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Home My WebLink About18683-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18968 Date APRIL 13, 1990 THIS CERTIFIES that the building ADDITION Location of Property 2060 CLEARVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 10 Lot 28.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1989 pursuant to which Building Permit No. 18683-Z dated DECEMBER 6, 1989 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & as per DEC PERMIT 10-87-1334. The certificate is issued to JOSEPH PERRICONE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO._ N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 noaas xo. s 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) N~ 8~ 8 3 Z Date a 9~1. Permission is hereby granted tG/~~ i r~ at premises located ay?.O.C~,cz.. ...............Q~/..`:~~...................~.............. ........................................~~'~~f•••••..................................................................................... Caunty Tox Map No. 1000 Section .......,~1~......... Block f,A....... Lot No........~U . pursuant to application dated ....~.~s~e~?.r./~.,x.~ 19........, and approved by the bui ldingyln~sp~ec/ltfo~rlJ Fee $.../...lai~ ~ Buil g nJpectrs Rev. 6/30/80 TOpN OP SOUTIIOLD BUILDING DEPART:IENT w$~ ~ ~ TONN BALL SOUTDOLD, NEF1 YORK 1 197 { BLDG. EPT. TOWN UG SOUTMOLO 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPAtiCY DATE..j./~.. NESJ CONSTRUCTION .......OLD qR PRE-E%ISTING BUILDI/N)G......VACANT LAND........ Location of Propcrty.....".~D~O ~_.~~L--~~l/!~G(~_ /y~C_.__..~~(lT~~oL7j DOUSE N0. STREET UAHLET Owner or Ovncrs of Propcrtp.._..::?E~f~. ~~rt~~C./~/~ County Taz Map No. 1000 Section . II1ock Lot' Subdivision Filed Map ........Lot._.._..... Pernit No. !.`~.~~~.L.Date of Pezmit .~`~C~L~~.ApPticant 9ealth Dept. Approval Underwriters Approval._._.......... Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: $ n APPLIC ~ a reV- 10/14/88 3930` ~ ~ /f~J~ eo ~ ~ 968' ~ 4 r.~•n I ~ FORM N0. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT F, TOWN UALL 765 - 1B42 APPLICATION FORI',CERTIPICATE OF OCCUPANCY INSTRUCTIONS ' A. This application must lie filed in typewriter OR ink and submitted to the Building Inspector with Che following; for new buildings 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 of Bcalth Dept. of water supply and sewerage-disposal(S-9 form). ' 3. Approval of electrical installation from Board of Pire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of IZ leac}. 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 Planning Board Approval of completed site plan requirements. B. For existing buildingsl(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, 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 title company which shall show single and separate ownership 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 informatipn required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership pf~the entire lot prior to April 9, 1957 shall also accompany the application. I~ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00, Alteration to If~.elling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. , 3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Dpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential Commercial ~t. ev. 10/14/S8 ~i itLD i::S: .'_U:. ~~Un:.. I} :;v:`f."fEiNT,^. ~ ~ b~ m ~ ~ w ~ _ 'OUJJDATIO;J (1st 1 ~_I{{ ~ 'OUISDATIO;J (2nd 1 O ~a - ~ I o .',OUGH FRAME ~ I V .PLUMBING 3 . H m H IIJSULATION PER N. Y. $TATS EPIERGY ~ ~p`O CODE I = "1 . 4. _ ~ ~ 1 ' F I;! A L I • I o ca kDDITI0IJAL COMMEIJTS: x x` ' H ~ . H . O ' ~ ~ ~ v • m b a ~ ~ ~ ~ ,23" ~,a~~ /d z, 3o Q:~ r~ ~ ~.~f ~ ~~l-~ ` . i ~ ~ BOARD OF AEALTA ;I ; / 3 SETS OF PLANS ~ FORM N0. 1 SURVEY . ~,I 1h ~ 9S~ TOWN OF SOUTHOLD CHECK • • • • • • • • - - y(.~~,, BUILDING DEPARTMENT SEPTIC FORM ~ , 'ta~adf~ c>r z:';; ~ TOWN HALL ~ of t „~~~i NOTIFY . . ~_...w.....,„..., °,OUTHOLD, N.Y. 11971 CALL TEL.: 765.1802 MAIL T0: Examined .~i/ K?~ S.~ 19~.~. / ~®~D ~va~ Approved j.N.........., 19~ Permit No(~~~~a.~ X10 , I ~~~~1 .........1.