HomeMy WebLinkAbout13444-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...Z..~.2.7.8.6. ........ Date Sept. 18 .......... 1984
THIS CERTIFIES that the building .... .G.a.r.a.g.e .....................................
Location of Property ...7.0.5. ~...Q ,~....o.f..f..Y.o.~og.s..~y.e .................. .S.o.u.t. ~.~9.1. d. ....
House No. Street Hamlet
County Tax Map No. 1000 Section ...0.6.4. ...... Block ....... ~. ....... Lot .. ! .2 .............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...... ~.e.p. (,. 3.8. ...... 198. ~.. pursuant to which Building Permit No...1.3fi. ~ .~,~ .............
dated . S.e.p. ( . .18 ................. 198. ~.., 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 .........
..... G~.r. ag~..ad~;L.t.~..t.q .~;i.s.~$pg..o.o.e..f.~.i~l.y...d.w.e.l. 1 lng. ................
The certificate is issued to /tm a n d a N o r r i s L o v e 11
(owner, xt~.~oxoz~{ed~(nzt)X X X
of the aforesaid building.
Suffolk County Department of Health Approval .......... .lq./. g. ............................
UNDERWRITERS CERTIFICATE NO. g~-a-~-J.~ N 6 6 0 6 9 2
Rev. 1/81
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
~HIS PEI~J~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 13~ Z
Date .....~. ...........
Permission is hereby gronted to:
...... !...~.~x......9..~.~ ........................................
...~~.~.....u.;.~:....!.t.~..~.~. ............ ,
..d~,,~..~.~....~....,q.A~.~: ...... (~~..z....~,.,...~ ............
by
the
Building Inspector.
Fee $..~f.. ..................
Building Inspector
Rev, 6/30/80
FOEM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL.
SOUTHOLD, N. Y.
BUILDING PERMIT
('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12635 Z
Permission is hereby granted to:
..~..~...~~.....~..~..~
...~..o..~.>.. ~...~.~.~
~~Y~..~.,..~..;~.~. ........ 1.1...~..~ ........
...............
............ ~'~' ............. " ............ ~ .... :~"i~.~ ........ ~'~'~' ............ ~'~ ......... ~ ............ '~ ..... '
County Tax Map No. 1000 Section ...... .~...~....~. ....... Block ......... ! ............ Lot No.....!..-,~'-~ ............
· ~,g~ ,..~.....~. , approved by the
pursuant tO application dated ..... ~ ........................ 19.'.~., and
Building Inspector.
Building Inspector
Rev. 6/30/80
"IE-~FLD INSPECTION "
COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION
PER N.
STATE ENERGY
FINAL
ADDITIONAL C OM~M E~L~~/
Environment East, Inc.
R. R. No. 3 - 3075 Indian Neck Lane
Peconic, New York 11958
516-734-7474
Mr. Lessard
Southold Town Bldg bept
Town Hall
Main Rd
Southold, NY 71971
June 1, 19q~
Dear Mr. Lessard,
I am writing this letter to inform you that we are no longer involved
in work on the Lovell residence, on the private road off Young's Ave.
We were involved there, as you know~ under,..building permit no. 1263~,
up until 4-18-84, when Environment East, Inc. discontinued all further
work to be done there. E.E.,Inc. has not been involved in any, or
authorized any work to the LoveR1 residence since 4-18-84.
Another party is continuing the work for the Lovell's, and I am sending
them a copy of this letter. I assurae that they will be in touch with
you, if they have not slready, to take care of their obligations from
that point forward.
Since our commitment with Mr. Lovell was on a time and material basis,
we have stopped as of the date listed above.
As your office suggested, I hereby ask that you remove ~vironment East,
Inc, and all its officers from any further obligations pertaiDingto
this propert~
Thank you
p e t~R~rgh,
/~ironment ~ast, Inc.
Pres.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND ] INSULATION
FRAMING [ ] FINAL
REMARKS:
INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-11102
Disapproved a/c .....................................
................................ i
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Appl~ ...............
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
or areas, and giving a detailed description of layout of property must be drawn on the diagram wtfich 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 Occupar cy
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 necessary inspections.
