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