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HomeMy WebLinkAbout14594-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zl6651 Date ...F.o.b... 17, 3988 THIS CERTIFIES that the building A d d i t i o n Lotationo ~+., 2050 YOUNGS AVE. SOUTHOLD f Prop~y b/ous~/Vo. ............................. 's't;~3i ....................... h~,~i~ County Tax Map No. 1000 Section . .0.6.3. ....... Block .... 0.2. ......... Lot 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated F e b. 5, l 9 8 6 pursuant to which Building Permit No. 14 5 9 4.Z - dated Ma r ch 2, 1 9 8 6 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 ......... ...... Bat hz. com..~dd iJ:.iQt~..t.o., e ~i.s.~ i~g..Qn, e..f.~m, i.13..d. ~.e.l. 1..lpg ................ The certificate is issued to ALICE GRATTAN DUFFY, JEROME GRATTAN ..................... ~o'v$n'~, '~'~ ~'~'f i ~ k ................. of the aforesaid building. Suffolk County Department of Health Approval N /A U~RW~ITE~S C~RZImCATE NO .......... ~..7 .~.~.~. 3. ?. 3.p. ~..~ ~.. ~ ,. ~ ~ ~ 6 PLUMBERS CERTIFICATION DATED: Roger Mc Carvill 2/17/88 Rev. 1/81 Building Inspector FOEM NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTN~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~.o 14~94 Z Permission is hereby granted to: ~..o...~..?.~.~....~... ........................................... .... . ........................................................... County Tax Map No. 1000 Section ...... ,.C~.,...~...,',~ ..... Block ...... ..O......~... .... Lot No ........ ~ ............. pursuant to application dated .~~....~.. ................... , 19.~....~.., and approved by the Building Inspector. ~'~),/ Fee $ ........................ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY c_o. Instructions A. This application must be filled in typewriter OR ink, and submitted aa ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~,~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings· 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions 2~,~-~_~b 1. Certificate of occupancy New Dwelling$~r5~.00, Accessory ,$ I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 over 5 years , $ lo .oo 5.Updated C.O. $ 50.00 Date .... ...... Old or P~u~ing ............ Vacant [-and ............. NewCOn~truction Location of Property ..... ~'Q'~"'~'"~'"~~~-'" ,. '~" ~'V'.I~' '~.~', .~'~. f. J.~.V .................. House No, i'% , l:3~tleot -- Hamlet Owner or Owners of Pro-er+, ~1 I'L.~, ~" "Y · · ["3"'" "~ ........... ~'~ · '"..~ .................................. County Tax Map No. 1000 Section .... .(~ ~o. ~ ..... Block ... ,Q ,~ ,~--. ....... Lot .... ~, .......... ................................. Filed Map No .... '.~.~...Lot No .............. Subdivision PermitNo. l.q-~ Date of Permit ) 1 · '3. 2-~ ~.G..Applicant..~.~ ~:3.~.~ ~a.~.(~)~.~. l ~..: Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........ ~ .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ~,.~.(~'~ P ................... Construction on above,~Applicant ~ ~~~~: t... described bui!ding and ~t n e ts I1 codes ti regula ions. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ described below and introduced by t~ applicant na~d on t~ above application number in the premdses of Alice ~uffy'~ 2050 Young~ Aw~m~ ~ou~old, ~qY ~r~ Z~ ~ ~$ and found to be i~ compliance with the requirements of this Board. FIXTURE OUTLETS RECEPTACLES l SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST 3 Z FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCK5 UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C A. WG OF HI4EG NO, OF NEUTRALS OF NEUTRAL GENERAL MANAGER MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building~ Permit No. lple~se p~'int ) (please print) I certify that the solder used i~ supply system contains less than 2/10 of 1% lead. / / (plumber's signature) Sworn to before me this ~ 7 , day of ~- 19 ££. Notary Public, County Notary Public I~A~ PUBLIC, $~a~e of Ne~v Yo~ Term Expires March 30, ~'IELD INSPECTION 1. ~OUND~TION (1st) ~oUNDATION (2nd) FRAME & PLUMBING COMMENTS £NsULATION FER N. STATE ENERGY CODE FINAL ~DDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Approved...