HomeMy WebLinkAbout15701-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Haig
Southold, N.Y.
No
.2:.I.7.776 .......
THIS CERTIFIES that the building
Location of Property .1.6. .7.~.0..M.A.IN..~...665 T..It.I.R.D.p.T....NE.W..SU. ~?.OL..K ..
House IVo Street
County Tax Map No 1000 Section 1. I. 7 Block 0 .9 .... Lot .1. 6
Subdiwsion .............. Filed Map No .... Lot No
Certificate el Occupancy
Date F.e.b..2. I ,..1.9.8.? ..........
· AhT~.RAT .I 9N.S .........................
Homier
conforms substannaily to the Apphcat]on for Btuld~ng Permit heretofore filed in th~s office dated
· .. Feb, 6, . 19.8.7 pursuant to winch Budding Pemut No..1.57..0 I.Z. ............
dated . ...F eh.. .2?, . ! 9.8.7 . .. was issued, and conforms to all of the requirements
of the applicable provis~ons of the law The occupancy for Much th~s cemficate is issued is .....
· .7. iT~p.l.aq~,',.chi.mney, window, s. and sky.l.~.gh.t.s (..2.).. ..........
The certlficate ~s issued to . .JO. SEP[I A- MC KAY
of the aforesaid braiding
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO ...
PLUMBERS CERTIFICATION DATED:
·. N./.4 ...............
N/^
Rev 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
NO
BUILDING PEIUvUT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPt.~ION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
.... ~~....~.:?~..~ .............
......... ...~..~..~....~,. ~...'-/:. ...................................
....0.~.....~,~....~.. :.~: .~ ~...~.~..~
, . .c...~ .......... ~. ................................ ~ ....................
V
County Tox Mop No. 1000 Section ... L./...'~ .......... Blod: ....... ...C~....c~J. ...... Lot No ...... !...~. .......
pursuant ,o opplicot,on doted..~...~........-:h~...~..~. ......... , 19~.7..., ond approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FROM
Checker
P.O. Box 765
Mattituck, NY 11952
(51,5) 298-5943
William H. Hinderfiter
Proposal
219
Proposal No.
l
Sheet No.
Dote Jmn. 19, 198
Proposal Submitted To Work To Be Performed At
~r. James ~;~c Kay
Name P.O. BOX ~96 ' -
S,ree, SOUth Jame stuart ....
City New York, NY tt9~'
Telephone Number
City _ State
Date of Plans
Vv'e h~reby propose to furnish all the materials and perform all the labor necessary for the completion of
· -~'z-~d-r~e-,~ fir~q~lmce wt~l chimney of 9U0*s red brick
~ ofrerr~ng 28 x 36 install cas~ ir~n ~per, ~~-~
~bux~ne wi~n lead. ace ~o be about 5' wide
~ ~o' tall,~o" hea~hh. ~
~m~v~ ~xi~ing front concrete steps. ~uil~ new foo~ng for
' ~c~hTmrrey. C~z-penter to provide opening
~tez- t~ obtaln~permitso
Three thousand five hundred eighty OoHars IS 3,580.00
one half down ~1,790. balance upon completion. Zlease
'~n and re~urn copy wi~h deposit.
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon strlke% accidents or delays beyond our
control O~vner Io carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public
Liabdlb' Insurance on above work to be taken out by
Respectfully submitted
Per
Nole .- i'h,s proposal may be withdrawn by us if not accepted within
days
ACCEPTANCE OF PROPOSAL
The c:bo~'e prices, specifications and conditions are satisfactory and ore hereby accepted· You are authorized to do Ihe work os
~peci6,~d Payment will be made as outlined above,
Accepted ..... Signature
Date _ _ . Signature __
OUI:DATIO.~ ( 1 s t)
DU~DATIO:I ( 2nd )
OUGH
FRAHE &
?LU~BI~JG
'.~;SULATIO~; PER N. Y.
STATE EI~ERGY
CODE
FIliAL
· ADDITIOI~A'L COI~ME~;TS:
q
Examined.~.4~/:?¢.. ~,t} , 198'/
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:2
Approved ~7..~., Permit No.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........ ....,19...
....... 19 i.'~
Date
a. Tins application must be completely filled in by Wpewriter 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 :!~tlb~ ~menced before issuance of Building Permit.
d. Upon approval of this application, the%1~1 ~i't~g I ~c_li¢%~l issued a Building Permit to the applicant Such permit
shall be kept on the premises available fon ~[~t~ ~t~tr ~l~orl~ '
e. No building shall be occt~'~~c~i~ [li[~ ,~'t~ose whatever until a Certificate of Occupancy
shall have been granted bY the Bt~L~ll~n P~ -~d:~:]~ ~,~I~
APPLICATION IS HEREBY ~f~'2~l ~ th~_~ ~l~i~ ] ~.m~nt for the issuance ufa Building Permit pursuant to the
Building Zone Ordinance of the To~Sf~.~ ~u ~li~ty, New York, and other applicable Laws Ordinances or
Regulations, for the construction of,~ I~i~l ~?aIions, or for removal or demolition, as he}ein described.
