HomeMy WebLinkAbout15980-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~umANCY
No Z-23495
Date FEBRUARY 15, 1995
THIS CERTIFIES that the bulldin~ ALTERATION
Location of Property 11085 SOUNDVIEW A~NUE
House No. Street
County Tax Map No. 1000 Section 54 Block 5
Subdivision Filed Map No.
SOUTHOLD~ NEW YORK
Hamlet
Lot 38
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this off~ce dated APRIL 29~ 1987 pursuant to which
Building Permit No. 15980-Z dated MAY 11~ 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate
~ssued is ALTER 1ST AND 2ND FLOOR OF GARAGE INTO BABITABLE ARE~
ATTACR~ TO EXISTING ONE FAMILY DWELLING (2 BEDROOMS & BA'r~U{OOM)
AS APPLIED FOR.
The certifIcate is issued to
VINCENT & RT.R~NOR CARNAGIE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-799003 - MARCH 18f 1988
AUG. 6{ 1990 - VINCENT CARNAGIE
/yBuit~ing Inspector
IFOBM NO. 0
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)
Ne 15980
Z
County Tax Map No 1000 Section .................... Block ...................... Lot No ......................
pursuant ,o applicotion dated .. ~.....~...~r. .............. , 19..~..ff.., and approved by the
Building Inspector.
Fee $~...'....,'~,.,. .....
Building Inspector
Rev. 6/30/80
Form No. 6
BLDG DEPT
__TO~N OF SOUTHOL[', AgPLICATION FOR CERTIFICATE OF OCC~ANCY
This application' must be filled in by t~ewriter OR ink and submitted to the building
inspector with the following: for new buildmng or new use:
I. Final su~ey of property with accurate location of all buzldfngs, property
streegs, and unusual natural or topographic feacures.
Fi~l Approval from ~ealtk Dept. of water supply and sewerage-disposal(S-9 f~)
3. Approval of elecgrical installation from Board of Fire Underwriters.
4. Swor~ state~ent from plumber certifying that the solder used i~ system
less than 2/10 of IZ lead.
5. Co~ercf~ build.g, industrial building, ~ltiple residences and s~ilar buddings
and installations, a certificate of Code Compliance from architec~ or engineer
responsible for thm building.
6. Submit Plannzng Board Approv~ 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, buzlding and
unusual natural or topographic features. '"
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate o~ Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwellmng $25.00, Swzmmlng pool $25.00, Accessory buildzng $25.00,
Addztlons to accessory buildmng $25.00. Busmnesses $50.00.
2. Certificate of Occupancy on Pre-exzstzng Buzldmng - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Cercifzcate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... / L f f :. .f .~. . . .......................
:few Construction ........... Old Or Pre-existing Building....~.. ..........
. :~ ~'Z%_, ~. /) If t
~ocation of Frop erty.. 4£~.~.~.. . ..¢..~.~.~. ~ ~ ( ~. .~. . . .0.~. ~.-'7 .... ~. ..... '.~. ~. ......... ~.?~. . .
House No. Street Ham-let
Onwer or O~ners of Property.~V.~ .~C(---...~. ~.~.A..~a~..~..~.c:.q ...............
County Tax ~p ~o lO00, Section........., ..... Bloc~...~..-,.. ...... ~o ..... .. ..........
Subdivision .................................... Filed Map ............ Lot.~ ....................
[{ealth Dept Approval Underwriters Approval "
Planning Board Approval ~- -
Request for: Temporary Certificate ........... Final Certicate ...........
OUNDATIO~
(lstl
OUNDATIO:~ (2nd)
OUGH FRAME /
PLUMBING
NSULAT!ON PER ~
STATE ENERGY
CODE
FI~!AL
ADDITIO~AL CO~MENTS:
Town of Southold
Building Dept
Southold, N. Y. 11971
ATT: Mr. Gary Fish
Vincent Carnagie
11085 Soundview Ave.
Southold, N. Y. 11971
(516) .......
