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HomeMy WebLinkAbout13862-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z- 15221 Date January 27, 1987 THIS CERTIFIES that the building Addition to existing one family dwelling. 1515 Calves Neck Road Southold, New York Location of Property ................................... ' ............................ House No. Street Horn/et 063 07 37 County Tax Map No. I000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .April 12, 1985 pursuant to which Building Permit No. 13862Z dated Apr il 15, 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. RICHARD & KAREN SEELIG The certificate is issued to ..................... [o~,n'e'r,'l~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ........ N/A N 788831 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. 0 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- 13862 Z Date ..~......./...~ ................... , ]9.~.~.~ Permission is hereby granted to: ..~.,..,.,....,..~_.~...=....~.. ..... ,~.~ .... ~~ ............... ......... ' ............ ..,___...,__..... ............ ~ ............ ...,.......~ .......................... at prem,ses'~ ~l~oted at ~.~/.~......~....~....~ ........ ~~...., ............. County Tax Map No. 1000 Section ...... .(~...~.....~. .... Block ..... ..~....'~. ......... Lot No .......~..-/. ........... pursuant to application dated .... ....~.0,~.~..~..-..../...~ ................... , .... nd approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Bui{di~g Department Town Hall Southold, N.Y. 11971 765 - 1802 TOWN C~. U[~U~HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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. 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 featu res. 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 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 $15.00 Date .......................... New C on s % r u c % i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,, ,/, ,~.~?, ,~,, ,, ,~,,',A, ,~, .u?,~$,., ,~,, ,~..~j,~,.,, ~.o, ~ a ...... ,~,, ¢? ,~, .~.~,~. ~ ~D House No. Street Hamlet Owner or Owners of Property . .~.. )~ ~ .~/~..Fj../~......~../.<~4 .¢~?.~..~... Z~ ,....~..~-7~ .4~../.~7 ..... County Tax Map No. 1000 Section . .C?.~.:..-.~..~... Block . .(-~. ?.; .o..~.... Lot....C:~...'7.-..C?.~... 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 buildin~ and permit meeTs%all applicable codes and regulations. Applicant .~~.~ .~. ,.~ ........................... Rev. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 r DEC ' 1986 APPLICATION FOR C£RTIFICATE OF OCCUPANCY Instructions 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 tines, 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 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: I. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewC°nstructi°n ...... Old or Pre-existing Building $15.00 Date .......................... ............ Vacant Land ............. Location of Property ./.~,Q~,,~... ,~. ~, House No. Street Hamlet Owner or Owners of Property .~.,..c~j.~.A...r~.. ~.......~¢...K~.f~...~.' .,~.. ;....~-~. ;,.~.~_.~...,~.~. (.~... County Tax Map No. 1000 Section ....~./-P.~..~.~.?.. Block .....~.. ~..~..O. ?.. Lot..~.~.. ~. ~..<-?.~... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.../~..(~..-z~--. 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 perm~ meatball applicable codes and regulations. Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, 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. )An application for Certificate of Occupancy is not on file. F/)No Underwriters Certificate on file. w/)The check is (*~/not on )No Health Department Approval on file. )No final inspection has been made. .Please contact our office on this matter. Thank you for your cooperation. Building Permit # ~ . ~ ~ ~ ~ Z )No Plumber Solder Certificate on file. (all permits involving plumbing being issued after April 1, 1984) NOTE: As of January 1, 1987 there has been an increase for Certificate of Occupancy. You are being billed under the old rate. If payment is not received by February 15, I987, the fee will be $25.00 for your Certificate of Occupancy for the addition to your existing one family dwelling applied for under Building Permit #13862Z. FOUNDATION (?st) COMMENTS FOUNDATION 2nd) ROUGH FRAME & PLUMBING o INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~,~r ,,~ Jori. ST.EET, ..W ¥O.,<, .~W ¥O.,< ,°03. 7 8 8 8 31 Date ~y [~ ~ ~'Z Application ~o. o,,~,,~ ~/s~ N THIS CERTIFIES THAT P~[~627 only the electrical equipment ~ ~scribed below and introduced by t~ applica~ ~m~ on t~ ~ve appl~atlon ~um~r in the pre~is~ of ~ S~'II~% 1405 ~lves N~ 1~, ~utt~ld~ N.Y. inthefollo~,inglocation; ~ Basement ~ lstFI, ~ 2nd FI. Sections Bilk 07 Lot ~/ ~ 19~'~ ami found to be in colltpllance u'ith the ~eq~ireme~t s of tlds Board. DRYERS FURNACE MOTORS SERVICE DISCONNECT FIXTURES RANGES F~UOR~SCENT ~1~¥ ~,T ~W UTURE APPLIANCE FEEDERS iPECIALREC'P' $ R AWG OF CC COND C NO. OF HI-LEG EXHAUST FANS DIMMERS E Richard S~.:Ling 1405 Cal-ves Neck ~u~]d, N.Y, 11971 GENERAL MANAGE~ Ibis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectdrs may be~ identified by their credentials. CO~ ~OR BUILDING DEPARTMENT. THIS COPY OF CERT ~ CATE MOST~NOT BE ALiERED IN,~ANY ~R' 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved~.. !.