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HomeMy WebLinkAbout24615-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25811 Date: 07/02/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 9955 SOUNDVIEW AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1997 pursuant to which Building Permit No. 24615-Z dated JANUARY 23, 1998 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 ACCESSORY SHED "AS BUILT" AS APPLIED FOR. The certificate is issued to RICHARD & MIRIAM KLEIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r Bui ding InstActor Rev. 1/81 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) Date JANUARY 23 98 Z ..... 24615 ......................................................... 19........... Permisslon Is hereby granted to; RICHARD & MIRIAM KLEIN ........................................................................................ 335 MINEOLA AVE .......................................................................................... CARLE PLACE,NY 11514 ...............................................................................I.......... to... ERECT A SHED IN REAR YARD " AS BUILT " ................. ........................................................................ ......................................... ................................................................................................................................................................... .................................................................................................................................................................. .........................:..............................................................................................................I......................... .......... ....................................................................................................................................................... 9955 SOUNDVIEW AVE SOUTHOLD atpremises located at.......................................................... .. ........................ ................................................................................................................................................................ County Tax Map No. ....473BB9............ Section ......59............. Block ....0002,........ Lot No. 005..I............. pursuant to application dated ...SEPTEMHER 29................................. 19......97..... and approved by the Building Inspector. Fee$........35.00..... Ilding Inspector Rev. 6/30/80 Form No. 6 �r D TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY k. This application must be filled in by typewriter OR ink and submitted to the building inspector 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 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 a 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. 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 Buildi.ne - $100.00 3. Copy of Certificate of Occupancy - _ -25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .iew Construction. .. . .... ... 01 Or Pre-exi.stin Build g. �ji . . . . ` (� /Location of Property. � . . . . ../�9-7. . . . . . . . . . . House No. _ Street Hamlet Onwer or Owners of Property . . ... . . . . . . . . . . . . .. . ... . . . . County Tax Map No 1000, Section. . .V . . . . ..Block. . .Q �.3�.. . . . .Lot. . . �. . . . . . . • • • • Subdivision. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . '.!�. 5. . . . .Date Of Permit. ) �'3. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicat-�. . . . . . . . Fee Submitted: $. . . . . .A. 0:0. . . . . . . . . . . . 0//,3-?-- Q s 9 / 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . �� S 44 D- APPLICANT - �oSUFFot,��o o�O Gym ti Z Town Hall, 53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 y� �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 17 , 1998 Richard & Miriam Klein ?S-r' Sow Vi+ 3 in Ave. Carle P York 11514 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24615-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r I II:I.II 1111H.1•.1: 1 Itlll 141;1'lllll 1)(NT1 ^ --- l:Ulllll:lll l , V PIII IIIIIn'I'Illll vi 1 n —. 11111/1:11 I'IIAIII: 0 A � C7 rl.ululllltl -- ......-..•---------------------w •-d_........w. ...._..n ._•.....-...w_..•,_—•-.-------------I---- -------------------- IIMIII.AI'IMI PI'.It 11. I I- II'I n'1•II. I t fallll! -•-...