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Home My WebLink About22242-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23209 Date SEPTEMBER 13, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 135 ISLAND VIEW LANE GREENPORT, NY House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 19, 1994 pursuant to which Building Permit No. 22242—Z dated AUGUST 9, 1994 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 AN ACCESSORY SHED IN THE REQUIRED REAR YARD OF A SEASONAL SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELEANOR KRAVITZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspecto Rev. 1/S1 9 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) 21 9 Date ................ 19.�.�Y... �!° 22242 Z Permission is hereby granted to: ... ......... .......................... ........ ........ .......�.- ti. / .�/...... to .... . ........�............. .... .......1 Ve.:1;1�5' UX..1 .......7 ...:. ........ / .. ...c . . .. .. .......... : ..../ ... g� �... ..... ' ............ .. R ../.:.. .................P �. . �. ./. . C �- �� .., /ice �G .................. �............................ �......- ..��..:.............�..jam............................ ..-................................................................................................................................ .................................................................................................................................................................. > �/�, �� at premises located at........,/..��...................................�'................... 1'.�..:'�.......................... ...............................................�,�� .. � �, ...... .................................... County Tax Map No. 1000 Section ...... ....... Block.....a............... Lot No. .................. o c / pursuant to application dated ..................``!.. ./ ...�./..........., 19.. .y7 ..., and approved by the Building Inspector. C.9 22S 0 Fee$:J.........'`....... ....... .,. .. a' ,, ....... Building Inspecto Rev. 6/30/80 ' Form No. 6 -2 TOWN OF SOUTHOLD BUILDING DEPARTMENT Fa t; - TOWN HALL 765-1802 sm r APPLICATION FOR.CERTIFICATE OF OCCUPANCY_{ A. This application must be filled in by typewriter OR & t f-,'tih"` ' ink and submi'tt3"'fo`te=-build-ing 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. w 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. 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 - $20.00 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 Buildin' A. N. Location of Property. . . .'. . , , , , �, tV . V V�.y. C. . . . . . �� 1 House No. Street Hamlet Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . K. . . . . �� . 0. . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . .. . . . .Block. . . . .� . . . . . . . .Lot. . . . . . �� . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �- .Date Of Permit. ..� . .Applicant*. . ,0 q F1 Z Health Dept. Approval.. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . .). � .�. . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: ��„ 1 � ,4 Ljay.ZW �. . .^DDT Tr .AI. . . . . . . . . . . . . . . . . . . v BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ � FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ANAL REMARKS• DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL �dC REMARKS � / DATE tflll INSPECTOR :1 Jn COMMENTS Q , rri _ y )UNDATIO:V ,( 1 s t) a �:. ti U1IDATIOII y (2nd ) UGH FRAME & =.fit: `r'•-FLUMBINC; M �• SUL:.TIOP1 PER N. Y. STATE ENERGY II CODE ti And— • •FINAL . ADDITIONAL CoMiIENTS : x H •��_�Si r;�.�..r1:ti�_.`.�.-rj4sL'--•N:t:.!i..•r r`v.i�`r .rl'ta.."r�.'r .. � ' _ .. ._ BOARD OF HEALTH . . . . . . . . . -- FORM NO. 1 3 SETS OF PLANS . . . . . . . . . .' j TOWN OF SOUTHOLD SURVEY 9I99� BUILDING DEPARTMENT C11ECK . . . . . . _ . . . . . . . TOWN HALL SEPTIC FOR:1 BLDG gBFr. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765 1802 is OT I F1E � %p�A CALL . .41 Examined . . . . ., 19�7 MAIL TO roved / . . _ . . . . . . . . A pp 9. . . ., 19 Permit No� . . . . . . T �, . . . . . . _ . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� (Building Inspector ICATION FOR BUILDING PERMIT Date .� .! . . . . . . . . . ., 194 INSTRUCTIONS a. 'This application must be completely filled in by typewriter 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 appli- cation. 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 issued 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 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 applicable laws, ordinances, building code, hous' code, and regulations, and to admit authorized inspectors on premises and in building for necessary ections. (Signature of applicant, or name, if a corporation) — - (Mailing address of applicant) t State whether applicant is owner, lessee, 'ag&fit, architect, en•, gineer; general contractor, electrician, plumber or builder. A D AS NOTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...e:. V B: Name of owner of premises .`��. . . . . . : . . . . . . , , To 7. ; (as on the tax roll or latest UI 9a5y BUILDING DEP TMENT AT . 765-1802 9 AM TO 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer. FOLp_t)VdING INSPECTIONS. . (Name and title of corporate officer) Builder's License No. > r 10st► it11?!ST Plumber's Licen F- r►rv;'s`F�� C.C. se No. .4 o`}t;si� ,, SHALL -MEET . T;,F HFOt!4HEIMENTS OF THE N.Y. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Tc„F GWh .ST iUCTK-)N & ENERGY N,,0T RESPONSIBLE FOR Other Trade's License No. . . . . . OR CoNs'rRUCTI.ON ERRORS 1. Location of land on which proposed work will be done. ! . . .. . . . . . ... . .LF 0..! 1,, ! N . . . . . . . . . .� . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . : . . . .-. . . . Block . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . 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 ►!�!sll! , , , . , , , � b. Intended u . . . . . � . �.` b � `;• � . . . . . . . use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . -3. Nature of work (check which applicable): New Building . . . . . Addition . ��. . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . .. Demolition . • Other Work + !.. . . . . . . . . . . ^ ,(Dscription) 4. Estimated Cost . . . . 3d'd d . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . (to be paid on filing this application), 5. If dwelling,number of dwelling units . .. . . .I • , , Number of dwelling units on each.f7oor . If garage, number of cars . . . . . ,�, " " ' " " ' 6. If business, commercial or mixed occupancy, specify__nature,a_nd:extent•of•each type.of use=, 7. Dimensions of existing structures,if any: Front'. .. • • • • • • ' Rear :�. . �Depfh .' Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear . . . . . Depth . . . . .. ... . . . . . . . . . . . . . . . Height . . . . . . . . . Number of Stories . . . . . . . . . ... . 8. Dimensions of entire new construction: Front . . . 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: . • . . . . ' 13. Will lot be regraded . Will excess fill be removed from premises: • ' ' •Yes ' • • • No 14. Name of Owner of premises . . . . . . . . . . . . . . . ... Address.. . . . . . . Phone No. 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,' 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. c RC EV I'k1 1ct9 W ,-.— f / ,p �G fj STYLC ZVElef� In GCS/ .41V STATE OF'NnO, P1 . F COUNTY �. . S S r�.. . . _.k(` . . duly being b y sworn, deposes and says that he is the applicant (Name of individual signing contrac ) above named. He is the . :,. . (Contractor gent,' orporate officer, etc.) of said owner or owners, and is duly authorized to per orm 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 wilt be performed in the manner set forth in the application filed therewith. Sworn to before me thi�' . . .day of. . . —� ., 19 Votary Publi . . . . County CLAIRE L CLEW Notary Public,State of New York . . . . . . . .: . . . Qualified in Suf o County (Signature of.• 'plicant) Commission Expires December 8.,1