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HomeMy WebLinkAbout15876-z~OR~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEP;IRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18341 Date AUGUST 3t~ 1989 THIS CERTIFIES that the building ADDITION Location of Property 205 PLUM ISLAND LANE ORIENT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 015 Block 05 Lot 24.29 Subdivision ORIENT BY THE SEA Filed Map No. 6160 Lot No. 180 co~forms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1987 pursuant to which Building Permit No. 15876-Z dated APRIL 4, 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 DBIELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEP~_RTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RICHARD & KATHRYN FRANK H-011335 - AUGUST 24~ 1989 N/A Rev. 1/81 lding Inspector ~'O~ NO. ~ TO~VN OF $OIJTHOLD BUILDING DEPARTMENT TOWN HALL 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15876 Z Permission is hereby granted to: .... ..................... ......~...~.....~.~.... ........................................... ...~~...~.:..~..:..~.~ ......... ~ . at premises located at ....~.......~........~'.~...~...~..~~ ........... ~.~ .............. County Tax Map No. 1000 Section ..... ..~....!...~.. ....... Block ..... .?...~..C ....... Lot No....~...~..:..."~....~ .... pursuant to application doted ..... .~......~. ...................... , 19.~.."/.., and approved by the Building Inspector. Fee $., .~.....: ............. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMHNT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197! APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ..... Location of Property ,~.O..~. d~Z~,'q'7~Z~-~ ,~,~.t*. HOUSE NO. STREET HAMLET Permit ........... Date of Permit --.Applic'ant ................... ~ealth Dept. Approval .................. Underwriters Approval Planniug Board Approval ................ Request for Temporary Certificate .~.. .... Final Certificate Fee Submitted: $ . ~.~ [ .~. ............. APPLICANT .o . ............ rev._ 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGX 1 8013610 BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW yORK 10038 Oate AUGUST 24,1989 /lpplJcatio~No.o.file 63777289/89 H 011335 THIS CERTJFIEE; THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RICHARD FRANK, 205 PSUM ISLAND LANE, ORIENT POINT, N.Y. ' in the following hwation; [] B~sement [] Ist FI. [] 2nd Fl. ' Sectlor~ Block Lot tt~s exarnined on AUGUST 14,1989 attd found to be in compliance with the requiren~ents Of this Board. FIXTURE OUTLETS DRYERS MOTORS FUTURE APPUANCE FEEDERS *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. RICHARD FRANK 205 PLUM ISLAND LANE ORIENT POINT, NY, 11957 RANGES SPECIAl. REC'PI NO, O~E~C~,COND. OtCA W.G. CC. COND. This certificate must not be altered in any manner; return to the office of the Board if incorrect. NO OF HI.LEG A, W G.' OF HI-LEG EXHAUST FANS · - DIMMERS their credentials. OU~D~TIO.~; OUNDATION OUGH FRAME ~&//'/ PLUMBING ~USULATION PER N. STATE ENERGY CODE , ADDITIONAL COMMENTS: P VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 27, 1989 Mr. Richard Frank 205 Plum Island Lane Orient, N.Y. 11957 Dear Hr. Prank: Enclosed please find the Certificate of Oc- cupancy for your pool. You have an open permit for and addition that is nom expired. Please call our office regarding this permit. It is #15976Z for an addition. It was inspected on 6/8/87 and failed. A railing was needed on steps from back porch and insulation was needed in cellar. Secretary 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~/NSULATION [ ] FRAMING ~//] FINAL REMARKS: ~/~~ ~ 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~]~SUL~TION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION- FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE 765-1802 BUILDING DEPT. INSPECTION [ ]//~""FOUNDATION 1ST [ ] ROUGH PLBG. ~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL , ~ ...... , 19~fl.. Permit No. [ .,~. ?. ?.~...'~. Approved.. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH .~..~_~. ~ ~.~/.3 SETS OF PLANS 'FORM NO. I SURVEY . . . , TOWN OF SOOTHOLD CHECK ] '~'~-' ~--- BUILDING DEPARTMENT SEPTIC PORN ............. : TOWN HALL NOTI~'Y $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL - - Date ., 19 .~. INSTRUCTIONS a. Tkis application must be completely tilled 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 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 name, if a c~Srporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer~'~-neral contractor~electrician, plumber or builder. Name of owner of premises .~1~..~... I~- ~l..-. · .~¢. '.iO'. · . '~' ....................................... (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 HUST BE SUFFOLK COUNTY LICENSED Builder's License No..J.~ .~.~¢ ./.)/;.~ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done[ .................................. . ............... .... ...... .... ................ ........... House Number Street Hamlet County Tax Map No. 1000 Section ./..~.~ ~Block ..... ~...~.. ........ Lot... ~...l't,..~..~ ..... 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 .................................. ;,, ,..,.,t ~;.,,, .......................... b. Intended use and occupancy ..... t ~.~ ..... ~. g ~ ~'~, ', ~,~ ~ . ....... 3. Nature of work (check which gpplicable): New Building ' Addition . ~ Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) ..4. 7 4. Estimated Cost Fee .......... ! ' (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 lfb ' '~d fly 6, ~ usiness, corn nercml or m~x occupancy, spec nature and extent of each type of use ....... 7: Dimensions of existing.structm'es, if any: Front ............... Rear .............. Depth ............... Height,. .........-,~ ...... Nm ~ber of Stories .......... .............................................. Dim~i~r~'~f ~e structure' vith alterations or additions: Front ................. Rear ................ Depth Height Number of Stories Dimensions of entire new cons :ruction: Front .......... . ..... Rear ............... Depth ............... Height ............... Nu nber of Stories ........................................................ 9. Sizeoflot: Front ..................... Rear ...................... Depth ...................... 10. Date of Purchase .......... ~ ................... Name of Former Owner ............................. 1 1. Zone or use district in which pbemises are situated... 12. Does proposed constructmn vmlate any zomng law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ! .................... Will excess flu 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 .~v~.~.'~...$..~'~.~'~1[~.. Address I~. ~l~.~. ~.. ~t~.~.1~. Phgne No.~.~}.~. 15. Is this property located: within 300 feet of a tidal wetland?~.. No . .~.. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate cleariy and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from : number or description according to deed, and show street names and indicate whether property lines. Give street and bloc] interior or corner lot. ~'I'A'IE (~4 ~EW YORK, S.S COUNTY OF ................. i ~ (Name of in~'vidual sighing contract) ' above nmned. being duly sworn, deposes and says that he is the applicant He is the ..................... ~ ................................................................... I (Contractor, agent, corporate officer, etc.) of said owner or owners, mid is duly authorized to perform or have performed the said work and to make and file this application; that ail 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 ............. ~ ......... day oil ..... ~ ......... 19 ~? Notary Public,.. ~--~-t~.. ~.,. !~.~.. ~..~ .~-~-~.. .... County ~ gRIll ~1~ ~0g .... : ...... ~ ..... ~BU0, ~ ~ ~ ~ (Signath4e of applicant) I . Ne. 4767878, iBuffelk CeanIY~,~ ,Phane 4?%0400 ' MainRoaa 'GREENPORT; N.Y. 11"g44