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HomeMy WebLinkAbout14242-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16752 Date August 4, .,19.8.6 THIS CERTIFIES that the building ..... .O.n.e...f.a.m.i..ly..d.w..e.l.l.i.n. g .................... · 53245 Main Road Sou.thol. d~ New York Location of Property ~/~t~s~ County Tax Map No. 1000 Section .. 9.6.1 ....... Block ....0.1 .......... Lot... ~...1 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated July 9, ..................... ,19. pursuant to which Building Permit No. ! .4.2fi. 2 Z September 5, 85 dated ............................ 19 .... 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 ......... O.ne family dwelling The certificate is issued to .... Margery Burn. s {owner, I~ g.l".~alli: x of the aforesaid building. Suffolk County Department of Health Approval S - 6 5 UNDERWRITERS CERTIFICATE NO. N 7 5 9 9 9 2 Plumbers Certification , Date,dJuly 31~ 1986, Building Inspector Rw. 1/81 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) No 14242 Z Permission is hereby granted~to: ............... .... ~...o....x......~..~.....~ ......................................... ..~..~,c_ o.~. ~, ~ ,o o, p,e,,,,e, ~oc,,,ed o, ....~ .......................... .~...'~....~ ............... .~.~..~.... ............... Count~ Tax Map No. 1000 Section ....... .(~...~...~ ...... Block ...... ,,(~,,.L ......... Lot No ....... ,~..;..1 .......... pursuant to application doted ..... ...~.~.....~ ........................... , 19.~..~..~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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 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 sifnilar 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 topographic features. 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date .J..u.l.y.. 2. .,..1.9. 8..6 ........... New Building ............. Old or Pre-existing Building Barn Vacant Land Location of Property 53.245 Main ,Road' South?.ld House No. Street Ham/et MARGERY D. BURNS Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 061 Block 0.1 Lot 8 · 1 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 14242 Z Date of Permit 9./.5./.85. Applicant .M. ARGERY D. BURNS .. Health Dept. Approval ,H...D,: ~, ,S.-,6..5..8./.2..8/.8.5... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate....a~ .............. Final Certificate ...... ~ .......... Fee SU bm itted $ .~.,'..~.~....E~. '. ?. ~.~.~7 ........... Construction on above described building and/~/~i~t/,~its,~ppl~ ~le codes and regulations. Rev, 10-10-78 , THE NEW YORK BOARD OF FIRE UNDERWRITERS 100070~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the ~lectrlcal equipment ~ ~scribed below and introduced by t~ ~ppllcant ~med on the above application number in the prem~es of ~argery Burns, Hain St., Southold, N.Y. J. the foliowing locatlon; ~ Basement ~ Ist Fl. ~ 2nd ~. Section Bilk Lot was examlned on ,~U~ ~ ~ ~ , ~ ~ ~ $ and found to be in coo,plla~we u'ith the requirements of tbls Board· FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 1~ 27 ].7 1~ DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: (LP.C.I.-1 Smoke Detector-1 NO, OF CC, COND PER ~' AWG OF CC, COND, E ina OF NEUTRALS1 A W G, · OF NEUTRAL Sal Prato, Electrician l¢ifgins Lane Greenport, N.Y,, 11944 This certificate must not .be altered in any manner; return to the office of the Board if incorrect. ~ , TERED IN ANY ,COPY FOR B I.LDING DEPARTMENT. THIS COPY OF CERTIFICA1 i FIELD ~INSPECTION COMMENfS .... ,~a_~o~. i:~:~ ......... FOUNDATION (lsL) FOUNDATION (2nd) ROUGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY C,ODE FIN ADDITIONAL COMMENTS: 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 ~k., ~ (please print) (please p r in t )~\c~% I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Swor~ to befor~ me this /3~ .day of ou~nty Notary Publ' J lontauk;Bus, Co. "A GREATTRA VELING EXPERIENCE"" 242 W. MONTAUK HIGHWAY- BOX 261 _~.