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HomeMy WebLinkAbout19784-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEFARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20699 Date MAY 6, 1992 THIS CERTIFIES that the building ADDITION Location of Property 220 SOUND AVENUE PECONIC NEW YORK House No. Street ~-Hamlet County Tax Map No. 1000 Section 67 Block 1 Lot 8 ' Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1991 pursuant to which Building Permit No. 19784-Z dated APRIL 17, 1991 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SAMUEL & NELL LONGO (owner) of the aforesaid building. SUFFOLK COUNTY DEPAR'PMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-230944 - APRIL 7 1992 PLUMBERS CERTIFICATION DATED N/A ~/l4ti' Building Inspector Rev. 1/81 1087[ NO. ! 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 AUTHORIyED) N ° t ~ 7 ~ ~ z Dote ...........l...7 19.Q.t. Permission is hereby grouted to: ' ...1 a ~a 5...~a.-~r~.... at Premises located ot ...!r~.:m~.f.?....\~cS1;::Sr.!^.:4~c .f~ :!u..................................... ..../..0.....~.4?::t?~M~...T ..~Y ~?......1..~....:Q County Tox Map No. 1000 Section 0.~?...~.......... Block .....d..~.......... Lot No....Q..~ pursuant to application doted 19.4..1.., and approved by the Building Inspector. U Fee Z. . . Building Inspector ' Rev. 6/30/80 a Form No. 6 L`~~.`~L~'i13~~°°f~`~'~~e° TOIdN OP SOUTI[OLD tt ~ • ~ ~ 3:; i ~ 1, BUILDING DBPARTPIENT I ~t ~ ~HI ,l ~ I~yG s ~ ~i~ TO[JN lit1LL 'e', " H '7.G 765-1802 ~ "i APPLICATION FOR CGRTTFICATE OP OCCUPANCY A, 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 17 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. B. 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. C, Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentialf$15 D0, Commercial $15.00 Date 4 New Construction........... Old Or Pre-existing Buildinpng.. Location of Property.....~-.~•~-~ ...............Si~~.7::~„JT,V;.e.,,,...• House No. .Q~C,~I^.^.~~C,-c • . Street Hamlet r C `,pp Onwer or Owners of Property...c~GMg,, ~ 6....:C, , ; , , , ~<9'ln County Tax Map No 1000, Section..., (~.L.,,,,,Block....,,~,,,,,,,,, ~ C .Lot.......~~L? Subdivision ....................................Filed Map..~(.~......Lot.......`~............ Permit Na ................Date OC Permit................Applicant............................. Health Dept. Approval ..........................Uiiderwritcrs Approval......................... [Tanning Board Approval Request for: Temporary Certificate.........., final Certicate...~,~` i'ee Submitted; $,,,,,~,,,~':.Op.•_•... ' ~-s.C.. ~ ~j7 ~0 ~p ~~Q1 a~N1 t APPLICANT ' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i t! ],.QQQ 121 BUREAU OF ELECTRICITY BS JOHN STREET. NEW YORK, NEW YORK 10038 Date APRIL @7,1992 ApplicotionNo.onfile 73951291(91 N 230944 THIS CERTIFIES THAT only the electrwd equipment oa dauribed below and introduced by the applicant Homed on the oboce application number in thepremisea of _ SANUBL LONGO, 220 SOUND AVENUE POLBi2 PECONIC, N.Y. in thefdlowinq IKkallOa; ? Basement ~ let FL ~ 2nd F1. OUT Section Blcek Lot seas examined on NARCH 31,1992 andfoundwbe in comp/ianre with the reyuirententa DJ this Board. RXTUEE ErTAClfS SWI7CNE5 RXTURES RANGES COOKING DKKE OVENS DISH WASHERS EXHAUST FANS OUTLETS INUNDESCEM RVOREECENi OTHER AMT, K.W. AMi. K.W. AM1. K.W. AML. K.W. AMT. H.P. Q 2 DRYERS RHtNAC! MOTORS RITURE AMLANCE IEEDERS 5?ECIAL RK'?T TIME CLOCKS EEII UNIT HEATERS /AULTI.OUTLlT DIMMERS AMT. K. W. Oll N. P. GAS