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HomeMy WebLinkAbout12628-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No. z. 148.~1 Date A..ugust .2.9 19 .86. THIS CERTIFIES that the building One family dwelling. . Location of Prop ty 6.9.5 V..I.L.L.3:.G..E .L.~.~.E ' ORIENT · 't~ouse glo. Street ..... Ham/em .2.o. County Tax Map No. 1000 Section . 0.2 5 ..... Block 2 .... Lot Subdivision --- Filed Map No ~-.~'~ Lot No --- conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .A.u.g :. ........ 16 .... , 19 .83. pursuant to which Building Permit No .................... 1.26,2.87. dated .....S?.P.L.....................' 22 19 .83.. , 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. The certificate is issued to CAROL .& .W. ILLI..AM GILLOOLY (ownery-Jt~}JX of the aforesaid building. Suffolk County Department of Health Approval ... 13-SO-127 Au . . .... .................... ,. A9.8..q ~endiAq ACgr ~l 1986 UNDERWRITERS CERTIFICATE NO ...................................... UNDERWRITERS CERTIFICATE NO. Service only N633459 Building Inspector Rev. !/81 lrO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12628 Z Date ....... ~.. ...................................... , ... Permission is hereby granted to: .... .~.~ ............. ~~..~. .................. .~~,.....~..:~., ........ 1.)..~..~.~ ......... ,o ..~.....~.....~.~.....~.¢.~~.~~.~_~__ ......... ~ ....... ~ ~w~...¢-.~ ...... :.~,.....~.....:.~ ..... ~ ...... ~.~.~ .............. at promi*~ ~m~t,a ot ...~.....~ ......... ~~ ......... ~.~ ..........~~.~ ................ County Tax Map No. 1000 Section ....... ..~...~..., Black ........,.'~. ......... Lot No ........... ~.!~.~....~...0, ! ~ pursuant to application dated ..................... .~. .............. , 19.~....0.-.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 __ TOWa~..~ ~,~,~ APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~=uthoid, N.Y. 11971 Instructions in duplicate ~, A. This application must be filled in typewriter OR ink, and submitted <, ,V,,. :l:o' zhe Budding Inspec- tor 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. Commercia~ buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 p~operty showing all property lines, streets, buildings and unusuat natural or topographic featu res. 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- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4oVacant Land C.O. $5.00 $15.oo /5 Date ../.,../..... .............. New Building · i.~ ~' Old or Pre-existing Building Vacant Land Location of Property .~.~...~. · House No. Street Ham/et Owner or Owners of Property . .~'.../~-~.../"?, .~.f.~.. ,f~,.,.. ,~. · ,/'~- · ?, -~,~- .......................... County Tax Map No. 1000 Section 0~-~'~ Block ~ Lot ~'./.K ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.~.~..~. ,~.. Date of Permit c~/.~.~/, .ff~...Applicant .~.t'.o.I..~.. ~..i\/.~.0~/~. g~l iiX;il.X/ .... Health Dept. Approval...1.~..~..~ff2 .--..~.~...'~..,. Labor Dept. Approval ........................ - Underwriters Approval .................. Planning Board Approval ................. Request for Temporary Certificate ..................... Final Certificate .~.' .................. Construction on above described building a/~! Applicant .%c~.. ~r, ' d nd regulations. 1000708 THE NEW YORK BOARD OF FIRE UNDERWRITERS DS BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bill Giltooly, 600 Village La., Orient, in the/ollowing Iocatiod; ~ Basement ~ 1st FA ~ 2nd FI. Section Block Lot was exatr~ined on ' ~ eb ruar y 6, ~ 98~ artd found to be in cotnpliance with the require.,ents of tkis Board. FIXTURE OUTLETS RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R AWG, OF CC COND 210 V I C NO OF HI-LEG AWG, OF HI-LEG NO, OF NEUTRAU OF NEUTRAL 2/o Servic9 Only,, Sal Prato ' Electrician Wiggins Lane Greenport~ N.Y., 11944 LIC.#1049 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified ~ DEPARTMEI MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECrOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 August 20, 1986 Mr. William Gillooly 605 Village Lane Orient, N.Y. 11957 Dear Bill: RE: 'Certificate of Occupancy This is to confirm our conversation of Aug. 18, 1986 regarding the issuance of a Certificate of"Occupancy for B.P. #12628Z. Upon receipt of ~the Underwriters Certificate for this dwelling we will issue the C.O. This certificate is necessary for our office to com- plete your application. Thank you. Yours truly, Secretary cc. Francis J. Murphy FIELD INSPECTION 1. FOUNDATION (~st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: 'i FORM NO. 3 TOWN O?SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~.m~ .~....~..~../~/.2~ ....... ..~.~..~..Z~? ...................... ...~..~e.~.7,..6/..~..././. ~.~.'z... PLEASE TAKE NOTICE that your application dated .... ~.~.~;~...../.~. .... , 19~..~.. for p=it to const~ct .... O~.e...~..~.~,~ W~...~;~ 7 ............... ~..~ LocationofProperty &~ ~[/~e' ~ . - ~/C/~ Hou~o. '7' ......... }~/e;[ .................... k;~/e~ County Tax Map No. 10o0 section .~5.- ...... Block .... ~ ~ ..... Lot~: ~( ..... Subdivision ................. Filed Map No ................. Lot No. ~ - is returned herewith and disapproved on the following grounds . ~,~77.. ~.~.... ¢? .