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HomeMy WebLinkAbout23678-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25139 Date JULY 18, 1997 THIS CERTIFIES that the building DWELLING Location of Property 1475 REYDON DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 2 Lot 15.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 27, 1996 pursuant to which Building Permit No. 23678—Z dated SEPTEMBER 12, 1996 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 DEMOLISH EXISTING DWELLING & REPLACE WITH NEW ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & WILMA MEEHAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-424419 — JULY 1, 1997 PLUMBERS CERTIFICATION DATED JUNE 13, 1997—HENRY P. SMITH PLUMB.&HEAT. r Build' g Inspect Rev. 1/81 FORM NO. f 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) N° 23678 Z Date ........ ........ .........�....................... Permission is hereby grant to: ............ .. .'. ....... ................................... ... . ... . ... .... ... .',1f. �.,�.,.....//.lel..............; to . ............ ..A": ..... ....... ...................+ .,:�lr� a .� `Lr .��:^�•'• ` !.e.o, . ................. .,, a...�/ `..... `. . .-..... ......................... atpremises located at ......................... ...,x... . ....... ....... . ..... ....��............................................ ............................................................. . . . ....f. ................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ...........Q.. ..... Block .......e�:........ Lot No. ..r:S .y.......pursuant to application dated ....... ... . 7.................. 19..1.q and approved by the Building In�ector. 0.40~ 1 rho n Fee $..... � .. ............ ..�1......,..... .... ... . .......... .. ................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: , 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy - .25c, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 / Date . .JLI:�/ ,�� ,�,�9Q7. . . . . . . . . . . . . . . . . . . . . New Construction. . .L. . . . . . . .. Old Or Pre-existing Builddinng. . ./. . . . . . . . . . . Location of Property. . .1�4 .7r. . . . . . .. . �/,Qd!1�.:�ll� :. . . . . . . . . . . . . . So 46 . . . . . . . . . . . House No. // �-^ Street �,- / Hamlet Onwer or Owners of Property..A�-4,� -4mvA .V�3 .�YL F �t !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . .. . . ..B1ock. .4. . . . . . . . . . .Lot.??g. .)31;? . . . . . . . . . . . Subdivision.e- 4 ,YM!q:S/`.�.:f1t6. . . . . . . . . . . . . . . . . .Filed Lap. . . . . . . . . . . .Lot. .�. . 3Z-. . . . . . . . . . Permit Noc.24W(P.�. . . . .Date Of PermitjeW/-�j/f . . .Applicant. �.c/C. !t�' . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .L' . . . Fee Submitted: $. ... . . . . . . . . . . . . . . . . . . . . . . . .//.9.91 �3 X61 APPLICA.APPLICANT�- Town Hall, 53095 Main Road ;. Fax (516) 765-1823 P. O, Box 1179 ✓p � � Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: June 13 , 1997 Building Permit No. 23678 Owner: William Meehan (please print) Plumber: Henry P. Smith Plumbing and Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of l% lead. i (P1 ers Signature) Sworn to before me this ° � �0i-' BERNADETTE L.TAPLIN A b NOTARY PUBLIC OW893 day of A At 1 19 qjStete of New York Residing in Su#olk County Commission Expires Sept 30,ILV Notary Public, �(� � County 0 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 10@1@71 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 01 ,1997 Application No.on file 1241,7696/96 N 424415 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of WILMA MEEHAN, 1475 REYDON DRIVE, SOUTHOLD, N.Y. � ryL ATTIC/OUT in the following locotio Basement L`7 IAt Fl. ❑ 2nd F1. Section Block Lot was examined on '1997 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS REIT UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N ► SYSTEMS AMT. WATTS NO.OF FLET SERVICE DISCONNECT NO.OF S E R V I C E AML AMP. TYPE - METER I f'2W 1 jr 3W 3 i'3W 3 0 IW NO.OF CC.COND. A.W.G. HO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP• PER A OF CC.GOND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: Ij 13b G & S CONTRACTOR LIC.