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Home My WebLink About17649-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218549 Date NOVEMBER 9, 1989 THIS CERTIFIES that the building ADDITION Location of Property 9030 SOUNDVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 07 Lot 27.2 Subdivisaon Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 29, 1988 pursuant to which Building Permit No. 176492 dated NOV. 30, 1988 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 ONE{ FAMILY DWEISSNG. PLANS AMENDED 3/14/89 The certificate is issued to WILLIAM KREITSEK (owner, ) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N100524 NOV. 1, 1989 PLUMBERS CERTIFICATION DATED HENRY J. SMITH & SON, INC. 9/11/89 IB ilding Inspector Rev. 1/81 FO~"M' NO. · 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) N9 b176~9 Z Permission ishereby gronted to' / , ~ ~ ~....:.....~ ....... ~.~.......~~~/ ./..~.~.~ ........... ~ ~~~ ...... ~~:: ~. ~~~/.....~....~.~ ~~.....~ ....... ~~ .... :~, .................................................. ~, ~,~,,,, ,~,,~ ~, ...¢:.~....~~...~ ........................................ ........................................ ~~~ ......................................................... County Tax Mop No 1000 Section .~"/ ./. .... / pursuant to opphcat.on doted .. ,./.~'./.~.~... Budding Inspector. ............. 19/~..~.., and approved by the Rev 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 1802 11971 BLDG. DEPT. __ TOWN OF SOUTHOLD~ APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Owners of Property...~.. L/./]Cc .~....C~..CP-~L~LLrC[~. ..................... Ta..ap .o. ,oo0 Seetion .~.y.. Blo.~ ''7'''' Lot ..~?.'..~ County Subdivision ....................... Filed Map ........ Lot .......... Permit No. /O~.~..~...Date of Permit ..... .~..Applicant Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ ................... rev. 10/14/88 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIr MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765--3690 Inc. CERTIFICATION o a t e__S_e_p_t_e m b_e_r_ _1_4_ _l_fi_S ~ Building Permit Plumber Henrx. J. Smith & Son~_~B~ I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. Sworn to before me this _~day of _~t~hcr___, 19_~_. - Notary ~Publ~c Notary Public, Suffolk County ,B[flN/~DETTE L TAP. IN w4OT,~RY PUBLIC f,,4844893 State of New Yorik ~es~dlng m Suflelk Count~9~..j' ~,~ Expires Sept, ~iELD -' =' '-OUNDAT!ON (1st) ~OUNDATION qOUGH FRAME PLUMBINg' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [~AL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND ~TION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~/ROUGH_ PLBG., FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS; ~'~ ~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST | ] ROUGH PLBG. [*~OUNDATION 2ND [ ] INSULATION FRAMING REMARKS: ~)~ I~' ,- FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. / INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL DATE INSPECTOR FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.. 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS f:l.~ .... SURVEY ..... C ECK . e SEPTIC FORM NOTIFY MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus apphcat~on must be completely filled m by typewnter or in mk and submitted to the Building Inspector, wi sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locatmn of lot and of bmldmgs on premmes, relahonsh~p to adjoining premises or pubhc str or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the diagram whmh xs part of tins al cation. c. The work covered by tlus apphcahon may not be commenced before ~ssuance of Budding Permit d. Upon approval of thru apphcat~on, the Bmldmg Inspector will ~ssued a Budding Permit to the apphcant Such pe, shall be kept on the premtses available for mspectmn throughout the work e. No budding shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupz shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Braiding Department for the ~ssuance of a Bmlding Permit pursuant to Bud&ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmanc, Regulahons, for the construchon of buddings, add~hons or alterahons, or for removal or demoht~on, as hereto descn The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulatmns, an, admit authorized inspectors on premises and m bufidLng for necessary ~nspect~ons (Signature of apphcant, or name, tfa corporation) (Mmhng address of applicant) //~7/ State whether apphcant ss owner, lessee, agent, architect, engineer, general contractor, electnman, plumber or buff Plumber's Ltcense No Electrician's License No Other Trade's L~cense No. Name of owner of premises ~,,~.,~ /,,tjx' lt"t'~ ~-4 l~.