HomeMy WebLinkAbout14679-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-16860
Date MAY 12, 1988
THIS CERTIFIES that the buildin~
Location of Property 1305 PARK AVE.
House No.
County Tax Map No. 1000 Section 056
SubdivisionLONG POND ESTS.
ONE FAMILY DWELLING
SOUTHOLD, N.Y.
Street Hamlet
Block 0t Lot 12
Filed Map No. 8037 Lot No. 12
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18~ 1986 pursuant to which
Building Permit No.14679-Z dated MARCH 20, 1986
was issued, and conforms to all of the requirements of the applicable
provisions of %he law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING~ 2 CAR GARAGE, ROOFED PORCH
The certificate is issued to PHILIPPE & MICHELLE LEONARD (owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL86-SO-49-MAR. 15, 1988
UNDERWRITERS CERTIFICATE NO.N851410-JAM. 26, 1988
PLUMBERS CERTIFICATION DATEDSTEVEN O'CONNOR- 3/9/88
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOI. D, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is herebt granted to: . ~
...... ~.~.~ ....... .~.~.2 .......................................
~.~.....~.:~:...,/~.~..~..! .......
,o ....
~' ............................. ~'"";;'z"~'"'";'"'"~ ....................... ~ .................... :' ..................
at premises located at .../.~....,~ ........ x/...~........I.~.~ ........ i...~ ...................
County Tax Map No. 1000 Section ..... .0..~..."~. .... Block ....¢~..J. .......... Lot No ..... L...~.. ...........
Building Inspector.
Building Inspector
Rev. 6/30/80
APPLICATION FOR CERTIFICATE OF OCCUPANCY
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
Instructions
A. Thi;s/~plication must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
t~fwith the following; for new buildings or new use:
¢~1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual
3~ FAatu ral or topographic featu res.
[hal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
pproval 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,Su bm it P l ann lng Boa rd app reval of comp leted site plan req u irements where app l icable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 POOLS $25.00 ALTERATION $25.00
1. Certificate 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 $10.00
4.¥acant Land C.O. $ 20.00
5.Updated C.O. / $ 50.00 Date ...')'~.l~./.~.,../..Ct.¢~-- ......
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land
Location of Property /}~..~,,~ .............. ~ .~. ................ .c.z.Ti.~.r-?~:).~ ..
House No. Street l-lam/et
?t//z ; ??z.:
Owner or Owners of Property ................ .~..~..,~.../¥./.c..~.~/'./.~. ..... .~..~'..~'../'/..~r .~. ......
County Tax Map No. 1000 Section ....(~'.~ ....... Block .... ~../ ........ Lot ..... /. ,~'. .......
Subdivision. ~.C.H.~. /9d~1~ .~.~ '~.t~..~. .Filed Map No..~'.¢.-~.'~...Lot No..
?t,.,,l,.,.
Permit No. ,J,~,~.Z,~..~. Date of Permit ........ Applicant . .~.~.~. . .~....~..~F..~.~,.~. ............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building anO~.~ts all apples an~
Rev, 10-10-78
Co
THE NEW YORK BOARD OF FIRE UNDERWRITERS
]00107t BUREAU OF ELECTRICITY
~ J~l~a~ ~6~ [9~ B5 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
o~y the electrical ~ipment ~ ~scribed be~w a~ introduced by t~ applicant ~med on the above application n~ber in the pr~mises of
Phil ~o~rd, L~rel Lane, East End of Laurel, Lane, Sou~hol~
ia t~ follow~ng loc.~ioaj. ~Base.~ent ~ls~ FI. ~ 2nd ~, Section Bilk Lot
attd flound to be ia contpllance u.lth the reqtiiretnents of this Board.
~x.mi.~do,~ ~.rt~ 28. 1988
RXTURR $IXTURES RANGES COOKING PECKS OVENS EXHAUST FANS
OUTLETS SWITCHES FtUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS~
Motors; 1-1bp Jacuzz~
1-4 Ton A/C Unit
Track Li~htir~ 32' 12 Llt&e 0"
s E R
AWG
OF CC, COND
C
0~- HI.LEG
NO OF NEUTRALS
O & $ Electric
Box 215
$oxsthold~ N.Y. 11.971.
Lic, 578E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incot~rect. Ipspectors may be identified by their credentials.
COPY FOR ~,UILDING DEPARTMENT. THIS COPY OF CEI , . ~ ~ ~:
TOWP{ OF SOUT~OLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
Owner /~ l//~
(please print)
Plumber 5[~ ~'~
(please print)
I certify that the solder used in the water.supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Sworn to before me ~his
17 ~a~ of ~ ,
'7 .
Notary Public ,~~ County
Notary Public
F I E;.~D IN, S~ECTION
FOUNDATION (1st)
FOUNDATION ( 2nd )
COMMENTS
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLB6.