#578-E L `L,�LBOX 215 ANN SOUTHOLD, NY, 11571 GENERAL MANAGER Per 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. DOPY FOR 'BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 01,1997 Application No.on file 12437696/96 N 424419 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o WILMA MEEHAN, 1475 RE'YDON DRIVE, SOUTHOLD, N.Y. in thefollowinglocation; ® Basement ® lst Fl. ❑ 2nd Fl. ATTIC/OUT Section Block Lot was examined on `UNE 25,199 J and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECE►TACLES SWITCHES INCANDESCENT FLUORESCENT I OTHER AMT, K.W. AMT. K.W. AMT. K.W. AMT. K.W. ' AMT. H.P. 46 41 41 42 1 4 1 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'►T TIME CLOCKS I SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. Olt H.P. GAS H.P. AMT. NO, A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H.►. SYSTEMS AMT. WATTS NO.OF FEET 3 F 2 - 1 2 600 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I A 7W 1/3W 3 d 3W 3,94W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. Raw. PER/ OF CC.COND. OF HIAEG OF NEUTRAL 1 200 CB 1 X 1 4/0 1 4/0 OTHER APPARATUS: PADDLE FANS-5 WELL PUMP-1 AIR CONDITIONER 3 TON-1 MOTORS:5--F H.P. ,1--F H.P. ,1-F H.P. ,1-3 H.P. PANELBOARDS:1-1 CIR. 60 G.F.C.I:-7 SMOKE DETECTOR:-4 r <<< Continued on Page 2 >>> E l GENERAL MANAGER iD Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ZRAMING [ ] FINAL IREPLACE 8 CHIMNEY REMARKS: DATE q7 INSPECTOR X65.1802 BUILDING DEPT. PECTION [ ] UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC & CHIMNEY REMARKS: 'DATE D INSPECTOR 78 suauINa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ j FIREPLACE & CHIMNEY REMARKS: ���� �• v DATE �110 // 7 INSPECTOR 7GS-1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: G�-i� J, "OOK DATE O� INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] OUGN PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: .i �r/J,ch � r 42k e& DATE 3 S 1� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ Vf ROUGH PLBG. [ ] F NDATION 2ND [ j INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 9,e�yw �e e�)k DATE INSPECTOR 2X4 I'11i1,D SIN;;I,L,""I'IOIlItI'1,0It'1, 1)ATE. COMM "Wi'i FOI INDAT I ON ( I ST) FOUNDATION (2 II x� 111.11M111 NC II INSULATION I'F.lt N. Y . STATE ENFIRCY COI)1'' I Q II , II F1 NAI, I JI L---- --__. _------------ -- -_---------- ADDITIONAL -ADDITIONAL C OMM1WFS: 044- - 0 d BOARD OF 11EA1.Tn . . . . . . . . . . . . . . . r' ! S FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT '11ECR z 7 TOWN UALi. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTIIOLD, N.Y- 11971 TEL: 765-1802 NOTIFY: C:A1.1. . 7&5-5.30.9 Exam;recl.. �. Z 19.. MA11, TO: /47M J*VAIM.Nkr- Approved.. . ..l� 19.� Permit No. ..� ....L Di sapprov"I a/c .................................. .... ................................................. --- ilding Inspector) APPI. ATION FOR BUILDiNG PERMIT 99 pp DateA��$�4 L Ns7'RucrloNs a. 