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HomeMy WebLinkAbout12530-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIPICATE OF OCCUPANCY No Z17875 Date MARCH 22~ 1989 THIS CERTIFIES that the buildin~ Location of Propert~ 300 BIRCH ROAD House No. County Tax Map No. 1000 Section 054 subdivision ADDITION SOUTHOLD Street Hamlet Block 09 Lot 18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8~ 1983 pursuant to which Building Permit No. 12530Z dated JULY 30~ 1983 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to FRANCES EPP (ESTATE) (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N631743 JANUARY 27, 1984 N/A ~ / /~uilding I~s~ctor FORM NO. 2 TOWN OF $OUTHOLD iSUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ..G ......... ~...~ ....... ~ ........................ .... ~.~ ....... ~~ ,~ ~ ..... ~ ........ at premises located at ...~....~./~......~..~.~ ....... ~ ........~)-~.~ ....................... County Tax Map No. 1000 Section\.......O....~.'~.i.~.. ....... Block ........ ~ .......... Lot No ........ /..~. ........... pursuant to application doted .... ~)~....~.......? ............................. , 19~....~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~b' INSP~ FOUNDATION FOUNDATION ROUGH FRAME INSULATION STATE C, FINAL PECTION DATE COMMENTS N (1st) N (~nd) ME & PLUMBING · N PER N. Y. ENERGY DE /'/ AL ADDITIONAL COMMENTS: ' VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR ($16) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 ADDRESS: ~6~ ~l ~d ~. $~o~B RE: BUILDING PERMIT # 12S~6~ SEC. ~l BLOCK LOT I This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Yours truly, Victor G~ Lessard Principal Inspector TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-~ 8O2 This in to advise you ~hat the jobunder building permi. C no. 12430Z issued to Frances ~pp on 7/30/83 for Addition is completed and a f~nal {nspectlon has ( ) has not ('X ")"been done. fn order to complete this file, it is necessary that a Certlfica~.e of Occupancy be issued. Please fill out the encl. osed form, return same to the above office with a check for $25.00 payable to tile Town of $outhold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrnnge with tills office for an inspection date Occupancy or use [, nnlawful without a Certificate of Occupancy. Please. help tis to clear up thi~ matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly _y~, Victor Lessard Executive Administrator VL:gar encl. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND i~ INSULATION FRAMING '[~]\ FINAL REMARKS: 1000121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRiC~TY'~ ~- 85 JOHN STREET+ NEW YORK, NEW Yi)RK 10038. o.,. J~.uary 27, 1984 ~pptlcatlo. No.o./iIe N631743 THIS CERTIFIES THAT only the el~trwal equipment ~ described below and *ntrod~ed by the applicant ~m~d on the abo~e applzcatlon number in the premises of Hilton L. gpp, Birch Rd., Chestnut & Wes~l~and, So~thold, N~Y~ in the foHowlng location; ~ Basement ~ 1st FI. ~ ~nd FI. Section Block Lot wasexaminedon January 23, !984 and found to be in coml)~iance with tbe r~uire,nents of thls Board. FIXTURE OUTLETS 6 RECEPTACLES SWITCHES FIXTURES RANGES FLUORESCENT DISH WASHERS EXHAUST DRYERS SYSTEMS 'NO. OF FEET OTHER APPARATUS: 1-Smoke Det:ecto~' E I NO, OF CC, COND. pER ~' NO, OF HI-LEG AW.G, OF HI-LEG NO. OFNEUTRAL: OF NEUTRAL N.Y., 11971 TOWN OF SOUT~HOLD BUILDING DEPABTMIi!NT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 E×am ned... ,9.tg .- ' Apt)roved ...~..~., 19~. Permit No.l.~ ~.~. DL approved a{c ....... ; ............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordihg to schedule. b. Plct plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap' cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc.'al of this applicatiop, the Building Inspector will issue a Building Permit to the applicant. Such per~ shall be kept ou the premises avMlable for inspection throughout the work. e. No buikliug shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to Building Zone Ordinance of the Town ~f 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 describ The applicant agrees to comply with all applicable laws, ordinances, bnilding code, housing code, and regnlations, and admit authorized inspectors on premises and in buildings for necessary inspections. O.o.