HomeMy WebLinkAbout14583-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ....SO. hA..g. AD.9. .~ %.I.q N. ............................
Locatioll of Property 1720 Leeward Drive Southold, New York
h3ds$ >vol ....................... g}r'e$1 ............................
County Tax Map No. 1000 Section 079 ...Block 07 .Lot 43.2
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .J.a..nF.a.r.y...2.3.:..1.9.8.6. pursuant to which Building Permit No...1.4.5..8.3. Z .
dated ...~ e..b.r.u.a.r..y i .2.8. ,...I .9.8. 6. ..... was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
SOLAR ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to .... STANLEY & MARGARET BROWN
................. ?o¥,'e;. ....................
of the aforesaid building.
Suffolk County Department of Health Approval N /A
UNDERWRITERS CERTIFICATE NO. I'1008957 - April. 7, 1988
U/A
PLUMBERS CERTIFICATION DATED:
Rev. 1/81
FOB, M NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14583 Z
County Tax Mop No, 1000 Section ...... ..~...~...,~ ....... Block .... ...~..,.-J. ......... Lot No...,.~..~.:.,,~,. .......
pursuant to application dated ....~...~'~'~.~.,..-~...~. ............. , 19.$..~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
LICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted l~ 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 featu res.
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~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 required to prepare a certificate.
C. Fees: 1. Certificate of occupancy New Dwelling,S25.00, Accessory ,,$ ~0.O0 Business $50.00
2. Certificate of-occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date .....
NewConstpuc%ion ...... Old or Pre-existing Building . ~ ....... Vacant Land .............
Location of Property I~.%.0. (.,,.P,.~:,,,~ 9,,~ .~.~, ;,¢ ~., ....
House No. ,~. **'*~1 J..--* ~**~ Street~'~ ~ b/am/et
or Owners of Property .,.2-.~4 ~.. ,,..~ .,8,'C~2y-A-.~... ~ ....... , ................
Owner
County Tax Map No. 1000 Section ... ,-7.c~ ......... Block ..... ,'~ ........ Lot...~, .Z., .~. .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit NO./~. ~.4~..A. Date of Permit .~./'.~.~./~..C..Applicant...~ .~.~..
Health Dept. Approval ........................ Labor Dept. Approval ..................... . ..
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted.~(~c~.....?~5~O..° .........
Construction on above described building and permit meets all applicable codes and regulations.
ApplicanL~?yt~ · ~ ...................
Rev, 10-10-78
· OOT~IDE
was .xaml.ed on r~ ~ ~ o,.~ and found to be in co.,pllan~ with the ~qulrements of th~ ~rd.
RXT~ b~ ~l~ ~KS O~NS W W~& ~T FANS
I I
I I BI
OTHER APPAIATIJS:
T~ERMOSTAT FOR CONTROLL-I
G & G ELECTRIC
PoO.BOX 885
SAG HARBOR , NY, 11963
Im This cerlificate must not be ahered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT'BE ALTERED IN ANY MANNER.
TEL. 765.18O2
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLD, N.Y. 11971
October 22, 1987
Mr. & Mrs. Stanley Brown
1720 Leeward Drive
Southold, New York 11971
Re: Building Permit #14583 Z - Addition
Building Permit #15072 Z Deck
To Whom Phis May Concern~
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
/~/ An application ~,or Certificate of Occupancy
is not on file.
~ No Ujindeuwriters ~Ce~L~ficate ~ file. B.P. #14583 Z
/]~/ Tile check J.s (~n~xlB%~rx~%%%K~) Returned herewith. Please
Submit new check - $50.00
/-~/ NO llealth Dept. Approval on file.
/~/ No final inspection has been made.
Please contact our office on
Thank you for your cooperation.
Building Permit ~ g
Building Dept.
