HomeMy WebLinkAbout18058-z
' ~ FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18624 Date DECEMBER 7, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 14850 SOUNDVIEW AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. ]000 Section 050 31ock 06 Lot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL I9, 1989 pursuant to which
Building Permit No. 18058-Z dated APRIL 20, 1988
was issued, and conforms to alI 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 JAMES SCHONDEBARE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH P.PPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-093898 - SEPTEMBER 27, 1989
PLUMBERS CERTIFICATION DATED DEC. 7, 1989-HENRY J. SMITH & SON, INC.
cl
Bui ding Inspector
Rev. 1/81
roam xo. s
TOWN OF SOUTHOLD
6UILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 8 0 5 8 Z Date 19.8.8
Permission is hereby gwnted to:
.G R
c~~.........~..~.~.~~....r.~d
~~.:-~.~Q......~?: y.:... q~r..~............
~ ~w.~Q.w,li.....~-~......:d .
of premises located at ....~....~.~.a....s5.!~~-5?.... ...U.•.~.:....~
County Tox Map No. 1000 Section^.,.,..~~. n~ . . gBlock .....~.~P.......~.0. pLot No Q..~-.-....
pursuant to application dated ....~1.4~r!:......~../ 19.A 1., and approved by the
Building Inspector.
Fee 5.~~:...:~.. .
.
Building Inspector
Rev 6/30/80
V FORM NO. 6 D L't""'.:~. ^1
TOWN OF SOUTHOLD ~
Building Department S~ j
Town Hall u U
Southold, N.Y. 11971 ~ , ~
765 - 1802 TOwN~
D~ gpT"~--"~~
APPLICATION FOR CERTIFICATE OF OCCUPAN
Instructions
A. Th+s appticat+on must be f+lled m typewr+ter OR ink, and subm+tted ~ ®to the Building Inspec-
tor w+th the following; for new buildings or new use•
1. Final survey of property with accurate locat+on of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
vons, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 7957y, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
t 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
von required to prepare a certificate.
C. Fees:
1 Certificate of occupancy $25.00 BUSINESS $50.00 ACCESSORY $10.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy ofcerUficateofoccupancY $ 5-00, over 5 years $I .00
4.Vacant Land C.O. $ 20.00 q / j3 / c3~
5. Undated C.O. $ 50.00 //Date
New Construction,,,,,,OldorPre-existing Building r°....... Vacant Land
Location of Property .~.~~'.:~~.......~0~'a'''~~?J.~W..•;QVe,~„ ~~4/~o~d
. .
House No. / Swe//et Hamlet
Owner or Owners of Property ...:T~.".'.r~ ~char7de.t~c?U;Y
County Tax Map No 1000 Section Block Lot J Z........ .
Subdivision gqF+led Map No. ~~~~.....Lots............ .
Permit No~'~:~`~ 82:. Date of Permit C~v~tg.~P, licant ~-`r3..^ . ~
PP ..:t~rr.q........
Health Dept. Approval Labor Dept. Approval .
Underwriters Approval . ...Planning Board Approval .
Request far Temporary Certificate ...Final Certificate .
Fee Submitted S .
Construct+on on above described building and p it meets all~ap/pl+~bte codes and regulations.
Rev 10 50-78
C~„~e •3~1ii
en~igLa~
HENRY J. SMITH & SON, Inc.
PLUMBING. HEATING & FUEL OIL
MAIN ROAD
SOUTHOLD, N.Y. 11971
(516) 766690
C_E R_T_I F I C A T_I 0_N_
•
Date De~ember~F~
9$g.__
Building Permit No. 180~8Z______
0 w n e r__•Ta m~_3clwndabase_----------
Plumber__Henry_J__Smith_&_Soni_Inc_
I certify that the solder used in the water supply
system contains less than 2/10 of 17 lead.
y
Sworn to before me this
Zth _day of _~,ramhat__,
19 89-.
tar-~~~ c
Notary Public, Suffolk County
BERNAbETTE t tkpLlN
NOTARY PUBLIC N4844893
State of New York
Resldme m Sutldk County
Cammisslon Eapues Sept 30, 199.1.
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IIJSULATIOf1 PER N. Y. J
STATE ENERGY
CODE ~
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b 765-1802
BUILDING DEPT.
INS~PECTiON
[/~]~OUNDATION 1ST [ ] ROUGH PLBG.