'Ibis application roust be cottpletely filled in by typearriter or in ink and strltmitted to the iltrilding Inspector with 3 setts of plans, accurate plot plan to scale. Fee according to schedule. it. Plot plan Allowing location of lot- and of Wildings on premises, relationship to adjoining premises or lxnblic streets or areas, and giving a detailed description of layout: of property mast be drnan on the diagr.w wideli is pari of this application. c_ The work covered by this application Play not be comnenced before issuance of Building Permit. d. Ippon approval of this application, lite Njildinp, Inspector will issue a Bcrilding Permit to the applicant. Such permit shall be kept. on Ute premises available for inspection thratghout the work. e. No Wilding shall be occupied or used in whole or in part: for any purpose whatever until a Certificate of Occupancy sltal.l have been granted by t:1re Ihrilding Inspector, A1.111:1(ATION IS HEREBY MA JE to tie i><rilding Department for the issuance of a Building Permit lxrrsuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regcrlaticxrs, for the construction of Ixrildings, additions or alterations, or for removal or demolition, as herein described. 'Ibe applicant agrees to comply with all. applicable laws, 'ordinances, Wilding code, lxxrsing code, and relnilaLicnis, and to admit anaU-torized inspectors on premises and in lnrildin necessary ins tins. (Sigrkrlure of licanl, or name, if a corporation) ................. (Flailing address of applicant) Stale wi►ether applicant is owner, lessee, agent, architect, engineer, general comLracLor, electrician, piutier or- Wilder. ........................................................................................................ Natte o f o;,aw r of premises ..L'YliC 1g�!1/.Q..�,/Q ..Mi /4�1/................................................... (as (n late tax roll or latest deed) If applicant is a corporation, signalure of duly aut.porized officer. ......................................................... (N::rtte and title of corporate officer) Wilde_rs License No. .�3�.Q,71..HI----- Plullbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. lax-atioxn of larxl on which proposed work will. be done.............................................................. ...................& yj).o.AJ.D�,... ate. ,e, ......SOc!r n4.0 ..................... Ikrtise Number Street �✓' MA let_ F r County Wax Mil No. 1OOnSectio n ..... ..... Bpox-k ...5........_.. Fxtlxlivision ../?zy_Qor,)..sHo.e.kEM........... Filed Map No. ............... Jot Aq.-: .2._.... (t1.-ane) 2. Stage existing use and occlrpkarxy of premises and intended use//aril cx7culkjtxy of prrrposed eonstrueLion: a. i:x i sC i ng use and occarp>trrx_y ...�..� /L ................................... b. intended use arxl occuparrwy ..�..��I?/L//C/..�4V.AtUd 4jg........................................... I Rome of %.A)iik (check %Addk alI)licable): 41j Milding, . . . .. . .. . . Aikii L i0i I . .. . . . .. . . Alteration . . . ... .. .. . .. . . . . . W-lix Yva I .......... . . . DolVol i t ion 01 her U)l k . . . . . . .. . . . . .... . ... . . . . ... . . ... . . De f;(-.r i 1)1:icy)) 4. Ent i1flated 0)fit .. . ..................... . fee. ... .... ............ ..... ......... ... .... ...... (to lx> paid off H I ing this applicill:i(X)) 5. 1 iol", IRAlber of: AAA I ill; 11114t; . .. .1. . ... .. tiledwr of &,el I hip, tud(s oil each I fi(x)r .. ......... .. ... It: gatilge, 11116er of cars . ....... .. ... . . . . .... . ... ... ... ... . .. . 6 If Ixudiv--sii, ctimieucial or mixed ocnipawy, specify oahile fjIXI extent. of each (.ype of one.......... ....... . . . . . 