FOUNDATION 2ND [ I SULATION
FRAMING ,r AL
REMARKS:
7GS-'~802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION XST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING £~] FINAL
REMARKS:~, :?//~~/
~ .....--~ ~ r ~ ~,~
BUILII~ 0 DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]/I~OUGH PLBG.
/
FOUNDATION ZND [~ INSULATION
[ ] FRAMING
REMARKS:
FINAL
DATE
, , INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
] INSULATION
] FINAL
, /
J
FORM NO. 5
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
(owner or aut orized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violatior~ of:
Zoning Ordinance
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that .............................................................................................
(st&re character of violation)
......... ................................
in violation of .~..../..~..~....-'~...Z~/ ....... .~.......'~. .....................................................................
~n or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the .......... ~.~ .............................
The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at
,./.~...~...~.~...~..~....~ ......... Coug:~t,y of,.,. S~,oI,Iz/New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
MAYOR
GEORGE W, HUBBARD
TRUSTEES
STEPHEN L. CLARKE
]EANNE M. COOPER
DAVID S. CORWIN
GAlL F. ItORTON
SUPT. OF UTILITIES
JAMES L MONSELL
236 THIRD STREET
P.O. BOX AH
GREENPORT, SUFFOLK COUNTY
NEW YORK 11944
UTILITY OFFICE TEL.
(5 t6) 477-1748
POWER PLANT TEL.
(516) 477-0172
March 9, 1988
Mr. Norman Wagner
Suffolk County Health Department
Suffolk County Center
Riverhead, N. Y. 11901
Dear Mr. Wagner:
The following water service line was connected to the Public
Water Supply by the Village of Greenport during October 1987. The
installation was done according to our rules and regulations.and,
to the best of our knowledge, meets with the Suffolk County Health
Department standards.
Philippe & Michelle Leonard - Lot #12, Park Avenue,
Long Pond Estates, Southold - Job #1987-99 -
installed 10/I9/87 - Ref. #86-S0-49.
If I can be of further service, please contact me.
Very truly yours,
James I. Monsell
Superintendent of Public Utilities
JIM:lkm
100 Years of Community Service
Examined ...~ .03&...~...~,.o.
Approved . .~O~f~ . .~.q.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:3
., 19~..~.
., 19~.[*. Permit No. I
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date /~e( /~' 19~..
INSTRUCTIONS
a. This application must be completely filled in by Wpewri.ter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedhle.
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, ano~l~d to
admit auth°rized inspect°rs °n premises and in building f°r necesSa .7.~s' ~~
(Signature of applicant, or name, if a corporation)
.~...O....B.O.X....2.8 .... .S9.u.~..hg.l.d....~..~... J.~.9.7. $ ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder Sunrise Construction
Name of owner of premises ~qYchelle Brown Leonard
(as on the tax roll 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 License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done. /h~.~-...t~T...A'X~__ S ....... '... ~~. ........
................. .ark. ^v. eo.u.e. ............. .............
House Number Street Hamlet
County Tax Map No. 1000 Section ...056 ............ Block . .~ ............... Lot... 3.2 .............
Subdivision ...... I.,9~.G.. t?9.~.D.. ~.T..~ .2~ ........... Filed Map No. . .8.037 ........ Lot . . .3.2 ..........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... .~. ?..~.~.~ ...................................................
b. Intended use and occupancy .... R.e.s. iqt~D.L&a& ...................................................
3. Nature of work (check which applicable): New Building ....X.'. .... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition ............ Other Work ................
i (Description)
4. Estimated Cost ...................................... Fee ......
' (to be paid on filing this application)
~5. If dwelling, number of dwelling units .,. ~ ........... Number of dwelling unit~ on each floor ................
If garage, number of cars . .2.. ff~.,- ..................................... ~ ............................
6. If business commercial or mixed occupancy, specify nature and extent of each t¥~'e of use '
7. Dimensions 91' existing structures, if any: Front../l~.~.t~ .. Rear ...[.V?~. ...... 'l~e~th' i i ?.1~?.',~ .~'i i .....
Height .../.v~'3.{ ........ Number of Stories ...... l.O'q'/g ................. : .......................
Dimensions of same structure With alterations or additions: Front ~ ; Rear
Depth ~ Height ~ Number of Stories
................. ~fl: . Depth
8. Dimensions of entire new construction: Front .. ~,~( fl: Rear . 65 ~ .40 fl:
Height ...1.8....fy..' .... Number of Stories ....... .1 .................... } ...................
9. Size of lot: Front 247.07 Rear 277.18 n~,~th 161.0 s ..... ti.ld. 2 n
10. Date of Purchase ~..eb. J-9..:1-98.6. ...... Name of Former Owner . i~y..a,9¥..r, ar~cl..Corp .......
11. Zone or use district in which premises are situated $.e.s &d.c..n.t:.~.a..1 ...... D' ...........................
12. Does proposed construction violate any zonine law, ordinance or reeulation' N
13. Will lot be regraded ..... ~IQ .................... Will excess fill be removed from premises: Yes
14. Name of Owner of premises . Address . Phone No ...... ..
Name of Architect ........................... Address .. .~... Phone No ........ ........
