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HomeMy WebLinkAbout19065-z ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19998 Date 3UNE 19, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 33T2 SOUNDVIEW AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 94 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1990 pursuant to which Building Permit No. 19065-Z dated JIINE 1 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 ONE FAMILY DWELLING WITH PORCH AS APPLIED FOR. The certificate is issued to ROBERT & NAGGIE HARIRI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-08 - JUNE 6, 1991 UNDERWRITERS CERTIFICATE NO. N-178428 - MARCH 13 1991 PLUMBERS CERTIFICATION DATED APRIL 4, 1991 - WM, KNOERNSCHILD lit.. Bu' ing Inspector Rev. 1/8T FOBffi NQD. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 s l "J Z Date ~....4:~'s:?i:... 19..9..<.? ~ Permission is hereby granted to: rr r to .1.~!rli•3~.....4r...4?9A: ~S~n:KX~y....!..~.4114.Gil-!rr~......4~a...~°:a4... i UUU ) vUv a 1 V:~.:.....~..~. of premises located at ..:....5:1~'~`^9:~?..:1,~4.32....).TX... County Tax Map No. 1000 Section ......Q.~~....... Block .......~.Zs....... Lot No......5?..~4........... pursuant to application dated 199.Q„ and approved by the Building Inspector. Fee 5.7..1..x..:. ~r... : Building Inspector Rev. 6/30/80 i R uoyopua<uwooa.J rJO/unrwapu/) AI/( Jo pJ009 J°°~/IoN w aa.>r;r6rq a~a/rlarrf buff/nsun.,n9o' rli~/,/rS//i! iV ?J'ra~}figOa~»y~n~o0 >r.s 'auo r la~Yd ~ •ra{!>n6r,Jg wn fuocua,} . 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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 sewexage-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. :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 of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. v. Fees I. 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 Constructian....tl...... Old Or Pre-existing uilding. r Location of Property...~1Z .............sJUN~vlew..!:.l~lt~......../.'.1Fi:r.:P.V.K,~...... House No~J'J~ ` `7I' SGtreet Hamlet nwer or Owners of Property..;\01106.1..:~...'.:lC~te"...~~jc~.T,,,,,,p,,/,,,,.,.o.,,.,,,,, ~o.unty Tax Map No 1000, Section....~~ b......Block ..............Lot.,!/.~...~~....... ;Subdivisionr/.cc.~~....r ..............................Piled Map............Lot...................... ~i'ermit No.l.(~ 6 J ..~~~...,Date Of Permit ................Applicant............................. !Iealth Dept, Approval ..........................Underwriters Approval... Planning Board Approval 2equest for: Temporary Certificate............ Final Certicate........... 'ee Submitted: $ CC} q q Q 8 APPLICANT TEL. 7G5-1802 uFF~~,C Td~N dF Sd~J'~Bd~.ID OFFICE OF DL'iLDIi•iG iN5PECI'OR c,~ ~y, ~ P.0:110X728 `~""~.~,~r `ti~~,' ~ TOWN BALL ~ ~-.~a~~ ~ ~ ~ ~~~r as ~`yt ~z~ ~ N.Y.11971 ~ ~ so~TxoLD. ~ ~ ,l~) 189! y cs? ~ it ~~j11I,( ~ y~'`~ ~ ~ ..,,.a,~~,,~~~~ RG~VdIt t3~ S~)U°e~iSC:aP_k~ C E R T T F Z C A T x p N . aw Date ~ ~ ~ / -s-- Building Permit No- ~ q Owner (please print) CNbL2N~C L Plumber WlP ease- printl - water supply system I cortify that the solder used in the contains less than 2/1~ of to lead• rJ,~ ez' signatuze?1~A'R°~ (plumb s ° this Sworn to befor`_ I'' ~ Public ~"°aY °f Notarl 19,g~_._~ ~ County Uotary Public, tFWt~ of New Yark ~~i~~k CountYigR f «~w. INSPECTORS „t~~L a ~ (516)765-1802 'r -~„~~Jirl"('fin'" "`~iv ;P,,~~ SCOTT L.HARItIS,Supervisor VICTOR LESSARD, Principal ` ~ ~ ~„y' "«f'a~ Southold Town HaII CURTIS HORTON, Senior ld~;~_ ~ :>.,c, ~ i VINCENT R. WIECZOREK Ordinance t , P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ~y ' `7~" Southold, New York 11971 I' ~ ° k' Fax (516) 765-1823 Buildin Ins ctors '"'y ~ THOMAS FISHER k "'s. 