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Home My WebLink About32029-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31949 Date: 10/24/06 THIS CERTIFIES that the building ADDITION Location of Property: 3200 (HOUSE NO.) County Tax Map No. 473889 Section 94 SOUNDVIEW AVE (STREET) Block 1-- MATTITUCK (HAMLET) Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 2006 pursuant to which Building Permit No. 32029-Z dated MAY 22, 2006 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRIAN & DIANA PESSIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~,- Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 N\ee-~trlsz ~ ~o 60'" 3'5' '\ OI2-U~ \ \~~1 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departm~~lvU~-f6110(l.,ing: A. For new building or new use: 2 ~ rJ, I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nalUral'll'r topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 formX- , 3. Approval of electrical installation from Board of Fire Underwriters. - . 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % 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. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings aud "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 to / d.~JD~ Location of Property: ~~ Date. /' Old or Pre-existing Building: ---V -SlJ~J.J DJ lieU) Nr;:. . Street "VIA-I)A- ~~A J..J q.4 Filed Map. Date of Permit. S J,.OL jlJt Applicant: I New Construction: ( check one) House No. UArtJmK.J!-- Hamlet Suffolk County T"j' Map No.IOOO, Section . Subdivision P f:-~ "J Block ~ Lot :r Owner or Owners of Property: Lot: ~ ~4J..A.~ Permit No. --.2doJ. '1 Z- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ {)O Underwriters Approval: Final Certificate: ( check one) '- ~.7f2If,o CO:e 3/1tfY Applicant Signature 3 J-oJ-~ 7- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING (><i.FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ,P~'~,~~ ~ ~ tJk. DATE 7.-n--(){ INSPECTOR ~~ FORM NO. 3 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) PERMIT NO. 32029 Z Date MAY 22, 2006 Permission is hereby granted to: BRIAN & DIANA PESSIN 310 E 75TH ST #2A NEW YORK,NY 10021 for : ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 3200 SOUNDVIEW AVE MATTI TUCK County Tax Map No. 473889 Section 094 Block 0002 Lot No. 005 pursuant to application dated MAY 19, 2006 and approved by the Building Inspector to expire on NOVEMBER 22, 2007. Fee $ 150.00 ;/ ORIGINAL Rev. 5/8/02 -' , .. . FIELD INSPECTION REPORT DATE COMMENTS lJv qJ ;ll o ~ FOUNDATION (IS1) ~;:; 'It ------------------------------------ 4>d FOUNDATION (2ND) ~ ~ \J'. z 0 VJ' ~'" Ci .., ROUGH FRAMING & f;j L~E:i PLUMBING CJ >: 2- , b < - Z~ t"' INSULATION PER N. Y. .:PE:i STATE ENERGY CODE C q\ 't~:w 'IJ G 'Z ' , J( J _ ....'A. 0 {- '"J?' /b? 3 , , p , FINAL R. , "4J ADDmONAL COMMENTS (i) ~ " Z,O , ::E z ()Jm fJ~ ~ 1> 2- " _l"i -1< \ '" ~~ \ .., " 50 z == l"i :z:...E:; ~.., ]:I; l"i .., " '" , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health _ 4 sets of Building Plans Planning Board approval - Survey .. Clteck Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Examined Approved Disapproved a! c ,20~ ,20~ Phone: Expiration ,20~ (. ~ K ~:J..~~~I_J f~\\ Building Inspector \~,-;'-' ,9 '()~J"~i> LICATIONFORBUlLDINGPERMIT ,. <\',~9~" Date fJ'to/lf ,20M , _ ' INSTRUCTIONS , ","" a. Thi~~<<:n ~~ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. Ih_e 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 throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance ofthe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ t:> &A.ej> ~ S {JA.t~ -eurfl ~~(C;~ JUt- (Signature of applicant or nam~,\if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~~e&,4.v 7)~1~ Name of owner of premises ----!2l..A:UA- ~ (;LIAU ~t:)t; I J (As on the tax roll or latest deed) ature of duly authorize officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: '3 'U)O CZVI1'P 1l1l!..IIt Av ~ House Number Street MA-'CTI\~F-- Hamlet County Tax Map No. 1000 Section Subdivision 9'1 ",\: (,l,l~n" !l,'''l B' . .....,~;"..,o" "" ~, '. '...; ,~". lUCK.. _ . , ',',~\" 0,: ~ . F/4llldOM'Il;~" """.""" "_,__~:ut \1t~lItt lP;'Q~ ~ 'nninl/nrnO.) Lot Lot ~~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~tl>~f-.l"T'")A[ DP:./' 'f::..-.. . .. b. Intended use and occupancy !--~$IP~u1/A'- DFf~ Addition X Other Work Alteration 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~&/;8t) (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. , 7. Dimensions of existing structures, if any: Front 4"3 Rear ~ 3 Height~' !J f ~ Number of Stories Dimensi}:lns Qf same structure with alterations or additions: Front .5'"" Depth~ Height4'~IC~ Number of Stories ~, -.dJ..Jj' ~-'l.~ 8. Dimensions of entire n w construction: Front ~ Rear st Heigh 1/ Number of Stories - Depth t/~ f).., · - I/, ( Rear a - Depth ~~d'-l-I 10. Date of Purchase 9. Size of lot: Front Rear 1~.11" Depth 1~tP. ~p Name of Former Owner I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO.x- 13. Will lot be re-graded? YES_NO--*ill excess fill be removed from premises? YES_ NO X' 14. Names of Owner ofpremises_Re~-,.J ._. _Address!!~~fL:i;t:Lftt;hone No.1'_t :--:}~ ~::t1 V7 Name of ~t '9~r..(Jtl- W!.OLL I UA-fJ(:ifddress Pc> ~f';; Phone No t/~ /-4jZ-J?,7JJ.jt:J_ Name of Contractor Address{Q ~ __' C( Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO X-- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF~IIQ ~~ ~ tJ I-l...l tJA.:J.LJf=- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above nained, (S)Heisthe ~~ ~"{~ (Co actor, Agen, orporate Ollicer, 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. 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