HomeMy WebLinkAbout26195-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26859
Date: 12/29/99
THIS CERTIFIES that the building ALTERATION
Location of Property: 14580 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 50 Block 6 Lot 2
Subdivision Filed Map NO. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 21, 1999 pursuant to which
Building Permit No. 26195-Z dated DECEMBER 1, 1999
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 SECOND FLOOR ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT"
The certificate is issued to JAMES & MARGUERITE SCHONDEBARE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H-066644 12/22/99
Buildi~ng Insp~tor
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
26195 Z
Date DECEMBER 1, 1999
Permission
is hereby granted to:
JAMES & WF SCHONDEBARE
PO BOX 1018
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF A SECOND FLOOR ALTERATION TO A SINGLE
FAMILY
DWELLING AS BUILT~ AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 050
pursuant to application dated OCTOBER
Building Inspector.
14580 SOUNDVIEW AVE
Block
21 1999
SOUTHOLD
0006 Lot No. 002
and approved by the
Fee $ 126.40
Authorize~ignature
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTHOLD
~ ~ I ~ ~ BUILDING DEPARTMENT// ~
TOWN HALL
DEC 2 8 1999 765-1802
APPLICATION FOR CgRTIFICATg OF OCCUPANCY
BI.',3G. DEPY,
y~)?~q~,ivSOUTHOLD
:ation must be filled in by typewriter OR ink and submitted to the built
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property 1~
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contai
less than 2/10 of 1% lead,
5. Commercial building, industrial building, multiple residences and similar bui
and installations, a certificate of'Code Compliance from architect or enginee
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or building.
Upre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the appli
If a Certificate of Occupancy is denied, the Building Inspector shall state t'
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwellin~ $25.00, Additions to dwellin
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildi~g-mvzo.
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00
3. Copy of Certificate of Occupancy -
4~ Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... ~ ~./~m~/.~-f ........... "''
New Construction..,~. ~'.~l~td Or Pre-exis~ing Buildin~ ....
Location of Property .... Z~.J~.~ .... -~..~~-.-~'~'~''' '/~''~'
House No. Street ~Hamlet
Onwer or Owners of Property .... .~J~...~..[.~~~'''
County Tax Map No 1000, Section.~.f-~.. ..... Block ............. Lot ............
Subdivision .................................... Filed Map ............ Lot ...............
Permit No ................ Date Of Permit ................ Applicant ......................
Health Dept. Approval .......................... Underwriters Approval ..................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
~ee Submitted: $ ...........................
I)ATION (IST) I[ ~ ............................................................ / ~
~DAT~ON (2ND) It
~T~ON PER N. Y.
~TA~ E~R~
CODE II
II
II
~ ,, ~ ~~ ~~ _~ _
~D~T~O~L CO~S
BLDG. DEPT,
PO Box 016
PROFESSIONAl. ENGINEER
SOUTHOLD, NEWYORK11971 PHONE 631- 765-2954
FAX 631 - 614-3516
Date:
Reference:
December 22, 1999
Permit # 26195Z
Building Inspector
Town of Southold
Main Road
Southold, NY 11971
Dear Sir,
I have inspected the 2na floor insulation at 14580 Soundview Avenue in Southold. I find
the insulation has been installed in accordance with the NY State codes.
Joseph Fi¢chetti, PE
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC I
807~167 BUREAU OF ELECTRICITY
.~'-- 40 FULTON STREET, NEW YORK, NY 10038 ~
Date DECEMBER 22,1999 Application Aro. on file 19576599/99 ,~
H
~66644
THiS CERTtFIES THAT ~
only the elect~cal equipm~nt'as desc~b~d below and i.troduced by the applicant named on the above appHca~on number ~ i~ the premises of
M. SCHONDEB~,~ 14580, ~ SO.VIeW A~NUE~ SOUTHOLD,~. . ~ , ~ ~,. ,'~ ~ ~
in ,he fot~w[~'toeaaon; . ~ Basement ~ ls, Ft. ~ 2nd Ft. ' /~
: Section B~o~k~ ~t
was examined on DB~R~ , 14,1999 and fo~fid to be, i~.. epmpliance with the &~tional ElectFwal C~e.
F/XTURE$ OVENS DIS~ WAS~ERS EXNAUST FANS
FIX~RE RECEPTACLES SWITCHES
OUTLE~ FLUORESCENT ,OT~ER
)RYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS ! MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
OTRER APPARATUS:
*NO VISUAL DEFECTS: "~ e,lec~ri~al
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
tion'wasfom,d.' .......
unsatisfactorycond~
AMOUNT
~PLEASE REMIT BY CHECK OR ~IONE, Y
ORDER TO THE ORDER OF THE NEW
THIS IE YOUR BILL FOR SERVICE RENDERED AND IE NOT A CERTIFiCATE~OE COMPLIANCE. THiS RILL PAYA~iLE AT THE NEW YORK OFFJOE, 40 FULTON STREET, NEW YORK, N.Y. 10038
ret 11 ~C~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECT~~
r ........ hi!'!
BLDG, DEPT.
TOWN OF SOUTHOLD .
· FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-'1802
Emmined ................. , 19 ....
reved ...." .............
Disapproved a/c . . .
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY .......
CHECK .........................
SEPTIC FORM ...................
NOTIFY ;~
C :.
MAIL TO: ....................
