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HomeMy WebLinkAbout10516-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18327 Date AUGUST 30~ 1989 THIS CERTIFIES that the building Location of Property 13135 MAIN ROAD House No. County Tax Map No. 1000 Section 031 Subdivision ADDITION EAST MARION~ N.Y. Street Hamlet Block 05 Lot 10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 1979 pursuant to which Building Permit No. 10516-Z dated DECEMBER 13, 1979 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY D~KLLING The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH L. TOWNSEND~ JR. PENDING - AUGUST 24~ 1989 B~ilding Inspector Rev. 1/81 I~oI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WOP, K AUTHORIZED) N? 10516 Z Permission is hereby gronted to: ....... ,:~. ..,..~.,oz~....---- ..................... ...... ......... ro ... G~ z~ ~T~.~c: c.~ ...... z. ~... ~:.. z .~ ....... ~J.~;:/~2 f2 .~.....~.... ~2f.5~.r.z.~ ~.,. ....... ~..zd~ ...................................................................................................................... at premises located at .~.~Z~.~ ............. ~.~Z~.~[~..: .......... ~Z..Z~ ~/~. ~ pursuant to application dated .~'~,'.....~¢~.~..~. ............................. lC)..'.~..~.., and approved by the Building Inspector, Fee $,,/,;~,.,,..'~.. ....... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11D71 ION FOR CERTIFICATE OF OCCUPANCY Instructions A This application must be filled in typewriter OR ink, and submitted ~a ~ to the Building inspec- tor wkh the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natu raj or topographic featu res. 2. Final approval of Healtl~ Dept. of water supply and sewerage disposal-(S-9 fol'm or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instaila~ 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 buddings (prior to April 1957), Nomconforming uses, or buildings ~md "pre-existing" land uses: 1. Accurate survey of pzoperty 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 informm t~on required to prepare a certificate. Fees: 1. Certificate of occupancy $~.00 2. Certificate of occupancy on pre existing dwelling 3. Copy or certihcate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date July 31~1985 New Building X Old or Pre-existing Building Vacant Land 13135 Main Rd. East Mar£on Location of Property ................................................................... House No, Street Ham/et Owner or Owners of Property Joseph Townse. nd ~..J?... ............ County Tax Map No. 1000 Section 031 Block 05 Lot.. 010.09 Subdiv.sJon .......... ,~ ...................... Filed Map No ........... Lot No .............. Permit No. 0.~'~..~ .~... Date of Permit , ..~.1..~.~/~ .Applicant .. ,~°..s.eP.h .?.o?.qs..e~l~ ............. Health Dept. Approval N/A .Labor Dept. Approval Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....... .X ............... ~ Fee Submitted $, .5...qg ....................... above described building and per~it meets a,II 'ap~,sx~nd regulations. Construction on ~ ' ~ ..~ ~0-m. Ta ~seph ~ownsend ~ TOWN OF SOUTIIOLD OFFICF, OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL $OUTttOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Coucern, W(,~ are unable to complete your Certificate of Occupancy because ,of the following reasons. /.-~/ An appllcatJon for Certificate of Occupancy ~'~ not on fJ lc;. /~ NO Underwriters Certificate on file. /'~ The check ~s(outdated/~Dn ~.)~25.00 /~'/ No Ilealth Dept. Approval on file. /_/ No final inspection has been made. Plcdse contact our office on this matter. Thdnk you for your cooperation. Bui] dinq Permit Buiidinq Dept. I, _0_ ,5 _± z ***/"_'/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS U_~NLAWFU~ WITIIOUT A CERTIFICATB OF OCCUPANCY. CI, EAR liP THIS MATTEl( AS SOON AS POSSIBLE SO THAT LEGA~ ACTION DOES NOT IIAVE TO BE TAKEN. Thank you. FIELD INSPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY FINAL COMMENTS ADDITIONAL COMMENTS: Memorandum from.... BUILDING INSPECTOR'S OFFICE TOWN O~ SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 t FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76B-1803 E×amine~.'.C...1~...