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HomeMy WebLinkAbout23693-z X 4 � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24673 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 1100 BEACHWOOD LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 10 Lot 60 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1996 pursuant to which Building Permit No. 23693—Z dated SEPTEMBER 24, 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 INSTALL WINDOW, FIREPLACE & EXTERIOR SHOWER AS APPLIED FOR "AS BUILT" The certificate is issued to JOHN J. & MARY J. HAGERTY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 FORK NO. 2 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) 0/ N? 23693 Z Date ....... I 9..Lw Permission is hereby granted to: //T..................... ............. ...4�e to ....... .. ....... .. ............ .. -/............ ....%..... ... .......... 6z'd � fe f . ... ................ . .....5w...... ...;� ................... atpremises located at ......CIO ........ . ........................................................................... .................................................'-qq. f/...... ........................................ ........................................................................................ ...................................................................... County Tax Map No. 1000 Section ....AQ............ Block .../�.......... Lot No. ............ lew. !�npv pursuant to application dated ...... .......................... 19./?;.?, and approved by the Building Inspector. Fee $........`.- ..... .......... ......... .. ........ ......... .......................... din nspecto Rev. 6/30/80 3�__DL�IG SEP 26 is TOWN c. ;..CDT 1.�..=�'TI:V l,1� viZT_ _.. .__ v- '.-)�-. ? 1�-.-T7 A. __.iS ;pDi'_C3L=0n 7.ust De -__led in 7,7 -,Dewr=ter CR ink and su Jm=tt3d t1e bUi-�jina �nspect0r wit_. e .0i10w=ng' or aew ouiid=Rg or new use: L . _"incl Sur'7e'7 0. )roper'; w=tn _,._ rate _Ocat=on Oflines, St_=et3, and unusual natural or topograpQ;C features . _. Fina-_ Approval from HeaiLR Debt. of water SUDD17 3na seTveraae-d3spOSa_(S- _O 30ard 3 . approval of elect__cai install-ation from - _e y' rs t e' 3. r 1j _ _ ,de r'_ _ �. Sworn Statement trom b-umber cer_if—,ino, that --:ie Solder .Sed �n - %stem conLa'RS less than 2 _0 0= !:, -ead. Commerci3- building, industrial Du--a=2, :nu-='_ole resicences anc SimiFar buildi�'zs and-installations, a certificace of Code --Omp-Liars e :rom 3rehitec or en2_neer ` responsible for the building. �. Submit D-anning, 3oard Approval of cOIIlDieted Size Dian recuiremencs. 3. ' For existing buildings (pr?Or t0 apr.l 9, Laoi) Ron-COnSOrm=.�� '1se5 , Or DUildiRgs and 'pre-ex;st ng" land uses : L . Accurate SurVev of Dronerty sHowing al- DrODert.% _-Res , Streets, DU±idiiLg and unusual natural or topographicfeatures. �. A orODer-7 COmpiet?d application and a consent Lo inspect sic ed by _Re cDpiiC nL. i 3 Cert-.