(Signature of applicant, or name, if a corporation)
(as on the tax roll or latest deed)
I~~a !orpo~_o f quly auttlorized officer.
Builder's License No ..... ~./..~..-. ....... ~.~..~. J'~ ~
Plumber's License No ..... ~..~.....~..~....~.~.~_~.~; ,~- ~v
Electrician's License No. ~t ' ·
Other Trade's License No ......................
1. Location o~ land on whic~ proposed work will be done. ~..~....~...~~ ...............
............... & ........ .........
House NumberHamlet
County Tax Map No. 1000 Section ....... 0.{..q ..... Block ..... l Lot.../.
Subdivision .............(Name) Fired Map No. ~. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... ~ ~.~.. ~'... ~ ~b~..~O ~. ~ .....................
b. Intended use and occup~cy ... ~ ~r~,., .~.. ~.~ 0.~.~3 ~..g.~.~ ~..~.
' ' : . Alteration .
3. Nature of work (check which applicable) New Building ......... on ............ , ......
Repair .............. Removal .............. Demolition .............. Other Work .............. ..
/ 0 ."- Deso ption)
4. Estimated Cost ...... : . / ! ....................... Fe .,.~."~.. ...........................
' (to be paid on filing this application)
5.If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................
If garage, number of cars ..... i · ·./. ............................................................
6. If business, commercial or mixedi occupancy, specify nature and extent of each type of use ....................
7. Dimensions of existing structureS, if any: Front. ~..~--.. . Rear .. I ?,~.. . Denth . .~.
Height .... . .';'~. ~. ...... Number of Stories .......... ~ ...............................
Dimensions of~m~tructure wiih alterations or additions: Front ..... ~....~--. ..... .. Rear ..... !..-~.. ......
Depth ...... ~r...~ .......... [. Height ....... ~ / ........... Number of Stones ..... ~,
8. Dimensions of entire new construction: Front ... ~ .......... Rear ..... /..~.. ..... Depth ... ~..g; ......
Height .... /./~. ' . Number of Stories ........... / ........................................
9. Size of lot: Front ....... ~.O.~. ......... Rear ......... /. ~..~. ....... Depth .... ~_~.?~.-~... .....
10. Date of Purchase ........... .................. Name of~F~rmer Ow~ngr .... ,..., ....................
11. Zone or use district in which premises are situated ........... ~.~...'~-..~. !..~...*Y-~...~... ....................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .~..o. ......................
13. Will lot be regraded ....... ~ .............. Will excess fill be removed from premises: Yes
14. Name of Owne. r of premises . ~:., . .8~.... ~..~1~. ~-.~ff.. Address t~/~,~...~..-~w... Phone No ................
Name of Architect ....... ; · ·, ................. Address v. .... ?. ........... Phone No ................
Name of Contractor ~.~.~, ~r.~. ~ .~il.~t~Address . ~.--~.e-~.V~.¢ k .... Phone No.· ~..~..5(..-7..~
PLOT DIAGRAM
Locate clearly and distinctly all ibufldings, 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.
STATE O F J/,qE II~Y~R I<~/
(Nam~f {nd~idu~ing contract) //
above named.
of said owner or owne~, ~d is duly ~d to perform o~'omed the s'*~ aid work and to m~e ~d file this
application; that all statements con~ned ~ this application are tree to the best of his ~owledge and belief; and that the
~ork will be perfomed in the m~nCr
Sworn to before me this
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y, 11971
TEL,: 765-1803
Approved ..~~..k~ ;, 19'~ Permit No..I.*.~.~.~..~...
Disapproved a/c .....................................
BLDG. DEPT, }
TOWN OF $OUTHOL, D,
Received ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ................... 19,,.
INSTRUCTIONS
a. Tins application must be completely filled in by typewriter or in ink and submitted 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 issued 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 Y6rk, 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 ali applicable laws, ordinances, building code, hou/~ng code, and regulations, and to
admit authorized inspectors on premises and in building for necessary in~pe, gtions.0__~ ~, . ~'~flf~*dJ ~
~g~gnature of'applicant, or name, if a corporati )
... ..........................
