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HomeMy WebLinkAbout18876-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219464 Date OCTOBER 22, 1990 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property 10720 SOUNDVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 06 Lot OS Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 23, 1990 pursuant to which Building Permit No. 188762 dated MARCH 15, 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 ADDITION AND ALTERATION TO EXISTING ONE FAMILY DWELLING The certificate is issued to LESLIE WEISMAN AND OTHERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N154984 OCT. 11, 1990 PLUMBERS CERTIFICATION DATED MICHAEL DAWSON OCT. 14, 1990 r ild ng Inspector Rev. 1/81 101fM N0. f 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 AUTHORIZED) N Q 8 8 7 6 2 Date 3,~!:~ 19.~Q Permission is her by g nted to: , .3/G........~rl~ j~............~.~....~.~ to at premises IG~ ...lQ.7F~'......... r~"~.~~r~~..:~G:b.' G~anC . ..............................................................................l..~.............................................................................. County Tox Map No. 1000 Section ..........s..~T.. Block ................1~pp. Lot No......... pursuant to application dated 19.1..x., and approved by the Building Inspector. Fee 5..~~ ~u/ ~ dlnp Inspector Rev. 6/30/80 ""r Form No. 6 w~ ( M TOWN OF SOUTHOLD 'C~Q t1 BUILDING DEPARTMENT Q~ , 9 ~ TOWN HALL 765-1802 BLDG cOE~~V+nlS1 TO`NN OF ~~3 - APPLICATION FOR CERTIFICATE OF 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 farm). 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 - Residential $1^~5-.00/,G9~Com/mercial $15.00 /(~d/ ~'y Date ..~G'. 1. .lf.l.~F~..... A, A r~j~. , . New Construction....... Old Or Pre-existing Building. ~ f~s~' .?L~""~/~~ T Location of Property....~~7°20....,, S'DUNDVIC,I'(/ ,.9VE,. .SOUJ]~fOLI~_. , House No. Street Hamlet Onwer or Owners of Property.. LESLIE .GUF~S~f.¢~1/ ~T//7 ~Th~rj . . . . . . . . . . . County Tax Map No 1000, Section. ~~.~......Block......6 ........Lot.... Subdivision ....................................Filed Map............Lot...................... Permit No..~o~7~. z...Date Of Permit..3~1$./ .9~ ...Applicant~L/~~~Th~lcso~V `a. " LE$U~''~i~iy",yyJ Health Dept. Approval ..........................Underwriters Approval.. Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. Fee Submitted: ~ ~d ~~9o APPLICANT ,ew va 7 ~ ~ TEL. 7t,5.18(;? ~FDt.~ C < Toy°rl ~r sou~o~,a ys '`c~ OPf'ICI: OI' GUILDINC INSP£•.CTOR ~ 4' L~~o ~ P.O. BO7C 117 9 ' r~"'~' ~ TOWNlIALL '•~4~ J SOLJZ'ItOLD, N.Y. 1 1971 ~'~y41. . October 12, 1990 Leslie Weisman and Ors. 10720 Soundview Avenue Southold, N. Y. 11971 To S9hcm Thin May Concern, 4.e arc unable r.o complete your Certificate of Occupancy because of the folloc•ring reasons. An application for Certificate of Occupancy is not nn file. SIX XI D!o tlndcr~dritcrs Ccrt-ificate on file. /gg( 'i'he chec:F; .i:: (~hai~ad~it~s~/nut on file.) $25.00 No Ilca].th Uept. Approval on file. % / Nn :final ins['•ection ham been made. Plc;ase contact: our office on thi> matter. ' Thank you for your cooperation. ISu.il<licg Pcrm.iY. I! ~ g •Z ~ Z Auilc7incJ Dept. ~**/x~ Uo 1'lumbcr Solder Ccrt.ificatc on file. ' ( a?.1 1>~rrtit:: involving plumbing being i~sucd after ~1pri.1 1,1984 ~~'C.' c~-~ FS~t,D TtrSi'~TIQN' IIp?k7?