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HomeMy WebLinkAbout14484-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N,Y. Certificate Of Occupancy No. ZI6063 Date .Augu. st. 17, 1987 THIS CERTIFIES that the building .... O.n. ~...fa.m. ~ 1. y..dye..1.1 .~?.g ......................... LocationofPro eft 70 COLUMBIA ROAD SOUTHOLD P Y h~[~f~qo~ ....................... 's'~/e~i ....................... h~,3i~ County Tax Map No. ] 000 Section 07 9 .Block 6 .Lot 13 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 c t. 23, 19 8 5 pursuant to wlfich Building Permit No. 14/4 84 Z dated ...... p.e.c.:........ ,.2 6, I 985 ....... was issued, and conforms to all of the requirements of tile applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... 9.~.e.. f.~.m.~. ~ ¥. ?.~e..~.~).n.~:, .2..c. 9.r' .g.q .r.a.g.e., ,ap?., d. ?.c~s.: ....................... The certificate is issued to ROBERT d. HAND ..................... /o¥o'o;, '~14~;~ib~lgkX X X ................. of the aforesaid building. Suffolk County Department of Health Approval .... 1.4. 7.8.0.-.8. ! .... A.? ~.... [ .0 .,.. 1~ 9. .8.7 .......... UNDERWRITERS CERTIFICATE NO. iq 7 8 5 4 4 5 D e c. 2 3, [ 9 8 6 FLUMBERS CERTIFICATION DATED: Bay Plumbing 2/27/87 Building Inspector Rev. /, FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLetION OF THE WORK AUTHORIZED) 14484 Z Permission is hereby granted to: ........ ........ .................................................. ....... .~,~..~..-c. ~..c.~.t..~.~..~.,.....u~..5..'-z- ro ...... ~......~.~.~.~.......~.~.....~..~....~~z~...~ ............. .............. ~.....~.~....~.~, ................................................................................. -~ .... ,, ~,,~,, ~=,ed ,, .....~.O.....Co.I.~.~.~L~...~..~ ............................................. .............................................................................................................. County Tax Map No. 1000 Section ...(~..~..?~.. ....... Block ....~..-~.. ......... Lot No.....~.l..~ ......... pursuant ,0 application doted ....~...-~/..~.....,...~.,.'~.. .......................... , l~....~.Tand approved by the t~uildlng Inspector. Fee ~,..~.~.~...C...~ Rev. 6/30/80 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hail .ece p, No. 3 2 8 9 7 Sou,hold, New York 11971 Date ........ ~/k?/'~'~''' ' .... Received of ,--- ~ / . ~ o-~/o 0 .............. /100 Oollar~ Fee for [] Yard Sale [] [] ............ .4. ..................... Fee for Fee for r-~e~ificate [] H.I.C. ~ Building Per,nit L~J of Occupancy [] Misc. Building Department , _. _, ....... ..,~.~, uu.u.lgs an~ unusual natural or 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 $25,00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00. over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date . .4~..8.~...1.~.,.. ]'. ?.~2 ...... NewCOnS truction... ~ Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~.O..O.q~g~..~.:~...~.o.~d., ..... .~.oB.~.bo..~.d.t .~;..~... ....................... House No. Street Nam/et Owner or Owners of Property ~. 9.~.e.~.~.. ~.-..~.~J~..~. ............................................ County Tax Map No. 1000 Section .Q?9 ........... Block ... ~ .......... Lot...!~.c..1:..1.~ ..... Subdivision ................................. Filed Map No. ~..OG.~. ..... Lot No .............. Permit No.l.~r~.~.... Date of Permit .1.2./.2..6/.8.5.Applicant . .I~..T:~..N.D..H.O..M?~..,...l~..O.,. ............ Health Dept. Approval .~/.1.Q ./.~? ............... Labor Dept. Approval ........................ U ' App ]~.8.~ .~. ~ g B d App ....~ nderwmters royal ................ Plannin oar royal ............... Request for Temporary Certificate ..................... Final Certificate ... y .............. Fee Submitted $ 25.00 ....................... Construction on above described building~andl~e~m~t-rffee~s,pll applicable c~des and regulations. ,,,.,0.,o.7, , Robert E. HiltM, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000174 BUREAU OF ELECTR~CITY STREET, NEW YORK, NEW YORK 1003.8 THiS CERTIFIES THAT o~ly the electrical equipment as described ~elow ~tr~d introduced bY the at)pl~cant t~meA o~ rhea.bore application number in the premises of Inland Homes, n/e corner Ed's Rd., ~ Columbia Rd~, Victoi~a Rd., ~ Colonial Rd., Southold~ N.Y. in th~ followi,,g Ioc~¢io,; ~ I~asement ~ Ist ,.,.