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HomeMy WebLinkAbout14842-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z ]8335 Date AUGUST 31, 1989 THIS CERTIFIES that the buildin~ ADDITION L6cation of Propert~ 490 NORTHFIELD LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 03 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 16, 1985 pursuant to which Building Permit No. 14842Z dated MAY 6~ 1986 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM & PINANECABE (owner, of the aforesaid building. SUFFOLK COUNTY DEPART14ENT OF HEALTH APPROYAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 H006271 NOV. 4, 1988 AUG. 29~ 1989 WILLIAM NECABE / ~itldin~I~spect°r FOEM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (TH1S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24? 14842 Z Permission is hereb/granted to; .~.~..~ ..'2..~:.~.~.~ ......... ....~..~.~....~.~..~.~....~.~-~,~. .......... ...;S.~.....~.:.q.,..~.~.J .................. ..~.....w~~ .......... ;:~....:-., ........ ~ .................. ~ ................................................ ot ,~re~,,,es ,~oted o, ....~..~.~. ................ .~.~..Zi~ ....... ~,~ ......................... County Tax Map No. 1000 Section ...... (~-j....C;~ ....... Block ..... ..~...~ ........ Lot No ..... ..~,..~....;~... ........ ~ur~uo~t to o~,~ot~on ~at~d ..~.':".'Y.~...~......~......L~ ......... , ~.~..x.C ond o~rov~d ~ Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOHTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.. A A . HOUSE NO. STREET HAMLET .. ..... Owner or Owners of Property '~ ~ .......... ~oun~y Ta. ~a~ No. 1ooo set,in, .2.~.. ~Ine~ ..0.... Lot' ..%..~.. Su dlvzszon ...... ' ............ FiledjMap : ....... Lot.i..~. .... Permit No.-/Y--~.~-~--.~..Date ~i Pi[mit ..~f~. .... Applicant ,.~.~,..~.:~...~.~-- Health Dept. Approval .................. Underwriters Approval... Planning Board Approval .... ~ .... Request for Temporary Certificate ....... Final Certificate .... ~ Fee Submitted: $ .................... APPLICANT. rev. I0/ 14/88 FORM NO. 6 TO~ OF SOUl. OLD BUILDING DEPARTMENT TO~N HALL 765- 1802 APPLICATION FOR C~RT~FXCAT~ OF OCC~CY I~S~RUCTIONS '~s app~ca:ion mu~ be]f~[ed ~n type~ter OR ink and submit:ed ~o the Building lnapec:o~ ~:h the ~o~[o~ng; for ne~ bui[d~ngs or ne~ use: 1. Fifia~ su~ey of prope~y ~ith accurate location of al~ bu~Id~ngs, prop,ri7 ~ines, streets, and unusuaI natural or topographic features. 2. Fihal approval of HeaIth Dept. of water supply and sewerage-dlsposal(S-9 rom). 3. Approval of electrlca~ installation from Board of Fire Under,rets. 4. Sworn statement from ~l~ber certifying that solder used in system contains less than 2/10 of 1~ lead. 5. Co~erclal buildings, ~'industrial buildings, ~ltiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsib~ for the building. ~. Submit Planning Board ~Approval of completed site plan requirements. For existing buildings (~rior to April 9, 1957~ mon-confoming uses, or buildings and "pre-existing" land ~ses: ]. Accurate su~ey of pro~perty showing all property lines, street~, buildings and 2. A properly completed a~pllcation, a consent to inspect signed by the applicant and a certified abstra~ct of title issued by a title company ~ich shall ~bow single and separa;te ~r~hip of the entire lot prior to April 9, ~957. , If~a Certificate of OcCupancy ls denied, the Building Inspector shall state the reasons therefor in ~iting to the applicant. 3. Da~a of amy housing co~e or safety inspection of buildings or premls~s, or other pertinent infomtion ~equired to prepare a ~ertifleate. For Vacant Land Certlflca't~ of Occupancy: ]- ~ application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate o~ership of ~he entire let prior to April 9, ]957 shall also acco~any th~ application. If a[ Certificate of Occupancy is denied, the Building Inspector shall state the reasonN therefor in ~iting to the applicant. FEES: 1. CERTIFICATE OF OCC~CY - New ~elling $25.00, Additions to ~elling $25.00, Alteration to ~elling $25.00, Swiping Pool, $25.00. Accessory building $25.00 Addition to AccessOry buildings, $25.00 - Businesses $50.00. 2. Certificate of OccUpancy on pre-existing dwelling - $100.00. 