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HomeMy WebLinkAbout20853-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25120 Date JULY 7, 1997 THIS CERTIFIES that the building. ALTERATION Location of Propert~ 1025 SOUNDVIEW AVE. EXT. House No. Street County Tax Map No. 1000 Section 50 Block 2 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1992 pursuant to which Building Permit No. 20853-Z dated JDLy 28, 1992 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 REPLACE WINDOWS & ALTERATION TO EXISTING ON~ FAMILY The certificate is issued to DWELLING AS APPLIED FOR. D. FRANCIS & GAILLEGH~RT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-395476 - AUGUST 27, 1996 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 20853Z Permission is hereby granted~to: .../~.......~~.....~ ............ ..... ~..~.~.;~>.¢ .... :/./...~ .... ..~..~ ~~ .... ~ ~~ ..... ( ........ .............. '7'~"; ..... "~ .......... ~,,r.,,~2,~,,~ ............................. ~.~. ........ (~~~ ................ ;. .................... .......................... ~.~ ................. ~.~...~.~ ........... /:~ zz. ................ .............................................. .................................................. CounW Tax Map No. 1000 Section ..... ~ ............ Bilk ..... .~. ....... Lot No. pumuon~ to application dat~ .................. ~ .......................... , 19~, and appmv~ by the ~uildlng Inspector. Rev. 6/30/80 ~ , TOWN OF SOUTHOLD BUILDING DEPART~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mast 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 iu system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 and '!pre-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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, 3. 4. 5. Alterations.to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existinM Buildin~ - $i00.00 Copy of Certificate of Occupancy - , .25~. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..................................... . . .. New Construction ........... 01d Or Pre-existing Building ................. Location of Property .... ' ......... House No. Street Hamlet Onwer or Owners of Property ....... .q..~.t~...~..~?~'~.~..~.'~'. ............................ County Tax Map No 1000. Section ...... .~..~. .... Block..... Subdivision .................................... Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Request for: Temporary Certificate ........... Final Cercicate ..... ~. ..... Fee Submitted: $ ............................ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~[OC~3~ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 O.te AUGUST 27,t996 ,4pplleat;onNo. onflle 1234¢696/96 N 395~76 THIS CE;IFIES THAT o~y t~ el~tricaJ ~aipment ~ ~scrib~ be~w a~ i~t~uc~ by t~ ap~icant ~ on the a~e application n~ber in the prem~es o~ FP&I~ & GA'IL ~GHgR'P, 1025 SOUl'VIEW AVE,; SOU'~O~J3, in the followlng location; ~ Basement ~* Ist FI. ~ 2nd ~. Section BI~k Lot ~s examin~d on ~O~I~T ~ ~ ~ ~ ~9~ ~d found to be in compl~nce with the Na~on~ Elect~cal Code. FIXTURE FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS SWITCHES 2 2 DRYERS SYSTEMS NO. OF FEET E R V I C NO, OF CC, COND, PER ~' A.W O NO OF HI,LEG OF CC. COND NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDI~ FAN MOTORS: GOODALE EI,ECTR~_C 7355 MAIN ROAD ~TTI'I'UCK, }Pt, 11952 G~Nr~AL MANAGER Per tl .~" This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals. COPY FOR BUILDING D~PARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE A~IERED IN ANY ~NNER. Town Hall, 53095 Main Road P. O. Box 1179 Sou'thotd, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 26, 1996 Mr. Francis Leghart 1055 Roxbury Drive Westbury, NY 11590 Re: Building Permit #20853-Z (alt) Premises: 1115 Soundview Ave. Ext., Suff. Co. Tax Map #1000-50-2-12 Southold During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ]ROUGH PLBG. [ ~,NSULATION I ~/] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION lST [ ] ROUGH PLBG. /- FOUNDATION ZND [/~NSULATION FRAMING [ ] FINAL INSPECTOR 765-1802: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~~ ~ ~~~/~~ ~ INSPECTOR -~~N-X802 G DEPT. INSPEC:TION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION [ ~'~RAMING [ ] FINAL DATE ~"~/(~/~',~,'", ~ INSPECTOR FOUNDA~IO~ (lst) , FOU ~DATI O~'; 2. o.o (2nd) HOUGH FRAME. & -PLUMBING ®. INSULATION PER N. STATE ENERGY CODE FI;;AL Ye ~DDITIO~IA'L COMME~ITS: JUL 2 11992 E ~mined .L .......... 