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HomeMy WebLinkAbout15948-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .z 174.04 ...... Date N..ovember 13, 1987 THIS CERTIFIES that the braiding . Alterat ~on & renovat zon 710 West Shore Drive Southold Locatmn of Property House 'No .............. St/eet ................. County Tax Map No 1000 Sectzon 080 . .Block 01 .Lot Subd~wmon. ·. .Filed Map No ...... Lot No .......... conforms substantially to the Apphcat~on for Bmld~ng Permit heretofore filed ~n tlus office dated .... .A.p.r. i .1 2.3.,. ,1.987 pursuant to wluch Budding Permit No .1.5. 9. .48 Z dated· .Ap.r£1 2.8., .1.98.7.. .. was~ssued, and conforms to all of the requirements of the apphcable prowmons of the law The occupancy for Much thru cerhficate ~s issued ~s Alteration & renovation The certificate ~s ~ssued to R 0 B E R T of the aforesmd budding. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO ... of existing one family dwellzng. & DOLORES SCHISSEL (owner, ~¢~K~[,a~ Pending II/2/87 PLUMBERS CERTIFICATION DATED: Henry J. Smith 11/10/87 itdmg lnspec[or Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15948 Z Permission is hereby granted to: ...... ~...~.~. ...................... ~......~ .............. ...~.~...~....~.:.~.:....cc~..~,J.... ,. _ ::::::::::::::::::::::::::::::::::::::::::::::::: pursuont to opplication doted ..~~.....:~....~. ................ , 19.~..'7.., and opproved by the Building Inspector. Fee $..~..,..~...:.....~ Building Inspector Rev. 6/30/80 FORM NO. 6 ~[?~ ~ ~J ~[ ~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP Instructions This apphcatlon must be filled in typewmter OR ~nk, and submitted m ~ to the Building Inspec- tor w~th the following; for new buildings or new use: 1, Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal-(S-9 form or equal). 3 Approval of electrical installatmn from Board of Fire Underwriters. 4. Commermal buddings, Industmal buddings, MulUple Remdences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the building. 5. Submit Planmng Board approval of completed rote plan requirements where applicable. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buddings and unusual natural or topograph m featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condmon of buddings. 3. Date of any housing code or safety inspection of buddings or premmes, or other pertinent ,nforma- t~on required to prepare a certificate. C. Fees' 1 Certificate of occupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00 2, Certffmate of-occupancy on pre-existing dwelhng $ 50.00 3, Copy of certlflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .f.\]0.~...JQ;,.~°c'./ ..... NewConst~uc%lon. , .v~... Old or Pre-existing Building ............ Vacant land ............. Locat,on of Property ...~.J .0......~..'~j.. ~..~..h..o.r%~.. J~f. I.g~-~ ............................... Hou,~e No Street Ham/et Owner or Owners of Property ...... ~ ..... .cr_..~.. ! ..................... County Tax Ma~p No. 1000 Sect.on ....0...05fO ....... Block ...0../ ......... Lot .... O.V..~. ...... Subdivision/r'/~l[[.~ ~).r.~..~..~.CJC-eM' ............ F,led Map No .~.~/ ..... LOt No....c~../T.CJ .... Perm,t No. /~..~ ~/~..~.. Date of Permit. ?/.~.~/.F.,~.Apphcant..'~.0 ./)n../3C..~'~,hO J'. ./~. C.~.,.l~/.~.r~...-~..~ Health Dept. Approval ..... ..... ~'. .......... Labor Dept. Approval ........................ Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate .................. Final Certificate. . ......~'". .............. Fee Submitted 8.. Rev 10 10 78 d.D. z/4 OUNDATION (1st) 0UNDATION ( 2nd ) OUGH FRAME / FLUMBIN~// NSULATION PER N. Y. STATE ENERGY CODE FI];AL/ ADDITIO?)AL CO,~MENTS· PETER T. PODLAS, A.I.A. Arohitect 71 SHINNECOCK AVENUE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/NSULATION / FRAMING [~'] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]/~,NSULATION FRAMING [v/~ I=II]FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL REMARKS: DATE INSPECTOR~ 765-'1802 ~'~ ~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY ~ 0 '~O'Vl~l.h~r ~7~ ~LOJSY$ JOHN STREET. NEW YORK. NEW ,,.,, ,,,.,.-..o. ~,~ o.;.,. N 843552 THIS CERTIFIES THAT Dr Robert Schiseel. West Shore Drive. l~ydon Shores, Southold, N.Y m thefollowlnghwat,on, [] B~,ement ~ Ist FI [] 2nd FI %ctmn Block ~t ~s examined on O~ob~ 2~ ~98~ and found to be tn cotnphan¢ e utth the r~ q.trements of thts B~rd ~, ~ RXTU~E F ~ RXTURES T RANGES ~ ov~msH ~5HERS I EXHAUST FANS ~otors: 1-1hp Ton A/C Unit t",C. I. 1-smoke Detectors G 4, $ Elect:r~.c Box 215 Southold, N.Y 11971 Per .~ ~L.~ This cerhflcate must not be altered in any manner, return to the offsce of the Board ~f mcorred Inspectors may be {denttf{ed by their COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. xamlned ~ .9...~ ., 4~prove~....