H. I. AMT. NO. A. W. G AMT. AMP. AMT. AMPa. TRANS. ANT. H. P. SYSTEMS AMi. WATTS NO.OF FEET 1 600 SERVICE dSCONNECT NO.OF 5 E R V 1 C E AMT. AMP. TYPE MliER 1 / PN 1 ,I TV 3.I T'Y 3 p IW NO. OF CC COND. A. W. G. NO. OE HLtEG A' W' G' NO. Of NFUlRALS A. W G. EtNll?. PFR i OF CC. COND. Of HI-lEG OF NEilmu OTHER AMAMIDS: ELEC. ROOK HEATBRu:t-2 K.K. G.F.C.I:-1 l PAUL R. BUHN9 LIC,i282-E 275 TONR HARBOR LANE SOUTHOLD, NY, 11971 11 {V Per Thit certificoro must not be altered in any manner; return fo 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. INSPECTORS Principal Building Inspector p~pS~FFOL~'COG Curtis Horton y~ SCOTT L. HARRIS, Supervisor Senior Building Inspector y = Southold Town Hall Thomas Fisher u- P.O. Box 1179, 53095 Main Road Building Inspector ~ • Gar Fish y?~ a0~ Southold, New York 11971 Building Inspector * Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Tnspectar OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 14, 1991 Latson Construction 12425 Sound Avenue Mattituck, N.Y. 11952 RE: SAMUEL & NELL LONGO To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (XXxxxxxX/not on file.)$25.00 No Health Department Approval 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 # 19784-Z (ADDITION) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. j ~ rsS-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING INAL r REMARKS: DATE ~ INSPECTOR ~E:LD iGSPEC,iu;J ~~UA.E ~ COMMENTS Y 1 t . ~ J N H FOUIIDATION._-. (1st) ~ ~ C FOUNDATIOt1 ( 2nd ) ~ 2. o P,OUGH FRAME & ~ a PLUMBING 3. ~ ~ / / y m ~ Ii1SULATI0P1 PER N. Y. ~ y STATE ENERGY CODE ' ~ V r, 4 . ra H y FI;JAL z ADDITIONAL COMMENTS: ~ 6 . ~ _ L ~ x ~ ~u a • H ~ H O a ..O Z [~7 a . r • H x f r . ~ car;` ~ to y YaF'4.n...:....~.,..~d w.... s yJ~l `:~.ic $?t t~n+.rY....is.fawrt{:cr e+N~:':.... w.Je.1~h,S.s..~.:s+.,3~,~vr~.u.`'`'`y~eR`4,kY~~%b+al~~`•~. y"Y .~.a:~`C t5 :t.~~ .i 765.18U2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. ' [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [)FINAL REMARKS: ~ E l I ft S i DATE ~ INSPECTOR i i rss-isoz BUILDING DEPT. INSPECTION [FOUNDATION i5T [ ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REM KS: DATE ~ ~ INSPECTOR BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~~y/ TEL.: 765-1802 CALL n 4 'AIL T0: Examined . ..17..., 19~.~. ~J . . Approved.X...~ ~ 199 .Permit No. ~ 7.g d.2Z-. Disapproved a/c ~II~X ~ ~ 5 ~9~~ ; TOWdU OF~~t'SJ`s"E~vl~jf.Cl r., (Bw ding Inspector) APPLICATION FOR BUILDING PERMIT Date 194.E . INSTRUCTIONS 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 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp do ~.Q_-~ t ~?~18~+.~-- (Signure ot" ap~cant, or name, if a corporanon) (Mailing address of applicant) 11QSZ: State whetheQor~aQpplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....~(~uf!~ Name of owner of premises ...J.c2,"^.Yti.k.....~~. `t°...A..Y.t.hl......L....©vt,j'0 (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. ' (Name and title of corpo9rate officer) Builder's License No...~1~~.~.~.g.~........... Plumber's License No . . Electrician's License No. r~:~Z ~ 'e.. 3 ~ ~ Other Trade's License No . . 1. Location of an on w uch ro os~ wor w~ ~o.~ l ~ / lbedone . / o2~Q av. ~^91..A:`:e House Number Street • • • • • • • ' " Hamlet County Tax Map No. 1000 Section Block , • • , • • • Lot Subdivision Filed Map No. Lot ...T (Name) 2. State existing use and occupancy of pre `m/i/uses ando intended use and occupancy of proposed construction: a. Existing use and occupancy .......l.'~RA.t~!~.