~ 9~;~AYS N~ Y~119~ Blo island Block Islapd is a.favorite hideaway of many~n seekers and now it is easier-than ever to get there. Dffect sail ~from Orient Point to Block Island affords you aday away to bicyde browse shop or sightsae. A~'super'day get awaFfor all thee-family.-Depart from Orient Polntlfor $2,~00 per person ($32.0Q l~dud~.~ ~xa~po~,~ tion from d~ated'Long Island. depar tur~4~oints);~!I, ~ :;' ~ ~ Boat Depaxtlng Orient Point 8:00 AM (T~inies Leav~g) ,~ ~ Dates: July 19 Sat July 20 Sun Aug 2 Sat Aug 3 Sun Aug 17 Sun ~ Aug 30 Sat ~ · ~Aug 31 Sun Mystic, Connecticut Rich in I~isto~ and tradition, th s exciting~sea;~oa, ~ direct to Mystic Via the Cross Sound Fe , from ,d~,tin~ b~a~,ck,to the whal?_g:and clipper: d~$:?the'~ "Orient' Point. $36.50 ~per p~tson inclu~e~ femj late .t7uu s tothe 1800 s. has ~11 the rustic beaub2 ' round-hip. ' and entr~ into,'the' Mystic Seaport,, and romance associated, with ' The ships and the Museum Call for further details. A~'ailable On. men who sailed them! 'There is so much to see ,August 15th and September,17th. and do es~ou explore the.70 interesting, intriguing Mystic SeaPort Direct Sail F]~om Orient Point shops andrestaurants along the mile long Main August 15, 1986, September 17, 1{)86 Street. Walk along the riverside to see yachts and fishing beais ti~ed stem to stem; stop in one of the Price: $36.50 Price Includes: Eerr~ round Mp direct waterfront art galleries; eat a platter of fried clams to Mystic Harbor from Orient Point Entry into the at an outdoor patio; or watch the unusual BascuIe Mystic Seaport Museum Bridge rise up 15 minutes after every hour! Sail FerryLeavesOrlentPoint:9:00AM Call For More Information & Reservations COUNTY OF SUFFOLK PETER Fo COHAI-AN eUFFOLK COUNTY EXECUTIVE July 2, 1985 O~.v~o HARRIS, M.¢).. M.P.H. COMMISE$1ONER Ms. Margery D. Burns P. O. Box 566 Southold, New York 11971 Dear Ms, Burns: SUBJECT: BOARD OF REVIEW HEARING $-65, BARN CONVERSION TO RESIDENCE, PROPERTY N/S MAIN ROAD, TOWN OF $OUTHOLD At the hearing held on June 21, 1985, you had an opportunity to present your appeal of the department's ruling on the subject application. In accordance with the provisions of Article 2, Section 220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Based on the information submitted, that the Board grant the request to install a normal septic-tank leaching pool type sewage disposal system in lieu of a denitrification system. Article 6 is intended to protect water quality by establishing limits on density of population. This approval should not adversely effect the groundwater resources. Very truly yours, Robert A. Villa, P.E. Chairman Board of Review RAV/lst cc Mr. Robert W. Jewell, P.E. Town of Southold Planning Board :}EF~AR ~'M!EN'? OF HEAl-'TH SERVfCES COUNTY OF ,SUFFOLK pETER F, COHALAN SUF,~-OLK COUNTY EXECMTIV~ July 2, 1985 Ms. Margery D. Burns P. O. Box 566 Southold, New York 11971 Dear Ms. Burns: SUB3ECT: BOARD OF REVIEW HEARING S-65, BARN CONVERSION TO RESIDENCE, PROPERTY N/S MAIN ROAD, TOWN OF souTHOLD At the hearing hel~ on June 21~ 1985, you had an opportunity to present your appeal of the department's ruling on the subject application. In accordance with the provisions of Article 2, Section 220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Based on the information submitted, that the Board graat the request to install a normal septic-tank leaching pool type sewage disposal system in lieu of a denitrification system. Article 6 is intended to protect water quality by establishing limits on density of population° This approval should not adversely effect the groundwater resources. Very truly yours, RA¥/lst cc Mr. Robert W. Jewell, PoE. Town of Southold Planning Board Robert Ao Villa, P.E. Chairman Board of Review 76S-'~802 BUILDING'DEPT'. INSPECTION []FOUNDATION 1ST [ ]ROUGH PLBG. []FOUNDATION 2ND[~ INSULATION []FRAMING ,'~'] FINAL REMARKS: DATE ~INSPECTOR 76S,.