HomeMy WebLinkAbout14945-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hal!
Southold, N.Y.
Certificate Of Occupancy
No ..... z..~ .49.5.3. ...... Date .... .0.q 6. 9.b.e.r...6: ................. 19.8.6.
THIS CERTIFIES that the building Addition & dock addition
2475 .B..ay. Avenue ~ Mattituck~ N Y': ....
Location of Property ~$ds~ 'No. Street /'/am/et
County Tax Map No. I000 Section . .1.4...4 ....... Block ...0.4.. .......... Lot ...0.5. ............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
N..a..y..2.1. ~ .............. 19 .8.6. pursuant to which Building Permit No. 1.4.9..4.5.Z. ..............
dated ....d .u.n.e.. 7 a ................. 19 .~.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 .........
Addition & deck addition to existing one f.amily, dwelling
The certificate is issued to Joan B. Halligan
(owner, I~eex~ ~,~r~x
of the aforesaid building.
Suffolk County Department of Health Approval .... N/A
UNDERWRITERS CERTIFICATE NO .......................
· N.769796 ........................
Rev. 1/81
FOR3~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPAR. T~ENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereb/granted to:
**..-~.~.~..~.~ .......................................................
.,(~L~. ,~.**.~.~,...~..:~:......!..c~..~.L ,
/ ,
to ,.~......~~...~..~........~...-'*~....~..~.~ ...........
at premises located at .....~?/,~.~..,~..~...~~......~...~.(~ ..........
........................................................................................
County Tax Map No. ]000 Section ...... ),..~...~.. ......... Block ...... ..(~...~. ......... Lot No......~..C ..........
pursuant to application dated ...... ~.~.....~....J~ ................. . 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
SEP 2 6 986 Hi
hiD,:,. I)I~ PT.
TOWN OF' SOU3HOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted III 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
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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15.00
Oate...~p~r.~,.~986 .....
New Building ............. Old or Pre-existing Building-, ~¢t[1;;L.t~pr~... Vacant Land .............
Location of Property . ?;,4?.5...Ba,v..A.~.e~u,e. .............................. ~'~.¢tzC]¢: ...........
House No, Street Ham/et
Owner or Owners of Property .. ~T. qa~ .~j.. ~a,3~Li~p¢..I ........................................
County Tax Map N o. 1000 Section ...1,4A ......... Block ...... .4 ........ Lot ....... ~ ........
Subdivision .......... ~/.A. .................... Filed Map No...N/.A ...... Lot No ...... .~./.A .....
Permit No. 1.49./f5..~.... Date of Permit .6/.7/.8.6....Applicant...S.t,.r~g~.TP.~..&. S..~.~ §p~t,A'~;$., .l~0,
Health Dept. Approval ...... ?/.A. .............. Labor Dept. Approval ....... ~/A ..............
Underwriters Approval . .E.n.c.lp.s,e~t. ............... Planning Board Approval . N/A
y C Yes
Request for Temporar ertificate ..................... Fina~ Certificate .......................
Fee Submitted $...5...qq. '.~f.~.~.~. .............
Construction on above described building and permit me&ts all applicable,codes and regulations.
Applicant .....................
Rev. 10-10.78 -
co
FIELD INS£JECTION
FOUNDATION
FOUNDATION
2.
ROUGH
(2nd)
FRAME &
?LUMBING
COMME~TS
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
88 JOHN STREET, NEW YORK, NEW YORK 10038
TNI~ CERTIFIE~ THAT
only the electrical ~ulpment ~ ~scribed be~w a~ introduced by the appl~ant ~med on the a~ve application number in the premises of
Joan B. Halligan, 2475 Bay Ave., Mattituck, N.Y.
i~ t~e follow~n~ Iocatlom~ ~ ~ase,~ent ~ I st FI. ~ 2nd ~. Section Bilk Lot
u~s examined on ~ ~ ~ O~ll) e ~ ~ ~ ~ ~. 9 ~ ~ and found to be in co,tpllance with the requlre,te~t.~ qf this Board.
