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