~ . Disapproved a/c . AP RO ED AS NOTED bAT~:~ 6 ~3 . . ~p~ O:~ FEE: -.rl~Gr BY: p; j . NOTIFY BUILDING DEPARTM TAT (Buildin, Ins ctar 765-1801 9 AM TO R PM FOR 7HE FOLLOWING INSPECTIONS: APPLICATION FOR BUILDING PERMIT 1. FOUNDATION - TWO REQUIRED Date 19g~ ' FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION INSTRUCTIONS FINAL - CONSTRUCTION MUST aBF"~jaltj¢I} Est e completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se~Lq-f ~JTR~y~wgryllo~fpj~r~te. Fee according to schedule. TthE ~kl$Ip(~Vf~Nkgn~jocTt.1en ~fylot and of buildings on premises, relationship to adjoining premises or public streets orS~lag, ~(gl(~Tj{1~1'~yai~d ,tion of layout of property must be drawn on the diagram which is part of this appli- catibR~FS. N!!J!?Ir I'~~DFOR ;.:cC,i ¢1(~Q ~t~}{~R$cation may not be commenced before issuance of Building Permit. d. o1I'apprsral-~ i applieation; the Building Inspector will issued a Building Permit to the applicant. Such permit shall 16E~ep.t_on,th~premi~es available for inspection throughout the work. e ~~$lj`Su~lEllh~t5~14a11tISd'88di11di~6U'oA~7used in whole or in part for any purpose whatever untII a Certificate of Occupancy shall 1~ b$@if g`ka$~d~ ~hi;~'Bu~rT~fh~R1I"spector. FOL.i.C)`A~1PNfii !hlSPI:CTICENS. APBtiI~tAfErilttl~lrltaS HE'~~~~Ijo the Building Department for the issuance of a Building Permit pursuant to the BuildingF;~~'It2wd6fia0r~V@;~t Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regut8tiR04~(#'Elr .t}~pggp~pnigti~~'~N~ldings, additions or alterations, or for removal or demolition, as herein described. The ~1pli1o~tlt~CSias to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admitQatRiluxrized in I9417rry'R~~td in building for necessary i pection R BE COMPLETE FOR C.O. ..`4~ . ALL CONSTRUCTION SHALL MEET (Si nature of applicant, or name, if a corporation) THE REQUIREMENTS OF THE N.Y. / STATE CONSTRUCTION & ENERGY ~oS"-~~ L~ 1lV~d~y V~; • COj)ES. NOT RESPONSBL'E FOR .....S. o N . CbrSICvN OR CONSTRUCTION ERRORS address cf~applicant) State whether applicant is owne lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ft Name of owner of premises (as on the tax roll or latest deed) If applicant is a co/r,~p//oration, signature of duly authorized officer. i.~ ~<t 9~rt ti7 ra x~~`'m~~' ya~q"'Lj ~ a mG`l~,d ~ 4 (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENS'~E,ll ~ s~~,°'1~,~yF"~ s Builder's License No. ....~''.?-Q!ts............ " ~ ~ ~ N ~'a Plumber's License No . i rl ~ ~`~:,v'a.~~~ ~~~~ms~ ~~mP`~ ~ P y ~ -,r Electrician's License No. ~~~3~~~"~ Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ ..LK. ~.r V 1 ~ I/1/ V~~. . s~ ~rt.~ ~ Id House Number Street Hamlet 2 Z County Tax Map No. 1000 Section G .7 ~ Block V......... Lot Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and//,~intended use and occupancyyof pro/posed construction: a. Existing use and occupancy O ~~U: (I v. wQ fJ ~ .'~1%. : . . . . . 5i~~~..~!~-~.~'!y. ~wi~ i~V° b. Intended use and occupancy , , ,,1 . . . . . . ' WOGrl. pnnv rd~ D l~ - 3. Nature of work (check which applicable): New Building , Addition ..'1.~``.~ Alteration . Repair Removal , Demolition Other 1Vork , . _ ~y 3p (Description) 4. Estimated Cost .r~ . Fee ....,r.~..m:'~^"...................... . O D (to be paid on filing this application) 5. If ~welgling, number of dwelling units Number of dwelling units on each floor , , . If ara e, number of cars ..../.~.1 ~ . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use'..:. !Y. r! . . . . . . 7. Dimensions of existing structures, if any: Front . ..Rear Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front . Rear . Depth : ...Height , Number of Stories . Di ~ensions o entire new consYr• • . • y ~ Hei ht traction: Front Rear , ..........Depth , 9. Size of lot: Front ~ ~ ~ tuber of Stories Rear ...~?l'........ lle• th ~ • p .,.°1....,........... ]0 Pate o''Pu!chase . < , Name of Former Owner . . 11. Zone or use district in which premises are situated .u . . . 13. W 11 lot beoregraded traction v~late any zoning law, ordinance or regulation : p • • • • • • • .....................Will excess fill be removed from premises: Yes 14. Name of Owner of remises Address ...................Phone No............... Name of Architect ..................Address ...........:.......Phone No................; Name of Contractor , ...........Address ....:..............Phone No. r P P Y 15. If tess Southold TowntTd within 300 feet of a tidal wetland? Yes No * y ustees Permit ma be reqgw~ired. PLO~I' DIAGKAM Locate clearly 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 de d, and show stree names and in icate whether interior or corner lot. ~ „9y ~3~' ~-~u,.-- i ~ r-l~'~f r~''s~I~~~L wan f~~sj , ~ ~LTi%Y CGNCri~ ~T~ rv~i~y ~>J~ ~~~,~-J /Z~ ' 1"rvr~T~,6 waad . tar 1~I~oGf ~ /~,o ~'V ~ ~ y ~ F~~T 1>, ~ ~ '~~y ~~i~i~T~~ Waal I°~~U/~~~j''Y~,~ ` ~ T r~h'~ iNa~re~ ~d - ` ~ ~~'~//°h-i~,•y~ _ ~ w~ ~ ~ ~ i ~~gggF~39 {W+,,~,~,*`~ ~U ~~y7y~pp {[pq~~fi$~(q@~~+yEp pp@ ~~/~9 Psx ~ I,P W.+Y N~V ~Vam STAT OF NEW YORK, •l~'~, S.S COU Y OF . • • being duly sworn, deposes and says thzt he is the applicant (Name of individual sigding contract) above named. He is the (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .....day o(' , 19 ~.7 Notary Public, X4...!1.•; . ~A : ~o'e-`:.... County HEIEN K. DE VOE ~ . 'c+" ' . NOTARY PUBLIC, State of flew York (Signature of applicant) Na 4701878, Su9PolkCoy"unty/~yy Term Expires Mxrch 30, hw_y,.~