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HomeMy WebLinkAbout14370-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-19953 Date JUNE 6, 1991 THIS CERTIFIES that the building. Location of Property 1970 VILLAGE LANE House No. County Tax Map No. 1000 Section 24 Subdivision ALTERATION Street Block 2 Filed Map No. ORIENT, N.Y. Hamlet Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14~ 1985 pursuant to which Building Permit No. 14370-Z dated OCTOBER 17~ 1985 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 ALTERATION TO EXISTING DWELLING. The certificate is issued to KEVIN & MARGAP~T M. MORIAR~f (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N680920 - MARCH 1, 1985 PLUMBERS CERTIFICATION DATED J.U~E 16, 1985 *NOTE: THIS UPDATES CERTIFICATE OF OCC. #Z-13963 DATED~D/28/85. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT COMPLETION OF THE WORK AUTHORIZED) NO 14370 Z Permission is hereby granted to: ot p~e~,,e, ,~oted ot .. .~....~..7...~...../.¥~ ....... ~......~...~X .......................... ........................................... ................................................. County Tax Map No. 1000 Section .~......~... .......... Block ....~, .......... Lot No....~.-....~... ...... pursuant to application dated ...~ ........... Z..~.. ............ , 19.~.~..~'~nd approved by the Building Inspector. Building Ins~ctor Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDINc DEPARTMENT TOWN HALL 765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be fill~\d in by typewriter OR ink and submitted to the building ,inspector ~ith the following: for new building o~ new use2 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural er topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from"plumber Cert$fyin~g that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings £nd installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzs t~ng land uses: 1. Accurate survey of property showing all property lines, Streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additiohs to dwelliug $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildiog $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy pf Certificate of Occupancy _ $5.00 over 5 years - $10.00 ' 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............ 3.,. ............. . . June 1991 '.'ow Construction ........... Old Or Pre-existing Building ................. Location of Property 1970 Village L..a.n.e. Orient~ New Yo=k tlouse No. ' ................................. Street ........... Ilamlet lnwer or Owners of Property .... .K. evin Moriarty and Margaret M. Moria~ty iounty Tax Map No 1000, Section .... 024 02 ..... Block.. 024 .............. Lot. :ubdivision ' .................................. Filed Map ............ Lot ...................... ermit No ................ Date Of Permit ............... Applicant ............... ealth Dept. Approval ................ .......... Underwriters Approval ............. lanning Board Approval ' ' .... UP DATE # 17 0 3'~ ................... CO Z- ''' - UPDATE NAME ONLY 2quest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $...,;$50.00 ~ . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z13963 Date October 28 19 85 THIS CERTIFIES that the building A 1 t e r a t i o n ty ......... ~..9y0. V..I.L.L.A. 9.E L.'~h.T..~ ORIENT Location of Proper House No. Street Hamlet County Tax Map No. 1000 Section 26 .Block 2 ...... Lot 24 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 14 .8.5 14370Z ..................... ,19 . pursuant to which Building Permit No ...................... dated ..... ?.c. ~. o..b.e.p.. ! .7 ........... 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 ......... Alteration to existing dwelling. The certificate is issued to MARY LEE LARSEN ..................... × X .................. of the aforesaid building. N/A - Suffolk County Department of Health Approval . .~. ........... UNDERWRITERS CERTIFICATE NO ............... N 680 ~ 20 Plumbers Certificate June 16, 1985 Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and'submitted in duplicate 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 disposel--(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~3perty showing all properW lines, streets, buildings and unusua~ natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bu ildings. 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 $15.00 3. Copy of certificate of occupancy $1.00 Date ~ ....... j ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~.~. ?.{~....~..~.(~.....~../,..~.~ .~. ~..~' .~.. ....... Owner or Owners of Property .~. ~...>-~"~,~..~(z~;..~ ................................ County Tax Map No. 1000 Section ~,~...~q'~-~ ....... Block ..... /~,~ ...... Lot.,..~,,~', ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. 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 permit meets all applicable codes and regulations. Rev. 10-10-78 ATTORNEY AT LAW 828 FRONT STREET, RO. BOX 2065 GREENPORT, N.Y. 11944 Phone (516) 477-1016 June 3, 1991 Southold Town Building Department Southold Town Hall Main Road Southold, NY 11971 RE: KEViN MORIARTY AND MARGARET M. MORIARTY 1970 VILLAGE LANE, ORIENT, NEW YORK SCTM 1000 - 024 - 02 - 024 Gentlemen: Enclosed herewith please find: 1. Application (2) for updated certificate of occupancy; 2. Copy of survey dated September 18, 1986 and prepared by Sealand Surveying & Engineering, P.C.; and 3. My check in the sum of $100.00 representing'fee for certificates. Please be advised that the certificates of occupancy need only be updated with the current owners' names. Please contact this office when the certificates are completed so that I may make arrangements to pick up same. If you require additional information, please feel free to contact me. Very truly yours, ~illiam H. Price, Jr. WHP/lmt enclosure TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION Building Permit No. (pl~a'se print) Plumber ~ ~-~ '(please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before~e this Notary Public,~County NOTARY PUSLIC~ State of New York Residing in Suffolk County Ctks, No, 52-6086685 ~Commission Expires March 30, 19~6 1000708 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038~ · ..,e ~arch 1, ~98~ ~..llca,lonNo. o.,/ile 2~.