0' 7. Di11it-911.9 i0118 Of eXiMl illg fATIVAIllefi, if any: 1?I-0fil .. ..22 . . ..... Rear .Z.2_ .. ..... ... ..... . - ... . ... .... . � I .1.Ik!iI�IL 4 ......... . . e . . ... .. . ...... .. . . Dillvosiotis of style strticttire with all.erat.ioos or a(klit-ions: Front . .. . . . . . .. . .. .. Rear .. . ... . .. ...... lk!pt 11 .... .. .. ....... . .... lit!i&( .. . ... . ... ... . . .. .. . Raiber of Stories; ............... It. Dillensiolls of: entire lx:w c.ollstitt(A NMI: Flool . ... .. ... ... .... Real. . . . . . . . ....... . Depth I . . . . . .... ..... lktijlt(: ... . . . ..... . ............ . UstlVer of Stories .. . .. .... ........ . ... 9. w,.e o 1: 1 of : F lo(ll .. . ...... It'-fil .. . .IR.40. . ... . . .... Depth /00.41......... . 10. Mile of lolchase . ... ..... ........ ... . Halt! of FoIller (Mel. ..... .... .. ... .... . .. ..... ........ ..... . 11. 7.(XW-- or 11.1;e (lifil I iC[ ill lA)idl I)t011iSeS are sitililled ... . . . ..... . . .. .... ..... ...... ......... . ........ .. .... . .. . . . .. 12. lkwn IlrolVoned coilsilwi.ion violate ally vAntillf" 111w, oldiomwe or uegulal.ion: ... . .................... I1. Will lot be iegrimled .. ... .... .. .... ..... Will excess fill be romwed frofn prallises: Yr.s U) Ill. t1flive.-I of Ownt-r- of plollit;es . .. ............. ........... tu it I r es fj . ...... ..... . ..... ..... ....... I'llont! NO. .. . ... ... . .. Haw of Ardwitef-L P. .......... ... ... .... ... . .. .. . .. AtItIrefis . . . .. ... . .... .. .. .... ......... lit-w! No. . ..... . .. .. . N"Ife of: 0XII ract or .... ...4Go.,6.rvv-c ........ .. .... Nkife-,is .. .... .. ................ ....... . .. .. ... ... . . 15 Is (his I)TX)IXlrl.y within NX) feet: of a Lidat w0antl? * YI'-'; .. ........ N) ... ...... . All? Yl--S, R11111)[1) 'IXAM '11AKIMS HUNIT MAY IV?, IUAIII(lq). 111.01' DIAGRAM Iocme clearly anil dint:hwuly all Intildiops, %Aiellier exisl:ijlg or I)r0I)0Sed, Illkl inilicate all set-back ditivotflow, 1-1(111 property I iwas. Give. sLy-eet- aril block ividwr or deser il)L ioti according Lo deed, antl diow street runes mul intlicate lAwther interior or corlwr lot. Rk, MrD AS ED NOT U "'j r B.P 9 /A4262 ere SUILDNG 0EPA N T AT 0 F ti 15 1802 9 ANI TO 4 FOR THE ��'UOVV17w-; f)"'IsPECTIONS: 0 ("o! f0 REQUIRED R� UGH i-P,"'AiflNG PLUMBING D, 3 <5�-A IN-SULA110N to r-- - 00 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION St ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS !NMF. (M-' 11114 Y(ft, 1;'; 0XIMY (X'. .. .... . . . ... . . .. ....... . . . ... . ... . . . .. . . . ... . . . . . .Iwillg duly d(!IX)nef' )Iwl says Ilial he if; the ;11)1)1 ic'11)1 (MBIX! of ilmlividVial signilig cont lact. Ahm! wil(vd, (l lit! i!; lilt! .. .. .I.E. . I ... . . .. .. . ./&'0 410— .. . .... . . . . .. . .. .. . . . . . . . .. ....... ... . .. ... ... . . .. ........... . . ......... .. .. . . (0111t factor, al"evit , corIx)ra(e officer, el c-) of, .:lid (moor or (MIX!I t" .11KI it; duly allillog im-41 to lx!r fomi of have lxerforuxed (lie said ;.x)ii( inxi to nuke afxl file I hi -11110 coill ail)(41 in this .11)1)1 ical i(lo are I'llie to the 1)(!I;l of his Itot)wledi"o nod NO i(![ ;11XI Ilm[ (he VA)11( will Iw the Iwnlwl wA Iol0k in the applicill.ioll filed thel(mil.h. .")fit to Iwrole nire thin atoflol ..... . . .. . .. .. day of .. ... . .. n)lary INIblic JOYCE M.WILKINS Notary Public,State of Now York No.4952246,Suffolk CourML Term Expires June 12,1 h BOARD (1P iII!.A AIA ,. t ° FORM NO. 1 3 SINS OF PIANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUIiDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIAi.I. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT1101.1), N.Y. 11971 TEL: 765- 1802 NOTIFY: �j cnr.r, t I:x�-rrlirx'(l. ....�y.-, 19.. MAI i. TO: A.029-0J . . x Approved 19/a Permit No. . ............ J`.