The URL can be used to link to this page

Home My WebLink About14380-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA/~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19073 Date MAY 22, 1990 THIS CERTIFIES that the building Location of Property 1630 SAGE BLVD. House No. County Tax Map No. 1000 Section 053 Subdivision ADDITION GREENPORT, N.Y. Street Hamlet Block 05 Lot 12.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 1985 pursuant to which Building Permit No. 14380-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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ESTATE OF WILLIAM F. KILLIAN H~015771=MAY 10, 1990 Building ]~spec~or Rev. 1/81 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) No 14380 Z Permission Is hereby granted to: ................... u+~o %.....~ ~.~.~ ........ - , r ~ ~ ~ t//~ ~ ..................... i ..................... & ........................................ ~ ............ ~ ............................. ~ ............... at premises located ........................................................................................... r ................................ County Tax Mop No. 1000 Section ~-3 Block ~ Lot No. /...~.. pursuant '0 application doted ....................Z.~..L-/.~ ..................... , Ig...~.:.h'~.~ and approved by the Building Inspector. Fee $ .................... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART}lENT TOWN HALL SOUTDOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION -..~..OLD OR PRE-EXISTING BUILDING...~.VACANT LAND ........ Location of Property. J630 Sage B.Ivd., Greenp0rt IIOUSE NO. STREET HAMLET Owner or Owners of Property Estate of William F. ~illi~p7 Deceased County Tax Map No. ]000 Section .Q~.. Block 05 Lot' I2,2 Subdivision ....................... Permit Health Planning Filed Map ........ Lot .......... No. lq.s~o ~.Date of Permit !~/Z-Z/V~..Appli~=~ .:.~¢~.~t~.~.~... · Copy Attached Dept. Approval .................. Underwriters Approva~ .............. Board Approval ................ Request for Temporary Certificate ....... Final Certificate X William J. vc 1 a'r k ,''AYt'o r'n'e'y' 'f'o'r' yh ¥ ' Estate of William F. Killian, Dec'd. 10/14/88 ~0 ~ I~073 FORM NO. 6 TOWN OF SOIFI~IOLD BUILDING DEPAR~fENT TO~fDILL 765 - 1802 rev. 10/14/88 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be! filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: [. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ~atural or topographic features. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of 11 lead. l .Ii. Commercial buildings,iindustrial buildings, multiple residences and similar.' buildings and installations, a certificate of code compliance from the Architect or Engineer responsib}e for the building. 6. Submit Planning Board!Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land uses: ~. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A ~roperly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. If a Certificate of Occupancy is denied, the Buildin Inspector shall state the reasons therefor in wrmt~ng to the applicant. 3. Date of any housing c~de or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Laud'Certificate of Occupancy: 11. An 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 ownership ofithe entire l~t prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Ingpector shall state the reasons therefor in writing to the applicant. FEES: ~ (. CERTIFICATE OF OC~I~ANCY - New DwelIing $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Ocdupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Update.d Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial FIELD INSPECTION FOUNDATION (1st) FOUNDATION ( 2nd ) · ROUGH FRAME INSU~LATION PLUMBING PER N. Y. STATE ENERGY qODE FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8017845 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK IOO38 ,,),,~ t~AY 10,~.990 ,4/.~m,,.,;o.N ....... y'it~ 00019090/90 H 015771 THIS CERTIFIES THAT O~ly the electrical equipment ~ ~ribod b~low and introduced by the applicant named on the above application number in the prem~es of EST. WILLIAM F. KILLIAN, SAGE BLVD., GREENPO~T, N.Y, :~sexaminedon APRIL 27,1990 andfour~dtobeinconlplianceu'iththerequireme~tsQfthlsBoard, · FIXTURE / FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ~'i~DRYER$ FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT~ TIMECtOCKS BELt ~ MULTI~O~UTLET DIMMERS OTHER APPARATUS: ~N0 VISUAL DEFECTS: "An suPvey has bee~ mede ct the exposed e[ectP~ca[ equ~p~en~ ~n the pPem[ses ~nd[ceted." "No obvious unsatisfactory condition ua5 found, 116-05 HAIN ROAD HATTITUCK, NY, 11952 GENERAL/~NAGER Pe/1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, ,\ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [/.