-.._...•-._._ ........_..._.. _... _ ....•_..............•..._..._-...._ ...�...._ _...__... ---------------- I IIAI, r ,..-....-_._ 1 ..- _____- -------- ---_•----__---------._-•-w--•----•-----------------.-----_------- ' fU� _-,_- __ __- -. _ _ _..AI1111.1'IUIIAI. Ch11111�11'1rl I T Ii --- > o u I SEP 2 9 1997 BLDG. DEPT. TOWN OF SOUTHO :10— —Shown in 8x 12— —Shown.in 8x 14— i ff I _ � 1 JI � /' � :I I - S I •i i 1�1 I � —____ -_-_a --'1 1i J, - dt i i ';t siding > Most popular material Above unit shown with gambrel style , > Withstands all types of weather roof and optional 2611 single door. -edar > Classic tongue-and-groove construction > Durable and weather-resistant > Affordably priced •I > Pleasant aroma naturally repels insects and resists 'rotting > Ages beautifully > Excellent base for stains and paint j hed l F.. I 1 > One of the most stable types of lumber; J resists warping and buckling -n the inside of 1 _ ,i *Cedar siding may be 6"or 8"tongue and groove at = If.r lawn and ask if I 111 I I� _ - _ _ the discretion of Sheds USA. ;I ,i ,I f i , - �, _ - _ -- .ae Q . capacity ends workshop/craft s�� hed Uses I :T marriage. Pool Cabana, Gardener's Retreat, ipping over This is one of our most popular layouts ;1, Child's Clubhouse, Artist's/Sculptor's . with double door on the gable end and Studio, Guest "Cabin" or )or=avalanche. an optional 26"single door in front... I Tractor Garage easy access for riding lawnmower. and shed owner! 15 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: 6 DATE INSPECTO 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE 3 �� 9� INSPECTOR2%�W4 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] U ION [ � FRAMING [ AL [ ] FIREPLACE 8 CHIMNEY REMARKS: i 2 2 2 Az ,Lq� DATE INSPECTO &/7, LG ` DO fn 19' Liu m z w 40 ySQ1CK u +' _ v d 1 tifv- �r 7.. ) •`. a 7 - _ w it ,•", � `�.7L,.��.Zt.-.r+`2:.y A�;�`t,EA �;V' aim. ltk: � T_ ice'-Nt0?,;JMEW7 ct-- vlAti t a •N , GD i CDp I Y Z SUP F.fla,i AX MAP DhTi,r I QOJ Sy^ 2 . �s OF uj 40. 0 .' ' 4 A . A5 Su2VtYEv 4��94 ; r f� SIC.LAVgo•5:)-!zvcY0R5 - :zUNP02r,W. i I I t N ='�`�F� p RCI.,` 00 m �.� SJRYE E cn v—``� � N OLL cc it V fib " LLJz { 7 ViL 40 l7 AP.EA•Sci8 SC�.FT, s_ Gr 11`'t 1i ordjsl:,vpe}pn��yh�"- .si:.r.+n _ ,�,fY f,; _ _.._— __—__ - '� c_it_:[rd oalwD•?.rb:,,;,,v� - c O o s SJF F.M,i Ax MAP DhTA=l QQO 5y 2 . m r, --- ------_ _-- --- © \ary LL Q L s�PT.14'r �. y.. � L� _� .. -- tC.Lo.►2��S.1'Z�'cY(�RS — _ � c�E►vP0�2r TLY- , BOARD OF HEALTH . . . . . . . . . . . . . . . SEP 2 9 ONFORM NO: 1 3 SETS OF PLANS . . . . . . . . .'. . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BLDG.DEPT. BUILDING DEPARTMENT CHECK . . . . . . ... . . . . . . . '' TOWN HALL SEPTIC FORM TOWN OFSOUTHOLD " - • - • - - • - • • • . . . . . . . SOUTHOLD, N.Y. 11971 TEI.: 765-1802 NOTIFY: CALL 1' nined... . ......, 19?m MAIL-TO: . . . . . . . . . . . . .' . . . . Approved-- /E!.3........, 19 l� Permit No. . .....� .................................. Disapproveda/c .................................. .................................... ...................................••• .......... �-7 •••(Building•In. tor)••- APPLICATION FO R BUILDING PERMIT Date. . . . . , 19,�7. INSTRUCTIONS a. 'This application must be completely filled in by typeiariter 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. the work covered by this application may not be commenced before issuance of'1luilding Permit. d. Upon approval,of this application, the Building Inspector will issue a•Building Permit to the applicant. Such► 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEFJW 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises.and i building for necessary 'nspections. �\� ^ .. 4 - .... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................Q•.?.`�:I.j,.................. , ............. Name of owner of premises [J.! /�?L�X.!l:/®9' :�••�••., � ................. AP ROV D AS NOTED •3- wwle-;- (as on the tax roll or latest deed) '. If applicant is a corporation, signature of duly authorized officer. Ie� eY NdMFY •UILOINO DEPA EN , A 7MIN2 N AM TO 4 PM FOR. FIE ........................,............. ................... lQLIQMNM0i1�1�i�110NS: (Name and title of corporate-officer-) ' ��N . IWO NOWRE0 InONCON Builders License No. 9 � a FUJMMG ......................... R. Plumbers License No. ......................... 