Loading...
HomeMy WebLinkAbout18727-z L ' ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19720 DATE: February 12, 1991 THIS CERTIFIES that the building ALTERATIONS Location of Property 17195 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 2 Lot IS Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 1990 pursuant to which Building Permit No. 18727-Z dated JANUARY 11, 1990 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 ALTERATIONS TO & INSTALL SOLID FUEL BURNING APPLIANCE IN EXISTING DWELLING AS APPLIED FOR. The certificate is issued to EDWARD C. BOOTH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-161066 - NOVEMBER 15, 1990 PLUMBERS CERTIFICATION DATED JANUARY 22, 1991 - MASTER PLUMBING . ~ uilding Inspector Rev. 1/81 FOfiM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ~CQk~~ ION OF THE WORK AUTHORIZED) N°_ Z Date .../.,!/.1 19,.(~. Permission is hereby granted to: / rs:.~'~.~ ...~.J~~...... s~q! ro ~l~l.~,~/~'F~G?aG~~~~9..~rrti....~.rAli:~/•••. ...~/.f~tv~- ct premises located at ...[...~1^f..~..........4~ ..............~~/..Y~lfl..:~........................................... i County Tox Map No. 1000 Section ..........S.lr..~..... Block Lot No..........1~`.'......... pursuant to application doted 19..~1J., and approved by the building Inspector. a~ Fee i~ ing Iie~gectar Rev. 6/30/80 ~ ~:i Form No. 6 D ~ TOWN OF SOUTHOLD 2 ~91 ELn o ~IhM BUILDING DEPARTMENT rCV ~7~7, TOWN HALL 765-1802 BLDG.D BLDG DEPT. TOWN OF SOUT ~ TOWNUFSOUTHULU -~,a,~(,~j 3t~7'~~~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY i 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 ly, 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. i. 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. Fees L. 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 aver 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~~z~ : few Construction........./.p. Old Ocr~,Pre-existing Building.. .ocation of Property..»(!.~.....X:U/'y~ll/~? SO///!/c;c~~................ House No. Street Hamlet nwer or Owners of Property...~Gv~~/J.. Cf.. ~O Dom ounty Tax Map No 1000, Section.... ~~......Block......~ ........Lot...( ubdivision......... ...................Filed Map............Lot...................... I /Q ~ ~ NFL. ermit No......Date Of Permit.../.(!.. ( ~...Applicant.. C.~h~'~'.P.~ . ealth Dept. Approval ..........................Underwriters Approval......................... lanning Board Approval °quest for: Temporary Certificate........... Final Certicate.~?,,,,,.. , °_e Submitted: ~ ~ ~ ~ i Q ~ ~ / APPLICANT TEL. 765-1802 oc~~FFflti, Cpl~~ TORN OF SO1UTF40E.D s T ~ OFFICE OF BUILDII~IG INSPECTOR o P.O. BOX 728 cn E'er ;;3 ' TOWN HALL O ~ ~ `r SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N - - - - - Date - - - - Building Permit No. 1 O r Owner ~p~v~~ QOO~~ ,/y(Jp~lye(ase print) Plumber JfIJJV~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. , (plumber's signature) Sworn,y to befo ~ me this 19~• Notary Public Rotary Public unty ~orrir u. L1otoa~ 'OTARY PURL Ir. Sta4e oh New York P1~. 