='_cace JL 'Occupancy _s denied, --he 3u1'dimg inspector snail SL ace the r23SOi1S tler?LOr ;Z wri`nc, to fhe aDp--cant. C . ?ees L . dart-r. " dte oL Occupancy - New dwelling 3-7 .00, t_OPa t0 ael._ng 3 UC dlterataOns LO dwelling 325.00, Swi=jncr DOOl 323 .00 , C^?S'sOr,7 DL'' � d=n� 525 .00, Addit4ons t0 accessor7 building 325.00. 3usinesses 550.-00. - Car -;t--- OL Occupancy On Pre-existing 3uildina - 5100.00 3 . Copy of Certif icaze of Occupancy - .25C Updated Certificate of 0(:r,,,nCy - X50.00 J. TemDorary CartiSlca to Of Occ 1pancy - --',esiaenti.=1 S L 3 .000, COmmerci a_ 315.00 Date . . . (�"'` . !.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing 3uiiding. . . . . . . . . . . . . . . . . Location of Propert / y . . . !�!�!� . . . . . . , h�G��lG�d /—x.. . . . . . . . . . . . . . . . .� Lr!Tl7( . Nty. . . . House Vo. Street Hamlet Onwer or Owners or Propert;7. . /� J t Win/ V , (,1.��/pzY.y . . . . . . . . . . . . . . . . . . . . . . Count.•7 Tax Mao No 1000, Section. . . . .`v . . . . . .Kock. . . . . . . . . ..Lot. . . .��� . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "ap . . . . . . . . . . . .Tot. . . . . . . . . mit Vo. h . . . . . . . .Date Or 2ermit. '/.�.1 . 1 . . .aooi_cant. .- ea-th Dep:. =-pprova-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _s _pDrO stand ZDp rova_. . . . . . . . . . . . . . . . . . . . . . . . 00 -?--C) suIwiNc oar. INSPECTION [ ] FOUNDATION IST [ ;FINAL OUGH PL [ ] FOUNDATION 2ND [ S TION [ ] FRAMING [ fJ 1'-8f� [ J FIREPLACE & CHIMNEY REMARKS: c e2 DATE � INSPECTOR. �/�) BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . SiRr 319 TOWN iiALT. SIiP'r'1.0 FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1 191 1 rg , l 1'fil.: 7fi5-- IR07_ NO'I'T_fY: I:xrrrdIwd.......! .. Z Is MAiL TO: . . . . . . . . . . . . . . . . . . . . C(om�) A{r{rrcnnxl.... �, 19/..- Pernril No. ... ............................. ....... Disapproveda c .................................. ..... ............................... .......................................... ......... ... (Ilrri ding lu ,{ aor APPLICATION FOR BUILDING PERMi'T Dat-e. . � . . . . . . . . . 19I�. INSTRUCTIONS // n. 'This upplicaticn nest Ire ccrr>frletely filled in by typewriter or in iuk and stdr'nitted to the Building Inspector with 3 AN of plans, accurate plot plan to scale. Pee according to schedule. h- Plot plan showing location of lot: and of buildings on premises, relationship to adjoining lnrcinises or public st:rrela or areas, and giving a detailed description of layout of properly must be drrnxu on the diagram which is part of this application. c. The nxrrk covered by this atrplication rrry not: be conurrrced before issunce of Building Permit. d. Upon approval of this application, the iluilding inspector will issue a iAuilding Permit to the applicant. Such lx:rmit shall be kept on the premises available for inspection throutj)hoxrt the work. e- No building shall Ile occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy y shall. have been granted by the Building Inspector. AI11.1LIC11'1'ION IS 1E19-iRY MA[lti to the iuilding Departinent for the issuance of a Building Permit pursuant to the Building 7xxre Ordinance of the 'I:oanr of Southold, Suffolk Ctxunty, New York, and other applicable Laws, Ordinances or Rel,rlations, for line construction of buildings, additions or alterations, or for removal or dermlition, as herein (k--scribed. 