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�aOsuEFa�,�CpG Town of Southold 11/1/2018 P.O.Box 1179 v • 53095 Main Rd 44 O`� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40019 Date: 11/1/2018 THIS CERTIFIES that the building OTHER Location of Property: 22220 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 135.-2-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/11/2018 pursuant to which Building Permit No. 42873 dated 7/18/2018 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: OUTDOOR SHOWER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kapotes Charles N PRT&ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 10-27-2018 Mennis Fr nks VA4 W 0 t P ed Signature �gUFEol,rTOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE SOUTHOLD, NY ?lpl � dao BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42873 Date: 7/18/2018 Permission is hereby granted to: Kapotes Charles N PRT 111 Executive Dr Manhasset Hills, NY 11040 To: construct outdoor shower as applied for. At premises located at: 22220 Soundview Ave, Southold SCTM #473889 Sec/Block/Lot# 135.-2-22 Pursuant to application dated 7/11/2018 and approved by the Building Inspector. To expire on 1/17/2020. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 Total: $250.00 Building Inspector 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 or new use: location of all buildings,property lines,streets,and unusual natural or 1. Final survey of property with accurate 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 2/10 of 1%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 and"pre-existing"land uses: 1. 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 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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 Date. ?/ New Construction: Old or Pre-existing Building: .0 (check one) Location of Property: s o tj r-1 &,/ 4 c.,� ov-, S__ r4y /I '11) House No. Street Hamlet Owner or Owners of Property:)< ac 0+�-s C- J 47 GQ 2T 0 1 C,x z.4 Suffolk County Tax Map No 1000, Section Block 2.., Lot __ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request p uest for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 450 Ap cant Signature F o. Town Hall AnnexTelephone(631)765-1802 54375 Main Road ;' Fax(631)765-9502 P.O.Box 1179 • Q Southold,NY 11971-0959 o��C4M`t;.� BUIUDING DEPARTMENT D =f; TOWN OF SOUTHOLI) NOV - 1 2018 CERTIFICAT--I-ON { TOWN OF SOUTROLD l Date:qz Building Permit No - Owner: © S (Please-print) -Plumber:- � � _y✓`(.� __ (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ? i (Plumbers Signature)- 7 � Sworn to before me this day of 0(:T- C&I 20 1 Q,_ l -- i Notary Public, _ ---_f1)1t3SS4,�? County- JOSEPH a DOYLE Netary Public,State of NewYotk No.01 D06258979 Commission iEWM n a0V�ty�� _1L"' J i 1' OF SO # -TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION FRAMING /STRAPPING [ FINAL �4�OU)P/L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: IVd � DATE 10113hegINSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) H ' W � ------------------------------------ 'FOUNDATION (2ND) z 0 ROUGH FRAMING& PLUMBING y INSULATION PER N.Y: H STATE ENERGY CODE r ,� oif lam LoN FINAL ADDITION4 COMMENTS b • � O (� m S � �h V 0 z b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 22 \a Survey Southoldtownny.gov PERMIT NO. J Check Septic Form N.Y.S.D.E.C.- Trustees C.O.Application 7/SFlood Permit Examined 201t Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ( ,20 Mail'to:' Disapproved a/c Phone: Expiration 2 -� DBuil ector JUL 1 1 .2019 APPLICATION FOR BUILDING PERMIT BUILDING DEPT. TOR,m 0%;?n(NJTHOLD Date , 20 INSTRUCTIONS a. This application MUST 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. 