<,=.m l.~.,...igt.~.,, e.o.u.~T..<.,... ...... (Signature of applicant, or name, if a corporation) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumb(r or bnild ~.t~.T~e .i'-o ~. ................................................................................ Nmne of owner of premises . ...P'O..~,~ ......'F.~.~I~F,~....~..,..~'~:~. ......... (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....~. ..................... Vlunlber's Licens~ No..~.~,. ~.. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................... . .3. ~ ........................... g~-.~ ~ .... aa .-...,:.: ......... -. ~o~w~.9~...~ ........... House Number Street Hamlet County Tax Map No. ! OOO Section ............ Block ................. Lot ....... Subdivision ....... ~ . Filed Map No. ~7~ Lot . .,k ....... (Name) ' 2. State existing use and occupancy of premises and intended use a~d occupancy 0f proposed construction: a. Existing use and occupancy ~QI ~,~. ' Repair .............. Re!noval .............. Demolkion .............. Other Work .............. t ~ ~ ~ (Description) : (to be paid on filing this application) ;. If dwelling, munber of dwellifig units .... I ........... Number of dwelling units on each floor...~ ............ If garage, number of cars ... .................................................................... ;. If business, commercial or miked occupancy, speedy hature and extent of each type of use .................... ~. Dimensions of ex/sting stn;ct0res, irony: Front... ~. ~., ..... Rear .... ~ ~ ..... Depth .~ .......... 1~' N~m~ber of Stories Height ................................................................... Dimensions ' ' ' . ........ of same stmcturelw~tb alterations or additions: Front . .~q. ..... Rear .. ~ .... Depth ~ ' Height Ig ( Number of Stories I. Dimensions of entire new con,tn etlon Front . .~... Rear . .~ ..... Depth ~.' .... Height N~mber of Stories ' ). Sizeoflot: Front ........ O.h.. ......... Rear ..... ~ ........... De ........... ). Date 6f Purchase . O~b~q~. 7 ............... Name of Fenner Owner .......... ~ ................ 1. Zon~ or use district in which Premises are situated..~ ............................ : ............ 2. D,oe~proposed construction violate any zoning law, ordiaance or regulation: . i~ ............. ~.., .... ~. I. ~ill lot be regraded .... ~..' .................. Will exces~ fill be removed from premises: 1. Nmne of Or, ncr of premises ~. ~...~ .. ..... Address .~ ~.. ~O ~one No. 9~ ........... Name of Architect ........ 1 ................. '.. Address ................... Phone No ................ Nme of Contractor ~O~&:~ J.m..~[0~ Oral'Address ~[ ~r. ~,~, Phone No. 7~)Z:. ~5.2 PLOT DIAGRAM Locate clearly ~d distinctly ~1 buildings, whether existing or proposed, and. indicate ~1 set-back d~ens~ons fron roperty hnes. Give street and bloqk number or description according to deed, and show street nines and indicate ,tefior or corner lot. rATE OF NEW YORK, / ~ - - . ' OUNTY OF .~(/~,,- . · .~..~..~. ~.0'/I~/ .................... being duly sworn, deposes and says that he is the applic(n (Nan{e of indMdual signing contract) ~ove nanled. ~ is the ....................................................................... (Contractor, agent, corporate officer, etc.) f said owne~ or owners, m~d is 4uly authorized to perform or have performed the said work and to m~e and file )plication; that all statements contained in this application are true to the best of his knowledge and be ief; and that 'ork wgl be performed in t ~e manner set forth h~ the application filed therewith. worn to before me this ....... .... / ~..~y ~of ....... ~';..., otaweublic~.~.:~~.. County ' PINE ~ 47 49 ~ E. P..O A D t - BUENE. P,L 50' Ye. 12__0. 50 5,, 129. ~_~ CNESTi~UT P-LOA D ,4: 0 .! _¥ DESIGN OR CONSTRUCTION ---4 1 t t CHESTNUT ~OAD 2:~0:C0 EOAD' HAP OF P_I2_OPE~,LT'Y7 :' SU~V[~'F3-F°~ ;:' :-':'-':,'' '.1. H -LTON ¢'F2A,NCE'; D,' EPP TOWN OF 590'FNOLD GUA. PJkNTEED T~O THE 5ECUE GUAP. AI'-~T~ED TO THE. E A5.50( I&~ ION -; A5 SUP2,./EYED -- Eu D E lJ ~_[4, _____Ft.-, . .,. LICENSF. D LAHD 5U[~VI'~'r'C~R.~ -- Gf?EEN PO~T~ N',__Y.,. · ,. ~ ~,. NOTIFY B~ILDING DEPARTMEN/ ~ [ I~'- - -'--- ' l:~ -: ~ ~ -- T ....... ~: -- t~ '