> t'-d*'• • • • • • • • • • - b. Intended use and occupancy 1~"6~, .4 s• ' #t,3t~n~~t+~t1S1~eu[9 o.,,,gr .s ilr ature of work check which,, P • • • ( Re applicable): New Building Addition Alteration . Re air , ~ , , , , moval Demolition Other Work , . 7 (Description) 4. Estimated Cost !'..~,.i~iQ! ~ . Fee . , . (to be paid on filing this application) S If darallennumber of adwellinf~units ~ , ; Number of dwelling units on each floor , , , , , , • , , , , . S g a. ...V. , . 6. If business, commercial or mined occupancy, specify nature and extent of each type of use , r ~l .,0........ 7. Dimensions of existing struct res, if any: Front ~3 .Rear 5......• Depth ..:•f,~, , , • , , , , , Height ,I,~ , Number of Stories , ~ , . , , , , , , , , , imensions IC a ~turel,with alterations or additions: Front ......35. , , . Rear , , , , , , , , ac b De gth N Ileight .....l Numbe~• of Stories r . 8. Dimensions of entire new con$truct~on: Front .......f.:1 , , , , Rear ~7........... Depth . , , , , , , , , , , • Hei ht I:~ u~?mber of Stories . , , • , , , , , 9. Size of lot: Front .....`t l`), .II Rear S' Ct Depth ~ , . 10. Date of Purchase ...Name of Former Owner ] 1. Zone or use distract in which remises are situated . . . . . . . • • • 12: Does ro osed construction violate ariy zoning law, ordinance or regulation: nn ff lY:~ 13. Will lot bOwner of premises . • • ~ • ~ • • • ' • ' ' Fill excess fill e emovgd from premises: Yes No Name of Are raded .......~,r t , • 14. Name of ?ve.~l . ~,-Gn~S Address . S'.v~~yvl; .~Nt. ~e4o".~cPhone No.. . rchitect,~y, :.Address qn No. . Name of Contractor La, lS,o`^:. ,4a wf,~,', , , , , , , ;Address ~$1s ~ov;..~ .C.1~cif!a,~r~~l • • ~ • 13.IS this property'lodated within 300 feet of a tidal wetland? *YES....NO. *If yes, Southold Town Trustees .Permit may be required. PLOW DIAGRAM Locate clearly and distinctly ill buildings, whether e)isting or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or cornier lot. ~,C I , I ~I III STATE OF N O COUNTY OF~I(n„ r(,~, S.S 'J o N L-.a l • ' ' • ' ' ' ' ' ' ' I' ' ' ' ' • r• • •,,•j~ • . • . • • being duly sworn, deposes and says that he is the applicant (Name of • dividual si Wing contract) above named. He is the .....................'I.-.... (Contracto ,agent, corporate officer, etc.) of said owner or owners, and is du'y authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the bast of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this { Notary Public, V~~~~~.~"" } . County .W1~ . , ~K ~1r~>t4llt~tsMNa~lrNMoek (Signature of applicant) Qw1HNd~M BuH kM~Ceai~y X10^ Usoeme~~tY ~ i S-+- - r~y• _ Y• - - ~ ~ ~ ' k { tom.' 1.1~~ ~c, ~ ~ t i M.~ f t-.. t Asa ~ r. /t r~`r i i i i ' ~ ; III _ ~ ~ f t:t u) C 5 Ifi 4 4 ~ i ~ ~ ~ . t „t m,ts~arfac nr 9a-r;;.,,fl .~3.'.~f~:: ~C~ '~.o l , r-ry;,an 7..•^C, ffrc F4w6 V¢rk ~trf~ z~ f?"G?Yt ~i~~ ' ~ P-luatien Law. 4'e*t¢s r r h~P t srvey m¢» atM F srh~ tart is sn sear z: ~n~nd eaa{ a ~.~1t er~~ar.~s~ seat et~lf net ha canskerao" . ~ , ' ~M ~ ~ ~ 4¢ ear vatid uua apps . ! ~ ~ _ - , ~ _ _ ' i!!,, _ _ _ _ _ _ - -~P3yartteP$InSiratdc?hareon srr~t§. ~sv ~ PY y Z¢ the $Jf?adn ?¢r XYery: Yt3a :1n :O u iii : ntc i end ¢n his Ec- ain a t` .TC~ 8.aon~o,nn/. garo¢rnman~l ti}^^..y a;a~J lec.tlsrY ~aaKitueton IiP2ca hsscara .-~:fl t td s>`s^_ ~~;':(.7+xw9$ Yha lar.:.""i;x^i i; *.i- ! (y\~ ~ w t~: 2c~:;.~rr.Ci_..sar;.ces are npL t~~~n,'~^; s,"~?a ? Q Xb CU:':ian~& jR8a201t1¢n$ ar 8Lk32~ndn~ i ,U) 1,~ ¢V:p2rs. ~ ! ~Y a N''r Yt? 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