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HomeMy WebLinkAbout14921-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy .Z 15095 November 14 86 No ................. Date ................................. 19 ... THIS CERTIFIES that tile building Addi.t. ion. ' ~cl 1 Location of Property . 1530 S3,~{s. bee Rea Laure House No. Street Hamlet County Tax Map Ho. 1000 Section [44. .]Block 01 ..... Lot 008 Subdivision ............................... Filed Map No ......... Lot No ........ ..... . conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... A.~ .r.i.1.. 4. ........ , 19.8. 6. pursuant to which Building Permit No.. 1..4 .9.2.1. Z. ............. dated ~a.y. 30 ........... 1 86 ............... 9 .... 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 ......... Addztxon to ex~stlng dwelling. The certificate is issued to James and Vera Taheny (owner,~Z~ of the aforesaid building. Suffolk County Department of Health Approval .... NJ, h .................................. UNDERWRITERS CERTIFICATE NO N76. 9797 ' · ~Building Inspector .... Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission ~s hereb/granted to: ........... ..................... ..... /.~./:....././ .......... Z.o. ............ ~a,~,~. ....... ...... ~.~.~.~.rc~/~...~..~..~..../(.5..~..'7 ~o ................ ,r.~. ........... .............................................................. ~~ ......... ~...-...~....Y..... ...... the Building Inspector. B~ld'mg Inspector Rev. 6/30/80 FORIVl NO. B TOWN OF SOUTHOLD Building Department Town Hall Soutbold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ThL~.analication must be filled in ..ty?writ~r _O.R..!_n_k., and submitted ~ a~am,~a to the Building Inspec- TOWN of SOUTHOLD Receipt NO. ~ 0 / ~ (j) Town Hall Southold, New York 11971 -- ......... .......................... :..~.. /L ~ o ......... ~ .................... ~ ~ / O0 ~o~ ~O,~ g/~9.~ ~.~-' ~ ........................................ ................................ ~..., .................. ~~ ......... ~....~. Fee for u ...................... Fee for Fee for Fee far ~rtificate  Chsh : ................ ~..~. ~ .................... Building /nspector Location of Property .................................. - ~' '~ flamlet ,o,,o ~o. x~..~.~ //S~e, ~.r~ Owner or Owners of Property ' · .C~'..cff~.¢4~...~'~':f~.--;% · · J'. l.~'. ~. ~:~ .2, ~ ....... co,,,~ T,, ~,, ,o. ~ooo S,c,io, ../.~..L ..... ,,.,-~ ~/ ,~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. .e~ ~,,~. Date~f Permit ,~ ~ ~.App cant .. g ........................ Health Dept. Approval ........................ Labor Dept. Approval ........................ ~/ .._ ~de~riters Approval ~.'~ ~ '~.~ Planning Board Approval Request for Tempora~ Certificate ..................... Final Certificate ....................... ,~ su~,,.. ~ ~,.~.() .................... Construction on above described building and~, errnit meets all applicable codgs and regulations. ooo? 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~ BUREAU OF ELECTRICITY 1 85 JOHN STREET, NEW YORK, NEW YORK 1003.8 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and in troduced by the applicant ~med on the a~ve application number in th~ p~mise~ of Ti~iny, Stgsbce Rd., ~ain Rd.-Paco~ic Bay Blvd.~ ~fattituck, N.Y. n tbefollowinglocation~ ~ Basement ~ Ist Fl. ~ 2,,d FL Section Bilk Lot ~s exatnlned on ~ ~ ~¢~lbc F ] ] ~ ~ g ~ ~ attd found to be in cot tpl ante u' th the re t ~ire,~ents of ti is Board. FIXTURES RANGES C~KING DECKS OVENS EXHAUST FANS FIXTURE SYSTEMS OTHER APPARATUS: E R V I C 4 OF HI,LEG NO. OF NEUTRALS OF NtUTRAL 4 Richard Rely~a ~~d~ PoO, Box 372 lic.#2148E L~ure, 1 ~ N.Y., 11948 GENERAL MANAGER 11 ,, /~ must not be aJtered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST ~OT BE ALTERED IH ANY MANNER. BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IHSULATION [ ] FRAMING REMARKS: , )FINAL DATE , ~ ~/ INSPECTOR BUILDING DF. PT, INSPECTION FOUNDATION XST [ ] ROUGH PWG. FOUNDATION ZND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: Pd~-'~-- ~t-/.~'/~ ~-~/,~/~'~ BU: LD' NG DEPT, ' SPECTIO ]FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE .... ,~/'//~ INSPECTOR 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST' [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~/ ~ ~ DATE , F~ ~ iNSPE~OR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FLUSHING SAVINGS BANK 961-5400 5/27/86 To: Mr. Hinderman: trust the enclosed plans are now satisfactory. I am having a friend of the family do the renovation for me. I have or would like to make one minor modification on the plans -- make the room on the right hand side smaller (move the wall to the right of the opening of the existing door rather than as shown). If you have any questions, please call me. ~'~Thank you. Vera Taheny $-01 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL for pemit to ~ ~?~i.. ~~ .......................... at Location of Property .~ous~ ~ ~o. .... ~ ~' '~'~ ~' ..... ~4~~ ..... Street Hamlet County Tax Map No. 1000 Section ...~ ...... Block ...O/ ........ ~t . .QO ~ ...... Subdivision ........ '-7. ........ Filed Map No. -- Lot No ....... '"'?. ......... is returned herewith and disapproved on the following grounds ."~2Z~(~..~/~E-./r~Q~.'~. ....... ~c~r~.~.. ~... ~,~.. ~ ~~.. ~ ~ ~... ~/~ ~... ~~. ~.~... ~~..o ~.. ~~ ~..w.. . ~ ~., ...,~ ~¢ .~. ~.. ~.~.. ~ ,~..~~. ¢ .5~ . .~~{~CA..~ ............................................. ~ ~ 7~ .. ...,...~~~... ~m-.Q~-..~7~¢~..~..~... Bu~ldin~ Inspector RV 1/80 1530 SIGSBEE ROAD Work To Be Performed 1. Extension: 15 X 28 Two Rooms: 15 X 18 15 X 10 2. Replace new shingles extension). feet on entire roof (including main door. insulated. reinforced mesh with concrete and tie-down bolts. 7. Two outdoor lights. 8. Install two vented skylights. 9. Install two interior doors. 10. Electric work to code. 11. Install storm door and new outside 12. Insulated all walls (R-19) fully 13. Concrete slab and footing to code. Steel (Raise roof 3 to 6 feet to get proper pitch Install new vinyl siding, brown vinyl trim, gutters and leaders. of house. 4. Square-off left rear corner, 5. Sheet rock and spackle b~t~%ooms..';"J~ 6. Six foot sliding glass dooC on left side. 'FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11(371 TEL.: 765-1802 Examined.. ~¢~....f.C~..., 19~.. Approved ./~¢~e¢....~...., 1~. Permit No../.~.¢~.. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS :eived ........... , 1 BLDG. DEPT. TOWN OF SOUTHOLD 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 applic~tble laws, ordinances, building code, housing code, and regulations, and to ........ ,*~-:~.~ :~ ~+ ..... ' ...... ,4 ',, b ..... n.~ for ~.~ii~g.?7~e o ~ ~'~o; ~_o r a~t i o n ) .... . /. . ...... '~v ~'~' -~/l"ilin¢ a "(Mailin~ address ot' applicant) State ~vhether applicant i~iessee, agent, architect, engine~ general contractor, electrician, plumber or builder. ............... . n.~' ·: ......... - ..... ~;¥)' 'E./ ...................... _¢.z¢ .... .a ........... ¢'l'as on the tax roll or late ) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) / Builder's License No. ~ ...... .~L-~- .?..~..... Plumber's License No .............. .// ......... Electnc[ans Lzcense 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 .... /¢¢ ........ Block.. ~./. ............ Lot...~..~.../~. · ....... .. Subdivision ................................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ..'~.~~¢ ~'F~ ~ bl Intended use and occup an cy '~5~~~.' ~ · ' ',' 3. Nature of work (check which applicable): New Building . ' .. Addition .......... Alteration ..... .~.. Repair .............. Rembval .............. Demolition .............. Other Work ........... ~.. 0i ~'~ tbSr00.0. 00 ~ 450 00 (Description) 4. Estimated C s ...... : .... ,~. ............. Fee ........ ' ............................ 4, (to be paid on filing this application) 5. If dwelhng, number of dwelhn~ ...... / ....... Number of dwelhng umts on each floor.. ~. ........... If garage, number of cars . . . ~ .............................................. j//]~ ............. 6. If business, commercial or mixed occupancy specify nature and extent of each type of use ../g/t"~ ..... s ........ 7. Dimensions of existing structures, if any: Front .~. .. ~..~./. Rear .... ~.~ .... Depth .~tg...: ........ Height ~./~ . .~..~/.O.t . Number of Stories . ~. ............. ~..~ ...... Danen~8~_~if%~tmeture w~th alteratmns~or add~tmns: Front ..... ~ ~..t... Rear .... ~r...~.'. ........ Deptl~ . ~.~,57-../. ......; ....i. ·. Height .~--e/~tr~.~. ............. Number of Stories .... .~ ................ 8. D~mens~ons~of entire n~w const~uchon: Front ... ,2- .~. ....... Rear ...-~g' ~. ........ Depth .,3~. ......... 'Height .~..../~/.~t~-~... hlmhber of Stories .... .~. ....................................... z_ ......... 9. Size o,flot: Front .. ~..r.~.. i ............ Rear .... .'%~. ! ............. l~epth ~ ./._~.~ .~..~-~ ........ 10. U te rP 'oh se ] ............. Name o Fo 'mer Owner .B ............. 11. Zone Or use district in which premises are situated ...................... 12. Does proposed constructi~ofi~ vi0.1ate any zoning Iaw, ordinance or regulation: ..................... ;~ ...... 13. Will lot be regraded .../~./9.~. '~ ................... WilI excess fill be remove, cl. from premises: {.~es j No 14. Name of Owner of premise~7/'~'~52.a~.~.~ .~..a..~. Address/.07/. -f/..~.~. ?.al../~. ~hone No. ~/~5~~~.. Nme of Architect . , .'.~.~ ..... Address ...... ... Phone No..; ............ " ' ·': .... . ..... Address ~ ' ' -~ :'~;: Phone No~' ~ ~; ,;~' 7 Name of Contractor,s/) 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 show street names and indicate whether interior or corner lot. , STATE OF NEW YORK, iSS coJ. t ' OV ........ ..... , ... '.~~. ~.~i ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contra~ above named. ' ~..~ ,,o He is the ................. i' ' ' (Contractor, agcnt, c~ri~or~t~ of said owner or owners, and is dgly 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 man,er set forth in the application filed therewith. Sworn to before me this ; Notary Public,..~.~..~..~.,.~~County ,.~/ ~'~~ ~ =1 ltqlqx~ =1 llqlqx ~ ":'~ ' ' - ' .,4 llqlqx~!