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HomeMy WebLinkAbout23768-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25092 Date JUNE 19, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1605 NORTH PARRISH DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 1997 pursuant to which Building Permit No. 23768-Z dated OCTOBER 23, 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 2ND STORY ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BERNARD KIERNAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 12, 1997 PLUMBERS CERTIFICATION DATED JUNE 10, 1997-HARDY PLUMBING & HEATING Buil ng Inspect Rev. 1/81 FORM NO. ! 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° 23766 Z Date ...... a .................. 19(9 Permission is hereby granted 4 ,........................ .......................... ........................... r . ... . ............. . -.�� � ? ?` ).............. ................. at premises located at .........................✓...> .s(. .......lit.�� .. . .. .r............................... .............................................................C: C .. ............................................................ ..................................................................................... ................................................................. County Tax Map No. 1000 Section ....... .7..1.... Block ............/...... Lot No. ......... �p .... pursuant to application dated ........... .......!...........�..................... and approved by the Building Inspector. pa Fee $ Inn.•• .. al! .. ................... ng I for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD u v I-i $ BUILDING DEPARTMENT TOWN HALL JUN - 6 765-1802 ,L'DG. DEPT A3PLICATION FOR CERTIFICATE OF OCCUPANCY - TOO(N OF SOU,_?In!D . ! 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 17 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25)� 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date �. ;_> Ig/. ,?7 . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .!. Old Or Pre-existing Buil ing. . . . . . . . . . . . . . . . Location of Property. . �6© . . . . . . . ..`.. . ..!Li. . . . . . . . . . . . . . . . . . . . . .J �!. . . . . . . House No. p Street Hamlet Onweror Owners of Property. . . . . . . . . • . . • • . • • • . . . . . . . . . . . . . . . • • • • • County Tax Map No 1000, Section. . . <7.1. . . . . . . .Block. . . . . ./. . . . . . . .Lot. . . .X.5.. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . .�•Permit No. . . . .Date Of Permit. .�G .'. .?�. . .Applicant. .�"�". .C. . . ":`�`� •: Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . .??S'ev.-V . . . . . . . . . . . . . . . . . c APPL CANT co -? ago y2 TEL. 763-1802 r•�� ; CUIy TOWN Or SOLJTHOLD OFFICB OP BUILDING INSPECTOR. P.O. 130:' 128 y ryCO ,I dk -� TOWN 1i:.LL v SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date_azzl2 � Building PermitNo . ',Z) ;��r z Owner (please print) Plumber /��V akJ J[[ ,-; q (plaawe / I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. (plumber' s Signa ure) Sworn to before me this day of19 11 ary Public Nota•: PV?`_icr :COURLy EMILY HAMILL Notary Public, State of New York No.01HA5059984 Qualified in Suffolk Cou Commission Expires May 06 S A M U E L S & S T E E L M A N June 13, 1997 Mike Verity, Building Inspector Building Department Town of Southold Southold, NY 11971 Re: Permit #r52449- A3768z'- Kiernan Residence Dear Mike, The door separating the Garage from the dwelling portions of the residence pre-exists our renovations and additions project. It is a 1-3/4" thick solid core wood door, which apparently meets the separation requirements of the Code. Thank you, Tom Samuels gSg(tED��'i l 4b qrE oR NEW-40 ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX IS 16)734-6407 f Ilil,b It151'B(TI'I0N It P.I'Olt l' pn'I*V. _ (;ONNGNT '-- ----------------- ti I of r(n2rrnnrloN ( Isr) I:UIINNn'CrON (all)) Itngcn rRnrut rLurm I Nc N IIIMILATION I'ICit N. Y . COI)F � is I ilnl. 041, n-N 1 T I-----cOrR12;N•fS_�--==s-----_^------------ ��I . -. . . . . ..... .... . . .. - r-2 O [q r i a . .......... NAIA SURIVEV'ED F�l 'AT PWT dF OASOW-1 O:t Pmptwda� mwh. ComPum WMV r r tUaGdr Z4 44*e,eL� Fri P,�PE -;N-ENr to 24- 0 Qf 20E�EKI-f t. LAND "CO.TAK"WR Des*W iolk M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ WFRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 9 DATE v INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: r DATE ,INSPECTOR �3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ) FINAL [ ] FIREPLACE S C IMNEY REMARKS: DATE ////0 #7 INSPECTOR e;W� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] WSULATION [ ] FRAMING [ ]/FINAL [ ] FIREPLACE A CHIMNEY REMARKS: .-*7 DATEINSPECTOR�� INSPECTOR BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWNOF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . ok,I -^ � � BUILDING DEPARTMENT CHECK . . . . - . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL / Examined . a3 . ., 19/ ��77 MAIL TO : Approved �?!!` . " . . . , 19 ermit No.� J 7� p a Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) ICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . x 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 all applicable laws, ordinances, building code, housin4orame, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec . . . . . . . . . . . . . . . . . . . . (Signature of applicant, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. �b"6ecr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . �/ �✓ � . . E!L/ !¢/Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . - . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . MILG Q4�_r�k1�71AIIe Plumber's License No. . . . . . . . . . I . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / .o . . . . . . . . . . . . . . /� .r� . . r�.� . . . .. . . . �u ©� . . . . . . . . . . . . . . . . House Number Street /Hamlet County Tax Map No. 1000 Section . . . : . �. . . . . . . . . . Block . . . . . .I. . . . . . : . . . Lot . . . . /. 5�. . . . . . . . . . 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 cpgP !/GC(i1�CCs� . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . , . . . , , , , Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair al . . . . . . . Demolition . . . . : . . ... . . . . . Other Work . . . . . . . . . . . . . . . . . emov . . . . . , . y 4. Estimated Cost . . . . . . . . . (Description) ��j: OO. . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwellingunits . . . � �. . . . . . . Number of dwelling units on each floor . . If garage, number of cars , , ; , , , . u 6. p . . . . . . • . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures ccupancy, specify nature and extent of each type of use . . . . . . . . /� Height Numb if any: Front . ,0�9. F . . .,. Rear . . . .%570. Ft: . . Depth �: . . . I business commercial or mixed �r of Stories , . . . . . .Z�WQ, . .� . . . . . Dimensions of same structure with, alterations or additions: Front . . . S��/??e , , , , . . . . . . . . . . . . . . . . Rear , . . sS. . . . . . . . . . . . . Height Number Height . . . . . . . . . . .. . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . ... . . . . . . . . . . . . . . {tion: Front . . . . . . . . . . . . . . : R ar Depth g 8. Dimensions of entire new construor of Stories . . P, � , ¢L'L¢O!?�{ ,�'pOr, •®yam,. �� � 9. / . . . . . ... . . Rear . . . . . . . . . . . ., . . . . . . , . De th . . U GtL`Y�t s 11. Zone or use district in which premises Size of lot: Front . . . . . . . , . . . 10, Date of Purchase 44f:G ,/,V. e of Former Owner 4!57. . A gcJ 12. Does proposed construction violate any zoning law, ordinance G�^ �Q • . . • . p Vises are situated . . . . . . . p p ce or regulation: . . . . , . . . . . /?�. . . . . . . . . . . . . . . . . . 13. Will lot be regraded 9. . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises2.Wl/V. . , , , Address . PZ AC'I1/.1140,t/ . . . Phone No, Name of Architect sd74j(1fL55 . .tiS ?f1'/f.-I/Address . . , , , , , ,G,U� is (� • �'� . . . . . . Phone No. . . - Name of Contractor . . . . . . . . ' . . .�. . . . . . . . . . . . . . . Address . . . . . . . , . . . . . . . . Phone No. 15. Is this property within 30, feet of a tidal wetland? " Yes. . . *If yes, Southold Town Trustees Permit may be required. No. . . . . . . . . PLOT DIAGRAM Locate 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. eye CoAl1 A6o ;TATE OF NEW YORK, :OUNTY OPIZQh'l�Sy. 0— . S.S ' ' ' ' ' • • • • • • • . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. feisthe . . . . ... . . . . . . . . . . . . . . . . . . . . . � ? . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ?plication; that all statements contained in this application are true to, the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this TCS . . . .•. . .day of. 19 + otary Public, . . . . County JOYCE M.WILKINS, Notary Public,State of No York • • • • • • . , . . . . . No.4952246,Suffolk Cc my Term applicant) Term Expires June 12,1 1 7 pP 7 ' I O O O O O — — — r-- �- - - - - -- - -0 - -� W o L. I\/IfJG DOOM DINING I"•��M Z Z I — 1 rI � --- - - Z O W LL F- '^ k PEN �I err I,II O I I �-IJ ¢ \JJ (i PATcH ExIBTIrk� i� E 1- -- � 0W FIrIltsHee As � �- _ 15 m p.6C3 Owz i LLQ � __ o � �� Q Z LF ' 3r•„L�{'ZgpM � 3 f� � � _ � ) A � EacIaTIN I � �,� r— 2+•lo sLI PFbRT4,11 O 1"� 3 �" •. 3RDv pE.�3 u><I -•I -- -__ _ _ _ �I �� x I& 2A" PmsT i--i li LIJ C. S cow, 114 Nx P., :xa. 12 SEE F' N g O_ ' I ���----- --- - - P LLD R.tJCC91Jl +N'2 � / � 61 T�I M� v,c. FooTll.lc„ o I o I � i I 5-0 12 S 1 R.O I - -- fn E�•1TI-I - ExIsTHJCa to � � c.TLL - — =C T UP KITGNEr�I F+I-+-.- G PATcN EX IST,IJ Ca ell- I , T _ O O O LTO T ZKISTINCT �j G G N _ �, FLOOR- Jo1BTS •O - Q L P.a.TOH Ex1eTeJG� FiIJISFIES UIOEIIWI11161SCER1/N�1' E A6Xr^ N _rl '-L4 ' ,q - --- — U O �=Y. z . � r 3 A in Q . LL AP RO AS �f _ 7i SKIS -- -- '� g •. 0 1 S 0 I� �y� r - DATE: 1i .""B.P.H �, 1��? lL oel•- via, FEE: I N I _ I / p 7 i � z g NOTIFY BUILDING P AT p T 3 ,�b : A � , I 2, 2x•10 e1i a 765.1802 B AM TO 4 FOR THE N }I - ✓ I / N i' - - h w ' F - ' FOLLOWING INSPECTIONS: }I a 1. FOUNDATION - TWO REQUIRED I- ' FOR POURED CONCRETE Q_ 1 2. ROUGH - FRAMING & PLUMBING - 3. INSULATION O L �•�'� Zr�V6 m --- � ' 4. FINAL - CONSTRUCTION MUST 3=0' 4 I yIF I ;I- W Pi,- 1,'j '4t1R IRE w N 5YR7 t 6' I BE COMPLETE FOR C.O. 2x.10 a LPTO - ALL CONSTRUCTION SHALL MEET rl€Lv ? it A I N _ q ' THE REQUIREMENTS OF THE N.Y. ��� _ 3. I�•I/ I - /yr SPATE CONSTRUCTION & ENERGY - CODES. NOT flESPONSIBLE fOfl oO�P' E d PJLE ✓ 2 N.'i. �I.'. •- ��ILD CODE. 4- 2 DESIGN OR CONSTRUCTION ERRORS P081� N 4 0 pl ��' LT 'v'p � 2>•10 FJ MIG" lP1 TYPIGa.L 3 ILL it O , PROV E OPENINGS FOR N N EME ENCYESCAPE AS GOL, rj� evr ExclsTiNCq $ REQUI OBYPART7140F IpL'S d O �_ ? / co c , r-ILS o. FL R Jo1sTg s w 6T li /,, 2'. 2• .•1• P.G. FooTud� , P2 iDE NEtJ 2'no FLR, eCll���GY ( O �osT E N.Y.ST E BUILDING CODE. 4- z>a I rye K 1 RfI-KaINy E% 0 �• �� rl 3. 2,•lo RIDGE zj• 2x•�O RIfJCrE� d Y MII.I . I $ / O USE IS UNLAWFUL' o �3, 2� . F��T L J 11111E � Wd't.xto qr O -- / C- pRpvlr�E g/8"THK N Project No: q oej i v �y y� PLUMBER CERTIFICATION 3 O PaaorjoiDM *ts d ' � �I� }t 14 (� > TKa "><" YP, P�v t'''o THOUT CERTIFICATE ON LEAD CONTENT BEFORE A o�.lt P L.00z a W a oar FLOOR ; O 1I�iTE42 IO Z Drawn By: Lf T C C�'CU�AI CY CERT/F/CATEOFOCCUPANCY O " pAT E�RAL 0 K o 's uT+��D� '/j i e �i N GEILNJ t Q - GE.I LINT N / INA(aA R-AQ['• LIhI CII I �y r.10 FJ o Ife" SOLDER USED /N WATER y N a o _ -7 Checked By: 78 SUPPLY SYSTEM CANNOT tr pOUIb LE. DDU P,x.E �,Y Date: EXCEED 2110 of 1% LEAD. `Poa,'T ` / SJ • j s 10 9 f�sT 2:- s,•Io -� _ 2� 2,.10 Yi x•9 OTE,PL, , If or Water tubing is used �- — I N III EXI _ - - Scale: M.E. 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