Name of Contractor.TO'.*l~. is.*...~.n. ~..~ ~t.r.~ .~. Address ~. i .~i~'i . . ~ .... ~', Phone No. ~r,7..7..../~.¢
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. im
property lines. Give street and block number or description according to deed, and sho*
interior or corner lot. 5e~ ~ ?~t¥.:~ e'~ ~'r ~
Licate all set-back dimensions from
· street names and indicate whether
........... ~, ................................. 2... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ...... .~. ~..t~.7". (..~..~.~..~'. ........................................ . ................... i .......
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the sa~d 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 manner set forth in the application filed therewith.
Sworn to before me this
.............. /..fi. ...... day of ..... ~7"f~'L~gee~-~.--/ ...... 19 0{>~.
Notary Public,...~. ~.-.....~...~...~..C~{-~... County
'leVi '~Ex~7timff~M~h ~0,1~..~-.~'? (Signature of applicant)
Z~
· !0
{ VAOkNT )
VACAST}
FOR APPROVAL OF
Single Fami]y Resic
'
T:SWN OF 5O~TNO~.~
5CAL~-50-' I
LAND sU.' ¥ORS
GREENPORT NEW YORK
OF
(Si.
APPLICANT
HEALTH
SUFFOLK
SERVICES -- FOR
CONSTRUCTION ONLY
DATE:
COUNTY DEPT. OF HEALTH
APPROVAL OF
H. S. REF. NO.:
APPROVED:
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT· BLOCK PCL.
tO(Z) 0'56 I 2.6
OWNERS ADDRESS: ~' ~ lt/-~ L~.4m.-,~
DE.ED: L. H/'A
TEST HOLI~
......... Ii STAMP
SEAL
SUFFOLK CO. HEALTH DEPT. A~OVAL
I I ~-.~-- '~J._~"~ "~:': ' : '
.......... .... ~ ......... .~.. .- ~ -~i Ju~ _
- ~ ~ BLDG. DEPT,
-- -~'~ ¢ TOWN OF SOUTHOLD
_ .............. - ~ STAT~NT OF INTENT
.......... p ~[~l~ ;'/ THE WATER S~Y AND ~WA~ DIS~AL
~O~ , ~ ~ ~ .......... - ............. CONFORM TO THE STANDARDS OF THE
'~ ~,~ ~ ~ - ------~ SUF2VE'YE~ FO~ SUFFOLK CO. DE~. ~ HEALTH SERVICES.
' .. ~ (SI
~' ~ ~ b--4 ~LICANT
· . . , .....
~ ~ ' ' ,Z SUFFOLK COUNTY DEPT. OF ~[ALTH
-~ k~ ' ~'~ ~ ~ JO .~T~'~ L ~ CO~TRUCTION ~LY
~ ' td ~ '. v~'r rOaN OF SO~THQL~,Y. H.S. ~eF. ~..
24~. ..... ·. ~: A~OVED: , ,,
~4- ' ~ ~,' ,"
~ : , ~ ~ ,/ , ~FFOLK CO. TAX MAP DESIGNATI~:
'- ~' COHC~.~T~ . ~I'~ - ~ OWNERS ADDRE~:
, ._ . / , ~. , - RO.~X
'"- : ~, ~OI~M~
~ , ~ ~-D-i-A~.~ D *SECT. ON~] FtLED
~LE 2~ ~ OF~ ~CE A~ MAP ~.~0~7.
I
SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
SUFFOLK COUNTY
SERVICES -- FOR APPROVAL Of
CONSTrUCTiON ONLY
V~~
YORK
. - .......... . . . -~-.~-~ ~'~. ~ ~ ~ .........
.,~ - ' o,*' ~'~ 1' " ' ' ............ ~ CO~ DE~. OF HEALTH
~' ~ ' ~ ~' ~'~ ' ~ SERVICES - FOR APPROVAL OF
~ F~.~ ~ ~ B~P ~ : ~ ~ ~??~K CO. TAX ~AP OESlGNATION:
! u- '. - , ~ I O~. ~CT. BL~K ~L.
~ ~ ~. 1 . I ~ .....
SUFFOLK ~ D~
The sewage disposal and wa~r sUp~y
t~ation have been ins~cted by th~
APPROVED AS NOTED
,s~-,so~ ~ ~M To ,, .M FO" ~"~ OCCUPANCY
OR
~OLLOWING iNSPECTIONS:
FOUNDATION ~0 REQUIRED
FOR PoU~EO CONCRETE
2 ROUGH FRAMING & pLUMBING
S. INSUI.ATION
~. FINAL Co~ISTRUCTION MUST
SE CONIpLETE FOR C.O,
ALi, CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y
~TATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
mE'SIGN OR CONSTRUCTION ERRORS,
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
M iiIplnO elmll
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOl. DER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/fO of f% LEAD.
I I
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