19 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ' . . /Ol~Idin~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH . SURVEY ......... Date ..... t ....19 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 ~reas, 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... O..LLD.. ................................... i- ................. 'API ROVED'A$ NOTED ...... (as °n the tax r°" °r latest ~O,~;L~No If applicant is a corporation, signature of duk~ ~%.r~R~fi~,, ~ ~ ~ ~ ~}~ ~ 7~-~802 ~ AM ~ 4 PM'FOH THE FO~OWlNG INSPE¢ION$: (Name and title of comorate orfi~ ~$ U ~[~ ~ ~'UL 1. FOUNDATION FOR POURED CONCRETE' ~O REQUIRED [,~[,~ ~ [,~(~ ~ ~ ~ F E~}~E/3,2' INSU~TIONROUGH' FRAMING & PLUMBING ~J~'~ ~ ~ ~?~d~ ~= % ~ ~ 4. FINAL - CONSTRUCTION MUST Plumber's License No ............. ~?;, ?~ BE COMPLETE FOR C.O, Electrician's License No ........... ;:,,~ ......... ~ ALL CONSTRUCTION SHALL MEET ' ,,~,n.nu,m*~ ~D*~e,~rc THE REQLJlREMENT~pF THE N.Y. Other Tr adc 's License' No . ............... REbUIlD d/lJ ~ ~bO H~~/,~ ~~ ~tS~AT STaUETI6NO~iBLE ~ ENERGYF(.,R 1. Location of land on which proposed work will be'done. ~%~.~:~({~-~:;~.-~~~t~; ........................................... ........... House Number Street Hamlet County Tax Map No. 1000 Section ...~ .......... Block .................. Lot ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of~[emises and inten~se an¢ Tcupancy of proposed construction: a. Existino use and occupancy ... :'~J ~. . I .,~.. 5 ~", ~ , .:2 ;,,:} %, ,,,~::~ ......... b. Intended use and occupancy ., ' ~ -~~"~ .... .,' ~" ,,, ';',;, 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration ..... Repair .............. Rem0val~ .............. Demolition -.-.-..,.. .... Other Work ............... r- o~,' ' (D ripti ) 4. Estimated Cost .... .~. 7.~"O '-- f ..~.O. ~ esc on (to be paid filing this application) on 5 If dwelling · ' · [ · , number of dwelhng units Number of dwelling units each floor ]. If garage number of cars ............... on If business, commermal or mixed occupancy, specify nature and extent of each ty,,e of use 7. Dimensions,,o. f existing structure~ if any' Front . . ,2~.ct ~' Rear 2o Fi2 '~,' '.:" ' '~ '~.' ~ ..... nexgnt . .~9..~..~ ....... Numlber o f Stories .......... Dtmenstons of same struetur,~ wtth alterations or additions: Front .., ff.4L~ ¢-2 ...... Rear .....~.r'~(,y~':' ........ ........ Depth .. ,,,<'/:'.'d-~.ff ........... !.. Height ..... ..'C//'q't/~ ...... ' ....Number of Stories ...... / ....... , .... 8. Dimensions o_f entire new construction. Front '~ -~ mE-, ,- -"~,~x ,~ ...... · · .... c-, ,r,~-- ......... ~.-~. t .... t~ear .. ~. x~'..rZt.. .... Depth ...~.'./..'T~. 2. .. ne~gnt ...c~.. C':l ....... N.umber of Stories ..... l ...... , 9. Size of lot Front .... b/l/~ ..... Rear ~,]?,,' ........ ~,' L ' ' ',' '2 '~_' ............ ,~ , r /,~,' · ~ ........... ~ ~.'r ........... .uepm ...r~./. ti ..... 10..Date ofPurch, as.e . .~¢/o.~. ,..t,.'~..7· .':;,... ....... ~,~ Name of Former Owner ...Qo.t,-T'.'.O.W,~. .... I 1. ~one or use nisrrict in which pretnises are situated.., .................... ~. ............................ 12. D°esproposedconstructionviol~te~nyzoninglaw, ordinance or re~ulation:]k.]~t~ ........ 13. Will lot be regraded .. ~/~O~, ...... ~ .... '"Nfl,, ' .......... Nam ...... ' ' ' 2 5 ~,~ ............... wn. excess nu t)e removeu trom premises: Yes/V///, No 14. ~ m ~,wner ut premises ,rqt[~.. . Address ~h ×~ , t/' Name of Architect /V~ · a,~ ........ ' ' ' ' Name of Contractor P/',~ ,/~j'.. i ~,~/~ q. r- ..... '".-C';". ~,*;--' t ......... ^oaress ..%MC.c)trp.~b,pL~.&.~.PhoneNo ............... 15. zs cnzs property w~cnxn 400 feet of a tidal wetland9 *Yes ~ t,. , / · If yes, Southold Tbwn Trustees Permit may be required. , 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 umber or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY s. .......... .~.~/~t:[o.~. ( ~.. ff~ ~ [d~ ~ ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, i [{e is the (Contractor, agent, corporate officer, etc.) )f said owner or owners, ~d is duly ~uthorized to perform or have perfumed the said work hnd to m~e and file this ~pplication; that all statements, contain~d~ h this application are true to the best of his knowledge and belief; and that the ,york w~l be perfumed ~n the manner sgt forth in the application filed therewith. ~wom to before me this uuMlfled In Surfak ~ t Si a u ' . ............ ~__~ ( gnt re of apphcant) ,£ F