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~ '