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HomeMy WebLinkAbout8568-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23207 Date SEPTEMBER 12, 1994 THIS CERTIFIES that the buildin~ ~D~I~ING Location of Property. 1315 NORTH P~ISH DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Suilding Permit heretofore filed in this office dated MAY 7, 1976 .pursuant to which Building Permit No. 8568-Z dated MAY 7, 1976 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 ONE FAMILY DWELLING WITH TWOATTACHED DECKS * The certificate is issued to PAUL & MARTHA KNOKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL F~B. 8, 1977 - R. VILI~% UNDERWRITERS CERTIFICATE NO. N-309632 - OCT. 28, 1976 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z-7556 DATED MARCH 9, 1977. Rev. 1/81 FOKM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z. 7.~.~.6. ...... Date ............. I~!~r ..... ~ ......, 19.7.7. THIS CERTIFIES that the building located at .~o.g.~.h..P. g?.r. 5..s.h..B.~. ........ Street Map No...x.x. ........ Block No...x:x. ...... Lot No, . .x..x .... ~.o.u.g.h...o.~.d....~:.~.: ........ 'conforms substantially to the Application for Building Permit heretofore filed in this office · dated ............ !~:r.. 7..., 197.6.. pursuant to which Building Permit No...8.~.(57.Z.. dated .......... l~.~.y...? ......, 197.6. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P?.~.v..a~;.e..o.~..;Ifa..m.~:'[.>.~..~-.v(e?.~..~g ........................................ The certificate is issued to . .P.a.u.~. ~(~.qk.o...&..},i~...~.t.h.a.. ~4.~.o~e. ..... ~.w..n.e.r.s. ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .F.e.b... 8...].~?.~....bT..R. :..V.:[.~.~..a ..... UNDERWRITERS CERTIFICATE No...~(3.0.9.6.3..2...0.9.~...2.8...].9.7.6 ................. HOUSE NUMBER ... ? ~3.1.~. ......Street.. .: .... S. 9.u.t.h. 9.~.d. .......... Building Inspector[ TOWH OF SOUTHeLD BUILDIHG DEPARTMB41' TOWH CLERK'S ~ SOUTHOLD, )¢. Y. BUILDING PiR~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8568 Z Permission is hereby granted to: ~, E ~ k'l,~/A~&/I::'.~K~ I ........ ......... T '(~( ~ -~1 ~'~° at premim located at ............. ~...0.~....~.. ...... ...-~...~.. ............................................................................... ................................................................... ~..U....U...T..~!...o.L...~ ............................................................... Building Fee ~ ......... :.'. ............ PERMIT INCLUDES API~OYAL TO REMOVE EXCE~ fiLL ....... ' FROM ABOVE PREMISES BY REGRADING LOT D~tVEWAY CONSTRUCTION CESSPOOL CONSTRUCTION CELLAR CONSTRUCTION u..,' _ OTHER ~ ..... ..Z../.....Z..~....~ ............... Building Inspect~ !~01~.~ NO, ~ TOWN O~ $OUTNOL~ o Building Deporfme#t Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 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 installations, a certificate 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 1957), 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. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ............................................................................................ .~. .................................... Owner Or Owners Of Property ......... ~..U....~. ....... ../~.~.;...../~..A../.,D.~E~ ....... .~....../~...,~...~.~/?/.~.. ....... ./?...A~...D...AX,..L;T' ......... Subdivision .............................. ~ .............................. Lot No ....... ..~... Block No...~.. ........ House No./...3.....5... Permit No......~.~.6...~..~.~... Date Of Permit ..~/..A...Y,..,7[../.?.?./~pplicant ...... ,~...L.-~ ........ ..~.,/'.u',.~.....,/~...k.~,.~....~..! ............... Health Dept. Approval ...~ ................. .~ .................. L.aoor Dept. Approval ................................................ ............. !Z. ...................... Underwriters Approval ..... :.J.k/...~.~.?...~..~....~ ............. Planning Board Approval /~/'- Request For Temporary Certificate ........................................ Find Certificate ~0 Fee Submitted $ ......... ~.. ....................... Construction on above described building and permit, meets all al~licable codes and regulations. Applicant ........................ .~ ............... S orn to b fo,e me th, ............ day of ................... ..................... . APPLICATION FOR,CERTiFICATE OF OCCUPANCY 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: Final survey of property yith accurate location of all buildings, property lines, streets, and unusua~ natural or topographic features. 2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 furm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn stage~ent from plumber certifying that =he solder used in less than 2/10 of 1% lead. ,' 5. Commsrcial building, indus, trial building~ multiple residences and similar buildings and installations, a 'certificage of Coda Compliance from&architect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses= l. 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 o~ Occupancy is denied, the Building Inspector shall sta~e the reasons therefor l~ writing to the applicant. ~. Cer~ificate of Occupancy - New dwellins $~5.00, Addltioms to dwelling $25.00, ~Alterations to dwelling $25.00, Swi~,ing pool $25.00~ Accessory building $25.00, Sdditions to accessory building $25.00. Businessea $50.00. Certificage 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 Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00 Date September 8, 1994 xx Now Construction ..... . ..... Old Or Pre-existing Building ................. % 1315 North Parish Drfve Southold Loc~t on of Property.... ................. .... ............................................... House No. Stree~ Hamlet Onwer or 0Whets of Property .............. Paul A. Knoke, Jr. and Martha V.K. Knoke County Tax Hap No 1000, e~ction 071.00 013.000 ................. P.A 99 ....... ...................... Subdivision ' Filed Map Lot ' " ' 5 7~76 ~ermit No .... ~..'~..'.Date Of Permit.../ ...... owners ...... Applicant ............................. Realth Dept. Approval...X~2A.~y.A.,~%~A..Underwriters Approval.~.q~..%Q~A~ .... Planning Board Approval ........................ . Updated Request for: Temporary Certificate.~ ......... ~{Y~XCerticate.~· ,~p~ ~rivate one- family dwelting with two (2) attached pcrshas~ Fee Subml~ed~ $ .... ~Q,.0.~... ................ ........ ................ " THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 ,,,,,,'0ct, ob~ 2~, ~7~ THIS CERTiFi[~g THAT Paul ';noke, 1315 Nort~ Parish Drive, e/side, Southold, L.I. ~,,'~,,'.~"~'"'"~'~"~'~"~'~ k: ~"'""~""' ~ ~,F~, ~ ~.~] F~. outside ~,,,~,~,,,,,~,,~-~,,,, October 21~ 1976 FIXTURES ~ RANGES iCOOKING g~C~KS~ OVENS ~S ! EXHAUST FANS SERVICE DISCONt,JECT j No oF I~- s R R V I c E Motor/s: l-1/2hp Ru].and Elec. Co,, P,O.Box 143 ;.~attituck, L.I. 11952 Llc. 242E D ~deatiols, ' · TOWN OF ~OUTNOLD BUI~IN~ DEPA~TMENT~K~ TOWN CLERK'S OFFICE ,/~/~ ~. ~U~OLD, N. Y. ~ ................... ........... ........ ................................. Disapproved a/c ....................... 2~ ........................................................ .~L,.., ........................................................... ~Z~ .............. ~ ............. :27.; ............... L.~ .................... ~'~;:~ .............. ~ ......... ~'~ .................. V'"""'l'" APPLIGATION FOR BUILDING PE~iT ................... H&.,:...U ....... , INSTRU~IONS a. This application must be completely fill~ in by ~pewriter o~ in ink and submi~ed in triplicate to the Building Inspector, with 3 sets of plans, accurate pl~ plan to ~ale. Fee acco~ing to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to ~joining premises or public streets areas, and giving a detail~ description of layout ofpr~e~ must be drawn on the diagram which is c. The work covered by this application may n~ be commenc~ before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. ~uch permit shall be kept on the premises available for inspection throughout the work. e. No building shall be ~cupied or used in whole or in pa~ for any pu~ose whoever until a Ce~ificate of ~cupancy sh~ll have been granted by the Building Insp~tor. APPLICATION IS HEREBY NLADE 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, os 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 buildings for necessary inspections, (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... .................................................................................................................................................. Name of owner of premises ................... ~..../~...