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HomeMy WebLinkAbout18959-z " FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19462 Date OCTOBER 19, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 1055 SOUNDVIEW ROAD ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1990 pursuant to which Building Permit No. 18959-Z dated APRIL 20, 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 REPLACE EXISTING DECKS AS APPLIED FOR. The certificate is issued to MARTIN & SHIRLEY ZACHARIUS (owners) of the aforesaid building. i~ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A O - B ilding Inspector Rev. 1/81 rosaz xo. a 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) 0 ~8g5~ Z N_ Date ...........~s~.R.s.....F.~::4 19.`.t'.G? Permission is hereby granted to: YY ..::~~ts......1.~ ~ `t ...s~.~?.~--...~:~.......~i.~.~.i n^ ~ t0 ...~.~4?~fA.~R......4 :4r.!:4 ...Qel~N.t ...~a::^..'Sa...... ~-~,:!5~~;'.... VVV U . of premises located at V.S.S U ~2....`'~.a....... ~ ~r~.~................................... . ~ .......................y:. ~.0.~a:i,.... ~..4c,~.a~::u,.~................................................................ County Tax Map No. 1000 Section .......4.~.~........ Block Lot No.....~.3 pursuant to application doted ......e~....~.~R 19...4?., and approved by the Building Inspector. v r ~ Fee $..7s~ r . wilding Inspector Rev. 6/30/80 Form No. 6 BUOLDING DEPARTMENT q ~i~ i~ TOWN HALL ~ Ol,t ~ (~g~O ~ ~ ~ ' 765-1802 , ;...,1~ .~,,s F iii:~~.i+e:€~r: APPLICATION FOR CERTIFICATE OF OCCUP Nam°~•--~ ~ .1, 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. Swotn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 12 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. • b. 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. a If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 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 Uccupancy - $50.00 , 5. Temporary Certificate of Occupancy - Residentfi(~a~l, $15.00, CjommQercial $15.00 Date .1.Tcrt..~~.../~C./d ::cw Construction........../.. Old 0 Pre-existing Build/ing~.,.p p Location of Property....~(~~~..........~f~~!>~~YtZr.~M!..~~ ........:~.lMj~6`:./......... House No. Street Hamlet II p n Onwcr or Owners of Property..~~l.~i4~5~...'~.~, t~.L~..~C1.:~h.~.~J.....~j County Tax Map No 1000, Section....~D.f~.....B1ock.....Q.•~........Lot.... j.-.+ • Subdivision.//.yQ~''.QQ' ...............................Filed Map............Lot.........`..,.:........ Permit No. ..l.4~.1~/~......Date Of Permit.~:~.:~~....Applicant~~.®~~E. ~i.-s::AU~'.~.., Health Dept. Approval ..........................Underwriters Approval..................... " ' , j. Planning Board Approval Request for: Temporary Certificate.........,. Final Ce ticate..G:/J.~~.. m~ Fee Submitted: • fir.. ~G!'. ~tP:^ l.'~,` 1/J? ~ APPLICANT . r cow 194b2- n .y p~, t~~ I 'U m 1`n i ~ ~ 1 ~ n~ to ~ ; ~ ~ ~ - ~ ~°t.~ ~ ~ ~ ~ ~ , 0 ti L`tlJ~ ~ ~ . \ ~ ~ awesruF,r ~ ~ F°~" ! i ~ 1 r' ~ o v A~4t 1J7 ~ ~ a a{~ ~ ~~+A' ,,'`-mom o o b ~ ~j q.. 154` ~,IZS+irn~ sT~le~ q J, ,h m~0 .5. 