HomeMy WebLinkAbout12033-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20781 Date JUNE 9~ 1992
THIS CERTIFIES that the building ADDITION
Location of Property 2245 SOUNDVIEW AVEN~4E PECONICr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 68 Block 1 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 8~ 1982 pursuant to which
Building Permit No. i2033-Z dated NOVEMBER 24r 1984
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 ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to ZAHID REALTY CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-097602 - OCTOBER 30~ 1989
//Building Inspector
Rev. 1/81
TOWN H~LL
SOUTHOLD, N.~ Y..
BUILDING: PERMIT
(THIS PERMIT MUST BE KEPT ON THE PRF~ISI S UNTIL I
COMPLETION OF THE WORK AUTHOR!ZED) ,
N? 2033 Z
.ILL
, /
Coufity Tax Map No. 1000 Section ..... ~..: .......... BlocE .i:...~(. ............ !Lot No..~'-Z ........
pUrsuant to application dated ~.~.~;~../...~.-,~:.... ~...,~.....,' 19~.~ and approved by the
Building Ihspector.
Fee $ J.,..<~. ..............
Building ilnspector
Porto No. 6 Pt £--
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OWN OF SOUTIIOLD
~ILDING DEPARTMENT
TOWN HALL
765-1802
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.
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
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 Building.~ ...... --
Location of Property..~.~..~..~. .............. ~.(~.~..~f.~.¢~.~. i~.'~.'.]..i...~.~..~~' ......
House No. Street Hamlet
Onwer or Owners of Property~.~]~.,~.~..~/f~..~.6~.~.: .................................... . .
County Tax Map No 1000, Section...~.f--...~..Block...../... ...... .. Lot....f ............. . .
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: $~,~ ~ ............................. ~~~...~.. ~.~.. ~ ~ · ' ~--~ ~,~./~ ~
APPLICA_NT
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~., :' ',;='~' ,~,'t , ,~
THIS CE~IFIES THAT
DRYERS
' andfoundtobeln
RANGES EXHAUST FANS
OTHER
TIME CLOCKS
FURNACE MOTORS FUTURE APPLIANCE FEEOERS
NO. OF FEET
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN. ION
FRAMING r~ FINAL
REMARKS: //~
DATE
INSPECTOR
// ~ 76S-1802
~/~~//'~BUILDING DEPT.
~/' INSPECTION
FOUNDATION 1ST I ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN~SUi~TION
FRAMING ~p'/] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN/SULATION
FRAMING [ '~FINAL
REMARKS:
DATE
INSPECTOR
:,IELD I[~'~ION COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
FINL~
ADDITIONAL COMMENTS:
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WlECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
F~bruary 27, 1992
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
SouthoM, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Mr. George A. Michel
c/o Zahid Realty Corp.
7 West 54th Street
New York, New York 10019
Re: Building Permit # 12033-Z
Premises: 2245 SOUNDVIEW AVENUE, PECONIC,
Suff. Co. Tax Map ~1000-68-1-7
Dear Mr. Michel
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
Please submit the enclosed CO application along with your
check in the amount of $25.00 and also an Underwriters
Certificate so that we may issue the Certificate of Occupancy.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VGL:gar
encl
Victor Lessard,
Principal Building Inspector
TOWN OF $OUTHOLB
OFFICIi OF BUILDING INSPECTOR
P.O. BOX I179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
March 3, 1989
Mr. George A. Michel
2245 Sound View Ave-
Pecon£c, N.Y. 11958
TEL. 765-180,2
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/x_-/ An application for Certificate
is not on file. (ENCLOSED)
fix_--/ No Underwriters Certificate on file.
/~/ No }lealth Dept. Approval on file.
/_/ No final inspection has been made.
of Occupancy
$25.00
Please contact ()ur office on this
Thank you for your cooperation.
lh~il<l{nq Permit t! i 2 O 3 3 Z
Building Dept.
**~/]/ rlo Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
matter.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1B02
Examined/(~J~..~....~. ~.. ·., 19
Approved //..?~'... ~..~. .... , 19 .~...2"Permit No../'..~..Q .-57.-.~..~'7
Disapproved a/c .......... ~ ............ ~ ........ ,/
APPLICATION FOR BUILDING PERIVIIT
INSTRUCTIONS
Application No..~0'._?. ?. ........
Date....t[.. ~. ......... , 19
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 m~t 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 demolifion, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housin~codae, and regulations, and to
admit authorized inspectors on premises and in building for necessary i)~pections. ,//~ //t /7
//(.Signature of applicant, ,' -- '
(Marling address of applicant)
/
State whether applicant is o¢~er, lessee, agentg, architect, engineer, general contractor, electrician, plmnber or builder.
...g ¢. .r...g.'...O..: .A..: .......................
Name of owner of premises.. ~..~..O, .~.~.tS.~-...A. :..~.. ! .Q[q.E..~. .........................................
