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