'file applicant agrees to camply with all applicable laws, ordinances, building code, horsing coxle, aril retnulations, aril to acinit authorized inspectors cn premises aril in 1xuil(ling for necessary inspections. 'John drjn+. �ccr la��r 1A soot ... .. (Signature or al>)rl.icanL, or none, if a corporation) N-1i I ing acklress of aloicant) State whether nppl icant is owner, lessee, agent, architect, engineer, general co Al-tY r,Ql,eClrtj Ari 0111+461 t�t':Irirt ld�r. .................................... y ..` . ,,. "' .�� '+,• '. NaIi, of owner of pi-evnises ... .L y 4l�rtrl... �t�17�'��/Jy` . I . 1 (as cin llre tax roll or later, eal) If applicant is a corlraratior, signature of duly anutlxrrized officer. a ...................................................... .. .- Mille aril title of: corporate officer) Builders License No. .... I'lurdrers License No. ................ ......... Electricians license No. ..:.................. Other •Tr:xle's License No. ... .......... I. i<rcatiorr of larxl cn which proposed work will be done...................... .......... .............................. .. .............. Ong C&.hin,�...��.�Q.4,�.<<! ....&( ............................. . Uouse taniner Street 1Q4m1 e t County Tax ['L•up N). I(xx) Section .....�/ ...... Block .... ..N....... Lot ....0.0 (�f� 'Albdiviaior ...................................... Piled rtrp No. ..... .......... Lot ............... (Naar ) 2- Stale exisCinl; use aril oco7r{>nrrcy or prc�nise sand interxkxl use aril cx�:/culnarx-y of prognosed ccxrstruaCion: a. Existing use aril cx cxgknx-y ............. ....U.f�Q...T:Ca i Y). tb. Intelided ua: and cxxan{>nxy ...... ........................... I. Milli(: o %A)Ili. (t:1la:ck tA(lcll alj)l it:altle): Pkv„ Iktl IllIng - .. . . .._ . . Ackll l loll . . . . .. . . . . AI t era(.ion . . . . . . . . . . IG.yuiir .. . .. ... .... RulrrvilI ...... . . . . . .. Ik_ fol itiorl . . . .. .. . . ... 0111er U.)lk . ..... . .. . . . . ... . . . . . .. . . . .. . . . . . . . (Ikl:a:r'tpticxl) tl. F.s1:iulilted Gist ..Lf. ........ .. . .. . .. . fee .. . .... . . ... . . . . . (it) Ix! paid till filing lliis application) It. 11: IhAd i inl,. illliber. of lll.+el I ing uni is . . . . . . . . .- _. trills of A"el I ing tini 18 oil each floor . . . . . . . . . . . . . . . . I f g;ltage. Illylller of till a . .. ... .. . . . . .. . . . .. .. . . . .. . . . . . . . . . . . . 6. If Ixl:tilVsn. txnmelrcial or slixt.-d twc-tipalwy, slx!cif-y uiihne mill extent. of each type of use. .. .. . . . . . . . . . . . . . . . . . /. Iliwl!Osilxls of exisl ing stC1u:Llires, il' any: 160x11.. ' .