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 .