***/~/ No Plumber Solder Certificate on file,
this matter.
issued after April 1,1984 )
~ Occupancy or use is ~nlawful without a
of Occupancy. Clear up this matter as soon
so that legal action does not have to be
Thank you for your prompt attention,
Certificate
as posslhlc
taken.
all permits involving plumbing being '
BUILOING DEPT. COPY OF APPLICA't'ION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
STREET AND NO. OR
LOT
FROM THEIR OFFICE
IWORK
IS NEW~'~AOOITIONAL[~
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
DEFECTS
REMOVED[]
No. of Fixtures & BRANCH
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES
MUST DE FILLED lin OR APPLICATIOR MAY 8E RETURNED:
PRINT NAME AND ADDRESS
STRE[T ADDR~ [ ' ~ "~
~6 E. (,~., RATE ~PPLICA~ION~MU BE FILED FOR
TOWN OF $OUTHOLD
OFFICE OF BUll,DING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTItOLD, N.Y. 11971
October 22, 1987
TEL. 765.1802
Mr. & Mrs. Stanley Brown
1720 Leeward Drive :
Southold, New York 11971
To Whom This May Concern,
Re: Building Permit #14583 Z - Addition
Building Permit #15072 Z Deck
We are unable co complete your Certificate
of Occupancy because .of the following reasons.
C/
/?
/?
An application for Certificate of Occupancy
is not on file.
No Ur~f~K]erwri~_e]._~ Certificate on file. B.P. #14583 Z
'£he check is (~r~o0~xt, lrgx~i~l~g) Returned herewith.
No
Ilealth Dept. Approval on file.
final in,,[" ~ect, ion-' has been made.
Submit new check - $50.00
Plea,qec, ontac, t,
Thank you for your cooperation.
our office on this matter.
Building Permit # Z
Building Dept.
***/~/ Nc) Plumber Solder Certificate on file..
( all permits involving plumbing being
issued after April 1,1984 )
~ Occnpancy or use is unlawful without a Certificate
of Occupancy. Cie:ir up this matter as soon as possible
so that legal action does not have to be taken.
Th:ink you for yonr prompt attention.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. Ii 1971
March 24, 1987
TEL. 765-1802
Mr. & Mrs. Stanley Brown
1720 Leeward Drive
Southold, New York 11971
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/not on file.)
( )No Health Department Approval on file.
( )No final inspection has been made.
.Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ ~, q,. 5 2._3__ z
)No Plumber So]der Certificate on file.
(all permits involving plumbing being issued after
April 1, 1986)
~'IELD INSFECTION
~OUNDATION (1st)
COMMENTS
,OUNDATION (2nd)
~OUGH FRAME
FLUMBtNG
£NSULATION FER N.
STATE ENERGY
CODE
FINAL
~DITIONAL COMMENTS:
19 Permit No.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 7654802
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT.
TOWN OF SOUTHOLD
Received ........... ,19...
Date ~.a.~. 5.~..~? ....~. ? ....19 g~
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.
e. 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, an~d regulations, and to
admit authorized inspectors on premises and in building for necessar~l~pec,~tion~'""-~ ~,- ~X~ L ~-(~ '~
.... .....
(Signature of applicant, or name, if a corporation)
(Mailing address of appliqant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .5..~..]~ .... ~..~..'~.~?..'~. ....................................................
(as on the tax roll or latest deed)
If applic~l~t j~la c/orporation, signature of duly authorized officer.
Builder's License No. ~ ~'5~']42
Plumber's License No .........................
Electrician s License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
ag;;; ~},;l~;r ............. ' .......... ~;r;;; .............. Hamlet .......... ~,~ }'~' .....
County Tax Map N6. 1000 Section ..... q q Block ~'~ Pr ~ .
............................... Lot. ~ .........
Subdivision. L..~?.~.~.~.o... ~.c~z..~.S...m..w..; .~.~..~.~.~.~.M.. ~ ~ Filed Map No ............... t/0~ ~ ,.~..I .......
(Name)
2. State existing use and occupancy of premises ahd intended use and occupancy of prop6sed construction:
a. Existing use and occupancy-....____...;~.~ . . . . . . . ~. ~,...{.~. :]..~'~UJ~X'~-t'~ . .~.. :'~X3'~C- c-~(~"~ · .~.. ............ i ............ :'
b. Intended use and occupancy .................................................................
3. Nature of work (check which applicable):.New Building ' ' Addition ...I ....... Alteration ...... ;...
'Repair '
.............. Removal .............. Demolition ............ .-. Other Work'· ..............
~ (Description)
4. Estimated Cost. i ° Fee 'i'
'~ (to be paid on filing this application)
5. If dwelling, number o f dwelling units ............... Number of dwelhng umts on each floor ................
If garage, number of cars ............................................
