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Home My WebLink About15315-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17378 Date SEPTEMBER 30, 1988 THIS CERTIFIES that the building ADDITION Location of Property 50 SOUTH HARBOR ROAD House No. Street County Tax Map No. 1000 Section 069 Block 06 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 10 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 15~ 1986 pursuant to which Building Permit No. 15315-Z dated SEPTEMBER 24, 1986 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 BREEZEWAY & GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to ALLAN S. & THERESA A. CONNELL (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A N848726- JANUARY 4, 1988 Rev. 1/81 ~ /Bui inspector FO~,M NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P E PJ'~'i IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1531~ Z Permission is hereby gronCed to: ................ t ............ .._'__ ~ ~ ~ . ot premises located at ..~..~...~. · .~..~.,~ .............................................................. County Tax Map No. 1000 Section ..... ..~....~.....~. .... Block .... ..(~..~. ......... Lot No ....... L.~.. ........... pursuant to application doted ..~~...!..'~*. ........ ., 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANI Instructions ~_. TO,W,N OF '~OUTHOLO This application must be filled in typewriter OR ink, and submitted ~m ~ 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 $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert[f[cate of occupancy New Dwelling $25.QO, Accessory ,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ?.,~. 5.Updated C.C. $ 50.00 Date ..... ~.~.~...(~..~ ......... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land . ............ Location of Property .. ,~..-~ ....... .,~?. ~..7. ?.~...~'.7,.~.,~..~...~.~... ~..~._? ..... ,~?. ?.~..W'o.~.~?..'/~JX //~?/ House No: .... Street ...... Owner or Owners of Property .... ~.~, .~(?.,?..¥~... , .,~.'., .~../.-/..~...~.~.,.-~?.,, .~.:...~..~.z?./.~/?.~.~, ,~.; ....... County Tax Map No. 1000 Section ............... Block ........... Lot ............... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........... ~. ............ Labor Dept. Approval ........................ ~nderwriters Approval ........................ Planning Board Approval .................... ~equest for Temporary Cert~,ificate '~ r ~' ................ Final Certificate ....................... Fee Submitted $. (~..L~. ......... : ! ............ Construction on above described building and permit meets ail applicable codes and regulations. App cant . .~...'.~...~..~. ~...~.~ .................. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-'~:~ 8~5 JOHN STREET. NEW YORK. NEW YORK 10038 O,26 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed ~e~w o~ i~t~uc~ by t~ applicant ~med on the a~ve applica tlon number in the prem~es of ~len Conne~, Sou~h Har~ ~oa~, ~ Corner o~ ~tn ~oad~ ~outho].d~ ~.Y in thefollow~nglocatlon; ~ Basement ~lst FI, ~ 2nd Fl. ' ~ G~age ,%~t~o. Bilk LJt ~s examined on Dec~berlO ~ 1~ andfoundtobelncompllance~'iththerequire.~ent~fthlsBoard. FIXTURE FIXTURES RANGES OVENS DtSH WASHERS EXHAUST FANS DRYERS MOTORS FUTURE APPLIANCE FEEDERS T~MECLOCKS UNIT HEATERS MULTI-OUTLET - DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHRR APPARATUS: 1.*-Po st Ltt~ S E R V I C E A W G OF NEUTRAL Wayne J. Kubacki RFD#1 A-,64 OverBrook Drive Rt~erhe~ad~o N.Y 11901 Ltc. 3186~ GENERAL MANAGER This certificate must t{ot be altered in any manner; return to the office of the Board if incorrect. :)nspectOrs may be identified by their credentials. ~: . COPY FOR ~UILDING DEPARTMENT.,THIS COPY· · ,~, E ALTERED. N ANY MANNER,; ~ FiELD INSt~ECTION FO~ (1st) FOUNDATION I2nd) 2. ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: ALLAN S. CONNELL 50 SOU~d HARBOR ROAD SOUTHOLD, NEW YORK 11971 April 20, 1988 Mr. Victor Lessard Southold Town Building Department P.O. Box 1179 Southold, New York 11971 Bear Mr. Lessard: As per my telephone conversation with Lynn from the Building Depart- ment, I am requesting that you grant me a six month extension on my Building Permit No. 15315. I was unaware that it had expired. Your attention to this matter will be greatly appreciated. Sincerely, 7GS.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PI. BG. ~.~ [ ] FOUNDATION :)ND [ ] INSULATION [ ] FRAMING FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ...................... i ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .. ~.e.. p4e~Jva.ff..Iff, q, 19 .~.~. INSTRUCTIONS a. Ttfis 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 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. fl. 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. ..... ~.