~ i~ Go`t:~t~:NT.S m ' olD~r~ _ I - ?OUtIDAT20:1 (1st) . C c N ~ m FOU;dDATIO;I (2nd) ~~~3 z 2. o ROUGH FRki•SE & + ~PLUMBINC~ G'J ~ 3. ~ ~ .a IIISULATIOPI PER N. Y. STATE EIIERGY ~ ~ ~ _ CODE I ~ cn Q 4. FINAL +~B _ ~ O ADDITI011AL C01'!. ENTS: sS • x ro ' H a7 r C n . - c =Lr ivy'. TEL. 765-1802 p~y~f~C/(~p TOWN OF SOUTHOLD ~'~c OFFICE OF BUILDING INSPECTOR o ~ P.O. BOX 728 TOWN HALL yO,~o ~ SOUTHOLD, N.Y. 11971 1 C E R T I F I C A T I O N Date ~/Ll ~v Building Permit No. ~ ~ ~7 ~ ~ Z-- ownerL-~5~/1i ~~lS/'~'`1? (please print) Plumber~/lG/~ly~ L jJif 5o r^-~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead, ~t N.L ~ (plumber's signature) Sworn to before me this l~frv day of (~c 0 St` rZ , 19 °10 ~ Notary Public Notary Public, ~S'<. ti Fotr~ County l1NDA K. DAWSON Notary PubtFC, Slats of New !^otk No. 4894888 Qualified in Suffolk CouMyct Term Expi,~ea March 30, 19 f I ~S'i Pl-~U ~ ~ {U~)~' I ~~rYy~ ~~~jq ~~1'Li~ l~~~sr~~' c~~~ r~;r, : ,4 r c, r~~° ~ 6 AUG ~ 1, 4 BLDG. DEFF. TOWN U~ SOUTNOLU,„„ ,A; j ,~.5' CUB .!~%SC'~s'S~7~J, L.~~ ~S /'~r~vr- ~F ,may l'iTE P S~Z'N~" ~,~jS' i¢~i/!J ~'j~7'7~~NiN~ ~Z~~LG- ~Gi/i'T/f -cf.~-~r~r~s N~T~D~ ~I , f t 4 . ,j ELIZABETH THOMPSON ARCHfTECT 155 AVENUE OF THE AMERICAS • 14th FLOOR NEW YORK, NEW YORK 40043 Ma.. G~~ s~ ~u~-i 2'7~ ?~tio Snoritouw Irnv~ Y~~DC..~rs-f}T. Sou riiotA~ ~ • . IZ.E : PErut+ ~r 1$g fro Z I~f.~s~ Ago, s~D `11+?n'f" A S ~~,t~ ov TN-ti ~ F~-~D P R-od Gz~- ~ 1 A ~Plzov E n-?~ USE of '(Z-1`? INsurngTlrnv IN 'fttE GuFo~.4 C.~tuiNL~ , THIS ~s ~ 1~v~sidu `fb -fhtE arztG~ns~t. pu~S oN 1=ct.~, ptk~ Da I:roT i~tsst r?~g t i` `1ov M-,a-U-e Pr~ Fu2~1+~'2 Qur~'s.7~v-~.>S A~ 2t2- 2'la-f333G . Sia.~cx-tzE 1 D 3 01990 ; ' ~~~~`i TOWN OF SOUTtiDLD w THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'AG>'. 1 1001071 BUREAU`OF ELECTRICITY 65 JOHN STREET. NEW YORK, NEW YORK 10038 _ Bay OCTOB$R 11,1990 gpplicotton No. on file 70042490/90 N 154984 THIS CERTIFIES THAT onFy the electrk;ad equipment as dsscri6ed &skno and introduced by the applicant nomad on the ebow eppliation number in [he prenKiws of L$SLIE 11BISNAN, 10720 SOIINVISIi AVENU$, SOU1'NOLD, N.Y. in thefoBotcing locution; ®Baeement ® let FI. ? Yrul FI. nUT- sertion Bleak Lot uNSe esomined un OCTOBER 1.1 , 1990 and found to 6e in compliance with the reyuircmenM of this Board. RX/WE RXTURK RANGES COCKING DECKf O WASHERS EXHAUST FANS ~yVn TACtES SWITCIIlf INCANDESCENi~RU011ESClNT OTHER NAT. K.W. AMT. K.W. NAT. K.W. NAT. N.W. AMT. M. P. zz a9 as 2a 1 ~ DRYERS RJRNACE MOTORS IUTYM AFp1ANCE 1lEEEEf SFEGAI EtC'?T TIME CIOCKS Yll UPNT NEATlEf AWITIAUTLET DIMMERS AMT. K. W. dl N. I. GAS N. P. AMT. NO. A. W. G. AMT. AAV. AMT. AMTS. TRANS. AMT. N. P. SYSTEMS AMT. WATTS NO.O/ FEET _ 1 30 7 600 SERVIC4D7CONlNCT NO.Oe f ! R V I C E AMT. AMP. TYPE METER l TV T R ]W 7 / tW 3,1 AW NO.Of CC COND. W. NO. OP MI.U:G A. M'' G. NO.OF NEUTRALS A. W. G. EWA?. PER/ oP Zc. o. ale.leG or NtUlMI 1 100 CB 1 X 1 4 1 4 orTKm AFFAUTUS: G.P.C.I:-5 _ r. i G & S CONTRACTOR LIC.