~5/8~ N 680920 THIS CERTIFIES THAT only the electrical equipl~te,~t as described below and introduced by the applicant rtar~ed on the above application number in the premlses of M~rylee LatEen, Village L~ue, Orient, N.Y. in the /ottowing location; [~ Basement [~ 1st Ft. .,.se,c.,ni.edo,, February 25, 1985 FIXTURE OUTLETS DRYERS C~ / FIXTURES 4 30 33 SERVICE DISCONNECT OTHER APPARATUS: C~2nd FI. Section Block andfound to be in compliance with the requiretnentsofthisBoard. 'U.N^CE ,UL?, A..L..TCE TOA. NO. Oi S RANGES 1 12.~ SPECIAL REC'PT E R [~u~elboards: l~21cir. 200raps l~4.5kw Hot Water Heater 1-10amp Disposal COOKING DECKS OVENS DISH WASHERS TIMECLOCKS t BEL UNIT HEATERS MULTI-OUTLET Lot EXHAUST FANS DIMMERS A,W.G. N~ OF HI-lEG j A W.G NO. OFNEUTRAL$ A W,G 2/0 I z 2/0 T~,, certlfl¢ote must ~lOt be altered In an), manner; return to the off,ce of the E~oard ,f incorrect. ,nEpect6f, mayPe~e ,de~::~ti~j/'I~ANA~'*~/~'' Memorandum from . . . . BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLO, N. Y. 11971 765-1802 ~ October 1~, 1985 Dear Mary, After your phone call I checked with Curt Horton. Enclosed please find the Building ?er- m~t and your receipt for your $50 check. I've also enclosed a form for the plumber to fill out that he used the proper solder. I have the underwriters cert- ificate here in the office. All that is needed now is to have a final inspection. Please call our office to set up an appointment to have Curt Horton do an inspection° I have your application for C.O. and your check for $5.00. Yours truly~ /- 4 JL ' copper ~;b.lng is used fo~' wc~te~ distributing "~ystem; piping shall be ~f types K or L ~y FIELD INSPECTION COMMENTS FOUNDATION {lst)~ FOUNDATION. (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FikAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19 J-- ., 19~.~. e~-rrnit No.././~. ~..7..~..~- Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ' .,19... INSTRUCTIONS . '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 coverer[ by tins 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. (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 ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (,Name and title of corporate offiger) Builder s License No..~2~...~ Plumber's License No...~2X .~...~. \~% .... Electrician's License No. ~.~...~.~..-~..~..C}.~ .... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. x .. ................. h~n'l~;'''' "'"'"' """" .%.L ltouse Number Street County Tax Map No. 1000 Section .... ~...~. ........ Block .... ~.. .......... Lot... ~...~.' ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and o~p..12ancy of proposed construction: a. Existing use and occupancy ..~...~.~~.,~...&~' · '~..~.~-4' .......... b Intended use and occupancy .~.~---...~"X~ .~.. &~,~ ..! .......... 3. ature of,~rk (check whtch apphcable): New Building .......... 'Addition .......... Alteration .... Repair ~(. ............. Re$oval .............. Demolition ............. Other Work .......... ~.~..~"~"~'~' :~)' .~...~.0 (Description) 4. Estimated Cost .......................... Fee . ., .............................. i '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... Number of dwelling units on each floor ................ If garage, number of cars ... i .................................................................... 6. If b s~ness, commercml or m~xed occupancy, specify natu. re and ,extent of eachly, pe of use ..................... 7. Dimensions of existing structuies, if any: Front ;,...~,..~.,.~. !. Rear .~ .~ ...... ,-~. Depth .q~\..:.."~/) .... Height ............... Nu.mber of Stories. './~.~. CI-~L,X~j ~ ....................................... Dimensions of same structure ' ' ' w~th alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories Dimensions of entire new consiruction: Front ............... Rear ............... Depth ............... Height ................. Number of Stories ........................................................ 9. Size of lot' Front i Rear B~nth ' f l~orm e o~r~ngr~ D~f ' 10. Date of Purchase 3~.k~4, .\.bI lq~,~ .............. Name o 11. Zone or use district in which premises are situated ~t~ ('. ~.4)\C~A..~..\'..¢~-~. ...... .~. 12. Does proposed constructmn wolate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... :' 'i ..... . ..... , .......... Will excess fill be removed _fr~m~s: Yes No 14. Name of Owner of premisesl'~C~C'. ~...~.. Address ~J:~,.-I::D.k).~.. [~hon'~e o. Name of Architect ......... i.. Address ................... Phone No ................ Name of Contractor ~i~.(~.] .~. i ?~.~.' .~ ~i i AddressQW¢.~:>,4~.~....U~hone No.'~.~., .-~O. ... 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 number or description according to deed and show street names and indicate whether intertor or corner lot. ' NOTIFY BOlL~-ING DEPARTmEnT ~T 765-1802 9 AM TO 4 PM [OR THE FOLLOWING INSPECTIONS: 1.FOUNDATION - TWO REQUIRED FOR POURED 2.ROUGH - FRAMING & PLUMBING 3.INSULATION 4. FINAL - CONSTRUCTION MUST BE CBMPI. FT[~ FOR C. O, ALL CONSTRUCTION SHALl_ MEET THE REOIIIREM[{NTS OF THE N, Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESICN OR CONSTRUCTION ERRORS. STATE OF NEW YORK, COUNTY OF ........ S.S ............................ ~ ................... being duly sworn, deposes ~d says that he is the applicant (Name of individual sigh'lng contract) above named. He is the ...................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly a~thorized to p~ffom or hav~ performed the said work and to m~e and file this application; that all statements contained ~ this applicatio~ are tree,to th~ best of his ~owledge and b~li*f; and that the wor~ w~l be perfo~ed in the mx~r set forth in th~ application filed ~er~with. 8worn to before me this I ...... ......... . ..... ........... Term Ex~es ~arch 30.