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HomeMy WebLinkAbout22519-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY NO': Z-27240 Date: 08/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 580 SOUNDVIEW AVENUE W PECONIC (HOUSE NO.) (STREET} (HAMLET) county Tax Map No. 473889 Section 74 Block 2 Lot 6 subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1994 pursuant to which Building Permit No. 22519-Z dated DECEMBER 6, 1994 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 SCRR~NED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR · The certificate is issued to LONNIE B. SOURY & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 068756 08/02/00 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 22519 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ::~:......a..:...~.~.:.:.....~.l~...~,~........~,~ .~./..~ ...... ~..-r.~.~,~..G~. ....... ~ .......... ....... ....~_.:.~...../.../..¢..~ ....... to....~~,~......~ ........... ~..¢-.~,..-~.:.~.../'...,z~.~.~ ........ ~..-.~ .............. .... ~ ........ ~ ................. ~,.,.z. ...... .,. ............... Oo.n~Ta~Map~o. ,000 Sect,on....2~ ......... ,,oc~ .......... ~ ...... Lotto ...... ~ ............. pursuant to application dated .............. ~.~..~......~...~.,, ................ 19....~..y.~., and approved bythe Building Inspector. Fee ~......7..~.,...~.... :Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3° 'Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildin~ and installations, a certificate of Code Compliance from architect or engineer 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 buildings an~ Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, st unusual natural or topographic features. 2. A properly completed application and a consent to inspect If a Certificate of Occupancy is denied, the Building reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additi~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 5 ~oo~ New Construction ........... Old Or Pre-existing Building ................. ~c..c~...~.~.~ ~lq House No. Street Hamlet Owners of Property .~J Couu Tax No 1000, Section ....... Block .......... Lot .............. Subdivision...... ...... . ... . Filed Map ......-Lot--- .............. .. ~ ~ Appli '' ' Permit No .............. Date Of Permit ........... .. ... cant ........................ Health Dept Approval Underwriters Approval ........ Planning Board Approval .................. .... · · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. /7/~ "' .... · .... II STAiPE EHERGy CODE II II ADDIT]~O~IAL CO:-LiIEIiTS: . · Oo Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 13, 1995 Mr. James M. Ruhf 4615 Westphalia Road Mattituck, NY 11952 Re: Lonnie Soury - Tax Map #1000-74-2-6 Prem: 580 Soundview Avenue West, Southold NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An app~ fn~ ~cate of Occupancy is xx No Underwriters Certificate on file ~ No Underwrite rti~f_icat_e 0~n _~ -- xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22519-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 1, 1995 Mr. James M. Ruhf 4615 Westphalia Road Mattituck, NY 11952 Re: Lonnie Soury - Tax Map #1000-74-2-6 Prem: 580 Soundview Avenue West, Southold NY ***** SECOND NOTICE ***** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approva! on file~ No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22519-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~AL BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~NAL 765-Z,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ J FOUNDATION 2ND 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FO~DATION ZND [ ] INSULATION [,,,']"FRAMING [ ] FINAL 765-1802 BUILDING DEPT, ON [ ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG.' FOUNDATION ZND []INSULATION []FINAL ~o7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS P~C~. 'BUREAU OF IlklIOTRI(~ITY ~ 40 ~Ut.'rON s'rln..'r, N,W YOnK~N¥1OO~ ,' ' THIS CERTIF~BS THAT only th~ eleotHoal equipment a~ de~oHb~d b~low and introduced by the appltvant ~a~ed on the abo~ application number In th~ following Ioea~on; ~ Ba~m~nt ~ l~t Fl. ~ 2nd FL 0~ ~ . S~etlon Block ~t was ~gaml~td on ~Y 27 ~ ~ and found to be In eompllan~ wah the Naaonat El~etrleal Codt. , ~iX/URE rae.. ...... I ....... .