- Rear . . .. . . . .. ... .. . Depth — . .. .. . . . .. . . . . . Ik!il)it: . .. ... . . ... ...... ... . .... ftsiber of ;stories . . . . . . . . . . . . . .... . . . . . I)inx!nsioos of: s;rlle i;l(tuaure aiIIt ill Ierill ions or ;xldi1.ions: Front . . . .. . . .. . . . . .. Iteat . . . . . . . . . ... . . . Ik!P111 .. .. .... ........ .... Ik!il)It .. . .. . . .. . . . . . . . . . . . 1&II16(:r of Bloties . .. . . .. ... . .. . . It, I)In1lnsloils of: Vitt it(.- lila t:cxlslnu:tilxl: lrrlxll: b `5f� .. . ltiliu .�(,/ Ikplll . . . . . . . .. . . . . . Ik:il;lll: ... . . ... .... ......... ... . li nlx!r of !itor ies .. . . . .. . . . . .. . . .. ... . 9. Size of lot: I'lool ..... ... . . . . . . . . .. .. Mar . .. . . . . . . .. . . . .. ... . Doplll . . .. .. . . .... ... .. . . . 10. 11 i1 a of 1'11cilase ......... . .. .. .. . ... . iVRIM! of Follmn OwIlel. . . ... .. . . . . ..... . . . . ... . ... . . . _ ._. . .. . . . I1. 7lxu! or use ditit rict ill %Ali(11 prunises are situated .1--. .. .. . . ... . .. . .. . . . . ..... . . . .. . . . . . . . .. 12. Ikx:s prolxlsed clxlslrtwaioo viol ale iiny zooing 11". ill itinailce or reGulalion: . 1vo... ... .. . ... . ... . 11. Ni l t fol Ix: regi ikkd .....M0... ..... ... hill excess fill Ix! tolloved (:roll Inanities. Yi:S 11)y�/'j r +/ Ill. Il:nir:s of W111e9 of Incani::es 141010 1 . ... .. .. Acltlress r Rvic of ArcliltecC .... . .......,,.y. . ..�.i. ... .. .. . .. .. .. . . .. Atl(Iress ... 1'llolle 4). MKIK! of (ixllrac:tori�{,j,.�>'3(GN/�l!�i. ."f•..r4,v,�-. /uklress rw..i�. .M`.. Q,.1j 1'110110 lila ifW. h. Is (his prollerty aillrio NX) feet of it Hilal %ml:lalul'I * YL; .. .. ... . . . R) . . .. .. .... *IF Y1 s, :XXIIIIIII) -lum 'lla 111 s 11 I4,11'1' ItAY 19: miplin.-I). PLOT DIAGRAM Irx:ale clearly alYl disl:itx_Cly all Illlildinls, tAletlu!r ex't.vtiog or proposed. a(ul ilxlicate all set-(lack dialt!nsions (tint propeity lilies. Give street iuul bltx:k 011iber or (lesciipticxl according to tk:ed, atilt tilloa street runes itlxl inlicate %Aiedwi. illi erior or coax r lot:. 1 k,(f/,,c Iodw PPROVED AS NOTED 'S`160aw t�t ' t'O✓I DAATE: ,, B.P.# ..�1.z FE . BY: - � NOTIFY BUILDING DEPART ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: PLUMBER CERTIFICATION 1• FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ON LEAD CONTENT BEFORE 2. ROUGH - FRAMING 61 PLUMBING CERTIFICATE OF OCCUPANCY 3. INSULATION 4. FINAL - CONSTRUCTION MUST SOLDER USED IN WATER BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET SUPPLY SYSTEM CANNOT THE REQUIREMENTS OF THE N.Y. EXCEED 2/10 of I% LEAD. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS :il'/C113 ill° 18:14(YY(((AW . . .. . . . . .. . . . .. .!Ok . . PXnTPf .t . . . . . . ... . . . . .tu!inj, duly :cwlun, dQII(1:ie;; mill says 111xc lit! is illi! ;ipplit (I'Inlr! of ilulividtial signing coollracl-) iilklvr! II;MIu!d, C6ofP Ik! hi 1111! .. . �t, .. . . . . . . . . . . .. .... . .. . .. .... . . . . . ...... ..... . .. . . .... .. . . . . . . (('lx , ent, corllura(e officer, etc.) of !mill lTAlx!r or ownVis, mill if) (filly ;lilt horized to Ix!rfolnl or Have lu!l1:011 :d IIIc said Vxrlk alxl to lIlAw ;sill Iile IIIis app Iicnt:ion; 111;11 all still olitiut11 col ta11xld in IIIi:i 'llyIi(:alion ale IIIk! to (Ile hent: of Iris Ili uxWlcdl;c mill k!Iiel ; mill 111x1 111e txrt►( NiI1 Ix! Iutrfonn(vl in Ilw n6uuurl set fo1111 in the appli(-al.ion Iiloll lllereail.lt. :")Ili to I)(llore lit! Illin r . . . . . . .. . . .. .day of ..qt .. . . . . . . 