The applicant agrees to comply with~li' [~ Srllinances, building code, housing code, and regulations, and tc
~for necessary in~trqctions. ~ /3 '-'7
admit authorized inspectors on premises3
..... L 1~/,~..(l...&~.. ,/(-. ,~. .........
(?g~./.~f.o.f. appli~c an~t, o r pam e, if a co~oration)
....... ~:?:: ~, .~.4...6{. ....................
State whether applicant is owner, lessee, agent, architect, engineer, general contracta~e./qt'~O~D, ,([k~nN~xT4[l~uiluer
..................................................................... '-~ .~..l 8~? p,/,,
,~,~v. 9 a~ TO a ~ ~ 'THE
If applicant is a corporation, signature of duly authorized officer, r-OL~Ow~F,~f~ INSP~FIONS:
FO'ONDATION 1%N0 R~FQU~RED
.............................................. ~Ola ~OUR~ED CONCBE rE
(Name and title of corporate officer) ~OOG~ FRAMING & PLUMBING
.~1. ~/N,.~tJLA fl;.Tr~
Builder's License No .......................... 4 ~-I~ "O'~I-R'TaUCT"'JN MUST
· ~; .'~.~'~ ~1: FOR C.O
Plumber's License No ......................... ~c~ .,~t~s, mjCTlON $I-~U.L MEET
';'~ ,~E~LJlREMIENT$ IZ~ ~ N.Y
Electrician's License No..~:.? ................... . '~,.G~l~ NOT ~$~O~S~E
7
Other
Trade
License
No.
· ............ __ ~-~) ~ ~ ~...-, ~.
I. Location of land on which proposed w/or~. ~ be done.. ~ ~. ~ ~ 0
. _ ~ t~r t. : ............. ~'''''. ...................
....................................................... ..... ..............
House Number Street
:o,n,~, ,,~ ~,~ ~o. ,000 ~,,o~..//2 .:: ~ :~ (~. ,,o~ .................. ~o, ...................
(~ame) / ...............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ C-5
b. Intended use and occupancy ~g t 3 ~' ~[/~
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...' .~.... :. ·
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost ~ .~).~ Fee .~.&~ ................
.... . ...................... ,... 70,7. . · .
±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 . .'..-:~-. ~ ............................................... ~ ..............
6. If business, commercial or mixed occupancy, spec&fy nature and extent of each t~ype of use ..: ..................
7. Dimensions of existing structures, if any Front .'~ ?...~. ........ Rear .~..~.. 3. ...... Depth .2. .... ~. .......
Height .... - ........... Number of Stories .
Dimensions of same structure with alterations or a~lditions: Front ~: .~. ........ Rear . ~ ........
::~ ........... Height ~E_ C~.: .(~.) ..... Number of Stories .~...
Depth.
Dimensions of entire new construction: Front ...... ~-.~...: .-. Rear .. 7:-: .......... Depth . :~ ............
Height .... .~...:; ...... Number of Stories .........................................................
Size of lot Front .. · .~.: .2.-5 ............ Rear .. ~.4'.'. ~...4 ............ Depth ....o~..~.-.~ ............
Date of Purchase .//8. ~. ...................... Name of Former Owner . .~.-?.~ ?..'~. ?~..~.--*~ .............
11. Zone or use district in which premises are situated...a¥/.~.L../~. (~...~."ff .~. ( r.~.~.~ .~ylC.~:~.~, ................
12 Does proposed construction violate any zoning law, ordinance or regulation: . t~'...~. ..........................
131 Will lot be regraded ..... . .A/..~, ................ Will ex,:ess fill be removed from premises: Yes No
14. Name of Owner of premises?~.>..~.~.A..~. ~t~ {?/~.. Addres~/.~..~..2~./..~..~.~:....&~././~,,. Phone No.&./?. 5'.'3..7./: .)'.q?~.
Name of Architect ~.//r.~.. / Address .......... ~ ...... Phone No ................
Name of Contract~'.',~. ~O: ff,~qff .,~.'.P. q'.'q.~e~.' q"?.7)Address /t;/~'.~.4~?., ~... Phone No. ~ ?.~ .'.~..ff..?.~. · -
15. Is ch±$ propert~y local:ed w±th±nl.00 feet: of a t:tdal wetland? 'Yes ..... ~o ~C--~..
~ If yes, Sout:hol~:l Town Trust:ecs Perm±t: may be requ±red.
