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HomeMy WebLinkAbout13141-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ....... Z..1.5.7.8.7..A... Date May 26, 1987 THIS CERTIFIES that the building .... .c4. r. 9.e.n.h.o..u.s?..a..d.d.i.L.. J:..o.n..t?...d.w.e. ~..1.i.n.g.: ..... Location of Property .... .353.0. .......... .N.o..r.t.h..S.c..a..D.r..~y?. ...... Orient House No. Street Hamlet County Tax Map No. 1000 Section 15 .Block 01 ..... Lot 00[ Subdivision ..... G. ¥.e.e.n...A.c.r.e.s. ............. Filed Map No...5.5.4..0..Lot No.. 17 conforms substantially to the Application for Building Permit heretofore filed in tills office dated ..... M~y..1.7.,...1).8.4.., , . pursuant to which Building Permit No ..... 131417. dated ............ .ivl.~ty..1.8. t..1.9.8. 4., , 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 ......... ...... Greenhou~.~ .~tqt~l.J,t~$gp. ,~,9, ,e.x.~s..t,ip.q..d.w,e. 1.1..i.n.g.: ......................... The certificate is issued to ........ JOHN A. McGUIRE ............. ?o¥o'o bi fdxitii ..................... of the aforesaid building. Suffolk County Department of Health Approval ................ N. [.~. ...................... N809695 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Q"HIS PE~,,~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13H1 Z Permission Is hereby granted toL_-,-- 3~.:o....~...~......~.:.....~ ...©,~.=:~.~...zz~ ................ ~....7 ,o ...... ~©z z.. .,~. . ~. :~_~. . . . . . . ~z ~~ .c~._~ : . . . ~ ~. z.~: Za ~. o. . .. . ~ . . ....... ~.:::,~......' .~. ~'/.~ .................................. .._ ............................................... 0, pr,,,,,,~a,ed o/. ....... ~.~.J.O ....... .l..-~..o....~...zO,~.~: ............................. ............................. .. ................... ~,~.~..~..~-z-~.... Cou.~ Tax Mop No. ~000 S.~on ...~..Z~ .... ~o~k ...aZ ........... Lot No...C~.Z ............ pursuant to application doted ...... ~...~... ...... ~..Z ............... , 19S.~., and approved by the Building Inspector. - Building Insl:~ctor Rev. 6130180 FORM NO. G TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765 - 1802 ! ,~ZL~C. ;~:, APPLICATION FOR CERTIFICATE OF OCCI ~AN~~ ............ Instructions H E--.-- ' g In~pec- A. ~his application m~st bo filled in ~pewritor OR ink, and submitted ~or with tho following; for new buildings or now use: 1. Final su~ey of property with accurate location of all buildings, prope~y lines, streets, end unu~al 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 Unde~riter~. 4. Commercial buildings, Industrial buildings, Multiple Residences add similar buildings and tions, a certificate of Coda compllanco from tho Archkect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing bulldings {prior to April 1957). Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~urvey of property showlng 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. 4,Vacant Land C.O. $ 20.00 5.Uodatod C.O. $ 50.00 6. ~toration $25.00 New C on ,~ t v u c t, i on.. ~,~.. Old or Pre-ex isting 8u ilding Location of Property ./~..'~..../,~. /J/O- SmA ~,, House/ilo. Fees: , ' · ~.Certificateo~occupancy New Dwel[tn[[.$~5.00, Acce.~sory %$10.00 [tuetnes,'; $50.00 2. Certificate 6f occupancy on pre-existing dwelling $ 50. 00 3. Copy of certiflcate of occupancy $ 5.'00, over 5 years $10.00 Date ...... , ................... ............ Vacant Land ............. $~ceet Owner or Owners of Property ....... -.-, .... '.. ' ........................... !l County Tax Map No. 1000 Section ........... Block ............... Lot ............. ' '' ~ 4~/3 ~-c ~>--¢~ Flied Map No LotNo Subd~wsmn .................................................... Permit No, . . Data of Permit. ....... ~.,..Appllcant ~ Health Dept Approval Lebor Dept Approwl · . Und~Ht~r~ Approval ..... ~' ............... Planning Bo~rd Approval ...................... . Construction on abovo described building and permit meets all applicable codes and regulations, ~.,0.~-7~-/~ 7 Applicant ....... ........... ....................... looo ,o THE NEW YORK BOARD OF FIRE UNDERWRITERS  BUREAU OF ELECTRICITY BS .JOHN STREET, NEW YORK, 14, 1987 THIS CERTIFIES THAT o~y the el~tri~u~.~en~,~.~r~,b~Je~ i~t~ ~A~ ~med on the a~ve application number ~n she premise, of ~ ~7 inthvfollo~mgl, c~; 7~ment ~ IstFI. ~ 2nd FL Section Bilk Lot ~s examined on and fourtd to be in compliance wi~h the req~ire~ten~s of th~ Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEOERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVIC~ DISCONNECT S E R C william d. Dgfis P. O. Box 287' t~3ck.y PoJ3~t, 2J.Y. 11778 LJc~460E This certificate must not be altered in any manner: return to the office of the Board if incorrect. cOPY, FORiBUILDINGr DEPARTMENT. THIS COPY_ O~F~ CEI NOT ,BE ANY MANNER. TOWN OF SOUTh[OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~//An_ application for Certificate of Occupancy is not on file.