52-3384425 - Suff61k ~oun~ Cabmmiss'roq 1'azniru.4 Mgy 3~, 19 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 I 10DD121 ~ BUREAU OF ELECTRICITY 8S JOHN STREET. NEW YORK. NEW YORK 10038 Dote NOVEMBER 15,1990 Applira[ionNo.onfi(a 63818989/89 N 161066 THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant Homed on the above application number in the premises of _ EDWARD BOOTH, SOUNDVIEW AVE., SOUTHOL!!D~~, N.Y. in the following lncotion: ? Rosrmrnt ~ lat FL t4J 2nd F(. OUT Section 8(ork Lot ans examined ors NOVEMBER 08 , 1990 and foand to be in cmnplianre with thr rrquirementy u/this hoard. FIXTURE ECEPTACtES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fIUORESCENi OTHEP AMi N W AMi N W AMT. K W AMi K. W AMT. H P, 14 9 14 13 1 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIMF CLOCKS gELL UNIT HEATERS MUlil-OUTLET DIMMERS AMt K W. OIL N. P GAS M. P AMT. NO. A. W. G. AMT, AMP AM}. AMPS. TRANS. AM} H p SYSTEMS AMT. WATTS NO, OF FEET 1 30 SERVICE DISCONNECT NO.OF 5 " F R Y 1 t E AMT. AMP TYPE METER 1 ]W 1 H 3W ~.e 3W 3,g' 4W NO.OF CC. COND A W G. ry0 OF HI-LEG A W G' NO OF NEUTRALS A W G' EQUIP. PER & Of CC.COND OF MLIEG OF NEULRAI 1 200 CB 1 X 1 4/0 1 2/0 OTNER APPARATUS: G.F.C.I:-2 SMOKE AETECTOR:-1 I I ~~2~ ~ PAUL R. BURNS LIC.#ZSZE C/ 275 TOWN HAR$OR LANE SOUTHOLD, NY, 11971 GENERAL MANAGER 11 m .J~_-_ Per This certificate must not be altered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by their credentials. ~ i J ~~F~tx~ TEL. 7G5.1802 p5 , ~OG~ ~ TOWN OI' SOUTIIOLn < UPPK'L• OF BUILDING INSPECTOR a a P.O. BOY 728 ~ ~ T01VN HALL y1~41 ~ ~,~o~- SOUTIIOLD, N.Y. 1 1971 17195 SOUNDVIEW AVS. SOUTHOLD, N.Y. 11971 SUFFOLR CO. TA% 50-02-15 ' To Ylhom This May Concern, we are unable to complete your Certificate of~~Occupancy because ,of the following reasons. /_V/ An application for Certificate of Occupancy i:~ not on Lilc. ~~c_(J.a-o-~'-~- No Underwriters Certificate on file. /t/( The check is( -/not on file.) ~~S`..~o / / No stealth Dept. Approval on file. % / No final i.ns.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Buildi.nrt Permit Ik l ~ ~ ~ ~ Z ~'Q~~uQ Building Dept. it No Plumber Solder Certificate on file. I { all permits involving plumbing being .issued after April 1,19II9 ) ' I r'IELD iI:SP~C:IUN +~UATE ~ COMMENT° ro t m 1. _ ~ V ' 4 r-i _ _ y v FourJDATIO;a^ (~st) N FOUNDATION (2nd) ~ 2 . 0 ~ o ~ 0 RGUGH FRAME & .PLUMBING' p ~ y O ~ d~ • ~ 3. ~ ra y IIJSULATIOP! PER N. Y. ~ STATE ENERGY CGDE 4 . ~ _ rh FIiJAL o z ` it ADDITIONAL COMMENTS: x ' x b a y H O 2 1 x M 9 - ~ S~ d H 7'65.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~C"'"'~ REMARKS: ~ - ~ T DATE c~- / ~5.~ ~ INSPECTOR /~~z.~ 765-1802 BU{LDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAM{NG [)FINAL REMARKS: ~-~J~~~~~~ t~~"~-''-'` DATE ~ d INSPECTOR . .._k BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPf TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY '0 76 I ~6 TEL.:7G5-1802 CALL Exatttincd . ~~1~ l9 C.° MAIL T 0 . Approved ` /I 19Permit No.. ~t~.