02'20"lY. i ?60. 0+ l~ ~l V ~ o N J b ~ ~ v fi,p i ~y ;a o ~ u _ A m C ~ is o C~ p ~ C ~m ~~~y ~ ~ •mb o ~ ~ m 1? a N ~ a~ ~ ~ L7 ~ r r as ~ ~n ~ ~ ' 1 rv~~?'yi'P p..1 ~ ~ ~Ci ` a~ .r ~ rn ~ m y~,+i ~ :G . , ~ _ x.~a.. 'r'1ELD~ IGS.'.~.C7iUN ,~UATE ~ COMMENTS ~ ~ .b ~ cn ~~p(Q~~ 1• S \V _ y FOUIIDATION (1st) c~f~ FOUNDATIOtJ ( 2nd ) - F 2. z o ~ P,OUGH FRAME & .PLUMBING N y 3. y ItJSULATIOP) PER N. Y. STATE ENERGY CODE _ ~ a C 4. ~ ~ y O FIiJAL /N © E z ADDZTIO L COMMENTS: x . ~ m x . Q H 5 9 H 0 p i z ~ 1 • x cn r ~ H x ~ d ro y B0,\RD OF HEA4TH - - 3 SETS OF PL.\:IS FORPn N0.1 SURVEY I TOWN OF SOUTMOLD C11ECP. . BUILDING DEPARTMENT SEPTIC FORPi TOWN OFSOUTf LD TOWN HALL $OUT110LD.N.Y.11rJ71 NOTIFY; TEL.:7~5~1II02 GALL PIAIL T0: p Examined \ .?~//~~1t,.., l9 ~.~7 ,~•p 1 6 ~ 6 g . Approvcd~,~t~..~M.., 19q a. Permit No..~ 89~?,/,Z~. .....~°"`~WG.e2eQ........ . Disapproved a/c et '\1j uildino Inspector) APPLICATION FOR BUfLD1NG PERPiIIT ~ f / Q INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and suhmitted to the IIuildin~ Inspector, 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 layout of property must be drawn on tfie diagram which ispart of this appB- cation. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tltis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall 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 purpose whatever until a Certificate of Occupancy i shall have been granted by the Building Inspector. li 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 Re;ulations, 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, housing code, and reguutations, and to admit authorized inspectors on premises and in building for necessary inspections. ~'~ox~~ ~.~1t~U Lam. (Signature of applicant, or name, if a corporatwn) . (Malting address of appiicant~ State wheth pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......1~~,~.~ . Name of owneroCpremises .~~A.~~..?:.,~t6f-t~'`.~.....~'7~.i'f.~l~jV:~ (as on the tax roll or latest deed) - Ifapplicant is a corporation, signature of duly authorized officer. ' • ~ ~ • ~ . ~ ~ (Name and title of corporgat7e officer) Builder's License No. ..li~,: 1%~ • • • ~ Plumber's Liecnse No. . Electrician's License No. ~ ' Otltcr Trade's License No. : . ' 1. Location of land on which proposed work (will be done; / ~ ~ House Number / e L 3 Hamlet (3 ; County Tax Atap No. 1000 Sectionp ~ . L~. • • • ~~J~`• Block Lot , . , , ! , . Subdivision Q Rd-P:h-~ 1RX:a' Filed ~fap No. ~t. [.C Lot •Namc) • State existing use and occupancy of premises and int~ejnded use and occupancy of proposed construction: - ` - a. Existing use and occupancy l . ,~r./:r1~!.t/~ : yc ~fstir ,5: b. Intended use d . t"_ an occvpancY ,...._a., ~ .wrwv....~....... w ww+v, 3. Nature oCworl. (check which app Addition .......l~~f~~Ut 3 • }icable): New Ouilding , •u ~ ~ ~ 4 Repair Rpmov,al Demolition Sw~;Aatih; • _ i3 s Tennis Court,......... Abcessory IIuilding..........Fence .~.~thc~m,l~~7rk,..~~• Estimated Cost . ~/.DDD,~, . o:~. Fee . ..c: ~„ir:.:~ a?