-- J' FIXTURE8 ' RANSEa COOKFNa~EeKS ' OVENS 8H WA:~:~: EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL KC'~ ,TIME CLOCKS "'BELL OTHER APPARATU8: survey has be~n. made of the exposed electrical e~uipment in the premtsas indicated." "No obvious ~satisfactory oondition was found, JENNIFm, R B. GOULD P. O. BOX 177 GR~ENPORT, NY, 11944 Per , GE~AL MANAGER THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E 1195099 BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW YORK '10038 l).te OCTOBER O6,1995 Appllc.tio,, No, .,/lie 87098495/95 N 365772 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the a~o~e application number in the premises of in the followlng location; [] Basement [] Ist Ft. [] 2nd F/. OUT Section Block Lot toas examined on S~[~TE~ER 29 t ~ ~5 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES OVENS I DISH WASHERS EXHAUST FAN OUTLETS SWITCHES SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C NO, OF HI-LEG N~OF NEUTRA OF NEUTRAL JIM SAGE ELEC. INC. 350 MARINE PLACE GREENPORT, NY, 11944 LIC.#3635B GENERAL MANAGER 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 CERT F CATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... APPLICATION FOR BUILDINGPERMIT INSTRUCTIONS B~)ARD OF HEALTH 3 SETS OF PLA~S SURVEY CllECK , ...... SEPTIC CAL~ ~ . . · MAI~ TO: a. Tide 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 sti'eets 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 i~sued 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 describbd. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and i~ building for necessary i pections. ~'x' /1 . t --' . ('J~; applicant, ~r~~poration) , : i ' (Mailing address of applicant) State wh~h~owner, lessee, 'age4t, architect, engineer, general 'contractor, electrician, plumber or builder. N~me of owner of premises .. ~.~. .... (as on th~ t~}~ [olI or latest deed) If applicant is a corporation, signature 6'f duly authorized officer.' · (Name and title ,of~p,orat~ officer) Plumber's License No ....... . .................. Electrician's License No. Other Trade's License No ........ ',.. ~ .......... BLDG. 1. Location of land on which proposed work will be done ................................. : ................ Itouse Number Street Hamlet cotmty Tax Map No. I000 Section ,:..,. Block ' ................................ Lot Snbdivision .... ' Filed Map No ............... Lot ............... (Name) 2; State existing use and occupancy of premises and intended use and occupanc~ ~,~'p,,~uosed cu,~ ..... ~tion: b. Intended use and occupancy ................... Nature of work (check which apPlicah! ~ .~ ~ ' . · ~,~,., n,, . Addition Alteration Repair Rem¢'val .... ' ......... ~ .......... . ... ~ ..... Demolition · Other Work 5 If dwelling numb old elliig nits rhber (to be paid on filing this application) · , er w u ............... Nu of dwelling units on each floor If ga ge umb of ' ..... If business co,mmercial or m/Zed occupancy specify na,.tuLe and extent of ' ' , .each type 6fuse 7. Dimensions et existing structures if an,,' Fr,,nt [ '-~" ,- ' ....... ,' ' ' ;/' ' ..... , .... ,~ / ! J. v .... ,~ ......... ~tear De~th ne~gn[ 1.22 Number of Stories [ . . .............. . v J.c-,.' . ....... Dimensions of shine structure lwith alterations or additions: Front ............................. Depth ' I Height .................. Rear .................. ' Number of Stories 8 Dimensions of entire new construction: Front ........ ' ' ' ' ' .............. ; Rear ............... Depth ............... Hight N~ b f St e ............... m er o eries ........ I0 fp · , ......... ear ........... Depth ..... · · ....... N fF O ......... Date o urchase ' " ~ ........ ' ......... amc o ormer wner .................... ~: ....... I 1. Zone or use district in which ~remises are situated . . 12..D...o. es, ~r.oposed construction wglat, e any zoning law, ordinance or regulation' ' .......... '13..win lot oe re~raded . F1 t'3 ,,, ' ' ' ...................... . ~, ...... ~ ~ ' ..... '~ ~22 ;,','J' 'a;C;.'A ',: .... wm execs fill be removed from premises' Yes 'o ...... , ............. ~.. ^uuress ..... Ph -- 15. 19 this property wfthinJ300 feet of a tidal wetland?' · *If yes,'Southoldl~own Trustees Permit may be req~;g~[''"" t~o..%~ ...... ", I PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or Proposed, and~ indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether in terior or corner lot. STATE OF NEW YORK, ~ S S ' courrr¥ · ... .:........ ~ (Name of individual s~gni' ~g co~ract) above named. , ~ , / .... being duly sworn, depose9 and says that he is the applicant 4' ( otary Public ........ ..~... ~.'.% Notary Public, State o No. 62~8125850, Suf Term Expires Os~ober York Cou~gy.. ~e of applicant) i o agent, corporate officer, etc.) .............. ~f said owner or owners, and is dul~ authonzea~to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this'application are true to the best of his knowledge and belief; and that the ,york will be performed in the mannerlset forth in the application filed therewith. Cworn to before me this