~:./7-'$ ~',~ . (as on the tax roll or latest deed) If apphcant ~s a corporation, mgnature of duly authorized officer {/ (Name and htle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No Locanon of land on which proposed work w~ll be done Itouse Number Street County Tax Map No 1000 Secnon Subdivision (Nan~e) Block Fded Map No Hamlet 7 ....... Lot ~" * ~.. '): ~ .... Lot State exmtlng use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ~A,/~' '~"',q'zr/.,t~.~ . ~Lt.-~,et~ .. / b Intended use and occupancy ~/,.,6 ,~-a~F~t .~-d_,~ ka.~ , .~ .~.~ .......... Nature of work (check which apphcable) New Budding ....... Addition Repmr ...... Removal .... 4 Estimated Cost . )Z~! ~ ............. . .~.. .. Alteration Demolition .. Other ~,~Krak~ Fee .......................... ' (to be paid on fihng this apphcatmn) 5. If dwelhng, number of dwelhng umts. Number of dwelhng umtS on each floor If garage, number of cars ................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type, of use ............ 7. Dtmenslonsofex~stmgstructures, lfany Front ..... ~. ...... Rear .... ~..,~-. . . Depth Height /d¢' .. Number of Stones .. / ........................ Dimensions of same structure with alterations or additions Front ........ Rear Depth ...... Height ...... Number oft Stones ........ "3 s/' ~o~ ' ' ' 8. Dimensions of entire new construction Front ' ~] ~ .. Rear .... .4t.~ ..... Depth .. q' '~ . . Height . ~!.. . Numbe.~ of Stones ( .......................... ~2. ~ ......... 9 Size of lot Front ..... /.~'.-~... ...... Rear ....... ~7~" ... Depth ....~'~. ............. 10. Date of Purchase ............... Name of Former Owner ......... 1 1 Zone or use d~stnct in which premises are situated ............................ 1 2. Does proposed construction violate any zoning law, ordinance or regulation .... ~/~ ................. 13 Will lot be regraded. .. ff-d~. .......... Will excess fill be removed from premises 14. Name of Owner of premises,44.,<. IA)tlA.~.a,t. k(g~tt'~tgA, ddress .2oo~aw,,~ ~. . Phone No ........ Name of Contractor ~a~m.~a~t;'~,o~...2~,e, Oe~. Address .~ ~-,t~/~gy~,~ Phone No. ~'~o'--/.'~.~Z., 15. Is this property located w~thin 300 feet of a tidal wet~an~. Yes ..... No .5~.. *If yes, Southold Towm Trustees Permzt maybe required. PLOT DIAGRA~ Locate clearly and d~stlnctly all buddings, whether existing or proposed, and indicate all set-back dnmenslons fro property hnes Give street and block number or description according to deed, and show street names and intimate wheth interior or corner lot. STATE OF NEW YORK,~, COUNTY OF .... s s ·. .~ ~ ~i .... being duly sworn, deposes and says that he is the apphca (Name of lndw~dual signing contract) above named He is the . .. ~..~tO0/gab'7~. .... ~..~.~ ~ ...................................... (Contractor, agent, corporate officer, etc ) of said owner or owners, and m duly authorized to perform or have performed the sa~d work and to make and file tl apphcatmn, that ali statements contained m thru application are true to the best ofh~s knowledge and belief, and that t work will be performed in the manner set forth m the apphcation filed therewith. Sworn to before me this ........... day of Notary Public .............. HELEN K. DE got NOTARY PUBL C, State of New York N~. 4707878, Suffolk Te~rr* ExHtes M~rch 30, . ..~...~..~..d~... County (Signature of apphca~ 07- 7768:~ % % SURVEY FOR WILLIAM KREITSEK AT $OUTHO.D GUARANTEED TO: A MER ICAN TITLE INSURANCE CO RIVERHEAO SAVINGS SANK