~. e .~...c3=.:...Cy2~..: .%~.. ................. (Signature of applicant, or name, if a corporation) .... ~.c?., %.~..~. j .~..I.~ .k~. ;., .~.. ~: ............ ........ ififiiiL;~' fi3/tg;;~' 67' fi3l;iL~fifiU ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ,C).~ ne.~- ................................................................................. Name of owner of premises .. ,/~/.(~..,q...'~......C. rg.~.~,e j.[.. 9.~. ¢....'~..~.s.~.....~.....C~. ?. C.~.~.[.[ ............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ....%o., . %o~ l~.~b.~,-...¢-.¢... :, ~,v..~3. Mo.~..g. . House Number Street Hamlet County Tax Map No. 1000 Section .... O..~..~ .......... Block ....O. 6. ............ [o~. D.~-. C.~.~...t 9 ....... 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 ..... .~/.~... tP.~/.~v//3/~.~/.. ~ .~.S/.z)...~.~u.C.~ ................................ b. Intended use and occupancy ~..~ .C..o~..(p...c:~-. ?k...~ ~ '~' '~'~'~'~'g'~'~t WB ./. , 3. Nature of work (check which applicable): Ne uilding .......... Addition ........ Alteration .......... Repair .............. Removal .............. Demolition ........... I. Other Work /¢. ! (Description) 4. Estimated Cost ~.,. e2~9 ........................... Fee ( o be aid on fihng this application) If dwelling, number of dwelling units ii 5. Number of dwelling un s on each floor ................ If garage, num bet of cars .... .~. ...................................... l ........................... 6. If business, commercial or mixed occupancy, specify nat~ure and extent of each type~of use .............. , ...... 7. Dimensions of exis~ting structures if any:Front ~..'~.~ Rear .~7 ~.,' Height .... .2.2. ' Number of S nri~ ~-- ........ ~*~" ........ ~' ......... "' ........ D~rnenslons of_s~me structure with alterations or additions' Front -7/ '~ / .... ,( ...... :¢) '~'t ......... 3 . ~ · · ·, ..... ear ........ Depth ....... .O: .3.. ........... Hmght ... ~..2:. ........ Number of Storlau 2- ..... 8. menmons of entire new construction Front ~.~. Rear .~_,~ t ~ _ ~,~ · · ................... ~-~.. ..... ~epm . .~.z. ....... Height ...... ./~f. ..... Number of Stories ....... ~. ................... ' -. , .......................... 9. Size of lot: Front .......... ' 'L'~ ..... ~ear .... /..~-~,~, .......... Depth . 10. Date of Purchase ........ /~..-..~. · · .~. .......... Name of Former Owner ~[7¥~y.~..~. 11. Zone or use district in which premises are situated ...... i ' ' Does proposed construction violate any zoning law, ordinance or regulation: .... /V~.. ......... 13. Will lot be regraded ........ y~.$ ................ Will excess fill be removed ffomnremises. ' ' ' '~' ' ' 14. Name of Owner of premises .~c,a~..&. ? .rtt .~ef~..~.d,. .6~(~'ress ~-~ ~...l~4t~.~.C~.~.¢.5.v~?'.~I~ne No.'.~.~:./~?..~.... Name of Architect Address ........................................... · · · Phone No ................ Nmne of Contractor .......................... Address ................ i... Phone ~ ~ ............ 15. Is this property located withinl.o0 feet of a tidal wetland? * yes ........ · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indlcate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. -Sowrq4 H~qR~°F''' TATE OF OUNTY OF~~ S,S (Name of individual signing contract) )ove named. being duly sworn, depose~ and says t e is the applicant ~i th s e ................... ~ .......................... ; (Contractor, agent, corporate officer, etc.) i ..................... said owner or owners, and is duly authorized to perform or have performed the sai~ work and to make and file )plication; that all statements contained in this application ar~ tri~e to the best of his kfiowledge and belief; and that the ork will be performed in the manner set forth in the application flied therewith. yom to before me this ............. /.~..~..day of .~ ..... , 19 GerOrd GroltOn now formerly or NO~*E: I. ~ MONUMENT ~ -' 2. AREA-' 18,*~,.~Z $.~.. 3. SUFFOLK COUNTY TAX MAP DISTI000 SECT o$~ 8Z. 05 P,'q/?CEL SURVEY FOR llLLllN .S. CONNE/.L Et THERE'EII AT $OUTHO£D . TOWN OF SOUTHO£O SUFFOLK COUNTY, NEW YORK A. CONNE£1 DATE = SCALE: NO. t THE MAB. II, 198;r DEC. $ , OC)'. /0, 1"-' 'I0' 83 ' 8?9 CO. I PROPERTY LI#E$ OR FOR THE ERECTION :F FENCES. I I [J~ ~l ]~'M~ 'VUI~ RIVERHEAD,NEWYORK I J Il ~ ~ ] AL~N ~YOUNG, PROFESSIONAL ENGINEER J ] II & ~ I HOWARD W YOUNe, L4N~ SURVEYOR I ~ N.ZS. LICENSE ~.45895 APPROVED A~; NOTI~ 7~1802 9 A~ TO 4 ~ ~R THE PO~ OWING INSPEC~ONS: FOUiUOATION ~0 REQ~RED ~R PO~EQ CONCRETE 2 ROUG~ FRAMING & PLUMBING 4 ~tN~. C~NSTRUCT~N MUST ~ CO~F~ETE FOR ~.0.' ALI CONSTRUCTION SHALL ME~ THE REQ~ ~MENTS;~ THE N.Y ~A~ CONS~UCTION & EN~GY cOOES N~T ~NS~E ~R ~IGN OR CC~S~TION USE iS.UNLAWFUL wITHOUT ,CER'[tRC~TE 01: ,OCCUPANCY II 1 II