The URL can be used to link to this page

Home My WebLink About16262-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16568 Date January 7, 1988 THIS CERTIFIES that the building ....O.n.e...f.a.m.i..1 y..d.w..e.l.l.i.n, g ...................... cc ' 3970 North Bayview Ave; ............................. L atlon of Property ................... Southold House NO. ' .......... 'S't/eot Ham/et County Tax Map No. 1000 Section . .0.7.9. ....... Block ...0.2. .......... Lot 03.3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · ...3.u.l.y...29.,' . ! .9.8.7... pnrsuant to which Building Permit No..1.6..2.6.2,Z. ............. dated............................ July 23, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... .9.n.e...f.a.m.i.l.¥.dwelling with attached 2 car garage and rear deck. The certificate is issued to WALTER DELANEY ..................... ................... of the aforesaid building· Suffolk County Department of Health Approval 87 - 8 O- 113 1 / 6 / 88 UNDERWRITE R S CE RTIFICATE NO ................. I'. e. n..d .J_.r!. g..s .1.i.p. .... 1./. 4. / .8.8. ........ PLUMBERS CERTIFICATION DATED: Mc Shanes Plumbing 10/7/87 ldmg Inspector Rev. 1/81 FORM' NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT trillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 16262 Z Permission is hereby granted to¥'~-~ , . ~ , //~ . ..,a.,.~~~.'.. ~. · ,11 ......~..~&....~.,~., ....... .~. ................. . ~ ,o County Tax Mop No. 1000 Section ....... ..~..?...~ ....... Block ........ ..~...'~.. ...... Lot No. ,...~..~..'....'~.. ..... pursuant to application dated .... ...~...~.......~'....~?. ...................., 19..~..,~J.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ 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 features. 2.Final approval of Health Dept. of water supply and sewerage disposel--(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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. 1. Certificate of occupancv New Dwelling~$25.00, Accessory,,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. , $ 50.00 Date ............. NewConstructi°n. .~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property..~.~'..~. ~.,.. ~,.: House No, Street Ham/et Owner or Owners of Property .. / County Tax Map No. 1000 Section Subdivision ................................. Filed Map No ........... Lot No .......... i ' ' ' Permit No./~.~.~P'~-..~ Date. /~ /..of Permit .......... Applicant..~/Z. Health Dept. Approval././..~/. ~/.~. ............ Labor Dept. Approval ........................ Underwriters Approval . ././[/~././. ~12.~'~/ /--/ ............ Planning Board Approval ................ /'/ Request for Temporary Certificate ..................... Final Certificate .................... Fee Submitted .~ o~.~"~.~ c) Construction on above described building and permit meets all applicabl~odes ancLregulatiozqs. PP ..;./.( ....................... ~.~.~ Rev. 10-10-78 UNDATION UGH FRAME & PLUMBING Z SULATION PER N. Y. ', STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ ~FIN~L /~/ REMARKS~ DATE /~/~/~//), ~ INSPECTOR ~~~~~' 765-J,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I-~/R/OUGH PLBG. FOUNDATION 2ND [//] INSULATION [ ] FRAMING REMARKS: FINAL 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/.OUNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL DATE 765-~.802 BUILDING DEPT. INSPECTION [ ]/~)UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. ]~OFOUNDATION 1ST [ ] INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE INSPECTOR'~~~ SEP- 11987 - BLF_.,G, ~ TOWN OF SOUTHOLD TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTtlOLD, N.Y. 11971 January 4, 1988 TEL. 765-I 802 A. Reilly & Sons Inc. Box 434 Mattituck, New York 11952 To Whom This May CoBcern, We are unable o complete your Certificate of Occupancy because .of the following reasons, /~Y_ An ,applzcatzon' ' ' for Certificate is not on file. /~X No Underwriters Certificate on file. /~Y The check is(X~07ot~not on file.) $25.00 /~ No Ilcalth Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ I 6 2 6 2 Z Building Dept. *~*/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ADDITIONAL FEE OF $61.20 DUE FOR DECK ADDITION of Occupancy I am familiar with the Standards for A Construction of Subsurface : Single Famil ~ns_s~ construct. Signature )royal and F~esidef~ces ~nd will abide by the the permit to TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner /~. /)~L~ ~please prAnt) (please ~r in't ) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swo~ to before me this .day of 19 ~7' Notary Public, (plumber's signature) Notary P~blic County CHARLES F. $PAC~K 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~ ~.4~..