The URL can be used to link to this page

Home My WebLink About15791-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate O[ Occupancy No. Z16790 Date April 12, 1988 THIS CERTIFIES that the building A d d i t i o n Location of Property ..... .2.3fi. 5...Hp.b.a..r .t..R.o a .d. S o u t h o 1 d Ho~s~ No. ' .... 'S'de31 ....................... h3A/ol County Tax Map No. 1000 Section . .6 .4 ......... Block 4 ...... Lot 10 - Subdivisi~_ FOUNDERS ESTATES ,,, ............................... Filed Map No...8.3.4 .... Lot No. 3 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.a.r.c.h...1.8.,.. ] .9.8.7. pursuant to which Building Permit No..I .5.7.9. ! ,Z .............. dated . V.a.r..c .h..2. !, j .1.9. 8..7 ........... 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 addition and sllding door to an existing one family dwelling. The certificate is issued to GERARD & HAR¥ JANE KEEGAN ..................... ................... of the aforesaid building. Suffolk County Department of Health Approval .N./.~ ?/A UNDERWRITERS CERTIFICATE NO ................................................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 l~OU~ NO. ~ TOWN OF $OIJTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15791, Z Date c~ 19.~...~ Permission is hereby granted to: ~.~....~.~.~.....~.., ...~....?....~ ..... ~'..~.....~., ..........~...v.: ,,~-~o ,o.~ ....... ~.~.~.~.....*...~....~~ ............ ............ et premises located at ..... ~,~..~...~........~......~...~.....-~-... ...... -.~'-~ ............... pursuant tO application dated .... ~,...~.~....L..~. ................ , 19.~...~., and approved by the Building Inspector. Building Ink.tot 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 iIiiiii to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate [ocation of a{I 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 compJiance from the Architect or Engineer responsible for the building. 5.Submit Plan.~ing Board approval of completcd site plan requiren~ents 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. C. Fees: Add±tions $25.00 ?eeLs $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 7ea=s $10·00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConst~ucl;ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property. ;~.3..LI.~.. ,f~.o..~l'.~r...J~..~.~ .......... 5 .~...~'. ~.<~.~.A... House No, Street Ham/et Owner or Owners of Property .6.~. ~t~..~..~. i~. ~ffJ~7. JJ~..~...~.~ ...... County Tax Map No. 1000 Section . O.¢ .~.,.~.O... Block .. ~..~., j~... Lot..O. lO. Subdivision. ~'.~.~..~/..~..~,~..~¢.t~.T.~..~. ...... Filed Map No. ~..~..~'j' .... Lot No..~.~. ........ Permit No. J.S. ,~,~ ~., Date of Permit 31. f. ~..Applicant· .~¢4~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~',..~..O. ................ Construction on above described building aj~d permit r~eets all applicable codes and regulations. /'~ .~¢~0~ ¢ Applicant '/fix a o z/¢ ?ea, . ...... .;, ............. Rev. 10-10-78 ' ~ % ~j~ OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & ?LUMBING ~NSULATION FER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~]~INAL [ ] FRAMING REMARKS: DATE , INSPECTOR . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND ~ ] INSULATION / FRAMING ~ FINAL REMARKS: ~ NO P055~-$$10N MAP OF 10T 59 FOUND~'RS ES TA TE$ SI TUA T£D AT SOUTHOLD ~'OWN Of" SOUTHOLD SUFFOLK HOB'4 RT FO~ ~ "~' 80,40 !1/11 Isurvey!ng S I l/---J J-- engineering pc. ~ ~ ilo west moin street Il riverheod new york 1t901 II (516)369-1717 I I ~ly 18,1966 John~ fl6-~82 3 SETS OF PLANS ~:.~%. FOBM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.:765-1802 CALL MAIL Examined...~..O&..~...~. ~.., 19 ;~.7. Approved . ..~ ~ .~).., 19~.']. Permit No. l .~-3.9/..%.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .... M..