HomeMy WebLinkAbout15478-zFORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
Certificate Of Occupancy
No .. Z-1599.7 .....
Date.. July ~p., l~? .........
THIS CERTIFIES that the bmldmg . ADD. IT.IO.N' ......................
catlon of PropertyH 28547 Main Road Orient, New York
Lo ~se No' Stree~ Hamlet
County Tax Map No 1000Section 0.1.8...Block .0.6 ....... Lot .P/? 2..4 ........
Subdivision .............
·. Fried Map No ..... Lot No .............
conforms substantially to the Apphcahon for Building Permit heretofore filed ~n this office dated
November 6, t986 pursuant to which Bmldmg Permit No. 15478 Z
dated.... N. ov e mb...e r .8 ,....1986 .. was issued, and conforms to all of the requirements
of the apphcable provisions of the law The occupancy for winch this certificate is issued is .......
ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to . MAY WATSON
....... [o~n'~r, /i}¢,,~KF~rT~'~i~ .............
of the aforesaid buridmg.
Suffolk County Department of Health Approval . N/A
N821346
UNDERWRITERS CERTIFICATE NO .........................................
PLUMBERS CERTIFICATION BATED:
July 23, i987
Budding Inspector
Rev 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING P EPd~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 1547~ Z
Perm~ssron is hereby gr~nted to:
.... !.~.~ ~.......~..~..-..~ ..........
Q~_ ~-~........t.,.~.~..~; .... , %_:/
ot premises located at ..,..~....~.....~'...?..~. ....... ....r~...~ .....~.. ......... ..C~..(~ ............................
County Tax Map No 1000 Section . .,C)\'~ Bilk ...... .(~...(.Lt, ...... Lot No ,..'~...~ .
pursuont to apphcotion dated .~,.,~ .LJ~. L~ ........... , 19 ~. ~.., and approved by the
Building Inspector
Rev
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Thru application must be filled ~n typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor w~th the following; for new buddings or new use
1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual
natural or topographm 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 Underwmters.
4. Commercial buddings, Industmal buddings, Muluple Residences and similar buddings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed rote plan requirements where apphcable.
B. For exmt~ng buddings (prior to Apml 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property hnes. streets, buddings and unusual natural or
topographm features.
2Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buddings or premmes, or other pertinent mforma-
t~on required to prepare a certdmate.
Fees' Additions $25 00
1. Certdicate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelhng $ 50.00
3. Copy of certificate of occupancy $5.00, over 5 years $10 .0
4.Vacant Land C.O. $ 20.00 .~1
5.Updated C.O. $ 50 00 Date .....................
NewConstructzon ..... Old or Pre-ex~stmg Budding .......... Vacant Land .............
Locat,on of Property ...~..~.~.. ! .~. ...... '.~(k.X..~....~. ..... .(~..~_.(. ~ .V..'.~., .... . ...........
Owner or Owners of Property .. . __ ...........................................
County Tax Map No. 1000 Section ..... (~\~ Block ~ Lot ~.~
Subd~wslon ...... Filed Map No ..... Lot No ..........
PermltNo. '~)'~-~%'~ Date of Permit ~\.~i..~. Applicant
Health Dept Approval ................. Labor Dept Approval .....................
Underwmters Approval ................ Planmng Board Approval ......................
Request for Temporary Certificate ................. F~nal Certificate ....................
Fee Submitted $ ......................
Construction on above descmbed budding arr,.permit meets al~codes and regulations.
Apphcant 'X~%~ ...............................
Rev 10-10-78
Ill, tlttllllk~ . IIUtllllfl Uilllllll!ll~llElllfll, Illlalll!illllililla~i~il.,'llll~tllllllllflll~u. ulllill~ fllllltllJlllllIItllllllillitllll~
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
TOWN OF SOUTHOLD
CERTIFICATION
Date
Building Permit No. /~
Owner /~,y /~/~"o~-
(please print)
Plumber ~/~.ff~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plum~er' s slgnature)
Sworn to before me this
,~ ~day of ~ , ~
Notary Publ~c,~ County
Notary Publzc
Fairweather · Brown
Architects. Designers
Box 521,308 Mare Street
Greenport, New York 11944
(516) 477-9752
July 10, 1987
Building Department
Town of Southold
Town Hall, Main Road
Southold, N.Y. 11971
Attn: Mr. Gary Fish,
Building Inspector
May Watson Residence
Main Road
Orient, N.Y.
