HomeMy WebLinkAbout15743-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southoid, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17734
Date FEBRUARY 1~ 1989
THIS CERTIFIES that the building.
Location of Property 530 SYLVAN DRIVE
House No.
County Tax Map No. 1000 Section 037
ADDITION
EAST MARION
Street Hamlet
Block 03 Lot 21.1
subdivision GARDINERS BAY EST. Filed Map No. 275 Lot No. llA & 12A
SEC. 2
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 8, 1986 pursuant to which
Building Permit No. I5743Z dated M/IRCH 12~ 1987
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 ADDITION TO EXISTING ONE FAMILY DWELLING.
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
The certificate is issued to KEITH W. & GLORIA J. LYMAN
(owner, X~)
of the aforesaid building.
SUFFOLK COUNTY DEPART~NT OF HEALTH APPROVAL N/A
H007499 JANUARY 17~ 1989
JOHN E. WALTERS PLUMBING 12/28/88
Building Inspector
Rev. 1/81
FOn:M NO. ~
TOWN OF SOUTHOLD
B'LIILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15743 Z
Date
.....
Permission is hereby granted to:
..~.~.~.....~...~...~.....¥~ ........
.~..~..~..:.¥. ...... L~.t~ ..............
ot premis. ~o~a~ed~ot....~.~..O.. ...... ~ .... g..~....~.........~....~.~ ....... ~...W......~ .....
~ .
County Tax Map No. 1000 Section ..... ..0....~...~ ........ Block .....~...~ ......... Lot No...~..~.f.'...
pursuant to application dated ~~.~...,~,. ............... , 1'9..~...~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
Location of Property..'~ ................................................ .. ...
HOUSE NO. STREET HAHLET
Owuer or Owners of Property.. ............................... . ... .. .. .. . .....
County Tax ~ap No. I000 Section '~ ? Block J · LOt
Permit No.
.......... Date of Permit
i : .t'/. .Appl icant
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ....................
APPLICANT ..... f~
rev. 10/14/88
THE NEW yORK BOARD:OF FIRE UNDERWRITERS
8009454 ' BUREAU OF ELECTRICITY
BsJOHN STREET. NEW YORK, NEW YORK IOO38
Date JANUARY 17,1989 ,~4pplicatlonN~.~f~le 49534187/87 H 007499
KEITH W~ LYMAN, SYLVAN DR., E. MORION, N.Y..~-';~.'/
JANUARY 09,1989
[] 2nd FL Section Block . Lot
and found to be in compliance wi~h the requirements o.f this Board, ,!
FIXTURE FIXTURES RANGES OVENS DISH WASHERS
OUTLETS SWITCHES FtU~ES~EN~ OTHER
DRYERS
28
FURNACE MOTORS
FUTURE APPUANCE FEEDERS
TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
2/0 i ~/0
OTHER APP~ARATUS:
~.F.C.I:-3
KEITH W. LYMAN
GENERAL DELIVERy
E. MORION, NY, ' .
Tbs cert,f,cate must not be altered ~n any 'manner; return to the office of the Board if
GENERAL E
identified
TO~/N OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.~Yq3
Owner K
(please print)
Plumber ~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to b~re me this
~. day o~~ ~k-
Notary Public, ~/~
County
(plUmber s signature)
Notary Public ~
i, mI8ELIZABETH ANN NEVILLE
~.Pubfic, State of New York
N~ 52, 8125850, Suffolk
Term Exl)ires October 31,
OUNDATION
OUNDATION
OUGH FRAME &
PLUMBING
~NSULATION PER N. Y.
STATE ENERGY
CODE
IMENT$:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
REMARKS'. ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION ZST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ ] I~SULATION
/
[ ] FRAMING [ ~J FINAL
DATE
__INSP£CTOR~.~
765.1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION ZND [
FRAMING [
ROUGH PLBG.
INSULATION
FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
· ~RAMING [ ]FINAL
.EMAR~KS: ~ ~ Od
765-1802
BUILDING DEPT,
INSPECTION
[' 2ND [ ] INSULATION
FRAMING
FINAL
REMARKS:
DATE
7G5-~802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
FRAMING £]FINAL
DAT£
,, ,INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE
~?
....... INSPECTOR
FOBM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ..... ......................... , 19..-8..!
KEITH & GLORIA LYMAN
(owner or authorized agent of owner)
530 Sylvan Dr. East Marion, N.Y.
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance ............................................
Other Applicable Laws, Ordinances'or Regulations ..N......Y..:....S..t..~.t...e....~..a..f;..e..t...y...& Construction
Code
at premises hereinafter described in that ......... ~.~..~.~....s.,,A.~..~..~.~...~!..°.~,.~.~.!.°..~. .................................
(state character of violation)
l. Woo(1 stove is hot installed correctly.