%~....9. ........, 198.7.. INSTRUCTIONS a. Tkis 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 or Regulations, for the construction of buildings, additions or alte~:ations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a[td to admit authorized inspectors on premises and in building for necessary inspec~ons. ........ · ..... (Signature of applicant~a corp ·. !5.!. ~:[. x. ~. o..n.~d.,,, q.~r..d~..n..C .~tX~, .~,¥,. ~ ~530 .... (Mailing address of applicant) State whether applicant is_ 9wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ......................................................... Name of owner of premises .G.e~c.~r.d..C....&. Ma;ry..J~ar~e. ~e.eg~n. ................. . ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... ~,-P-3'~f~v... .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ 2.5.4.5..Hp.b.a.r.~..ll.d...,..Sp..u.i.h.o.l.d.,..N....Y... ................. .. ?3.45 .... .~p.b~.t..~.a.. .............................. .Sp.u.~.hp.~.d,..~....z.. ............................ House Number Street Hamlet County Tax Map No. 1000 Section ...O. ~ .~ .*..0~. .... Block . .O..Ir-I .~.O .~ ....... Lot... ~.....O./.~?..tg.O.O.. Subdivision .~.~..~. {)?..~.(4.O.~.~t[~...~_~ 7~.tk'.T'%5 ;.M.6,. Filed Map No..2 3 ..~. ...... Lot ..~t .~ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ;[. Family. Hou~e ................................................. b. Intended use and occupancy ........ Daek...<*m-~. ~.. : .......................... 3. Nature of work (check Wc~ii~ applicable): New Building · i Alteration ' .......... Addition .................... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .................................. Fee ...... ti.q:qq .......................... " (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 nature and extent of each type. of use ..................... 60'2' ~ 60'2'r ' ~ " 24'9" 7. Dimensions of existing structures, if any: Front ........ ~tear .. .'. .... iJepm ......... Height ............... Number of Stories ...... 1 ....................... ~ .......................... Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ..... iq ' 50.' 15 '6" .... ..... Rear ............. Depth ............... Height ............... Number of Stories ............................ 6.3'. .......... " ............... 9. Size of lot: Front 80' Rear 1 D'~pth ...2.0.7. 10. Date of Purchase .. Aug....19.8.6 .................. Name of Former Owner T.o/~ .& .,lg~o. ~B~ax'xm .............. ] 1. Zone or use district in which premises are situated ......................... ]2. Does proposed construction violate any zoning law ordinance or regulation: Nq 13. Will lot be regraded ....... '..I, Jq ................. Will excess fill be remove~J_iro, m_,gremises: Yes No 14. Name of Owner of premises O, .Keeg~,r~ .......... ~ AddresS-}45 .l-lqt~a.r.t/..E.d..: .~.u.~.n. cl~h~ne No. ~Q .5':51~'] ...... Name of Architect ...C~q ~ .$vqr~qqrt ............. Address . .$, .~.a.d.o.¥, .~: .y:. Phone No. 79.4-:o. 171. ..... Name of Contractor .......................... Address .... : ............. Phone No ................ i5. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .. *If yes, Southold Town Trustees Permit may be reouired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indibate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. · K ,TATE OF NE.W, YOR , : o o ........ 3/. ~~ ~. ~ -- --~.~&~ .~¢~eing~ ~'/ duly sworn, deposes and says that he is the applicant (Name' of individual signing contract) /' hove named. te is the ~/ ' (Contractor, agent, corporate officer, etc.) ~f said owner or owners, ~d is duly authorized to perfom or have perfomed the said work and to m~e ~d file t~s pplication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the turk will be perfo~ed in the m~ner set for~ ~ the application filed ~erewith. ;worn to before me this day of a~k 8AR~ARA O, 8CH M ~ ~' . .... ) .... C ~' tober g,,;p~g~ nature oz appiica~o X