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HomeMy WebLinkAbout13096-zFORM NO o 4 TOWN OF SOUTHOLD BU%LDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20579 Date MARCH 10, 1992 THIS CERTIFIES that the building. ALT~tTION Location of Property 180 SOUNDVIEW AVENUE House No, Street County Tax Map No. 1000 Section 67 Block I Subdivision Filed Map No. PECONIC, N.Y. Hamlet Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20~ 1984 pursuant to which Building Permit No. 13096-Z dated MAY 7~ 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 ENCLOSE EXISTING PORCH OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-823880 - JULY 30~ 1987 PLUMBERS CERTIFICATION DATED N/A WILI~RD P. & VIOLETTE G. LISTING Rev. 1/81 Bu~ing InJpec~or Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , - 9 1992 - APPLICATION FOR CERTIFICATE OF .... ~=,~o, ................ '~ ..... 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 bu%lding, 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $2~]'~--~--~u'~'~'~2~.~0, 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ........ House No. Street Hamlet Onwer or Owners of Property ..... ~ .... ' ....... ~. ~.. .-. ~ J.~ ........ County Tax Map No 1000 Section ' Block Lot Subdivision .............. Filed Map . ..Lot .............. /~ 9~- ~ ~%~ ~J. ~ Applicant Permit No Date Of Permit Health Dept. Approval........ .............. .. . . Underwriters Approval ............. .. . ........ . Planning Board Approval ....... Request for: Temporary Certificate .... Final Certicate ........ Submitted: ..... ...... · ' ...................... CO ~0527 . APPLICANT~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1OQ$~ THIS CERTIFIES THAT only the electrical equipment os described belouv and introduced by the applicant named on the above application number iR the premises of in the following location; ~ Basement ~ Ist FI. ~ 2nd FI. Section Block Lot ~s exami~ed on ~l.~ ~0 ~ :[~ and found to be in coo pliance ~'i~h the require,tent,~ qf this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES ~t UORESC~t'l? DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS ,INIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT $ E R V I C E A'W G NO. OF HI-LEG A.W G A W G ~O OF NEUTRAtS Gary. Doroskt 42- 'DMonaell L~ne Cutcho~,~ ~ N,Y, 11935 LLc. 2941~ This certificate must not be altered in any manner; return to the office of the Boatd if incorrect. COPY FOR~BU LD NG DEPARTMENT. may be by their credentials. FOUUDAT ~ON ( 1 s t ) FOUNDATIOfl { 2nd ) 2. ROUGH FRAME & PLUMBING IUSULATION PER N. STATE ENERGY C,ODE FINAL ¢,DDITIONAL COMMENTS INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or Bt*ilding I~spector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 24, 1992 T~IRD NOTICE Willard P. Listing P.O. Box 110 Peconic, N.Y. 11958 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 % 13096-Z - ADDITION Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. * NOTE: THE ABOVE BUILDING PERMIT HAS EXPIPR~ AND'YOU ARE IN VIOLATION OF THE CODE OF THE TOWN OF SOUTHOLD. PLEASE SUBMIT YOUR CHECK IN THE AMOUNT OF $25.00 ALONG WITH THE CO TOWN OF $OUTHOLD OFf:ICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL $OUTIIOLD, N.Y. 11971 FEBRUARY 21, 1991 VIOLETTI G. LISTING 180 SOUND VIEW AVE. PECONIC, N.Y. 11958 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /2/ An application for Certificate of Occupancy i~ not on file. ENCLOSED No Underwriters Certificate on file. Tile check is(~/not on file.) $25.00 /5/ No Ilcalth Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit # ! 3 0 9 6 Z ADDITION MAY 7, 1984 Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy is not on file. /~-' No Underwriters Certificate on file. /~ The check is(outdated/~ot on fi1~.)$25. Oo /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation.. ,t of Building Permit # Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) O~cupancy or use is unlawful without a Certificate Occupancy. Clear up this matter as soon as possible that legal action does not have to be taken. Thank you for your prompt attention. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN I1ALL SOUTHOLD, N.Y, 11971 TEL. 765-1802 This permit no. on __5~7/84 a final inspection ho~ ( In order to complete thi~ n Certificate of Occupancy be enclosed form, retorn same to for $25,00 payable to the Town is to advise you that the. job under building 13096Z issued to ViollCte Listing for Addition is completed and ) has not ( x ~-been done. file, it is necessary that issued. Please fill out the the above office with a check of Southold. Pleese indicste to Whom the Certificate of Occnpancy is to be mailed, and arrange with this office for an inspection date Occupancy or nsc is nnlawful without a Certificate of Occupnncy. Please. help us to clear np thi~ matter an that legal action does not have to be taken. Thank you for yo,r prompt attention. Very truly ~y~, Victor Leeward gxecu~ ive Administrator VL:gnr encl. % FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;~ Approved .... .~..'?~.~.4~ :1., 19)?J. Permit No. J.~. ?.~..(o..~ Disapproved a/c .................................... ' 19 Received .......... , · · · (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and subruitted to the Building Inspector, with 3 1 sets of plans, accurate plot plan to scale. Fee according to schedule. 1 b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streetsl 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, housing code, and regu.lation~, and to admit author[zed inspectors on premises and in building for necessary inspections, j~t._ /j ~ ,- (Signature of applicant, or name, if at~orporation) (Malting address or applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....e. / .... ,vzZ. ..................................................... of owner of premises .... .................................... (as on the tax r611 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ..................... 1 ~ (~t~ / ,~/b~itr: tg/ /q f~*--/ 1. Location of land on which proposed work will be done ..... ILJ.~F/~'f.2.6./...(,~Tq~.~. e...P'~.~£/. · ........... . ..... House Number Street Hamlet County Tax Map No. 1000 Section .0.~.7 ........... Block ..l .............. 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 ....... ~. ~/]e~....~.d~ ...................................... b. Intended use and occupancy ...... ~F..4. t'2~...4~&}-... ~.~j,.lff. .................................... 3. Nature of work (check which applicable): New Building .......... Additio,~.z,~'~z~'l~' ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work. ~. ~O~... (~$¢ /.¢., e~c/c~Tru~: ~eJ~ (Description) 4. Estimated Cost ..... ./.~.O~.?z ??. .................... Fee ,I (to be paid on filing this application) 5. If dwelling, number of dwelling ~mits ............... Number of dwelling units on each floor ............. If garage, number of cars ......................................................................... 6. If business, commercial or mixer occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure :, if any: Front ............... Rear .............. Depth..~ ............ Height ............... Num ~er of Stories ........................................ ~/.,/ ........... Dimensions of same structure wi :h alterations or additions: Front ................. Rear .................. 10 ........ II ........ 12. ..: .... 13. ~ Will excess fill be removed from premises: Yes 6No) 14. Name Of Owner of premises ...i ................. Address ................... Phone No ................ Nane of Architect ........ I ................. Address .................. Phone No ~'~'~ ~'///~$~J.A~,-./J"~lo,¢,./. Address ¢.:~/~0.~0( .PhoneNo. Name of Contractor .' .. ' " ' .......... 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. Depth ...................... Height ..................... Number of Stories ........ Dimensions of entire new constrtction: Front ..... ~.O7.. i... Rear ............... Depth Height ............... Num )er of Stories ........ ~'./.) ............. ~ ....................... Size of lot: Front ........... , ........... Rear ...................... Depth .............. Date of Purchase .............................. Name of Former Owner ..................... Zone or use district in which premises are situated ............................................. Does proposed construction violate any zoning law, ordinance or regulation: ........................ Will lot be regraded STATE OF NEW YORK, COUNTY OF ................. ' gd ly d th i th ppli ............................ , .................... bein u sworn, eposesand says at he s ea cant (Name of individual sighing contract) above named. He is the ..................... I ................................................................... ~ (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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann6r set forth in the application filed therewith. Sworn to before me this FLO©'-% "'~'L A ~) , t: ATE' ,~,,~_~/~ .B.p. ~ ~_~ ~_ D -- 2 ' ~ N~L~ FEE'~, - NOT FY Rr PIt nlNG DEP~ AT 7&5- 8P2 9 AM TO 4 PM FOR THE