(Building Ins~tor)
APPLICATION FOR BUILHING PERMIT
INSTRUCTIONS
a. '[his applicatlo~ must be completely filled in by .typewriter or in ink and anhmltted to the hfilding Inspector wh
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing lnsation of lot and of b~ildlngs on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed descrlptiom of layout of property must be dra~n on the diagram which is part of
this applicat iota.
c. $~m work covered by this application may not be ccrmenced before issuance of Buildirg Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Perufit to the applicant. Such
pemit s~all be kept on the premises available for inspection throughout the l~ork.
e. No building shall be occupied or used in ~hole or in part for any puroose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATICAN IS 12~t~15¥ ~ to the Building Department for the issuance of a I~ilding Permit pursuant to the
Building Zone Ordi~ of the Tc~n of Sixtthold, Suffolk County, New York, arid other applicable Laws, Ordln~aces or
Rmgulations, for the eonst~3~tlo~ of h~ildings, additions or alterations, or for r~oval or demolition, as herein
described. ~he applicant agrees to c(~ply with all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and ' ildi for necessary ins t' s.
....
('b~i~of~appllcant, or nam, if a/~orporat:'on)
·
State ~hether applicant is o~nsr, lessee~ agent, archltect~ engineer( ~eneral con~rac~or~ elactrlclan, pl~er or builder
........................... ..............................................................................
~ of ~er of pr..~ses ....q ...................~/~C...~W..~.~.Z~ ....*~.~../..~?
(as on the tax roll or latest deed)
?
If applicaut ia a corporation, slg~ature of duly authorized officer.
(Nam and title of corporate officer)
Builders License No .............................
Plumbers License No ..........................
Electricians License No ......................
Other Tr~de's License No .....................
.................
I. Location of land on which propesed work will he done .......... ,.. .................................
House Number Street Hamlet
County Tax Map NO. lO00 Section ....... ~ .... Block ........ 6 ..... J Lot ~
Subdivision ...................................... Filed Map No ................ Lot ...............
(Nam)
2. State existing use and occupancy of premises and intended use and occupancy of proposed coastructlon:
.. b. Intended use and cccupancy ..................... ~ ..... 7 ..........
Mature of ~ork (dmck ~hid~ applic
l~pair ............ R~oval ......
Estimated Cost....~.~ ......
Size of lot: Front .............
Date of ~rdmse .................
Zone or use district in ~ich pr~
Does proposed comstr~tlon v~olat~
Will lot be regrnded ............
N~res of Owner of pr~fiees ......
....... Demolition ............ Other Wor~' ' i.' .........
!Deecrlptlon)
(to be paid on filing this application)
its ...~. ....... t~r~ber of ~elltng trolls tm each floor ................
I~cate clearly and distinctly all
property lines. Give street and
A~etlmr interior or corner lot.
zcupaney, specify nature and extent of ead~ type of usa ......................
if any: Front ................ P~ar ............... Depth
tleight ....................... :. ~ber of Stories : ..................... ~ / ~z ..... // /__~/
Dimensions of v, am structure .wlth [alterations or nddltions: Front'...
Dhnenslons of entire ne~ ctmstruc~io~: lrron~ ................ Rear ............... Depth ........... ~'7"
l~ei~/t ......................... ~nl~r of Sturiea .....................
...... Rear .................... Depth ....................
.... Nmae of Former Owner ........................................
~isas are situated ..............................................................
any zoning 1~, ordina~2e or regulation: ........................
....... Will excess fill be removed rrm pr~dsas: YES NO
.................... Address .............................. H~one No ..............
Nmm of Arddtect ................. ~ ~~/-[-~3~:. .................. Address .............................. H~ne No ..............
Nmae of Contractor .~4z-ff~.... ~ ........ Address ............................... H~otm NO ..............
Is this property w~thln 300 feet f a tidal w~tland? ~ ~ES .......... NO ..........
PLOT DIAGRAM
buildings, ~hetber existing or proposed, and indicate all sat-back dhrmnsions
lock r~r or d~scrlptina according to deed, and v~ street ~res and indicate
?
STKIE OF ~
SS
CCUNIY CF .......................
(Nm~ of ind{vidual sign{t~g contract)
lie is the ........................... ~. .......................................................................
(Contractor, agent, ~rporate officer, etc.)
of said owner or owoers, a~w.l is duly .uthorlv~-~d to perfom or have performed the said work and to make and file this
appiicatlon; thst all stateroents eont~ il~,l in this app]ication are tn~e Lo lille [mst of his knowledg~ and tm]ief~ and
that the w~rk will be perfomed in tl~ maturer sat forth in the application filed tberewith.
,9worn to b~fore me this
..... ..... day
Notary Publle ... ........
( ~h~'~l~,e/oJ~ ApplJcont )
LINDA J. COOPER
Notary Publio, State ~f New York
No. 4022563. Suf~k C~un~y
Term Ex~lr~ Deo~mb~r 31, ~
1
A'~: . " ',~#
'F~: ' ',,
~ .~ D~
'1FOUNDATI~ - ~O ~1~
FOR .POURED ~
4: F~NAL -..CONS~RUCYIpN M~
DF COMPLETE FOR C.O.,
ALL CO~,d~q[CT=ON SH~LL MEE~
THE R~' :4~DI-M~NTS O~ THE N Y.
STA~ CONSTRUCTION ~ ENERGY
PI~IDE SI~OKE-DETECTING
'': ALARM DEVICES
,:,,AS TO PART. 721.1
Y.$ BUILDING CODE.
Il
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