~. ~ , 19'~-1 t~approved a/c FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N,Y, 11971 TEL.: 765-1802 Penmt No./ TOWN 0{' .. ~,HOLD Recel. ved ........... ,19 APPLICATION FOR BUILDING PERMIT Date /-)pr' ~2 a, , 19~ INSTRUCTIONS a Ttus application must be completely filled in by typewriter or m znk and submitted to the Building Inspector, with ts of plans, accurate plot plan to scale Fee according to schedule. b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or public street areas, and gwmg a deified descnphon of layout of property must be drawn on the dmgmm whmh is pa~ of th~s appl tion c The work covered by t~s apphcahon may not be commenced before ~ssuance of Building Permit. d Upon approval of this apphcatton, the Bufldmg Inspector wdl ~ssued a Building Pe~t to the apphcant. Such perm~ ,all be kept on the premises available for inspection throughout the work. e No bufl&ng shall be occupied or used in whole or in part for any purpose whatever until a Cemficate of Occup~c ~alI have been granted by the Braiding Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Braiding Permit pumuant to th .uld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordm~ces o egulatmns, for the constmcbon of buildings, add~tmns or alterahons, or for removal or demohaon, as herein described ae apphcant agrees to comply w~th ag apphcable taws, ordinances, building code, housing code, and regulations, and t~ lm~t authorized ~spectom on premises and m building for necessa~pections (S~gnature of apphcant, or name, ff a corporation) ........ t akiifi ' aaa A ' apb11 &AAH' - ..... late whether apphcant ~s owner, lessee, agent, arctutect, engineer, general contractor, electr~cmn, p]mnber orbuilder ....... btu/4 .... alne of owner ofprenllseS Robert & Dolores Sch~ssel (as on the tax roll or late~t deed) apphcant ls.a corporation, s~gnature of duly authorized officer (Name and htle of corporate officer) Buflder'sLmenseNo. /~/~' ~ Plumber's License No. ~ ~~ Electrlman's L~cense No. ~ ~ .... Other Trade's License No . . Location of land on which proposed work will be done '7]0 West Shor.e .Dr.zye. , Sputho.ld~ .N..Y... . lIouse Num her Street County 'Fax Map No 1000 Section -olr'r' d ~ Subdivision .Reydon..Shores (Name) }tamlet Block 01 . Lot. Fried Map No Co ~ ] Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy Iii story reszdence b. Intended use and occupancy 1~ s.tp;cy re.szd.enc.e (4 ]7'-~ ~a_ ~ O/0 ..... 3. Nature of work (check which applicable) New Building .. Repair ... Removal .......... Demolition 4 Estimated Cost $50,000. 1 If dwelling, number of dwelling units . .. If garage, number of cars ................ Addition .. Alteration .,,~ ..... ....... Other Work ........... ~, ~ (Description) Fee .......... (to be paid on filing this application) Number of dwelling units on each floor ....... 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ 7 D~mensions of existing structures, if any. Front. ~25.Q , . Rear Z8..Q Depth .35..0 Height 28:0 .... Number of Stones .1-~ Dunenslons of same structure with alterations or addlhons Front Depth 50.0 .... Height . 28.0. Dunensions of entire new construction' Front.. Height ... 9 Size of lot Front i9~0 Number of Stones ..... Rear.. ~.6 0 Date of Purchase 19.74 ...... Name of Former Owner 1 2 3 4 25. q ..... Rear .2,8.. 0 Number of Stones.. 1% . Rear .... Depth · 'i I ......... Collins Zone or use district in which premises are situated ... Residential A ..... Does proposed construction wolate any zoning law, ordinance or regulatmn .no .... Will lot be regraded . ao ............ Wall excess fill be removed from premises Yes Nc Addres~ .~s~p~ ~ ...... Phone No 581-1165 Name of Owner of prem~ses g. Sch~-ssel 4 t:. M r s La. Name of Architect .~Pet.er T. Podolas Address E. qu, o~u.e . . jehone No '7~-'5.'~['i'i '. Nan~eofContractor .,JOhD /~e't~/~..~' .... Address?SR~f~O-/cc~T0~/~ ~honeNo 7.(o3%/.5Y2.'~... 5. Is this property located withfnl00 feet of a tidal wetland? * Yesx .... No ..... · If yes, Southold Tox~a Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether ex~sting or proposed, and~indlcate all set-back dimensions fron- ,roperty lines Give street and block number or description according to deed, and show street names and indicate whethe~ atenor or comer lot. TATE OF NEW YORK, OUNTY OF SUF. FOL. K. .. S S (Name of individual s~gnmg contract) ~ove named bcmg duly sworn, deposes and says that lie m the apphcai e is the ....... (Contractor, agent, corporate officer, etc ) f smd owner or owners, and m duly authorized to perform or have performed the said work and to make and file th ~phcation, that all statements contmned m this apphcat~on are true to the best of his knowledge and belief, and that ork wdl be performed in the manner set forth m the apphcahon filed therewith dom to before me this ...... ~.5 ...day or.. ,'52p/d//~ ..... 19~7 otary Public, . .... · , .~uff~k County Term I~,r~ D~ember 31, 1~ ,~ ¢.~. F~/../q County (Signature of apphca~ ~t×/ ',4 'x ri