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HomeMy WebLinkAbout10668-z fORM NO.4 TOWN OF SOUTHOLD BUilDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy z1oo42 Date.. . .. July 22 80 No......... ........ . . ......................,19.. THIS CERTIFIES that the building . . , . . , . , . . . . , . . . . . . . , . . , . . . . . , . . , . . , . . , . . . , . . . . . . 2500 Maple Lane Unit 1-17 East Marion, N.Y. LocatIOn of Property .....".,.. , , , , . . . . , . . , . . . . . , . . , . . . , . , . . . . . . . . , , ' . , . . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section ." .3.~ . . . . . .Block ... 7. . . .. . . .. , .Lot .. .. . .. ~':" ~ 7.. . .. . Subdivision.. C~~.~c~~t, .1~~a??:. 9o~~o~.,. , .Filed Map No. ....... .Lot No. .. .~':"~!. .. . .. conforms substantially to the Application for Building Permit heretofore filed 10 this office dated . . .~f!-Y. .1.<~ , . . . . ' . . , , , , 19 .80pursuant to which Building Permit No. ...,.....,. ~ ~?~~~ . . . May 1 S 80 ' dated ......... .........,'....... 19 , , . , 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 with Screen Enclosure ................... . . . ....,........,............ ,............................. Th tT t ., d t Thomas E. Kraus e cer 1 lca e IS lssue 0.................... iowne~~" '..,...,........... of the aforesaid building. \ N/R Suffolk County Department of Health Approval .,...,. , . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . N/R ..............,.............. ............. kufcPi'~ Building Inspector Rev 4/79 Board of Appeals No. 2552 June 14, 1979 : ;:1, n Ai , FORM NO. 2 TOWN OF SOUTHOL!> BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P'REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nfl 10668 Z Dote ..tY/...{y....I.!Z.............,..........", 19&. Permission is hereby granted to: ....:.rf.(QAI/.9,;$.,..E~...ktl'A.'-!.S... ....' . :;'d. .If:!; .,.,. ....f.~. ..... .'i?w.(;..6;./."<V..y..lI.&M,...K12...,, If'/C'&...MIf,.7.c:~~,.al...'A/....I,, ./1.7",<1:3' C. ;8']:<:. -- ~ to... .0.15.i. . .f.i.uc..S........... x.........l:<.I.ff.<Y.......:::i~~~#..z.tiI.<;r;.O.s.Q.~'r""....,. .,...4l./2.al.zalk;~.....dc;eI.It~..Ci"--'t.Z. ",.C/A...-#.dl...J2T.d......::::...6./o{/zf,. at premises located ata!5Qa...J(/1/:t1::.....U&:';'..,...UIL<t.7..7f:::z:.:-::1.7 ,..',......,..... ~}f.' , ~. {f........~;..=.....:.::.::.....................{?. .::.?f?!i.e::'... .~~O::::....~.:.....,...,.............. ..~~2.......&/.......QC.4....C;&..I2tJ:?(,{,t'.N.I.(.I.H.s.............t2.Mt.1.,... .......z:.::::/7.......,., pursuant to application dated ../.:('4"(....1<:5/.......... .............., 19& and approved by the Building Inspector. Fee $.../5..9.'?.... .' ! rt " FIELD IPSe"-,:./~'lOl~ \ q=)i'~'~ 1\ C(..Jl'L.IE1<'J.'s ; . - - I ~ ===--=~=,=, .~~==--===--=~=--=-=~ . - ., 1 . - I ~~ - ~'->.l, ~~ -.----, 1-------------- ------ '\i FOUNDATION (1st) z - - ~ -- - -- 0 . N I ~~ FOUNDATION (2nd) ~f\~ 71''' 2. N ROUGH FRAME & ztJ\) f 8 PLUMBING ~ ~ , itr t 3. (J)c it tll - <D INSULATION PER N.Y. ~ ~' ,\ STATE ENERGY N I ... COpE '-I 4. ~$ - /11. 2/, ~ cJ .- ~ -/ (!J /?7 ~ 1-',\ ~:1 "t/" / '7 - FINAL ( - , ~:i ::; t}l .. <D. 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" i o - J" . t '7 ,i\ , , t.\ ~ ~ t'- ~ ~ I)~ "i, "t ~ ~ r.'. [' \:' I I' Q..~ ;'>(>")~<:'.I~? ,.,. r-<'-~ )i" _~_/ /'~ , I" '" /~jj f}"d of 70 lie,,, l <1:. \ ,.' 0' ~.' I ',I I;' " , '.. 'p.:..' ~ > j'[,: .. ". o " ~ ~~ " ' .! , , , ,"\, ......' i tr.:~. \{ (> :~/ { ~ [_..I{I 1; _ ~\ _, .,..Y'I.o-' ( I \"f"\ 0 .. \,-~',,\ .' \ ' p,,' -~-\ - \ - \..