~...~x..., 19~..(*. Permit No..~..trP..~.~..~..~. 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 ~ 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 !~ comply with all applicable laws, ordinances, )~i]l~:ling ql~de, housilf~g~if~de, and regulations, and to admi[ authorized inspe,~tors on premises and in building for necessaryfl~Sptct~/~/~l .//p/.~f~ .~' ...· ................ ~na~ture o~ ~~am e, if a corporation) ·. p., .c?,. ~>9..¢.oa ~. ¢¢'.c. cM.cf,~:~'.~ .~. :~ ~ . ~. ~i'.~.~. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nme of owner of premises ...~.¢LC.e...~ ~../. 3~.. ~-..~ ............................. (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.. ,~.z~.~.. ................. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone...'.~..Z.-P.~.O....~.O.°..M..~.5...-.~'.9.e:t...~.c~.?.+}~.°k~.~.~.Y.;... .... ~. p.~.~.o ................ , ......... ~.¥.~. .~. ¢.5....A,,~..~. ................ ~'.oy. .r~. ~. .................. I~louse Number Street ~.. Hamlet County Tax Map No. I000 Section . ! .O..Oq..-..~?. :-..a:.~..¢.. Block .................. Lot ................... Subdivision ..................................... Filed Map No. . ~te .......... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~. \ ¥.L~,~....a-.~..~... :~..~-....P..m¢'l~.c:~.....gl:~-. ~..~..g~...~....(r.~.. ~q..~ b. Intended use and occupancy ...... ~'5.../},.T3-M~. ¢reT:rr~. ................................................ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ......... Repair .............. Removal ........... Demolition i Other Work ..... : (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~ .......... Number o f dwelling unit~ on each floor ................ If garage, number of cars ........................................ 6. If business, commercial or mixed occupancy specify nature and extent of each typ~ of use ............ 7. D~mans~ons of existing structures, if any: Front .... ~ff ........ Rear ..... (q.' ...... Depth... 5.'~. ........ Height . .Z,.. 5'~.gt .~ .~Number of Stories . .~ .......................... : ................... i ....... Dimensions of same structure with alterations or additions Front ~'. : Rear Depth ....... ~'~. ............ Hmght ...................... Number of Stories ~ ............ ~ .... 8. Dimensions of entire new construction Front . ~ .47.~ Rear ~ 8: t D~,~h ~1'~ ~&!'.'F~ ' Height . ~ ._~....10... . Number of Stories ~ . . 9. Size of lot: Front .... .L .--~. :~-.b. Rear ~(v.6,~.o. ! ........... Depth ~...17r.%.2: ....... 10. Date of Purchase ............................. Name of Former Owner . .I ................... : ..... 11. Zone or use district in which premises are situated ~:~.~.~ ! p.e-~a~a/~ t.. 12. Does proposed construction violate any zoning law, ordinance or regulation: . .hO9.1 ....................... 13. Will lot be regraded ...1'9.©. ...................... Will excess fill be removed! from premises: Yes 14. Name of Owner of premises ~,ctc~ .~.~.r--.¥ Address ~51> yc~o¢5 t~a'~ PhoneNo. Name of Architect .. I>.~.¥.~. . ~.~¢~..~. ~.~ .19 ........ Address .................. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions fl'om property lines. Give street and block number or description according to deed, and showl street names and indicate whether interior or corner lot. STATE OF 'NEW YORK, COUNTY O~. ' o ~,~ ~>~: S.S gworn to before me this .............. · ~.'~. ...... day of ...... ..~i ~ ....... , 19' ~otaryPublic, ...~.~.,....~..~..~...~... County Tmfl E(p~m Mirth ~0,18,.2~. ! ...... .B?. y.t.P ¥0~ ~v~C.ra~l.tC~a being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~?.! .~:~...t?~. .................... i ..... (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 ~pplication; 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. z