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HomeMy WebLinkAbout14893-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16597 Date January 20 1988 Replace existing windows with larger THIS CERTIFIES that the building . 'b'a'~ ' ~i'r{d 6~ ................................... L~o+i~n~¢p ..... t,, I 1185 Soundview Avenue Southold .N Y. House No. Street County Ta× Map No. 1000 Section .... .0.5.~ .... Block ...... .0.5. ...... Lot ... 3. .9 ............ Subdivision ............................... Filed Map No ......... IL.et No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 13, 1986 pursuant to which Building Permit No. 14893 Z dated ,..Mil?...I .5. ,.. J .9.8.6. ........... 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 ......... REPLACE EXISTING WINDOWS WITH LARGER BAY WINDOW AS APPLIED FOR The certificate is issued to EDWIN L. & SHERRY THIRLBY ..................... ?o¥.'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... N./..A .............................. N/A UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 ]gOll~M NO. ~' TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ*AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14893 Z Permission is hereby granted to: .... ............. .... ~..a.~.....~.~.~......~.'.~..~ ........ . '"~"~"~, ...... ~.:.%. ...... L~..o..~.q. ....... , c~......~....4...~._:.7:.~..i~ ............................ ; .......... ~ ............ ~....: ......................... o, premises ,oco,ed o, ..~.U..~..~....~~.~.~....b~........~*'~7.~.Z~ ............. County Tax Map No. lO00 Section ...... ..0...~...~. ...... Block ...... ..~...~'~. ....... Lot No. ,..,~..Cj ............... Building Inspector. Building Insl~ector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG, DEPT. TOWN OF, SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2. Sworn statement of owner or previous owner a.s to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premis~s, or other pertinent informa- tion required to prepare a certificate. Fees: Additions $25.00 FOOLS $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 $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O." $ 50.00 Date .......................... New C on s t r u c t J on ...... Old or Pre-ex isting Building ............ Vacant Land ............. Location of Property .................. _... House No. Street Ham/et Owner or Owners of Property . .~--~...~.U//..~ ~. ,,~ ..~.~...~...~..~ '.~./..~.~.~ .'. County Tax Map No 1000 Section ~..-~.~'--5-- 37 .............. Block ............... Lot ................ Subdivision ................................. Filed Map No .......... - .Lot No ............... Peri, it No. [.z~. '~. ~3..~. Date of Permit .~-/~.~...Applicant. ~.~./~..~..~../~.~. Health Dept Approval ' Labor Dept Approval Rev. 10-10-78 Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempora,~ Certificate ..................... Final Certificate ....................... Fee Submitted $.'~'~. . .~...~.'; .~. ~. Construction on above described building and permit meets all applicable codes and regulations. FIELD INSFECTION FOUNDATION FOUNDATION (2nd) COH~E~TS ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD O1. I'ICF OF IIUILDING INSPI'~CTOR I'.O. 13(.)X 728 TOWN IIALL .';t)U I lIOl. I), N.Y, 11971 December I, 1987 TEL. 765-180? Mr. Edwin L. Thirlberg 629 East 6th Street New York, New York 10009 %~,r: ,{lo unnbl(~ to completo, your Certificate of. ()(.',':l[.lllc'~r })r o"rtl.,<.-, .of' ['he fo].lowinrj reasons. /~'/ /',q .,l:pL.icatlon for Certificate of Occupancy i': mC on li]~. (ENCLOSED) /-/ I:c~ :!~u~].th Dept. hpproval on file. /'/ I:, fin;~l in.; (.ct ion has been made. $25.00 l'l,,,w;~, toni.ecl, our office on this T}h~hk '/OU £Or your cooperation. ~/ / matter. ri,> l'lumb,~r :;older Ceri:ificate on file. ( all p(.~rmitt; involving plumbing being Jn?,ur.~d after April 1,1984 ) Occupancy or uso ~s unlawful without a Certificate of Occupancy. clonr up this matter as soon as possible so that legal action does not bare to be taken. 'I'h au k you. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .'~....~ I ~ 19g.~, Permit No./.~..~.~ ~'~=' Approved ....... ..~ ...... ...- Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS 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 h3spectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ~ ........ i giiifi 'fifi ress of gppli~ant) t State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ............ ......................................................................... Name of owner of premises ....~...~./..~....L:..'77./~./.~..~.~.G/ .... .~.~..~......~.~'//.~-. ~ .~...(7(.~.../ff~...L=!/~., ...... (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. .~1~]) ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...... .~ff.L/t ........Block ..... .-~-'~ ......... Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .... 5 ~ff..t~. · .~. .... ~.~..~. .... ~.30. (. ·~. ................................. interior or corner lot. 3. Nature of work (check which applicable): New Building .......... Addition .~ ......... Alteration .... Repa/r .............. Removal ............ Demolition .... ' ......~.... Other Work (~Q~.~ .f_).. : (Description) 4. Estimated Cost ........................... Fee ......... . ............................. (to b~ paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uhits on each floor ................ If garage, number of cars .......................................... j ............................. 6. If business commercial or mixed occupancy, specify n~ture and extent of each tbne of use ......... 7. Dimensions of existing structures, if any Front ~. ~'." .... Rear ,P~.' TV' Denth ' ~.'] U (o" .... Height .... [ .~. 5; ~. .... Number o f Stones .../. ........ Dimensions of same structure with alterations or additions' Front ~,,a.' 'd~'~ ....... l~;~r' ' '~.' { '~'a ........ epth .... .~l.../~ ........... Height ...... t' .~....~ ......... Number Of Stories .... ./ ................. 8. Dimensions of entire new construction: Front ............... Rear ...... j ........ Depth ............... · T ber of Stores ........ '.' '-~'t .... A ........ 9. ~H.e~ght ............. ;a.,?~m o . .................... 1 0. Date of Purchase ............................. Name of Former Owner i.. ;~R.. ~..O.. 1 1. Zone or use district in which premises are situated ....................... j ......... . .......... ~ ..... ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..i~/~' ......................... 13. Will lot be regraded ........ ~O. ................ Will excess fill be, remo~ed from premises: Yes No 14. Name of Owner of premises ~"P/,q.~..7'~t../~./-~ ..... Address &~.q..~-..~, .d.[/~6].. Phone No2-22-:,,~.ffq~-~3.~fl... Name of Architect ....... ,~ ........ ~ ..... ,,.. Address i ~.~i .~i ': ..... Phone No ......... Name of Contractor ~.4 PI..~..~'1/.'/~ .... ~,..lO... Address . ~ .....Phone No. '~ ¢.~...-/.fo.. 15. Is this property located withinl.o0 feet of a tidal wetland? ~ Yes ..... No . · If yes, Southold Town Trustees Permit may be required. !. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and shbw street names and indicate whether STATE OF NEW ~'ORK, 'COUNTY oF.. ........ s.S ...... .......... . c'ti being duly sworn, deposes and says that he is the applicant above named. He is the .................................. ~..~..n...~.. ................ . ............................ (Contractor, agent, corporate officer, et~.) of said owner or owners, and is duly authorized to perform or have performed thelsaid work and to make and file this application; that all statements contained in this application am 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 ,[ IDENNI8 D~ $1MONE 15 .~.) .~. f 7-C Notary Public, S~ate of New York · No. 24-4~76461 .................... day of ................ 19 . , . Qualified in Kings County 0x42 OOmmlaslon Expires March 30, Notary Public, . .............. F~ .(.~..~_~ .......... County ' (Signature of applicant) ~ 0