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HomeMy WebLinkAbout16038-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17145 Date AUGUST 1, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 12555 NEW SUFFOLK AVE. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 02 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1987 pursuant to which Building Permit No. 16038Z dated JUNE 9, 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 ACCESSORY GARAGE The certificate is issued to RICHARD REILLY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N843041 NOV. 13, 1987 PLUMBERS CERTIFICATION DATED N/A Bt lding Insp ctor Rev. 1/81 FOEM NO. s 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) N 2 1 0 ✓ 3 Z Date ...... ........................... 1917. Permission is hereby granted to: .r....... ........ .... .�`.. ?....)l4S.......... Q. .. . .................... ........................... to OF......a!a......4�. .. .��-�a4 9.R,.......Qw...°`�}?f! ............................................................................... .. ............ ...........................(.1.... ..... ... ... at premises located at .........S A i ...... ..!r4.11W. k...4. m...:................ .. vv �!^�..T .... ................ .. ............. .... ...... ........................................................................l.0 .. . R. ...J.. . --... ........ ............... . ................... ........................................................ . County Tax Map No 1000 Section . ..�1. . ... . Block C Lot No .....3. .... ......... ........ . . pursuant to application dated .... ..1.5 .... .... 191 ., and approved by the Building Inspector. Fee S•••14.4............ YF C— . ...... .. .. . ......... ..................... .... ....... ............. Building Inspector Rev 6/30/80 FORM NO 6 MT:0MF$07UTA) TOWN OF SOUTHOLDOLD Building Department Town HallSoutnoid, N.Y. ii97i APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apobcation roust be filled in typewriter OR ink, and submitted in duplicate to the Building Inso for vitn the following, for new bui!dings or new use 1. Final su^•ey of property with accurate location of all buildings, property lines, streets, and unus natural ortocccrach,c faaturas 2. Final aoprovai of Heath Dept. of water supply and sewerage disoosal—(S-9 form or equal). 3. Approvat of electrical installation from Board of Fire Underwriters. 4 Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and insta tions, a certificate of Code compliance from the Architect or Engineer responsiole for the ouildi 5 Suomit Planning Boara approval of completed site plan requirements where applicable. - _� B For existing buildings (poor to April 1957), Nonconforming uses, or buildings and "pre-existu land uses 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural topographic features 2. S�jorn statement of owner or previous owner as to use, occupancy and condition of buildings. 3 Date or any housing code or safety inspection of buildings or premises, or other pertinent inforr tion required to prepare a certificate. C Fees 1 Cernficate of occupancy $5 00 2. Certificate of occupancy on pre-existing dwelling or land use $5 OO 3 Ccoy of cert,ficate of occupancy S1.00 //1� Date Ne v Buud,nc,/Om , . . Old or Pre-existing Buiicing(`) _ ,__ __, 'V-cant Land . . . . . . . . . Srri 7, Qa� Location of Property . /°�1.4�. . � 4 .J.`�. : House Po'o Srreer • . . . • •: . -Ha, Owner or Owners of Property . . . . . . . :-: :. . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . County Tax Mao No. 1000 Section . . . . . . . . . . . . . Block . _ . . . . . . . . . . . Lot . . . . . . . . . . . . Suocsvisio,n . . . . . . . . . . . . . . . . . . . .Filed Map No . . . . . . . . .Lot No. i fleo3s� �('. . . . . . . . Permit No- l � Date of -arm,t // ��$ ..4ppl cant Health Dept Approval .. . . . . . . . .Labor Dept Approval Under,vriters Approval . . . :... . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . .A Request for Temporary Certificate . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . Fee Submitted S . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and p rmit meets all a r_gblgc as and regulations Rev 1010 78 -3S �,10I ITHE NEW YORK BOARD OF FIRE UNDERWRITERS -,4OVember 13 17t1` s/ BUREAU W ORK, NICITYQftjR?4/� �y OHN STREET. NEW YORK, NEW::SS LL :7/ Date 4pplivaro n No on file N 8 4 V J 41 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number rn the premises of Richard Riley,New Suffolk Avenue C/O Bay Roac,Cuteh©Ve#New York Gal r->•qe in thefoflowfnq location.4jg,) Mnt5t[g IF{ 1 ❑ 2nd F7 Section Black Lot teas examined on andfound to be in cornphone a ufth the requirements of tha%Board FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT VAPCII ANi K W ANT K W "I K W AMi N W AMi HP (.l ' Y DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT NEATER$ MULTI-OUTLET DIMMERS AMT KW OIL HP GAS HP AMT NO A W G MIT MAP AMT AMPS TRANS AMT H P SYSTEM$ AMT WATTS NO OF FEET SERVICE DISCONNECT NO OF S E R V 1 C E METER NO Of CC COND A W G A W G A W G AMi AMP TYPE EQUIP 10 TV 163W 303W 3A AW PER.e OF CC COND NO OF HI IEG OF HI LEG NO I„ OF NEUTRAL - _1I7 OTHEq,UMPP,Ar,¢AwUS Gua Electric Bois 715 SnuLhold Nev York 11971 Ls.c 7€�YR GENERAL MANAGER Per This certificate must not be altered In any manner, return to the office of the Board If Incorrect Inspectors may be Identified by then credential- COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. -v � y H ------------------ H OUNDATION _ ( 7a<f- OUNDATION ( 2nd ) z 0 OUCH FRAME & PLUMBING y H Ci] NSULATION PER N. Y. "3 STATE ENERGY CODE x a y c i y FINAL Q z ADDITIONAL COMMENTS : s m x •v H 9 H H O a r H T t7 m ^o H �( © � 70-1802 BUILDING DE". INSPECTION /IFOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE 22A7 INSPECTOR`.-�+C Memorandum from . . . . BUILDING INSPECTOR'S OFFICE i TOWN OF SOUTHOLD TOWN MALL, SOUTHOLD, N Y 11971 765-1802 Nov . 20 , 1987 I am returning your check # 30472 , the amount due is only $ 10 . 00 however we ' need an underwriters certificate before we can do the C . O . Please send us a check for $ 10 and a copy of the underwriters . Thank you . FORM NO. 1 { TOWN OF SOUTHOLD MAY 3 i987 . 1 d BUILDING DEPARTMENT TOWN HALL BLOG`OEPT SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765-1802 Examined . .4t/J4R 9q , 1927 Received . . . . . . . . . . . , 19 . . . Approved . . . 1 , 19797 Permit No BOO + e 6 Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 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 pubhc 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 herem 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 necessayinections. ature of applica/tolr name, if a corporation) . .Aw. .�! ,ti . . . . . . . . . . . . . . . . . . . . . . . . . (mailing address of apple ant) State whether applicant is owner, less/eel, agent, architect, engineer, general contractor, electrician, plumber or builder. . �/ U le— ,<. ! . . . . . . . Name of owner of premises ��C�f �t RY) 1 l � ./C j (as on the t x roll or latest deed) If applicant is a corporation, signatur%e,f duly authorized officer. (Name and title of corporate office (/ Builder's License No. 29 2 H Plumber's License No Electrician's License No . . Other Trade's License No. 1 Location of land on which proposed work will be done C4RA]eo< — 1V c �!. SUFP c�4< 4V<� ¢- . /2SfS- !I/e Ul Ue ti`e w sU House Number Street Hamlet County Tax Map No 1000 Section l Block 2— Lot Subdivision Filed Map No Lot (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Existing use and occupancy 1. .4 G `L;ti 6' b Intended use and occupancy /?