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Home My WebLink About27772-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28970 Date: 10/08/02 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 18 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135.1 Block 1 Lot 18 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2001 pursuant to which Building Permit No. 27772-Z dated OCTOBER 12, 2001 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 A SINK IN AN EXISTING CONDOMINIUM (UNIT 18) AS APPLIED FOR. The certificate is issued to JIM & MSTOULLS ADAMS ( OWNER ) of the aforesaid building. SUFFOLK COUNT~DEPARTMENTOFHEALTHAPPROVAL ELEt-rKICAL CERTIFICATE NO. PLUMBERS C~TIFICATION DA'r~3 Rev. 1/81 10/01/02 N/A N/A WALTER MARCZEWSKI Authorized S i~ture FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southo!d, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27772 Z Date OCTOBER 12, 2001 Permission is hereby granted to: MURRAY & ZEVA WEINSTEIN PO BOX 142 SOUTH JA_MESPORT,NY 11970 for : TO INSTALL A SINK AS APPLIED FOR at premises located at 52325 CR 48 UNIT 18 County Tax Map No. 473889 Section 135.001 Block pursuant to application dated MAY Building Inspector. Fee $ 150.00 SOUTHOLD 0001 Lot No. 018 15, 2001 and approved by the Authorized Signature Rev. 2/19/98 COPY Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV~rN HALL 765-1802 APPLICAIION FOR CERFIFI(AFE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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 topograptfic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Appro-dal of electrical installation from Board of Fire Underwriters. 4. Sworn statement fi~om plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certific of Code Compliance from architect or engineer responsible for the building. · 6. Submit Plmming Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us, 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. If a Certificate of Occupam is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1..Certificate of Occupancy.- NeW dWelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0{ ~wimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. Certificate of Occupancy'on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constructi°n: Old or Pre-existing Bttilding: House No. Stre~ / , Suffolk County Tax Map No 1000, Section Block Subdivision Filed Map. PermitNo. c~ 7'~ 7,:~ DateofPermit. ,/tg-/r~.~/' Applicant: Health Dept. Approval: (check one) Hamlet Lot o L $~ Plamfing Board Approval: Request for: Temporary Certificate Underwriters Approval: Fe'e Submitted: $ Final Certificate: (check one) Applicant Signature ToWn mli753;95 ~ain Road L_~-gr6~'l~;l~d, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-18C BUILDING DEPARTMENT TOWN O1~ SOUTHOLD CERTIFICATION Date: Building Permit No.2 7 7 7 '~_ Owner: -'J"? /V l (please pfin~ Plumber: ~lease p~t) 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 0 C~l~-. __ ...... 20X2~'_ (Plmnbers Sig~att/~e) ~t '"T ' / t Notary Public, County UNDA J. COOPER Notary Public, State of Ne&~ York . -, No. 4822563. SuIfolk counJy_ ~ ,,~,-~t ~ 'to. tm Ex~ir~s~ December ;~l, '1:~'~ Jim & Maroulla Adams 48-30 39th Street Sunnyside, NY 11104 Helen Foppiano - President of the Board of Directors North Fork Beach Condominium 32325 County Road 48 Southold, NY 11971 Dear Ms. Foppiano : This letter is a request for your approval to install a kitchen with a sink in Unit #18. lam in the process of applying for a town permit. I plan to hire a licensed plumber for the purpose of complying with all town codes. I will provide you with a copy of my town permit and licensed plumber hired. If you have any questions, please do not hesitate to contact me. Thank you, Approved Helen Foppia~' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING ~FINAL [ ] FIREPLACE &//CHIMNEY DATE~NS 'INSPECTION REPORT t~*O~NDATIOH COI~IENTS _t~Om~DAT tON ( 2tm ) I~u~TXON PER STAT~ E~Kt~Y CODE 'BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved ,20 Disapproved a/c PERMIT NO. Do you have or need the following, before applyin~ Board of Health 3 sets &Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector l,/;'f~fJ, t~ 7~ ~ qs 7~ iff APPLICATION FOR BUILDING PE~IT INSTRUCTIONS Date .5',~.5' ,200/ a. This application MUST be completely filled in by/ypewriter or in ink and submitted to the Building 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 waterways. '.' 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Build!rig Inspector. ..... AfPLIC_A.T. ION IS _HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the ~mming gone Ordinance of the Town of Southold, Suffolk'County, New York, and other applicable Laws, Ordinances or Regulations, for the cbnstrucfion of buildings, additions, or:alterations or for removal or demolition as herein described. The applicant agrees to coinply with all applicable laws, ordinan6es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neees, sa'ry inspections. · ' (Signature ~f applicant 9~/name, if a corporation) (Maihng address~of applic4nt) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpi'emises ' ' '~ (as .on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriz'~d (3fficer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will b~ done.', a,q ¢,7 .5'oa44old/.,d y iIq?l House Number Street Hamlet County Tax Map No. 1000 Section /./73 ' .. Block t3t t-I -I Subdivision - ' . (Name) Filed Map No. Lot Lot State.existing use and occupancy of premises and intended and o'~cupancy of proposed construction: a. Existing use and occupancy ~~'r~, use Nature of work (check which applicable): New Building~ Addition V/ Repair .Removal Demolition Other Work -- Estimated Cost Fee Alteration (Description) (to be paid on filing this application'~------- if dwelling, number of dwelling units_ ~ag,., Number of dwelling units on each floor/~- F,~,e ~),,~,~> If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each Dimensions of existing structures, if any: Front Rear type of use. ~_tf.~Do,~tn~tqnlt/Oo~..u~,q~/ Height Number of StOries Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front o 0. Date of Purchase .Rear Depth Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner ofpremises.__~t/,,3__ ~/t3?=~Address qJ'-.,:~o 3~ ~ Name of Architect Phone No. ~/2- Name of Contractor Ad&ess ~'"~,~?~a,~ at V'/t~t~ Phone No Ad&ess Phone No. 5. Is this property within 100 feet of a tidal wetland? *YESNO _ · [F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines.. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF_ ) (Name of individual signing contract) above named, ;)He is the ~ (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is'duly authorized to perform or ~hav.e?f,r.fo,rrned ,the. said work and to make and file this ali ' · tat all statements contained in this application are true to the oest mn,s ~mOWmdge and behef; and that the work will ~ep cation, erformed in the manner set forth in the application filed therewith. worn to before me this ' ~ ! h~ day of ~ot~ty ~/iblic Signature of Applicant/ MARY JEAN ROBINSON Notary Pub~, State of New York Ne. 41o4721975 Co ~ua!ified_ln. Queens County mm~.~on expires May 31,