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HomeMy WebLinkAbout14307-zT~VN OF SOUTHOLD BGILDING DI'*PARTM£NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 14307, Z Permission is hereby granted t.o: _ ~ n "<L,J~ ~ ~.~.g,:L,..."~. ........ !.,&'.L~.....~....~ ...................... .~...~ ..........~.~.. ,/~ .~ ~. ~ .............................. :.~....;:.:...r----~ ....... ; ........ ~ ........ i' ...................... ;:;': .......... ;" at premises located at ....I..~.....~.'.......x...~...%~ ....... ).~.-.-.~... ....... ~~ ............ County Tax Map No. i000 Section ...... .(~..'~...J. ..... Bk~ck .......(~..l ......... Lot No ...... L..~.. ............ by the Building Inspector. Building Irk~tor Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z16595 Date January. 19, 1988 THIS CERTIFIES that the building .... O.n..e..f.a.m..i.l.y...d .w.e.l. 1..i.n.g.. ..................... Location of Property 1600 North Parish Drive Southold - - ....................... 's'ge i ....................... County Tax Map No. 1000 Section . . 0..7 .I ....... Block .... .1 .......... Lot . .2. 6. ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S .e.p.~.:..4?. 1985 pursuant to which Building Permit No. l 4308 z dated .. $.e.P.t.,..2.4. ~..1.9.8. 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 ......... ..... 0ue..fi om~-.1.y.. ~l~a.e. 1. 1..~.n.g ,...a.t.t.a.c..h ?.d.. g .a.r.a.~ .e .. ............................... The certificate isissued to NANCYE AND MACK RADMIN ..................... ?o¥0'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval .... .8.5.-~ S. 97-.1.6. 5...1./.7. ./.8.8 ................... UNDERWRITERS CERTIFICATE NO. N746711 4/25/86 PLUMBERS CERTIFICATION DATED: Henry J. Smith & Son 9/16/86 Building Inspector Rev. 1/81 FOB*M NO. fJ 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) 14308 Z Permission is hereby granted to: .......... , et premises located at .':~....g.~..-~.O. ........ **~........~...)l~...,....~~ ............ County Tax Map No. !000 Section ...... ..(~..~...t ...... Block .......... I. .......... Lot No ....... ..~..~ ........ pursuant tO application doted .... ..~~.....!~ ......... , 19..~...~,~, and approved by the Building Inspector. Fee $..~...~....~..,: ...~...~.., Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 topograph ic 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 ..~.C.p .~jJ 5.Updated C.O. $15.00 Date .... '~.'.../.~o..I ~ ./~.~ .... New¢onstpuct±on ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . J(pO.Q ' ) 14 . , ...... ~ ~. House No. Street Ham/et Owner or Owners of Property .. ~.~ ~...~.t¥. j ~[~.~jf~ ..~.q.~ ~_) ....... - 0/91 i County Tax Map No. 1000 Section ........... Block ............... Lot ........... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ........................ Construction on above described building and perr~it meets all applicable codes anI regulations. Applicant .(,:~.~/~,. ~. ~Y.'.~..'..~'..~.~'. ~.¥..~...)...~.; ./~.-. ........... Rev, 10-10-78 "- ' ~ ' StNGEE FAMILY DWELLING ONLY ' - . ,', ' Th'e sewage*'diSpg~l 'a~d water sul~p y f.aC ti~ for.th= ' Ioca(~on, have bee~ insCtect~d by this Department and/lit' ' Ch OdBur~uof Wa:Stew~-~anage~eM , THE NEW YORK BOARD OF FIRE UNDERWRITERS 100107~ BUREAU OF ELECTRICITY ~{][ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Rate April 25,1986 /lpplicationNo. onfile $78555/86 T.,S CE.T,~,BS T.AT N746711 only the electrical equipmertt as described below and introduced by the applicant framed on the above application number in the premise# of Hack Radmtn, North Pa:¢ish Dr~ off N. Bayviow, Southold, ~ · Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLE SWITCHES INCANDE$CENIFL_UC,~RE_S~E?; ~ ~ AMT. K W. AM% K. W AMY. K.W AMT. K.W AMT. H. P 6 I 3 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ;PECIALREC'PT TIMECLOCKS BELL UJ~IIHEAFERS MULTI-OUTLET DIMMERS SYSTEMS -- AMT K W, O1[ H P GAS H. P AMT ~qO, A W. G AMT AMp. AMT. AMPS, TRANS. AMT H P. NO. OF FEET AMT. I WATTS 2, F SERVICE DISCONNECT NO. OF S E R V I C METER E AMT. AMp. TYPE EQUIP· ].g2W 1~'3W 3.g'3W 3~'4W NOD COND OF~CCOND NO. OF HI-LEG A.W.G NO. OFNEUTRALS AW.G OF Hi-LEG OF NEUTRAL t 200 cb × 4/0 1 4-/0 OTHER APPARATUS: Box 215 Southold, N.Y., 11971 GENEI~AL MANAGER This certificate must not be altered in any manned return to the office of the Board