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Home My WebLink About13474-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy December 1, 1987 Date ................................. THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property 1225 Gin Lane Southold, New York County Tax Map No. 1000 Section ... 8..8 ....... Block 4 . .Lot 15 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 10, 1984 . pursuant to which Building Permit No. I347/4 z October 18, 1984 dated ............................. 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 ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE RONALD & ROSE SCHNEIDER The certificate is issued to ........................................................... (owner, I~V,~'~ ~u~r. tl~.r~EtZ of the aforesaid building. Suffolk County Department of Health Approval ........ I/4 - 80 - 15 1 N735742 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Dec. 15, 1987 - Peconic Plumbing & Heating Rev. 1/81 l[~OR.~ NO. ~ TOWN OF $OUTHOLD 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? 13474 Z Permission is hereby gronted toy ...... ~.~.~....~2....~~<P..~ ......... ...... /..7.......~....~....~ .............................. ..... ~,../~-..~.,..~.~ .......... ~.~.7..~. ,o ..... .~~~......~..~....~.~z..~...~......~..,..~.....~ ................................. ~, ,,m,,es ,oco,,~ o, ..../.~..~.~ ...... ..~.~..~.....,~ ......................................................... ............................................................................................................ ~~..~.-....~.-.~.. County Tox Mop No. 1000 Section .~.~... ......... Block ..~...~.., ........ Lot No..~)2~.. ............. pursuant to application dated ..~,.~ ......... /..~.. ..................... , 19~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIfiCATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted i I to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p:coperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certif[cate of occupancy New Dwelling $25.00, Accessory ,~[0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $i0,00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruct ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,/~L. 2,~,,.,~,.~II~J.. ............ ~ .................... .i...~.'..L ....... House No. , ~ Street ~ Ham/et Owner or Owners of Property . ~..0. IQ../~, .g-;-.¢..` .~(.. ~.0..~. ~....~./~/~..~. ~.../.~.~..~..~ ........... County Tax Map No. 1000 Section ...~..~. ....... Block ....~.. ......... Lot../..~.. ....... Subdivision ................................. Filed Map No ........... Lot No ............. .,_ Perm tNo ~ ~,?,~.?13ate of Permit /, ~,~ /~Applicant ~,/~/,/~,~L~ ,~,~'~,, .~, ~..~.//~ Z~/% Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets ali applicable codes and regulations. Applicant .................................................... Rev, 10-10-78 TOWN OF $@UT~IOLD OFFICE OF,' BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y, 1197l CERTIFICATION TEL. 765-1802 TOWN OF SOUTHOLD Building Permit No. Z-13474 Z Owner MR. & MRS. RONALD SCHNEIDER (please pr~t) Plumber ~Jt~ ~/~-~?'/~--F'~;~J~__ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /0 aay of , Notary Public,~"~t~ County Notary Public MARK T. GAGEN NOTARY PUBLIC, State of New York No. 4695650 I~ualified in SufMIk County Ce~mi~on Expires May 31, Memorandum from... · BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN H^t,L, SOUTHOt, D, N. Y. 11971 765-1802 Mr. & Mrs. Ronald Schneider 17 Cord Lane Levittown, New York 11756 Dear Mr. & Mrs. Schneider: Please have your plumber fill out the enclosed Plumbers Certificate and retur~n to this office for your Certificate of Occupa'ncy. Thank You. SOUTNOLD TOWN BUILDING DEPT. TEL. 765-I 802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 August 18, 1987 TEL. 765-1802 Mr. & Mrs. Ronald Schneider 17 