HomeMy WebLinkAbout23048-zFORM NO.3
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)
NC_` 23048 Z
Permission is hereby granted, to:
~,(...,~.~..~.~.....~....~,. .....................
~~....../., ' ~.,,,//~.~. ..................
. . .
CounWTax Map No. 1000 Seofio~n....../...~...,Z... ....... Blook,,....-...._..'~_ .......... LotNo ........ ../.../(...../......
19~and approved by ~e
Building Inspector.
Fee ~......£~.~
Rev. 6~30/80
FOP~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z--23941 Date
OCTOBER 6, 1995
THIS CERTIFIES that the building
Location of Propert~ 1556 GRAND AVEmu~
House No.
County Tax Map No. 1000 Section 107
Subdivision
ADDITION
Street Hamlet
Block 3 Lot 11.4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated (N3TOBER 2r 1995 pursuant to which
Building Permit No. 23048-Z dated OCTOBER 5r 1995
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 A HOT Tun ADDITION ON AN EXISTING SECOND STORY DECK TO A OWE
FAMILY DWELLING "AS BUILT" AS APPLIED FOR.
The certificate is issued to WILLIAM & RITA HILTON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. P~DING OCTOBER 5, 1995
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspect~
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPAN~"Y
No Z--23942 Date
OCTOBER 6~ 1995
THIS CERTIFIES that the building
Location of Property. 1556 GP~%~D AVENUE
House NO.
County Tax Map No. 1000 Section 107
ACCESSORY
Street
Block 3 Lot
Hamlet
11.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 2~ 1995 pursuant to which
Building Permit No. 23048--Z dated OCTOBE~ 5, 1995
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 AN ACCESBORY ~H~,~ "AS BUILT" AS APPLIED FOR.
The certificate is issued to WILLIAM & RITA HILTON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
OF
TOt.tH HALL
763-!802
APPL£CAFION FOR CERT[F~CAFE OF OCCUPAt~CY
Ihis application must be ~£lled in by typewriter OR ink and submitted co ~he bu£1d£n~
iasgectoc ~ith ~he .[ollouing: ~or new build!qg oc new use:
t. Final survey of property with accurate location of all buildings, property Lines,
2. Finai Approval from ~{ealch Dept. of wntst supply and sewerage-disposal(S-? form).
Approval of electzrical installation [tom Board of Fire Underwriters-
less than 2/[0 of 1% lead.
5r Commercial building, industrial building, multiple residences and similar buildings
and installa'tions, a certificate.of Code Complience from architect or enginee~
responsible ~or the building. ,'
6. Submit ~lanning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pr~-existing" land useS:
Accurate survey of property showing all property lines, streets, building and
If a Certificate of Occupancy is denied, tim Building inspector si~sll state the
reasons therefor in writing to tbs ~ppLicant.
C. Fees
[. Certificst~ of Occuoancy - Meu d~elling ,~25.00~ Additions to ({welling S23.00,
Alterations ~o duelling ~25.00, S~imminR pool $25.00, Accessory building
Additions to accessory building ~23,00. Businesses
2. Certificate of Occupancy on Pce-existin~ Buildin~ - ~100.OO
3. Copy of Certificate of Occupancy - $20.00
&. Updated Certificste of Occupsncy - ~50~00
5. Iempor~ry Certificate of Occupancy - Residential $15.00., Commercial ~[5 O0
.... ....................
;le,~ Construction .... ~. .... Old Oc ~r~-existing Building .................
.......
;ubdivis~o. ................................. Fi Iod Hm~ .......... hot ................
[OIIl~ OF SOUTilOLD
TOUH HALL
APPLICATION FOI~ CERTIFICATE OF OCCUPANCY
This application mus~: be filled in by typewriter OR ink and submitted to the buildin%
inspector with the tallowing: for new build%ng or ne~ use:
[. Final survey of property uirh accurate ~ocation of all buildings, property lines,
streets, and unuaual natural or topographic features.
2. Final Approval []:om ~ea!Eh Dept. of t~nter supply and seuerage-disposal($-? fo~mt.
3. Approval of electrical instal±arian ~rom 8oard o~ Fire Underwriters.
6. Suorn statement from plumber cerEifying that %he solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, imdustrial building, multiple residences and similar buildings
and installs'blahs, a certi[icate.o~ Code Compliance ~rom architect or engineer.
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existinE buildings (prior to April 9, 1957) non-conformin~ uses, or buildings and
"pre-exis~ieg" l~nd uses:
[. Accurate survey of property sho~ing all property lines, streets, building and
unusual natural c~ ~opog~aphic features.
2. A properly completed application and a consent to inspect sigoed by the applicant.
Ifa Certificate of Occupancy is denied, the Snitding inspector shall s~ate the
reasons therefor in uti%inn to the applicant.
C. Fees
1. Certificate of Occupancy - Net d~elling $25.00, Additions to d~e!ling
Alterations to d~eiling $25.00, S~il.ming pool $25.00, Accessory building ~25.0D.