[ } FOUNDATfON 2ND [ }INSULATION
[ }FRAMING [ } FI-N~AL
REMARKS: l
DATE CO INSPECTOR ,.rz~
P O BOX 325, MATTITUCK, N Y 17952 / 734-7171
FRONT STREET, GREENPORT, N Y 11944 / 477-1858
November 9th, 1989
Mr. George N. Terry
P.O. Box 41
Southold, NY 11971
s RE: Schondebare residence
Soundview Avenue
Southold, NY 11971
Dear George:
Please be advised that the insulation installed
at the above mentioned residence meets the New York
State energy code.
Sincerely yours, `l~/~
~r,..~ ~ ~
~
C"Ja3nes P. Hunter
JPH/imw
~~os~
765-iS02
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[~RAMING [ ]FINAL
REMARKS:
DATE ~ INSPECTOR
F-..-~. ~ . ~ _ ,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000744 BUREAU OF ELECTRICITY
65 JOHN STREET. NEW YORK, NEW YORK 10038
Bate SBPTENBER 27,19$9 gpplirotionNo.onfile 64749689/89 N 093898
THIS CERTIFIES THAT
only the electrical puipment a described 6skPw and introduced by the opplirnnt noPned on [he abore application number in the premises of
-JAMES SCNONDBBARE, SOUND VIEW RD., POLE-118, SOUTNOLD, N.Y.
in the folbwinp loeotion; ? Basement ® Gt Fl. ? 2nd Fl. Section Block Lot
was examined on SEPTBNBBR 11,1.989 and found to 6e in com lienre with the r
p eyuiremenfs of thu Bwrd.
gxTURE R%TUR[S RANOES COOKtN6 RECKS OVENS DISH WAWNS EIfNAUST FANS
OUTtliS ACUIS fYY1TCNE5 INCANOFSCEM PlUd1ESOEM OTHER AMT. K. W. AMT. K. W. AMT. K.W. NAT. K. W. AMT. N. P.
13 13„ 6 13 1 1.2
DRYERS FURNACE MOTORS tUTItR! AN9IANC! 1nONt5 SMCIAL REC'FT TIME CLOCKS pLL UNIT HEATERS S~NfI
T40rYAiStlT DIhIMERS
AMT. K. W. dl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. ANT. AMPS. TRANS. AMT. N. P. ~ ~ (~T AMT. WATTS
rP
SERVICI DISCONtWCT NO.Oe S E R V I C E
AMi. AMP. TTPE 1 X 3\4 1 X 3W 313W 3 X AW ~R;COND. ~ CC
COMD. a NI-LEG a ~ NO.OF NEVTENS pF ~~ViGMAI
OTINR AMARATU&
ELEC. ROOI4 NBATERS:1-.5 R.W.,1-1.25 R.i1.
G.F.C.I:-i
RBLXBA RICHARD G. LIC./2148-E
P.O. BOX 372
LAUREL, NY, 11948 ORNRRAI MAWAORR
11
Per
This certificate must not be altered in Orly monnsr; retwn to tM office of the Fbord if incorrM. InspsNOrs moy ba identified by tlnir cndmtials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUSTNOT BE ALTERED IN ANY MANMER.
BOe1RD OF HE~\LTH
3 SETS OF PLANS
FORM N0.1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FOR*1
'T'OWN HALL
SOUTHOLD, N Y 11971 NOTIFY
TEL.. 7051802 CALL
` MAIL T0:
Etiamincd a?:O 19q~~. 2 r
~',pproved~-3f~4~I . °n'~ , l l~~ Pctmtt No ~ $ o ~ $ ~ F [1 I.~ L~ • ^~tp~
Disapproved a/c t+i~ ~ ~ g Ww
• ~e- BIAG. DEPT. s...
. .,c,cr~a,,, . _ 7o_wt~_ of sourrlow - -
(Buddmg Inspector)
APPLICATION FOR 6UILDING PERMIT ~f ~
Date . f 15
INSTRUCTIONS
a Tius apphcauon must be completely filled m by typewriter or m ink and submitted to the Budding Inspector, with
Sets of plans, accurate plot plan to scale Fee accordm~ to schedule.
b Plot plan shown, locaUOn of lot and of buildings on premises, rclat!onship to adlommg premises or public strer
or areas, and gn•ing a detailed description of layout of property must be drawn on the diagram which is part of t'us app
canon
o, The work covered by tins application may not be commenced before issuance of Budding Permit.
d Upon approval of this apphcaUon, the Building Inspector will issued a Building Permtt to the applicant Such peiir
shall be kept on the premtses available for inspection throughout the work.