'fit Telephone (516) 765-1800 GARY FISH a OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD F A R C O V E R S H E E T T0: DR. RICHARD HARIRI FROM: SOUTHOLD TOWN BUILDING DEPT. DATE: JUNE 19, 1991 !I OF PAGES: 1 Additional Comments: - IF ALL PAGES ARE NOT RECEIVED, PLEASE CALL THIS OFFICE AT (516) 765-1802. ask for Georgia. i' 4 - ~ o~~EFOIKC JUN ! 8 !99! PLANNING BOARD MEMBERS ~ ~ ~ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ~ ~ ' %w ~ ' ~ ~ ,a Supervisor George Ritchie La[ham, Jr. ~ ~ ' Richard G. Ward ~~~1 l~ ~ Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 MEMORANDUM TO: Victor Lessard, Principal Building Inspector James Richter, Road Inspector Matthew Kiernan, Assistant Town Attorney FROM: Valerie Scopaz, Town Planner RE: Issuance of Certificate of Occupancy for Residential Home for Dr. Herrera (sp?) in the Sunbeau Associates subdivision which lies north of Oregon Road in Mattituck. DATE: June 12, 1991 This is to confirm our discussions of earlier today whereby we agreed that the following steps would be completed before a Certificate of Occupancy could be issued: Mr. H. or the subdivision owners, who are represented by Paul Stewart, must submit the following three items to the Planning Board office: 1. A detailed, signed estimate for the work to be done by the road construction contractor. The estimate should specify the type and amount of materials, and the cost of materials and the labor. 2. A certified check made out to The Town of Southold for the amount of the contractor's estimate. 3. A notarized letter signed by the writer of the check, stating that the Town of Southold may negotiate the check if the road work is not completed to the Town's satisfaction by June 21, 1991. Upon receipt of these three items, the Building Department will issue a Certificate of Occupancy. The Planning Board staff will transfer the estimate, the letter and the check to the Town Attorney's office for safekeeping. If the road is completed to Mr. Richter's satisfaction by June 21st, the check will be returned. If not, Mr. Kiernan will take the matter up from there. As of this afternoon, Mr. Richter reported to Mr. Lessard that he and Artie Foster, the subdivision road contractor, had reached a verbal agreement as to the estimated cost of finishing the road - $20,000. Accordingly, the certified check has to be in this amount. cc: Bennett Orlowski, Jr., Chairman `~oG s 76s-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATE [ ]FRAMING [ NA,L--~~ 4 REMARKS: ~ DATE c~ ~ INSPECTOR t /90~ s 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST r ]ROUGH PLBG. [ ]FOUNDATION 2ND [`]~f~ISULATION [ ]FRAMING [ ]FINAL REMARKS: DATE / y INSPECTOR i Y65-1802 RtJIIDING DEPT. INSPECTION [ ]FOUNDATION i5T [ROUGH PLBG. [ ]FOUNDATION 2ND [ ~ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~.Lia, ~~C._. ti E DATE ~ ~ ~IN8PECTOR ~fe~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ] FO ATION 2ND [ ]INSULATION [ FRAMING [ ] FINAL/ DATE ~ INSPECTOR ~~cs-isoz I BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ l ROUGH PLBG. [ FOUNDATION 2ND [ ~ INSULATION [ ]FRAMING [ ]FINAL ~ '~X._ s ' c;~'~' REMARKS. aG~rt~ti.~~- ~ - ~ ~ I I I DATE INSPECTOR i ° i f r ~ 765-18®2 BUILDING DEPT. 1 NSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. 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IL T0: , n Examined . /7'tw~"rNS ~'1V~., , , , . Approved.. 19~.~PermitNo.IRo,e.S~. .GC4SfSt~GJKG~~,, f~133, Disapproved a/c . Y,~-~. (Buildinglnspector) APPLICATION FOR BUILDING PERP~IIT Date YI'aj~....