Cord Lane Levittown, New York 11756 Re: Building Permit #13474 Z Dear Mr. & Mrs. Schneider: The final inspection was made on your home on Gin Lane, Southold, N.Y. on August 17, 1987. Everything was okayed for the C.O., but we still need your final Board of Health approval before the C.O. can be issued. (Final survey stamped in green by the Board of Health Department.) As soon as you submit this document to us, the Certificate of Occupancy will be issued. Thank you, Southold Town Building Dept. Georgia Rudder, Secretary THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY }?I~&~A:~' .i./A.,, .t,~[i,~5 JOHN STREET, NEW YORK, NEW YORK 10038 Oa,e ~p,,catlon~o.o..~,e ~o:~o7o,'~4 N735742 THIS CERTIFIES THAT only the eJectrlcal equipment os described belotv and introduced by the applicant named on the above application number ir~ the premises of irt the following location; [] Basement k~ Ist FI. was examined on ~61~g'~l~X~ ~[0¢ J~9t~ FIXTURE FIXTURES OUTLETS ~ECEPTACLES SWITCHES FLUORESCENT ~3 29 ~8 [] 2nd FI. Section Block Lot and found to be in compliance with the r~quiremenis of this Board. RANGES i OVENS EXHAUST DRYERS E R V I NO OI~E aC C~CON O'OF A. Wcc. CoNDG' NO OF HI-LEG C E AW, G OF NEUTRAL NO. OF N~UTRAI Thru certificate must not be altered n any manner; return to the office of the Board if [ncorre-, ...... ? P7 ....... {;; }~/!: : C0PYFO~ ~ILDINGDEPARTMENT, THI~CO~O .C R~!Fi~ ~E . T/Q~ : ~ .. ED/NAN~ANNER, FIELD ~IN S?.~C TION DATE COMMENTS FOUNDATION ( 1 st ) --------- ROUGH FRAME & PLUMBING , INSULATION PER N. y'. .... STATE ENERG~ .... ~o~ , C~~ ,, ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFF/CF. OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOI,D. N.Y. 11971 November 27, Mr. & Mrs. Ronald Schneider 17 Cord Lane Levittown, New York 11756 1987 TEL. 765-18O2 To Whom Th.Jrt May Concern, We are unablo, no complete your Certificate of O¢:cu[3,1ncy becalll3c .of [;he following reasons, /['[/ An application for Certificate of Occupancy i"., not on fi l ,.. /-/ 31~ 1ndcrwritcr$ Certificate on file, /'~ Thc ch(~ck is(outdate(l/~X~ZX~eturned herewith, please '- send in new check in amount of $25.00. /~ ~> ~k~alth qgpt. Approval on file. /._.[/ ?~(> final Jlll;p(~ci.J. orl has been made. lq~t,t,;e toni'act. ()ur office on this matter. Thank yom £or your cooperation, ***/~? ~Io Plumber solder Certificate on file. ( all p~rml, ts involving plumbing being issued after April 1,1984 ) ~ Occupancy or use is unlawful wi[hou~ a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank you. Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 May 1 I , Mr. & Mrs. Ronald Schneider 17 Cord Lane Levittown, New York 11756 Dear Mr. & Mrs. Schneider: 1987 We are in receipt of your application and check in the amount of $25.00 for your Certificate of Occupancy. We are still unable to issue the Certificate of Occupancy for the following reasons: 2 o We need your final board of health approval. (final survey stamped in green by the Board of Health) An inspection of the premises has to be made by this office. Kindly call this office at 765-1802 and arrange for an appointment. Thank you, Southold Town Building Dept. Georgia Rudder, Secretary COUNTY OF 5UFFOL,~ FACT SHEET LEAD IN DRINKING WATER SUPPLIES Sources of Lead Concentrations in Drinking Water Systems ' Use of lead ~older in new plumbing or in plumbin~ modifications to existing water supply piping. Lead is not a naturally occurring element in Long Island groundwater. Occurrences Lead is present in drinking water as a ~roduct of corrosion. The natural corrosiveness of Long Island groundwaters contributes to this process. Most pubtic water supplies in Suffolk provide chemical treatment to increase the water's natural pH, and minimize corrosion products, but no amount of treatment can produce a totally non-corrosive water. Studies indicate that after prolonged periods of water