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Home My WebLink About23482-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24991 Date APRIL 18, 1997 THIS CERTIFIES that the building REPAIR Location of Property 145 SYLVAN DRIVE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 3 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1996 pursuant to which Building Permit No. 23482-Z dated JUNE 6, 1996 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 REPAIR & REPLACE EXISTING DECK AS APPLIED FOR. The certificate is issued to ANNETTE G. FROSCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /lYing Inspector Rev. 1/81 FORK NO. a 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) N° 23482 Z Date ...�T.. ..5 :......................................... 19. .`t. Permission is hereby granted to: .. .. . .. .................. ��...,.. ... .... .. ....... A. ......... ......... ... .. .. . ....... .. ..... to . . ..` . .:e: . ... ........... t:. ...... '...............i............................... .... • • ...• . ..r.................. .......................... ........................................... at premises located at ..... . t ... . . .�/..t�..�. . .. .................................... ........................................... �%�. ............... �� ? t............................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section .....�..�....... Block ................ Lot No. . ....... pursuant to application dated ......................................................... 19......... and approved by the Building Inspector. Fee �.,/.��:.:... .. r .. .. ....... .... .. . �... .. . ...... uil t Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 form) . 3.. Approval of electrical installation from Board of. FJ.r.e 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. 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-C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential S1/5.00, Commercial $15.00 Date . . J.�.�.�.1. . . . . . . . . . . . . . . . . . . . . . . New 'Construction. . . Old Or Pre-existing Buildin 0 ? • , Location of Property. . . ... . . . . . ... . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . .�.-J[ . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . c: S �lff� . . . . . . . . . . . .APPLICANT. . . Co 2-ILIM o�oSUFFot,��oG ca Z Town Hall, 53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 11, 1997 Annette G. Frosch 4 Chester Dr. Great Neck, N.Y. 11021 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 # 23482-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o��S�FFO�,�coG ' 0 ca 2 Town Hall,53095 Main Road p • Fax(516) 765-1823 P. 0. Box 1179 y� �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 11, 1997 Annette G. Frosch 4 Chester Dr. Great Neck, N.Y. 11021 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 # 23482-Z Please contact our office on this matter._ Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION,REPORT ;..,;BRA' ... COMMENTS =_______________________________ r ii ii • f II y FOUNDATION ( 1ST) FOUNDATION (2ND) I � --------------------------- ------------- ------------------- q z 0 ROUGH FRAME & PLUMBINGSn. I� 11 II II II II II y CS7 n INSULATION PER N_ Y. „ n STATE ENERGY it CODE � - u u II II H II jj � II jj I FINAL CIO " of. ADDITIONAL COMMENTS: rya \ Q� y O w r� H H C;2, BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [/] RGH PLBG. FOUNDATION 2ND [ LATION FRAMING [ L [ ] FIREPLACE & CHIMNEY REMARKS: T� DATE �/�' INSPECTOR BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS : .: .. . . . . . s . . . . TOWN OF SOUTHOLD SURVEY . . . : : :. .. . . ... . . . . . . . . . . BUILDING DEPARTMENT CHECK . . : . . . .. . .. . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1862 NOTIFY: CALL//• . • Examined..6. ..... 19� �.� IL TO: . : s npprrovea.::.. ° �.:..:, 19 Permit No. J MAl-:=. .............. ? Disapproved a c ^ ...................................................... ...-(Building... .. Z -APPLICATION FOR BUILDING PERMIT „Date. . . . . . . . .. . . . . . .. 19. . . . INSTRUCTIONS a. this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3ysets 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 coamenced before issuance of Building 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 HMMY WME to the Building Department for the issuance of a Building Permit pursuant to the Building Wne Ordinwct- of the lawn of Southold, Suffolk Canty, 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 for necessary inspections. .......... fir! .;:.. ... (Signature of applican , or �are�, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildef. Name.of•owner.of......ses... i�..........•' ................. ........................... ...................... ' preen ....... (as on the.tax roll or latest deed). If applicant is a corporation, signature of duly authorized officer. ..k. :.......J....J.................................... (Nam.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 be done..... ...................................................... 57 6 �� .......`. .��..... ....`.... ............ :�:�: :::: ... .��. .3: ....................... Horse 1!iininer Street Hamlet. Canty Tax Map No. 1000 Section ....7�....... Bloch ....3......... Lot ...: `I...... StMivision ...................................... Filed Map No. ............... Lot ...:.........:. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................... b. Intended use and occupancy ............................................................................. r 3. Nature of�°rk whidi applicable): \New Building .......... Addition ......... Alteration Repair C• Removal ............. Demolition ............ Other Work ......... j (Description) 4. Estimated Cost .v ........... fee • .. ........................ (to be paid on filing this application) 5. If duelling, ember 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 structures, if any: Front................ Rear .. Depth ............. Height ......................... Number of Stories .. . Dimensions of same structure with alterations or additions: Front... ....... Rear Depth .................... Height .................... Umber of Stories .... ............... • 8. Dimensions of entire new construction: Front ............. Rear ............. Depth .............. Height ......................... Number of Stories .......... 9. Size of lot: Front Rear ••T• .................... Depth . ..... ...... 10. Date of Purchase .... . Name of F ormier Owner ...................... ..... .... 11. Zone or use district in whicb premises are situated ......................... 12• Does proposed construction violate any zoning law, ordinance or regulation:• .... f 13. Will lot be regraded �:� Will excess fill be removed from prenisesL • ••yLS NO 14. Names of Owner of Rremises��":::.. -.�I, Address - �:. 0:J. ��c . .. Phone Name of Architect .. „ •, , . .. Address .... . ...... ........ . Phone No. . ......... >Name of Contractor .................................... ...... Address ................. .......Phone No. ............ 15. ,Is this property within 300 feet of a tidal wetland? * YES ..... .. NO *IF YES, SOURED MM ZR WEES PM1IT MAYBE R192UIM. ..... 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 amber or description according to deed, and stow street names and indicate whether interior or corner lot, G2.. I I lk L.f STATE OF NEW YORK, COUNTY OF . ,t'��S 19 lJ• • SS ••••••.- �.....E•• •• ~l=G ............... being duly sworn, deposes and says that he is the applicant cre(Na of individual sighing con>rracr) above named, lie is the ........ .. ... ..... (Contractor,t agent,•corporate•officer, etc.) of said owner or owners, and is duly'authorized to perform or have performed the said work and to make amd 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. Sworn to before me this •�l . .-f;-►• day of >.L........... 19 MARIE C. PRIVITZR tatefiNotary Public, YC rk�OTOPW3 , S Yo C f/�" No. 41-4818531 Qualified in Queens County.. Commission Expires,September 3a,1.94. nnnv ir,- n aml irnnrl� r 1. CL;A l 4r '[ &PO AS NOTED, r _ fitC.3t'"4i Y dll G �,�,E-Pe RTF �.. AT 'A O , T. 4 �I d=OL — ---p— f-- � Fe 2. s�;° Eroe a-� �yE1.ae yy BF Cr)IZlil"1",ss••i FOR C.t)• ALL CONS T d"-i'UC TION S14ALL MEET HE. REQU& E4lI NT'S OF THE N.Y: r_l STATE CONSTR�iCTION & ENERGY CODES. NOT RESPONSIBLE F013 DES!GN OR CONSTRUCTION ERRORS 14 1 i # LL- 157 R 0 i {p CI pp t tp " , ,31 411 c � f4_. - —lie 1 ffg f � "1/ a f fix.