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HomeMy WebLinkAbout14033-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of thc Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15365 March 18, 1987 No .................. Date ................................. One family dwelling with attached garage THIS CERTIFIES that the building ................................................ 950 Gagens Landing & 2325 Clearview Ave. Southo]_d, N.Y. Location of Property ............................................................... House No. Street Hamlet 70 10 24 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 31, 1985 14033 Z ...................... .. pursuant to wlfich Building Permit No ...................... June ~0, ~985 dated ............................. 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 DWELLING WITH ATTACHED GARAGE FRED & FLORENCE SCHOENBAECHLER The certificate is issued to ........................................................... (owner, le~e~oX ~eVmYaY~X of the aforesaid building. 85-S0-71 Suffolk County Department of Health Approval .......................................... N798093 UNDERWRITERS CERTIFICATE NO .................................................. January 16, 1986 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 ~O~.Z~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL ,FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14033 Z Permission is hereby granted to: ~.~ ............ ~ ......... ~. .............. ...!~..~..~....~~....~.\ ............... ,o .~~.....~..~..~~~..~~..,~..~~.....~ at premises located at ~.~.'~..... ~ ........ : .... ,..~f...~....~.~....~..~Z.~..~...~..~.~. . .. .~.~..~__.~...... ....................................... . . ... . .. .. County Tax Map No. 1000 Section ..... ..C~....~/...~. ........ Block ........ L..D ........ Lot No ......~..~.. ........... pars,ant ,o application dated ....... ...~.....o~.....~.~ .................. , I9...~...-%.~ and approved by the Building Inspector. F $ ..3../..o.,~o Building Ins~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Oepe~tment Town Hall $outhold, N.Y. 11B71 76.5- 1~02 APl _ICATION FOR CERTIFICATE OF OCCU. ANCY Instructions This application must be filled in typewriter OR lnk, and submitted ra a====~ 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 unumal 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 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 requirement,: where applicable. For existing buiidings {prior to April 1957}, Non.conforming uses. or buildings and "pre-existing" land uses: 1. Accurate survey of p=epert¥ showing all property lines, streets, buildings and unusua~ natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy c d condition of buildings. 3. Date of any housing code or safety inspection of buildings or prer~ises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwellln~..$25.00. 'Accensor¥ ~10.00 llu~]ine.s:J $50.00 2. Certificate o~ ~ccupancy on pre-existing dwelling ~ 50.00 3. Copy of cortdicate of occupan~ $ 5.'00~ ove~ 5 yeat*9 ~10.00 c.o.$ 20.00 5.U~dated C.O. $ 50.00 Oam .....,~-~...~ ........ 6. Alteration $2~.00 NewCons g~uc ~ton,. ~.. Old or Pre-existing Building ., ~ Vacant Land ............. Location of Properw ~3~.. ~'~.OtJG~./~ ............... Hou~ No, ~treet Hamle~ ...... ..................... Own.r or Owner~ of Properw .... ~; ~.~. · County Tax Map No. 1000 S~ :lion .......... o ........... Lot ............ Subdw'slon Filed Map No Lot No Permit No../.z)fQ~.~..-~'.. ,at, of Perm,t .. ~/.~. y//~..Applicant......C)....O.. / Health Dept. Approval ........ . .~. ,...~.'. ......... Labor Dept. Approv..I ........................ Undarwriiers Approval v/' Planning Board Approval Request for Temporary CertifY;ate ..................... Final Certifkute ....................... Fee Submitted $ ........................... Construction on above descriI :d bu.ilding and permit meets all applicable ~ ~des and regulations._ ........ Ihr~. 10.10.78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY i ~ S5 JOHN STREET, NEW YORK, NEW YORK 100.38 THIS CERTIFIES THAT Fred Schoenbaechler, 2325 Clearview Avenue~ ?.c._!r~L Southold, N.Y March' 5, 1987 DRYERS ' 56 33 FUENACE MOTORS FIXTURES SERVICE DISCONNECT OTHER APPARATUS: = 2 'Smoke Detector' and found to be in compliance with the requlre.~ents of this Board. OVENS EXHAUST FANS TIME CLOCKS UNIT HEATEI~ MULTI-OUTLET SYSTEMS ~ "~ · -~ .... G a ~ Electric - -.. BOx 215 Southold, N.Y. 11971 This cert;ficete must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials, HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OiL MAIN ROAD SOUTHOLD, N.Y, 11971 (516) 755--~890 Inc, CERTIFICATION Building Permit No._~_~_~ ....... 0wner_~ze_d_~o_e_n~chler Plumber Henrz. J. Smith & Sonz_~ I certify that the solder system contains less used in the water supply than 2/10 of 1~ i d. ~ Sworn to before me this _~ihday of _~ .... , 19~6__. Notary Pub1 ic Notary Public, Suffolk County State of New York, Commission Expires March 30, 1987.