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HomeMy WebLinkAbout14749-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No,. z14815 THIS CERTIFIES that the building .... .O.a.r.a. ~?..&. ,s..~.o.p.a. 5 .e..b.u.J:..~ .d ~.n.~ ............. : ~)~ ~?~? ~?~ Road Mattituak, N.Y. Location of Proper 'House No. ' ..... ~'t/eet ..... Hamlet County Tax Map No. 1000 Section 146 ..... Block 0~ ...Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .A.p.r..i.1 4 ,. ,198.6. pursuant to which Building Permit No. 14749Z dgatr6B±.l..1.8, t ...................... 19.8.6., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlfis certificate is issued i~ ......... Garage & storage building Th tiff tel i dto John J & Lillian C. Newman e cer ca s ssue ......... · ................. (owner,,',le~,eg m':~'~,me), x X of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, ~l. Y. BUILDIblG PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14749 Z Permission is hereby granted to: .... ~.~.~.~..~:~.~.~.~...~ ...................... ..... ~.~.~,~..~.z.~.....,~.~...,..~.~.~-~ o ~a ..,.:,.~r~.~5.,.,~.Ze.~Z~**.....~.....~C'.~.,~*~....~Z~:~...~..~~ .... ,~.~zc..~.z,~.~ .................... ~ ............................................. ,~ .......................................... ................................................................................................................. /..../'~....~.. Block ,~.....~.--. ' Lot No ~...~.-~..*. County Tax Map No. 1000 Section ............................ pursuant 'o application dated .~~../....~.........~.. .................. , ]9 .~...., and approved by the Building Inspector. Rev. 6/30/80 925 HEMPSTEAD TURNPIKE FRANKLIN SQUARE, NY 11010 (516) 354-9100 (Nassau) (516) 654-3610 (Suffolk) /718) 895-222B (New York City) (914) 358-9088 (Westchester) INSURANCE SERVICES -- GROUP INSURANCE LIFE - HEALTH - DISABILITY INDIVIDUAL (Personal & Business) LIFE - AUTO - FIRE - HOMEOWNERS LIABILITY - THEFT - MARINE HEALTH - ACCIDENT John J. Newman, President August 15, 1986 Town of Southold Building Department Town Hall Southold, New York 11971 Gentlemen: Enclosed please find application for our Certificate of Occupancy for the garage, together with check in the amount of $5.00. Thank you for your help in this matter. Sincerely, JJN/lnm Enc. BUILDING DEPT. O~U.~ ~**~ INSPECTION ~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ,~:~'~1' [] FOUNDATION AND [] I~:ATION ..-.~ [ ] FRAMING [~]~NAL ~ REMARKS: / / FIELD DATE COMMENTS INSP~CTIIN FOUNDATION (1st) __ FOUNDA.TION2. (2nd) o ROUGH FRAME & PLUMBING 3 INSULATION PER N. Y. STATE ENERGY ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 100~)093 BUREAU OF ELECTRICITY ~1~ ES JOHN STREET, NEW YORK. NEW YORK 10038 oat*October lS.~O*6 ~,,~.,o.~o. 0.~,. 400900/06 N 774385 THIS CERTIFIES THAT o~ly the electrical equipment ~ ~serib~ below a~ in~d~ced by the applicant ~med on the a~ve application number i~ the prem~es of John J. Newman, 430 Sailors Needle Rd., Mattituck, N.Y. ~s examined o~, OC ~ 0 ~ 0 ~ ~ ~ ~ ~ ~ 6 and ~ound to be in compliance u, ith the req.ire.~ents (~f this Board. FIXTURE OUTLEIS 16 DRYERS 2 FIXTURES RANGES OVENS EXHAUST FANS $ ~6 SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C NO OF HI-L~G E A W O, INO OF NEUTRAL$~ A. W O. OF HI.LEG [ 1 OF NEUTRAL GENERAL MANAGER Gary Doreski 425 Monsell Lane Cutchogue, N.Y., 11935 11 This certificate must not be altered in any manner; return to the office of the Board if J~correct. Inspectors may be identified by their credentlois. COPY FOR BU LD NG DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TO N OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, 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. _/ /4/ An application for Certificate of Occupancy is not on file. /Z/ The check is outdated. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. 935 HEMPSTEAD TURNPIKE FRANKLIN SQUARE, NY 11010 (516) 354-9100 (Nassau) (516)654-3610 (Suffolk) (718) 895-2228 (NewYork City) (914) 358-9088 (Westchester) -- INSURANCE SERVICES GROUP INSURANCE LIFE- HEALTH- DISAEILITY INDIVIDUAL (Personal & Business) LIFE - AUTO - FIRE - HOMEOWNERS LIABILITY - THEFT - MARINE HEALTH- ACCIDENT John J. Newman, President April 4, 1986 EXPRESS MAIL Mr. Edward Hinderman Town of Southold Building Department Town Hall Southold, New York 11971 Dear Mr. Hinderman: Enclosed please find Application for Building Permit duly signed and notarized along with Survey and my check in the $66.00 which represents the permit fee. Should you require any further information, please feel free to contact me. · Newman JJN/lnm Enc. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ........ 