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HomeMy WebLinkAbout18927-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22638 Date OCTOBER 1, 1993 THIS CERTIFIES that the building Location of Property 1555 BAYVIEW AVENUE House No. Street County Tax Map No. 1000 Section 52 Block 5 Subdivision Filed Map No. GREENPORT~ N.Y. Lot 11.1 ALTERATION Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 1990 pursuant to which Building Permit No. I8927-Z dated APRIL 2~ 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 INSTALLATION OF SLIDING GI~SS DOORS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ALLAN GOODMAN (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 TOWN 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) NO 18927 Z Permission is hereby granted to: ..: .............. : ................. :. ...... ~:....~....: ...... ~... :~.~....,. .......... :.~..,. ............ .~ ..................... ,o.~ ... ~.~. ............................. , .............. ~~ ~ ............. at premises located at .~.~...~....~.. ............. : ............ " ~'/..;. .............. ~,, i'~iii"i'~~i~i .......... i'i ............... ii"i ....... ii'iiiii'iii ......... i'"'ii'""i ......... County Tax Map No. 1000 Section ...... ..C~.....~..~...."~...... mock ..... C~...~. ..... Lot No ..... I)...:..L .......... II pursuant to application dated .... .~/~.~ ........ ~ ................. , 19.~...°.., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD 'BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF 0CCUPA ~ov TOWN O~: A. 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 lobation of ail 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 bf 1% lead. 5. Commercial 'building, industrial building, multiple 'residences and similar buildiJgs 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 Ppre-existing~' land uses: 1.Accurate survey of property showing all property lines, streets, buiiding 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. C. Fees 1. C~rtificate 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 .... 8 110./.~ ............................ New Construction .......... Old Or Pre-existin~Building .... ~. Location of Property. i j~,~.~. ................ ~ ~,~)...~.~m... iiiiii .~. ~.~..4~.. .... House No.- Street Hamlet Onwer or Owners of Property ~--~ ..... B · County Tax Map No I000, Section... ±oc~ ...... ~ ...... Lot ...... ~.(.~ ........... Subdivision .................................... Filed Map ............ Lot ...................... Permit No. l ~?.'~.~.~ .7~...Date Of Permit...~/~? ..... Applicant ~. ~/.~. ~ ~ .f~..~. ~..~..~ Health Dept. Approval .......... ~1~ .... i ...... Underwriters Appro~Z.~.~.. ........ Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... · . c $ .... · APPLICANT FOUI~DATION ( ls t) FOU!.;D A TI O,'! ( 2nd ) ROUGH FRAME & ~! · PLUMBING ~ INSULATION PER N. Y. .. ~ STATE EI;ERGY CODE Fi2;AL Environment East, Inc. R. R, No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 April 5, 1990 Southold Town Building Dept. Town Hall P. O. Box 1179 Southold, NY 11971 Attn: T. Fishe~ Dear Mr. Fisher, Enclosed is a copy of a letter regarding Pella sliding glass door screen assemblies as included with the unit being installed at the Goodman residence u~der permit ~ 18927Z. It %s my understanding that the standard hardware on this unit meets the req%lJ, re~9,~ for access to a pool area. If further information tion ~s needed, please let me know. Sincerely, Peter R. ~nburoh Presidei Envf East, Inc. Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 ~e~ ~ 004. 'Z il' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. 2ND [ ] INSULATION [~NAL "*~' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR FORM TOWN OF SOUTHOLD ~ 30~0 IBU~LDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~amined'. .Z: .... 19 ~,q ;,proved ., sapproved a/c ..................................... .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ................. ;... CHECK ...................... SEPTIC FORM'. ............... NOTIFY CALL ... 2.~..4:~.~.7..~.... MAlL TO: INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink aqd submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. ..~ b. Plot plan showing location of lot and of buildings on premises, relatlonsMp to adjoining premises or publi9 streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tiffs appli- '.ion. o. The work covered by this application may not be commenced before i,~uance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued ai~uilding Permit to the applicant. Such permit dl be kept on the premises available for inspection throughout the work. }}~ e. No building shall be occupied or used in whole or in part for any purbi6se whatever until a Certificate of Occupancy dlhave been granted by the Building Inspector. i , ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulati.o, ns, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e apphcant agrees to comply with all applical~le laws, ordinances, budding code, housing, code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporanon) ' · ,~ (M~ding address of applicant) rte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. meo ownero premises .... .¢.,C, .... ........................... (as on the tax roll or latest deed) ~pplicant is a corporation, signature of duly authorized officer. (Name and title of--oo~o~cmr3.J Builder's'License No. '~ ~ ~- (o ['-( '~'. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ....... ' ...... House Number ' Street\ . . aml t County Tax Map No. 1000 Section . . .(.~h Z2 .~. ........ Bipck .j ......... Lot ...... ...~ ......... Subdivision ...................... , .............. Eilcd Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intemlcd use and occ*~pancy of proposed construction: a. ~xis[in~ use a~d occupancy... ............................................... b. Intended use and occupancy ..... ('q-~ ~'~~ .............. · .................................. 3 N of~ k(check hichappli hie) N B ildi · ature vet w ca : ew u ng ..... ' ..... Addition .......... ~teraaon .... Repai Removal , ' · r ............................ Demol,tion .......... Other Work ....... 4 E~timat/d Co ' ~ ~'" (to be paid on filing this application) ,. 2 ?. 7t'.".n. :"'.'t tn.:t? ...... 6. If business, commercial or mixed occupancy, specify ~tt~re and extent or each type of use ..................... 7. Dimensions of existing structures, if any: Front... ~[~.: ..... Rear ............... Depth ....... D~mens~ons of same structure With alterations or additions: Front Deoth I;~-,* .... Rear ..... Dunensmns of ennre new consimction: Front . .~/~. ' ..... ~ Number of Stones. U ............ ; ...... 8. . ,,ehr ............... uepth Height ............. '.. Nu er of Stories 9. Sizeoflot: Front ................. 10. Date of Purchase · "~' ...................... Depth ................. , ..... ' '. ..... ' · '. ......: ........ .~anle of Fo~er Own~r . .~.~one or use restrict m which p;em~s=s are masted...~.[~ ~. - ........................... ~. uoes proposed constructinn v;A;~* ........ · . -. ' ...... ' ........... '-' I ......................... ~ . '~*at~ "--g ~UIll~g laW, Or~iRaRC~ Or regulalio~' . . [~ ~.' ........... ' N~ of Arcbltan* .............. %1 'd~.~~ .... l'llone NO ~.~,-~, ~,. , .... ~' t ', ....... --~ ......... ,,~uu *eet oz a c~ua~etland? *~ES .... NO.~.. · II yea, Southold Toga Trustees Permit may be required. ... PLOT DIAG Locate cle~ly ~d dist~ctly ~1 buQd~gs, whether existing or proposed, ~d. md~cate ~1 set-back d~ensions from ropeNy ~nes. Give street ~d block~number or description according to deed, ~d sh~w ~treet n~es and Ndicate whether ~tefior or comer lot. ATE OF NEW.Y~OR~. '~ a SS (Name of individual signilig eontraot) ~ (Contractor agent co~t;~;at~f~i~;,'e~c~ ............................ ;aid owner or owners, ~d i~ duly authorized to p~rform or haw performed the said work and to m~a and fil~ lieation; that all statements contained in lids npplie~tion nrc true to the best of his knowledg~ and belief; and that th~ k will be perfo~ed in th~ m~ner ~ot forth in th~ nppliention f~led therewilh. m to before m~ this ~[~ & ~ ~0~ (Signature of applie~O