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Home My WebLink About33218-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32606 Date: 09/17/07 THIS CERTIFIES that the building ALTERATION Location of Property: 315 (HOUSE NO.) County Tax Map No. 473889 Section 62 BOISSEAU AVE (STREET) Block 1 SOUTHOLD (HAMLET) Lot 19 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 2007 pursuant to which Building Permit No. 33218-Z dated JULY 5, 2007 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 ENCLOSE EXISTING PORCH IN SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK & NORMA SLAVONIK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 '\:~~(_,rt; ",' ~ ~fL r'~liui: !'u!' iW'1 [ ~d) ,GEP-, L~T~~~N..Q.F..$,'""'_'..1H_O~c2_. I ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 01' new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural 01' topographic features, 2, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form), 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 2/1 0 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 exisling buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate survey of property showing all property lines, streels, 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. New Construction: ~_. Old or Pre-existing Building: Location of Property:, '33i~ ~ve"&~~~ House No. Street Owner or Owners of propert)~"'# l7.c-- ~ _' ~~ ~ C. Fees 1. 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 ofOcclIpancy - Residential $15.00, Commercial $15.00 ~/~ 07 ( check one) ~ - , //97 I' Hamlet Suffolk County Tax Map No 1000, Section_. Block Lot Subdivision Filed Map. Lot: Pennit No~.5 '2./ $" 2 . Date of Permit? /.fF 7 Applicant. Health Dept Approval: ____.___..... Underwriters Approval' rImming Board Approval: Final Certificate: __~Ck one) Request for: Temporary Certificate Fee Submitted $ :2- 5. (!:1 <:> ~B~ Applicant Signature 8-M..l?\) 'l9r Co c:>~Go~ 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. 33218 Z Date JULY 5, 2007 Permission is hereby granted to: FRANK & NORMA SLAVONIK PO BOX 143 SOUTHOLD,NY 11971 for : CLOSE IN EXISTING PORCH AS APPLIED FOR. THIS PERMIT REPLACES BP 17484. at premises located at 315 BOISSEAU AVE SOUTHOLD County Tax Map No. 473889 Section 062 Block 0001 Lot No. 019 pursuant to application dated JULY 5, 2007 and approved by the Building Inspector to expire on JANUARY 5, 2009. Fee $ 200.00 q!:: ::1.1L=,=e ORIGINAL Rev. 5/8/02 33 2-(~-t:- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING I STRAPPING [ vrFlNAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESI~ CONSTRlJCnON [ ] RRE RESISTANT PENETRATION REMARKS: S7J#; S -h /~ t6 '- ~~ ---;-:~ c:4- /{tS6L-- /iv{~ -@ ~}) ~(S ~ d) LM~ 0 (/IJ ,'fY 11 .. J J I s~~ f. ') ~ I~.. DATE 71/ffa7 I INSPECTOR ~.l~LD I:;S~2C:IU:J I' _ --.. 1. F'OUlJDATION (1 s t) ------ F'OUNDA TIOn (2nd) 2. ROUGH FRAME & -PLUMBING 3. IlJSULATION PER N. Y. STATE ENERGY CODE 4. FINAL lI' :x: D ~ 1. 7.hJ. '7 It)/*-.,' -;f-/. . - . z-;: /~,._-. ,/n, J,,~ t- /"/ ~ I) N I - ./~~.AJl.. _~ L IA~ ."7;;..... J~/ _..-J ; Il /7, r...;::1., g? J V / IIlJ!.7E II 19/rvr7 I II I C0l'11<1[NT::: ~ c::::t::> '" r '" :--1 "- 23()J - (t\ cd o (j\ '" V' ;l 111 '" :J> '" C. " ..-J J> ~ "-'- '" c /J fi 77 (f\ TIT- ~.:p. o~ C "=~ 0 Z j:"; 2. ~t . :2 o ADDITIONAL COMMENTS: A ~ . . . 3 ;r, . .- '" >< ." . ,...:;- :0 ""~ ..-J I-i o ~ '(--. !_ V) ...... ~ '" -...0 ~~ ..-J__ :x: o;:P '" ." ..-J .."--> .~: ... "" . .' FORM NO, 1 o-l ~~~(U-e- '1(J.f/'lf'" BOARD OF HEALTH .....A...... 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORN ................ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. SOUTHOLD. N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765.1802 . 1~-3 g~ 33:l1'6 ExamIned.. ........ . ... ..,19. .. ~kH- Approved /.'?... :~.........., 19f~ Permit No.!. ?:.~ SIP 2 81008 NOT! FY CALL MAIL TO: Disapproved alc ..................................... . I - Date . . . . . . . . . . . . . . . . . ., 19 . . . INSTRUCTIONS tion may not be commenced before issuance of Building Permit. , the Building Inspector will issued a Building Permit to the applicant. Such permit r 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 Occupancy 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 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 applic~bie laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in lJuilding for 'leces~a~ ~n~~~. PIl . . . ~......... (Signature 01 app"c~~porauon) i!??,B/-13 ~?N'/', //f.:? /. . . (Mailing address of :ipplic!tlit) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~~~~'~;~~~~~~~~~~~~~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. .. .~~ .Vf!-/!JfY...::'3 0," t:J J'fJ: "',n,,! lP'A' hi^V 1"\") UV\AJ' r~V j l};\' USE IS UNUtV\/FUL H.!!TL.lf~UT Ci:RTiF,j,Cf"jiE ~ ~ i II lUl-l \ . I' ,\ OF OCCUPANCY ........................... ............ ....... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done. ................................................. ...... ..J /~~... J3.