FIXTURES RANGES C~KING DECKS OVENS DISH W~HERS EXHAUST FANS
FIXTURE
OUILETS
4 5
DRYERS
SYSTEMS
NO. OF FEET
R V I
OTHER APPARATUS~ ~
G. ~.C.I., -12
Quinlan Blectric
369 Bay Ave.
[Tampton Bays, N,Y.,
119~6
11c.#2859
GENERAL MANAGER
This certificate must not be altered in any manner; retur~ 4o the office of the Board if incorrect, inspectors may be identified by their credentlals.
COPY FOE EUILOING DEPARTMENT. THIS COPY OF CERTIFICATE K(UST NOT BE ALTERED INANY MANNER.
765-~802
BUILDING DEPT.
INSPECTION
FOUNDATION ZST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
, RB'MARKS:
[ ] FINAL
7GS-1802
BUILDING DEPT.
INSPECTION
~OUNDATION ~ST [ ] ROUGH PLBG.
FOUNDATION 2ND ~ ] INSULATION
] FRAMING
[, ] FINAL
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FRAMING
REMARKS:
[ ] FOUNDATION 1ST []ROUGH PLBG.
[ ] FOUNDATION 2ND []INSULATION
[]FINAL
]'65-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
DATE , INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803
..... .... ,19
Examined i ....~.~
Approved l.~q[..~.., 19~eermitNo. !.?.~..~..~.'7..~
Disapproved a/c .....................................
TOWN OF SOUTHOI.D
Received ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . ?a.7..2.0. ........... 19.8.6.
INSTRUCTIONS
a. This application must be completely filled in by type~xriter 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 necessar~, ~c_ti,~.s~2~.
...............
(Signature of applicant, or name, if a corporation)
P.O. Box 88 Aquebogue, N.Y., 11931
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of premises . .. Joan. Bo. Halligan ......... : .............................................
(as on the tax roll or lategt deed)
If applicant is a corporation, signature of duly authorized officer.
......... ........................
· '(N~/ne and title of cprporate off' )
Builder's License No..../+.6.7 ................. . ..
1701 P
Plumber's License No .........................
Electrician's License No. 2.98.3.9 .E ...............
Other Trade's License No ......................
Location of land on whicli proposed work will be done. 2/+75 t~7 AYenue
............ Mattituck 11952
House Number Street Hamlet
County Tax Map No. i000 Section' . . .'i . ..... .I/d+ ..... Block . ./+ ................ Lot ......... ~ .........
Subdivision ........ ~/.A ........................... Filed Map No. .N/A .......... Lot .N/.g ...........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... ~.a.~.n..d.u.e.l.~5:.n.g..J:..f.a.m. 5:.l. 7. ...........................................
b. Intended useand occupancy ...E~.a.X.r.°.°.m.... d~/'¢'¢¢~.. · :. · 7· ./.~./.~. · .''~. .t~/ Jrt, ...................
3. Nature of work (check which applicable): New Building ... ' . Addition.. ? ....... Alteration .... :.
Repair .............. Removal .............. Demolition ........... ~.. Other Work ....
~ [ (Description)
4 ti d C ~2.,0. 0.0.0.
· Es mate ost.. , .............................. Fee .......... i ...........................
~' (to be paid on filing this application)
5. If dwelling, number o f dweilin~g units .... .3 .......... Number of dwelling uniti on each floor...3' ............
If garage, number of cars . .ny.a. ....................................... i .......... h'/a ...... i ........
6. If business, commercial or mixed occupanq¥, specify nature and extent of each typp of use ..... !:; ..... ' ........
7. Dimensions 9f existing structures, if any: Front..36 ........... Rear ...36.. i ...... Depth..k// ...........
Height ' ' ...15 ....... Number of Stories .... 1 ....................... i ............................