~ NAL REMARKS; 0,[~*, ~ ~_~ ~ .~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION FRAMING FINAL DATE INSPECTOR~./~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ FRAMING [ ] FINAL DATE 'q~//////J~ 'FORM NO. 1 TOWN OF SOUTHOLD ~xamined../~..//Z ....... , I~.'.~ .-~' ~pproved .../.q././?. ...... BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BLOG, DEPT. TOWN OF SOUTHOLD Rece±ved ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .../.0/I.I ........... 19 .~.d~ IN STRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 *r areas, and giving a detailed description of layout of property must be'drawn on the diagram which is part of this appli- :ation. 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 ;hall 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 ;hall 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 inspect~ons.~ff (Signature of applicant, or name, if a corporation) .P..o., .O.~..s..~.S.,. C~..~kW~..~,. ¢..~.'¢ .a.~...~\q..~..~... (Mailing addrLa~'s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .[~J .~.[[~..C¢-XN.. ~O, lt~..~; .~[(.,',~ .......................................... (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...~. I..~...~f~.%. ? .~! .~ Plumber's License No ..................... '~. · · Electrician's License No ....................... Location of land on which proposed work will be done..[~o.~,."~C'~. ~....~. [[.~..o,~....~...?.c.r.X.x...c.z~.. ...... .13.00......3~., .~.~ .~.&.., ................... 5r~.e~ ~.% ....... ~3.~...~ .e~. ........... House Number Street Hamlet County Tax Map No. 1000 Section ..... O.~.~. ....... Block ...... 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 . . . ~ , ·~.0¢.e-~'~f~ ..... ¥ ..................... b. Intended use and occupancy ........... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ' ......... ~ Alteration ....... '... , Repair ........... Removal ....... Demolition ......... i .... Other Work ............... · Est~ated Cost.. , Q~ ......... : .......... Fee ......... , ............ (to he paid on filing this application) 5. If dwelling, number of dwelling units .... ~2 .... Number of dwelling uhits~ on each floor .......... If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each ~ype of use ..................... 7. D~ensions of existing structures, if any: Front...... ~ ..... Rear .......... Depth . ~ ........... Height ............... Number of Stories ... ~ ................. ~ .............................. D~ensions of same structure with alterations or ad~ditions Front . 2B) ..... ~ ....... Rear . ~' ............. p~ B~'. i~t 'f .~ ....... De .................. He ..... Number 0 Stories .......... Dimensions of entire new construction: Front Rear' " Depth 9. Size of lot: Front ..... ~ .............. Rear .... ~f~ ............. l' Depth /~Gt.~. A~.~: .......... 11. Zone or use district in whic[ premises are situated .~G~ ~ .......... I ..... 12. Does proposed construction violate any zoning law; ordinance or regulation: . ~ ............................ 13.· Will lot be regraded .~O ........................ Will excess fill be removed from premises: Yes No 14. Nme of Owner of premises Md[[~. ~..~i~.~:. Address Nme of Architect . . ....... ,.. Address ............. 1 ......Phone No ..... 2 .......... N~ae of Contractor Z Z Z 2 E, Z ZZE........ Address ~r H~+I'~ .... Phone No. n~..7*f.~ ...... PLOT DIAG~ : Locate cle~ly ~d dist~ctlg ~1 bufldhgs, whethep existing or proposed, ~d.[indicate ~1 set-back d~ensions from property fines. Give street ~d block number or description according to deed, ~d show street nines and indicate whether interior or corner lot. STATE OF NEW/Y~Cl_R[~ S.S COUNTY ....... ..... flo... vk_ ........................ (Name of individual signing contract) above named. He is the.....~..~.'~'~...'~..~.. .................. ...... being duly sworn, d~poses and says that he is the applicant (Contractor, agent, corporate officer, etc.) of 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 oflhis 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 // OL Oat- Notary Public, ,?. · .'-r~r~'. ·..-~. ~.. ~/.~-.. 7 .... ~ounty ,~ ... (Signa. t iotappiicant) -'4 i APPROVEO BY NUMBER ir !1