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HomeMy WebLinkAbout17824-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY , No 218813 Date FEBRUARY 21, 1990 THIS CERTIFIES that the building RENOVATE AND CONVERT Location of Property 2025 SMITH ROAD PECONIC House No. Street Hamlet County Tax Map No. 1000 Section 098 Block 004 Lot 19.2 Subdivision INDIAN NECK PARK Filed Map No. 551 Lot No. E conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 1989 pursuant to which Building Permit No. 178242 dated FEBRUARY 10, 1989 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 RENOVATE AND CONVERT SEASONAL DWELLING TO ALL YEAR. The certificate is issued to VIVIAN & DONALD SONNENBORN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N080650 JULY 13, 1989 PLUMBERS CERTIFICATION DATED HENRY P. SMITH JULY 17, 1989 VGA, ~Gi~dC~ Building Inspector Rev. 1/81 gosu xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ X17824 Z Date ......~>4~'!;u:4~-'~...~~........., 19.~~. Permission is hereby granted to: v ~J:?....Y.!x....~..... n..........................M........ 3-x,8 0 ....l~;t;C ;~.~!^-4~:......~?~'..'~..~.~........ to .....~J.~.-.~.'a~J-~ 1 . . ~ . . ,c ; } . 3 . . . . . . . . . . . . . . . . . . . . . . . . `-7 ct prem/ises located ot ...~°.~.t~ .............~.d'!a:irtt~!~....F-~..~..............~..~?.~..5~..`;1..`r.......................... County Tax Map No. 1000 Section .......Q.q.~...... Block ......~~.........GqLot No.....~...1.: z"........ pursuant to application dated 19.~.J..., and approved by the building Inspector. Fee ~i Building Inspector Rev. 6/30/80 G.~ , , `s~ y~ 1 TOpN OP SOUTIIOLD ~ ~ IIUILDl21C DEPARTaE2iT ~p~yy~ ~ TONN IIALL F6V ~ 6 W~7{,I j~ E-`. SOUTDOLD, NEL1 YOttK 11971 j F3l.D . t)Ep'T: 7G5 - 1II02 70WfV OF SOUTF9(3LU APPLICATION FOR CERTIFICATE OF OCCIIPA2ICY DATE ~°.Er2+q~y/l~-/'~~?99tl _ HEH CONSTRUCTION ._....-OLD OR PRE-E$ISTII7G BUILDING.~~--_pACAtiT LA21D..- Locatioa of Property-,~U~5-.-_-:,-_ SVhi th l2UG,c! DOUSE NO_ pG'GOAVC ~ _ ~ - • STP.E ET ?AMLET - ' Ovaer or Ovncrs of Propcr[y_, i'1V1~,0 dt-DdCJlat.-~.Spp,D~U$o(1,~7------.- County Taz Hap No. 1000 Section „ IIlock ODy lq- - • - Lot ...'Z..... Subdivisioa.~~ ;'~tl ti~G1C PRa,K ~ - Filed Hap 5~~..__Lot__~....... Pcrait No. ~,?~~!~_Z----pate of Permit - - • • -APP Licaat 1)ou~L/J rSa.vv~.uBdfk~ $ealth Dept. Approval " Undcrvriters Approval PlanninE Board Approval Request For Temporary Certificate Final Certificate Pce Submitted: $,~,J~~--_-_--•---,__.- ' APPLICANT..~~?G-~~ Fz~~7;Y~Z. „ `d,OaCQ Fr. Sba]rJl RS 8a 6Lf 3~'6iG x C a z a~ i~5o loiti~ea t' FORM N0. 6 , TOWN OF SOUTIIOLD BIIILDING DEPARTMENT t~'''• ~ TOWN ITAL. ~ 7G5 - 1802 ~t APPLICATION F01~ CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application mustlbe filed in tgpewriter OR ink and submitted Co the Building Inspector with Che folilowing; for new buildings or new use: ' I. Final survey o£ pro'Iperty with accurate location of alI buildings, p'ropcrty lines, stree CS, and unusual natural or topographic Features. 2. Final approval of dcalth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of clectrf'cal installation from Board of Pirc Underwriters. 4. Sworn statement fro,'m plumber certifying that solder used in system contains less' ' than 2/10 of 1Z lc~d. S. Commercial buildings, industrial buildings, multiple residences and similar=', buildings and installations, a certificate of code compliance from the Architect or Engineer respons~,iblc for the building. i 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" lao,d uses: - , 1. Accurate survey of~~property shoving all property lines, streets, buildings and ' unusual natural or~ltopographic features. 