~rO.2d.~ . Disapproved a/c "ro:~~-!..... uil ~ Inspector) APPLiCATIOPJ FOR BUILDING PEi3N°;T Date . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 pan of this appli- cation. • e. 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 ctions. (Signature of applicant, or name, if a corporatton) (Mailing address of applicant) ij~j State whether applicant is owner, lessee, agent, architect, engineer, genera! contractor, electrician, plumber or builder. ©UJ N ~ ................p.~................................................................ . Name oC owner of premises ~~!N.A:R t!... ~.-..~.a~.T. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ' Builder's License No. l~~ .1: . Plumber's License No. ~ Electrician's License No. U u , Outer Trade's License No . . I. Location of land on which proposed work will be done; - Ilouse Number Street. ~ ~ ~ ~ Hamlet County Tax ~i\fap No. 1000 Section Block , , , , , , , , Lot ~ _ , Subdivision Filed tap No. Lot ~(Namej ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: b ~~p ~1 q a. Existing use and occupancy V1t.~.~~.1v.~5, , , / t ~ ( ~~«p ~ ~ , . , . b. Intended P~ use and occupancy I.1~~..~...~..~N.~s.....~C~.~.. ':,Q.~ . I . 3. Nature of work (check which applic'able): New Building . „ , .Addition Nteration . Re air ..............Swimming ool.. - p .4~ . R~movat'. Demolition p SoLiA F'~$.[._ Tennis Court Acgessory Building ..........Fence .......Other WorkgvR~~ ~ . 4. Estimated Cost `..l~. ~ ~.V. ~ Fee (to be paid on cling this ap,{plication) 5. If dwelling, number of dwelling units Number of dwelling units on each (loot ...,,t, • Ifgarace,numbcrofcars 6. If business, commercial or mixed o4:cupancy, specify nat~rre and extent of each tytpe of use t.......... . 7, Dimensions f existing structures, i f any: Front • Rear . Depth ..~.P.......... . . Hciaht Numbc; of Stories . . _ Dimensions of same structure with;altcrations or additions: Front Rear . . Depth ......................'Height Nur bcr of Stories . 8. Dimensions fer]tirc new constnrction: Front r~,a. l Rear Depth . ~.~.t......... . . Hei;ht ~6... Number of Stories ....1.., . 9. Size of lot: Front ;~4:(j ~ • , , , , , , , Rear 1,.~.~ Depth , ~s~~ , 10. Date of Purchse ~ ~ • . ~ ...............Name of Former Owner ,F ~R'.....7.pY~-t~ a , 1'I. None or use district in wluclr premises are situated . . ` t Does proposed construction vi late any zoning law, ordinance or regulation : . 13. 1Vi11 lot be regraded .......~d'... h_ \Vill excess fill be removed from premises: Ycs . I~... Ih. Name of Owner of premises'F1aN~f~FR'D .('.:CJftO:t"~Address~~~-y~~~TR.R.~ ..Phone No(al:-l ..~•4d"r.4:1•'a.~ . Name of Architect y~ ~ . Address~`}rv ~ Phony No. Name of Contractor C% V~~. 1~G~~t"~ i.'J. Addresstl~~j.~l~T,f~fl~Q.... Phone No. `.~.6~.:".~.~~Q• . iS.Is this property located within 100 feet 'of a tidal wetlaud? *YBS.,.`.NO.~`. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Loca,;e clearly and distinctly all buildings, whether existing 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 comer lot. ` ' ~ I , xs h n ~ ~ ~ • / / a,. V 4 \ ~ ,~y ~ / ' ti i ~ ROi~ D ~ ~~~~c ~SZ StY ~ ~ ~ ~ / r a /~~o'~F ti2ro o .o~ / /4~ ~ 3 ~ , ~ p/ > ~ I STATE OI' NEN YORE, S.S ~ ~ 111'p° ~ ~ f COUNTY OF ~ , i nS, . ......................j........ , being duly sworn, deposes and says that he is the applicant • (A'amc of individual si;n~ng contract) above named, ~ Hetsthc (Contractor, agent, coKporatc officer, etc.) of said owner or owners, and is dufiy authorized to perform or have performed the said work and to make and Gle this application: that all statements cont,~ined in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manne',r set forth in the application filed therewith. Swom to before me this .................~e......day of ~t~-........... , 19 94. Notary Public, • , . , County p ~ NOTARY~~PO~pUBL C ,~~t~d of New YaM , , ~ l-, • • . • • . Tam EKplregs ~Ch 90,1°tla~ (Si;naturc of applicanU - ~ V~~ q~'~ ~ ~ ~ a~ cW° z~ o woo woo j ; ~ W O~~ y N ~ _.i_' l Q ~ W 4 W "=i .,,,0 h ~ ~ ill ~ . ;I cG. ~`ia~ t~ ~ ,h z g£ ~~j v<z.°.~ .~e,:~~~gt~n .may ~ ^,l. .':i ~4i..~ro ~ n Cw,~~ ~,,t:~,~:~ti n ~ ~'~i ~ l~ ? ,I ~ i ``~s~` ya' ~ ~ ~~d,, -_..~.~._r.___ . ~ ~ <s ~ ~ ~ 3 ~ , A _.~.._...~.~.~._...._~~_.e.,..~._...~ + ail' ~ ~ ~ . ~ ~ ~ y: ` ~ ~ a~~ a ~ ~r tla~ I V ~ ~ _ a i _ w ~ I ~w ~ ) ~r co'.~~ ~ ~ D Qx K ~ ~ WZdWW 1iG .~°.q 7 ~ W ~ ~ ~ w Pii a ~ . ~ a ~ - ~ • r veil ~ ~ e(~ Z ~ mtl ~ t1 W Oa'~p ~ ~ per, ~ 'n4 e~ ~ to m ~ ~ U ~ Z 2 ~ C ~ y 7 V u ~ cr' ~ " G.~~ ~ ~.%,f ~c _ ~~JI ~ i ti,ta p ° ~Z~z~~a tryy~~ I N goo ~ I i ~ u.i~,i,-iULLOa~u.m.~.PiQOw R W I d wOcoO r fa ic..2 P`~ LL r 6V CP 'Q F M CT d of 1F ~ cwt it Yt~ I ~ u z y t * y ^1i ' ' n.~ . ~.~...._.~..~.v.. •d~ y ~ ._._..___w - 3 ~ ~ ~ ~ ~ i ~..__..__..~_rv_ ~m.. ~___~n.~~.___ ~ ~ ~ e - _ _ _ - _ __~_._.m..__.~_____,_. _ 11\` ~ ~ ~ ~ ~ r ~ ~ ~ \ ar.......n..~„...r..n v 1 ~ ~ ~ _...-1 '.,..,fie i f i / ' ~ ~ ~~C - _ ~ / c ~ L~.. i e ~ ~ ( <'t _ ~I ~ j I - ;P' j ~L~- r I ~1 `,./_f ^P- i CS ~ ~ r~ 4,, $ I:1 p+ ~J ~ ~i c _ _~q{'' . fiR.... ~ww»F ~ z ..__.._..a_.~...~.~._.__.__,_. ;_~...,,~,M..~....._...._.~._._...,__ _ !Yy`y;' ~_-'Y ~ ~ i„ ; ;_y;,y'JL.vV~ y.~.ra< ~"~,F.:; . ~ l~~ia.. "t.'7 A 4~ ~ ~~>S'=}YYj v~, y ~ ~ ! ~ ~ s {Y" f ~ i P~ i v i i ~ k ~ ~ S fi a ~ t y4 f ; ~ ~ l f 51 { C~ r, i k j /~~s t i C ~ ~ { Y ( ~ . ` ~ } ~ f 1 ' r r C ~ ~ Pe` s i ; g `4i E, tX % lF y ~ } ~A t ' ~ rJ1 ,.t1 i ~ ~ ~i~ `3 •y~~ r f ~ { ~ \ ~ 4 ~ `f r.,yR i { ~ i ~ } ~ 3 `.S `'r r" z I ! ~ ~ ~ i f'~ ~~rm,rjr• ,._,~~iM~°~,,.:y~-r~'.yY°=~:... _y"4y"'~`~+,•~~T~.~D ^9r2,'2r1 i _____.__._W__. ~r' i . s ~ } . i i ~ -~R}} ~ ~ . ~ ~ 4 ~Ya,.a.q r~J~+l t! ° i 1 ~ Y6~Wf, . . F . ~t.P I `~j'1J'Zf'v '~ry __._._.__..r- 3__ i I{I ~ ~ 7 ~ ~ a i 1 e 7 _ _ _ w.____ w.~.-._ 4 3 1;, r ii j` "u.` ~ ~ r~~ ~ ~ i w~~ Y 4 ~ d 1. •a~~Prnr60' ~~T, E L~.._....._...~..-..--~.v.-.-._-~.....(-~- _ V ua ~ / ___~......,~._~e...-..... ..___u~,..._._ 3 l { ~i ~ I ff S .gym ~ E } i l~r__..~._ ~ A%~ i ~ E L -3 ~~~v _ i 1 ~ i f f j i{e 6---_ .Y... _ t