~~ ;;iF,M~'F 5. If dwelling, number of dwclltn u (to be paid on filing this application) ' g tits Number of dwelling units on each (loot • Ifgaragc.numbcrofcars 6. IC business, commercial or mixed occupancy, specify nature and extent of each type of use....... . 7, Dimensions of existing sttvctures; iC any: Front . Rear Depth , . . Hci_ht Numticr of Stories . . Dimensions of same structure wit~t alterations or additions: Front Rear . . Depth IIeight Number of Stories . S. Dimensions of entire new constnrction: Front Rear . Depth . Hei;ht . Numt~er of Stories . , . 9. Size of lot: Front ............I.......... Rear Depth . 10. Date of Purchase ,„_,,,.,.,_,•,NamcofFormcrOwner 11 • Zone or use district in which pret~tises are situated . . l Does proposed construction violate any zoning taw, ordinance or regulation : . 13. Will lot be regraded • j, . • , , , , , , , , , , , ,1Vill excess fill be removed from premises: ,Yes No,(! 14. Name of Owner of premises ...Address . ...Phone No. Name of Architect n~n~,.~~~ ~/Gl~~ .Address . Phone No.-~ • .~.gT~,~• Name of ContractorG~'~.~~'4~7.~"•1 ~~><fU , ,Address ...JP/d.l YrP.~ ..Phone No. :~:7~-,,.'• 15.Is this property located within 100 feet of a tid~wetland? ^Y]:5....NO.... *If yes, Southold Town',TrusCees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly al! 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. ~~~~A~~ z. ~ ~ ~ ~ ~ ~ ~ G 6 c../ it I I I STATE OP w YORK, S COUNTY i • • • • • . • being duly sworn. deposes and says that he is the applicant rt6 ~i: . (t\at of in rvidual signt'ng contract) above named. I • ffcisthc ......................I:.... ' (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is duly :tutltorizcd to perform or !taut performed tltc said work and to make and Cile this aPPlira[ion; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be pcrforntcd in the manners set forth in tltc application filed !herewith. , Swam to batorc me this ~ qq ~ .................j~.....day o,f~. 0 19 l~~. Notary Public, , , , ...../.`I~~+;! ,!I; County - ~ ~ HFAEN K. DE t87fARY PUBIIC, SdM of Yak • • • • • . • . • . Na4701878,SutfatkCea_ t4yy~ • . • . • • • • • • • (Signature of applicant) Tam F~pires Mereh 30,1 i ' 1 „ ~'c?2~ r `p - CAF' ~~1 + ~~k' ~ rt. r'•,.. 4 C.r .w 4 y r.~. t t 4 r ~ ~c~ ~ _ M rv w.~~ ~ „f~,,~~ ~--..j ~`!s ~'U ~ ~.~l~ ~ tr'~.,~ ~ r~ X41.4 ~ r. - LOT - 23 / ~ 1 U ~ ~ • `Z' N. I ° 02 ' 2 0 " E . 260.0 1 O • p Z j Poo ~ ~ 2 4 h~1 . / L ~ ~ C 11 ~ ~.i- I j ' ~ ~ ~ i o Q ~ 1 ~ i ~ A 1 ~ ~ ' O G i ~ ~.n11NYPpM4M~~yy~yyYWY~ 1 O O ' ' ' O y I O - ~ ~ O O ~ S. ~ ° 02' 20 ° 260.0 ~ oz OSHQ ~ / L~~ - I cmx~ - - z'-: ~ ~ d ~ ~ ~ ~ ~ _ 4 ~ - ~ ~ ~ a m ~ fp~ r ~ ~ .r _ m~1=y p.w(J -~Q:FZ•n OD ~ , i~ ~ _ f tnm~mFm~z~~~Fq°f+~m m ° ~ ~ I ZfAm~C)n DCCZGQao < ~~•-r ~ - nmOOr G~'p220 ~I ~D~ y2zCVZi~ ~z0~~~°'l'/} V ~ ~ ~ ~ s m ~ ~~iq~ tzp 70 C~ 1 m p z D O ~ a sy I N,~ Z m -F ~N~~Z~W 7X ~aOtn ~6• sra -~.YI %'~p~I ~ Z 41 l'f C ~ ~ 3 •rr P a P 7~~{ 7m7m2mr ~ m ~m~° ~ IOg. Vic!',"? 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