HomeMy WebLinkAbout17666-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 220024 Date JUNE 24, 1991
THIS CERTIFIES that the building ADDITION AND RENOVATSON
Location of Property 20985 SOUNDVIEW AVE. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 04 Lot 16.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DEC. 1, 1988 pursuant to which
Building Permit No. 176662 dated DEC. 6, 1988
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 ADD TO EXISTING ONE FAMLLY DWELLING.
The certificate is issued to SAMUEL S. SINGER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N186143 MAY 6 1991
PLUMBERS CERTIFICATION DATED MAY 13, 1991 PECONIC PLUMBING & HEATING
y
Bui ding Inspector
Rev. 1/81
roaas xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T 8E KEPT ON THE PREMISES UiJTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N a G 17 6 6 6 Z Date^.. '~C.P't..:':1.IF~,~._.....l.O........., 19..~
Permrssron rs hereby grantedCto•
• 777
..~.ci::k,~ir-Q~::....!v.:~ ~ .11.°1 ~..1. ,
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ta...l1..s~rF,c~-c~~:~...~l~S.~...~4....~?%~~1.~....~.. ..!~!-R... c~<!c!,~5r,~....J~Ak
.
.
ct premises located et ...°z.~.~.gs .....S~r•^~K.47:4kf..ti,~....lr~..~ .....................~Gc[.!'~'"C.G~.r
.
Caunty Tax Map No 1000 Section d,~ Block Q~...~ppLot No ..~.~,0
pursuant to application doted ~ Q:i~1:rr~~4R,t......w~Ct 19..9..7., and approved by the
BuJdrng Inspectar
~q ~
Fee R.~ :.5~...
wilding Inspector
Rev 6/30/80
{ ,
Form No. 6
TOWN OF SOUTHOLD U
BUILDING DEPARTMENT n r
TOWN HALL ~ 9 ~
y~j T65-1802
7Ct'rt .y~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.1. 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 2110 of 1X 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 Co 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
L'puated Certificate of Uccupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
- Date ...............Oct.. 6.199A
::cw Construction........_.. Old Or Pre-existing Building~~TT...X...¢~.r].........
Location of Prop erty 2Q3$5. rS
QU~~~~~i~i'.AY~•..~QUT~3QLD. l~•.~ai ~'X."+~~
:
House No. Street Hamlet
Onvcr or Owners of Pro ert SAMUEL J:SINGEft. ~
P Y
County Tax Map No 1000, Section ..............Block................Lot...,...................
Subdivision ....................................Filed Map............Lot.........
PermiC No...~;7666Z ,Date Of Permit ................Applicant.............................
Ftcalth Dept. Approval....... N~A ...............Underwriters Approval.......................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.....X..... ,
Fee Submitted: ~ 25..00 ~
~ /a f J . ...k~
APPLICANT
~ ~0aa~
i
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ]
' 1025023
BUREAU OF ELECTRICITY
MAY 06,1991 83 JOHN STREET. NEW YORK, NEW4YORK 10038 N 186143
Date Application No. on file Ul .f5_l91/91
THIS CERTIFIES THAT
~ only the electrlca! equipment as described below and introducd by the applicant named on the obooe opplicetlon number in the premises of
SINGER, N/S 20985 SOUNDVIEA, SOUTHHOL,D, N.Y.
in thefdloleinp loco At'1KIIt 4aB,e~nt ~ Ist Fl. ? Ynd Fl. .Section Block Lot
u~os examind on ~ , a andJound to be in canEpliance with tke regniremente of thin Board. ~
N%TUtl RXTURES RANGES COOKING DECKS OVENS DISH WASHERS E%HAUST FANS
OUTLETS 9TACliS SWITCHES INCANDESCENT fIUORESCENi OTHER AMT. K.W. AMi. K.W. AMi. C.W. AMT. K.W. AMT. N.P.
