...). ............. pursuant to application dated ........... ~......~. ,..L..~.. ............. .., 19.?...0..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiom must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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. 6. Submit Planning Board Approval of completed site plan requirements.' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildin§ $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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. ,Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .ew Construction ........... Old Or Pre-existing Bull,ding .... ~.'.~.~i~i'~.~. .................... .ocation of Property... [ .~j.~.~..,,z~. ..... ~ .~..~..~ [~ W.. }~V.~ ............ ~ ~ ~ k ~ ...... House No. Street Hamlet ;nwer or Owners of Property ..... ~' , ',ounty Tax Map ~o 1000, Section ..... ~ ...... Block .............. ~ot .................... ;ubdivision ..................... Filed Map Lot ermit No..I.~.~..~ ..... Date Of Permit...~..~.~tq.~.Applicant..~?'.~.~..~.0....q..~..~.~..~..~~. ealth Dept. Approval .......................... Underwriters Approval .... · ..................... lanning Board Approval ............. ~ ........... equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $..~.. ~..~ .................. c ...... ..... ................. ~0~.1~0.~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS } ~){)~ :~'r~ BUREAU OF ELECTRICITY ~- BS JOHN STREET, NEW YORK, NEW YORK 10038 ~ ~g Appllcatlon No. on file THI~ CERTIFIES THAT only the electrical equipment ~ ~scribed below and i~tr~uced by t~ app~ant ~med on ~he a~ve application number in the pre.rises of in the following Iocatlon~ ~ Basement ~ Ist FI. ~ 2~d ~. ()~}'~' Section Bilk Lot was examined on {~0¥ ~;~ }~ ~)~ f)~ ~ ~ ()~)0 andfout~dtobelncompllancewiththereq~ire~ne~ts~(thlsRo~rd. FIXTURE OUTLETS SWITCHES L4 ~ DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FLUORESCENT OTHER SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C NO, A, WG OF CC, COND A. WG OF HI-LEG NO OF NEUTRALS A w, G, OF NEUTRAL 2/0 GENERAL MANAGER Per 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 MANHER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTIIOLD, N.Y. 11971 FEBRUARY 14, 1991 MR. EBI/MIB BOOTH 3 1 PILGRIH ROAD I/AllAN, Fu~. 02168 TEL. 765-1802 To Whom This May Concern, On 2/13/91 our office did an inspection and you are ready for a Certificate of Occupancy. We have the under~riters but need the following We are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is not on file. ENCLOSED /~/ No Underwriters Certificate on file. The check is(~l~/not on file.) $25.00 /~/ No llealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt I 9 0 I 4 Building Dept. ***/5/ No Z-ADDITION 17235 Soundview Ave. Southold, N.Y. Plumber solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) FOUNDATION 1st) FOUNDATION 2. ROUGH FRAME & PLUMBING 2nd) INSULATION PER N. STATE ENERGY CODE FINAL COMM£NTS ADDITION[L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~L REMARKS: DATE INSPECTO~/ ~/ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 5, 1990 Mr. Edward D. C. 31 Pilgrim Road Waban, Ma. 02168 Booth Re: Addition to dwelling at: 17235 Soundview Ave., Southold, S.C.T.M. %1000-51-01-01 N.Y Dear Mr. Booth: During an inspection of the above property it was noted that an addition was built on your stunmer home. We can not find any evidence of a building permit for the work and according to the Code of the Town of Southold, Article XXVIII Chap. 100-281, a building permit must be issued before any building is done. In order to avoid legal action you must contact the Building Department immediately to correct the problem. Thank you for your cooperation in resolving this matter. 'VRW:hkd Very truly yours, Southold Town Building Dept. . Ordinance Inspector FORM NO. 1 TOWN OF -gOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTM 3 SETS OF PLANS ~.-~~ SURVEY SgP~C FORM ................ Disapproved a/c ..................... (Building Iuspcctor) APPLICATION FOR BUILDING PERMIT NOTIFY: ~-/0~0 ~.~, CALL .... ~f ............. f' HAIL TOt Date . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Buildin~ lfixpector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shmving location of lot end'of buildings on premises, relationship to adjoining premi.