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HomeMy WebLinkAbout16346-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17773 Date FEBRUARY 17~ 1989 THIS CERTIFIES that the building. Location of Property 2100 BUNGALOW IJLNE House No. Street County Tax Map No. 1000 Section 123 Block 8 Subdivision Filed Map No. ADDITION MATTITUCK, N.Y. Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1987 pursuant to which Building Permit No. 16346-Z dated AUGUST 19~ 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 DECK & 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to MIC~2IEL & GEORGENE SHANAHAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFALTH APPROYAL N/A UNDERWRITERS CERTIFICATE NO. N031641 - SEPT. 6~ 1988 PLUMBERS CERTIFICATION DATED NOV. 10, 1988-LARRY CATALDO #P388 ~~ Bui~l~inspector Rev. 1/81 TOWN OF SO~THOLD BUiLDiNG DEPAR'FMtq4T TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP-u~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_ Permission is hereby granted to: ..."~..?..~...~.~...'7. ............ ~ ..................................... .~.~....~.:.~...,....u~'...~ ..... ~ , ,o - ""~ ~, U J at premises Ioca~ted at ...e~..L~......I/' ~. ~..., ,~, ,.~.. ,,,~.,(~~, ................. counw To~ Mop No. ~000 Sectj~--,~...Z.~..~. ..... B~o~k ...... .~..~. ...... ~o, ~o....1.~ ............. pursuant to application doted .~../eJ=~....~.......J...j ............. , 19.~..~.., and approved by the Building Inspector. Fee $,....~...g .......... ....~.... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD E~uilding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPI Instructions A. This application must be filled in typewriter OR ink, and submitted mlaammm 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 disposal--(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 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. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificateofoccupancy New Dwelling $25.00, Accessory '$10.00 Business $50.O0 2. Certificate of occupancy on pre-existing dwelling $100. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 .~ /'~'/P'~ 5.Updated C.O. $ 50.00 Date ................. / NewC°nstt*uc %i°n . ../... O~d or Pre-existing Building ............ Vacant Land .......... Location of Property ~/;u.s~.N!..°.~.. . . . /~.(~.1~. ,~.'~. . ~. .O. .~, .O . .~.S.tr;~,t.2 . . . .~_~yZ~'~. l. ~?.~. .~. . ~y~n;e.t Owner or Owners of Property .~.. ! .~ ~, .~..~....~. ..... . .~, .~J.. ....... . ./~. · .dd~. ...... County Tax Map No. 1000 Section .............. Block ............ Lot ........... Subdivision ................................. Filed Map No ........... Lot No ............ Perm t No' /- -~3.~~ Date of Perm,t ~.~?' ~'/t ~.~..~.~.~.~...~....~. ~..~.~ ..... · ......... ~. ....... Applicant Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval J,~, ¢I%.LG,C.I J ............ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... $ Fee Submitted ............................. Construction on above described building and permit ?~L~,3~es and regulations. Applicant. ~~.L.,..~,, ~ ........................ Rev. 10-10-78 UNDATION ( ls t ) UNDATION (2nd) UGH FRAME & PLUMBING SULATION FERN. Y. STATE ENERGY CODE FINAL . ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~NAL REMARKS~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ [~/FRAMING [ ] FINAL 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~INSULATION FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ~/~OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL /- JEM MECHANICAL ~ ,i LARRY CATALDO General Contracting ,~r~m~ing & Heating Douglas McDonald ~~8 8 UC ~t 110eOHI Ji~.l~~atr~$treet 4wagon Way I1~ ~ ~q~nk~hk~a, NY 11779 Ronkonkoma,NY 11779 II1~1 ~ ~ ~0 I~~-~eSe N~WO ~' ~ - S J ALL RETURNS MUST gE MADE WITHIN 7 DAYS AND ARE SUBJECT TO A 2~% STCCKtNG & HANDLING CHARGE ~oot~8 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ aNN ~te ~pplication ~o. on/lie THIS CE~IFIES THAT ~., S~ANARAN~ 2't00 PARK AV~, ~A~I[~ ICK, ~.Y. FIXTUII~ ~IXTUIf~S RANGES OVENS EXHAUST FANS O(JTLET$ SWITCHES FURNACE M~I'ORS S~RVICE m~,t.~iliECT S R V I C A. WG+ NEUTRAL S~I'~I,~Y, MY~ 11967 Per I~ ~is cedifica, m~t ~t ~ ol~ in any manner; return ~ t~ offke of ~ ~rd if ~orr~. Insets ~y ~ Mt~ W~r/cmdenfials. . ..................... l------L .... ----______~. PARK AVENUE MAP OF DESCRIBED PROPERTY SITUATED AT T TI TUCK TOWN OF SOUTNOI D SUFFOLK CO., N.Y. ARE~. 6, B43 SO F~ (O. IS?l Acres) ,/ ONE STORY FRAME HOUSE 52.00' IV/FLY HANLON HOG CER T/FlED TO: LONG ISLAND MORTGAGE COHP CHICAGO TITLE INSURANCt- CO FOR iW/CHAEL SHANAHAN. seaJand AJ J. su,rve, ying ~ engineering p.c. I10 west main street riverhead, new york 11901 (516) .