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Home My WebLink About17578-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18768 Date FEBRUARY 6, 1990 THIS CERTIFIES that the building. Location of Property 2025 SMITH ROAD House No. County Tax Map No. 1000 Section 98 ALTERATION PECONIC Street Block 004 Lot 19.2 Hamlet Subdivision INDIAN NECK PARK Filed Map No. 551 Lot No. E conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 25, 1988 ..pursuant to which Building Permit No. i7578Z dated NOVEMBER 1, 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 REPLACE FRONT STOOP ON EXISTING ONE FAMILY DWELLING. The certificate is issued to DONALD AND VIVIAN SONNENBORN (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ~ /// 4~uilding Inspector TOWN OF $OUTilOLD 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~ 017578 Z pursuont to oppli¢otion doted ...... ~...~../~.....~.... ..................... , 19..~..l~, and opproved by the / Building Inspector. Fee $...~.....~ Rev. 6/30/80 TO~ OF SOUTROLD BUILDINc DEPART~IENT TOWN ~ALL SOUTROLD, NEW YORK 765 - 180Z 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY H'0USE NO. STREET HAMLET County · Subdivi=ion ' ' - ----- -Date of Permit Health Planning or Owners of Propert P.OL)d~&O /~00 V ~f~ ,,~a/.3kl~_~xJ~ y ....... I ~ Tax ~ap No. 1000 Section 09~ Block ~. ..... Lot' ].~ Filed Map ....... :Lot .......... Dept. Approval .................. Underwriters Approv 1 Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $ ~ Certificate 10114/88 FORM NO. 6 TOWN OF SOUTIIOLD BUILDING DEP~Tf~NT , TOWN BALL 765 - 1802 · APPLICATION FOR EEKTIFICATE OF OCCUPANCY INSTEUCTIONSi 'This application must be filed in typewriter' OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ;. Final survey of property with accurate location of all bukldlogs, property lloes, s~reets, and unusual natural or topograpblc feat 2. F~nal approval of Health Dept. of wa~ ..... ures. } . , ..... PPty and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Uoderwriters. 4. Sworn statement from plumber certifying that solder used ~n system contains loss than 2/10 of ]% lead. 5. ~o.u~.e[clal buildings, industrial buildin-s --' .... i · ' ou~ld~ngs and installation~ .... -~. o , ~u~lp~e res~oences and similar. -, ~ u=r~lrlcate o~ COde compliance from the Architect or Engineer responsible for the bu~ldlng. 6. Submit Planning Board Approval of completed site plan requirements. Fo~ existing buildings (Prior to April 9, 1957] non-conformin:g uses, or buildings and "pre-existing" land uses: . ~- Accurate survey of property showing all property lines, s ~eets, buildings and unusual natural or topographic features. 2. A ~roperly completed application, a COnsent to inspect sig~ed by the applicant and a certified abstract of title iSSued by a title compan~ ~hlch shall show single and separate owoership of the entire lot priori to April 9, ]95~. . If a Certificate of Occupancy is denied, the Building nsPector shall state the reasons therefor in writing to tile applicant. 3. Date of any housing code or safety inspe'ctioa of ' · bu~ld~ngslor premises, or other pertinent information required to prepare a certificate. For Vacant Land'Certificate of Occupancy: ' ~. An application for Vacant land Certificate of Occupancy sb~ll be submitted, and a certified abstract of title iSSued by a title compan~ showing single and ~eparate OWnership of the entire 10t prior to April 9, ]95~ shall also accompany the application. If a Certificate of Occupancy is denied, ithe Building Inspector shall state the reasons therefor in writing to the appllcan't. FEES: . m CERTIFICATE OF OCCUPANCy - New Dwelling $25.00, Addltlo~s to Dwelling $25.00, Alteration to Dwelliog $25.00, Swimming Pool, $25.00. Ai eeessory building $25.00 Addition to Accessory buildings, $25.00 - BUsinesses $~0.00. Certificate of Occupancy on pre-existing dwelling - $106.00. 3.Copy of Certificate of Occupancy - $5.00 - OVer 5 years!-- 4.Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $~5.00 Residential $50.00 Commercial ;v. q /' ~ G FOUNDATION ( ls t) FOUNDATION 2. ROUGH FRAME & .PLUMBING (2nd~ INSULATION PER N. STATE ENERGY Ye CODE FINAL ADDITIONA'L COMMENTS: / / TO VN OF SOUTHOLD OFPlCE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, Ple are unable to complete your Certificate of Occupancy because .of the following reasons. /_// An application for Certificate of Occupancy is ilot on /--/ bio Underwriters Certificate on file. -,/ /.'~ '['tie c}leck .it; (o~,~ ~t.n*'__~not ou file. ) /~/ No }loalth Dept. Approval on file. /-'~/ No final inspection has been made. this matter. P]e~lHo. contact ()Hr office on Thank you for your cooperation. lhiil(ling PermJ. t # ~ .~ ~ .~ .