(.?.~. ........... ~. ........... (..~....~..{:...l_.~..~: ................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ................... ;.~......C-w..~r. ................... Plumber's License No.....~.;i:L~.~...~../../~, ...... (.~..{...R..~-:..! ~ ~'~ Electrician's License No ....... (~i./4../../..~...~..~..';; ......... *.2/ t: ~-- Other Trede's License No ............................................... Locotion of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... IX/(' C"7 ~ I"- ./~. : ~- '- ~ Street and Number ....................... /. ...... ~.'~ .......... ~.,~../......~ .............. .~.B;.LL/./~ ....... .~ ........... ,~3/~.,z.~..&.~_~ ........... / Municipality Stote existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy .......................L../~..(, ........... /..J~.:.,,..l~, .................................................................... b. Intended use and occupancy .................. /.......~,.~.C/.LI.L.~ .......... ~l~.!.,.'.j~.~..Z.../.../y......~... ........................................ 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration Repair .................. Removal .................. Demolitior .................... Other Work .................................................... (~ L') 00 Fee 7 y' t/) ~ ~" (Description) 4. Estimated Cost ............. -~.....I ................................................................................................................................ /, (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 ....................... 1 .................................................................................................................... 6. If business, commercial or mixed occupancy, spe~,~,.~.~ure,, and extent of each type of use ...... ~ ........ 7. Dimensions of existing structures, if any: Front ....:;;/;: ................. Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ........................... ;..h~ur~ber of Stories ................................ 8. Dimensions of entire new construction: Front , , Rear ............................ Depth ........................ '"~';XtZ ..................... Height .................... Number of Stories .............................................. 'y"/"'O ................................. ~'"~""(.; ............... /¢P 9. Size of lot: Front ........................................................ Rear ............................... l[7~.iy.. De~ ~:.~.~,-~, .................. 10. Date of Purchase ........................................................ Nome of Former_Ow,.l~g ........................................................ 1 1. Zone or use district Jn which premises are situated ...................................................... ./~k:7. i~,~ ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ..........-...~ ........... Will excess fill be removed from premises: Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect "['li'[ .......... ............... Address ................................ Phone No.~.~.~..:.. Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block r~_b,,e)%,gr~ description ~,~c~c~'6ipg to deed, and show street names and indicate whether nterior or co.m.~r_l..o~. __. ,-,~ ~,LZz.:~,,_.------.--~--',--~--'---_,~-_ --._- STATE OF NEWYORK, C~i~ COUNTY OF .................... -C.: .......... f"'"~ L~L '' ' 1~ ': P'~ ~: ~"' I ....................... ; .............. ....... ; .................................................. being duly sworn, deposes and soys that he is the applicon~ (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth in the application filed therewith. Sworn to before me this ................. . ...doyof ................................ Z," ....... ,').' N r .Pub c,. ...................... ..................... ?.. ..... ............................. r4 ~"J ,/,,~"nf"~ /' ~ ~J ~ ..~// (Signature of applicant) ELIZABETH ANN NEVILLE NOTARY pU~]LIC, State of New YOI~ No. 52-8125850, Suttolk Count..~ PAUL A. AJAP OF 'LOT goaI?, APPROVED ,AS NOTED FEE: '~-05~ BY_ ~ NOTIFY BUILDING DEPARTMENT A1 76S-2660 9AM TO 4PM FOR R£QUII,, EL) iNSPECTIONS: 1 BkFORE BACKFILLING FOUNDA~ TluN OR START FRAMING 2. BEPOR~ C~V[RING PIPELINE ~. PINAL WHEN lOB COMPLETED o L