- -- ..../ \:S,:' tJ ,~) ~~'LI'O / .-I u.o,~ p , ....-- f' ~ flllj ,---- , ~ .f ~ , 1\1.1',.'00', ,~ _---,,---~'!..--.-./ ! ----- .--- N~.Sf'DO'W .11' 'f.:' ~..-_,_---- , ~" ~ #; I I, :' .......00'101," A"ftfi...., ,,,,It ." O~"'..I,.d t.,., T.1/.CJUorMlu La :1, ,M.'"", , ....~~~::y ,"'.' SITE PLAN " ~-::::::::----.- .::.'~-::~. CRtSCtNT Bt:'ACH CtJNDDNJIA//UNl I, --. --------.:.::::-...~<~............" Nvmhf'1'I Tf"/". I. j'Shu,t'YI /uf"'''"'1 '10m, vl7.1f -.. ',' ~ V, I k~ r, f S ..... ---....;.,........... ......::,..... dl"1e hi ;AST 1l1i1"N I ~Wft (J ('UTW)J.l), ~ .... ............ ..... , ' N -~ Ivf.w Jot'l( r=""";,.. ~ '.. ONtJd/,." ......_-c:,;)... .. '..,;" ''l. ,~'...... ~"".,.,... >;;; '''' ' ~ l' /\ I~Q:".,:)~....\' "-...:..::.... ~'I( ( , "/'/'''~ I,:~..(r.j 11'''" ./j '-.....--.... l't,t,j,Jlr'I";'1I 'OA.. ..,. ". . /J J . :- l '<'"~~. .. ~~o --j .. ---. -- . ...... ,'" 114.... bIl4'."T,,7.... 'i117(J'irn 1oJ,lh 1J,#,,.,,It.tf1_ IJ_,....J4 ~~ . L 'IIi"l,.... 'iL ,~^ _ ~."..... ___ ~~_ ~ -I.,. i.ll. I"",,v. .I;/., IV t' ~i.h J~..J 1':JI.. D,.'" ~ - , FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOlD, N.Y. 11971 TEL.: 765-1802 Examined .1:1/1.(. /;:[ . . ., 19?J Application No./o66.cf . . . , . . . ApprovedW1J.C:(. /~...., 19~Permit No.IcJ.6t~.T. Disapproved a/c .... .-. _~ , . . . . . . . . . . . . . . . . . . . . . . . ... . PiA 'Yl'l&lI4 L. 1!ZS-S-2- .6;/</179 - ~d/L&,~ APPLICATION FOR BUILDING PERMIT tU~ C & 'EA./CL/J5Eif:? C( u:S'c:'O Date.. .~. Iff:..., 19?i! -(e, -'1- Lt"V/Aj 9' CJ ,h'..-e?.i5<CS " 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 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 Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the BUlldmg 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 buildmgs, additions or alterations, or for removal or demolition, erein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing e a egulatio , admit authonzed inspectors on premises and in buildings for necessary inspections. ~ ~~ }1C?ttlt1.~./:::,. . !f.1/(l~.. (Signature of applicant, or name, if a co ration) 1~<1-. ..#.t;~!J?(f;~1f11 t9.1''f!'C~. ~~t.cA/~, N.:(6?9V-.= (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . , . . . . . Pt:! ~ ~~ . . . , . . . . . . . . . . . . . . . . . , , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . ' . . . . . . . . . . , . . , '. Name of owner of premises .-:1h.f:!I!1I.J?.. F, f!t:/).IJ.~ . . . , . . , . . . . . . . . . . . , . , . . . , . . . . . . . . . . . . . . . . . . . . . . . (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. .., l.. ? of. . . . . . , . , , , , . . . . Plumber's License No. .......,.."..,....,..., - Electrician's License No. ........,....,...,. , . Other Trade's License No. ...:-:-:.............., I. Location of land on which proposed work will be done. .. r::. ~ f:-?C:1f;N 7:. . . #!~(I.c:h , , ,~,?('1,i;>.o.Jt:f~NI.i.t.M. . . .~ A-:.l.7 ..".,........ f]J,S,T. , .l!1.ll.i~o.A/ . . . , , . , . . . . . . , . . . . . . . , . , . . . . . . . , . . , . , , . . . . . . . . " House Number Street Hamlet County Tax Map No. 1000 Section ... ?8:.. PP . , . . . .. Block . .1).7 ! P. t;:) . . . . . .. Lot....I-:.!.7......... SUbdivisionC.~~~~~. ,e.~r:.0.. ?;~1X>..~.. FiledM~pNo. II? .............. Lot ....... ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy, . S .U.'11.~.If.~. . .H:Ci/l(l.~.. .-.. P~qA/ff.I........ . .. . .. .. . . . . .. . .. ... . b. Intended use and occupancy . ~L!M J'1fE./?.. .&:flt:;1F.-. .f.e%-J. ~~t! I.. .-:-. . ~~. .If.~?P~-P. .... .j,.,,1t 7.s1 l , ..... - 3. Nature of work (check whic" applicable): New Building. .. .. ... . . Addition... .