~ Z Build [n~ Dept. ***/~/ tlc> Plumber solder Certificate on file. ( all perm}ts involving plumbinq being issued after April 1,1984 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL REMARKS: DATE //~/'~//~/ .... INS~PECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 )// 0c:t~' TEL.: 765-1802 Examined ................. 19... ?o"'? f"/ ......... ........ ..................................... j( B u i~,i,ffg Inspector) APPLICATION FOR BUILDING PERMIT . INSTRUCTIONS BOARD OF HEALTH 3 SETS .. SURVEY ............ 2 .... CHECk: ...~. J.q~ .............. SEPTIC FORM NOTIFY CALL .~3r.3f~ ........... MAIL TO: TOWN OF SOUTHOLD Date /{7/o~ D-- 19g~ a. Tiffs 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public street~ oi~ areas, and giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli cation. c. The work covered by this 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 the applicant. Such permil 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 Occupanc.~ shall have been granted by the Building Inspector. 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 Regulations, for the construction of buildings, additions or alterations, or for i'emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tv admit authorized inspectors on premises and in building for necessary inspect~as~.~ .... .:. (Si=natuie of applicant, or name, if a corporauon) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder. Name of owner of premises ~txJ.~.d-..~ ?"~-} (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... 2 .................... Plu nber s L~cense No ......................... Electrician's License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work %vill be done ............ ' ............. /~.d.O,,J ;[o;5 ......................... .................................................. House Nmnber Street Hamlet County Tax Map No. ,OOO S ction .... ......... B,ock. q ' SubdMsion... 1~.~..~5.~Q (~.~ ......... Filed Map No... ~ { ...... Lot..~. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5l~6~- ~nJ~Z b~gL6IM6 b. Intended use and occupancy 3106~ ~lC~ ~g~[~ ,,-e, ,; ',5 ' , , ~ ............................... ...,,:,.,(, .,{, '": 7" ,.: ..: ........... .. ....... 3. Nature of work (check which applicable): New Building .......... Addition .......... AIte~'ation Repair .............. Riemoval ..... i .............. Demolition .............. Other Work ............. · ' i~ c~..0(~....OQ ' (Description) 4. Esnmated Cost ' Fee ................. 0~ (to be paid on filing this application) If d , 5. welling, number of dwelling units .,. Nnmber of dwelling units on each floor. Ifg ~ · arage, number of cars .., ................ , · ........... lfbusmess, commercml or m~xed occupancy, specff n ture ~ ......... ~: : ~-- : . and extent of each f . 7. ~e~,s~e~stmg,~act, ures,~fany: Front.. ~ ~- ~Iype o use .~ ..... ~;'~ ........ ~i~ensions qf ~m~ ~tmctur~ with alterations or ~itions Front .3~ - · · , ' ' · t ' · ~ ......... moor o[ atones .1.~ . 8. ~l~ensmnsRf~3t~re new coastmction: Front... ].5¢ . . '~r q- r?t ' ~ ''- 'd/~<a ...... ~gtw".~; ./~..~ ..... ~. N~mber of Stories ~ · ,,~- · · .t.. ~ ......... ~eptn , .T. ;~ ....... I ....... ' ........ ~ Name of Foyer Owner ................. ~. ~one or use restrict in whxch premises are situated. ~[SteF~l~4. .; ........... ""j 12. Does proposed constructio~ ~iolate any zoning law, ordinance or regulation: , ~0 ............... ' ~. ~&l lot be regraded ...mq 'l'<' %;~" ? ....... ~...:. Will excess fill be removed from premises y ................. . .... .v~ ~r..~ ......... Address ?~o ~tb~ e~ D t ....... ....... O ....... Phone No N~e of Contractor ~q&4~ ~ . ~ ~7-o ~,, .......... ' ':~ ...... ..... , ·; · · .. .......auuress ~ .a. ~q~.~, ~t~ ~hone No. ~&-] ~.~ .. -. ID.IS thls property loqated w/thxn 300 feet of a tidal wetland? ~YES.~..NO...~ ' eIf yes, Southold Town Trustees Permit may be required. ...~ PLOT D/AG~ ~ Locate cle~ly ~d dis~ctly ~1 bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensmn~ fr prope~y fines. Give street ~d block number or description ncCnrdino tn d,oH .... ' ~o~ comer lot. - ......... ~ ...... , ~a snow street nines and ~dicate whethm STATE OF NEW YORK, 'S.S ...... ~"~' '~ ...... ~ ...... ' ....... being duly sworn, deposes =d says t~t he is ~e ~licant (Name of individual sigffing contract) above named. ~- , He is the ...... [~ .~Q~... I (Contractor agent corporate officer etc ) of said owner or owners, ~d is dul~ authorized to perform or have performed the said work and to m~e and file this application; that all statements contained M this application are true to the best of his knowledge and belief; and that the work w~l be perfo~ed in the m=nek set forth in the application filed therewith. Sworn to before me this ~ day of~ O~ 19 ~g . ~ 4707878, 8u~ ~n~ (Signature of applic~t) I~ Ex~r~ M~rch 30,19 o ,/