Additions ~o accessory building 525-00. 5usiness~s
2~ Certificate of Occupancy on ?re-sxistin~ Buildige -
3. Copy of Certificate of Occupancy - $20.00
&. Updated Certificate of Occupancy - $50.00
5. Iempor~ry Certificate of Occupancy - Residential $15,00, Commercial $[5.00
~te .O.e t:....~.,. ~ ~.9.~' ....................
~l~ Construction .... ./~.. .... Old Or ~r~-existing Building .................
Z~z- .c'"(~'~:'~.~.4. ~'~ ./Z'/,,/fZ.~ .zZ.~(~ .......
Location of Property ..... ~.J-~' ..............................
~ouse No. Street
~.,~r or o~.er~ o~ ~ro~e~r~....~. >~.~.Z~,~.. ?.. .... ~....,~.<~:~...,~......>f?.~¢:~ ..............
:o~,n~y ~'~ ~,p ~,o 1000, Soctio,,../~..%?q .... ~l,,:,~....~.~.,¢.O ..... Uot ...... Z7'./ ..........
~ubdivision .................................... F'il~d Hr~l~ ........... Lot .....................
FOUN~)AT~ON (IS'r)
FOUNDATION (2ND)
ROUGH FRAME &
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
z"-
Shell Size ............... 79" x 55' × 27"
Gallon Capacity .............. 150 Gals.
Saratoga
Cabinet Size .......... 82" × 82' × 293/~''
Shell Size ............. 76" X 76" X 27Va"
Gat[on Capacity .............. 250 Gals.
available {Not shown}
//
rueduct
Cabinet Size ............. 92~ ' x 74" x 30'
Shell Size .............. 79~/a'' × 68~'' X 26"
GallonCapacity ..........
Del
......... 933/~' X 933/~'' X 37~/~''
SheIl/6ize .............. SgVa" × 89%" x 36"
GallOn Capacity ................. 350 Gals.
Tile(ava. ilab [e INo/shown~
Corona, California
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
r es JOHN STREET, NEW YORK, NEW YORK tOO3e
OCTOBER 16.1995 ~%7~95/95 N 36fi7~[
Date Application No. on rite
THI~ ~E~IFIE~ THAT
WILLI~ ~ RITA HILTON~ 1556 G~D A~., PO~IO, ~t~ITUCK, N~Y.
FIXTURE
OUTLETS
6
RANGES
SPECIAl. REC'F!
R
OF CC. COND.
TIME CLOCKS B~U. UNIT HEATERS MULTI-OUTLET
EXHAUST FANS
DIMMERS
ALF~%A3~D[;R G, H%IBBARD LIC~ #3¢~4E
BOX 222
A~,~)UEBOG?UE, L.I. , NY, 11931 ~Nt~ ~S~NAe~
This certificate ~ust not be altered in a~y manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING Dr:PARTNIE.NT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
~ "' THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
a5 JOHN STREET, NEW YOFIK, NEW YORK ]O03B
THIS CE~IFIE$ THAT
WILLI~ ~ RITA HIL~N, 1556 ~P~D A~ ~ ~3~;$1~ t~TTI~, N.Y.
DRYERS
2
FIXTURES RANGES OVENS DISH WASHERS EXHAUST
OTHER
OTHER &PPARAIUS:
MOTOPS: 2-F H.P.
S E R
C
E
ALEXANDER G. HUBBARD
BOX 222
AQUEEOGUE L~I~ , NY,
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
BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
i ]1:Op~ION 2ND [~FiNA:ATION
[ ] FIREPLACE & CHIMNF..~Y ~,
REMARKS: ~
DATE ~/ ~//~/~ ~"~'1 N S PECTO R//_~~~
'/- //
NOW OR
pete
.%..~.:.,-C ,,' '~-C m,'K FOI1M NO. 1
~ ~ ' BUILDING DEPARTMEN'E
TOWN IIALL
SOUTIIOLD, N.Y. 11971
/ ~ TEL: 765-1802
Disapproved a/c .................................. /. ,
,/~;~.,,~ "'
~BUILDING PERMIT
BOAF. I.) DF BE.A'i..~ll .....
SETS OF ?L2, NS .....
SURV£Y ..............
CIIECK ...............
SEPTIC t: 0 i(~t .........
['IA I L TO;
t)a{~ .................. ,
INSTRUCTtONS
a. This application lnus{ be completely filled in by typewriter or in ink and submitted to tim Buildilig Inspector,
sets of plans, accuiale plot l))aJl to scale. Fee according lo schedule.
b. Plot phm showing location of lot and of buildings oa premises, ~ehdionship to adjoiiHng premises or public
or a~eas, and giving a detailed descriplioil of layout of property mum be drawn on the diagram ~vhJch is part of (llis
cation.
c. The work covered by this application may not be commenced before issuance of Building PermiL
d. Upon approval of this applicalion, [l~e Btdlding Inspector will issued a Building Permit to the applicant. Such
shall be kept on the premises available lbr inspection [bioughottt the work.
e. No building shall be occupied or tlsed hl whole or it~ part for any propose whatever until a (~ertitlcate of Occtt
shall have been granted by the Building Inspector.
