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HomeMy WebLinkAbout14718-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17188 Date AUGUST 11, 1988 THIS CERTIFIES that the building Location of Propert~ 710 House No. County Tax Map No. 1000 Section 31 Subdivision oNE FAMILY DWELLING CEDAR LANE F~IST MARION Street Hamlet Block 6 Lot 5.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated I~ARCH 27, 1986 pursuant to which Building Permit No. 14718Z dated MARCH 31~ 1986 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING W/COVERED PORCH AND DECK. The certificate is issued to MRS. RICHARD E. MC MANUS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 86-SO-05 7/26/88 N022436 K.& K. PLUMBING & HEATING 8/10/88 Rev. 1/81 Inspector FOP,~ NO. ~ 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) 14718 Z Permission is hereby granted to: ...... ...~..;....~.~.~.....~~ .............. ,o County Tax Map No. 1000 Section ...... .l~.,,~.,...! ..... Block ..... .(~)...(0. ....... Lot No....~..:..I ............ pursuant to application doted .......................................... , 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 FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ammmmaa 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, Industriat buildings, Multiple Residences and similar b~ildings 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: - gs and unusual natural or . . ALICE MC MANIJ$ / o¢'3688 of buildings, 96 WEBSTER STREET ~ 19 WESTBURY, NY 11590 J :)r other pertinent informa- l.12/280 CI-EIVI CAL[ [j [ / Owner or Owners of Property .. ~D.~f. ~~.. ~:. ~.~ County Tax Map No. 1000 Section ............... Block ....... O.00 :ant Land ............. ....... · ot .... ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... FeB Submitted $..,'~ .................. Construction on above described building and permit meets all'applicable codes and regulations. ~'~"~-~-[-][ '~"~ Applicant Mrs. Richard E. Mc Manus Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Date Building Permit No. I qq Owner ~k. ~/f~C~k3 (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Swo~rn .~o before/aqe this Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 ,IUL¥ 19, 1988 z~']5'~;;186/86 Dat~ ~lppllcatlon No. on file THIS CERTIFIES THAT ~y t~ ~t~c~ ~uipment ~ ~H~ ~ ~ int~uc~ by t~ ap~ant M~ on the ~ ~t~ au m~r iff t~ pMm~s of ~ICBA~9 ~c ~AN~]S~ CEP~R L~NE, h~s ~ON, ~.Y. ~ examined on and found to be in compliance ~ith the requirements of this B~rd. RXTURE RXTURES RANGES COOglNG DECKS OVENS DISH WASHERS EXHAUST FANS SERVIC~ DISCONNECT MOTORS: 1-1 H.P. G.F.C I:-g SMOKE DETECTOR :-2 S E R V I C E ! ~/0 J [11 !0 PAUh R. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. F1ELD INSI~ECTION FOUNDATION~(lst) FOUNDATION (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: North Fork Dryw,all & Insulation Inc. P.O. Box 1230 Mattituck, N.Y. 11952 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~/I~NAL / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~TION FRAMING r~/]' FINAL // 7G5-180:) BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. ZND [ ] INSULATION ~INAL ~cc~ ~£ DATE_~///f , INSPECTOR INSPECTION~~ ~, [ ] FOUNDATION 1ST [ ] ROUGH PLBG. '~'~, FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:~/~_.,,..~..~ DATE: INSPECTOR ,' / 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION []FOUNDATION 2ND [ []FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL 765-1802 BUILDING DEPT~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ REMARKS: FINAL 765:"802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~UNDATION ZND [ ] INSULATION [~"] FRAMING [ ] FINAL REMARKS: ~ DAT~ ~~ 'NSPE~O' ~~ 7GS~X802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. / [~]/FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR 7GS-~SQ~ BUILDING DEPT. INSPECTION ~_ FOUNDATION 3LST [ ] ROUGH PLBG. FOUNDATION 2ND I' ] INSULATION [ ] FRAMING FINAL DATE//~ ,, FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ..~.~. ~t.g~ ...... . ~..~...~...~...o~,.. ............. .~.~...~~.~ .~..~.,.. P[~AS~ T~rE ~OTIC~ that your application dated ... ~.~.~. ~7 .......... 19 ~¢.. for pe~it to construct.. ~. ~. ~. ~.~~ ....................... at Location of Property .. ~./.~. · · ~ ~..~ ..... _.~.~..~~. · · ~.'~.: ·: · House No. 3treet Ham/et County Tax Map No. ]000 Section ..... ~.~... Block ...... ~ .... Lot .. ~t .