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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 ~~ /~/No Underwriters Certificate on fileo /Z/ The check is(outdated~no~_ton file_=.)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