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Home My WebLink About16531-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- 16468 Date December 1 I , 987 THIS CERTIFIES that the building CONSTRUCT FOUNDATION UNDER EXISTING · 'd~' ¥'~:LY '~'CT; ~b ........................ · 1050 Trumans Path East Marion, N.Y; Locat,on of Property .............................................................. House No. Street Ham/et County Tax Map No. 1000 Section 031 .Block I 2 .... Lot 5. l Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Pemlit heretofore filed in this office dated October 14, 1987 16531 Z ....................... pursuant to which Building Permit No ...................... dated 0 c t o b e r I 5, l 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 ......... CONSTRUCT FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED F O'R'.' ........................................................................... WILLIAM & PATRICIA BRENNAN The certificate is issued to ..................... /o~n'e;,'l~'~e~rTt~Y~]~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ...... N /A N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 · O~M NO. ~ TO~N O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...~..~ ............. .~ ................................................ .~~::.::~.....~..:...!..,..t~.~'~ -- ......... ~.. ~~..,~ ~...~....~_ ....................... ~.: ........... ;. ............... ~.t premises located at ..l.,l~.a~..~.....l~'/~z~.-...~..'7...e~ ........ ~....°t~....TT.......h~..I.l~LeJ~% ............ County Tax Map No. I000 Section ....... .~..~.~ ....... Block ....... .J,...~'.. ........ Lot No ..... ~'..:,.I ............. pursuant to application doted ..... .~.****~***~...,.J:.~. ................ , 19.~.~., and approved by the Building Inspector, Fee Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLI Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEPT. ~, TOWN OF,,SOUTHOI.~ '~" APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~. ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all 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 compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 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: Additions $25.O0 POOLS $25.00 1. Certificateofpccupancy New Dwelling $25.00, 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 years $10.00 4.Vacant Land C.O. $ 20.00 ~./~? 5.Updated C.O. $ 50.00 Date .... ./ ......... NewCons t puc ti on ...... Old or Pre-existing Building . ~:.'~/.'. Vacant Land . . . Location of Property House No. Street Ham/at Owner or Owners of Property ..............................~~ ~4~~ ~~ ................. ........... County Tax Map No. 1000 Section ~ ~ / Block ./.?~,, ..... Lot ..... Subdivision ............................... Filed Map No ........... Lot No .............. Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ' Final Certificate Fee Submitted ~ .......... ~.., ................ Construction on above described buildin~ and permit meets all applicable codes and regulations. Rev, 10-10-78 TOWN OF SOUTItOLD Ol'l.'l('l.; OF BLIILDING INSPECTOR 1'.O. BOX 728 TOWN IIALL SOUTIIOI. I), N.Y. I 1971 December 8, 1987 TEL. 765-1802 C. Thorp Construction Box 679 Greenport, New York 119~4 W,~ aro enabl(? [o con~plete your RE: WM. & PATRICIA BRENNAN Certificate Occ~q~nnc¥ boc~u!-;c f~f the following reasons. /-~/. An ;,pplicnti. on for Certificate of Occupancy J", not on fi l~.r' (ENCLOSED) / / ti<, i!nd(:rwr, itc_,r.~; C(,~'~.ificate on file. /.~/ q'h,~ check .~.:;(~6~/rlot on file.) $25.00 / / ~;,~ }h',alth Dept. Approval on file. / / No ~Snn] inspt~ct]on has b~en made. I'Ir:,t:,~ (;onl;ICt our office on this matter. '['}h~ntl you fey' ¥ou~? coopuration. }~, }(liraI P,~rmit f~ I 6 5 3 I Z ~/'/ N,> l']tlm}~Or So]der Certificate on file. ( a]_]. porm]ts involving plumbing being Ls,.:uc, d aftor April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ~SULATION FRAMING ~~ REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] INSULATION [ ] FRAMING [ ~NAL REMARKS: ~,/~/~-z ~..~ 6_~ I G~3i N765-1802 BUILDING DEPT. SPECTION FOUNDATION 1ST I~ ] ROUGH PLBG. FOUNDATION 2ND [ ] I,~ULATION / FRAMING ,~//] FINAL REMARKS: INSPECTO ]'65-~1102 BUILDING DEPT. INSPECTION ~/] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FINAL [ ] FRAMING REMARKS: /~ /~~ ~ DATE _::~:/~': I N S "'CTOR ~2~.~//~)'" FOUNDATION FOUNDATION 2. ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONA'L COMMENTS 8000068 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- 8S JOHN STREET, NEW YORK, NEW YORK 1OO,38 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of William Brennen, 1050 Tru~'s ~ach~ East Ma~io~, NeY. in the followlng locatlon; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot t~qs examined on OC ~,Ob~Y~ ~9 ~ 1~ ~ attd foun~ to be ln con~pliance with the reqttlrements ~f this Board. OUTLETS SWiT~.HES~ FIXTURES RANGES rECEPTACLES FLUORESCENT 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEOERS IMECLOCKS OVENS DISH WASHERS EXHAUST FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OE EERT DIMMERS SERVICE DISCONNECT s E R V I C OTHER APPARATUS: EL~(J. ROOSt tIEATERS ~ 1-2 .Oki. 48 Spring La, , Levittown, NoY. 11756 GENERAL ~N ,~K~E? Per-- This certificate must not, be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. TH S COPY OF CERT~F ~AIE ~,~S~,NOT~BE ALTERED N ANY I~NNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /-7 Land /--7 Building(s) ./--7 located at Pre C.O. #- Date- Street Hamlet shown on County tax map as District 1000, Section , Block , Lot , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~ Land /__~ Building(s) ~ Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based'upon information presented to the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: The Certificate is issued to (owner, of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. lessee or tenant) NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by theBuilding Inspec- tor to determine if the premises comply with all applicable codes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and~ regulations. Building Inspector Approved..%..~....o-~u... ].l~,., 19~..7. Permit No..].~. -~..*~. ?..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 streel or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm 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 Occupanc 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe( The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or nard<, if a corporation) (Mailing address of applicant) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises .....~o-i~..~...~. FtC..~...C.~.~ .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... Z3. ~ ~../~..~ .... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................. .57o ...... .... h " ......... ........... ltouse Number County Tax Map No. 1000 Section ...~..~/ ........... Block . ../. ~ ........... Lot.....~.~. ! .......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................ b. Intended use and occupancy .. ~ .... --~j~'~... ................... , ........... 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... , (Descrip.tion) 4 Estimated Cost ~C'z~p ee .............................. ! · (to be paid on filing this application) 5. If dwelling, number of dwellinlg units ............... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mi:~ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuires, if any: Front ............... Rear .............. Depth ............... Height ............... Nqmber of Stories ................................. Dimensions'of same structure ~with alterations or additions: Front ............ Rear .................. Depth .................. ~ .... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Number of Stories Heiqht ........................................................................... 9. Size of lot: Front ......... . ............. Rear .......... . ............ Depth ...................... I0. Date of Purchase ......... i ............ ~ ....... Name of Former Owner .............................. 1 1. 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 ....... i ..................... Will excess fill be removed from premises: Yes ~No 14. Name of Owner of premises . i ................... Address ................... Phone No ................ Name of Architect ........ ! ................... Address ................... Phone No ................ Nmne of Contractor ....... i ................... Address ..... : .............. Plione No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Tyustees Permit maybe required. ... i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from k number or description according to deed, and show street names and indicate whether property lines. Give street and blo~ interior or corner lot. STATE OF NEW YORK, COUNTY OF ........................... ...................... being duly sworn, deposes and says that he is the applicant (Name of indivi'dual signing contract) above named. He is the .................... i ..................................................................... : (Contractor, agent, corporate officer, etc.) of said owner.,or owners, and is duly authorized to perform or have perfonned the said work and to make and file this application; that all 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 .............. .t.~ ....... day!of ..... ~_.~ .C,.~.~. ........... 19 .~..~ N~gtaryeubliq, ..~t-A2.... '~....~..~..ff~. ..... County I~g¢ K. I)E rOE : NOTARY PUBLIC, State of ~wl Y(x'k .... No. ,4707878, Suffolk Term Expires Msrch ~0,