/? u!. . CAS . ��!� .fie . �OcTft-C ye�, 1. . . . . . . . . 3. Nature of work (check which applicable) New Building Addition . . . . . . . . Alteration Repair . . Removal . . Demolition . . . . . . . . . Other Work . JF r� (Description; 4 Estimated Cost . �A X. .4 o. . . �? . . . . Fee . . .`. . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5 If dwelling,number of dwellingau,nits . . . . . . . Number of dwelling units on each floor . . . . . . . . . - Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any Front Rear . . . . . . . . . . . . Depth . . . . . . . . Height . . . . . . . . . Number of Stones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions Front . . . . . . . . . . . Rear . Depth . . . Height . . . . r. . . . . Number of y tones . . . . . . . . . . �. . 8. Dimensions of entire new construction Front P. . . . Rear . . .30. . . . . Depth . 28. . . . . Height Number of Stones . . . . . . . . . . . . . . . . . . . . . . 9 Size of lot Front Rear Depth . . . . . . . 10 Date of Purchase . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation. . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . X. Will excess fill be removed from premises Yes 1 . . . . . . . . 14 Name of Owner of premises . P/L<-y� Address . . . . . . . . .Phone No . . . . . Name of Architect �j / 7 Address . Phone No. Name of Contractor l��/LL J BNf ,/'Address 5X. .Y.iX /&, ,Irhone No 15. Is this property located wit in 100 feet of a tidal wetland? * Yes . . . . . No . . * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fri property lines Give street and block number or description according to deed, and show street names and indicate when interior or corner lot . 3f 3 tie w S U�rD �K �1 Ve- STATE OF NEW YORK, SS COUNTY OF . . . . . . . being duly sworn, deposes and says that he is the applica (Name of individual signing contract above named p He is the . . . . !gv�� �e (Contractor, agent,corporate officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application, that all statements contained in this application are true to the best of his knowledge and belief,and that t work will be performed in the manner set forth in the application filed therewith Sworn to before me this . 13 . daffy of n . . 7(1 . . . . . ., 19 r7 Notary Public, . . . .I �KPre"� /l -. . l�.L". County /J ROM ILDE90E %mm Puur8 VA of lien NMIi ,. No 4707878,Sa0dkCeiMBP (Signature applicaj Term Exp1res March 30,19. V I j ; 1 I OCCUPANCY OR USE IS UNLAWFUL avpAOv�o as lvOr� { P.� r I ; WITHOUT CERTIFICATE "4 ;` `)sLpz- " i403a { Fllfi: 2G •- BY- • �1.L. I` I OF OCCUPANCY NOTIFY BUILDING OPARTMENT AT PLC 7615-1802 9 AM TO t tiM FOR THE i -- ._... .3/N FOP.LOWING INSPECTIUPi5: . FOUNDATION WU -SQUIRED 118 �� �I „` BRA:; r r� I°OR POURED �^ONN'R s p {'� _. 4. FINAL r1C�s�TAUI^ian=v .'a4i!SF r f _ ALL CUN,SI Como; Fl lop f, Ti[h 3rvAEl nhrF 1 iOUCaH F9AMINC- i - I d. IN IA TIUrJ { { Zk "--' (�--n•_+ ,'^� 1 i ---- �iTHF, RE(YUIi>,cwrFN"15 OF rHE , v? s i, i 'j f .� \,_ ',STATE CONr TRUCTVUN A ENERCY t - hones' NOT �*SpbivtuaLE �. `�LTI9Ktd Oh O(i'iVBTRUCYEON eRNOpB. f I I t i x + 1 G I N-2 GfuFDc' I r . I i �,` ^F - - � 1• iI '� ', ,� tenµ". rE za 0. I w T" _,� f .r_�.__... —_ _._.- _ •I i.,.1 I I, � j I - 6 ��-'��3,---%�F�=.cam ...-""-•- � _ i �.J ._ _. _ r' .A Phone 477-0400 ° ,r3er� Main Road r GREENPORT, N.Y. 11944 fn t, EIS r I E-'},J[ �- DWG. " , �j {„ ,"� PLAN