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HomeMy WebLinkAbout13819-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Cerli icale Occupancy No .g. 1 fi ~ p.8 Date , .3'.u. ~, ~, .9 19~ THIS CERTIFI£S tl~t the building ........ ~ ~.-.~;~;;L~.. ~.~.~,~K ......... Location of Property .... 1.~05 ............ .T.h ~A'~i. ,~.~C ~.e.t, ..........A~W. ~.ct/~'p,l~k .... Hoc~ No. ,gV~t Hamlet County Tax Map No. 1000 Section ..... ~. 1 ? .... Block .......... .7 .... Lot ....... 1 ] ........ Subdivision ............. If ................. Filed Map No .... }i .... Lot No ....... ~(. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Jpp.u,~r. y..1.q ...... 19. ~Spursuant to which Building Permit No ..... 1.3. ~.1,9.g. .......... dated ...... ~lia?.~ b. ~.9. ............ 19 .Q 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 ......... The certificate is issued to ........ l ]'I. R5, ). ~1~ I~ :/NJ/. ~, ,. ~ ]~ ~ ....................... ... of the aforesaid building. Suffolk County Department of Health Approval ................... l/~ r ~.Q': 1 ~ .1 .... UNDERWRITERS CERTIFICATE NO ............................ ~J 7 ~.4.~ 0 O .............. ... ~...~ ..... , .................. Building Inspector Rw.l~l FOB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 13819 Z Permission is hereby granted to: .... .......... _ .....~.~ .......... :~......L.~.~ ........ ,o ~.~........~......~.~~..~.~.~.....~......~.~ .~........~..~...~,.a,.. ~.~_~_~...~ ............ ...' .................... ..? ......... :, , ................................... ~ ~,~ ... ....... at premises located c~, ..,~..~.~..~~:::.~~. ................. .,~:~.......~,.,.~... County Tax Map No. 1000 Section ....... ~J.J....~ ......... Block ..... .(~.....~. ......... Lot No ....... .~...).~ ........ pursuant to application dated ..... ~...~ ................ , 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY '~r.u.~ ~ 0, ~ Instructions /~d ~ ~,-~ A. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzOperty showing all property Fines, 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. F'ees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ ].5.00 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. House No. / Street Ham/et Owner or Owners of Prope ..................................... County Tax Map No. 1000 Section ..... ,~../~. ...... Block ... ¢~.. Z ....... Lot.. ~ ~'.Z'.. ~. ¢~. ~.~::). Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/~./. ~. Z. Date of Permit .~??..~.~.~..Applicant /~/~.. ,,~.~/~',, ,/t/,,.//~.. ~.f,~"~. ~. ~.. .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted ; 2'~ .................... Construction on above described building and permit m~ets all applicable codes and r.e~ulations. Rev. 10-10-78 ~/ TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 MAR 2 ? 1986 BLDG. DEPT, TOWN OF $OUTHOLD CERTIFICATION Building Permit · x ~ (ple~ase print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~(p~/be~r~gnature) Sworn to before me this ~5~; day of ~ , Notary Public,~C°unty N6tary Public NOTARY PUBLIC, State of NeW YO~ No. 52'4636665, Suffolk Coun~ Commission Expires ~ INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY Ye FINAL COMMENTS ADDITIONAL COMMENTS: .m Io TOWN OF §GU'ri{OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE rAKE NOTICE that your application da~ed ., ................ ~cation of Property .. [:Z~ ...... ?~ .