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HomeMy WebLinkAbout11438-z TOWN BUILDINI TOWN i"IAL~ sOuTHoLD, N,~ ~¥. ~ No. li1438 Building I~spector. F~e .~......~.. ............. BUILDING PERM!T~ : (THIS PERMIT MUST BE KEPT ON T,H,E PREMISES UNTIL F COMPLETION OF THE WORK AUTHORIZED) (, Z Do~ .~.~ .~'~ .~,.. ULL Perrhissio~ is hereby granted ,o: ~t p~emiseS Ioceted ~t ........... .~ ............................................ ~.. ......... ; -.% ................ ~ ............. , .......................... co~ ~ ~op ~o, moo s~ct~o~ .: .... ; .... ~o~ .~ ............. t ~o.~...~, ........ pumOant tb appl cation dated~~....~.'..;..;...;i;...., 19. , and dpprov~ by the FIEL~ I~SP~¢~ION · FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUHBING INSULATION PER N. STATE ENERGY G,ODE FINAL COMMENTS ADDITIONAL COMMENTS: RrB #1, Box 106C ~ain Road Mattitucks No Y. October 7, 1982 $outhold Building Dept. Main Road Southold, N. Y. Attention~ Mr. Fisher As per your telephone conversation with my wife, Mary, on October 6s 1982~ please amend building permit #1lq)9 to include the renovation of the rear protrusion of the one-story frame house outlined on the attached survey. Thank you for your copperation regarding this matter. If you have any questions regarding this matter please feel free to call me at 298-896So Very truly yours, ames Ro McGu~re Enc. I FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTI4OLD, N,Y. 11971 T~L.: 765-1802 /(pproved O.Cr, (/....~.% ~ .... i9~../. Permit No. (t~lildl/'ng In spec tor) AP?LICATION FOR BUll. DING PERMIT INSTI>,UCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIc, t plan showing location of lot and of buildings on premises, relationship to adjoining promises or public stre{ or areas, and giving a detailed description of layout of property must be drawn on the diagram which ispart of this apr cat,on. c. The work covered by this application may not be commenced before ~ssua~ce of Building Permit. d. Upon apprc,'al of this application, the Building Inspector will issue a Buikting Permit to the applicant. Such pern shall be kept on the premises ava~able for iaspeclion throngbout the work. e. No building shall be occupied or used ia whole or in pa~ for any purpose whatever until a Certificate of Occupan .~hall have been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t [ltulding Zone O~dinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, ibc tim construction of buildings, additions or alterations, or for removal or demolition, as herein describe I*he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d .ldmit atithorized inspectors on premises and in building~ for necessa~ inspections. 'g pp ' ' n , ~, ne, if a corporation) (Mailing address of applicant) l (~{> :'¢tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or btdld, Name of owner of premises (as on thc tax roll or latest deed) If' applicant is a corporation, signature of duly ;mthorized officer. (Name and title of corporate officer) Buikler s L'cense No .... ~5'~.---~.--..~. ............... l'lumber's License No ......................... Ei,ectr'cia ~ s License No ....................... Othez Trade's License 1'4o ...................... Location of land on wbicll proposed work will be clone ........................... ° Z a .......... .......... l{onse Number Street Harnlef ('ounty Tax Map No. U)00 Section . .(~ ............. Block ~ Lot Subdivision ..................................... Fried Map No ............... Lot .............. (Name) [sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Fxisti~g use ~n I occ~p cy ' "T .............. 7 ......... ............................... reded use ant occl pa~ ey aruteof~ ......( .. uwhich u?phcaol~).Nc'.v ~'' ~': Demolition Other Work Rep,dr .............. Removal ........................................... (Description) E ti d Cost O - .c~ -:. ........ s mare ........................................................... (to ~e paid on filing this application) If dwelling, nmnber of dwelling units ...............~ Nnmber of dwelling units on each floor ...... '. If garage, number of cars .......................................... : ..................... If business, commercial or mixed occupancy, spec~y h0tnre and extcut of each ~ype of use ............ Dimensions of existing structures, if any: Front ..... Rear .~ Deptt Height ............... Number of Stories ...................................... Dimensions of same structure with alterations or additions: Front ................. Rear ......... Depth ...................... Height ...................... Number.of Stories ............. Dimensions of entire new construction: Front Rear ~ Depth Height ............... Number of Stohcs .......................... ~ .................... DateSize of lot: df Pnrchase Front '~b'.' [~O~ ' ' "' "q ' ......... Rear ..................... ~ , :~' ~D Depth ~A ............ ............................ Name of I ormer Owne; ......................... Zone or use district in which premises are situated... 2 ................... , ............ : ................. Does proposed constructiojt violate any zoning law, ordiaance or regnlation: . ~ ~ Will lot be regraded . . .~ .... · .................. Will excess fill be removed: from premises: Yes No Name of Architect . .... Address ' Phono No Nmne of Contractor .......................... Address ............. ...... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all bnildings, whether existing or proposed, and~,indicate ,all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner tot. APPROVED AS 'NOTED. FEE: i BY: ..... NOT-[~--~_JJ'J~"i'NG D-~-ARTMENT AT 765-1802 9 AM TO 4 PM FOR THE .FOLLOWING '1. FOeN~,~.T~b~ - ~O REQUIRED FOR P~UR'''~h CONCRETE 2. RQUG' ~ - ~MING & PLUMBING 4. FIN~~ ~ ~-~,~ mT2UCTION MUST ALL ;CONq[~9~CT~oN SHALL MEET ~A~E CONSTRUCTION & ENERGY coDES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. rATE OF NEW YgRK, OUNTY OF. ~.r?.o,/_.K .... .... S.S · ~/-~'1 k(~.~ ~. ~ c ~ta~ being duly sworn, deposes and says that he is the applicant (Nanie of indMdual signing contract ~ove named. ~eis the ~A , (Contractor, agent, corporate officer, etc.) t' said owner or owne~, m~d is duly authoHzed to perform or have performed t}~e said work and to m~e and file Ods ~plication; flint all statements contained in this application are true to the best 6f his knowledge and belief; and that the 'ork will be performed in the rammer set forth ht the application filed therewith. worn to before me this ........... ....... ...... ........... .... ... ~o~sz25~utfo~k cou~ (Sf~nature o~ applicant) ¢01~,20,,E --: /~-. well 320, 1020~ WAY N.a~?oo'oo"~. __ 57.92' vacant now or formerly Werner L. Adel, Jr TITLE NO. THE LOCATION OF WELLS AND CESSPOi Serv. rEST HOLE ~----'--' ~0' lop $OH Sand 4 G ' sand $ond ......... /?0' FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building In~pec.. tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unumal natural or topographic features. 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 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. (~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. C, .Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5°00 Date., ]©/~51 ~ New Building ......... ~ld or Pre-ex st ng Building . .~..' ...... Vacant Land ............. Location of pr~elt~~. .... .~. ~! .~....~.~...' .... f ~.~. "~. !~.~..~../~..~. .......~.: .~f. ....... House No. Street Hamlet OwnerorOwnersofProperty .~ .~. ~,~. . o .~. , ~J~ ~. ~ ~ ~ ~. ' .~. ~ ~ ~1[~,, County Tax Map No. 1000 Section .. ~.O..~ ........ Block .............. Lot ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ...................... Final Certificate ....................... Submitted $ ............................. Co~struction on above described building and~ermit meets all applicable codes and regulations, Applicant .............(¢'" ' ........................... Rev. 10-10~78 1000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS , BUREAU OF ELECTRICITY SS JOHN STREET. NEW YORK. NEW MORE lOOSe Dec~tber ~8, 1982 191~504/82 .~t~ ,,p.,,~,~t,o,, ~o. o. f,l~ N 588135 THIS CERTIFIES THAT only the electrical ecl~ipn~ent ~s described below and ir~trodueed by tim applicant named on the above application number in the premises of Jam~ McGuire, ~mLn ROadE n/s e/o C~eenhous~, ~tt~uc~ N,Y. in the followi,tg location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot was examined on ~ll~ ~ ~ ~ and found to be in compBance with the requirements of this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES DRYERS OTHER APPARATUS: E R V I C NO OF CC, COND. PER ~ AWG OF CC, COND. NO, OF HI-LEG OF HI-tEG INO. OF~EUTRAL$ AW, G OP NEUTRAL /~Lclm. cd Rely~a Youngs P~. ~a~i~uck, P.O. Box 373 i~a~&l, N.Y. llf~Vt8 IAc#2148E This certificate must not be altered in any manner; return to the office of th9 Board if incorrect. Inspectors may be ' theircredentlals. RFD #1, Box 106C Mattltuck, N.Y. 11952 July 24, 1984 Victor Lessard, Administrator Southold Town Building Department Main Road Southold, New York, 11971 Dear Mr. Lessard: As requested by your office, attached hereto is my check #659 in the amount of Five Dollars ($5,00) to cover the required fee for a Certificate of Occupancy for a one-story frame house. Very truly yours, JRM/ef attachment cc~ Supervisor Murphy RFD #1 Box 106C Mattituck, N.Y. 11952 July 13, 1984 Executive Administrator, Victor Lessard Southold Town Building Dept. P.O. Box 728 Town Hall Southold, N.Y. 11971 Dear Mr. Lessard~ Pursuant to Supervisor Murphy's letter of July 9, 1984, (copy attached) enclosed is a copy of the Underwriter's Certificate requested. As you know, my application for a Certificate of Occupancy has been pending for quite sometime. It would be appreciated if this application would be given priority by your office and the Certificate of Occupancy be forwarded to me as soo~ as possible. Thank you for your cooperation. cc, Francis J. Murphy, Very truly yours, ames Ro McGuire Supervisor FRANCIS J. MURPHY SUPERVISOR OFF I P.E ~~'RV I S{3R T~~LD MA~N ~0AD SOUTHOLD, L.~., N.Y. 11971 TELEPHONE (516) 765-1800 (616) 765-1939 July 9, 1984 Mr. James R. McGuire RPD 91~ BOX 1066 Mattituck, NY 11952 Re: Certificate of Occupancy Dear Mr. McGuire: Enclosed please find a report, on the above referenced, from the Executive Administrator, Victor Lessard. According to Mr. Lessardjs report, you are required to submit an underwriters certificate before a Certificate of Occupancy can be issued. Thank you for your cooperation. pervlsor FJM:jmr ~_ooo74,~ THE NEW YORK BOARD OF'FIRE UNDERWRITERS- BUREAU OF ELEC~'RICITY ~, "~' BE JOHN STREET, NEW YORK~ NEW YORK lO03B ": THIS CERTIFIES THAT :" " only the el~tmcal ~quipment,~ ~se~bed ~l~ and intr~ b~' th~ app~cant ~d On the ~b~ appllca~n n~mber in th~ prem~ of ~ wasex~minedon;, '" ' ,~" ~.. , ~t~ ~ ~' ,:_~,,.~ ~andfoundtobel~-*pllancew~ththe~equlrementsofth~Board~'~ ,F