~578 $ BOX 215 SOUTNOLD, NYr 11971. ORFNRAIMANAfN~ ~ 11 /~-s.[~ Psr grtificaN must not bs attend in any manner; Murn to 1M office of tla Board if ilTCOrrM. Inspectors may be identified by their crodeMiab. f,APY BUILWN6 S Of N:A E AUS NGf E ALTlREp IN ANY MAlNER. 0 ; ~ 765-1802 lV BUILDING DEPT. INSPECTIQN [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ ~ ~ 1 ,G~cP-,,~ f`~ ,f DATE ~"'y~~~ INSPECTOR ' ~ ,,~~f ~ ~ 7ss-isaz BUILDING DEPT. ~NSPECT~oH [ J FOUNDATION 15T (~'1 RdUGH PLBG. [ J FOUNDATION 2ND [ INSULATION [ l FRAMING [ ~ FINAL REM RKS: ~ ~ -l9 - ~ r DATE INSPECTOR ~n,~ 765-1802 BUILDING DEPT. ~Y~7~ INSPECTION [ ]FOUNDATION 1ST [ OUCH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING ~ ]FINAL REMARKS: v ~ _ /Ubtr ~~tie.e~. DATE INSPECTOR G ~O 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ] FINAAL REMARKS: ~ DATE INSPECTOR I g~6 ~ ~sS-1802 BUILDING DEPT. INSPECTION [/,~j FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: Q i , ~ , DATE ~ 2,~ INSPECTOR~~~ ~y~7~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [v] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REM RKS: i~,_e~ul .~•~~`„cGn DATE ~ ~ INSPECTOR 96#~nF...?f3D Bj5~ `~$a , V I,, ~ SC.~S~ 36~ 8~~s y'. ~ y i > dot _i3,_ ~ '5 5ei ` m ~(a ; { i\ IC` ;t,.) ~ :i+C!Gfifi_Y fGi:AD i. Ir {r jl-~ ~ ~,~t ' I r ~ : ~_m ~ c; i ~ ~ i aG n _~,~~,,,,-,e 1 ~ c; ~ i+,' 1 . ~ i~ v _ _ I ~ 4 ~I 1 ~ ~ ~,~'h 7, ~1e,~.,~`' ~ ~ ~V ~ ~ L ~T ~ ~ i P ~('t I~j~~lzy n-'~, ~ 1 If'. ;at mlm in , 'iC { ,z, i~ ILO ~ :7 ~i_. (F { y 1 ~ i`~.'1 Its' i' p I- I ~ so r ?~<Im ,~e,a °F9e ~'_I~ ,Cn ~Z ~ '~~'D ~N'~ z. "'[[44~~~~~'~~' i m 7 Rl I ~a i~ °Lae'~' l2 F i N ~ ~ ~ ~ i r-n ao< BOARD OF HEALTH / ~ ~ 3 SETS OF PLAN aK•. rA?a.~ ~ ~ FORM NO. t SURVEY . IIJI TOWN OF SOUTHOLD CHECK g•~ - z 3 ~ e BUILDING DEPARTMENT SEPTIC FORM . , . / , , , , ; TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 X33 T0WMO6SOEtJ~TF1OLD TEL.: 765-1802 CALL .~ca:a1Y......6. MAIL T0: Examined .~5..........., 19 .~d p Approved ..~~.5~......., 19 fd Pennit No. l©. g.~~.~?..~ Disapproved/aa/c (B 'ding pector) APPLICATION F BUILDING PERMIT Date ..~~...~3...., 199.G INSTRUCTIONS a. This 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 permi shall be kept on the premises avaIlable for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe~_ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections~~ ~ (Signature of applicant, or name, if a corporation) 31b..1~40rI ST.,!~PT;bB. ~Ew`(o2.Kl~`Y~~?ol_ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, s Name of owner of premises ~~EISM Ate.{. ~ u P!ap.y { . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .T.'~.A . . n Plumber's License No . . ~i Electrician's License No . . u Other Trade's License No . . 