32 23 23 32 1 i•2
DRYERS WRNAC! MOTORS NTUR! AMIIANC! 1EEDERS SFEgAL RK'FT TIME CLOCKS pu UNIT HEATERS MULTI.OUTIET DIMMERS
AMT. K. W. dl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMi. AMPS. TRANS. AMT. N. P. ~
~ tRT AMT. WATTS
~ 1 3 A ] 30
SERVICE DISCONNKT NO.OF S E R V I C E
AMi. AMP. TYPt 1 / tV/ 1 P T4 7 / SV/ ] / AW NO. OjER B'C~D. Of CC. COND. NO. Of NI-lEG Oi.~W'~G NO. Oi NEUTKAlS Oi 'NPUiGNAI
E_
OTHER AMMATUS:
ELEC. ROOM HEATERS:].-2 K.W.,1-1.5 K.fi.,2-1 K.W,
/ ~°l
HANK'S RLECTRIC LIC.N2675-E
121 SHEEP PASTURE RD G/~%~
SETAUKET, NY, 17.733 oM@Al
71 ~
Per
This certificate must not fx altered in any mantror; return to the office of the Roord if incorrect. Inspectors may be ideMifiad by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST N07 BE ALTERED IN ANY MANNER.
TEL. 765-i 802
~ocaFFDtI~'~~~~ TOWN OF SOUTHOL?
,~C"., " s ~ OFFICE OF BUILDING INSPECTOR
~ ~ rn P.O. BOX 728
z TOWN HALL
~ ~ Z- SOUTHOLD, N.Y. 11971
C E R T I F I CAT I O N
Date_tt.'` r~
/ C.1
Building Permit No. ~ 7L
Owner
(please print)
/7
Plumber /L
rc+r~/~ i ~7i/Vl' `pL ~>C'r9r//~/~v
Cplease print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead. ,
(plumber's signature)
Sworn to befor^_/~me this
day of /"'~r
f Notary Publ
LIOtary Public, .Si:~~GY~\ County BARtiA7ASTEPF9QWSK1
Notary Publro, Seater of Naw York
Ma 4b+iA762
Quai~foed rn Su?rusk County
Commrse,on Expu~s8darch 30, i~1
r/L==i~?. I;.S. 'c ~iJni ~ .:CMME.NT
^o
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H
+ • _ `3
FOUI7DATI0;7 ( 1st
- ~ _
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FOUNDATIOII (2nd1 m
z. /.~0 _o'
P,OUGH FftAi4E ~ \
L
PLUMBING
~ ek, ~
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r7 L
Nroi' S~Q ¢T ,LO L
T17SULATTOIJ PER I7. Y. Gip y ~
STATE ENERGY
CODE ~ ~
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FIiJAL L}
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ADDITIOIIAL COMMEAJTS: m
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' ~ ~ ~ ~ 765-iS02
" BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
_ ~-.v-
[ ]FRAMING [ FINAL
REMARKS:
~titi~,Xl ~
! _
~
DATE ~ ~ ~I ~ INSPECTOR ~ i
1
C~1~ Y ~
rss-isoz
BUILDING DEPT.
lNSPECTIC~N
[ ]FOUNDATION 1ST ~ J ROUGH PLBG,
[ ~ FOUNDATION 2NDINSULATION
~RAMING [ ]FINAL
REMARKS: C,~~~^~~'~~~-~
DATE a ~ ~ ~ INSPECTOR
J
-1802
ILDING DEPT.
1 NSPECTION
[ ]FOUNDATION i5T ( J ROUGH PLBG.
[ ]FOUNDATION 2ND [ IN5ULATION
[ ]FRAMING ~ ~j[ ]//FINAL
REMARKS: opt
A-o S'am`-~.~ ,
DATE ~ ~ ~ INSPECTOR
~ ~ ~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ~ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ J INSULATION
FRAMING ( ]FINAL
REMARKS:
DATE INSPECTOR
! 1~~(~
rss-iso2
BUILDING DEPT.
t NSPECTI4N
[ ] F9UNDATION 1ST [ J ROUGH PLBG.