~... Alteration . 'P':. ...'. Repair .............. Removal . . . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . 4. . -1 /d. ~ 0 -;8J' S~ (Description) Estimated Cost . . . . . . . . . . . . .; . . . . . . . . . . . . . . . . . . . . . . . . . Fee . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (to be paid on filing this applicatiort) 5. If dwelling, number of dwelling ~nits . . . . . .~. . . . . .. Number of dwelling units on each floor. . .Q.... . . . .. . . . . . If garage, number of cars .....'................................................................... 6. If business, commercial or mixe~ occupancy, specify nature and extent of each tYI1e, of use .... . . . . . ''1 ::3 . " . . . . . . ., .. ,. ~,-/13" '~i:j.31\ I' 7. DunenslOns of eXlstmg structures, If any: Front. .. ........... Rear .............. Depth............... Height ... / p. .' . . . . . . . . Number of Stories. . . . . .Q.A/~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. . . . . . . . . . . Dimensions 04 ?ame structure with alterations or additions: Front ....2!~. '. ~.'~ . . . . . . Rear . . . :3.0.:,3. :'. . . . . . . . /.0" :. 10' fS' ONE' ' Depth. .. ............,..,.. HeIght. . . . . . . . . . . . . . . . . . . . . . Number 0 tones............ ',' . . . . . . . . .. . ; . 1:;1.'0" lCJ.'Q" Ii:> 0" 8. DunenslOns of entire new const\'UctlOn: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth .., . . . . . . . . . . . . Height.. ./P.'......... Number,tSt1~~"" .Q!,!~.............:............................... 9. Size ofJot: Front. . ~.R,C;. . . f/.G:. .1;. . .'1/. Rear.. /1+:f:1.I.C.))!E./). . . . . .. Depth /.I.~t::lf/.I.~'. .., . . . . 10. Date qf Purchase .-;J7J./.y. .~I ~Wj7~ . . . . . . . . . . . . ~ame of Former Owner :T:n.'?M(I$....:J:. F.1.1;J..I1/;4(,1t../~"f': II. Zone or use district in whieh premises are situated. .. .:-:.l......................................"..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........!.... 'r' . .. . .... . .. . Will exces~~ ~ j:,CE~e~U~m premises: Yes; No 14. Name of Owner of premises 7.}1Pt'.A~. ~1.k.'~!I.cI.S. . . . Address. ?It: ...f>( . rl') f./~.o7<. ~hone Na';.o.I~ .7.'f'!.-;t!'}. 7. . Name of Architect .. i/' . . . i . . . '/;. . . . . . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . 1.I~.v.~r... . t<..I!'7.-/!li.....-.. .. Address. .. . .. . .. .. ... . .. . . Phone No. .. .. .., ... .. . ., ! PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, aljd, indicate all set-baek dimensio~s from property lines. Give street and blocki number or description accarding to deed, and show street names and indicate whether interior or corner lot. ' Srn( fFt-t/J.ch M~ , i STATEOFNEW~ :SS COUNT~... ....... ...: .~ . . . . . . . ./.71.0.#1. . . t:.. :-.~. . CIS. . . . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) abow named. r!Jw,JcdL He is the . . . . . . . . . . . . . . . . . . ',' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d\jly authorized to perform or have performed the said work and to make and file this applicatioq; that all statements contained in this application are true to the best of his kl10wledge and belief; and that the work will be performed in the manlier set forth in the application filed therewith. Sworn to before me this ~ : H ~'I/ () . . . . . . . . . . . . . . . (:z..... . . .day ~f . . . . . . . . . . . . . . . . . . . . ., 19 . Notary Public, . ..... .~.:... . ;-y- '. C~ WZAa~~ AN NEVlLLI NOTARY pua IC. St.. of New York No. 52-8125~50. Sulfolk C~ I farm [o(""'f Marth 3D, I ,