%u't� IAI................... Disapproved a/c .................................. ..S...t aan� 0.PS JA.V-Af7J. ...................................... Allklilding Inspector) AR BUILDiNG PERMIT //���� Date 4.4 V5701 . . . , 19 INSTRUCTIONS a. "Ibis application moist Ile completely filled in by typxwriter or in ink aryl submitted to the Wilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schechtle. b. Plot plan Allowing location of: lot and of Wildings on premises, relationship to adjoining premises or imblis streets or areas, arxl giving a detailed description of layoxrt of property whist be draun on the diagram which is part of this application. c. The work covered by this application Przy not be comwnced before issuance of. Building Permit. d. Upon approval of this application, the rluilding Inspector will issue a Iknilding Permit to Lite applicant. Such ,permit shall be kept on tl►e premises available for inspection througlxxit the work. e. No Wilding shall toe occupied or used in whole or in part for any jurpose whatever until a Certificate of Oro-ti><-xxy shall. have been granted by the ibrilding Inspector. V APPi:I(%1'I'IGN IS IIEIl HY tWJE to the Wilding Department for the issuance of. a Building Permit pursuant to the Ikiilding Zone Ordinance of tl a Town of SmLlrold, Suffolk Canty, New York, aryl other applicable laws, Ordinances or Regulations, for the construction of Wildings, ackl.itions or alterations, or for removal or dermlition, as herein described. The applicant agrees to comply with all. applicable laws, ordinances, Wilding code, Ixxnsing code, and regulations, and to admit authorized inspectors on premises arxl in lxtilcl' , r pec . ry inspections. (Siff_ a of applicant, or naw, if a corporation) 10 (Mail ing a(klress of app]icant) State ietlrer��pap�p�licant is owner, lessee, agent, architect, engineer, p,eneral caltractor, electrician, pluder or Imilcler. ... ,U.l�t(J ..................................................................................................... Name of owner of premises .Lia!/l� P¢ �s.1.-ddA7 v.-/VaAV................................................ (as on tax- tax roll or latest (teed) if applicant is a corporation, sijgmutre of duly auttrorized officer. ......................................................... (N:me aril tittle of corporate officer) Ituilders license No. �3/.� 1 ../Z ....... Plcrdners License No. ......................... Electricians License No. ..................... Other 'rrxle's i..icense No. .................... I. iocaticn of larx] or which proposed work will be ckxne.............................................................. .....................eC:�061J.,Q,,40... .�,lis , .c.4oumb/-' J.................. . Iknse Nrn#ger Street et Ccxtnty Tn ax Map No. RM Sectio ....�...... itIo ck ..V ........... i of S(ilxlivision I�R ............... Filed Kip No. .............. int 2. State existing use aril occoparx:y o(1f pre/m'is'ers atxl interxk(lnuse awl occ-uparxy of proposed catatruction: a. Existing use and occupancy ..V,/elrb�'��✓.G�/..rCI.W�(2C!/k�► ...................................... b. intemk-A use aixl occupancy ...v/ }yf/{ ................................................................. ). t lline of tn,(k 0:11(! k %A1i(J► al411i(able): fk'_w Ik,ilding .>\.. . . AckliIion . . . . . .... . Alteration F - ILtfu1 i r .. .. .... .... lldrrnral . ...... . .. ... DenioI i L ion ..... .. .... . 0(her lkn k .... . . ..... . .......... . . ... .. ... . . r� (1)esc:ri pt.iof1) 4. 1'.af in,1l((1 lost `.X. d00.. .... ....... fec .. . .... ..... ....... . .............. ... .... ...... (to IX- paid Oft filing t.his appl icaL'(on) 'i. If AAMing, iwoil,er of (kA-fling units ...... )2<ulxr of: Ax!lIfill, units ca, each floor .... ........ . . . If: garage, ►wrrdrer of Cara . .. .... ... . ... . .... .. . . .. . . . . . . .. . . . . . h. If Ixrsiri:ss, ccunw-rcial or alim(l cx:c-opao:y, sl,ecify nahne and extent. of eadi type of use........ . ... .. ... .. ... 1. Uiwens ions of: exist ing st r►►c:tures, i f any: FI oot .. .. k2n Z- . ._ .._ Rear ... . . ..... . Ik.Plb ..S.Z� ... . .. .. ... i Ik:tlllrl. ..�5... .. .... . . ....... . RXINn of Slories .. . /. ... .. . ... ... . . . . Dimensions of: saw- st.niaure Willi alleraLi(x►s or a(Mitions: Front. . ... . .. . .. . . . .. Rear .. .... . .. ...... Il(tptII .... .. ......... ..... Ilei1)it .. ...._ ..... . . . .. .. . Nlrtix r of Stories ... .. .. ... .... . 11. Dinensions oI: entire 1x:w cot is(itw:I iow Frcxlt .67/..... . .... Itear .(P./../. . ...... . lleptlr 3J....... .. lk-igltl. .vC ....... ..........//.... IAmd)er of 8(or ies . .... .... . ... . . . . 9. Size of fol : Frcw,l 1.204(6. ....... .... (Lear .. .A26... .. .. . .... I)ept1► ..�st��..7•/. ... I0. Mile of 11,rcl,ase ... ..... . ... .... ... . . M xw of Form.(- 0,)I ar .. . .. .... . . ..... ... . .... ... . ...... ..... . 11. %.Xxw or u;;(- dist(icl. in %Akicl► premises are silualed ... ... . .. .. .. ...... ... .. ..``.//... .. .. .. ... ........... ... .. .. . . . . . i: (xt 12. Ikws proliosed ctxlslrtLiviolate ancxw: y zting law, ordina► e or regulatnN io : . p.. ............ ..... I'). Will lot Ix. regrimkd ........... ......... Will excess fill be re1rN I Iran pre ices. YES 1JO M. tJ:w(res of Ot,rrer of. I a Ii- s !!4kalf f,,/ W. Akwft) . ... luklress . Xrld11.✓.tl./�./ .... ............. 11)or>L No. .. .... . .. . .. Mae of ArcIdtecL ..��rilk+r�Wkt/g .. ... ... ..... Acklrs �'JYJ/.A.4i es .I ..z �^rT, llixx1 140. wMQ,YO.D. . Nsnw! of: ('cxil raclor , i .VLte�f2V�i l s.. ...... luklress ,/;D,.� J..eL?/ . ... .... .......11,or►e No.17,Z '5-,?Qf4. Pi. Is 111is prolx!rt:y within AM feet: of it tidal weLlciwl? * YRS .... .. .. . . ND .. . ....... *IF YES, RXIIIIND 'ICAM 'IlAMITS 19'sl(t•IT NAY HE Itls(�111[(F.U. PLOT DIAGRAM • Icx:ale clearly arrcl disriw-tly all Imildirtgs, Wltetl)er existing or profw)sed, aril irxlicate all set-Imck dimensions fr(n, property lines. Give sLreeL all(] block nmi)er or description according (o deed, aryl show street rumtes alxl htilical:e %Awtbev interior or corner loL. 1 SfA•Il,. OF M14 Y(ft, S'3 (IIIIIIIY (ll* . ........II. . . .. . . .. .... ... +� ..�..l.Ql/Ajs/ . . . . . . .. .. . . . . . .. . . . . . .Iwinl, (filly taAun, dc:lx)se;; alwl says LbaC be is Ibe nppl Ic:,nl (N:•tx; of irwlividual signing conlract.) r,lxrve milled, /►,�]/ lk: is tOw . ... ..X5ex G/-,,O z... ... . ..... .. .... . ... . . ...... .. . .. . .. ...... . . .. ...... . ... .................. Mmtraclur, ngeot, corlx,ra(e officer, etc.) Of :::►id 0%41wer or owtwrs, mwl is (filly aulborize(I to I)erfonn or Irave fx:rfornwed the said murk atxl Lo make aril file 11►ia :grill icnJill; Ibn( :111 stalemen(a conlai(w:(1 in 11(is nppl ical ion are t.rt,e to file lwnt of his luw,Wledge arwl Iw?I ief; :awl 11111 (he- WOlk Will Ix� I)QrfontwHl in Ilie nclrnw!r set: forth in Ibe applicniAm filed 11►eriuvill►. `")In to Ix (ore raw! Ibis . . . . .t .?. .. . .. . . .( •► or .... .. ' ... 19.. . . . . (!9igna(ure of )ill icnol.) JOYCE M.WILKINS Notary Public,State of New YG* No.4952246,Suffolk . Term Expires June 12. °��gpFFO��coG Town Hall, 53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 �y� • Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 27, 1997 Peter Johnstone P.O. Box 91 Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : ✓ XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. X The check is (not on file. ) ;25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23678-Z (MEEHAN) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. z �OAD�v,9 Y n v �33 �° 3•Z � 3/ 30 29 � 28 o 04 LLrr V&,IO x fO =X�snNG W4PA v X/ve � -yV OA / .91 O NgLAMP IE �RNEW VON .SaeY�Foe •�./, i1'�E.