[J~/FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ]FINAL
,1 1
REMARKS: ~ + ~ `f
DATE / INSPECTOR
~ TEL. 7G5-180"'
0
S~FFOLk~OGy TOWN Or SOUTIIOLD
4 (,syz2.; ~c OPE'iCE Or BUILDING INSPECTOR
~ ~ ~ P.O. BOX 728
~ TO\VN MALL
~~0~ ~ ~a~~ SOUTiLOLp, N Y. 11971
MAY 24, 1991
Mr. Samuel J. Singer
20985 Soundview Ave_
Southold, N.Y. 11971
To tdho_a This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
is not on file.
No tJndcrwritcrs Certificate on file.
The check is (outdated/nxvtazacyc~pidxacx}ax RETURNED HEREWITH
/ / No 11ca1th Dept. T.pproval on file. PLEASE SUBMIT NEW CHECK
- - IN AMOUNT Qp S25~Q
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit Ik 1 7 6 6 6 2
I1uilQi/ncl Dept.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
Lssucd after April 1,19Bn )
TEL. 7t,5-18P'_
foc,~~~,; TO~'Pd OIL SOUT~IOi,D
~O ,^'~`:~y~ ~~,N~ ~
;^~V6;,;~~ p• ``c~ OFf'ICIi (?C IIU[LDING INSI'E=CTOR
~ h~ ~ I'.O. UOX t 1 79
u '~T ~t ~ TOWN HALL
'~~~iY )``,,fit- SO[1"I IIOLD, N.Y i 1971
~•5~0/ ~i ^rU
Y 1
October I5, 1990
Hi. Samuel J. Singer
20985 Soundview Ave.
Southold, N.Y. 11971
'Po S4hcm This, May Concern,
Uie arc unable ro complete youY Certificate
of Occupancy because oL the follo~ring seasons.
An application for Certificate of Occupancy
is not nn file.
;to IJndcr~rrttcrs C~:rtificatc on file-
/ J 'Phe chec}: t:. (outdat-edJnut an Lile. )
D:o F[~:alth Wept. Approval on tile.
/ / I•:o final ;.nsl~ection has beta made.
Please contact: our office on this matter.
Thank you for your cooperation.
l:u ild tr.cJ Pcrm i t 1! 1- ? 6 6 6 Z
putlc7inq DepL•.
*'"/r/J tlo Plumb,:r 6oldc~ CcrGificote on Life. -
( all pc~rriits involving plumt~inc7 Leiny
iasucd aEtcr 1pri1 1,19[34 )
BOAKD OF HEALTH
3 SETS OF PLANS ~7. i~.•.
FORM NO 1 SURVEY
TOWN OF SOUTHOLD CHECK ~AS7. , ,
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
~OUTHOLD, N Y. 11971 CALI.
TEL.. 765-1802 " ~ " " " ' ~ " ~ "
MAIi. T0:
Examined .1.4?~4^~1~+~. ~-f . , 191f.q
Approve , ~ 19~ 0 Permit No. I
Disapproved a/c .
r
' t (Budding Inspector)
' APPLICATION FOR BUILDING PERMIT
' Dec. 1 , 1 988. 19
Date ,
~ INSTRUCTIONS
i
i
f a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w~
i 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 adloimng premises or public sty
or areas, and giving a detazled descnptron of layout of property must be drawn on the diagram which is part of this a
i cation.
! c. The work covered by tkus application may not be commenced before issuance of Budding Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Peniiit to the applicant Such pe
• 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 Occup-
shali have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance
Regulations, for the constmctron of buildings, additions or alterations, or for removal or demolition, as herein descnl
The applicant agrees to comply with all applicable laws, ordinances, building code, using code, and gulatrons, any
admit authorized inspectors on premises and m building for necessary inspections.
/
(Siond ature of applicant, or name, if a corporation)
Garrett A. Strang, Architect
P.O.BOx.141,2i 5outholdi,New York,11.~
(hiaihng address of applicant)
' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil~
~ Ar~hkte~t:
. .
i
Name of owner of premises .Samuel , J ,Singer Jr,. -
(as on the tax roll or latest deed)
~ If applicant is a corporation, signature of duly authorized oft"icer
}
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No.
Plumber's License No.
Electrician's License No
'F
f
Other Trade's License No
.I
- ~ I Location of land on which proposed work will be done. . .
