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HomeMy WebLinkAbout22101-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23247 Date SEPTEMBER 28, 1994 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 360 PRIVATE RD. #1 ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 1 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1994 pursuant to which Building Permit No. 22101-Z dated JUNE 2, 1994 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 REPAIRS, ALTERATION TO KITCHEN & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to REGINALD & SHEILA MINOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-327161 - SEPT. 16, 1994 PLUMBERS CERTIFICATION DATED SEPT. 1, 1994 - KING PLUMBING Building Inspector Rev. 1/81 FORM 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) N° 22101 Z Date ......(P . 19.10.. Permission Is hereby granted to: C to.....fs~~1~~~i1,......~n-/.... . . at premises located at...4~>. F County Tax Map No. 1000 Section / Block Lot No. 12- pursuant to application dated 19.9.5h....... and approved by the Building Inspector. Fee e. ~ilding I~~to Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEP - 91994 TOWN. HALL 765-1802 I I.' APPLICATION FOR CERTIFICATE OF OCCUPANCY A This applicationmuat" be filled ~-in;by-.typewriter OR-ink,-,-and .submitted,„to-the;-building r- r inspector with the following: for new, building or, new us~'e:" 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 Building - $100.00 3.' Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential,l,$15.00, Commercial $15.00 ' Date .R .~.~9 7 New Construction............ Old Or Pre-existing Building Location of Property... ~4>..........U~N~6 A-..1 House No. Street Hamlet Onwer or Owners of Property. ..,`~~eP/. ,,,m . County Tax Map No 1000, Section....C~....... Block ~ .......Lot... Subdivision...... ..............................Fi//led Map.... .Lot. • Permit No.a.Q'.b/Z...Date Of Permit... ..Applicant n.. ~ ' Health Dept. Approval..L'q\r ......Underwriters Approval..... Planning Board Approval .N!. Request for: Temporary Certificate.........., Final Certicat" Fee Submitted: APPLICANT a-e e, y8"51 0 Cod-d3a`l~ ~ \V m w FOUNDATION (1 ) FOUTIDATION ( d) ~ Z C.c o ~ ROUGH FRAME av~ G PLUMBING V2A L, INSULATION PER N. Y. H STATE ENERGY CODE 4. -J y FILIAL ADDITIONAL COMMENTS: x x \ •v H a \ H O u\\ • x - x v m H i' tp J, ~J k M~1 .oriF.Y half`}, ~~G~, pELOV/ ~fL~Dg r -i o m x 1 O n ' 0 ~ c ~ C/I ~I o -4 / k~ ~Ui x N lot l Il ~ "r ~ ~ 1 'P X X W (I 00 9° U n i ~o~Og~FFO~K~oGy o ~ Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 v0 • Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 6, 1994 Environment East, Inc. P.O. Box 190 Peconic, NY 11958 Re: Reginald & Sheila Minor 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. xx 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 # 22101-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i { Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 1.~ Telephone (516) 765-1802 Southold, New York 11971 --,i - OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Owner: 2~~„rglc~6yt~~vcT~- (please print) Plumber: &':n (please print).,' I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. (Plumbers Sign ure) Sworn to before me this day of 19 Notary Public, County CLAIRE L GLEW Notary Public, State of New York No.4879505 Qualified in Suffolk County Commission Expires December 8, 119~ff M-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS TION [ ] FRAMING INAL REMARKS: O"Z/, L DATE INSPECTOR v 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ RAMING [ FINAL REMARKS:l DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R H PLBG. FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE al INSPECTOR M-IM2 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION FRAMING [ ] FINAL REM? s DATE 1164 INSPECTOR N rI 4 LL W 3 ~ u'~ C R N f 3~ ~ "~'O q p W~ o~ N •`-y ~ •1 - S EIJ y W G~I v`. to H F N5 W fJW {a qru a Z . 'SI N r ri E N.' (N i~ ~ypp 3 Q N !YV711,,1 ^^-a y .