HomeMy WebLinkAbout14741-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ..... ~z.].~ ~)~3 ...... Date ...... p.e.c.e.m..b.ey..2..3, ............. 19...86
THIS CERTIFIES that the building renovation to existing one farail¥
dwe~ I zng.
Lo ati ofProp ty 224 'Bridge Street' Greenport, N Y.
C on er .................................. 2 ................. ' ...........
House IVo. Street Harnle~
County Tax Map Ho. lO00 Section .. 9)b ....... Block ....p,3 ......... Lot .... ~,3... [ ........
Subdivision Filed Map No Lot No .......
conforms substantially to the Application for Building Permit heretofore FLied in this office dated
.Ap.r.~l. 4, . ,19 8..5pursuant to which Building Permit No.. 14.74 [.z
dated ... AP. r..5_ .1..5., ............... 19..8. 5, 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 .........
of todays code.
The certificate is issued to ROSEMARY W. GUTWILLIG
tow.er, ;~f~g~akf~XX : ......
of the aforesaid building.
~/A
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO . .~ 7. .7.92 l 6 . .
Plumbers Certification dated October 24, 1986
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)
14741 Z
Coun~ To× Mop No, mOO Serlio. ...... .C>...S....~ ...... Block ...... ..m...~ ....... Lot No ..... ~.g.,..~ .......
pursuont to appJicotion doted ........ --.~.......~ ...................... , 19.~..~.., ond opproved by the
BuiJdlng Inspector,
Building Inspector
Rev. 6/30/80
FIELD INSFECTION COMMENTS
FOUNDAT~ { 1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
C
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
TO Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
/_~ An application for Certificate of Occupancy
is not on file. ~~
/~/No Underwriters Certificate on fileo
/Z/ The check is(outdated~no~_ton file_=.)
/Z/ No Health Dept. Approval on file~
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ L X -~- ---~-~ Z
Building Dept.
***/~/No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
THE NEW YORK BOARD OF FIRE UNDERWRITERS
10010~)3 [BUREAU OF ELECTRICITY
[~hg 85 JOHN NEW YORK, NEW YORK ~O03~
STREET,
.~,. November 14, 1986 ~pl.l,.,.m,~o.o./,,~ 404973/86 N 779216
THIS CERTIFIES THAT
R. Gutwillig, Bridge Street(Ste~ling Place)Greenpo~t, ~
~ovember 06, 1986
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWfTCHES
17
DRYERS
SERVIC~ DISCONNECT
1
:)THER APPARATUS:
~.lectricroom heaters: 5-1.5kw., 1-1.25kw., 2-. 75kw., 4-. 5kw.,
2-G.F.I.
1-Smoke~ 'detector
1-4.5kw., Electric water heater '
7-Thermostats
8- .~ feet track light
3Lights ~' ' :I; ~ "
. Cu[ehogue, ~Y 11935 Lic#294J~ ~'. ~ ,: , .
'hi~ certitude mu~ r~n to t~ o~fJce of the Board if incorrect. Inspectors may '~ide~tified by their' credentials.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
(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)
765-1802
BUILDING DEPT.
INSPECTION
~._FOUNDATION [ ] ROUGH PLBG.
1ST
~-~ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
REMARKS: ~/~~..~.~ ~
~NSPECTOR~
~ ,~ ~ : .;DATE ~ ~77~/INSPECTOR , ,-*
765-~,802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ R~ouGH PLBG.
FOUNDATION 2ND [ ] INSULATION
DATE '///~/ INSPECTOR/~~
765-X802
BUILDING DEPT.
INSPECTION
FOUNDATION
FOUNDATION 2ND
FRAMING
REMARKS:
ROUGH PLBG.
INSULATION
FINAL
INSPECTOR
'FORM NO. 1
TOWNOF SOUTHOLD
BUILDING DEPARTMENT
>TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803
BI. DG.
TOWN OF SOUTHOLD
Approved ~ ..~. .... 19~.le. Permit NoJ. t~.7........¢/~::
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 inspectors on pre~nises and in building for necessa~inspections. ~)/~ 0~ ,~ · ^^ ·
· ...................
( f applicant, or namq~ if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..... Ov . .'r:. ...............................................