�/.4N .4NryANyN��EyYAN17on�eri , ,Yo,1u�v�yoe �C01b•�9-32itict..E�,r.�'./Ylq.�cF.�'�-y�o.�/�.S'ocPS .o�.�.r-�J�f�rGP �. , �ou►r�c►.v!�eClli�l�l.0 .�IJFFdC.rC4�c/NTr Al GREENPORT PLUMBING & HEATING affiliated with COUNTRY CESSPOOL & DRAIN SERVICE 168 Central Avenue Greenport, New York 11944 (516) 477-0540 Meehan 1475 Raydon Shores Southold , N.Y. L 4-6-93 STATEMENT Proposal Install one 900 gallon grease trap Install one 8x8 overflow leaching pool Trench for all piping and install new 4 " sewer pipe from house to grease trap Fill in old cesspool w/dirt ( if accesible by machine ) Total price : 1850.00 Deposit required: - 925..00. ibS� Balance owed: 925 .00 * Balance payable in full upon completion of job . �o5�FF01K��Gy 1 JUDITH T. TERRY Town Hall. 53095 Main Road TOWN CLERK 1T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS Ln Southold, New York 11971 MARRIAGE OFFICERy0`• �' Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �'�lQ/ Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER 11 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 986 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : COUNTRY CESSPOOL Address 1 : 168 CENTRAL AVENUE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration INSTALL NEW CESSPOOL SYSTEM TO EXISTING DWELLING. APPROVED AS SUBMITTED. EXCAVTION INSPECTION REQUIRED. CALL 765-1802 FOR INSPECTION OF NEW WORK. REMOVE EXISTING POOL CONSTRUCTION MATERIAL AND TAKE TO LANDFILL BEFORE FILLING IN. Name Of Owner MEEHAN, WILMA ------------------------------ Mailing Address 1 131 DOBORS AVENUE ------------------------------ ------ ----------------------- City St Zip SEA CLIFF NY 11579 -------------------- -- ---------- Property Address 1 1475 REYDON SHORES ------------------------------ - ---------------------------- City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 80.00 block 2 lot 15.002 Cross Street LAKE DRIVE ------------------------------ Building Permit Number Cross Reference: -- ----------------------- ---- Issue Date: 4/27/93 Judith T. Terry ------ Southold Town Clerk (TOWN SEAL) V �iits•,5b- �E G 0 30 z9 Z8 %D LA/y 8 LE1t.,��o �►`�♦ �,� Q op V11110 New Y � � V 1 � fQavogTia,V � • � w � �.MauFD- Jrt-, ��yVO� V4, 1 Saer��-oe • d, /Yl��./,4�t/ .4NT•yAtiyyt/���is�Arv�on�at'i o1�,�vtyoe .047-0• Locsar�o�v•�4aT,�,�cs� .?v.G�"a�..�'��,v�y it/Y iyJ,p�+/040 177 7-: 4 - - I , i . 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MUST R ALL CONSTRUCTION SHALL SUPPLY SYSTEI(!I.CANNOT> THE- REQUIREMENTS OF MEET, GEED 2/1Q of 1% THE N.Y. . �.W+ o STATE CONSTRUCTION 8e ENERGY LEAD. ... _ CODE S. NOT : RESPONSIBLE FOR DESIGN OR CONSTRUCTMO _ - . I N ERRORS _ PLUMBING ALL PLUMBING WIASTE U Copper tubing is usW. f &WATER LINES NEED for Water distributing TESTING BEFORE COVERING, iry8ter11; pip no shaft be Of types.K or L on uj j....... d' , „ ' , : t d � _ I ,r A�0 FFSSIO�p4� , , , „ 0 4 ' _ W 5 I t � f � s x co f7t L... d cc LU k Li IIK qlr ESSTO _. _ , _- r... _ r _ - .. - - .- - - -.. - _ . - .: . - - - . - - - _ , - - - -. ,.- F c# �- - . r _ _ �... ,_ . ___ --� y - .. - - - .. - - - - - . , - - ! - _ _ _ . _ - r. - - - - - Zvi - }.. •' ,. _ .. - - - , ,- - - - ,' .a+._ .... ..mr—>..va+,.- -. _n,...-<�... "... nom..an.rT. rr .0-.+-:�- � .�-__v+._a.-,. .r 4 - - - '' - . i i - { tC'P , -. - - _ {, - ,t pp atl - '� . - . r. - ` . $ ' - t . 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