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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 iZ _-,I t2-