19 1� .. . . . Ik1l xry 1ltl/lis 3L�- ........ . ............ .. 1�. . .. . . .... .. . ��� ��eN,•�1� J ( l;nillure of Appl icanl.) LINDA.).COOPER Notary Public,State of Now York No.4822563,Suffolk Court Term Expires December 31,11 TSE //�'K' l�111NA1V.• _ - p !00 $7ATEMENT OF INTEr\ THE WATER SUPPLY AND SEWAG SYSTEMS FOR THIS RESIDE b� CONFORM TO THE 51ANDARC �CC�UN7-`;N.Y. : ° try► _ y � � ;IJ '•+ �,. 0 SUFFOLK CO. DEPT. OF H£ALTF QtTTM 00 MY M=8 DZPL$ziB>fi O,� f / r 1S► APPLICANT D>ssl APR 2aB fi. D. RBl. — - - ' 1 SUFFOLK. COUNTY` DEPT.'•• Of The sesago dir.,raeal ansur.; 17 water sL1T �_ _ /h +t - � ,i(•ort ai J:� � SERVICES — FOR APPRO tacilitie3 for thio locat:a- t� 'Le. CONSTRUCTION ONLY inapseted by t',iia department ani o}me \ tf GATE: to be satietactid /} , �j 1 f vG.,..,•�'} (J /l� H.S.REF.NO.: ' - thief of Go or insesir.>i � - r � APPROVED: LSCAiaP i00=/- t>e�#ods I �' s S•0 e' IMP" SUFFOLK CO.TAX MAP DESIGN. �VV ver-:al, �' _�/ �i� �+ , O DIST. SECT. BLOCK r000 a-:o 10 Ort �b /QVG/. 1) % r\• ' i J / e� / ,t» ellOWDDRE55: .00 /1. 10 ; DEED: L.69813 P.190 TEST HOLE STAMP ` �\ .,.:,•Y �. ` Q , .1461± L -{ Tu.:.:bcr'sarwn ruler 4-c I ` J a fA�� .: :,:-,c. Co.C:,eri A. `\ : T` -. � '/ t � � ,/• \` l•> •'t Zs.' .S7sJ `isms a:<_:.•i \:`. 7 > 'ri •s __. _. __l. _ _..� .--_ • } t 1 (j fix /! • 1-( - -- � 1 r. / •} i ;f T.'�:.F lIO. 8/08-2733-I3 ,,._:..:�uR.s•.a.crar:_w. �xL SEA a4 l r -+ 6.roran><sad to J ."''b •,w� V. Fox rstosf� Aostrrct+'rrc. o/.Q ;-��• CO , Chl 5 t. *� \ , ad sarrvayid A�,ril !Sa(a82. c: 0 EftICVAN TUY .P.C. 1f r cl �S'r• .nt+r'E / \ „��' ENSED LAND SURV ORS C C� Er E= V. G _ENPORT NEW YORK • i _a i it __ ¢ .✓OSEPJ�INE 1}'1Ck,�E'R/�IAN. ST = __ THE WATER ! '711.1©LC.1 0 j i te t`}y xV`J9bO SYSTEMS F 'f y ' b) 0 CONFORM T y - ,• OV SUFFOLK CO 00:>afT N=9 DaPjH71>Ss2 ! ,D (S) Dua APR 28 98Z R,D. Ras. b r, - --- m ADPL # .� ;:. 1 p Z.. suFFot K cc r7� r*I�rrur*sers•t :•-'-.:• int,. _y 0- f1_Grt r The sewage dir.7oeal and water sut;ly 1 �_ jty. SERVICES facilitiei for this locatla. `.12tle De f . 1 , CONSTRUCTIC - • inspected DT t.iie degartaect *-"dd�rid DATE: -ers�J } CO to be aatisfacto -_� / H.S.REF.NO.: oe� Chief of Gener 'i�giaeering i `' \� p APPROVED:— so PPROVED:_ se�vidf �- C' ,r: ' '�' { • V' `..o s. Tr*sses �\. SUFFOLK CC n o level. y t '/r M �J'O! � f ,b��0 .0 DIST. S4 ! 1000 O-. r`• ... ...4 m'� E4 J / y 1� e" G! OW DDRE �c� •_. /� U red 76 s- 'p o 1r+ a z . '; •',." ` �.j" DEED: L.6989 -7 J/ ._ 14 TEST HOLE 4 rcr,+.:be.-3 --ho"wn eep'er d-o .•3 mfire a--$ Nlap"a,z1-11. _ fir•'rz'.r: tto_ 8to8—z73343 , AastrAct;rre. cis S ! 1 i ��. oA` SurVeyod April 16,1982.- — ICK VAN TtI_Yj.,P.C. ir ENSED LAND SURVEYORS _ .."' 1 f_=�'r "'". '�. �• cENPORT NEW YORKl i •