19g Approved r .......... Permit isappro ed .......... ...... ...................... APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. Tiffs 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 plaD 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 tlie 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 ~9r demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c9,de, bCS, tfsing code, and regulations, and to admit anthorized inspectors on premises and in building for necessary insp: i..~...~.~..~~~ (Sjg~}titure o~ applicant, or name, ifa corporation) 147 F, Pnitehall Blvd. Garden C±ty, N.Y: 11530 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Nameofownerofpremises JOHN J. NEWMAN & LIESELOTTE C. NEWMAN (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 .................................................. ....... ~.3.q .sA!hqR.~ ?.~.~.~.~?..R. OA~.,...m?.%!~,qq~.,, .t'!.~.~. y.q~.K...!!9.5.2. ................................... ttouse Number Street Hamlet County Tax Map No. 1000 Section ...~.4.4. .... - ........ -Block 5 Lot 29.I & 30 Subdivision .... S. hI~T, .I~hK.E..V.%L.L.461~ ................ Flied Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended uke and occupancy of proposed construction: a. Exis'ting use.and occupancy GARAGE & STORAGE · 11. 12. 13. 14. Nature of work (check which applicable): New Building ' Addition .......... Alteration i... Repair .. X ........ Removal ............. Demolition ~ r Work ................ Othe ............... · " " (Desc ptinn) Estimated Cost... $5 ,.0.00 t~ $3_0,000 Fee . ~e....4~ ............... - ....: ............ -'~ !. ~to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........ 4. .c.~r. ,. . .................. flY fg htyp If business, commercial or mixed occupancy, spec nature and extent o ac e of use ..................... Dimensions of existing structures, if any: Front.. fi.0. .......... Rear . i .... 40, ...... Depth...22 ........... Heigdat ............... Number of Stories ........... % .......... i .................................. Dimensions of same structure with alterations or additions: Front same . Rear same Depth same Height same Number of Stories ...................... Dimensions of entire new construction: Front ....... s.o,~la .... Rear ...p.a.m.e. ........ Depth ...~qr~q ........ Height - Number of Stories Size of lot: Front ...s.e.e..8.u.r.v. qy..a.t.t, qe.h?.d. Rear .................. ! .....Depth ............. r · '. ...... Date of Purchase . 8/84 Name of ~nrllle~ Oul~ Hflda Griffith~ Zone or use district in which premises are situated Residentiai Does proposed construction violate any zoning law, ordinance or regulation: ~, no Will lot be regraded ........... ~ ................ Will excess fill be removed from premises: Yes No NameofOwnerof~remises JOHN J. NEWF~I Addres~ 147 Whiteh.ai3- Blvdph,~n~Nl~ 248 0295 Name of Archatect .......... : ................ Address ............ . ........ l~h~n~UNo ................ Name of Contractor .......................... 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, anfllshow street names and indicate whether interior or corner lot. SEE SURVEY STATE OF NEW YORK, COUNTY OF ............. ,... S.S JOHN g. NEWMAN ...................................... ..~ ............ being duly sworn, depo.ses and says that he is the applicant (Name of individual signing contract) .: above named. : OWNER Me is the .............................................................. .~ . ...................... (Contractor, agent, corporate officer, etc.) ' >f 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 are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner set forth in the application filed therewith. ~worn to before me this FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ 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 featu res. 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. updated C.O. $15.00 Date .... .A.u~.u.s .t, .1.5 ~..1.9.8.6 ....... Newconstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... .S .~ .~ .ZgT ~ .s. ~.e.e.d.~ .~..~9 .a.d ~..H.a .t .C ~ .~ .u.c .k~, .~.e¥. ¥9,~ .k ..................... House No. Street Hamlet Owner or Owners of Property ...... .39~;.n' .J....&..~.~.~.~.~.~.~..C:..N.e.w~..a.n ........................... County Tax Map No. 1000 Section ...~.4.47.5 ......... Block ...27.1 .......... Lot ....... 3,0, ....... Subdivision ................................. Filed Map Nol .......... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate. Fna Cert f cate ~ . Fee Submitted $..~ .... .~.~...L{/.~. ............. .-.'' ~-- /~ Construction on above described Applicant ....... /~. ~ ......... ~ .............