~s or public streets ,cation· o~vm~ a detailed description of'layout of property must be drawn on the diagram which /~ part of this appH- 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 issue~d a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~_hout the work· e. No building shall be occupied or used in whole oran part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector· APP~LICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildin~ Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lax~ Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, ax herein described. The applicant agrees to comply with all applicable laws~ ordinances, building code, housing code, and regulations, and to admit authorized inspedtd~ on premises and ia building for necessa~.~n~P.e, ct~ons USE IS UNLAWFUL ' (Signature oI applicant, or name, if'a'c'orl o'r: l: n)' w.0F OCCUPANCY r ' (Mailing address of ap;licant) ' O~-( State nether applicant is ow,~'~ee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (as on the tax roil or latest deed~ppR0¥FD AS N01[D l£applicant is a corporation, signature of duly authorized officer. ' DATE ~']/~.]~o BP. # Builder's License No .... ,~'V't..~-r .... Plum bet's License No ........................ E .... No l¢ctrtcmn s L~cense .................... Iher Trade s License No. Location of land on Count Subdivision State existing NOTIFY BUILDING DEPARTMENT Al? ,, 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. ~INSULATtON 4. FINAL CONSTRUCTION MUST SE.COMPLETE FOR AL{,~ONSTRUCTION SHALL MEET ~._.~UIREMENTS OF THE ~76 ~_~i~F~t~NSTRUCTtON & ENERGY'' :>~ ~O.~-~RI~S ~)N SI~ LE FOR FOR ;tree[ ' ct BIo L ff ' ........... Ck ... · .... Ot ......... ...................... Eiled Map No~ Lot (Name) ................ occupancy of premises and intended use and occupancy of proposed construction: , -- "-" a. Existing usc and occupancy ........ . · . ..... ~., .. ~. -,,~., .................... ................ ~'~33 ~' '~. ~. 3. Nature of work (check which applicable): New Building .......... Additicn . ~ ..... ,'d, lcrat;on ........... Repair R~moval Demolition "~'? ~ ' po0'[ ............... . .... , .......... . ............ Sw%mmil~g ............ Tennis Court ......... ~J~._~r*___,Acces's°ry Building Fence Other Work ........... ..................................... .. (to be paid on filing this applic3tion) j · 5. If dwelling, number of dwclling units . ' Number of dwelling units on each floor If garage number of cars 7. Dimcnsionsof~xistingst~cturcs~ifany:Front..~ ......... Rear ...~ ........ Depth..~ ...... Height .. ~.~ .......... Nun bcr o f Stories ........... ~ ............ ~ .............. ~: ~. ~ ........ Dimensions of same structure with alterations or additions' Front ... ~ .~ ........ Rear . ~ ~ ......... Depth .... ~ '. ............. ~. HeiSt ..... {.~ ] ............. Number or sro,cs...I ......... f ..... 8. D~,~ensions of entire new construction: Front ...Z~.~., ...... Rear . ~ ......... Depth ~.~. ..... Hc[gt~t ............ ~.. Bumb:er of Sto~ea ........ ~ ..... i ......................... ~ ............ 9. Sizeoflot: Front .... ~j~.t ............. R~ar .... [00~ .............. Depth .~.~ .......... ' 10. Date of Purchase ............ ~ ................ Name of Fo~er O,~ner ..~.Hf....~P~. ' 1 I. Zone oruse district in which premises are situated...~.~ Af~.g.~ ~ ........................... I" Does proposed Construction violate any zoning aw ordinance or regu at on 13. WHllotberegraded ...~O.. ' ' · o rem · · · .: .................. ~Vdl excess ~11 be removed fr m p scs. . Y ... Na. 14. N~c of Owner of premises ~O..~..~. Addrcsa~ J ~., I{Y~ .gr. ~hone No&~ ~. ~J.~.~ . N~e of Architect .. ......... , ................ Address ................... Phone No ................. N~e of Contractor ' 15.Is chis property located within I 00 feet of a tidal wetland? *YES .... NO .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAG ~M Locate cle~ly ~d dist~ctly ~1 bufld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~=nsions from' prope~y Hnes. Giw stree~ ~d block number or dcscfiption accord~g to d~ed, ~d show street n~es and ~dicate whether7 integer or comer lot. , STATE OF NE~V YORK, ~ ' ~ SiS COUNTY OF ...... ~. .....'.. i · · .................. ~"~ ......... ,~'c;;~'; ~"' ....... ,g duly s that heisthe applicant (Name 0~,~dlv duaJ sio~- '.., : C. : , .... ~. ~..;., ;~:'.. ~..:., ~ ~,, · ....; :.. said owher or owners;;~d d~%ttaV$zrform 0r have. file this application; that all stat~lneffts containerization are true to the t that thc the ~'~ner ' c applicalion filed ~,hcrcwith. 'york ,v~l be perfom,ed in 7t~ ., Sworn to before me riffs . . ~ .... day of.; .~...; ..... '.., 19 .~ . _ ~. 4707878, su~l~ ~ / (Signature of applic~t) Term ~r~ Ma~h