~ BUREAU OF ELECTRIC~Y J~C~ [~, [~ a5 JOHN STREET, NEW YORK, NEW~8 THIS CERTIFIES THAT o~y she e~ctr~al ~uip~ent ~ ~ribed be~m a~ i~t~uced by t~ ap~icant ~m~ on the a~ve applicat~n number in the prem~es of ~xe~ ~c~A~ 2325 C~e~ Avenue, ~ in the following location; [] Basement ~l~ l st FI. wasexarninedon ~4~C~ 5~ 1~7 FIXTURE OUTLETS RECEPTACLES 31 56 SWITCHES 33 DRYERS 2 Smoke Detector FIXTURES ~ 2nd FI. Section Block and found to be in compliance with the reqairetnents qf this Board. RANGES FUTURE APPUANCE FEEDERS MULTI-OUTLE1 SYSTEMS NO. OF FEET SPECIAL REC'PT. ~[1 30 E R TIME CLOCKS BELL UNIT HEATE$ OF CC, COND NO. OF HI-LEG A W G, OF HI-LEG Lot EXHAUST FANS DIMMERS ! ~-/0 G & $ Electric. Box 2~5 $outhold, N.Y. 11971 LiC#575E GENERAL MANAGER Per '~ This certificate must not be altered 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. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date...~..-~.....~.....~...~ ..... ~9..~ To~ .~. ~..~....%..~-~..~..~ ~ · · -~Ac'~ PLEASE TAKE NOTICE that your application dated .. ~~...~ ...... 19 ~ ~ Location of Property ,~3~s.~ · · .~ ~..~~~ · 0.~¢~. ~~.~ County Tax Map No. 1000 Section ... ~D.O ...... Block ..... [ ~ ...... Lot · · .~ ~ ........ Subdivision ................. Filed Map No .......... ~...j Lot No .................. is returned herewith and disapproved on the following grounds~ ~.~. ~ ~.~ .~ J ........ ~.~...5.~~.,.~..~ ................... .................................. ...... ..... Buitdin~ Inspector RV 1/80 iELD INSUECTION COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH' PLBG. [ ] FOUNDATION 2ND[~'INsuLATIoN FRAMING ,~ /~ [. ] FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-18013 ...... ,c/.,~....;.0...., 195,./. Examined ~ Approved . . . .~d~-..../?..., 19~.(. Permit No. ) .~..o.~..~..%_:. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .{'~(kA~.. a ~'t" 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 ¢ 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 inspections. 7'o~.xc~..Poe. ~.~...~.~x !4.~¢,..~.~.~..~ ..... (Signature of applicant, or name, if a corporation) !o. ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .b.~4\~..~'. ................................ Name of owner of premises (as on the tax roll or latest deed) If appl)c~t is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... J..~./. ............. Plumber's License No..../~J. '.~.¥??. ........ Electrician's License No .................... :.. Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .................. . .q~..o.. ~.~.~.ea.~..?.~..d..,~ a...~. ............. ~. o.o,~ a/..~. ............... House Number :2.zBD_-~' ~.,.~ &rd,~_iS~eet ~ Hamlet County Tax Map No. 1000 Section ....O..Q .Q ......... Block ...... /..0. ......... Lot .... .~..¢ ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~..v~, ,~ ~-" "~ ' } '._j. ' k} O~_cXk.fi '~ .O b. Intended use and occupancy ............. . ................................. 3. Nature of work (check which ~ pplicable): New Building .......... Addition .......... Alteration .......... Repair ......... Removal .............. Demolition .............. Other Work ............... Or'ii ~ ~n ~ -~---~ (Description) 4. Estimated Cost. . .' ................ , ................. i ~ (to be paid on filing this application) 5.If dwelling, number of dwellin~ units ...... /. .... Number of dwelling units on each floor ............... If garage number of cars ' 6 If business ' ' ' spec/fy nature and extent of each type of use · , commercml or m~x~d occupancy, ....... ............ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height Nuraber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................. !... Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front .,~Z..~. ..... Rear....~. ~ ........ Depth ...~.0.... 9. lot: F ..... [ ~ e .......... 10. Date of Purchase.........,..................i . Name of Fonner Owner ............................. 11 Zone or use district in which ' ' ' · premises are s~tuated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... ~q ~ ................. Will excess fill be remove~t from ~remises: Yes 14. Name of Owner of premises~h~o'x~Odv.ke.4'... Address ~-¢.~4Q. efi0~.(~,~.~.[~l~i4N~..o.~.G. ~ Ii~I Name of'Architect ........ , .................. Address ................... Phone No..g.?.-?.. Name of Contractor ....... 2 .................. Address ................... Phone No ................ 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. /-oF' STA'rE OF NE~ YORK, COUNTY OF...~..~Cf~L~.Q~ .... S.S ........ being duly sworn, deposes and says that he is the applicant (Name of individual si ining contract) above named. co..c cc w He is the .... (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 application; that all statements co~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith· Sworn to before me this ; ...................... da Of ................. 1 .9~... N:tary Publi:~ .... County ~.~.L?' .~ j SYLVIA K, ROUSE i co,,~.~o. ~,,,.. M.r., 10, ~-. (Signature of applicant) I SUFFOLK CO. HEALTH DEPT. APPR:OVAL STATEMENT ~ INTE~ T~ WATER S~LY A~ SEWA~ DI~SAL ......... ~.-~,. ...... . ........ ~: SY~EMS FOR THIS RESIDENCE WILL ..................................... CONFORM TO THE STANDARDS OF THE ~F~K CO. D~T.,~, H~H ~VICES. ~-.~ ~,.~,~,~,..,.~ .~ SOUTHOLD, NY 11971 SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY SU~F~_K CO. TAX MAP DESIGNATION: DIST. ~CT. ~K ~L. " ~AL RODERICK VAN ~YL, P.C. LAND SURVEYORS .