RE: Building Permit
15980 Z
Dear Mr. Fish:
Attached is the floor plan and layout for converting the
existing garage area, at the above address, into an area to serve
as family room, TV room, library, and game room.
BARBARA STIEPNCqA,'~'I
Nolary Pubr~c, S~e o~ t'Jew Yo~k
No. O1S74344752
Sincerely
\
Vincent Carnagie
Vincent Carnagie
llg~5 Soundview Ave
Southold N.Y. 11971
RE: Building Permit 15980 Z
Layout and floor plan for existing garage area
/o >
Town Hall, 53095 Ma~n Road
P O Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 5, 1995
Mr. Vincent Carnagie
Apt. A-11
11085 Soundview Avenue
Southold, NY 11971
SECOND NOTICE
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) **
xx 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 # 15980-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED.
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 72E
TOWN fIALL
$OUTItOL~), N.Y. 11971
August 2~, 1990
TEL. 7(;5-1802
VINCENT & ELEANOR CARNAGIE
11085 SOUNDVIEW AVE.
SOUTHOLD, NEW YORK ]]952
TO Whom This May C09cern,
Wa are unable to complete your Certificate
of Occupancy because.of the fol!owlng reasons.
/--//An_ application for Cert&ficate of Occupancy
is not on file. (ENCLOSED)
/_~ N~ Underwriters Certificate on file.
/~f~ The check is(o~/not on file.) $25.00
/Z/ No tlealth Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~1 I 5 9 g 0 Z
Buitdinq Dept.
***/~No_ Plumber Solder Certificate on file.
( all permits involving plumbing beinq
~ssued after April 1,1984 )
NOTE: PERMITS REQUIRED FOR SHEDS & DECK.
APPLICATIONS ENCLOSED.
llllltllllllllllllllllllllllllllllllllll III1111111111111111tll IIItlllll!l] lilt nli.nlllllllllllllllllllllll I, IIIIIIIIIIIIIIlllllllllltltlltllllltllt
TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P-O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 1197l
TEL. 765-1802
CERTIFICATION
Date
(please pr=hr )
(pleasa print)
I ccrt!~y that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(pluulb¢='S signatur~ I,/9'~'-
SWorn to before me this
·
~lotary Publlc~,~/~ County
Notary Public
WILLIAM J. JACOBS
BUILDER
Depot Lane
Cutchogue, N.Y. 11935
VINCENT CARN,~GiE"
]1085 SOUNDVIE~V AV~:.
6OUTHOLD, N.Y. 11971
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING r~FI NAL
DATE
INSPECTOR
BUILDING DEPT.
INSPECTION
FOUNDATION ].ST [ ]/~/ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
/
/FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [/~INSULATION
[ ] FRAMING
REMARKS:
FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]/~NDATION 2ND [ ] INSULATION
[,~ FRAMING £ ] FINAL
Approved
Dmapproved a/c ..
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
gOUTHOLD, N.Y. 11971
TEL.: 765-1802
.ti .. , 19g.? Perm~tNo. I ~/. ~0 .~.
BOARD OF HEALTH ......
3 SETS OF PLANS
CHECKSURVEY
SEPTIC FORM
NOTIFY
CALL -- 73-~--~----~-~Y
MAIL TO:
(Budd'h~ Inspector)
APPLICATION FOR BUILDING PERMIT
IN ST RUCTION S
Date .
a Tins apphcatlon must be completely filled ~n by typewnter or ~n ink and submitted to the Buildmg Inspector, wi,
sets of plans, accurate plot plan to scale· Fee according to schedule
b. Plot plan showing location of lot and of buildings on premmes, relationship to adjoining premmes or pubhc str
or areas, and g~vmg a detatled description of layout of property must be drawn on the diagram whmh ~s part of thru al
cation.
c The work covered by ttus apphcat~on may not be commenced before msuance of Buildmg Permit
d. Upon approval of tins apphcat~on, the Building Inspector will ~ssued a Bufldmg Permit to the apphcant Such pet
shall be kept on the premises available for mspectmn throughout the work.
e. No budding shall be occupied or used ~n whole or ~n part for any purpose whatever unhl a Certfficate of Occupa
shall have been granted by the Budding Inspector.