2. A properly completc,d application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and sep,ara[e ownership of the entire lot prior to April 9, 1957. Zf a Certificate of Occupancy is denied, the IIuildin Ins ector shall state g p the reasons therefor iq writing to the applicant. 3. Date of any housing' code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Laad Certificate of Occupancy: 1. An application for ',vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and - separate ovnership;~of,~the entire lot prior Co April 9, 1957 shall also accompany the application_ ~~f a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: ' D. CERTIFICATE OF~',OCCUPANCY - New Duelling $25.00, Additions to Ih+elli.ng $25.OL?, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $2.00 AddiCion to Accessory buildings, $25.00 -Businesses $50.00. 2. Certificate of~;Occupancy on pre-existing dwelling - $100.00_ ~I 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certifiiicate of Occupancy - $50.00 6. Temporary Cert}ficate of Occupancy - $15,0.0 Residential ~I Commercial .P' I~ I~ i, I i co, 10/14/S8 ~ ~ i HENRY J. SMITH & SON, Inc. p fCs G Q d ~ PLUMBING, HEATING & FUEL OIL O MAIN ROAD JUL i T ~ SOUTHOLD, N.Y. 11971 (576) 765-3690 BLDG. DEP'1: TOWN OF SOUTHOLD C E R T I F I C A T I O N Date July 17, 1989 Building Permit No. 178242 Owner: Donald Sonnenborn Plumber: Henry J. Smith & Son, Inc. I certify that the solder used in the water supply system as installed by H. Smith PLumbing and Heating contains less than 2/10 of 1~ lead. ry P. Smith Sworn to before me this 1'lth day of July 1989• Notary Public Notary Public, Suffolk County BERNADETTE L. TAPLIN NOTARY PUBLIC X4644893 State of New York Residinb in Sufrdk County Commission Expires Sept 30, 19~ e :1::LD~I~:SP~C:iUtJ jjlliiTE j COt~1MENT3 a '0 ..r J m a 3 H opO~ - y i/ FOUNDATION (1st) o c FOUNDATION (2~d) m 2. ~ z o ~ ROUGH FRAME ~ ~ PLUMBING ti 3 • ' ~ ~ IIJSULATIOPI PER N. Y. STATE ENERGY ~ GGi (~$fici CODE 4. _ m G~~ ~ c~~ y FINAL l' ~ O~+-~ ~~rt tom/ a ~ e O a _ , _ z ADDITIONAL COMMENTS: m x e _ a r~ y'o © , ro ~J H ~ ? O` i H wA o Q 2 S m • r S H y~C ~ d `P m b H r , ?1 LS = LL~J~rs,. . O ~;s fE8 E 6~6 ~~~a~9 BLDG. I3EPT. ~j~~~ a TOVYN UP SOUTHOIp ~1 w Kit ~rJ 1, y~uJ ~ta~.o4n~ ~I~a.o ~ ~ ~GJ.rvo~° f-he cy,,n irv~4h~„O ~D/L f~i2 ?GGC~ Co. rX Lam/ f' h u.n,h- lea t, Gn-, fe ~,L ~.7 ~ J~c~,7 ~a C 11eeMU.! Th cf y~ G.e `/e~1. z` Girn u' e r ~n ~`f' 71va.~ .Z' C-£ //g d him 62 ~ d'~~co ~ f /earrX' urn ~.dvc. ~J'"'-" . l~ ~ ~ OO a 4~ ~ a~r~ oZ =.p,+ 33 eGl ~1 v~ 3 v A ~ ~ r -r W~'fi F.~... ~ ~ ~a ~ v ~ O ~ ~ W ~ ~ ~ ~ ! ft. C~ ~ -m ~ at L~,1 ~ ~ G~ ~ n ? ~a " C~ ry ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Memorandum from . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TowN HALL, SourxoLn, N. Y. 11971 765-1802 February 9, 1990 Dear Don: Enclosed please find the Certificate of Occupancy for B.P.1I17578Z for the stoop. I am also enclosing an application for B.P. ~/17S24Z for the C.O. I contacted East End Sheet Metal and Bill Walters said he would get the specs to me. I called him on Wednesday but as of today I haven't received it. I hope he will bring it in. You/jrs~ truly, r ~ - -^r+~~.T~ 765_1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ )FOUNDATION 2ND [ ]INSULATION [P6] FRAMING [ ]FINAL REMARKS: DATE a' 7' INSPEIC'T'OR . ,t X63 2~~0~ ~ ~~ti 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING l [ FINAL REMARKS: ~~i '~I~~~ - U Crk~ v» ~ m~oa~ ~r„~ T" DATE ~ ~ INSPECTOR ~ _ _ y 2 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 100017,1 BUREAU OF ELECTRICITY JTILY 13 ,1989 BS JOHN STREET. NEW YORK. N626287f{~l89 se N 080650 Date APPlication No. on file THtS CERTIFIES THAT only the alectrteal equipment o. dsecri6ed hsblo and Introduced 6Y the applicant named on application numher In the premire aJ DONALD SONNENBORN, SMITH DRIVE, PECONIC, N.Y. intMfolblcinR Iota' nt ~ lot Fl. ~ Pnd F1. .Section Blark Lot 6/15 ye~E i~~° ~ soaa examined on and found to 6e in compliance uith the reyuirementa of this Board. - AItiYM @fAClff fYOTgIlS RXTURK RANOEf COOKINOMCKS OVENS qSN WAEM@S EXHAUST FANf WTllTf INCANDlSClM ~ NUdIltClM pTNEa NAT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. X. t. 16 ~0 22 16 1 1.2 ORYlRS IURNACE MOTORS 1UTUM ASlUANG lYEERS S/lCIAl REC7T TMN CIOCKS tlttl UNIT TERS AAIXf601B1ET OISSAAlES AMT, E. W. dl N. P. GAS N. P. NAT. NO. A. W.O. AMT. AMI. AMT. AMTS. TRANS. AMT. . P. ETfTIItAt AM7. WATTS NO. tM IElT 3 F 2 - - 1 600 SlRVICE gftONNECT NO.O/ 5 E R V I C E AMT. AMI. TTN ~ I,e tW 1 /]W ]/TV ]/4W jCOND. d CC tOMD. ~.d NI.IEG ~~MI~~ NO. Or NFUTIIAIS OF NEUTGWII OTHER At7ARATUS: AIRHANDLSR,1/5 HP.-1 MOTORS:1-0.05 H.P. PANELBOARDS:1-21 CTR. 100 G.F.C.I:-3 SMOKE DETECTOR:-1 .e+o~ PAUL R. BURNS LIC.~282-E 275 TONN HARBOR LAN.R SOUTHOLD, NY, 11971. o MA~IAOE~ ~i Per This certificoM must not M altered in any manmr; return to theoffica of the Board if ineorrsN. Inspectors may E>e identified their crodsntialt. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY - - ; 3 c* ~ ~p A , n `~Y ~~j~ ~~u r' o o ~ ~ ~ ~ ~ ~ r ~ A ~ S cNr 2 m t ~ ~ c r N A ~ -a ~r„y z o 4~JG tc i ~ ~ ~ ; m l".JG K A 7" 2 m A c. ~ a ~ ~ b~ ~ ~~-~~^~ry ~S~:a C tY~ C~ LS"Ef't3 v i^S~5 ~ ~ 0 ~ ~ ~ W OD ~ qty ~ a+s.n~~ ¦ W ;c .ri ~Y zy ~ a'-+-lJ 3 na si€.- X BOARD OF HEALTH FORMN0.1 3 SETS OF PLANS SURVEY TOWN OF SOUTHOLD CHECK ~ ~ ~ ~ ~ ~ ~ ~ ' BUILDING DEPARTMENT SEPTIC FORI•f . • ~ ~ ~ ~ " TOWN HALL • EOUTHOLD, N.Y. 11rJ71 NOTIFY c7a 3 _ TEL.: 7G5-1802 CALL ~5 Examined .~:~",'~°~!~,(0 ~ 198. D1AIL T0: • • A roved 0 0 P..,:.., r. , . _ , PP ~~~ri ~ 19~~1. Permit No. 1,7 a l; ~ a ( "t 1 I Disapproved a/c ~ ~ _ . ?__:<.;w,~: ~ i JAN3019~9 it YOVdN 0l=.~,CU7F9C7Lb ,....-,..1 (Building Inspector) APPLICATION FOR BUILDING PERMIT r Date 1..29 Isg9 INSTRUCTIONS a. Tlus application must be completely filled in by tgpewriter 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app! 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 perm 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 Occupanc shall have been granted by the Building Inspector. APPLICATION IS HERfiBY+'MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone,Ordinance of t(tg ;Town of Southold-, Suffolk Ziounty, .blew York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, addit5gri~.,gria~teT?'titi6~, or for removal or demolition, as herein describes The applicant acrees 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. / / ~ ~<.l? . (Signature of pplicant, or name, if a corporation) • .,3?80.~zcl~l!42!J Si ..~dr2~~;~;f:F!J~,e~9s:~ (D4ailing address of applicant) State whethei•~applicant is"oWnez; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder i,,, .,3 Name of`btvYie`r of premises' ~~J©.^}~~~, , ;-?~d~NEiJ ~D~ • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corp/o/rat+-e~of[icuer) Builder's License No. ~ ( - / l Plumber's License No. , , , , , , , , , , , , , l~E~~1' Electrician's License No . P~uL 'JU~.I~S Other Trade's License No . E,y$"C' ErJD S~E1='['p'1~"I-~L ~i{Eq t7N(,~ I. Location of land on which proposed work will be done. ' House Number Street ~ . ................Hamlet Ogg ~ ~ ~ ~ i9 County Tax i\t1ap No. 1000 Section qq. Block , Lot . Subdivision..