~.~., 19~ .~. Approved2~1~ .... .~., 19'l~-]. Permit No.J..~..&..b..3...~. Disapproved a/c ..................................... BOARD OF HEALTH ~'~ 3 SETS OF ~LANS · · SURVEY .......... CHECK SEPTIC 'F'o~m ............. NOTIFY T0.~~ CALL ......... MAIL , (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS JOL 201 Date.. 1.7./ ............ 1992 a. This 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 York, and other applicable Laws, Ordinances m 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, j~spectio~ · //~...-/~. ~ e. ~. ~.~...- ........ '-" (~ignature of appj~cant, or name, if a corporation) · (Mailing address of applicantJr State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... /~'~/~ ./_2. ~,c.: ....................................................... Name of owner ofpretnises .~. ~/--. · ."~-..~./~. · . . (as on the tax roll or latest deed) If applica~t is a corporation, sig~~thorized officer. .... /'t "&'a;de' ~2i 'title o; ~'o/¢;r'ail ;'~dr')', ........ ALL CON, TRACTOR'S MUST BE SUF]~OLK COUNTY LICENSED 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 .... /L/'/,~. .....~.:. ,f2d..~./.~/J.~'.C~d' ~/Q. ~ ~..: ....... .3.q :)o. .......... fl..,..b..~../.v.~.e..~... A. . v.~. ................. 5.'~ ?. . .~. . .,9. .o. .z,.v. .... /.~.jz.. House Number Street Hamlet County Tax Map No. 1000 Section ... ~).7.? ......... Block. 0..27.. ...... (~.~.~. Lot ..... ~ ......... 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 ................................................................... ~..j~ ~-, nb,] T-' , b. Intended use and occupancy ..... I. · ~.. -'~...j~. ././7 / .... P .~..~. · .~..~.-d .~.. d. ..... .~..~...~:~.(,~. t/.~, .... 3. Nature of work (check which applicable): New Building . . Addition .......... Alteration .......... Repair .............. Ren~oval .............. Demolition .............. Other Work ............... .- ~ (Descriplion) 4. Estimated Cost.. . .tv O ~ (to be paid on filing this application) 5. If dwelling, number of dwellln~ units ............... Number of dwelling units on each floor ................ number of cars i ~ If garage ..................................................................... 6. If business, commercial or mix{d occupancy, specify nature and extent of each t'ype of use ..................... 7. Dimensions of existing structurles, if any: Front ............... Rear .............. "Depth ............... Height Number of Stories Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i'" Height .......... , .J.2 ........ Number of Stories ....... .7. ....... '--8. Dimensions of entire new construction: Front .... '7.~'.' .... Rear...~.e~..' ....... Depth i~.. :' .... Height .. ~ 0 g. J~. Number of Stories .................... 10. Date of Purchase .......... ,~ ................... Nt~me of Former Owner ............................. 1 1. Zone or use district in which premises are situated .... ~f.: ............................................. 12. Does proposed construction vi01ate any zoning law, ordinance or regulation: ...)~/.t~ ....................... 13. Will lot be regraded ....... ~,, ti> ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................... PhoneNo Name of Architect ..........; --i ...... t ...... .t.... Address ................... Phone No ................ 15. Is this property locatedl within 300 feet of a tidal wetland? *Yes ..... No ..&:.., - *If yes, Southold Town Trustees Permit maybe required. [ PLOT DIAGRAM Locate clearly and distinctly al.1 buildings, whether existing or proposed, and. indicate all s'et-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ................. ~ , ..... .,~0..~. 4~. a .,(~..../~:../~.~../..~,..Z,~.. ......... being duly sworn, deposes and says that he is the applicant t (Name of individual sigping contra&) above named. f/.+. He is the ................. ' ......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~Iy 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 manner set forth in the application filed therewith. Sworn to before me this .............. ,~.(-) ....... day of, .... Notary Public ..... ~.. ~.,...~]~A~.~ .~..~7.. County . N~.jTO787g, Suffolk Count~i,q letm ~l~t~ Miff'ch 30~,I,Q.