~ ~a,,,i..do,, December 11 , 1986 FIXTURE RXTU~ OUTLETS ~ECEPTACLES SWITCHES F[UORESCENT 2O ~0 ~ 2nd FI. Section Block Lot attd fouttd to be itt cotnplla,ee u'ith the requirements tff this Board. RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: Smoke Detectors~ Motors: 1--1HP E R V I C 1 4 }]eco Elec. Corp. (Cliff Cornell) lic.#2ll6E ~~//~~ 32S Willow Point Rd. Sou t h o 1 d: N. Y. , 1 19 71 o[N[ll[ MANIOER P~ 11 This certificofe mu~t not be altered in any manner; return to the office of the Board if incorrect nspectors may be identified bv the r credentials ' COPY ~0~ BUI DING DEPARTMEN--~ THI--~ COPY OF CERTIFICAT~~ ~UST NOT BE ALTERED AN~ ~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No.~ ~_~ Owner ~%~L~ (please print) Plumber ~ ~--~ .~ (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 this ~L~ day of ~h~ Notary i~ubiic ,C~o~o ~ (c~ County ~o~a~y Public PEGGY J. l¥~ill'~g ~(~t~,ry Pub!lc, Statue of New York ~zsicn ~xplres ~an. 8~, 1989 FIELD INSFE~TIO~ FOUNDATION 2, (2nd) ROUGH FRAME FLUMBING ~_~ INSULATION PER N. STATE ENERGY qgDE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INsPEcToR P.O. BOX 728 TOWN HALL $OUTHOLD, N,Y. 11971 TEL, 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /Z~ An application for Certificate of Occupancy is not on file. ~E~c/~3~d) /-/ No Underwriters Certificate on file. /~ The check &s(o~/not on file.) /~ No Health Dept. Approval on file. /Zy~ No final inspection has been made. Please contact our office on this ma~ter. Thank you for your cooperation. ~uilding Permit #-_~/ _~. ~ ~ ~ Z Building Dept. ~0/~, ~.~. ***/_~ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 76.5..'"8O2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR 7~-1802 BUILDING DEPT. INSPECTION /FOUNDATION XST [~ ROUGH PLBG, '~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~-~" /~~ DATE ,,, INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~--] FOUNDATION AND [ ] INSULATION FRAMING [ ]FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMA/~KS: / RODERICK VAN TUYL, P.C LICENSED LAND SURVEYORS GREENP©RT NEW YORK SUFFOLK C..:O. HEALTH DEPT. APPROVA~ 'H, $. NO.~ THE WATER S~STEMS FOr Sox *gY~i~, N.~"~ ~9S2 SUFFOLK COUNTY DEPT, OF HEAL SERVICES ~- FOR APPROVAL CONSTRUCTION ONLY ~PPROVED: SUFFOLK CO, TAX MAP DESIONATION: DIST. SECT, aLOCK PCL OWNERS ADD~E~; DEED: g. 60~'7 L FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Examin ed .e~-.~--...~.6 ..... 1~/ ........................ .... :: (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN OF SOUTHOLD Application No .................. October 23 198.5. Date .................. , · INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ~ving a detailed description of layout of property must be drawn on the diagram which is part of th/s 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 issue 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 Occupahcy shall have been granted by the Bui/ding 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 buildings for necessary inspections. - INLAND HOMES. x ~.N.G, ................ (Signature of applicant, or name, if a corporation) Box 11.7, Mattituck, N. Y. 1.1952 . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor ........... Name of owner of premises . .I,N.L.~..N.D..H..O.I~.~.S. ~ . ~.N.C.., ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · Robert E. Hiltz~ President (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No, 2816 Other T}ade's License No ...................... North East Corner of Columbia Location of land on which proposed work will be done. & EDS Road, Southolcl, iq. ¥. House Number Street Hamlet C~hnty Tax Map No, 1000 Section 079 Block 6 - Lot Pcl, Subdivision ................................ Filed Map No ............... Lot ............... (~l'a'~) State existing use and occupancy of premises and inten~se and occupancy of proposed construction: a. ExisfinE usc and occupancy ..................................................................... b Intended us~ ~nd occupancy ............................. ~. · · ..... 1 Family ~elling ...... ,.~ ...................... o 10. 11. 12. 13. 14. Nature of work (check which applica,ble): New Building . .X. ....... Addition ......... Alteration . ·. ~ ...... Removal ' Demolition Other Work ............. Repair ........................................... -~ - Estimated Cost....$60......'000.'