non-us~, lead co'ncentrations can be found in excess of Drinking Water Standards. This problem appears to be limited to newly installed internal water piping systems, or recently modified systems, in which lead-based solder is used. Lead is rarely detected in routine water supply surveillance. This fact is seen as indicating that, at a particular location plumbed with lead solder, this problem will diminish with time. The New York State Health Department concurs with this evaluation. Health Considerations Lead is a compound which is accumulated in the body. Humar~ intake can be expected to occur through many environmental sources, including water. Recommended Action In order to minimize lead occurences, the following steps are recommended: Particularly in new or recently modified plumbing systems, users should be encouraged to flush the water line for a period of at teast two minutes prior to consumptive water use. This is particularly necessary after prolonged water non-use, such as the overnight period. Memorandum from.. , . BUILDING INSPECTOR'S OFFICE TOWN OF $OUTHOLD TOWN H^LL, SOUTHOLD, N. Y. 11971 765-1802 May 11, 1987 Mr. & Mrs. Ronald Schneider 17 Cord Lane Levittown, New York 11756 Dear Mr. & Mrs. Schneider: We are in receipt of your application and check in the amount of $25.00 for your Certificate of Occupancy. We are still unable to issue the Certificate of Occupancy for the following reasons: We need your final board of health approval. (final survey stamped in green by the Board of Health) An inspection of the premises has to be made by this office. Kindly call this office at 765-1802 and arrange for an appointment. Thank you, Southold Town Building Dept. Georgia Rudder, Secretary TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR 1'.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to mdvlse you that the job under building permit no. 13474Z_ issued to Ronald Schneider on __~_Q/18/84_ for New Dwellin~ is completed a final inspection has ( ) has not ( x ) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is ani. awful without a Certificate of Occupancy. Please. help us to clear up thi~ matter so that legal action does uot have to be taken. Thank you for yo,r prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar cncl. t.j Environmental Engineers & Scientists HOSZMACHER, McLENDON and MURRELL, P.C, 575 BROAD HOLLOW ROAD, MELVILLE, NEW YORK 11747 (516) 694-3040 SOURCES · WATE-R SUPPLY & TREATMENT * SEWERAGE & TREATMENT · AQUATIC & MARINE ECOLOGY TIME DEL STUDIES · PILOT PLANT STUDIES · WATER/WASTE WATER LABORATORY ANI~ ANALYTICAL SERVICES COL. BY NAME AND ADDRESS DATES' COLLECTED RECEIVED 05/07/~5 0A/07/85 HARRY G0~.PMAN ~,IATER HA~N RO ANALYSIS ' MATTITHCK* NY iTION WELL OTHER (SPECIFY) ~ CODE tDATE RESULT r (units) iddy (umts) Cold Hot ganese (rog/I) [09reph '-- Tdratlon ride (rog/I) ~oma (mg/I N) ANALYSIS PREMISES OF SAMPLING POINT RONAI ~ SCHNFTY~FR :t225 GIN L, ANE~ SOUTHOL]~1 POINT OF COLLECTION: C,~ F ROUTINE RE-SAMPLE SPECIAL COMPLAINT ONLY . 03 TEST RESULT TEST RESULT Alkahmty (mg/I CaCO~) ~ Phosphate (mg/l P) Phosphate (mg/I P) MISCELLANEOUS Test Code Result Copper (rog/i) ~ 1 Aclddy ) 6 (mg/I CaC03) Sodium (rog/I) Magnemum (mg/I) Nitrates (mg/I N) Chemlcat Oxygen Demand (rog/I) Chlorides (rog/I) pH Sohds (mg/J) Cond. (,umhOS) --) t ;s WATER RUNNING FACTORYt RESULTS REPORTE]) MEET N,Y,~, + IJ·S'· ORTNKTNR WATFR STANTIAF?~S~ ~'URE S.C, McLENDON TITLE LABORATORY DIRECTOR DATE REPORTED x:/1.0/85 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. [ ] FOUNDATION AND [~]~NsuLATION [ ] FRAMING REMARKS: ~//~ FINAL INSPECTOR~ 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ~]/ROUGH. PLBG. FOUNDATION ZND £ ] INSULATION [~J~'FRAMING [ ] FINAL REMARKS INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~i'ON [ ] FRAMING R~MARK$: / 'FORM NO. 1 ToWN OF souTHOLD BUILDING OEP AR'I'NIENT TOWN HALL sOUTHOLD, N,Y, 11971 TEL,: 765-1803 Received ........... ,19... ~pproved' ........ )isapproved ale · ~ ............. '~' ..... ~ ' ' ' ' (Building Inspecto ) APPLiCA~-iON FOR BUt LDING P ERNIIT Date · '/~' ...... 19 INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to tl~e Building Inspector, with 3 a. lot lan to scale. Fee accordi~n.g to schedule., relationship to adjoining premises or public streets sets of plans, accurate p P . and of buildings on premises, - -~- ~ .... m which is part of this apph- b Plot plan si~owing location of 1.ot ..... ut of ~roperty must be arawn on uL~ -.-5-- . or ar;as, and giving a detailed descriptzon o[ tayu ~ ' menced before issuance of Building Permit· cation. · lication may not be corn . . · · rmit to the applicant. Such permit ~ The work covered by this ,a.pp ...... ..m~,,, Insnector wall ~ssued a Building Pe ~'. ~jpon approval of this appucar~on, tn~ ~,- ..... ~ ~ part for any purpose whatever until a Certificate of Occupancy shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building permit pumuant 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 iD comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on preraises and in building for necess~~~ .............. · : ' '~'~' 7.:,]'~,* ,,~ name· i~ ~ corporation) (Signature of applicant, or · ')(' ' ' ' State whether applicant is ~essee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... r i If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... ~. Plumber's License No...'~.~. ' '{ t Electrician's License No. df ~j ...... s License No ........ Other Trade' · ............ i of land on which proposed work will be done ........... ./~../.. · Location ~/~. ~.~ .. [ .~.~.. ~//.~. "/"' Hamlet Street .~", ' House Number .~. Lot · ./.~. ........... .. . ....... l.:'- ...:. County Tax Map No. 1000 Section · .~?.. . ~ Block ~ .~.ff.~ Filed Map No. . .... Lot.. Subdivision ....... [t ' (Name) - 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .............. b. Intended use and occupancy · · · Z. 3. Nature of work (check which ' ' applicable): New Building ... Addition .......... Alteration .......... Repair ............... RemOval .............. Demolition .............. Other Work ............... 4. LstimatedCost ...... /. · . Fee .~'~ . ~ *" (to bo 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 structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nunlber 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 ............... Nun~ber of Stories ........................................................ t %.0 ' R I .c.~Q Depth I'~ 9 Si ell t F ' · ge o i rent ....... , ........... ear ............................ , ....... 10 !)ate o'fPurchase .. ................ Na,[ae of Former Owner 11. Zone or use district in which premises are situated ...... I.q-¢~..., ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation! ................................ 13. Will lot be regraded ..... J/N0,! ................... Will exce~s fill. b,e removed from premises: Yes 14. Name 9f Owner of premises., ! ................ Address ..... ~. · .~f~. · .: ..... Phone No.'~.~.:. ~.7./.f.... Name of Architect ......... , ................. Address ................... Phone No ................ Name of Contractor ........ ~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate :clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property likes. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF ~E~RK. ,. COUNT~... above named. S.S 'lng contract) being duly sworn, deposes and says that he is the applicant He is the ..................... ? ..... ~ ............................................... (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 contlalned 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 .......... /. . . . .. . :day o, .... . . . ., l .' Nota 'tv Public ................. , , IiOTAIW I~itle. I~_ Il Ni~ ya41 Ld U ~' d