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HomeMy WebLinkAbout15353-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTI~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18144 Date JUNE 27~ 1989 THIS CERTIFIES that the buildin~ ADDITION Location of Property 856 NARROW RIVER ROAD ONIENT House No. Street Hamlet County Tax Map No. 1000 Section 027 Block 004 Lot 9.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 19~ 1986 pursuant to which Building Permit No. 15353Z dated OCT. 2~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ~TH 8TRACHAN (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N074673 JUNE 5~ 1989 PLUMBERS CERTIFICATION DATED KING PLUMBING May 8, 1989 Rev. 1/81 ulingInspector · O~,M biO. ~ TOWN OF SOUTHOLD BUILDIHG DEPARTMEF4T TOWN HALL SOUTHOLD, N. BUILDiI~G 9EPd~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15353 Z County Tax Map No. 1000 Section ..... ..~..-.~...~. ....... Block ..... ..~....~ .......... Lot No. ....... ..~...~.,k~ pursuant to application dated ..~.~,~...!..~ ......... , 19,~.~.,---- and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TONN OF SOUTHOLD BUILDINC DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCHPANCY ~// DATE NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property.../2;..'.:...~.~.~:.'~,.,~.~. ............ (~...~r~.:~..~. ...... HOUSE NO. // / STREET HAMLET Owner or Owners of Property ..... ~ ...... ~ ........................... co~u~y Ta~ ~ap No. 1000 Section ~g.Z. Hloc~ .V ..... Lot ~' Subdivision ....... .~.~. ............ Filed ................ Map Lot .. Permit No ........... uate of Permit .... Planning Board Approval .'.'.~ff..~.''' .. Request for Temporary Certificate ....... Underwriters Approval. Final Certificate ~ 37B/2 rev. 10/14/88 iNSI~ECTION DATE COMMENTS IDATION_ ._ ~ __~(lst), , PLUMBING JLAT~ON ~ER N.Y. ~ STATE ENERGY FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~,~,~ '~ ~(JO0] ~'J BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scribed be~w and introduced by t~ applicant ~med on the a~ve application number in the prem~es of in the follotcing lacation; [] Basement [] Ist FI. [] 2nd FI. Section Block and found to be in compliance with the requirements ~f this Board. FIXTURE ~ FIXTURES RANGES OVENS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET E Lot OTHER APPARATUS: PAN~I, BOARP5: 1~.t 0 CI~ ~ ,LO0 ,~{OKE D~TECTOR~-1 S E R C NO, O~ERCC~,COND. A W, G, NO OF HI-LEG A. W, G NO OF NEUTRALS This certificate must not be altered in any manner; return to the, office of the Board if incorrect. Inspectors may be identified b~ their credentials. , COPY ~0~ BUILDING DEPARTMENT. THIS ~PY OF CERTIFj~T~ MUST~T BE ALTERED IN ANY ~NNER. TOWN OF SOUT]~tOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765~1802 CERTIFICATION Building Permit No. Owner ~ ~ (please print) Plumber (~ease -pr i--FR~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. {plumber' s signature) sworn %O befor~m~e ~his ~__day of ~_~ .., 19~. qotary Public,.~ County 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ?~J'~AL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [/~ROUGH PLBG. []FOUNDATION 2ND [:~INSULATION []FRAMING [ ] FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: ~r~ DATE '/~'~ 1*'~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION lST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE' INSPECTOR , VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Toxvn Hall, 53095 Main Road P.O, Box 1179 Southold, NewYork 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: APRIL 3, 1989 NAME: KENNETH STRACHAN R.0.W. off King St. ADDRESS: Orient, N.Y. 11957 RE: BUILDING PERMIT # 15353Z ADDITIOn-expired 4/2/88 SEC. 027 BLOCK 04 LOT 9.3 This Building Permit has expired. You are now in violation of the Town of $outhold Zoning Code. Please contact our office, this matter must be corrected. Victor G. Lessard Principal Inspector '..w :/ ' .. ....,. ~ .. ~ .. ? ~ ~,~ : ~' .,. . ~_ .., '"' ~ RODER~K VAN ;"~i ............. ~.~ LICENSED LAND SURVEYORS , ~ 'GREENPORT NEW YORK "FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined. O~*'..&-..., 19 - C"'-,p._.~-,~O.~,. ~.. Approve(] '--,.-,~.. '. Disapproved a/c .................................... ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date .. ¢.~. ............ 19~. b. a. This 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. 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 nafne,--if a corporation) ' / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~. ' '('a~ 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 ~vork will be d, one~,..... ~ v-~ ......................................... House Number / Street Hamlet County Tax Map No. 1000 Section ..... .0..2..7. ....... Block ..... .q/ ........... Lot ............ .~..~-~... ~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction; 3. Nature of work (check which &pplicable): New Building ..... ' .....Addition ..... .%~. ·.. Alteration .......... Repair ...... ; ........ Removal .............. Demolition .............. Other Work ............... ~ (Description) Estimated Cost ~' o a'o o o Fee 4 (to be paid on filing this application) 5. If dwelling, number of dwallin~ units ·/. ......... Number of dwelling units on each floor ................ Ifgarage, number of cars ... '. ~./~ ....................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .. ~.~ ............... 7. Dimensions of existing structuies, if any Front /. G- Rear ~ o Depth Height .... ,~-ff. ....... Number of Stories... ~ ................................................ Dimensions of same structure with alterations or additions: Front -~"/ Rear ~' o~ Depth ..... .q.~. ......... ,... Height ..... 2 .~ ............... Number of Stories... ~ ................. 8. Dimensions of entire new construction Front ...2 ?. ......... Rear . ,7..~ ........... Depth . .-~. ........... Height .... 7. ~-. ....... Number of Stories .... ~-~ .............. ~ ................................... Size of lot: Front ,g.. ~.t~. Rear.. -~-~. Depth 7. ~,.9.: .~.3. Date of Purchase ...... ~.. ~ ................... Name of Former Owner ...... Zone or use district in which plremises are situated ..... ,~ . ~/. . .~.~..~..r~G~.W./~.~./../~..~-.. Does proposed construction violate any zoning law, ordinance or regulation: .....~/.q ......................... Name of Contractor ....... ~ .................. Address ................... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloci: number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ............................ i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed 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 mann6r set forth in the application filed therewith. Sworu to before me this : ........... /.~ .......... dayof ............. , 19 .fi/'.~ Notary Public, . . . ! ' - ""'~'-' ~--~- County ..... Nlffi~Y PUgLI~, e~ ' · ' (Signatur~ap ' ~ NO. 47078 plicant) Te~ Expires March ;,~ ~.~,...,~ / A,~PROVF..D AS NOTE. D il i_ , NOTII:¥ ~INO OEPARTM~T AT . . '¢~ ~ ISUPPLY SYSTEM CANNOT , ;;~:.~,:~.~&~? ~ T.. nC~g~~' -~;;~t ~xc~o ~/~o o~ ,~ L~. I THE~EQUI~M~TS~y ~ ~ U~ ': : ~~~. I , ~,~. o. ~.~o. ~. · ..:~. ~,'.';, .~..~.l, ...,.} ~, ..... ,,, ,][ , , : ,. , ,, , .,, , l, ,, ,'. ' ' : '. , . .,, ~ , .:: ,r-,-~.,,., ,,. . , , .;.,,, : i,J r<;., r-1. Ilo.t_ 24~ Mu~-L, ? III [ H A. ,i, APD:IT-I¢'F[