Name of owner of premises . [~ O5 ~.M/q ~.~.. ~b}0. ~.OT. k2.1.&/_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 ..........................
Plumber's License No .........................
Electrician s License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
· e-I .............................. 6.. t0.e.o..eft ...................
House Number Street Hamlet ~
County Tax Map No. 1000 Section ...~..~. ............ Block ..... ~ ........... Lot .... b.'7.~. ...........
Subdivision..(, ]~.U.c~.~l,-IO.').(iq.a}]~i) ................ Filed Map No....~.~...~ ....... Lot . .i../d. ?..1.5.'7. ....
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,..55.1/9~, &ff.. I~./%./d.l.L,.hq....~-.~. $..I.D~t~ .C.~' .............................
b. Intended use and occupancy ....... $ .~..~..~'. ......................................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ~..~A~0gR. TI01
Repair .............. RemoYal .............. Demolition .............. Other Work ...............
(Description)
4 Estimated Cost ~'O~ ~ ~
I~ ~' (to be paid on filing this application)
5. If dwelling, number of dwelling ~nits ..... 1 ......... Number of dwelling units on each floor ................
If garage, number of cars .. 1~11. 4 ........................ , .........................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures:, if any: Front..30.~.~ .' ....... Rear . ~ O'..*/.'. ..... Depth . ~.$.*~ Y. ......
~1.*. N b fSt ~,
Height ............ um er o eries ......................................................
Dimensions of same structure wi~h alterations or additions: Front ...,~.~t~'~ ....... Rear . .:;~.~ff ...........
Depth .... ~ ~q.t~.~' ......... ~. Height . .~;~ ~q.~. ............. Number of Stories.. $.~ ~. ..............
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Sizeoflot: Front ' Rear ...................... Depth ..........
10. Date of Purchase p,l~8~6.~r~,-~... Iqfi'6 ......... Name of Former Owner ~/~$~'.~.LIt~b~.~,/.R.~&I..'[Ty'. ......
11. Zone or use district in which premises are situated ...........
12. Does proposed construction viol~te any zoning law, ordinance or regulation: .~O ............................
13. Will lot be regraded .......... : .................. Will excess fill be removed from premises: Yes No
14. Nmne of Owner of premises ~o~Ar~sg.~.li), ~tt~t0lt,~.t~ddress lO.q. I~/~.. &qff/.~aPhone No..t4.~l..~ .~.~..~.07...
Name ' ~
of Architect ........... : ................ Address .................. ;~Phone No ................
N~une of Contractor ...o~o~t~ ............... Address ................... Phone No ................
15. is thi's property located ~ithint.00 feet of a tidal wetland? * Yes ..... No ~....
· If yes, Southold Town TruStees Permit may be required.
i 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 n'umber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ..... S!. S
.. ~..O.~..~..~,l.~..~.. ¥....1~.,...~. O.T.~)' t ~'.¢./.q. ...........being duly sworn, deposes and says that he is the applicant
(Name of individual signi~lg contract)
above named.
!
He is the .................... . .~.i..~...~..~.~.. V...~..O.fl.,.~..'~. ~ GTD~. ..........................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, mad 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 are true to the best of his knowledge and belief; and that the
work will be performed in the manner ~et forth in the application filed therewith.
Sworn to before me this
......... ~.~.. ............ day of .; .(..g~2'cxd~ .......... , 19
5[otary Public, . ............. ~... County.
UND~ J. COOPBt : ~ ', (J ~3ignature of applicant)
Notary Publio, State of New ¥o~k
: No. 4822503, Suffolk Couqty~
Term Expires December 31, 19~-~
I
N,TD~2D'CO~ E,
_ M/~P'i.i OF PI?OPEi?..TY
.' 2.~EYED FO I;2.....
. ' ','F2}CII IAI2D DUCIIANO
TOW~_~ThOLD N ~'
~UFF CO. C-LE~'% OFFICE
TAW ~AP: DI~T. I~'~ECT;
,
PLUMBER CERTIFICA TI~)N
ON LEAD CONTENT BEFORE
<5':~; ~," :: ?L .t/,.,-~/,gr,/APPR~)VED AS NOTED
~: ~/._ ~ ..~,
'L_~r? .:
)C
G
C+
J, H, G£tDEMAN
NEw YORK
qb"
~2.0POW~.D