%69-1717 April 21, 1986 I000- 123-08-15 dob N°- 86-1236 ScoW: 1"=20' BOARD OF HEALTH .--/,-4~. 3 SETS OF PLANS ....... SURVEY .......... FORM ............. : 'FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Exmnined .~ &~.W../.~.., 19g.7. Approved %s..~..r'../. ~., 19~.7. Permit No../..~..~...~...~Z. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT · ¢.~.-...q.J.5.8... TO: Date ......... .~/././.. ....19~.' ?. INSTRUCTIONS 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 b~ occupied or used in whole or in part for any purpose whatever until {~ 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 inspection~sz / ~./~ (Signature of applicant, or name, if a corporation) ...~o..r4.~, ~.~..~..~??.c./..c ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... o...w ~.'..~5.. ............................................................................... Name of owner of premises .../~../.6./..7/.~.~..~.. ~...~...~..¢.d. 0~.e~..p¢.a~....~.:..%(?.~.r~...,~..~./~...7~/... ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) ALL CONTRACTOR'S MUST BE SUFFOLK 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 .................................................. k~' . ......... ...~./.o..~ .... .3.~ ~.~.~.o~.~...~O~..,.~ ~ ............ /~/~ ~.~.~. ~.~ ....' ........... House Number Street Hamlet County Tax Map No. 1000 Section .... [~ ......... Block ...'. ~ ........... Lot .... ~ 5 ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occui~anc'y of proposed construction: a. Existing use and occupancy . 3'(~.!.~..o....~:~.,!(/ /~)z~,,/6~Cl,~.~5> w~ .............................. b. Intendeduseandoccupancy ''5;,~ ~'5 ~'~x~ / ....... , ............ ~c&. ~ .~. ~ ................ 3. Nature of work (check which a~plicable): New Building ..... ' ..... Addition Alteration Repair .............. Removal .............. Demolition Other Work.. (D rip~i ) esc on 4. Estimated Cost .. (to be paid on filing this application) 5.If dwelling, number of dwelling units...............I Number of dwelling units on each floor ................ If garage, number of cars .... . ..................................................................... 6.If business, commercial or mixed occupancy, specify Ilatur¢ and extent of each type c~f use':'. ~ .~. , 7..Dimensions of existing structures if any Front.. ~...~. .. Rear . ,~ D?pth -~.~ . . Height Number of Stories ~" [ "' ' 'i '""i"' . '" .' ......... Dnnensmns'o~fsapje structure w~th alterations or additions: Front .... ~...c.3.. ........ Rear .. ~. ............. Depth .... :,~9/. · · 2 ....... !... Height ...................... Number of Stories .... .~. ............. ~- 8 Dimensions of entire new construction: Front .... . Rear Depth Height ............ .~.,,Ngmber, of Stories ......... ~. ....................... ;..,. / ..... 9. Size of lot: Front .... ~h...~, 7. I ..... ' ...... ; Rear ... ~. ~...( .......... Depth ....z/.~..C~. ............. 10. = ......... ................ ·_____°wn;;" ...... , ............... 11. ict in whl~h/ffr~n~ises'ar; situated.. ~.a~. ~f.f.F.~,~.~.r .... ?~i~o....~.~i. ~.. 12. Does proposed constructi2~n violate any zoning law, ordinance or regulation: ....B~7.a ............. .; ........... ........ . . ' · .... ........................ ~. ............ Phone No ................ Name of Contractor .. d.~.. '. ................. Address .... : .............. Plione No ................ 15. lis this property located!within 300 feet of a tidal wetland? ~Yes ..... No ,,~... · If yes, Southold Town TrOstees Permit may be required. PLO-T DIAGRAM Locate clearly and distinctly ali 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. STATE OF NEW YORK, S.S COUNTY OF ................. ............................. , .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... i ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, m~d is dul'y 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 ............. L./....., .... dayo~ .... ~ ........... 19 .~. Note .ry Public .......... ~ County HELEN IL DE ~OE //?// ~' / / ' NO. 4707878, Suff01kiC0unlYo',~ ............ '(' ¢'~f ....~' ........... lel'm Expires M*~ch 30, IfL--~ (Signature of applicant) APPROVED AS NOTFuD ~1I t I NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO ~- PM FOR THE FOU,OWING INSPECTIONS: FOUNDATION TWO REQUIRED FOFI POUI~ED CONCREI'E ROUGH FRAMING & PLUMBING 3, INSULATIOH .., REou,.,.,..s o~ ~.~.., OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE P£UMSER CERTIFIC,4 TlON lEAD CONTENT 8EFORE CEFO"IFIC,4TE OF OCCUPANCY ' '~ ' ~' ~-> ' I ~'~~ ~ , : ' , . , ; ~'~'~ z~) ~ ,, ' ' , ~ .... ~'~/~[~ , :~. ~ I~'