4. FINAL 00ONSTRUMN MUST Electricians License No. ..................... ALL �UCTIONC.OSMA MEET Other Trade's License No. .................... _ THE REQUIREMENTS OR THE N.Y. 1'E ST ENS Y Location J 1. cation of land on which proposed work will be done. . ! �< ca CONSTRUCMO ERRORS ........................................1: r; treet- ®Ct . a�.»cc� -f ll�e.................. .�........................... House County Tax Map No. 1000 . Section �.•. o Block GJ .1 ..... Subdivision ...................................... Filed Map No. ............... Lot ................ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed'canstruction: a. Existing use and occupancy .....116".'�.................................I....................... .. b. Intended use and occupancy ...... .......................... .. .............. �eli�4�:•�`t'i l`C1:.�IfjJC;�`.d'(i:L'� tC"a v:rm;�r;"�iCt'i,3u cti fcw U t 3. Nature of work (check whidh applicable): New lk,ilding .......... Addition .......... Alterati n=': .......... itepair ........ Rennval ............. Demolition ............ Other Work ... ✓.. fee v..../i4`�S� svia /lcr�r� (Description _ 4. Estimated Cost .. /_ ® � v� fee .. .: ::}... _------- .j. (to be paid on filing this application)• '• 5. if ch)elling, mxmber of dwelling units Number of dwelling units on each floor If garage, txnber of cars .........% ......... G. If business, connercial or mixed occupancy, s ci nature and extent of each type of use...................... / Q 7. Dimensions of existing structures, if any: Front_ �(//°.......... Rear ....K....... Depth ...0-9........... Dei ht .. Number of Stories .....© �•...-- . -s f.satrh str cLu e�with alterations or additions: Front _A. Rear �� Depth -------------------- IleighL .................... Number of Stories``............... �1/ ti. Dimensions of entire new construction: Front ...1`.......... Rear J.4.......... Depth ..t.L...._..... lleil4hL .... ................... Number of Stories .... ................ 9. Size of lot: Front ..... .. p.. ..... Rear .. B.YJ 7 ..... Depth ... �°� � ..... 10. Date of Purchase .�e�P o?�:!°��-.. Name of 1ommer (loner ..-+ ]•/�...lsjy�q. ......••.... 11. Zone or use district in whidh premises are situated ......�ht?Q. S3..................... ..... ...........:k 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .....• ...._..... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises !4' 1 �}®®.d/�f!!?'I..Alej Address Y��•1 .a,,7i��haeAdJll:V). phone No. Name of Architect � ����fl.`S�' !!d :. lt Address ./y"V '.6?C�'!r!. ..... Phone No. .............. ebs.r.f .. �3o ii //�, a �r Name of Contractor ...�'............. Address k',D..!c-4�iC Y6r�.. �i;fl�����{Plhone No kLf�o.':�c�J t�A; 15. Is Clhis properly within 300 feet of a tidal wetland? YES .......... NO .......... *II YES, SOUIIUD M4N 1RUSIIL.S PERMTP MAY BE W!QUIRt-. 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 nurk)er or description•acco i g to deed, and show street names aril indicate c�lhetlher i terior or corner lot. 5e-e,�).00 �/'�'®���0 OElv.00t) " - &9I,r,Pl atTbepola-Aj lha-,Oc ! L.ae c�F v� we4welc �` ffl� xsce.oLar, . LAli� � Ekr",e- LawY �L�r�� AL•lkc .��y �d ,voK'+7dt �Z�eq�r5510�i2r/f� d1lJi�liUipSC1 Socr4 Pic, J ue 7h �j / y 4T r?.yee-ftelcmn VaOhwes7e l C,uG • cd�r,¢c.s �a � s !o•sclvc S s ,i/ ° Sough toe Ter/y.h 0Y4;,7, j ,.mom Suu�y scv d gevS5 /,0^1,414V ,s ids 7HePJCG,C2�o��/ v� A�©ate ee Lrrre� -%414 rHe�e� A�0/r1 /1Jd/L7�/f�'eg7`C2[y ir IL4"/>ieo AUG 36a-th �7 c1e9K&�S Id/nl///jPej /�- smddndS wesl's3�y� � . 01e36,ei,KV ; 1;12e1z' 9'rBy, 0? V-al Rem�s es A7ee. ,v as 9ytss-ss��aodv��� Ad 3 She cvaUs ee ? ,' wz- ric+c�r cedes-tee. P`Ycwa ee a 1 L�Fc�7 i1 Sl�2L'0o ny. 'a G sEi' 1 Wq 176e I �,shci� /4g P� TWN"r,se" M IX W Ic 1-y or. •�, r�,:.,•�a..3 � s,,� �� .being clul.y sraor , deposes aril says LhaC he is the applicant aliQ�ieilk7 lsi t4??eT fRilT ple�,y�+ Mp'�1�'4y'aI ......................................................................... (Contractor, agent, corporate officer, etc.) of said caner 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 LhaC the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Q 7 ..........1. ....clay o ..19..`.G... Notary Public ... ......... ' ' .•..'- '. ROBERT 1.SC OTT. R. (Signat:ureofAppli.cant) otary Public,State-of New York Ouaed in Suffolk CountV N .O1SC472508-M� T.M ExPireS MAY 31.