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HomeMy WebLinkAbout19018-zFOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-1926B Date AUGUST 3~ 1990 THIS CERTIFIES that the buildin~ ADDITION R ALTERATION Location of Property 135 ISLAND VIEW LANE GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8~ 1990 pursuant to which Building Permit No. 19018-Z dated MAY 14r 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 & ALTERATION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MAXWELL & ELEANOR KRAVITZ N/A TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL .~OUTttOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 'I~01~ Z Permission is hereby granted to: ,~.~....,£.~......~F,~.~ .._~.~....:..~1......~._ ..~...~.; .............. ......~ ..c~.,....u.~...,~,,,~........~..~.:......l~..~.~.~, ......... · County Tax Map No. 1000 Section ...... ..C~..~..~. ...... Block ....... ..C~......~w. ..... Lot No.....~.,..~ ............. pursuant to application doted ............ '.~.,,~, .................... , 19.,~,,~,., and opproved by the Building Inspector, Fee $..~.:......'~.. ...... Rev. 6/30/80 FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION [ ] FRAMING FINAL REMARKS= DATE INSPECTOR Form No. 6 TO%Rq 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. Cormmercial 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: 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. 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 Occnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ..... , ........... Location of Property...~. ~.~ ........ ! .~...~.~....~.~.~ ...... .~...~..~.. .~.~... House No. Street Hamlet Onwer or Owners of Property ...................................................... .. . . . . . . ... . County Tax Map No 1000, Section..~?. ........ Block .... .~. .......... Lot .... .~.~ .............. Subdivision . . Filed Map Lot ............ i.~~/~ ~ .~.".~.~O. Appli Permit No .......... ~,~.Date Of Permit ....... cant ........................... . . Health Dept Approval Underwriters Approval . . Planning Board Approval . . Temporary Certificate ....... .?.../ Fee~ ~ ~g~Submitted: $.. ' ~ ........... ~ APPLICANT 765-J,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T ~- ] ROUGH PLBG. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAc, 8049202 BUREAU OF ELECTRICITY ,~ 88 JOHN STREET, NEW YORK. NEW YORK 10038 ~ ' Oat~ ~UGU~T eS~ ~99~. ~' Application ~o. o.f,e 'e6~.23494/9~ H 0~20~1 thefotlowlng location; ~ B~s~ment ~; Ist ri. ~ 2nd Fl. O[Ff ,Section Bl~k2 Lot 31 exatnined on ~ AU~US~ ~ ~ ~99~~ ~, hnd found to be in compl~nce with the N~o~al EleCt~c~l Code. EXHAUST DRYERS NO OF CC, COND A.W.G, ~NO VISUAL DEPECTS~ "An electricaJ survey has been made of '~e exported electrical equipment in premises indidated." "No obvious unsatisfact0;~ condition was found. 13S ISI~D VIEW I~. i A W G, NO OFNEUTRAL$ OF HI-LEG · ' AMouNT JIKEASE REMIT BY CHECK OR MONEY ~ORI~R TO,THE OK~R OR TIlE N~ qYORK BOARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL BE AT RISK OF SENDER. · THIS, IS YOUR BILL FOR SERVICE RENDERED AND IS'NO~ CERTIFICATE OF C0~4 ~I~L).,ANCE THIS ~ILL PAYABLE A~ THE NEW YORK Of~ CE- ~.~ ~. ,~,~.. ,~ :,~.., ·85 JOHN STRSET, NEW YORK, N, Y. 1DE38 FOR~ NO. 1 TOWN OF: SOUTHOLD BUILDING DEPARTMENT TOWN HAl;L, ~OUTHOLD, N.Y. 11971 TEL.; 765-1802 Approved , ...... c~ . . 19C[o..PermitNo../.?.~..)fl$.