Dimensions of same structure with alterations or additions: Front . .Sfi. ........ I .... Rear ..... 5.q .... ........
pth ight f ~t
De . /+4- He 15 Number o ories
-- 8. Dimensions of entire new construction: Front . .15. Rear AS...i ...... Depth .24.
Height ...10 ........... Number of Stories. '3~ .......... ' ' ' ' ........
9. Size of lot: Front . .. 12~,~2.:: ..: ...... ~..~.~ .Rear ........ 120,35 ........ Dep*~ 385 .&.333,40 · · i ..... ~ ....
10. Date of Purchase .. ~,Iay. '1976 ....... ' ............ Name of Former Owner [. I3s,~q~cl .Baldwin '
11, Zone or use district in which premises a~ situated ,~o~$cl0~$~
12. Does proposed construction violate agy zoning law, ordinance or regulation: ..g.o.i ...........................
13. Will lot be regraded ...N..0. ....................... Will excess fill be removed from premises: Yes No
14. Name of Owner of l~remises ...... ' 298-5156 --
.............. Address ........... , ..... 1...Phone No ...............
· yankee Energy Savers ,,~.,, '~zz~ Roano~re AV,I Ehd~,, ,, ' 369 266,5
Name of Architect ................... ~,~ ~nuress .......... ~ rnone No . .. -~ .....
Name of Contractor St=ick=oth .& .sun .Const..I. ncfl~ddress P. 0Dax .g8 .Ac}ue. ho.l u.~. Phone No..722d+62~5 ........
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 shoo street names and indicate whether
interior or corner lot.
see survey
STATE OF NEW YORK,
COUNTY OF ............. .... S.S
........ ?ed.J.. s~ricktoth ........................ being duly sworn, depo~es and says that he is the.applicant
(Name of individnal signing contract)
above named.
He is the .................. Contractor ...........................................................
(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 am true to the best of his iknowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith·
Swum to before me this
.............. · ~.[ ....... day of .... '~..6~. ........... 19 ?.~. ~ , ,
.............. County .._. ._~: ~ ~ ~ __
-~- -ll~-~. -.-~~ '/'
j ~
FEE: .~ BY "; ~
~ BUILDING DEPAR~/~NT AT
FOUNDATION - 'l~VO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING ~ PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION _MUST
BE COMPLETE FOR C. O.
ALL CONSTRUCTION SHALl' MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODE~,. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
APPROVED AS NOTED
NOTI~ ~UILDING DEPA~M~T
765-1802 9 AM TO 4 PM ~R ~
FOLLOWING :iNSPEC~ONS:
~ FOUNDATION ~0 REQUI~D
FOR POURED CONniE
~ ROUG, ;~AMING & ~UMBING
3 INSULATION
4 ~INAL CO~STRUC~ON MU~'
&~ CO~E ~R C.O~
AL~ ~:O~S~'~UCTION ~L ~
TH~ ~E~UIP~MENTS OF THE N.Y
~ATE CONSTRUC~ON & ENERGY
~ CODEEL, NOT RESPONSIBLE FOR
; rlESIGN OR~¢ONSTRU~tI'ION ERRORS,
uSE IS
w THOm'
'OCCUPANCY
APPROVED AS NOTED
D~TE:~ &)~Z?~ R.P~
N~I~ BUILDING DEP~RTM~
7~6-1802 g AM TO 4 PM ~THE
FOLLOWING. INSPEC~ONS: ~ ~'
1 ~UNDATION ' ~0 REQUIRED
2 ROUGH FRAM NG & ~UMBING
,' ' 3. INSULATION
~ [ ~ 4~ FINAl- CONSTRUCTION MUST
; ~ i ~ BE COMPt,ETE FOR C.O...~
,~ ~ ALL CONSTRUCTION ~ALL M~ I
~*t ' . .' ~, r J~