.00.........: ........ ....... Fee. ............................... ,' (to be paid on filing this application) · ' Number of dwelling units on each floor If dwelling, number of dwelling~umtS...... · ...... · ............... number of cars 2. ...... If garage .......... If business, commercial or mixed occupancy,, specify nature and extent of each type of use .................... Dimensions of existing structures, i~ any: Front ............... Rear .............. Depth .............. Height...............Numberi of Stories ', ..................................................... Dimensions of same structure with alterations, or additions: Front ................ Rear ............... Depth ...................... Height ...................... Number of Stories .................... i .4.6... .~ Rear .4.6. Depth .26. Dimensions of entire new construction Front.: .............................. Height 1.8 ...... Number of Stories ...................................................... ........ 150 ' Rear 150 Depth .8.3 Size of lot: Front r . ................... .19.8..4 ' Name of Former Owner Date of Purchase .......... Zone or use district in which premises are situated Does proposed construction violat~ any zoning law, ordinance or regulation: .. D.Q .......................... Will lot be regraded..n.?. ... . ...................~ . Will excess fill be removed from premises Yes Nmne of Owner of premisesI,n.l.a. ?.d. H.o.mes ,..I.n.e.x Address Box 117 ~Na~:~:±~u.C~horI~YNo .:~9.8.-96.9.6 i" Address Phone No Name of Architect .............................................................. Name of Contractor .......... ~ ." .............. Address .......... '[ ........ Phone No ................ PLOT DIAGRAM whether existing or proposed, and, indicate all set-back dimensions from description according to deed, and show street names and indicate whether Locate clearly and distinctly all buildings, property lines. Give street and block number or interior or corner lot. STATE OF NEW YORK, COUNTY OF ..... S.U..~?.O.L..K .... ..................... Rql~o! '.t..$ ,. ~t.5, l,l:g ........ being duly sworn, deposes and says that he is the applicant (Name of individual s~,gning contract) above named. Cont] 'actor He is the ..................................... ; · · .~ ............................................ (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 thi~ application;that all statements contained in this application are true to the best of his knowledge and belief; and that th~:. work will be performed in the manner set forth in the application filed therewith. Sworn to before me this g.g.r d day of O.c~ob?r 19.8.5. Notary Public, ............. STATEMENT OF INTENT THE WATER fiU~LY AND SEWAGE Dlfi~SAL SYSTEMS FOr THIS RESIDENCE WILL ~ ,-.J'.~ ¢ ~ CONFORM TO THE STANDARDS OF THE ~--~, '' ~ , ~ , ' ~ SERVICES - FOR APPROVAL OF APPROVED: ~.~ SINGLE FAMILY DW~ SUP.FOLK CO. TAX MAP ~jIGNATI~N: '. x '~ 079 'x~ OWNER~ ADDRE~: .... ,,, .,,, DEED: L. 606V P ~" 'k ~EST HOLE ~TAMP i ~AN.., sEAL RODERICK/~. w~VAN~T~YL' P.C. ' ~ LICENSED LAND SURVEYORS ; GREEN~RT NEW YORK SU..F,~O_LK COUNTY HEAL:ITEl DEP'~RTME~ SINGLE FAMILY DWELLING ONLY H.D. REF. NO J ~/~~ -~/ ............. ; _ T DATE. ~,~,- THE SEWAGE DI, spO~ ~I~D WATER SUPPLY FACILITIES FOR THIS LOCATION HAVE BEEN INSPECTED BY THiS DEPARTMENT AND E~UND TO BE SATISFACTORY. ..... ~ ..... Chlef-of W~stewater'"~Management Section SUFFOLK00UNTY LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S, NO. 14-50-~t STATEMENT OF iNTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. Is) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE. h. S. REF. NO. APPROVED: SUFFOLK CO. TAX MaP DESIGNATION: DIST. SECT, ~LOCK PCL, OWNERS ADDR ESS: ~. DEED. L. 6,-~'~ ? P ¢'7©'?~¢cL' TEST HOLE STA'M P SEAL If copper tubing is used far water distributing ~ya~em~ piping shall be ef types K or L onl~y OCCU?~HC¥ OR U~ ~ ~C'~L~,~IFUL OF OCCI. I~/~C¥ BLUMBEI~ CERT[FICATTON ON LEAD COjl/TEI'/T BEFORE CEI~TIFICATE OF OCCUPANCY' SOL'~)ER USED ~rN WATER -' ,M CANNOT SUPPLY SYSTE 1% LEAD. EXpEED ~]10 of ~ ~.. FOLLOWING INSPECTIONS: FOR pOURED CONCR~E 2. ROUGH - FRAMING & PLUMBING ~. INSULATION ~LL CONSTRUCTION SHALL THE REQUIREMENTS OF THE ~ATE CONSTRUCTION & ENERGY ~ODES. NOT RESPONSIBLE FOR J phone 477'0410~ ~ "'ill RoRd I P q i Phone 47%0400 t~ Main Road ' GR£ENPORT, N.Y. 11944