e. No buildutg shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupan~
shall have been granted by the Building Inspector
APPLICATION IS HEREBY AfADE to the Buildm, Department for the issuance of a Building Permit pursuant to ti
Buading Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings additions or alterations, or for removal or demolition, as herein descnbe<
The apohcant agrees to comply with all applicable laws, ordinances, b ddmg code, housm; code, and regulations, and t
admit authorized inspectors on premtses and m building for necessary ! ecttons y~
{?n~`(~Sigf~~nature of applicant, o)r iYan/ie, if /~aL,llcl/a,/rfporanon)
• (Mailing address of applicant •
State whether applicant is owner, lessee, agent, rchrtect, engineer, general contractor, electrician, plumber or builder
q~ ~ /
II
Name of owner of premises .}'Z•jr~ ~~»+P„~ _ SG h o!~ c6 1~ e •
(as on the taY roll or latest deed)
If applicant !s a corporation, s!gnature of duly authorized officer
.
(Name and Ltle of corporate officer)
Builder's License No . .
Plumber's License No. S'"' ~
h'.•.... .
Electrician's Liccnsc No
Other Trade's Liccnsc No .
1. Location of land on which proposed work wfll be done .
1 7 ~b S 17 S.~ u 7 d ,v t ~t W...'.~"t...... J~v X27 ~i u /d
house Number Street Hamlet
County Tai \tap Tvb 1000 Section ~ .S. Block ..C7. • 6 • , , , , , Lot . . v .
Subdieision Ftlcd ~Iap No Lot .
(Name)
Stale c~isUng use and occupancy of~premises/and intend/ed use and occupancy of proposed construction
a. Existing use and occupancy . ~~,'~C~!.~?. C/ .
b Intended use and occupancy ~~'SF• ~2 I. • • • • • • • • •
3. Nature of work (check which appltcable) New Butldtng Addttton • • • • • • .Uteratton
Repatr Removal , Demolition Other 4Vork .
(Descnpnc
~ ~
4. Estimated Cost .fz?: Fee .?.1....: ` .
(to be patd on filing this apphcatton)
5. If dwelhn„ number of dwelling units ~ Number of dwcihng units on each floor . .
If garage. number of cars .
6. If bustness, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions oftexisttng sttvctures, if any Front .~0.5? , d........ Rear Depth '3•y..... .
Hci~lit a.~o........... Number of Stones 2.. .
Dimensions of same stricture wdh alteratton~rs or aflditions• Front % ~ Rear .7.,~•r-, , , , , , , _
r............ Heig}it v4.. ~ . . . . . . . ........Number of Stones .
. .
8. Dicnsi~ n~irF new construction Front Rear ..~o c7.~........ Depth 3. ~1...... ,
Het;ht Nrumbcr of Stones . .
9 Size of lot From ~ ~1 Rear Depth .
10. Date of Purcfi'ase , , , • , , , , • n Name, of F e Owner .
I Zone or use distract m whuh premises are situated ..KL°S. !e%~to~ .
12. Does proposed construction violate any zontng law, ordinance or regulation .
13. tVd1 tot be regraded ..1.\).D... , ~V,11 excess fill be removed from prem~ses• Yes ~
14 Name of Owner of premises~~y~~k ~~i,~ ~ . • .Address 7[, 34 ~
Phone No. . .
Name of Archttect . ,Address .Phone No.
~Ef r. '130. ~.a~~.l........
Name of Contractor4ea- r .1a:..... y...... ..Address ~o,t-+- . t~......... Phone No:7Gs- $ fLZ .
IS.Is this property located within 300 feet of a tidal wetland? *YES...,.NO~...
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and disttnctly all buildings, whether existtng or proposed, and,mdicate all set-back dtmensions fr
property fines Gtve street and block number or descnption according to deed, and show street names and indicate whet
intenor or corner lot.
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STATE Ol" 1E1V 1'ORI;, S.S
COUNTY F j..;
• • • • • • • • • • ~'J• ~ • l •~-r~ • being duly sworn, deposes and says that he is the applica
(Name of tndrvtdual s,gm, olcontract)
above named
[le is the .
.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file tl
apphcatton, that all statements contatncd m tuts apphcatton are true to the best of fits knowledge and belief, and that t
work wtll be performed to the manner set forth m the apphcatton filed therewtth
Swom to before me this
dayof... 19~y.
\otary Public, , . !~-z? 11 ' t/r~.......... County
.
............1 /
NEtEN K DE VOE
~p{~YPifBtiC,Stateo+NerrYorA (Signature of apphcai
Tana Expires M's
eh 3f1, i~9,1~