(nIDIP~rJ, ~~Cl~ /'~PI~ . Fil¢d~fa~ J~J f.... (Name) ,t, 1 No . Lot. State cxistin~• use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occu anc `SrN(,~~ ~li-!~(~l. •p ~C,(. p y ~ InSG b. Intended use and occupancy ~~M~LJ D~~ L L . • • . .InJ,C~~ f 3. Nature ofwork (check which a'pplicable): New BuildinS • • • • Addition . .Uteration X Repair Removal Demolition ......Other 1Vork . ~~v .Q~Q (Description) • ' 4. Estimated Cost...... Fee...................................... 5. IC dtvcltin„ nutnbcr oC dwcllin (to be paid on filing this application) ° g units , , , , , , , , , Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixc,d occupancy, spectf r)ature and extent of eact} type of use . ~ • • 7. Dimensionaoj Existing structures, if any: Front .~p2..... , Rear a• ~ • • • • ~ • • • • ~ • • • ~ ' ``jj Depth Height .NumbcrofStorics.T~!Q" ~ ' Dimensions o a e Structure with alterations or additions: Front :3~. Rear ~ • • ~ - De th . P , Ilcight , aq • Number of Stories . 7,'~l7 8. Dimetl"sip pf ©ritire new constntction: Front , ./.~ta~C, " ~ Rear Depth J~a!~~• , ~ ~ • Height . • !~Ipp?2-, • , Number of Stories . /~oN~ ~ • - 9. Size of lot: Front ...(a`.{.,,3,0 Rear ....gLs~S, •,............Depth ..~T~.4!S'' . ....~~T:. g:7 ..................~1ame of Former Owner . p cmises arc situated (C~b1l~g;`1'j7/)L . 10. Zone or use district in which rr 12. Does proposed constructio vio~a[e any zoning law, ordinance or regulation: ~ • 1 Will lot be regraded .....t?. ,v P • • • • • • . 1Vill excess fill be rcn ovcd from, ~~emiscs: Ycs Io 14. Name of Owner of rc tses U,un1(,C~~ ~ntF~•R02lJAddress ~„~a.~k'.^lf1~.~.5;'APSG>:l~rTil'ione No. . Name of Architect . ,Address hone No. Name of Contractor 1SHRK~.''E1E , , , 7 ' ^t~ ' • ' . Address ~ ~~l.~'4;!? ?l,Q~, hone No. ; 3~ 3P5"fl IS.Is this property located within 300-feet of a Cidal wetland? GYPS X..NO....~ *If yes, Southold Towt} Trustees Permit may be required. PLOT DIr1GRAhf Locate clearly and distinctly all'', buildings, whether existing or proposed, and, indicate all setback dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ' OCCUPANCY OR AppRDVED AS NOTED , ` ~T ~~Pi9l~F US~ ~.S U~~AW~UL DATE: !0 ~ E3.P iE 7 a17~ ~yw~EN~E T ~IITHOUT CERTIFICATE FE:E: t7a. sY ~ ~ 8` ^x-~N~~ 'OF OCCUPANCY 765/1802 SLAM TO gPPM MFORTTHE FOLLOWING INSPECTIONS. FOUNDATION TWO REQUIRED FOR POURED CONCRETE ' 2. ROUGH -FRAMING Rr PLUMEiING • 3.IN5ULATION 4. FINAL - CONSTRUCTION MUST , - _ BE COMPLETE FOR C.O. "`~A_ALI. CONSTRUCTION SHALL MEET T E.@EQUIREMENT3 OF THE N.Y. ~ lATE ~ON$TRUCTION I! ENERGY DES. N SPONSISLE FOR - DESIGN OR CONSON ERRORS w"~'~~~ STATE OF 1E1V 5'ORI:, • ' ' ' ' ' ' ' • •~~~'~~'~r`~°~' ' ' • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that 1te is the applicant (Nam:: of individual signiltg contract) about named. ilc is tttc ......GE:J~C/~'L lpnr(~GTD,~ I (Contractor, agent, corporate officer, etc.) • ~ ~ ~ • • • • • • ~ ~ • • ~f said owner or owners, and is duly, authorized to perform on~havc performed the said work and to make and Gle this application; that all statements contained in this application arc true to the best of Iris knowledge and belief; and that the ,vork will be performed in the manner{sct forth in [hc application.liled therewith. iwarn to before me this ............3G ...day of . 19 ~l. rotary Public, Cam... ~....~,e; . ~ County HELEN K. DE VDE ark NOTIIRYWU87R`SuNolkCounY D: •5i;nature•ofa• •lieant) No. 47078 ( PP Terrn Expires Mareh 30, t9