~- r (Mailing a~ldr~ss of applLcant)
~ ~['c~.,~,e , IV, ~
State whether applicant is owner, lessee, agent, architect, engineer, general~/contractor, electrician, plumber or builder.
...................... :::::::::::::::::::::::::::::::::::::::::::::: ..... iiiiiiiiiiii ..........
Nalne of owner of premises j~, m~ v~ .0~. .~J0 f0~ ~'
(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 ...... ~.~.~.. ...............
Plumber's License No....~.~...~.~.... '~. ~.~
Electrician's License No .......................
Other Trade's License No .......................
1. Location of land on which proposed work will be done ....... [. ~'~./~..~... &e.~. J~. ~..~.
·. 9?. ~ .................
................
House ........................... Number '/7' S~eet .......... Hamlet .
County Tax Map No. 1000 Section ................. 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. Existing use and occupancy ...... .~q--:~.~.~.
b. Intended use and occupancy .... .f~..c~.~..~..
3. Nature of work (check which}applicable): New Building ....... Addition .......... AIt~ration ..........
Repair .... .. ......... Re~noval .............. Demolition ............. Other Work ...............
: ~ ~ .; (Description)
; a C
5. If dwelling, number of dwelling uhits ............... Number of dwelling units on each floor ................
If garage, number of cars ...... ! .................................................................
· . · I ify h,~yp
6. If bus~ness, commerclai or m~xed,occupancy, spec natur~ and extent of eac e of use ....................
7. Dimensions of existing structuresI if any: Front ..... ?~. ~[~ ..... Rear ...[.,,~ ....... Depth . &'~..~' .........
Height '~ [ Number of Stories .....
Dimensions of same structure witlh alterations or additions: Front ...~.~-, .......... Rear .. 1:2~ ............
Depth ...... .~ .~. ............ .'. Height . .,,~J ................. Number of Stories .... ,,~ ....... .......
8. Dimensions of entire new constrUction: Front .... .~ ......... Rear .. ] ,~ ......... Depth .~.g' ........
Height ..... 1. ~,~ ...... Number of Stories ...... /. .............................................
9. Size of lot: Front ... ~.~.~....; .......... Rear ........ /. 1~.~. ......... Depth .. ,,~-.~..~. ...........
10. Date of Purchase ........... ! ................. Name ofFo,~mer O,wne_~; . ~ ..........................
11. ' .........
Zone or use district m which prermses are s~tuated ............. ]~$,~-v~'* .~../~, ........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........ 5 .....................
13. Will lot be regraded ...... '~'i ........ ~ .......... Will excesa fill be removed from premises: Yes
14. SameofOwnerofpremises .~-t~,..~.qq~./~.. . Address .~ ..~l,~.~.~..~.PhoneSo ....
Name of Architect ......... ! ........ ~ .~v.. Address .if.k..~..../. ....... Phone No ..........
ame of Contractor ~, 9-p,~,~, ~,,i~ o ~'~'.'-)..Address ~ ~/~t~'fi, ~ Phone No. 7.~ ~. ~
N ..... V..;, ....... __ ......... ..... ....
Locate clearly and distinctly all
properly fines. Give street and block
interior or coruer lot.
PLOT DIAGRAM
l'build~gs, whether existing or proposed, and, indicate all set-back dimensions from
tumber or description according to deed, and show street names and indicate whether
STATE OF NEW ~.O,I~o//
COUNTY~' ~ ' ~ "~-i ~--C)F . . ~d,p~.q t. g..,~ .
........ ~,'.'.~ ................... being duly sworn, deposes ~d says that he is the applic~t
~} (Name ~f individual sig~ing contract)
above na~ed.
He ~s the ......................................................................
a oporae fi r, etc.)
of said owner or ownem, ~d is du.'ly authoh~ perfo~ or have perfomed the said work and to m~e
application; that all statements contained ~ this application are true to the best of his ~owledge and belief; ~d that the
work w~l be perfomed ~n the m~ner set forth in the application filed therewith.
Sworn t~efore me this
.... J7 .............. ~., ,day o'f,,~t .... ~ ........ , 19...