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~ ': : ~~~.
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