~d~ _/ __~/_~/~./No Underwriters Certificate on file. /--~_ The check is(outdated/not on f_~e.) ~d$ /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit ~ ~ ~___..? ~__ / Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 FIELD INSPECTION '~. DATE COMMENTS FOUNDATION__ (J~fi -- FOUNDATION (2nd) -- ROUGH FRAME & PLUMBING STATE ENerGY __ GODE ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILI)ING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Tills is to advise you that the job under building permit no. 13141Z issued to John McGuire on _.~[~[84 for Addition is completed a final inspection [las ( ) has not ( x ) been done. , and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, retnrn same to the above office with a cheek for $25.00payabla to tile Town of Sonthold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection {late Occupancy or nsc in unlawfu! without a Certificate of Occupancy. l'lent~e, help ns to clear up this rentier so that legal action does lief have to be taken. Thank ynu for yonr prompt nttentlon. Very truly ~y~, Victor Lessard Executive Administrator Vl,:gar eno I . FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Application No .................. Disapproved a/c .......... -.J:-:..--57.: .-7~.. ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tltis 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 shail 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 building for necessary.~ ~,~, ~ __3nslgg~i°ns' .,~ ~ ~,~g~[5 ~4~ "~~appl~~ corporation) · ~- North Sea Dr ve, Or em.t, lq.Y · .95.7 .......... ~J~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .Jg.h.~. .A....~.c.G.u..re ......................................................... (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 ...... ~.~i~..~../ ........ Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done., t% $,. of. b~orrh. Sea. OrJ ue. Approx.. 25J. ~,'.. of ....... ~'~ 5 (::~ Greenway t~est ............................ ~.1 .or .th. Se0. l:)r iv¢ .............. D.r ! .e .n .t .............................. House Number Street Hamlet County Tax Map No. 1000 Section .. 0I ,~ ............. Block ... J .............. Lot .... J .............. Subdivision..G .r.e .e.n..A9 .r.e .s..a .t..0 .r ! .e.n ~ ............... Filed Map No. .. 55/.}0 ........ Lot .... 17 ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....r3.e.s J .d.e.ng.e .... .O. ff~. ~ .~. b. Intended use and occupancy ...¢.e.s! .d .e .n g .e . . ~.d~..~... ~..~,.i~¥ 7z'~Z~y~...2~..~."~ . .~..~../~..~.~.g.., .~"~... 3. Nature of work (check which applicable): New Building .......... Addition . .X. ....... Alteration .......... Repair .............. Rem6val .............. Demolition ............ Other Work ............... 4. Estimated Cost..$.8.,.0.0.0...0.0 .......................... Fee ........................... ~ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling Units.. J .......... Number of dwelling units on each floor..~[/.A. ........... If garage number of cars . .. 6. If business commercial or mixed occupancy specify nature and extent of each type of use ....... N/fi. ........... 7. r)imensionsof, existingstructur~s ifany: Front...a.2.' .......... Rear ..~2.' .......... Depth .h.0.' ..... Height ...1.8 ........... Nnmber of Stories ...... 1..a.n.d..2. .................................... r)imensions of same structure with alterations or additions: Front . .8.2.' .... Rear .82 '. Depth .... 4.~~, ' Height ..... 1.8.'.. tories..1..a.n.d. 2. ............. : ............... Number of S .............. ............ ~0~'0TM 8. Dimensions of entire new constrUction: Front 20 ' 0~.'~ .. Rear .~..~..~ ........ Depth . .1.2.' ........... Height ...1.0.-~ .......... Number of Stories...1 ................................ ,' 10. Date of Purchase 1975 . Name of Former Owner Graml ich 11. Zone or use district in which pr~mises are situated..a.e.s.i.d.e.n, qe./.A.g r. i.q u.l.t.u, rA 1 .............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...N.q ........................... 13. Will lot be regraded .40. ...... ! ................... Will excess fiil be removed from premises: Yes . .J.qlxa .H,~u i. rA. Address .......... Phone No ................ 14. Name of Owner of premises ' .& ............. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alli buildings, 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. SiEE ATTACHED DRAWINGS STATE OF NEW YORK COUNTY OF .~..'~7(~.'~, ~ ."~ .... S.S ........ · .M~/']~. P~. ,. /~/.~. ~.~.)/~.~' ............. being duly sworn, deposes and says that he is the applicant (Name°f individual.'( ' ' ' signing contract) above named. He is the ............................................ (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 manne? set forth in the application filed therewith. Sworn to before me this ; Jf~AN ..................... ' 19~' '~ No, 4698395, Suffolk County ~...~/~/'~/-~ Term Expires March 30, 19