i~: .......... Per__, This certificate must not be altered ~nany manned b'h~r~r ~redentlqls ,~ COPY FOR RUI/DIN~ r~PAE~TJbll:Ar'r *l"Ul~' ~'~'~nv ~,e- DF ~ ; MUST NOT BE HENRY J, SMITH & SON, P/UMelNG, HEATING & FUEL OIL MAiN ROAD SOUTHOLD, N.Y. 11971 (516) 765--3690 Jr]o. CERTIFICATION Building Permit No._~j~Z Owner M.Rad~D~_~3~_~j~_~j~e, Southold Plumber HenK[ J. Smith & Sonz Inc. I system certify that the solder used in the water supply contains less than 2/10 of 12 lead. Sworn to before me this 16th day of _~~_, ~__. Notary Public, S_u_ff_o_lk County [IER~/'~DETTE L. TAP[IN NOTARY PUBLIC, State of New York Residing in Suffolk Courliy Commi$$io. Expires March 30, I9zz FIELD INSPECTION 1. FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~'~-m .~...~.~.., 19 ~ ~ ,Ta)~,~lu~ ,l>{ Pe~itNo. A~ov~ ............. ~f. .~.~ ~.¢~.%. Disapproved a/c ..................................... . .... (Buildi~nspector) APPLICATIOM FOR BOlLDI~G PERMIT INSTRUCTIONS Received ........... ,19... Date .................. 1 a. Tins 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 premises and in building for necessary inspections. ... ~//.~.. ~.~,:... ~.~. ~e..~,~.. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... · .~.$(~/~. ¢kJ~t6/d~5,g. · · · ~t~/~/..~- ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .4:. . . . ......... ............. (Name and title of corporate officer) Builder's License No ..... ~.~' .................. Plumber's License No. /.~.~.~..Lff....~..df../~..e .... Electrician's License No. ~ ~te' ~ , Other Trade s License No ............... 1. Location of land on which proposed work will be done... '.. ~.. ........................ .... ............ ........... House Number Street Hamlet County Tax Map No. 1000 Section .... ??.! ......... Block ...... /. ........... Lot...-..~..~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~.~..C.'~f ['7~. .................................................... '7 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ....... ; ...... Other Work ............... 4. Estimated (to be paid on filing this application) 5 If dw lli mb of dwell'nj units Numb of dwelling units n each floor e Ag, nu er 1 ............... er o ................ If garage, number of cars ... . 6. If business, commercial or mixed occupancy, specify ~aJure and extent of eac¢~ype of use ..... 'Depth .............. 7 Dim nsions of existing structures if any: Front ctr~ Rear ?. t:~oe' ' Hight ./~. e Nulnb r of Stories Dimensions of same structure With alterations or additions: Front ...,i~q. ......... Rear . Depth ................... ~ Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ...................................................... , 10. Date of Purchase ......... ~ ................... Name of Former Owner ............................. 11. Zone or use district in which piemises are situated ..................................................... 12. Does proposed construction viglate any zoning law, ordinance or regulation: ........... 42.0. ................. 13. Will lot be regraded ........ I ....A~]~ ............. Will excess fill be removed from premises: Yes r'< No 14. Name of Owner of premises Zq'ge~.. ~'/~0~(,~ .... Address .Zq.t~ ./9.~/_~ ..... Phone No ................ Name of Architect . ~ ..... ! ......... .~ ....... Address ...... ~. ~t/~ ....... Phone No ............... Name of Contractor ~.¢.*¢[4,0 .~.~'~-'./~A .t~gv/ff/.~¢~. Address . ~~ ....... Phone No. Xrd~.~.).,~.'... PLOT DIAGRAM ,ocate cleariy and d~stinctl¥ a~l buildings, whether ex~stmg or proposed, and. red,cate all set-back dnnensmns from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW~OPdq, · . .......... [.~.~ ~_.¢...0.:..~.{ [.~h'~ .............. being duly sworn, deposes and says that he is the applicant (Name .... '' of mdiwdual a~mg contract) above named. (Contractor, agenti corporate officer, etc.) of said owner or owners, ~d is drily authorized to perform or have perfo~ed the said work ~d to m~e and file this application; that all statements co~tained .~ this application are true ,to the best of his ~owledge and belief; and that the work will be perfo~ed in the m~fier set forth ~ the application filed therewith· Sworn to before me this ' Notg~ NOTARY PUaLIC, Store o/New Yo~ ..... ~ ' ~'' .......... No. 52.452477~ (Signature of applicant) QualiIie~ in 0 0 ,- ,hr\ '1 ..!