- L,. , ~ PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, arid indicate all set-back dimensions from
property line~.~ive street and block number or descoption according to deed, and show street names and indicate whether
interior or~rue~ lot. · :
STATE OF NEW YORK, S.S
cou~v ~ .................. /'
....... ~. ~ ~ ~. ~... ~.~ .~ .[~J .~ .......... being duly sworn, deposes ~d says that he is tile applicant
(Name of individual signing contraS)
He is the ...................... ' .... . ..............................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ad is duly antho~zed to perform or have performed the said work and to m~e and file this
application: that all statements contorted ~ this application are true to the best of his knowledge and belief; and that the
work w~l be performed in the m~ner set forth in t~e application filed therewith.
~~ ' . ..............
9.
10.
August 9, 1988
Town of Southold
Building Department
Town Hall
Southold, NY 11971
Ref: Permit No. 15701Z
Dear Sir/Madam:
Per my phone conversation of today I
month extension of my Building Permit
1989.
Thank you.
am hereby requesting a six
#15701Z until February 24,
1"OWN OF ~OUT~OLD
August 9, 1988
Town of Southold
Building Department
Town Hall
Southold, NY 11971
Ref: Permit No. 15701Z
Dear Sir/Madam:
Per my phone conversation
month extension of my
1989.
Thank you.
of today I
Building Permit
am hereby requesting a six
#15701Z until February 24,
'I
P 05. PO °
aO. O0°
Lot2~
KAR~N GANOOL~'!
.EWS~ONS YOUNG & YOUNG
~4¥~'/, /.9~J 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD ~
MINOR SUBDIVISION FOR
JOSEPH R. McKAY. & MIC~
I~ t~ ~ -~,
TowN OF soUTHOLD j/N-~'~ ~'-~ 9.. j .~,
SUFFOLK CO., N. Y, ~~
SCAU~. 1"=20' IOA~E'JAN. 13,1983 ~E
· 9. 08°PS"OO"E..
'
NOT£~ i= MONUMENT-FOUND '- --
0= PiPE FOUND
SUFF. CO. TAX MAPt DIST I000 SECT. 117 BLK. 09 LOT 016
Lot !
AB£A · IP, I05 S.~.
iV.
FBANK OAW$ON
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined .~.~ ~ ,,119 ~?
Approved ~.~ .~., 19'~7. Penmt No./~ '7 o.1. '~-
D,sapproved a/c .......... ~ .........................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19.
a This application must be completely filled m by typewriter or.m ink and submitted to the Building Inspector, wi~
sets of plans, accurate plot plan to scale Fee acco~in~chedule.
b. Plot plan showing locat(on of lot a~n~[~;~[ilcl~s%n l~r~em~ses, relatmnsh~p to adjoining premises or pubic str
~esc~t~ ~1~ of~¥~ust be drawn on
Orcahonareas,. and giv~g a det~led(~ .~[ r" t~[~ ~ ~ ,~ the diagram which ~s pa~ of th~s ai
c. The work covered by ~ ~lca~ ~C~_~ issu~ce of Buadmg Permit.
d Upon approval of~is aEpt~n~ ~d~~ ~'~ssued a Building Pem~t to the appbcant. Such pe~
shall be kept on the premises av~r ~n~fi$ the work.
e. No bu~d~g ~all bo occ~ie~~ho~ ~i~t for any purpose whatever until a Cerhficate of Occupa
shall have been granted by ~e ~u~ ~....X9
APPLICATION IS UEREBY M~ t~a~g Dep~ment for the issuanc~ ora Building Permit pu~uant to
Bmldmg Zone Ordinance of th~ To~of ~uthold, Suffolk County, New York, md other apphcable ~ws, Ordm~ce
Regulations, for the c0nstmction o~ufld~gs, addiOons or alteratxons, or for removal or demoht~on, as helm descfil
The app~cant agrees to ~mpl~ with a~ applicable laws, ordinances, building code, housing code, and reg~anons, an,
admit authodzed ~spectom on premises ~d ~ bu~d~g for nec~ssa~ inactions.
State whether applicant is owner, lessee, agent, ~chitect, en~neer, general con~ra~ eleytnc~n, plumbe[ or bull
Nameofowner ofpremmes . ] .................. - . · .....
If apphcant is a corporahon, signature of duly authorized officer.
(Name and tttle of corporate officer)
Builder's Lmense No ......................
Plumber's License No .........................
License No. ] .................. '*,'~~'," .~..r'( '*$TeL,'C7'~''a *'*nOl~
OtherTrade'sUcenseSo.. 7. 7 .......... C~~ /2-b7~ g'~
I Location of land on whmh proposed ~ork will be done...I.~_.~ ~ 0 ..........................
..... 1.. ................................... x ........ V Y' "~ ..........
Street
ltouse Nmnber Hamlet ' '
' /7 q
County Tax Map No 1000 Sectmn . ~ _.,.~ ~ _~;... Block ................ Lot ..........
(Tame) ......... / ...........
2 State existing use and occuCancy of premmes and intended use and occupancy of proposed construction
a. Ex~stmg use and occupancy ....................................................
b. Intended use and ' ~. ................. ~ ~ ~W~[~
occupancy ..--~K' . .