%.=.., 19 .~ S/Permit No. ~ .~..~..G.2....~-. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. Ttfis 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspgctions. ~ · .......... " (Signature of applicantT, or name, if a corporation) ,,'~..~ ~,X.,~. o ,q-r. . ,.. d~',-.~., . . . . A ( ? /.4' ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ~. ~ ~.. .."/.T.'. ..................................................................... Name of owner of premises .... ,,~./.4 .,5/.~..~.g...~..YS/.A. ~ ~gM....~.~. ~T&./. ~ ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corl/orate officer) Builder's License No.. H- t '~, ~ .~-~0 Plumber's License No ......................... Electrician's License No ....................... Other Tr, ade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ... I..-fi'..x ~ ................... ~.~.= .e4 .~x....,~.~.c..~..,f4o. e.~. ......... .S-.?.~.T~ e..cz?.. ............... Itouse Number Street Hamlet County Tax Map No. 1000 Section . . . .~..~.~ ........ Block . . . .C>..-2 .......... Lot.. · .~.7. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ./~..~. 7./?..~.~f. 7U?..4..C~. ............................................... b. Intended use and occupancy ....~..~..~/~ ~./y'.~U~.~..~ .... ~.....':~..1....C~&C~'/.K.~V. ~.~.'~ .......... 3. Nature of work (check which tpplicable): New Building ..... 'i ....'Addition....t.,~.. i.. Alteration .......... Repair '. ',' :t)~'~- ..... Removal, · · .......... Demolition .............. Other Work .......... . ..... ..... ,~7 ~- i (Description) 4. Estimated Cost ....//.4..~)..C). ! ........................... Fee ...................................... ,~ *'~ (to be paid on filing this application) 5. If dwelhng, number of dwelling umts ......... ./. .... Number of dwelling units on each floor·../. ........... If garage, number of cars ... I ..................................................................... 6. If business, commercial or m~ed occupancy, specify nature and extent of each type of use ..................... ' . ..... 3..'~ .... Rear .. ~.. ~.,..-~. ..... Depth..?.~...~ ....... 7. Dimensions of e.xjs,ting structures, if any: Front ~' ~ Height ... ~.~...~ .. Number of Stories . .~. ................................................. - Dimensions of same structure iwith alterations or additions: Front ~3, 2 ........... Rear .~'&,...7 ............ Depth ...... ~ "~ ...... i ....Height ... ~7..~~. .......... Number of Stories . ~ ......... 8. Dimensions of entire new construction: Front ...... 2~ ...... Rear .... t"~ ........ Depth . ./.~.' i i i Height ..... ! .-Z.'~ .....NUmber of Stories ..... /. ................................................. 9. Size of lot: Front ...,/~3.,~4~./. ......... Rear. ,-'r?.~.(~ ............... Depth ~..W~-.TJT' ............. 10 Date of Purchase ' Name of Former Owner 1 1. Zone or use district in which premises are situated ............................. .~ ....................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..2~.o. .......................... 13. Will lot be regraded ...... ,¢V~ .................. Will excess fill be removed' from premises: Yes No 14. NameofOwnerof~remises,~./.cC..~.~P...X..~.~c~ Address ¢,~o-~,q~c~ /el. Name of Contractor'~'~ ~4.ff, Z...,'f!(d-'~.l,,d.o. Iyl ~..,~ Address _/.o/?,~,.~: .~co'~ PhoneNo .~.~/-...~.qz PLOT DIAGRAM Locat~ 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 interior or corner lot. STATE OF NEW YORK, COUNTY OF ' S.S · ........................... ~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual ' ~ ' s~gmng contract) above named. He is the ..................... i .................................................................... ~ (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 con,tained in this 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 ........ : .... [~..... ...... day of~....~;lz'c,,.~ ......... ,19~7.~..''~- ....... H[L[lq Iq DE NOTARY PUBLIC, State el New York N0. 4707g?~, SuJfelk C0tm[v t' - ,~' (Signature of applicant) Te~rn [xp*res ~;~a~ 30. AP:::~C'~D AS NOTED BY: Y, C.L,. NOTIFY BUILDING DEPARTMENT AT 802 g AM TO 4 PM FOR THE INSPECTIONS: I. FOUNr~ATIOF,r _ TWO REQUIRED FOR P~qURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INgULATION 4. FINAL - C©N'STRUCTION MUST BE C~Mpl ~TE FOR C, O, ALL CONSTRUCTION SHALL MEET THE RE©IURrMENTS OF THE N Y. STATE CONSTRUCTION & ENERGy CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS -OF OCCUPANCY II GENERAL NOTES: 1. Contractor ~o ~heck all dim~mmions & field ~e ~fo~ ~rk, ~ ~le for 2. ~1 ~e~ ~ ~ .2500 p,s.,i, at soil. 4. ~r ~ ~ ~. Fir %2- 5. ~ ~ ~ (2)2"X6" ' '. ~ .~s~ ' .6. El~t~ical w~rk t.~. ~oafom ~o the