Dear Mr. Fish~
At the request of the Owner, May Watson, I recently inspected the work
done at the above referenced project, specifically the First Floor
framin~ system. W~aile the floor Joists in the kitchen area are smaller
than shown on the Owner's plans (not prepared by this office), every
other Joist has been doubled. According to my calculations, this will
provide sufficient support as required by the New York State Uniform
Fire Prevention and Building Code.
If you have any further questions, please call.
submitted,
A.I.A.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] ~ISULATION
/
FRAMING [~/] FINAL
DATE
~ 765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ]~JLATION
[ ] FRAMING
REMARKS: ~~~ ~/
~ //
DATE
~?
INSPECTOR ~/~ ~'~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ;ZND [~NSULATION
FRAMING [ ] FINAL
REMARKS: ~ (~)/~-
DATE
7GS-~LS02
BUILDING DEPT.
INSPECTION
[.] FOU~)ATION~ 1ST [ ] ROUGH PLBG.
[/~FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
FINAL
7GS-'"80~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
REMARKS: -- /?~./ /./ //Y/M / ~
~--~~1N SPECTO~
7G5-180~
BUILDING DEPT,
INSPECTION
[ F~OUNDATION 1ST [ ]
ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
[ ] FRAMING
REMARKS:
DATE
INSPECTO~//~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~ROUGH PLBG.
I' ] FOUNDATION 2ND [ ] INSULATION
DATE
765-'~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~SULATION
[ ] FRAMING [,/']~/L. NA
DATE ~//~)/~ q INSPEL~I'OR ~~~
OUNDATION (1st)
OUNDATION (2nd)
~OUGH FRAME &
FLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
ADDITIONAL OMMENTS:
~L
,,,0
2: Z I-'
o
F"' i,,U
¢3 '~' ~ 03
Examined ~-d .m~,~ , 19 ~(o
Approved ~X.~ . .,~.~.. <~
Disapproved a/c
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y 11971
TEL,: 765-1802
, 19~% Perm,t No }~-~
6'.k/
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Rece~_ved ........... ,19.
INSTRUCTIONS
a Tins apphcaQon must be completely f'dled m by typewnter or in ink and submitted to the Bufldmg Inspector, wltl
sets of plans, accurate plot plan to scale Fee accordmg to schedule
b Plot plan showing locatmn of lot and of buddings on premises, relahonshlp to adjo,n,ng premises or pubhc stm.
or areas, and gzving a detaded description of layout of property must be drawn on the dmgmm which is part of thru ap!
cahon
c. The work covered by tins application may not be commenced before ~ssuance of Braiding Permit.
d Upon approval of thru apphcat,on, the Braiding Inspector will issued a Budding Perm,t to the applicant Such pcri~
shall be kept on the premmes available for mspechon throughout the work.
e. No buzldmg shall be occupied or used m whole or in part for any purpose whatever untzl a Certfficate of Occupan
shall have been granted by the Budding Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the tssuance of a Bmldmg Permit pursuant to t
Bmldzng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances
Regulations, for the construchon of buildings, addmons or alterations, or for removal or demolition, as hereto describ,
The applicant agrees to comply wzth all apphcable laws, ordinances, budding code, housing code, and regulations, and
admzt authorized inspectors on premises and m budding for necessary mspectmns
lhcant,
or nare4~f a corporatton)
(Slgna . .~...~..~.'.' ......
''' (ma~_li~' addres~o~app~cant)~ :~ ~ ~ .....