~..:.., I977.' Application N°. .L/~' ~-~' '/' '~' ....... . . . . . :: .......... ...... APPLICATION FOR BUILDING PERMIT n/30/v9 Date ............. ,197f. INSTRUCTIONS a. This appilcation must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 Certifioate 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bqilding code, housing co~9..O~aad regulations, and to admit authorized inspectors on premises and in buildings for necessarytw~specr~' spectio ~s~.,~_- ._~2~//// (Signature of applicant, or name, if a 96Yporat' ) ?.t:. p.o ....  .. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architecf, engineer, general contractor, electrician, plumber or builder. Own e r . APPROtf~'~ ' AS' ~IOT. E.D ........... p, Name of owner of premises ...... Joseph L. Townsend, Jr DAT.E:.~. ~ · ......-B· .... ~. ~ ...... (as on the tax rolLo_r__latest deed) ny. ~ \ If applicant is a corporation, signature of duly authorized officer. IqOTIFY BUILD~ - ~'~5-1802 9 AM TO '~ PM FOR THe ........................................... FOLLOV7ING iNSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED FOR POURED coNCRE'rE Builder's License No..A,l.e~.a.q~..S;~p.~.o.s.~i ..... 2. ROUGH - FRAMING & pLuMBiNG Plumber's License No. N/A 3. INSULATION ........................ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electrician's License No. ~/A ALL CONSTRUCTION SHALL MEET ...................... THE REQUIREMENTS OF THF N.Y. Other Trade'sLicenseNo. N/A STATE CONSTRUCTION & ENERGY ..................... CODES. NOT RESPONSIBLE FOR N/S . . RR RS. 1. Location of land on which proposed work will be done....M..a~.n..R.p.a.cl,.c~{l~lq~R .~.ll~Tb):J~.-g~. ~=.~)~e .... ..... /.,~..,~ East ,J?a.z'lon., New York /-~_~ .~. House Number Street Hamlet County Tax Map No. 1000 Section I~) -.~/ ........ Block (~- Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex~sting use and occupancy ..... .Or~..e..F.a.m...i. 1.y..d.w..e.ll.i.n.g .....' ...................................... / b. Intended use and occupancy .... s.a..m.e...)ge'./..~.../r~....~. ~..~, .-- ./AT..~..~..~././.~P. ~.~., ................... 1 3. Nature of work (cheek which applicable): New Building .......... Addition . .X. ....... .A/tera/:ion ' Repair .............. Rem6val .............. Demolition .............. Other Work ............... ~ (Description) 4. Estimated Cost.. ~., .0.qQ Fee .~15, 00 .... (to be paid on filing this application) 5. If dwelling, number of dwelling Cnits ............. :. Number of dwelhng units on each floor ................. If garage number of cars 6. If business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front..35 [ .......... Rear .... a5~ ........ Depth.. 6.a' .......... ' ' ~;WO Height ............... Number of Stories ........................................................ Dimensions of same structure w~th alterations or additions: Front ... 35.~ ........... Rear ...35 [ ............ Depth ...... 5.3. ........ ~.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...1.~~ .......... Rear .... 1.4~ ......... Depth . 3_2.' ........... Height .. 82 ........... Numlber of Stories .... .o.n.e. ................................................ 9. Size of lot: Front .. ~g.0.' ..... ~'. .......... Rear...;~ppx.oj{...~O[ ...... Depth .32D.' ................. 10. Date of Purchase ... 1.1./.2.9/7.9 .................. Name of Former Owner . Ronald .¢.d~.on .............. 11. Zone or rise district in which pr~mises are situated....~ e..sSql.elx.t~,g~, ...................................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: ....... r~o ...................... 13. Will lot be regraded ..... no .i ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .$~eeph..~.....T~wnsen. d~ddd~r,ess Z1.6. Mai~.$t..G. pt... Phone No..5.1.6.4.7..77.0.1.5.3... Name of Architect .... ~q ]~..i ................. Address ................... Phone No.' . Name of Contractor N ~A. I . Address . Phone No. . .~Td.,~.~ dO ~ -/'//· PLOT DIAGRAM .~'~'~../'/t~' ~< / ? Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. ! being duly sworn, deposes and i (Nhme of individual signing con{tact) ~otary Public, ~tste of New York No. 52.0344963 !Suffolk Count.~// Commission Expire~ March 30~ ~.~ C°unlY..~ ~%~ ~ , ..... ( Signatdre/oT applicant) above ,name~. ~. ~ ~ ~ He is the ...................... [. ~.~, .~..~.d~.. ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 b~fore me this i ................... day o ........ Notary Public, ~..~.......c~..,~,~.~ // ~'~ JUDITH TJ TERRY Gt ~ys that he is the applicant