Gp
i .aa .[.~SJ.. ......$PxndV~ew Aye, Squthold.....
. . .
j ~ House Number Street Hmnlet
County Tax Map No 1000 Section , 51 Block , . 04.... Lot .....1E . 1, , , , , ,
k
` Subdivision ,N~A Filed Map No Lot . .
~ (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.
~ a. Existing use and occupancy , , S>.n~le Family, Residence • . , , , , , , , ,
b. Intended use and occupancy .S3me. ~"'iz~.°!°.e~,', ~~-qn . . .
~
3. Nature of work (check which applicable) New Building Addition .X Alteration x . .
Repazr Removal , . Demolition Other SVork .
(Descnplio,
4. Estimated Cost . 6 0 , 000: 00 , , . Fee .
` (to be paid on filing thu application)
5 If dwelling, number of dwelling units , , , Cne . , , 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. Dunensions of existing structures, if any Front . .45 • 8 Rear 45 • 8 ~ Depth . 47~. 5'
. .
` Height ...1.6 ~ .Number of Stones , .One . .
Dunensions of same structure with alterations or additions Front ..4 5 • 8 Rear . 4 5,..$' . , . ,
Depth .......4 7: 5........... Height ~ 6 Number of Stones .....One .
8. Dimensions of entire new construction: Front Rear Depth .
Height ...Number of Stones .
115:14.'.... Rear. ,,,108.',,, X51„&264
Depth
9 Size of lot. Front
l0 Date of Purchase . t .7 9A.7. ...Name of Former Owner Richard ,Kamps, , , _ ,
11. Zone or use district in which premises are situated ;'A" Res>;d~nt>_a.~, pgr, ipp,l,tgp~], , , , , , , . , . ,
12. Does proposed construction violate any zoning law, ordinance or regulation . o.......... .
13. Will lot be regraded .......NP . Will excess fill be removed from premises. X Yes
14. Name of Owner of premises .Samyel. Singer, Jrpddress New,`~or)~,tr~ty,,,phoneNo 272.-.088-b.7.
Name of Architect . ,Garrett. A ; ,Strang , , , Address So>;t~plcj Y. , , ,phone No. S 7 6.-.7,65-5.4
Name of Contractor .aP1= .$4hA Address Southold .N; Y,, , , ,phone No. 51 6-7f $-1,1,
15. Ls this property located within 300 feet of a tidal wetland? *Yes No
*If yes, Southold Town Trustees Permit ma be re uired.
PLOYT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions f
property lines. Give street and block number or description according to deed, and show street names and indicate whe
interior or corner lot.
See Attached!
STATE OF NEW YORK, S.S
~OLNTY OF ..Suf f o.Lk .
, , , , , , , Garrett . A....Stran.g being duly sworn, deposes and says that he is the applii
(Name of individual signing contract)
above named.
-Ie is the A>±Chz.teGt: .
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
application, that all statements contained m this application are true to the best of his knowledge and belief; and that
Hork will be performed m the manner set forth m the application filed therewith.
i iwom to before me this
+ . ~ .day of ~ u-.... 19
5
4otaryPubhc, ......!".K'S-~'~ .ll.~ ~.~..UP`.{-. County
.
BaENKOEVOe (Signature of applic
NaTNIRY PU8L1C, State of New Yoaii
po. A787878, Suffolk CouM~
• Term fxW~ tAwch 30,1
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SURVEY OF PROPERTY LgNO OF UELgND
"cG'~< TOWON OF SOUTHOLD LAND OF COSTgg ~
_ 5. LIC. N0. 49668
SUFFOLK COUNTY, N.Y.
P R Y .C. 1000 S1 04 - 16,1 Prepared iri °ccard°nce with fhe minimulo CERTIFIED TO
16 ~ B~ oQb SCALE I n e 20 r standards for title surveys °a eat°hlished by SAMUEL J. SINGER JR .
th9 L.LA. L. S. and approved and adopter
MAIN RO W ~ NOV. 2 9 , 19 88 for such use by The New York State la~.I
SOUTHOLD, N.Y. II 971 Title Associotian.
o. K. 88 - 700