~..._ ......... House No. ~troet Ifaml~t ~ubd)vls~on ......... Filed Map No ................. I~)t No.. 7';~-~;~. ......... is returned herewith and disapproved on the following grounds .ff ....... ~... " B fe;ih ltv 1/80 9 Linden Place Greenwich, CT 06~31 April 7, ~9~6 I TOV-/~'/ OF,$~ITHOLD Mr. Curtis Horton Building Department Town of Southold Southold, NY 1~97~ Dear Curt, In our telephone conversation of today, April 7, 19~6, we dis~ cussed my mother-ln-]aw's house at 1305 Third Street, New Suffolk. You brought to my attention the fact that though I ~nstalled the battery operated smoke detectors an electric operated smoke detector is necessary for a final inspection "ok". Since there remains minor electrical work to be don~, this letter will serve as a letter of intent to guarantee that when the remaining electric work, i.e., connecting a hood fan, ~s done the necessary e~ectric operated smoke detector will also be installed at that time. S incerety, . ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined..~¢k4,.~. a .~., 19 .ff.&: Approved . ~-~, . ,~.c~.., 19~.87. Permit No../.'~.~ 1.9 .~7.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUT,HOt.O Rece±ved ........... ,19.. · INSTRUCTIONS a. This 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~pect~i~o~ns. (Signature of appIica~.or nam..~.if a corp ado'h) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... . .~...~.~..'...k:.~..~_.~..~..~...~...%...~. ,O,. ~. ................................ (as on the tax roll or'latest deed) If~t...~....-e.~....is ~duly authorized ....... officer. ....... (~qk~le ~f corp~2ficer) Bnilder's License No....'~... ~.%~, . .C~M~.. .... Plumber's License No......2~>....-~..~N...C>~.... ~) ----,'~' Electrician's License No..'..-~....'~.~.k'...c~.-... Other Tmde's License No ...................... 1. Location oflan, d on which proposed work will be done .................................................. · ......... ................ House Number Street Hamlet County Tax Map No. 1000 Section ..... \\.~. ......... Block .... .~>..~. .......... Lot .... .1~.\ [ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .................................................... b. Intended use and occupancy .... .~. i~k_~ .......................................................... 3. Na{ur~ ' ' ' ' ' · · ~ ..... Addition ...... Alteration of work (cheCk which applicable): New Building .............. Repair .............. Removal .............. Demolition .............. Other Work ............... g~ ~1" ~ (Description) 4 F timat dC st Fee i ~" (to be paid on filing this application) 5. If dwelhng, number of dwelhng iunits ............... Number of dwelling units on each floor ................ If garage, number of cars : 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dnnensmns ofexmt~ng structures, ffany: Front .... c~.-7. 7..t~. .... Rear ....~..~.-.t:7~ ..... Depth . .~C~..C~ ..... tteight ............... Number of Stories ........ C~..¥-'~.. ......................................... Dimensions of same structure with alterations or additions: Front .... c9.--/..'7 .C>. ..... Rear ....... ~ ......... Depth. ......... .~.C~. ..... ~.. Height ...................... Number of Stories ...... O.~,-~-~. .......... 8. Dimensions of entire new constrUction: Front ..... ~..-/.~7~2.... Rear .... .O?.'7.c? ..... Depth . .~o'.'~ .C~.'. ...... Height ............... Number of Stories .............. <D~2~-, .................................... 9. Size of lot: Front .......... 4 ........... Rear ...................... Depth ...................... 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which promises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 14.13' NameWill lot be regraded ........ ~ ................... Will excess~.¢~ fill be rem~ve, d~fr,org premises: Yes No of Owner of premises .~,\¥-k9~... Address ~, .~o. '.~. \~. Phone No. . Name of Contractor ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly al! 