HomeMy WebLinkAbout14934-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14486 Date June 6
............................................... , 1986
THIS CERTIFIES that the building ........ g .n.c..f.a..m.i.13.' .d.w.e.l. 1. ~.ng... ................
Location of Property/~3,)sb ~oi ' 9.5.5.. ~9.u.n. qty.i.e.w. Rp.a.d. . Orient
" '~'t/eb, ....................... h~,~iel
County Tax Map No. 1000 Section . 0.1.5 ........ Block ....3 ........... Lot ...1.2 .............
Subdivision .OriBJat. 137..Sea=Sec..#A ...... Filed Map No...27.7.7...Lot No...2.3. .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· June 2 198.6.. pursuant to which Building Permit No. 14934Z
dated .... J.u..n.c..4. ................. 19.8. 6,. 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. .d.w.e.1..1.i.n.g.:
The certificate is issued to VIVIAN AND DONALD SONNENBORN
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ...... N./..A .................................
UNDERWRITERS CERTIFICATE NO .............. N./..A .................................
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PER.MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTkIORIZED)
Permission Js hereby, grant.eFta:'
.~.~.~...~.~.....8...~..~
at prem,ses,~ated ot...~.~.-.*5 ....... .~.~.~.~ ........ ~~ ..........................
County Tax Mop No. 1000 Section ..... .~).?..~ ...... Block ...... .O.....~. ....... Lot No .....!...~/. ..............
to application doted ........ ~....?..: ...................... , 19..~.,~, and approved by the
pursuant
Building Inspector.
tar
Rev. 6/30/80
FOUNDATION (1st)
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
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 m Imam~mm 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 sifnilar 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty 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 requ ired to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.0 0
3. Copy of certificate ot occupancy $1.00
4.Vacant Land C,O. $5.00
5.updated C.O. $15.00 Date .o June, , 1986
New Building ............. Old or Pre-existing Building X Vacant Land
Location of Property Soundview Road, Orient, N.Y.
House No, Street Ham/et
Vivtan and Donald Sonnenborn
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section 015 Block 3 Lot 12 .
Subdivision Orient-By-The-Sea, Sect. 1 ..... Filed Map No. 2777 .Lot No. 23
Permit No ........... Date of Permit .......... Applicant ...Vj¥i.a.n...a? .d . .D o. n?. .l d. . .S o, .nn.e.n,b,?r. ,n ....
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......... .~ ............
Construction on above described building an/~-~mit meets ;l~p~a _plicable codes and regilations.
Applicant..~~. ?~.~,..2-~:~. .......................
Rev. 10-10-7S
132 Brewster Road
Scarsdale, N.Y. 10583
June 2, 1986
Mr. Victor Lassard
Executive Administrator
Town of Southold
Building Department
Town Hall
Southold, N.Y. 11971
Dear Mr. Lassard:
In accordance with our telephone conversation, enclosed
please find my application for building permit, application
for certificate of occupancy, copies of my 1982 survey and a
copy of the plan that the prior owners once furnished me.
The only information that is missing from the certificate of
occupancy is the permit number and the date of permit. I
would appreciate it if you would complete that information
when the building permit is issued. I also enclose a blank
check to cover the fees for the certificate of occupancy and
the building permit. Thanks again for your cooperation in
resolving this matter. If you wish to inspect the house, the
door to the workshop next to the garage is open and there is
a key to the front door ~underneath a rock next to the steps
leading up to the side door (which is right next to the
garage). There is a hatch in the large bedroom that leads to
the crawl space.
Very t~,y yours,
Donald E. Sonnenborn
cc: Helen DeVoe
132 Brewster Road
Scarsdale, N.Y. 10583
June 2, 1986
Mr. Victor Lassard
Executive Administrator
Town of Southold
Building Department
Town Hall
Southold, N.Y. 11971
Dear Mr. Lassard:
In accordance with our telephone conversation, enclosed
please find my application for building permit, application
for certificate of occupancy, copies of my 1982 survey and a
copy of the plan that the prior owners once furnished me.