State whether apphc~t ~s owner, lessee, agent, ~ch~tect, en~neer, general contractor, electncmn, plumber or bmld,
......
...........
(as on the tax roll or latest deed)
If applicant ~s a corporatmn, mgnature of duly authorized officer
2
(Name and title of corporate officer)
Builder's License No ...
Plumber's L~cense No ~ I.(~b . .
Electrician's License No
Other Trade's License
Locat,on of Iand on winch proposed work will be done
ttouse Number Street Hamlet
County Tax Map No 1000 Sectmn (~ ~ ~2> Block L . Lot.
Subdzvmlon Filed Map No . . . Lot
(Nar e)'
State ex~stmg use and occupancy of premises and intended ~use and o~cupancy of proposed constructmn
a Exlstmg use and occupancy ~[~.~ ~._s~. "/ : .' ......
b. Intended use and occupancy .~ ...........................
3. Nature o f work (check which applicable)' New Bufldtng Addition ...... Alteration
Repaxr ' ~" Removal Demolltton Other Work..
.~. (Description)
4 Estimated Cost... t ~11~ Fee
(to be paid on filing this apphcatmn)
5. If dwelhng, number of dwelhng umts .......... Number of dwelhng units on each floor ...........
If garage, number of cars ...........................
6. If busmess, commercial or mtxed occupancy, specify nature and extent of each type of use ............
7. Dimensions of existmg structures, if any. Front .......... Rear ............. Depth ..........
Hetght ........... Number of Stones .........................................
Dunenstons of same structure wtth alteratmns or addttmns Front ........ Rear .......
Depth ......... Hetght ............... Number of Stones ...............
8. Dimensions of entnre new constructton Front ........... Rear ............ Depth ............
Height ........ Number of Stones .
9 Stzeoflot. Front .... Rear ................ Depth
10. Date of Purchase .................. Name of Former Owner ...................
1 1 Zone or use dastnct ~n which premmes are sttuated
12 Does proposed constructton violate any zonmg law, ordtnance or regulatton'
13 Wtll lot be regraded ............. Will excess fill be removed from premises Yes ~
14 Name of Owner of premtses ...... Address .............. Phone No .........
Name of Architect ........... Address ................ Phone No ............
Name of Contractor ................ Address ............ Phone No .............
15. Is thzs property located withint00 feet of a tidal wetland? * Yes ..... No .~..
~ If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate cleaxly and d~stmctly all bufldmgs, whether exmtmg or proposed, andAndmate all set-back dtmens~ons fr,
property hnes. Gtve street and block number or descnptton accordmg to deed, and show street names and mdmate whetl
interior or corner lot.
STATE OF NEW YORK, S S
COUNTY OF ........
(Name of ~ndtvtdual stgnmg contract)
above named.
bemg duly sworn, deposes and says that he ts the apphc~
He ~s the ....
(Contractor, agent, corporate officer, etc )
of smd owner or owners, and ts duly authorized to perform or have performed the said work and to make and file t
apphcatmn, that all statements contamed m thru application are true to the best ofhm knowledge and behef, and that
work wdl be performed tn the manner set forth m the apphcatton filed therewith.
Sworn to before me thru
.... ........
Notary Public .......... .~..~..~...t~.. County
Term E. xptres March tO, 19--..~/
(S~gnature of applica
[
,t-'/OIA/.z:L~-D L. YOw~sTc. J ,~",re,DP~,~TY L
1
i
TOWN OF SOUTHOLD
RECEIVED BY
RUG Z 1 19R5
._~,r,'.,no~_,: Oc~',/xd~'W4'
......
I L'~O'I'IFY B~ILD!NG DEPARTMENT AT.... [,~ ~ . . I ~ , SOLDER USED IN WATER
:~-~o2 ~ ~ TO · ~M ~ ~; YSTEM CANNOT
I THE ~E~Uln~:~ENTS ~ THE N,Y ~ Ut Ub~U system, plpi~ ?al~ be oN~ADCON[E~9~y
F
.,KART ~Ab