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 interior or corner lot. STATE OF NEW YORK, COUNTY OF .................. (Name of individual sig~ above named. S.S - .................. being duly sworn, deposes and says that he is the applicant ~ntract) (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 app ~cat~on that all statements con[tuned m tins application are true to the best of his 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 ............. .... ...... o " N tary Public, j.j~f. ~ .~'... '. e ~ ............ Count,~f'~-~ --..~-___ ~ U ,~o~^~ ,,,~,~, ~,~,~ o, .o~, ~,~,, ' ............. ~..'" .... "'. ~ .'r~". '_-..t'~ .............. ~..~,.,~:~,~,} ~',:~ ~.~;,. ~c "-'~nature of applicant) now now or ~ forme~ Homnett S.E I01.01'~ TES~I' HOLE 16.0' ORCHARD TEST HOLE now or ~ormerly 9mbardi 0.2' now or formeJ Homnetf DWELL/NE, Y or now or formerly Shibley s, 89 2004 E. Area =5,;517 S.F. N'89° 15'06"W' 0 ' I 1.26 Preyherr L ELs $1NGL~ YA~IL¥ DWELLING ONLy ~UFFOLK COUNTY DEPARTMENT OF HF-J~LYH SERVICES FOR APPROVAL OF CF~'!'T~UCTION ONLY HEALTH DEPAET~[NT-O~T~ F~ ~PP~O~L TO C~STRUC HELEN D. KAPP AT NEW SUFFOLK DA TOWN OF SOUTHOLD sc, SUFFOLK COUNTY, NEW YORK NO, ORCHARD STREET IonOW or ormerl.y. mbordl .Iformer l y tvlctoria ~i now or formerly Shibley TEST HOLE O'°~ ~ now or formel Homnett DWELLINg, ly S. 89° 20'04"E. Area = 5,317 S.E <a-~-~'-°-' _ N. 89° 15' 06"W. now or'formlr, ly Preyherr [ P£OPO$ffD RE31ISE'N~,E' I0i.26' DWELL lIVE. TE~T HOLE ELI 18.1~ EL # 20,0 EL.15.? Approved in accordance with Board o! Review [ determlnatlon dated I1EI'~- 5 i ~ SINGLE FAMILY DWELLING ONLy SUFFOLK COUNTY DEPARTMENT OF HEALTH ,~/ICE$ FOR APPROVAL OF C©~'!?r'UCTION ONLY HE~TH DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ~ NEAREST W~ lAN MI.~ ~SOURCE ~ WATER: ~I~TE~P~IC~ ~ ~F CO. T~MAP ~T~ SECTI~ lit ~CK OT LOT ~ ~ LOC~TIOM OF WI~.L(W),~PTIC TANK(ST)& CES~OOLS{C~) ~¢O~N H~EEON suRVEy FOR HELEN 'D. KAPP AT NEW SUFFOI~K TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW -YORK DATE: MAY 30, 1984 SCALE: I" = NO. 84- #UN&UTHOe~ZED RLTEHA~IO# ON AOOITION TO ~HIS NEW YORK STATE EDUCATION LAW NOT BE CON~IO[REDTO B(AVALID TRUE COPY ; ~ /VUI~ ~ /UUI~O RIVER~AD~ NEW YORK ~' ' A~O~ W. YOU~G, PROFESSIONAL ENGINEER  AND ~NO SURVEYOR N.Y.S. UCENSE NO. IZ845 HOWARD W. YOUNG, LAND SURVEYOR , N-~ S.~[LI C~N S E ~NO. ~589 S STREET ORCHARD TEST HOLE TOP &GRAVEL ,4.o' ' now or ~rmmly DWELLINE Kinnin .,~ now or -.' .,. :ormerly ~' . S. 8~° ~0'04"~. I01.01~ Area = 5,317 S.E ~OW or ~.3. A I-~y. FR.HSE. ~ -- +.o, ormerly '~: ~ g ~ ' N.89° 15'06"W. 101.26' nOW or Shirley SU~ =OLK COUNT~ HEALTH~ lENT SINGLE FAMILY DWELLING ONLY H.D. REF. NO. - ~-.~-/&/ THE SEWAGE DISPOSAL AND WATER SUPPLY FACtLITIE~ FOR THIS LOCATION HAVE SEEN INSPECTED BY THIS DEPA~ENT AND - ' ChlOf Of Wa~tewater Management So~ tle~Y FOR ...... ,., ,,,, _ .urn, v~,~, m.(APP ''--~. ....... FEB, 14, 1986 ~UNE 28~ 1986 AT NEW SUFFOLK DATE: MAY BO, 1984 ~WN ~ SOUTHOLD SCALE: SUFFOLK COUNTY, NEW ~RK NO, 84-512 ~E~ YO~K STATE [~CATI~ LAW SO.HOLD ~AVINGS BANK HEAL~ DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT AND ~ HIS BEH&LF ~ THE TITL~ C~P~Y, eOV~N- ~F CO. T~ MAP ~S~ SECTION lit ~CK ~ LOT ~ H~E~, AND TO ~E ASSIGNEES OF THE LENDING ~E~ A~ ~ ~ELLI~S WITHIN IOO FEET OF Tins PROPERTY INSTITUTI~. GUARANTEES ARE ~T T~SFERABLE OFH~LTH $~ICES, PURPOSE AND ARE NOT TO BE USED TO ESTABLISH  ~~ER A~E YOUNG YOUNG ~OT~ ~O~U~T ~AKE ALDEN W. YOUNG~PROFESSIONA~ ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ ,~AND SURVEYOR ~ L~T~L(W),~IC ~ANK{ST)e CES~OLS(~)~N ~nE~ N.~S. LICENSE N0.45893 BRANDIS & SONS INC, 1046 [11 J,i ~O~f types K or L only r ~?LU:q~BER CERTtFICAT[O~ ON LEAD CONTENT BEFOR~ SOLDER USED [tv' WATER £UPPL y SYSTEM CANNOT NXC£ED 2/10 of 1% LEAD, _b AS NOTED DATE: --, B,p. ~__ ~:EF- BY · Nd*~'"F~'~tNG D~ARTM~-T AT ~Or' 'qUG INSPECTIONS- L ¢ 'NDATION _ TWO REQUIRED 2. I' %A' '" DESICN~¢R CONSTRUCTION ERRORS, J /