The URL can be used to link to this page

Home My WebLink About18780-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19031 Date MAY 8r 1990 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 2245 SOUNDVIEW AVENUE PECONIC~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 68 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRU~CRY 8, 1990 pursuant to which Building Permit No. 18780-Z dated FEBRUARY 8, 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ZAHID REALTY CORP. //uil~,lng Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1878O Z Do,e ....~//~ ..................................... , ~9 .~.... County Tox Mop No. 1000 Section ........... ~,..~.,.. Block ........... Z .......Lot No ........ 7,., ............ pu Building Inspector, Rev. 6~30/80 TOWN OF SOUT~OLD BUILDING DEPART}lENT TOUN ~ALL SOUTUOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ......... .. ~EW CONST~UCTIO~ ..' .~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND Location of Property.. ~ .. ~ ., ~OUSE NO. ' STREET ~AMLET 0~ner or 0~ners of Property. . . ~ ............................ ~o~y T~ .~p No. ,000 S~e~o~ .$[... ~loe~ ..Z... Lo~' .~ ...... Suhdivisieu ....................... Filed Map ........ Lot .......... ~e~i= No. /~7~P.~.--~ o~ ~or~i~ t'i<.Ap.~=a~= ~-~Z~"~' ~~ .............~-~'~' Heglth Dept. Approval . ~q~ Underwriters Approval...~...-Z~.. Board Approval .'~2 ....... Request for Temporary Gortif~ca~e ....... ............... Final Cer~ifica[e ........ , ........ APPLICAN ................... rev- 10/14/SS FORM NO. TO~ OF SOtITIIOLD BUfLDING DEPAKTHEI~E TOh~ tIALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or mew use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swor~ statement from plumber certifying that solder used in system contains less~ than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Pianniug Boa£d Approval vf completed sitc~plam requirements_ B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate sur~ey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a ~itlc company which shall show single and separate owmership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: i. A~ application for vacant laud Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire 16t prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling $25.00, Altcra~ion to Dw~llimg $25.~0, Swiping Purl, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $I00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial er. 10/14/88 FOUNDATION (1st) FOU.~;DATIO:! (2nd) ROUGH FRAI-IE & .FLUMBING INSULATIO~ FERN. STATE ENERGY CODE Fi::AL ADDITIO~L CO~ME~ITS: FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined..'.~../-~. ........ ,19 :~..~2 ^pp,o,,d .... ....... ,19....e,,it No ......... Disapproved a/c ..................................... ' (Iguildi~t~ Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... SURVEY -~ , ............... CHECK ....... SEPTIC FORM ............... NOTIFY "){,5 CALL ..... ' ....... MAIL TO: Date .................. , 19.. INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan skowing location of lot and of buildings on premises, relationship to adjoining premises or public stme~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. ¢. The work covered by th/s 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 thjd, llplicant. Such permi shall be kept on the premises available for in,,spection throug&out the workt ~,ff/~(' ' e. No building shall be occupied or ,uged in whole or in part for a~ypurpose whatever until a C6ffificate of Occupano, sh~ll have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housin~ code, and regulations, and tc admit author/zed inspectors on premises and in building for necessary inspections. (Sigq,aturfi o£ applicant, or name, if a Corporanon) ./?. '(Mailing address of applic~t) State whether, applic~o,wner,~j~_~.jp~,~/~p~lessee, agent, ~chitect, en~nee~r~t~ electrician, plumber or builder. Name of owner of premises ...................................... (as on tee tax roll or latest deed) II applicant ~s a co~oration, signature ot duly authorized officer. (Name and title of corporate officer) Builder's License No. / Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done ....... ' ......... '. ........... ttouse Number t Street\ ' ' Hamlet County Tax Map No. 1000 Section .... ........... Blgck ... / .............. Lot ................ Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) 2. State existing use and occupancy of prer~ises and intended use and occupancy of proposed construction: Existing use and occupancy b. Intended use and occupancy ....... '"': "-" :" ~ ..... · .......... 3. Nature or,york (check;,vhichapplicable): New Building '.. Addition/.' .......... 'd er t' . ...... Repair .............. Removal .............. Demolition .............. Other Work ............ (Descriptio~ 4. Estimat¢'dCost .... .......................... Fee ................................... · (to he paid on filing this applicatian) Ifgarane, number of cars ./ ~,. /~?3e_~ /.aq&...~.t3T?.~..o-vFfW., .................................... 6. If business, cmnmercial or mixed occupancy, specify nature and extent of each type of use .................. 7. Dimensions of existing structures, f any' Front /' q ~ Rcar /. ~ ~ De th /~. ' / ~" Number of Stories ~. Hciet~t. ................................................................... Dimensions of same structure with alteration ..... tditions: Front ..... : .~..,?,, ....Rear . ' . .',. ,~-..~... Dept'a ......... (.rD, ........ Ileight ....... ./..0%-,. ....... Number of Stories../. .... 7'..., ........ $. Dimensions o~entire new construction: Front .... ~. ........ Rear. ~7 .......... Depth ./.~.. ...... Height . . . ]~/'~.. -,.~.a..,, · Number of Stories . . . ./.t/... ......: ................................ 9. Sizeoflot: Jl~[.~..~:J"l ................. Rear ...................... Depth ..... i ........ iii~i 10. Date of'Purchase .......... ................... Name of Former Owner .......................... I. 1.Zone or use distrmt tI1.Svht~-'l'i' premmes are sstuated ................................................... 12. Does proposed eonstr. C~,io~vio[-4te any zoning law, ordinance or regulation: .~.44 .......................... 13. Will lot be regraded ............ :,' -.-:~, · v,- - ~.~ · .~. · · - Will excess fill be removed from premises: . Yes X_ Name of Architect Address Phone No , . Name of Contractor ......................... Address ................. Phone No ..... ' IS.Is this property ioeated withimaO0 feet of X tidal w;tland? ~YES...~'~[-~' · If yes, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions Irc property lines. Give street and block number or description according to deed, and show street names and indicate whetl interior or comer lot. ; 4-- ~.-o ---- /¢5o ;TATE OF NEW YORK, S.S :OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applica (Name of indMdual signing contract) bore named. is the ....................................................................................... (Contractor, agent, corporate officer, crc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl )ptication: that all statements contained in this application are true to the best oftfis knowledge and belief;and that t ork will be performed in thc manner scl forth in the application filed therewith. .yom to hot'ore me this ................. .... .day of ................ ' .......... T~-m [.Loir~ "~'-rch 30.I~[/esM~ ~ (Signature of applic~