2. Car being stored in attached garage without proper fire separation
... ~r~m ~'b'~l~ ~t~'~: '
in violation of CHAPTER C. N .Y. S, ..F I.R..~....P...R..E..V...E..N...T..I..O...N....C..O..N...S..T.g.gg.% 10.~]., G.O.P.~, . (State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
IMMED IATET;Y
conditions abova mentioned forthwith on or before the ......................................................................
October 29,
day of ...................................................... , ]9"'"'8"7
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
530 Sylvan Dr. East Marion c',~,.ntv of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisanment or both.
Building Inspector
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
80UTHOLD, N.Y. 11971
TEL.: 765-1803
DEC - 8 1986
Recelved ........... ,1 9 ·.
Disapproved a/c ..................................
· . · ~._: ...... e.~4-/~?(, I ~ ~ .~0,0-3
APPLICATION FOR BUILDING PERMIT
Date .................. , 19...
INSTRUCTIONS
a. This 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 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 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 inspections. __
(Signature of applicant, or flame, if a corporation)
(ma±l±ng a3dress or appJL±eant)
State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder.
Name of owner of premises ..~..~.! .T7 .~.....~f ..... ~., .~--T. ¢.e ./~..I.~....d..~., .~..~..p'l..~., .~ ........................
(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 .................... ~... ~
Location of land on which proposed work will be done.. ....................................... \ ........
}'kv/}ju ...... '
House Number Street Hamlet ~1~0 ~
County Tax Map No. 1000 Section ...~.7 ........ Block ..... ~ .......... Lot~ ........
Subdivision. ~ ~ (~ ~5..~.Y..~.~ ~[~ ~ ..... Filed Map No.. ~?..~7 ...... Lot. { ~.t. (~. ....
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................
b. Intended use and occupancy ... ~ ~ ~ C ~ '~;" , ,,,,, ................
3. Nature of work (check ' ' ' . ......... Alteration ..........
which ~pphcable): New Building ..... '..... 'Addition
Repair .............. Removal .............. Demolition ........... Other Work ................
~ (Description)
4. Estimated Cost ....................................... Fee ....................................
I (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, specify naturq land extent of each t~p~'of use. ~/~r ...... iiiii .....
7. Dimensions of existing structures, if any: Front .... .~. ~..t.~.-..... Rear .............. Depth . 3 ~ ' ......
Height . . . [ ~.. ......... Nu~nber of Stories ...... ] .................................................
Dimensions of same structure with alterations or addJJions: F q.-//,,
font .....O. J~ ......... Rear_ .................
Depth . .3...g.' ................ ,' Height......7....~.. v ............ ,, Number of,S, tories ......................
8. Dnuenslons of entire new construction: Front ....~..5'.~.. ~' '
..... Rear ...~. $. ~ ....... Depth ... g. ..........
Height ...... ,~. ....... Number of Stones .... .:3- .....
9. Size of lot: Front ...~..~.t .... i ............ Rear ...................... Depth ......................
10. Date of Purchase . ..~.~.~..T..I. iq.?.tq. .............. Name of Former Owner .~'..~Y:..~'.PJ..~./~'.C.k~.~ .t,~- ......
I 1. Zone or use district in ' ' ' '
which premises are s~tuated .....................................................
12. Does proposed construction viglate any zoning law, ordinance or regulation: ...... /V4~ ........................
13. Will lot be regraded ........ i ........... ......... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . .i .................. Address ................... Phone No.
Name of Architect I Address Phone No
Name of Contractor ........ , .................. Address ................... Phone No ................
15. Is this property locate~ within 1,00 feet of a tidal wetland? * Yes ..... No .~..
· If y~es, Southold Town T~ustees Permit may be required.
PLOT DIAGRA~
Locate clegrly and distinctiy M1 buildings, whether existing or p ~posed, and. indicate M1 set-back dimensions from
proper~y ilnes. Give street and block number or description according t deed, and show street names and indicate whether
interior or coruer lot.
County
· g (Signature of applicant)
Ngtary Public
Noten~ Publlo, Stere of New Y~
No. 4~.2250~, Suffolk ~
STAFE OF NEW YOR ,
COUNTY OF ~.~f~~ .... , S.S
...... ~..~. ] .-(. ~ f..Y.b~J. >...~. ~./~..~../k( ................ being d~ ' sworn, deposes and says that lie is the applicant
(Name of individual sigging contract)
above named.
Heis the
(Contractor, agent, corporate officer, etc.)
of said owner or owners and is d~ly authorized to perform or have performed the said work and to make and file this
apphcatmn; that all statements con~mned m th~s apphcatton are true to the best of his knowledge and belief; and that the
work will be performed in the man~er set forth in the application filed therewith.
Sworu to before me this :