Loading...
HomeMy WebLinkAbout10820-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No ....... Zl0120... Date .... Bep~amber..2 ............... 19.80 THIS CERTIFIES that the building ................................................ Location of Property ....~0..G~'ea~; .Peconic. l~ay. Blvd,/A105. Laurel..Lane.. Laurel, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section .... .'l.~.5 .... Block ., .02 .......... Lot ..... OD.'[ ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. Ju, ly..~0 ........... 19 80 pursuant to which Building Permit No ....... 't0820Z ........ dated ...... Augll~'l; · 8 ............. 19 80, 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 ......... ................ · Deck..Addi~tion..t:o. ~xistin~ .Dwelling ...................... The certificate is issued to ..... Esta.t,e .of. Chal?ll~s,. J,. McNtJlty ................... (owner, ,~ of the aforesaid building. Suffolk County Department of Health Approval ............ ~1./.~ .......................... UNDERWRITERS CERTIFICATE NO .................... I~/~ .......................... ~ Building Inspector Rev 4/79 TOWH OF SOUTHO[*~ ~ BUILDING D~P,ARTJ~I N~ TOWH H~LL SOUTHOLD, N~ Y; ~ (THIS PE~IT MUST BE KEPT ON THE PREglS~S UNTIL COMPL~ION OF THE WORK AUTHORIZED) ~ 10820 FULL Z Dote . ~.*~...~ ......................... Permission is hereby granted to: , County Tox Map No. lO00 Section ...L...~..~..~ ....... Block ~.. ~(~?~ .......... Lot No. ~}'./ ............. Building Inspector. : ~ InspeCtor Rev, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building 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 featu res. 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 installa- tions, a certdicate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses. 1, Accurate survey of peoperty 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ...AAgt~..2.~,. ~9.80 ...... Deck on exis~cing New Building b~ildi;~g... Old or Pre-existing Building ............ Vacant Land ............. 30 Gr. Peconic Bay Blvd. & Location of Property ;t~Q5. [,~.u~e]_. ~8~e ............................... ~e,~'~.~, ......... House No, Street Hamlet Owner or Owners of Property Esta~ce of Charles J. ~cNu]t¥ (John F ~cNult¥) County Tax Map No. 1000 Section 145 Block 09, Lot 001 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Z..0.8.2.q..~.. Date of Permit 8./...8./',8.0... ,Applicant .~...~.~.l.i.a.~..E....~.c~ .~¥ ............ Health Dept. Approval . .': ..................... Labor Dept. Approval ........................ Underwriters Approval .-..-:..-..'; ............... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate Fee Submitted $..$..5:.0.0. ..................... Construction on above described building and per[nit meets all applicable codes and regulations. App icant ..................................... ~.~.~e.~0.~a C~,O. ~ /~/~ FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTg' ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Exam,ne ' . ..... ,19' ^pplicafio, No. Disapproved a/c . . 'i ........ ~ .................. "" APPLICATION FOR BUILDING PERMIT Date .,..,5.u. ~._y..3.0. ,. ...... 19.8.Q ' INSTRUCTIONS a. This application 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 uot 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 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, as 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 necessaw inspections. (Signature of applicant, or name, if a corporation) 30 Mone~ct Place ....... .G. re.e.n?,~*~.,. ?.,. 7....1~t7.40 ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... A.p. plic.ant, l~..le~.ee..o.f..su.bj.e, ct. pre..mi~e~ ........................................ Name of owner of premises . . E~.t.a%O. P.f...C.b..a?. 1~ .e.s...I.....Mg.N.u..1.-I;y . (J. 9.h.n..F.,..M.c.N..u.l.'[.y..). ................. (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. .Yi.. '.a-.1.1.i.~a.m. . .Fi. :. M. 9.N.u. 1.. ~Y~.'. Plumber's License No ...................... Electrician's License No ....................... Other Trade's License No ...................... Location.9f land on which proposed work will be done .................................................. .... . ,q~.....~r..~_..~oto:~..: .s.ay .~..v.e.n.u.e...(ha.u.r.e~..L..a.n.e.) ........ L..a.ure.~ ...................... House Number i~o$- /,~oo~.Et...-. (_.,q. Street Hamlet County Tax Map No 1000 Section .... ~..~..~. ......... Block ....~>..~. .......... Lot...O.O.~ ............ 2 Subdivision ................................ Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .S. eason, al. orte .family. ti~zel lilxg ............................... b. Intended use and occupancy . 9p.e. ri. ~lo.c,k. Olq..sioasPJla 1. oJle. fami l Y. ~wi~l J_j_.rlg .................. 3. Nature of work (check which appliqable): New Building .......... Addition m~xxx .... Alteration .......... Repair .............. Removall .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .. 9.(10. :-. %,000 ........................ Fee ................................. (to be paid on filing this application) 5. If dwelling, numberofdwellinguni~s...°B,e. ......... Number of dwelling units on each floor . .Qr~e ........... no garag.e If garage, number of cars ..................................................................... 6. If business, commercial or mixed ogcupancy, specify nature and extent of each type of use .resJ~dert.t:Lal. 7. Dimensions of existing structures, if any: Front. 2.(1' ........... Rear . .20 ! ......... Depth .50 ! ........... Height . ~'~,' ....... Numbe~ of Stories .. O.1lq .................................................. Dimensions of same structure with hlterations or additions: Front .2.0. ~ ............. Rear . . .~O ~ ............ Depth ....6.2 '. ............... .'Height ...~-J..-~2.: ............ Number of Stories ...one. ............... 8. Dimensions of entire new construction: Front .. 211~ .......... Rear ...20: ......... Depth . .J. 2.~ .......... Height open. deck .... Numbe~ of Stories ... ~ne ................................................. Size of lot: Front .... 532 ...... , ......... Rear... 50.~ ................ Depth .407! ................. Date of Purchase By. .will..i~. 1.9.43 ............ Name of Former Owner C. harl~,s. J.. ~/lc~u:Lty ....... Zone or use district in which premises are situated ........ A.... Does proposed construction violat~ any zoning law, ordinance or regulation: . .N.o ............................. Will lot be regraded ..... 2{0,.. i ................. Will excess fill be removed from premises: Yes No xx Name of Owner of premises .J..OiaJa..F.....M.c. lq'gl.ty.. Address . ~Rq~'~l.~..1~'...Y. .... Phone No.208.--.4,6.38 ...... Name of Architect ........................... Address ................... Phone No ................ W Name of Contractor .illJ,Rn~. ~l.,..l~<¢Iq'll~k~y ..... Address Ll~.u,~.el ,..1~ ~. 7 ...... Phone No.298.-9.405 ...... 10. 11. 12. 13. 14. . PLOT DIAGRAM Locate clearly and distinctly ~11 build~gs, 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. Also~see attached plan of open deck. Present dwellin!g was relocated and renovated on said premises pursuant~ to Building Permit No. 8563Z, dated 5/4/76. Certific'ate of Occupancy No. ZgOS1, dated 5/25/78, issued for said dwelling. Application for said building permit and iattached plans thereto called for a,' deck o~ open porch but a deck was not constructed at that time. STATE OF NEW YORK, COUNTY OF..SUFIT.O'f.I~ ....... S~S Wil.liam E McNulty t b g dly ppli ................ : ................................ Pin u sworn, deposes and says that he is the a cant (Name of individual signing contract) above named. lessee Itc is the ....................... . ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl 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 mannerlset forth in the application filed therewith. Sworn to before me this Notary Public, .... ~ ~ vt.',mm. ...... m.C°unty Netoty Publ e, Stero of New Yo~'R ............. No, 52-7135315 19~ ~ommlssJtm Expires gsrch 30, NoT'T~ BUILDTNG o~PARTMENT AT 7~-'1802 9 AB TO 4 PM FOR THE FOLt.OWING LNSPECTIONS: 1. FOUNDAT ON - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FR~,"'AING & PLUMBING 4. FIN,"L - C''hNSTRUCTION MUST, BE .r':'t'°' ,--,qr-_ FOR C, O, ALL COb'qTql)CT!ON SHALL MEET 'THE R[OU~R~'&ENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. -- ' ~ / ' ' / SUI~F05K COUNTY H~ALTH DEPART~f~ ~v[~e ~ot ~n~ mE ~ surveyor's ~ s[~co~[~oss[~ ~TER SUPPhY- PRIVATE WELLS : SEALSHALL NOT ~E CONSIDERED rOeE A VALIO TRUE COPY - GUARaNTEeS NEAR~ST PUBLIC WATER- 5 MILES~ THE WATER 5UP~Y AND SEWAG[ DISPOSAL SYSTEMS FOR THIS RESIOENCE W'LL JOHN FMcNULTY .- . . , , . _.,... . LAUREL SUFFOLK COUNTY, N Y ~o~ YOUNG & YOUNG, LAND SURVEYORS 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK DATE ~'~-~ SCA LE ,I ~ NO MAR. 8,1976] I =50 76-94 · TEST HOLE ~ -, ~, ~ '/ - REVISED: NOV,23~ 1977 JOHN F. IVlcNULTY L~URE L SOUTHOLD SUFFOLK COUNTY, N Y .o,~,.~ w ,,'o,.,,~, ,,'-~- .u,,,,~?o. YOUNG 5 YOUNG, LAND SURVEYORS ' ,400 OSTRANDER AVENUE , ,~ 'RIVERHE~NEW YORK '- ~:'' I''' '