APPLICATION IS HEREBY MADE to the Bmldmg Department for the msuance of a Bmldmg Permit pursuant to
Bmlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance
Regulahons, for the constructmn of buddmgs, ad&Irons or alterahons, or for removal or demohhon, as here~n descnl
The apphcant agrees to comply w~th all apphcable laws, ordinances, buil&ng code, housing code, and regulatmns, an,
admit authonzed inspectors on premises and m budding for necessary mspech?ns.
.....
(Sh, natore of applicant, or name, ff aVcorporatlon)
(Marling address of apphcant)
State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmh
O- .......
Name of owner of premises ~/'
(as on the tax roll or latest deed)
If apphcant m a corporatmn, mgnature of duty authorized officer
(Name and t~tle of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's L~cense No .....
Plumber's L~cense No ......
Electrlclan's License No
Other Trade's L~cense No
Location of land on winch proposed work wall be done
-
House Number Street
County Tax Map No i000 Section (~} ~'~
Hamlet
Block tD .-~ .. Lot
3o°
2
Subdwlsion Filed Map No .... Lot
(Name)
State ex~stmg use and occupancy of premmes and ~ntended use and occupancy of proposed construction
a. EmsUng use and occupancy /~.---~ / 25 ~'4,(7"/,d~t f... ....
b Intended use and occupancy
3. Nature of work (check which apphcable) New Budding
Repmr . Removal .
4 Eshmated Cost ~.C}.O. t~ . .
5 If dwelhng, number of dwelhng units
Add~tmn .. Alteratmn ~
.... Demolition ...... Other Work .....
(Descnpt,on)
· . .. Fee .. ...... ... .. · . .. ....
· (to be paid on filing this apphcatmn)
· / ...... Number of dwelhng units on each floor ............
If garage, number of cars .................................
6. If business, commercial or mined occupancy, specify nature and extent of each type of use ~ . .........
7. D~mensions of ex~stmg structures, if any Front. . . Rear ......... Depth
Height .. Number of Stones ....................
Dunens~ons of same structure w~th alterations or add~hons Front ........ Rear ........
Depth ........ Height ....... Number of Stones .....
8 Dnmensmns of entire new construchon Front .... Rear .... Depth
Height .... Number of Stones .................................
9 S~zeoflot Front . .~.~: .... Rear . I !O ' Depth ~9/7
10. Date of Purchase .................. Name of Former Owner ..............
11 Zone or use district ~n which premises are mtuated .............................
12. Does proposed construction wolate any zorung law, ordinance or regulation ...................
13. Will lot be regraded ............ Wilt 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 .............
No .....
15. Is th~s property located withmn 300 feet of a tzdal wetland? *Yes .....
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buddings, whether ex~stmg or proposed, and. mdmate all set-back dn'nensmns from
property hnes Gwe street and block number or descnptmn according to deed, and show street names and indicate whether
~ntenor or corner lot
~TATE OF NEW YORK, S S
:(~UNTY OF ........
(Name of individual agnmg contract)
ab%ye named
being duly sworn, deposes and says that he is the applicant
{e is the ........................
(Contractor, agent, corporate offmer, etc ) ~,~. ~ ~'
>f smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file flus
~pphcatmn, that all statements contmned m this apphcat~on are true to the best of h~s knowledge and belief, and that the
,york will be performed m the manner set forth m the apphcahon filed therewith
gworn to before me this
......¢7 .... dayof
Pubhc, %...P: ......
I&'m F. xp~es Ma~ch 30, :' ,
County t r - '~ "'; ,
(Slgnatur~of apphcan;