~.. ~ Disapproved a/c . . (Building Inspector) APPLICATION FOIl BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS SURVEY ..................... CllECK ................. NOTIFY: CALL Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typexvriter or in ink and submitted to the Building Ifispeetor, 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 ktyout of property must be drawn on the diagram which ispart 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 applinant. Such permit shall be kept on the premises available for inspection throuv~hout the work. ~. No building shall be occupied or used in whole or i-n 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 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, ax herein described. Ti~o applicant agrees to comply with all pphcable taws, ordinances, building code, housing code, and regulations, and to admit authorized inspecto= on premises and in buil_~ing for necessary inspections. (Signature o~' applicant, or name', if a cot o'r~ ~o' .... p ]; n) .. · (Mailing addreas or applicant) % %3 ~'~ State whether applicant is owner, lessee,~ architect, engineer, general contractor, electrician, plumber or builder. (as on thc tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Buildcr's License No ..... O..t'3:9.. ~'~ .~.. Plumber's License No Electrician's License No ..................... Other Trade's License No... Location of land on which proposed work will be done; . · . . ... }louse Number Street .......... ~mlet .................... Coun x Ma o Section ......... BlDck ..... ~.~. ' · · ........ Lot... ... /~' Subdivision .... ~ ~ t ' Riled Map No ' Lot (Name) .......... occupancy ........... ~ ..... e ....... ~.. ~ .~ ~ ~ 3. Nature of work (check which appiicable): New Building .......... Addition ....... ,~dtctatzon ........ Repmr ....... R~mov:sl .............. Demolition .... ........... Swimming pool ............ Tennis Court '~'.'.''~... Ahcessory Buildlng .......... Fence ....... O~her I4ork ............ (to b~ paid on filing this application) 5 If dwelling number oF dwctling uoits ' Number of dwelling units on each floor If gara2e number of cars 6. If business. Commercial or mixed ~occupancy, specify nature and extent of each typo of use .......... . 7 Dimensions of ex~sting st~cturcs~ if any: Front ' ' Rear Depth Heizht ...... Number of Sto~es Di i ~ ith alt ti dditi Fr R ' mens ons o same structure w era OhS or a OhS: ont ............. car .... . .. Depth ............... =..~;;~ ~ .:. tlei~t ...................... Numbcr of Stones .......... 8. Dimensions otentirc new constm'ction Front Rear Depth HeNht, ............... Number, of Stores ............................................... ..... . . . 9. Size of lot: Front ............ .......... Rear ................ Depth ......... 10. Date of Purchase ...... N tF O 11. Zone or use district in which premises situated Does proposed Construction viota't2 any zoning law ordinance or regulation: 12. , ' : ..... Will cxces~ fill be removed from premises: Yes .... Ne, 13. Wgl lot be regraded .; ........ ............. 14. N~eofOwnerofpremises .... ................ Address ................... Phone No ............ ... . . N~¢ of Architect ........ .. ~................Address .. ............... . . P~oneNo ................. N~e of Contractor ' Address Phone No ;' ' 15.Is this property located uithin tOO fee,' of a tidal wetland? ~YgS .... NO .... ~If yes, Southold ~own~trustees Permit may be required. PLOT DIAG~M Locate cle~ly md distNctly ~1 bu~dNgs, whether existing or proposed, ~d. indicate ~I set-back d~ensions from prope~y ~nes. Give street md block r umber or description accord~g to deed, ~d s~ow street n~es and Ndicat~ whether integer or corner lot. STATE OF NEW YORK, COUNTY OF ................. .......................· . · .. · ., · · · ................ being duly sworn, deposes and says that he is the applicant (Name o£ individual signi!zg contract) above named. ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have porte,ed the said work and to m~c and file this application: that all statelnents contained in this application are trnc to the best of his knowledge and bclicf; and that thc Work wffl be perforated in the m~ner:'set forth in thc application filed therewith. .,, S~vom to bet'ore mc this : . ~,. ........... d y f~.~ ........ 19 Term ~pir~ (Signature of applicant)