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. ~.~_,,,// [ ] FOUNDATION 2ND [] INsuLATioN ~)~ FRAMING [] FINAL INSPECTOR ! .~. ZE'" Property of Margery B. Burns 53245 Main Road Southold, New York 11971 Proposed i deck for rear Carriage House Dwelling 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-180;~ Examined ..~.~. ~., 19 .~.~.'" ............. )isapproved a/c ..................................... ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRucTIoNS Received ........... ,19... Date . .Jtll~..9. ........... 19.8.5 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 o.f 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 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 Btdlding Permit pursuant to the lullding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ['he applicant agrees to comply with all applicable laws, ordinances, building code, housing code.., and regulations, and to tdmit authorized inspectors on premises and in building for necessary inspection~ . · · i~i.g~ai~re o~f a~l~ca/n,f, or ~fame, if a corporation) ...P..O..Box 5.6.&,. Southold,..N, .Y.....1.1,971 ..... (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner I · ' I~Iargery D. Burns Name of owner of premises .......................................................................... (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... !1. Location of land on which proposed work will be done. #.5.3.2.4~./~.ollte. ~5o. Main.Road,. Southold,..N, .Y... ·. · House Number 53245 Street Main Road Hamlet Sonthold County Tax Map Nb. 1000 Section .061.-O.l.-.&..1 ...... 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 . Bar..n, None ......................................................... b. Intended use and occupancy ..... E[es~der~oo(Swell, i.n~), for.~entai ;~us~o~,eo:;,,,,,, ~ ~,. · ................ 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ..... 'i ....'Addition .......... Alteration ...X ...... Repair .............. Removal .............. Demolition .............. Other Work... 7. .......... I *~t! (Description) Estimated Cost .. ~ 0..0.0.Q... i .......................... Fee ../.~.' .............................. ~ ' ~ (to be paid on filing this application) If dwelling, number of dwellingi umts One Number of dwelling units on each floor... If garage number of cars" If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... 2'; ~'~ ......... Dimensions of existing structures, if any: Front .1.8.'... Rear .3..0 ....... Depth . .o. .... Height :28~. s.lat~:oX .... Nurpber of Stories..1. ~l .................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth . Same I Height ................... ~ame Number of Stories ..... 1. lJ 2. . Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ...... .s.a. IT~.e.... Number~ of Stones' 1..1./.2. .................................................... Size ofl0t: Front ...84. gB.'.i ............ Rear . ~[5.4,.7.0 .... Depth .281.. 5..8 ............. , Date of Purchase ....1.9.6.5. .................. .... Name of Former Owner ....D.r.: .S. ~.qk..e.s .............. Zone or use district in which p~*emises are situated ...... Bl~[.n.e~.s... .................................... Does proposed construction vi61ate any zoning law, ordinance or regulation: No Will lot be regraded ........ ! .................... Will excess fill be removed from premises: ~ No Name of Owner of premises ~/l~a~..gery. D,. J~UrO~. Address .M...a.i.n..Rtl.....S. qu.t.h, ql. dphone No..7.6..57..6.4..0 ..... Name of Architect i Address Phone No Name of Contractor ...... , .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distigctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from Give street and block nu,.m?er or description accordint~to deed, and show street'names and indicate whether STATE OF NEW YORK, COUNTY OF ................ (Name of individual si above named. He' is/he .................... S.S ..................... being duly sworn, deposes and says that he is the applicant ning contract) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is doly authorized to perform or have performed the said work and to make and file this application;that all statements co~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man,er set forth in the application filed therewith. Sworn to before me this ........ '..~..~. .......... day$f ..... ~ ~ .......... , 19 .~.~. Notary Public, . ...~.. ~...~..~. ?..~ ....... County ~~. A~peal No ..... 4.d. '0at~L~ bi~ y 31.~ 19'/ 3 ( ) J. 9 7 8 fl~e appea? i. Itt'F, CitkL*'- ".' a(,," ~''"~) ~O.¢q. 3~' rea hx l~n" ~f the Roard ~' was detevmhxeil ~ha! ~ ~pecial ~;xcaptlon ( } b~z :~-mt~ d { ~) t~ deified pursua~t ~o A~'hcle .................... Secg. m~ .................... Su~a.ctm~ .................... .................... of tj,.e Zo~Jttg Ck-dJnance a,nl Um decision of ~he 1/uflding Xr~imcio~' ( ) be reversed ( ) be ~ ' . ap.ml..kca~.z~n of Margery D, Ma. in Ro'~d~, Souhhold, New York~ ~'~ ~ a .... :~ ..... .. , ~: ~.. ..,e.~{; ..,n t(}0~30 fox p{:zm:tss:ton 'ho kave ~.e~id,e:i-hLal itomes In a DU. SIlm, SS d:.s'kr.l.o~.~ Locaif.:i. or~ ef b!/ A, Ben,J, ez'~ ,,,Ot~.~ by N,e.t.n Road; and - ...... fi. V.At~IANCF.. l~y xesoltdhm ef the 13oavd ii was determined thai (a) Strict app;,:ea~ion of th,~ Ordhmncc (v, ou]4) (wotfid not) produce p,,ac!Jea! difficulties aVke. h~ ihs h,:mmdintc vlch,ii.y of ibis property aud iu fac same us:., district hecauae The vana~ce (d~,c':i) (doe:; uoi) observe the .~:?ir~ oi :"- Ordinance and Qvould) o ~ ~ I(L VE,.[,,o ) be denied and Ap2'~.ican[', re{j~.t~:sl.s pe:t.~tissl ~n to have a second resident, iai hot~e on ,~ B.,-1 b~lslncs~:~ property,, t ~ the property were developed ho ies f ~ll[.est poi. cnkJal~ bhsiness~,;,ise~ the density would be greehl.y incneased. fl?he Reax~l f[.nd.~ tl~.a[*, stricl3 appiica[ion of Lhe Ordinanc:e will p~x~duc'e prac".{:~.c~x[ di{fiou.]ties er unnecessary hardship~ the hardship c~;eet~,d J,s 0n.i.q~.n~ and woelLd nob be sharec~ by a~.l properties a'l. il{e in b}rhded a;id wi]:l observe k.i:'.} spirit: of the Ordinan<':e~ R'~S{'}71¥}(!:0 'that Has, gory }}~ Burns~ Main Roa.d~ Southold: New !~ork~ be p:}.rset,. }](,~.~o. Ei('¥~ of propertF: Main Road, ~}outho!d~- New Y<)rkr bounded on, ~h~:~ n<)rl:h b~f ~t. l~ender; east bpf A, Bender} souhN by Hain Roac~}' ar~cl wes~i by .13~ 3%dsoF~ subject ~o bhe. following SUFFOLK CO. HEALTH DEPT. APPROVAL H S. NO. STATEMENT OF INTENT THE WATER SU~LY AND SEWAGE DIS~AL SYSTEMS FORTo THETHIS RESIDENCEoF WILLTHE IS) A~LICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOE APPROVAL OF CONSTRUCTION ONLY p. DEED: L. ~ I~ ' TEST ~E STAMP ~AL ROOEIIICK VAN TUYL, P.C. LICEN~IED LAND SURVEYORS GNEENF'ORT NEW YORK 7 /V. ¥: RODERICK VAN TUYL, P.C. U¢£N D L^N SURVEYORS GR£ENPORT NEW YORK SUFFOLK CO HEALTH DEPT. APPROVAL H s NO ~- &5 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. APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL /0~9 0 6 / / ,~. 1 OWNERS ADDRESS: :,~ 971 DEED: L. ,~' -~ P. TEST HOLE STAMP SEAL ';OLDER USED IN WATER SUPPLY SYSTEM CANNOT ': EXCEED 2/fO ~ ;~ IZ.40. PLUMBER CERTIFICATION ON LEAD COI~ENT BEFORE CERTIFIC~ff OF OCCUPANCY OCCUPANCY OR USE 'IS UNLAWFUL WITHOUT CERTIFICATE OF 4-' goo ~l ~ - : 'Mai. Road GREENPORT, N.Y. 11944 ASr NOTED DEPARTMENT FOLL©WING INSPECTIONS: ' ~' ' '* ~"-' ~;f')' REQUIRED 2 ~ ,~ ...... FRAU~HG & PLUMBING , B~ dOM~L~-E FOR C.O. ~ ' ALE Cb~T~UCT~O N'SHALL ME~ T~E REQUiF~I~ENTS OF THE N.Y STATE CONSTRU~I~ & ~ERGY ' ' -'CODES. NOT ~SPONSIBLE FOR ,, ~,q~lG~ OR ~ONS~RIJ~IOk", E~RORS. USE IS UNLAWF0~ '"-~ ~ITHO,UT CERTIFICATE F OCCUPANCY