APPLICATION IS IIEREBY MADE to the Buikfing Bepartment for the issuance of a Building Permit puisuant
Buihling Zone O~dinance of the Town of Soutbold, Suffolk ComHy, New York, and other applicable Laws, Ordinar
Regulations, for the construction of buildings, addilio,s or alterations, or for removal 6r demotition, as herein desc
The applicant agrees to comply with all ?pplicable laws, onlinances, building code, housing code, and ~egulations,
admit atlthorizctl i~lspecto~s otl l>reHlises al~d. in btlilding for i~ecessa~ inspectiolls..
.... ..~. L.. Z4 .~K~ ...............
(Signature ofa¢p[icant or name, ifacorporatioH
(Mailing address of applicant)
State whether applicant is ow~er, lessee, agent, atcbtlect, engineer, genera[ contr;mtor, electrician, plumber or b/
............. 4 .ze..' ./t/. ,e-',~ ....................................................................
N,,,,,~ or o,v,,e r o r ,,,'e,,, ~s~s . i,~ :,,.~ x .4.'/¢. ~... ,:% .... ¢'.... ~,<~.--.1... ,~. ...... //.Z4.~..m.~.. ...........
~k fas O11 Ihe tax toll or latest deed)
If apldic;mt is a corpatalion, stguattue of tltlly aulhol izod oflieur.
(Name and title or corporate officer) Q~
Buiblcl's I.ictns~ No ........................ .~OO~':~~'
m , b~,~ ~.'~,,~ ,o .................... ,~2m'
E[~ch'iclall'S Licmlse No .......................
Othur Trade's license No ......................
r";- -2~95 ~
Location of brad on which proposed work will be done .............................................
...... /.~ ~ ................ ,57~.~x~ .... ~.~/~' ............. ~4~/~/q ........
Ilouse Nunlber Street Hamlet
Cm,nty Tax Map No. 1000S~dion ...4¢.7.¢.~ ...... Block .... CtS.,.~Q ' LoI.../X'.~ .....
Subdivision ........ i ............................. Filed Map No .... - ........... Lot ' ~
(Name)
Stat[l e×iS[iltg Use filial occupatlcy of premises ami intended use al/d occupancy aC p[oposed construckio;~:
a IZxisling use and occupancy ..... ~F~ ..... n~~ ...........................
3. Nalmc 'of ',vo~k (clmck which applicable); Nc',',' Buih. ling -,~,,~'/..~-49... Addition .......... Alteration .........
RepMr .............. Removal...? ........... D,zm,,~litio0. .............. Otbct Wot~/.z: .
' ~ / ' /' (DcScfiplio/I]
. tf t~ar~ge, BtHBbel' O[ cars ...... ' .................................................................
6. if business, commercial or mixed occtq~a~lcy, specify l)atule~ /alld/~cx lct)t of each ty0e/of tlse¢ '1¢ ,~ .....
7. I)ilnellsiolls of existing s/rue/ufos, if any: Front ....... ~...~... Rear .... ~Y.. ~ . . .
llci~ht .... g~ ........ Numbc~ of Slmics ..... ~ ...............................................
Size cfi' lot: lqont ...... Z~ ~ .......... Rear. ..... /~.~. ~ ..... .... Dcpth~ . .... ~ ~.(./ ..........
Zon: or us¢ dish'ict in which t:,rctnis~s ol'~ silu~lml ..... ~7~:~7/~(- ................................
Will lot be ~cgraded' ....... .... g~ .......... ] ]' ~..Will excess fill tm removed from l)remiscs: Yes
Name of Owner of premises .K(-./X4 ~g.t?~.,//(g/4~ddress ~4g~.. db/~ ..... Phone No. ~Y~Z~.
Nmnu of Architect ....... .................... Address .... ,~ .............. Phone No.. 5~.. ~ ....
N~ ~lle ot Coil lac or .......................... Adth'e~a ........ ~: . ;Z ..... Phone Ho ..............
PLOT DiAG RANi
Locale clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back diJnensions fro~
13rolmrly lines. Give street and block number or description according to (iced, and show street names arid indicate wheth,:
interior or corner lot.
I. FOiJNDAT'O~ - ~VOREQUiRED ~~~
FOR POURED CONCRETE .
2, ROUGH - FRAMING & PLUM~ING
9.
I0.
t2.
13.
1,1.
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CON~),'RUCTION & ENERGY
CODES. NOT, RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
~.e.~le ~s th,: ............. . .0~. ,~.~; ...................................................
(Collhaclor, agenl, colpl:~rille oflic~r, ¢lc,)
/f ,
~ N~ARY pUBlIC.ate of N.Y. ........ '~ ~' ~ .........................
No. 472~, ~ffotk ~u~ (SiAnatu~c of
~m E~r~ ~aV 31.