~/.5~~ /1.(/.. d{(:c~/.....~. c.?r//a .to/" .-1<'y... ........ House Number Street Hamlet County Tax Map No. 1000 Section ...... ~. ?:-: . . . . .. Block ..... r. . . . . . . . . . .. Lot...... t? . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed ~lap No. .............. Lot............... (Name) 2. State eXisting use and occupancy of premises and intcnded use an~ occupancy of proposed construction: 3. Existing use "nd occup"ncy I/o. ,-"....,e;'. . . . . . . . . . . . . . . 0.1. .......... /:'7J YV( t" .... ................ ............... b. Intended use and occupancy ..... r I?C.#.. .. . . . . . . . .. . . . . .. . .. . . . .. . .. .. .. .. . . .. .. .. . . . .. 3. Nature ofwor~ (sPeck which applicable); New Building........ . .. Addition.......... Alteration ...... Repair .....~..... Removal...X-..... .. Demolition .............. Other Work. . . . . . . . . . . . . . (Description) 4. Estimated Cost....... rf4.til:Q.Q......:.............. Fee..................................... (to be paid on filing this application) , . 5. If dwelling, number of dwelling units. . . . . . . . . ',' . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . ' If garage. number of cars ......................,...............,.;.............................., 6. If business. commercial or mixed oCCupancy, specI.Y/natJ.lre~ ~4 ~tent of each type of Use. . . . . . . . . . . . . . . . . . . . , 7. Dimensions of existing structures, jfany; Front.t).. X.W. k.. Rear.............. Depth.....,........, H~ight " . . . . . . . . . . . . . . NUI~ber of Stories. . . . .: : . . . . . . . . . . .~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , DimenSIOns of same structure wIth alteratIOns or additIOns; Front . .'T-:'&.f11 ~ . . . . " Rear................., D~Pth " . . . . . . . .: . . . . . . . . . . . . ~ leight . . . . .". . . . . . , .,.."" . . . . Num ber of Stories. . . . . . . . . . . . . . . . . . . . . . 8. DimenSIOns of entue new construction; Front k. X ~o. . .b. . .. Rear............... Depth ............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front. . . . . . . . . . . . . . . . . . . . " Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ...........................,. 11. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .<'\":Q.................:.. 13. Will lot be regraded ~'. . '.:,.' . . ~ ~ ~.: . . . ., . .. Will excess fill be removed VOl" premises: _ Yes ~ 14. Name of Owner Ofyf;r/f!f;lfit,(tl.~r.1lt4.~s/p.-v.</1Addre~s rvTHati). .--<<.f. Phone No. 76.5. .-.3.?f..... Name of Architect ~~. . Y.eg I T.':/.. .. . .-.. . . . . Address .o.:1.pPl~-1j...f.\f. Phone No.'i77.-./1J:9. 7:5, Name ofContractonl.9~. V~e..,. 7.'(............ Addre ~~M {:)QP.I; tV/I. Phone No. .'-(?7.~.S::... 15.Is this property located within 300 feet of a t~dal wetland? *YES...~.. *If yes, Southold Town Trustees Permit may be required. '... PLOT DIAGRAM 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 deed, and show street names and indicate whether interior or corner lot. lI) ~ 3 ("'I ::i:. :i> (1 c;- ~ ~ .V ~ ~ 6"~--1;""b",-, ~" . ::r. (f) ~ ,,-<,,0 :~o" COIIIlU.llncuo.~ \ o..'f.,a Q 'lWll! ~ . ~€ MlOrIA_ llU . ... .. ~ 'trr COMa~ ItMT .-a.L ~~~On ~SSeAI.J' \I J' S' . WOo" I II. ..._ J I' . ,. =i:(~ ,.~__ l' ~~~~~"*- MOW~~ '" .kII............. ............................ bWdt; I~T.,_ -" "..-_I..:ouluo t...ontract) abOVe-n':lTTled..-.1 _ (-i V~ , ~~ (, '~ ~O', fI ::r: .U - s o.l \-+:. j ~ being duly sworn, deposes and says that he is the applicant 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 containcd in this application are true to the best of his knowledge and belief; and that the work wiJIbe pcrfonned in the manner set forth in the application filed therewith. Sworn to before me this ..... ...,,~ .~r.... :,...... .day Of.~......., 19f.t: \ NO.t~;;;I'~bHC':'~~, it:.,{)-l. {llK,....... County ~~~~' I .~8IC" ;:::: ~ 'IlELDIK.DE~ ,,,-. '*'.. T A... .. .. . .. . . . . L..;',- ... 7_i~i (Signature of applicant) POBIII NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD. N. Y. BUILDING PERMIT <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3'3::L1"6" (~JJ~ N! ~Z Dote .../('.:::...3........................................ 19.~t! Permission is here y gran~:.;c.~~....J~.~............ .~(.....<1l.~...L~3............................... ~ I .....~~.'j(.7;I!!'4...,....!2~~.......//~;L to~....~......~d.......~~.....~.. ........~"..... at premises located at ....SL5....;$3.~~~.......~(................................................ ...................................................~~4t....................................................................... County Tax Mop No. 1000 Section ...........6..7.:-... Block ............../...... Lot No. ......../.9....... pursuant to application doted .....~.j:..................................... 19..1~ ond approved by the Building Inspector. ~~ Fee $......1:~ c~~~,.. f2?-m Rev. 6/30/80