(as on the tax roll or latest deed)
If applicant is a corpomfion, signature of duly authorized officer.
(Name and title of corporate officer) ,, ,t,, . .,. .,.,
Builder s L~cense ~o .............. :;,,: :.. -. .....
Plumber's License No..~.~O.7 ....
1. Location of land on which proposed work will be done. '..~.O..~.~.M....O.,....~..0.~ .W..~?.6..~.t' .6.~/. ,F.~..O.6.~..
.... Z.r. . .'Y'kT ........... ..5'o.~ ~ ~ . . ¢. t ~. . . . .A. ~ ~..., ...... .¢,. < ~o.~.,. ¥...,..IV.:.'( .............
House Number Street Hamlet
County Tax Map No. 1000 Section ..... {o. 8 ......... Block ...... ~ ............ Lot .... .~. .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy. ~7~O.}N~ .... .~.O..~....~ ...... ~'--~' '/~'' '/~'' ~' '~"¢' ' i~-~;'; ~ ..............
b. Intended use and occupancy .S~'.~..~....~.0.~... 2..].~. ?..~..E-.....~..~..~5. .........................
3. Nature of work (check which applicable): New Building .......... Addition .... Alteration ..........
Repair .............. Rem6val .............. Demolition .............. Other Work ...............
(Description)
4.
F, stimated Cost. ,.~,.,. ........................... Fee ..........................
(to be paid on filing this application)
5. If dwelling, number of dwelling ~nits .... ~ .......... Number of dwelling units ?n. each floor .[...~..~,-..~)~ .~
If garage, number of cars . [~T'. · .~--,~.~&~ ..........................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. D~mens~ons of existing structure's, if any: Front..~.0 .......... Rear ..~..O ......... Depth . ~ ~a/. ........
Height: . . [ .~/ .......... Num. ber of Stories . . } ............................
Dimensions of same structure with alterations or additions: Front ' '~!'~' t ..... . .... Rear.. ~.~.' i'iii iiii ii ii
Depth ... ~--/~ .............. .. Height .... I .' ."] ............... Number of Stories ..... I ........j .........
8. r)imensions of entire new constrUction: Front .o-~. ~,~.! ........ Rear . . .CI::~ ! ....... Depth . .:~....~ ..........
Height' .. I ~ .......... ,N~mber of Stories ... !. .... > ...... :,~ ........................ ~ ............
11. Zone Or use district in which pr~mises are situated. ~t..~ .... l~.'~lO.~../~.'./T/.~.t~ ...........................
12. Does proposed construction v. iohte any zoning law, ordinance or regulation: .../~J.
13. Will lot be regraded .... ~_ ~j.,~.: ............... Will excess fill b.e ren3oyed from premises: ~ ~
14. Name of Owner of premises .'I'~,: .~/'~ ~. ......... Address $Oid. g/0~t~,~.... Phone No..7( [.- ...........
Name of Architect .../M~ ~.~. ................. Address ................... Phone No ................
Name of Contractor .../~J.0h/..~.I ................. Address ................... Phone No ................
i I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from
property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether
interior or corner lot.
COUNTY OF .4-~ ....
..... ~.. ~) .~..,, .,~., ........... being duly sworn, deposes and says that he is the applic~t
~ (Name of individual signing ~tract)
above named.
He is the ..: ..............................................................................
of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this
application; that all statements contained
work will be perfomed in ~e m~ner set forth in the application filed therewith.
Sworn to before m~ this
......... ~ ............ day of.~..., 19
i o0~ll~oa in su,ol~ ~un~ // (Signature of applicant)
' :~ EOt~GE
PE¢ONiC..
MICHEL
t S.L..z,, ND
'0
~OLJ hJ 0
C~ F_..O~C~E A L E: X A~t,,I[:'E P-.
AT
P
T¢ IVb~Tc-P L~.
ApP,,IIOy~D' AS NOTED ~
~$-180~ 9 AM TO 4 PM FOR THE
~OLLoW1NG INSPECTIONS:
1, FOUNDATION - ~O REQUIRED
~OR POg~:~ CONCRET[
~, ~OUGN ~ F~AMING & PLUMBING
4, FINAL - C~NSTRUCTION MUST
~ C~,~I ~ FOR C.O.
ALL CONSTRUCTION SHALL ME~
T~A A~OUI~ OF THE N.Y.
~TA~ CoN~U~ION ~ ENERGY
~B~ NOT ~N~BLE F~
~t~N ~ C~ION ERROR~
,,
E r"~ Vl
~ DDITI~I~$
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/0 X 6,/8
iqOTIFY I>~'~-~ n-
765-1802 V ~w,-0
,~. FOUNDATION '
'2 RFP coNCRETE
2, ~EIL~ FR~M,NG 8, pLUMBING
iNSULAT~~N
~' F NAL - CONsTRU'
ALL coNSTR JcT~ON sHALL
STATE gO~
~DES NOT
DESIG~ OR CON~Ru~ION ERieS'
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