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 shal I 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 of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations of 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. (Si?We of applicant or name,if a corporation) 2 6, lc,& (Mailing address of applicant) WS C' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C- PeLT Oe„s ® 64 1 1A 0 M (C-A0.') f� 14 o rn C (As on the tax roll or-latest,deed) If applicant is a corporation, signatur6 of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. 3 3 'ICS,s4�. Electricians License No. N I Qther Trade''s LiceriseNo. ASft , 1. L' ovation of,larid on which roposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 3 5 Block Lot Subdivision TTledMapNo. Lot 2. State existing use and occupancy of premises and intendd us and occupancy of proposed construction: a. Existing use and occupancy Z e_S b. Intended use and occupancy ; j',) 'l 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition then Wor c o S W (Description) 4. Estimated Cost 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, specify nature and extent of each type of use. 7. Dimensions of existing sttuctures, if any: Front Rear Depth Height .Number of Stories Dimensions of same structure with alterations or additions: Front '�8 Depth Height Number of Storie,614 i r 8. Dimensions of entire new construction: Front Rear °:_��epthr_ { Height Number of Sfories' 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? YES NO 13. Will lot be re-graded? YES NO Will excess fill be.removed.from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 1PIs this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO� YES, SOUTHOLD TOWN TRUSTEES'& D.E.G. 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF Seo �C)1!Ylra(A\eL1rl1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Ow Lq< l; (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 contained in this application are true to the best of his knowledge and belief; and that the work wi I1 be performed in the manner set forth in the application filed therewith. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Sworn to abefore me this NO.OIDW6306900 QUALIFIED IN SUFFOLK COUNTY day of 7 R 20IF5 COMMISSION EXPIRES JUNE 30,2P_1_?, Notary Pub c Signature of Applicant LON C� l a3LAN D 50uI.4D • o Z N-8�°I11201E 4b.b� Q 3 Im h.w.m A::� I✓It.-ac> Zors.c1 Islist�d 5ovr.d Horton Pt. ~0 TOWN P . p0 1,14 SEU O ij "AJMAMOMUCK CCN Z ` 4� Q to b ►" s x, I x 4 A ,ly d c .. . �,Y 1 B P e��°uw' f• �• � � t I Po cQrs '°n9 : Z tn.S'7.W DEG•f S, 19PXo '° a v N Sp X43 ece X90 9 ® W s N O G i O UTHOL-D q s.oY4 0) ♦rr A CID mmyrt4 P• - � W L— �s EkEDON t9 I J z 7 W Z'40"\V 400 1 Q NT A-p auk -5 o U N - -- v I Ft. `V AV Ft. a�•N{'TAte ( aYSTe'M I _ I�L�I -77-n N 41 (> ` Soo b i� I -3Tf PR L7� .0�Atz�c NCS �� tt`l til l� d J PKINC� �f ' W oc • "'� f i��rd ► eJ a U� L r � � !'lO LOT b 1 P!O lOT pJ DEC 2 419®1 � O o >�- ��a � to•n s a t, ' Al R VED AS NOTED �3 RETAIN STORM WATER RUNOFF v .DATE: �.P:# o_ PURSUANT TO CHAPI�ERN3 STH • 17 FEE: �•60 BY. OF THE TOWN CODE, Ch NOTIFY- BUILDING RTMENT AT i d 765-1802 8 AAZ 4IPM RV`�E�O-l- , I N N ALLOWING IN PECTIONS: f " 1.. IND) TIO EQ N0� : scale I" •30' t ea �; R'. CRT U Z OUIl; K LUMBIATt ON tC T 1�3 Dt�A\V I NC7 W R. TAlCeN P90 '1 °5 MVCY �iA?P,.a -=� 3i INSULA'TICNd f: r1w, 15 M5co Ra'-f jo A. INC�R:C3Nt3,L�3. eL .• 4. FINAL CONSTRUCTION MUST`49Q-2,�, MIVATE NEL1: I U 0 BE COMPLE'E FOR'C:O. 5c-rH low- I-II � - - D �0�2 a o ALL CONSTRUC-,�-)N , 4ALL 'DEET THE NEW YORK STATE & TOWN CODES RWJC F Id~NTS OF "S OF NEW AS REQUIRED CY OR DESIGN OR CONSTAWTION ERRORS. SOUTHOLD TOWN ZBA f F SOUTFIOLDTOWN PLANNING BOARD USE IS UNLAWFULWITHOUT CER TIFICA' SOUTHOID TOWN TRUSTEES ,,- .�,,��, -- - _ - _rI_ Q ANCY