3.: Copy of Certiflcat~ of Occupancy - $5.00 - over 5 years - $10.00 ~. ~ Vacant Land Certlf~cate of Occupancy - $20.00 5. ~ Updated Certificat~ of Occupancy - $50.00 6.: Temporary Certificate of Occupancy - $25.00 Residential $50.00 Co,crc,al rev. 10/]4/88 FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~70~ ~YLc~ ~-~ 765-180l BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] INSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION :;'ND[] INSULATION FRAMING [ ] FINAL ~~:~ ~,-/, __ INSPECTOR~,_____.~~ 765-1802 BUILDING DEPT. INSPECTION / [,~ FOUN~ATION~IST ~[ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE F I~NSP.ECTO ? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ['~ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE , ~INSpECTOR ~  ' 76S-t802 BUILDING DEPT. ~ ~INSPECTION FOUNDATION 1ST [ ] ROUGH PLBQ. [, ]~U~DATION ZND I- ] INSULATION FRAMING [ ] FINAL HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pras. PHILLIP J. CIOUBEAUD ALBERT KRUPSRI, JR. ELLEN 1%1, LARSEN Mr. William MeCabe 490 Northfield Lane Southold, New York BOARD OF TOWN TRUSTEES TOg~N OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 April 29, 1986 11971 Dear Mr. MeCabe: The following actio~ was taken by the Board of Trustees at their regular meeting held on April 24, 1986 regarding Wetland Application No. 361. '~ Moved by Trustee Goubeaud seconded by Trustee Bredemeyer WHEREAS, William D. MeCabe applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 10, 1986 , and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 24, 1986 at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area; and WHEREAS, the Board considered all testimony and documentation submitted concerning this application; and it is noted for the record that there has been no public opposition~ and WHEREAS, the Board has determined that the project as proposed will not affect the health, safety, and general welfare of the people of the Town, NOW, THEREFORE, BE IT RESOLVED that William D. MeCabe be and hereby is granted ~ermission to const~ct a ~ar'~'ge, bedroom, b~th and deck on pro'petty 'l'oca~d' o~ ~90 Northfield Lane, Southold, (and to fil'~' with approx~matei!.y 4.00 .cu. _ yds.) This permit is issued with the following p~ovisiohs: 1. Roof run off shall be di'scha~ged' to dry wells. 2. Driveways and parking areas within 75 ft. of the wetland area shall be of porous ~construction. Blacktop shall not be used on this site. (existing driveway may stay as is) 3. Care shall be taken so as to preclude the entry of -2- any construction material into adjacent waters. 5. Immediately following construction, all areas of exposed soil shall b~ properly protected with suitable erosion control devices and/or vegetated to prevent entry of eroded soil into nearby waters. 6. During construction hay bales shall be placed along the wetland fringe to avoid any entry of materials into the pond. This permit is granted under the provisions of the Wetland Ordinance of the Town of Southold. This permit will expire on April 24, 1987 if work has not commenced by same. There are two inspections required and the Trustees are to be notified upon completion of the work. Very truly yours, Henry P. Smith, President Board of Town Trustees cc: Commissioner Henry G. Williams, D.E.C., Albany Charles Hamiltonf DiE.C, Stony/Brook Southold Town Building Dept.~/ Trustees file THE NEW YORK BOARD OF FIRE UNDERWRITERS ~007~7~ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~le ~pplication No. on file THiS ~I~IES THAT ~ ~amin~ on andfound to be in ~mpliance with the requi~nenls of th~ ~rd. RX~ RXT~ O~NS EXHAUST FANS FURNACE MOTORS TIMECtOCKS UNIT HEATERS MULTI-OUTLeT DIMMEI~S SYSTIMS SilIVIC~ DISCONNECT S E R V I C OTHER APPARATUS: 4gO NORTHF:IF,,I,D LANE St) q'~{O l) NY r I ! 977 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cmdeflfials. COPY FOR BUILDING DEPARTM~T. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED INANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C..E R T I F I C A T I O N Building Permit No. ~..~ Owner ~/////~/t~ (please print9 P lum~er (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me , .7 day of NOtary Public, tkis (plumber's ~gnaturei' County Notary Public NOTARY PUBLIC, State of I~ew York No. 4707B78, Suffolk Count~., ~'er~ Exl~res ~TCh ~, l -q~,.71~ ~ ~ 'FORM NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ', TEL.: 765-1802 Approved....~ .[~ ..... 19 ~..~. Permit No... !.q. :~,:/.4.