6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of u~e ........ '~?i i~ .......
7. Dimensions of existing structures, if any: Front...~..2:q ........ Rear . .4.~...~.. ? ...... Depth
Height ............... Number of Stories ...... ~ ...................... i ...........................
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 ............... N.u, mber of Stories ............................. .........................
9. Size oflot: Front ...t.O. 5.:qq ............. Rear../~:a.o.'. .............. Depth ..~..'3~.:.07.~. ..... '
10. Date of Purchase ......................... :... Name of Former Owner
hp '
11. Zone or use district in whic remises are situated ..................... :
12 D po d ctio iolat i 1 dina gulation '
· des pro se constru n v e any zon ng aw, or Bce or re : ..... i ..........................
13. Will lot be regraded ........................ Will excess fill be removedl from p,r/~Tfises. Yes No
14. Name of Owner of premises 59 to ~..~,~ Addresfr~,,~ Z~.e~,~, 2>~ ~gr~&~'*~,-'~7 -- '
Name of Architect 3.o.~.a.~t, d...~..~.~g.~' Address4~'I2r~-"$r'~ 'fw'e~"~¥~a4~ 't'*~hcm~
Name of Contractor .~'qff, g..~. ~.,~9¢~'. ! p.bf..~.-- .~.~?.,,e.q Address q'.~ .2'.r~. ~o.~..-ffq~_~.. Phone No.¢.~.3.. ~ ~',~7.o .......
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.
STATE OF NEW YORK, S.S
...........
· .~-~. · · .~'~( ............................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
~f 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
v~ork will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
Nota~ Pub t ..... Coun~_~
/ ~ .................. , ........................ .. ~.,
~ ~07~ : (Signature of applicant~
'
%
.Evl~,o.s YOUNG &' YOU~~~o~N
SURV~ FOR: '"
PART OF LOTS 50& 5]
"LEEWARD ACRES AT~YVIEW"
AT
BAYVIEW GUARANTEED
TOW~ OF
SOUTHOLD
SUFFOLK CO., N.Y.
APPROVEDAS NOTED
NOTIFY BUILDING DEPARTMENT AT
705-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION l~h/O REQUIRED
FOR POURED CONCRETE
2 ROUGH FRAIVlIN~ & PLUiVlBING
3. INSULATION
4. FINAl- CONSTRUCTION MUST
BE COMPI E1 E FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIRE,ViENTS OF THE N.Y
STATE CONSTRUCTION & ENERGY
CODES· NOT RESPONSIBLE FOR
~ESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
F Rc~'T
E LT_-VAT I 0 k.~
S¥5TE~ ~7- C_L.-rIIOG6 × S B~y5
IBROWX4, 5.%
1'77_O LEE WAP~ C) IVE.
%OUT~OL.D~/'-/.'K I Iq71
_-
BRAWN
II I
REVlSIONB
· L [11 ~_ -
INTERIOR FINISH & -' ........................ THERMAL lie )~ - -.
J "/ WALL~ ~ ~OPRENE
BAR CAP
,uss .
~ ,,r 'NTERIORGUTTER J ' ' ~ ~ ~
% FLASHING OVER* 30%" OC / 7 . J 3 ,, ~' :
HANG (ALLOWABLE SPACi~ ?, ~ -]/, ~
LENGTH GIVEN TO AND FROM THiS POINT
,.,DET L"B' --,COR.ER
· .- ' "~ INSULTED GLASS
ON SEWING BLOCKS
& GASKETRY
-, ..... ' BAR cAP
' GLAZING ~
BAR CAI
INSULTED G~SS ON
SETTING 8LOC
NEOPRE~ GA
WEtP
BACK PLATE
STRAIGHT
IOVALI
EXTERIOR
C~NDENSATI
GUTTE9
MUNTII
~ZING 8A~
THERMAL-BF
EXTRU~D FLASHING.
W' FLASHING OVER.~.~,,'~ 4' ~ILL
HANGIALLOWABLE '~'- WIDTH GIVEN TO THIS POINT
VARIATION,
- '.~., I%'~ LENGTH 61YEN TO AND FROM THIS POINT