~ 15 INSTRUCTIONS a. This application must be completely filled in by typewriter ar in ink and submitted to the Building Inspector, with 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 layout of property must be drawn on the diagram which is part 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 applicant. Such permit "shall be kept on the premises available for inspection thrau~hout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE tb 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, as herein described. The applicant a;rees to comply with all applicable laws, ordinances, building code, oust ^ code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe do (Signature of/~applicant, of name/, if1a corporation] (Mailing address of applicant) State whether appl/leant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~obe>~.n "l~` `c f/"r~~`/',,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roil or latest deed) [C applicant is a corporation, signature of duly authorized officer. (Name and title of corporate o11f~~ficer) Builder's License No. ~?i .~p n•:~ . Plumber's License No . . Electrician's License No . ' Otlter.Trade's License No . I. Location of Land on which proposed work willl be done; ' 1 / House Number „ Strcet~• Hamlet County Tax Alap No. 1000 Section 4~.. • • • B['ack • , , Lot . , , Subdivision Filed C\Iap No. Lot . ..(Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Bxisting use and occupancy.........~~HI e ..t.,.,,........................... B. Intended use and occupancy..... , i"P~°ai Ge-tve,e • • • • • • • • • • • • • • " • _ . . i 3. Nature of work (check which applicable): New ©uilding Addition Nteration . Repair Removal DcmQli~i{~rl ~ .......Sw9,mni,tng.•~aL• . Tennis Court Accessory Building...:.'=. P'e'te .......Other Work:........... 4. Estimated Cost ...~~lh:~/.4~C1e? Fee • -{iobe paid an filing this applications 5. If dwcllin„ number of dwelling units Number of dwelling units an each'6oor . If garage, number of cars • • • • " • • • • • • 6. If business. commercial or mixed ;occupancy, specify nature and extent of each type of use . ~ . 7: t,D,imensionsof existing structures) if any: Front . ...........,Rear .......':......-r-Depth • , . . Height Numlcr of Stories . . Dimensions of same structure wit~t alterations or additions: Front .......__._l Rear . . Depth Height .i ~t......... Number of S~oriesi . 8. Dimensions of entire new constniction: Front ...3y. N Rear ....-30 ~ Depth ...y6......... . 'Height umber of Stones ......2; . 9. Size of lot: Front ' Rear a('27 Depth ...SS.g~? . . 10. Date of Purchase Nine of Former Owner . . 11. Zone or use district in which premises are situated K 1«. Does proposed construction violate any zoning law, ordinance or regulation: • • • • • • • • • • • 13, will lot be regraded ............will excess 611 be emov~l fro~m,lfr~emt es: Yes Np 14. Name of Owner of premis s ,~!~ajp-,~. .......Address (,~o Y4P~`~ve ap • h ne No..z/2 :?34.'.•953. . Name of Architect ¢ar~,.~i ~at•inte,t~a A.5So4... Address . afS~ p~~~~ y~, ~~`T Phone No. • S ~ 637t Name of Contractor ~t~.,~.;~d .l:«.v+Pbc!! ...Address G. Ta..kkfi.. N.•Y, ..Phone No.. . IS.Is this property located within 100 feet of a tidal wetland? *YL~S...iNO.(~:• *If yes, Southold Townl'Trustees Permit may be required. PLOT DIAGRAM ~ Locate cleazly and distinctly all ,buildings, whether existing or proposed, and indicate all set-back dimensions from. property lines. Give street and block number or description according to deed, and show street names and indicate whether. interior or corner lot. _ , ~B^ ~vrve.~/ , ' I . j STATE OF NEw YORE, I S.S COUNTY OF . . . being duly sworn, deposes and says that he is the applicant • (Name of individual sighing contract) about named. I Flcistltc (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this application; that all statements contained in this application arc true to the besE'pf his Khowlcdge and belief; and that the work will be performed in the manner set forth in the application Gled therewith:, , Swom to bciorc me this ..j_.~ ..day o~f 19 . ' Notary Public, !:yeKU~•!.. a',:. ft!:~..~-~.~-.... County I~ rp , ~g.~ HELEN K ~ VOE h•t~4~ . NOTARY PU~IIC, Sbte of New York No.4T0,87g,SuttolkCountY~ (Signature of applicant) Term Explr4s Mirth 30,18.___L