The only information that is missing from the certificate of
occupancy is the permit number and the date of permit. I
would appreciate it if you would complete that information
when the building permit is issued. I also enclose a blank
check to cover the fees for the certificate of occupancy and
the building permit. Thanks again for your cooperation in
resolving this matter. If you wish to inspect the house, the
door to the workshop next to the garage is open and there is
a key to the front door underneath a rock next to the steps
leading up to the side door (which is right next to the
garage). There is a hatch in the large bedroom that leads to
the crawl space.
Very t~y yours,
Donald E. Sonnenborn
cc: Helen DeVoe
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved ..... 19 ,¢ Pe itNo,
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date . .4 .v~.e. .2. ........... 1986.
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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspectSegs. ,~
(Signature of applicant, or name, ir a corporat on)
~32 Brewster Road
Scarsdale, N.Y. 10583
........ .......
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner .......................
Name of owner of premises ... Ui,~an. S.. and. Donald. E,. Sonnenborn .....................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Build.er's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
.......... 9..g? .... ................... ..... ..............
House Number Street Hamlet ,. ........
County Tax Map No. 1000 Section ... 015 Block 3 Lot .,-'~'~j .1,.2.-i .'~ ~...'i,,i~.
Subdivision .OT.~.e.n.tz.BY: .Ti3..eT.S.e.a,. S..e.c.t$.op..1 ......... Filed Map No... 2777 ........ Eoe .23.7.¥. }.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construCho :
a. Existing use and occupancy ..... .S~.ng.l.e..~..a~.' .ly..cky..e.l.l.~.ng ..........................................
b. Intended use and occupancy ....................................................................
3. Nature of work (check which applicable): New Building .......... 'Addition .......... Alteration ........
Repair ~ ~ Removal Demolition Other Work
(Description)
4. Estimated Cost ......................... Fee ...................
(to be paid on filing this application)
5. If dwelling, number of dwelling units one Number of dwelling units on each floor.
If garage, number of cars .... l.ane ................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: FrontqeO .al;l;achqql... Rear .............. Depth ...............
Height ............... Number of Stories .... p. 1.~gLt. ................................................
Dimensions of same structure With alterations or additions: Front ................. Rear ..................
' Height Number of Stories
Depth ................... ~'. ...............................................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
u~:ght Number of Stories
9. Size 0flot: Front ...I. QQ ....i ............ Rear ..... ].QQ .............. Depth 2fiC~ .See .auruey..attached
10. Date of Purchase . fl.q..v~.e.r...],,..]~9.8.2. ........... Name of Former Owner .............................
11. ~ Zonei or use district in which premise~q are situated ~. .Res.~d.~35,a.~. ....................................
12. Does iproposed construction violate any zoning law, ordinance 6r regulation: No
13. Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes No
Name of Owner fnremisesS°Ir~ as..a~.qv.e. .Ad ess Sram as above h~,~w (914)472-2285 &
14. o ~ · ............... dr ................... P ....... o ................
e chit I (212) 735- 89/*3
Nam of Ar ecl ........................... Address ................... Phone No ................
Name of Contractor ........ ! .................. Address ................... Phone No ................
15. Is this property located within 1.00 feet of a tidal wetland? * Yes ..... No .x....
· If y.es, Southold Town T~ustees Permitmay be required.
i , PLOT DIAGRAM
Locat~ clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from
property l~nes. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK,
· ,. .... IXmald .E...SqrlrlerlhQrrl.; ..................... being duly sworn, deposes and says that he is the applicant
(Name of individual si~ning contract)
above named.
(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
appl)catioh; ihat ~iil statements corttained 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
' 2nd ~ ,~ June .~86
~' No. 31-4510692 [~lgnamre oiappllcam)
[' ~0alffiod in Now York County
~ommissJon Expires March 30, 1987