~ ....... Subdivision ................. Filed Map No ................. Lot No .................. i~ ,~tu~n~d .~wit, ~.d ~i~app~o~ed o. th~ fo~owm ~o..~. ~:~ .~..~. ~ ~.~. ~ .~.~..~~..~~.. ............ ........... Bulldog Inspector RV 1/80 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined Approved Disapproved ~/c ..................................... ................................ .... (Buildin~ APPLICATION FOR BUILDING PER~IT BLDG, DEPT. L :' TOWN OF SOUTHOLD Received ........... ,19... Date ................... 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 Buildhag 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 ins~ti~ns./~,.~ -- -- ~/-~._,., ..... r./.~..~r.~ ........... d .... ~;:plicant, or nam~e,if a corporatio ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber oor btfilder. ........ : F~co~2c Name of owner of premises ...~/..c'.~..~?. ?...?..../~. :.../~..,M/.&'. f. ....................................... (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...O...L~..~t.. ?'..~. ............ Plumber's License No.. Electrician's License No..(?..t~....Y~. ~_..~ ........ Other Trade's License No. ~. ~ 'eX ,c~_ ~ 1. Location of land on which proposed work will be done .................................................. ............................. ..... ..... ........ House Num her Street Hamlet County 'fax Map No. 1000 Section ..... ~.. ! .......... Block ........ ~ ........ Lot .... .'~..'/. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .......................................... Nature of work (check which applicable): New Building ... ~ ..... Addition . . .... Alteration .......... Repair .............. Removal ............. Demolition .......... ~ Other Work ............... J[ ~ ~./t~O~" (Description) 4. Estimated Cost .................................... Fee ......... 4 ................ . ........ ' (to be paid on filing this application) a/ ' Number of dwelling unit~ on each floor 5. If dwelling, number of dwelling units .............................. . If garage number of cars . , 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ! ...... ~ Depth ............... Height Number of Stories ' Dimensions of same structure with alterations or additions: Front ............ ~:... Rear .................. Depth ...................... Height ................... Number of Stories.. · q(.¥ ' ................... 8. Dimensions of entire new construction: Front ............ Rear .... '..~. ..... Depth .... .~.~. ~ ....... Height Number of Stories 9. Sizeoflot Front ~../.07..4¢ Rear ,,go~'7o~/ i~o,,*h //5'~ 7~- 10. Date of Purohase ..... ...... 'i'.. 11. Zone or use district in which premises are situated ......... [ ...... . '. ........ 12. Does proposed construction violate any zoning law, ordinance or regulation' ' ~'i"i'ii .... i, 'iii ...... 13. Will lot be regraded ...... ,~ .................... Will excess fiI1 be remove~l__from premises: Yes No 14. Name of Owner of premises~q/'?.~.~q. ~.~./~..._e..~..~d??4 Address ~.d...~.aq47.~.~..,3.7.A/./~.V,o.v.~. Phone No. ~.?.~. ~. ~7 Y..6.~ 7 ~.. Name of Architect ..~..u.~J?.[.d..ky..,eO.~..~. ........ Address ............... i · · · Phone No ................ Name of Contractor Oo->~e~ Address ' Phone No 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, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the' applicant (Name of individual signing 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 shid work and to make and file this application;that all statements contained in this application are true to the best of hisI knbwledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this (Signature of applicant) ~.~0 40 30 P,. ./ ,'% (,¢>,c/,.~ r:) I Oz . 0 location have, been inspeeted ot~r ~ f~ // L II copper tubing I,~ uled for water distributing system; piping ahall be of type..K or L only SOLDER uSED IN WATER SUPPLY SYSTEM CANNOt EXCEED 2/10 of 19~ LEAD. ApPrOVED A~ NOTED ~, ~LDiN~ DEPARTMENT NOT ~ FOLLOW NG SOUTHOLD LUMBER CO., INC. YOUNGS AVENUE SOUTHOLD, N.Y. 11971 765-2552 765-5444 SOUTHOLDLUMBERCO.,INC. YOUNGSAVENUE SOUTHOLD, N.Y. 11971 765-2562 765~ $OUTHOLD LUMBER CO,, INC. YOUNG8 AVENUE $OUTHOLO, N.Y. 11971 765-2552 765-5444 HHH I SOUr'HOLD LUMBER CO., INC. YOUNG8 AVENUE SOUTHOU), N.Y. 11971 766-2652 766-6444 t~ SOUTHOLD LUMBER CO., INC. YOUNG8 AVENUE $OUTHOLD, N.Y. 11971 765.2552 765-5444