~:. '. . ...... r. . . .w ...... . . :. . .2 ........... Building Inspector RV 1/80 P D HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSK[, Jr, GEORGE R1TCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 September 16, 1983 TELEPHONE 765- 1938 Mr. William Schriever Main Road Orient, New York 11957 Dear Mr. Schriever: The following action was taken by the Southold Town Planning Board, Friday, September 9, 1983. RESOLVED that the Southold Town Planning Board approve a set-off (106-13) as designated on the map of William and Richard Gillooly, dated September 1, 1983, located at Orient, with a condition that covenants and restrictions be filed stating no further subdivision will be made on the one-acre business property in the future. Please forward two (2) copies of the above mentioned map and a copy of the covenants and restrictions to our office. Thank you. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: William Gillooly~ By Susan E. Long, Secretary 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~"~UNDATION :)ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION, [ ] FOUNDATION 1ST [ ] R~OuGH pLBG. / [ ] FOUNDATION ZND [z'j/INsULATioN [ ] FRAMING FINAL DATE ,~ ~2Y , INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 November 7, 1985 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /Z/ An application for Certificate of Occupancy is no% on file. /.--/ No Underwriters Certificate on file. ~--_~ The check is(outdated~not on file o) /Ky/ No Health Depto Approval on file. /--/ No final inspection has been made. Please con~act our office on this matter° Thank you for your cooperation° Building Permit #L~67~ Z Sept. 22, ~953 (expired) Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... '.~. ~"~..~. ?-.., 19 Approved .... ~...~..~.., 19~.~.. Permit No./.~.Q .~.~...~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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, ~s herein described. The applicant agrees to comply with all applicable laws, ordinances, building codj~o~sin~g codff,/9~regulations, and to admit authorized inspectors on premises and in building for necessary inspections~/~/~-- (Signature of apse, if a~poration) ..... (Mailing address of a~0plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name or owner o f premises . .O/..~..//f?gl..../~../~../~'C[ .f//~O~.. .... ¢.< ¢.m~.7. ........................... (as on the tax roll or latest~deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ................... Other Trade's License No ...................... I. Location of land on which proposed work will be done ................................................ I ' o ..................... ................ . ' l~;~e' ~q~;~ ~ir ........................ ~ir;;~ ' Hamlet County Tax Map No. 1000 Section t~.~ '. Block ~ ~ J (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ : ...................... : .................................... b. Intended use and occupancy ...g .~;./.D..~./.' .C~.. .... .O..~. ....................................... 3. Nature of work (check which applicabl,e): New Building . ..~. ...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..................................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .../ ........... Number of dwelling units on each floor.//e~s ........... If garage, number of cars ........................................................... 6. If business, commercial or mixed occfipancy, ;pecify n;t~re and' extent of eac~ type'oi~se iii ~.' .' ./f.' .ff~.' 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 ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...~.9 ..... , ..... Rear . .~O .......... Depth ...~.. ......... Height .. ~.~.~. ~ ........ Number of Stories .77'..aa.Q .................................................. 9. Size of lot: Front '~'~:~'fi~ 7~.' .... Rear ...................... Depth ...................... 10. Date of Purchase .~.'~) ......................... Name of Former Owner .b-~.~d...~..c./.~t.r4/~L~,~ .......... I 1. Zone or use district in which premises are situated.. ~P~lr?tgt,~......... ...................................... . 12. Does proposed constructio, n~v~olate any zoning law, ordinance or regulation: .... ~.O. 13. Will lot be regraded ........ ~ ' .................... Will exc~ess fill be removed from premises: Yes 14. Name of Owner ofpremises~.(.6.Q..t4'2Ct...~..~.(.t~..v~.. Address {:~ff.t.,?~..~.t, ff,.~.~.. Phone No~. ~73.{..-e~.. Name of Architect .~,/~...~. _7~..o..r~. ~ Address /.~j .'~t~ .... phnna NM ........ Name ofContractor~.0.'/3/ S.'.~.~ ........ Address" .. ~.'.ff(' 't~,z~,~e'~ 'p['~,~2 ~,'~':.,~Z;~" ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back 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. STATE OF NEW YQRK.., 'o ~ COUNTY OF .-~v..~/~i~'..,~. ....... '~1~ (Name of indivlda~l signing contract)/ above named. ( duly sworn, deposes and says that he is the applicant He is the ................... ¢~. ,~c~ .-':r.,-Cdr~, ......................................................... (Contractor, agent, corporate officer; etc.) of said owner or owners, and is duiy 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 in the manner set forth in the application filed therewith. Sworn to before me this i ' ......... ../..~f~..7~...day of .... · ./~.~':, 19..~3 .