~. ~_-- Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. T,his application must be completely filled in by Wpew~ter 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 premises and in building for necessary i/ts~0ections. .... ........ (Signature of applicant, or flame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... . .... -.,.-; ........ ; .... ..... .:.:. 3>:>" ¢' .:, : ' 3- . -. .... Name of owner of premises .~'?.~././//q~.-~ ........ ................. /.~..~. ............................. (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 N~)i ..................... 1. Location of tand on which proposed work will be done. .'.¢:7..o... :. .~.~.~.:~.,>. . . An, .,, .3. .~ .~.o. .~ :o., . .~h/ House Number Street / Hamlet , County Tax Map No. 1000 Section ..... ":2 .~[ .............................. Block '~ Lot. ?.~..-'. &. ........ Subdivision .......................... : .......... Filed Map No .............. Lot .... ~ ........ ... (Name) '- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · ................................. . .:>. a. Existing use and occupancy ...... /...'~:~.q:~.q./. b. Ifitended use and occupancy' 3. Nature of work (check which'applicable): New Building ~ Addition ., · ............ ~ ........ Alteration Repair. '. .....':... 'd'q~//Removal .............. Demolition ..... ;-. ..... !... Other Work'. ...... , ........ ~'/' "/I , ,i . (Description) 4. Estimated Cost ...... ~. ~... O..2~....-. OZ0 .............. Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~ ........ Number"of dwelling uni{s on each floo~ . . . . If garage, number of cars . .' ............... /. .......................... i .............. '~ ¢ ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each tyne of use ./1{. f.~. 7. Dimensions o.f ~x)sting structures, if any: Front .... .Z-rfl :]../! .... Rear ... ~ ~.~..'.~... I~;~t'h' i ~ i .~.'~.','t. ~'~gehntsions o]~s~me structurN;wn}t~:ra;[rSatt~;i2: Or add&s: Front....,-~..~.'. ~. :i ..... Rear .... ,~...~..~..]..? .... Depth .... :~.~5~... ] ............ Height ..../ .................. Number or,Stones ....... ~. ..... ?.. Dimensions of entire new construction: Front...'./.~ ....... Rear... ~. .......... Depth ....~. ~.. Height ..../~,~,./ ......... Num,ber of Stories ............ ~ ............... ...... ; ...... ~...,,, .......... Size of lot: Front ../~,~/,. ,,~'. ~. ........... Rear ...... /~..O., .o..O. ....... Del~th .... / ~: ~'.O ......... Date of Purchase ...~ ~'~.../~.~. ].7~..'~. ...... Na ,r¢~ of FQrme,~r Qwner . i. ~,~5~/... ~.O~'~. ~ .... Zone or use district in which premises are situated ...... .~. q'~.,~.r.o'. ~[.,,~..~.-.... i..., .f .................... Does proposed construction violate any zoning law, ordinance or regulation: .... i...~,".O .......i ......... Will lot be regraded ...... ,. ~ ............. ,,- ......Will exce~s illl,be remgved from premises:~, Yes No Name of Owner of pre~mises(-~f/]/: fi~ ~?_.~..~. Address ~..o./.~..o,' .~.. 77.~.,..~. Phone No. / Name of Architect .n~'~..~.~. .¥f~...~ .~.~ Address .'i ....... ~....' 3. Phone No... ft... t. ~....;f.. Name of Contractor .., .~....d~./.)~. . ,f-~..N. ~. .... Address .... ~. ( ...... e.( . .q,~. Phone No.. 10. 11. 12. 13. 14. 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, COUNTY OF ................. S.S ................................................. being duly sworn, depo~ses and says that (Name of individual signing contract) above named. . ," he is the applicant He is the .......... ' ................................................... ............................ (Contractor, agent, corporate officer, etc.)i 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 siatem~nts contained in this application are true to the best of hisI knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this , ............ /~ ~ .day of...~..~ 19 ~.~. Notary Public, ........ HELEN K. DE NOTARY PUBLIC, State of New York . I~. 47078'/8, Suffolk Count~,~ mm Expires Ma~ch 30, 19 .. County ~ ~ ~ ,~// -(. (Signature of applicant) I! copper tublng? used for water distributing system; piping shall be sOLDER USED IN WATER SUPPLY SYSTEM CANNOT PLUMBER CERTIFICA T/ON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOl. DER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. Ft~O kl-c E_L. k: \//~x' ) ~ 0 k.l t · aO ~ ./ H CONs'r~uC"~ON & ENERQIY Phone 4~7-0400 a; -..< plo U S C F.LOO'P.. -P~ ~ ,