1. Location of land on wftich proposed work will be done . . ...la7.Z.D...........5. ouP?D.Ot~~V.. !~VE ................~~.Daft}~,t,t7...................... House Number Street Hamlet County Tax Map No. 1000 Section ....Q.S.~......... Block Lot . Subdivision ....V Filed b4ap No. Lo[ . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S.II`?GS-~ ...FRN'):..~wEl-r4~ti?4 . b. Intended use and occupancy S1,u Cnt.G...r'~1.?''.l:.. b!~~?~{,. ,,,we-~.~-fi- a-oe.¢~,Cwx. . of work (check which applicable): New Building Addition ..~S Alteration . . . Removal , Demolition Other 1Vork . (De33scripSion) 4. Estimated Cost (~Ot v.°.t? Fee a t~.~F . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor ~ . . If garage, number of cars ' " ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...3 (a ~ • Rear ..3.tn'......... Depth ..3 3 . Height l$.'......... Number of Stories .....1 . _ Dimensions of same structure with alterations or additions: Front ...(00............ Rear ..'f' ~ . 8. Di mensions o~ntire new construction Front . Rea Nu ~ it of Stories ; 'Depth ..`tG+ . Height ...Z.~.'........ Number of Stories ....l . 9. Size of lot: Front ....I 35 ' Rear t `.1.5 Depth .~.~z4? . 10. Date of Purchase i`tS.Fi Name of Farmer Owner 1 1. Zone or use district in which premises are situated A,-.''~'S? . 12. Does proposed construction violate any zoning law, ordinance or regulation: ..f\l.o . 13. Will lot be regraded ....Nl~ .....................Will excess fill be removed from premises: Yes Nc 14. Name of Owner of premises ~V1EtSYh fkN........ Address 1':o:3?x iZ$P. 5eu7nap, phone No. 76.E - 18.7.3.. . Name of Architect .~U2.•.TM~P!vtY4?AJ........... Address Po:t,?x2K1 l2Rdaw? NY.. Phone No. 3R5 : 3.875... . Name of Contractor ..:fTS•1?• Address ...................Phone No.............. . 15. is this property located within 300 feet~yyof a tiidal wetland? *Yes No *If yes, Southold Town Trustees PermitpLOT DIAGRAM ed. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frorr property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. SG E ~tTA~''~ SJ fZV STATE OF NEW YORK, S.S COL;NTY OF . ....~4~7.-1~~3~'I-~...~ ~!~'t~~ N being duly sworn, deposes and says that he is the applica {Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti application; that all statements contained in this application are true to the best of his knowledge and belief; and that t work will be performed in the manner set forth in the application filed therewith. Sworn to before me this qq Notary Public, ~°L~:~f~-' . 7I :.f~. v~ County PP ~„~~„yyy (Signa ure of a lira Ne. 470787$ yyfklk Tone Expires Much 3Q 1 ~ {o. - ~ M. dye I44r'.•~` 5'J$'F GG:TAjC MAP DAr~,itX.~O-C~S~-b ~ ~ r 1 - j t~ U~ ~ ~ t i i .i2t~ t ts1 r ~ ~ N. .p. I ~ ~ t N' ~ ~ ~ ' % i ~ ~ •,r 't~ } ~ ~F ~ [Ctot3 F~f 4?~ ~i ~ o 1 ~ t ~ { W L ~ -ort 4 .aA. ~ T K 9 L 1 r I a "'•••"~1~~1111 V. G3 ...i ~ , ~ 3.42' r}~:,~' w ~.{~aq ~ tr,~ r ~ , ~ ~-~F ~R~~ I Guaronze w•. r ^un ° ~ ~ ~ 'r t Y 9rtY to r • ^rm ~ - ' ` i r J I ~ ~ k C ,In r r I. 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