-i N= W g N W C m V is 4C a F .S y W a 'Uy ~ y z h Z 3t y S ^1 N 3 S V ~ O ~ u W Y e w $ l W OD 2 W ° a e .c N z - Z o j- se m ; x g v b O u = > fl 0 jn u x gg f ~C •3 g ~ F ~ ~o V. ~ to IJ. ju m a~ w o. LLI y p e l' Y : LL LL U Y. O J OZ a co w b W 5. C vDi 1u11 d W ' O uj _ LN um U L) Q Q W OrcW ?a v C~' a MM N Q4 C O r~ ~ z ' i g j- Z ~i ~ ~ a M N n m ¢ LL N a 0 C4© 10 N at ~ E ~j s Q t i '•j N R c w El W rn 1- N o W < ~ ~ ~ = u gf$ ~ oa = W ep a ' R1 G n PQ X .94 z u: W p, m o o p W M 4L tOt1 E a N N ` N 3 wl c U" O UI H .c m ~ ~ ~ ~ ~ W t L ~ W > N P t V I5` 'l..u P C O 2 ID -10 ~fa~~ + V S ~a (FT ' {x5 O 171 I-^ _ ~°s'~ x m to a r m r 0 c o r~ -i <n 7 it CD C) r) In z < to „ If :Y_ m -7 , UU~ ]N.l (rU1 I ' s Environment East, Inc. 3075 Indian Neck Lane 77T 7p~& P.O. Box 190 1 Peconic, New York 11958-0190 ~J 516-734-7474 May 23, 1994 Mr. Thomas Fisher MAY 2 5 1994 Southold Town Building Dept Main Road TppyeL~G. pSpl Southold, NY 11971 NOF UPHOLD Dear Mr. Fisher, I wanted to inform you that the remodeling of the Minor's kitchen in Orient has become a more substantial project than originally anticipated. We filed an application last week in regards to some window changes and although we have not started replacement of the windows in our initial removal of cabinets and flooring we've found floor joists and sills in need of replacement and electric in need of up grading. We'll ask your inspector what additional information we should provide to adjust the permit once issued and we're ready for a framing inspection. Sincerely, Peter R. St en '"urgh President Environmen Ea Inc. PRS:jm M a 0 . . @ N c "1 n c v o m A ~ s~ G n f _ - p ! _ '13 +r ' -1 .c O - T ~f rh In f ~ rl U III I^ y f` n 0 o r ~ -1 Fn ~ iq (J: f f Il ~ S +~In r ~ 0~ In SJ z Z 11~ 7-Z t- !1 -L L ct m m r - U -r \ Sn 1+' G v BO,1RO OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . BUILDING DEPARTMENT CIILCr • • • • • • • TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY: A/.4< CALL 4...,...., Examined • . • . , • , , , 19.9.2' MAIL TO: Approved • {y~y 19,Permit No. ZZ.,A91 Disapproved a/c (Building ector) i "V I-$ - i APPLICATION FOR BUILDING PERMIT Date .~?l.~!?1Q:1• 19 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) /90 eCO,a> I %-N fW (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . I ..y... Name of owner of premises eg I N P~. y Sh ..J a . . . .1 ' • 1140r' (as on the tax roll or latest deed) If appli nt is o ignature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. . . ~DO 2~S.....1?o . House Number Street Hamlet County Tax Map No. 1000 Section I.?......... Block ....I Lot. .1 Z:............. . Subdivision ......................................Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ?J Q I~yr\~. 1 .,,M..t`J C~~111. . F . ;1 t 1. l r.Jt'kJ . b. Intended use and occupancy ?fro. f. ~...........i........ IIJ J.~i J........ 3. Nature of work check which applicable): New Building Addition Alteration 1.e . Repair Removal Demolition Other Work (Description) Fee 4. Estimated Cost 1,J.U°. . . (to be paid on filing this application) 5. If dwelling, number of dwelling units 1....... Number of dwelling units on each floor If garage, number of cars - 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use !Q? S , . . 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth Height t7' Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of St •V........ . 9. Size of lot: Front Rear Depth . 10. Date of Purchase . NarJle of Former Owner 11. Zone or use district in which premises are situated I 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address Phone No............... . Name of Architect , Address . y a ........Phone No... Name of Contractor ^ Address G ?-tip: ^r: Phone No. . Y .~y ~~f . 15. Is this property within 300 Feet of a tidal wetland? *Yes........ No.j.... *If yes, Southold Town Trustees Permit may be required. 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. F`Cq~E DOTE: B.P.9 2 O! Sck^ f EE. ev- _ CLE J~~Eg nfC;¢iFV F3uf1. ~ G DEF6ART AT ~Np6t~~F.d ~~+~~-isa~ aJ~7 TO a vr~ F R THE EFlSpcCTI.^F.S :S:t~r(:r$ibC)Pa 1~.1J.;~ REQUIRED C4 r~l.llfte9 F`.i!VC C r,, FC,' Pe lC.TJ()N M'+' JS A t.i. ~a c - Rr € CrlviP r CF FOR l_.+3. tla.7i(,ta SHALL e.i;-EI F:Fn(jlREMVNTS OF THE N ~:',',4-.• ~l`~,s _~,i;..f: „(}•.:..TMCTi0P3 & ENLF?C-Y a pjoT RESPONSIBLE FOR r:.,,rt' s e,0?si.fRiiCTION!ERROPS STATE OF NEW YORK, S.S COU F....... U de.~ ~a . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. le is the ontractor, a nt, corporate officer, etc.) of said owner or owners, and is duly au ized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this J.7 L(~.......day of Y ~~r uy........; 19Y ltary Public. ......nn...--... County ~c ( . UNDAJ. COOPER (Signat a of applicant) Notary Public, Stew of Now York No. 4822663, Suffolk County~~yy~ Term Expires December 31,18r G_ _ y nom a1 / 27r-o" 77M GIP-Dept, IS Z.2x8 G-RitD>? 5Lof£s oov Nv At:kp rtzOM THt-s AR-e,q CPA Ot-t 4X4 CCA fosTS - 3' D MIN, c n er~oC - I' st~(A~I. ~ETftln4ntG wALL- ms`(6 'ro .5E~ OTC. 02.1- 1//Il L t\I~CCE~Srtf~~ L _ _ S n4cB TI 41S W t fx?1 LSE OF f I~-- - -v- DECK IS A-T,7 OPL Me:"4w~ C-RAA$. i - - - - N% t=I tK~~»~, 3 -C O N TO V r2 ~-I N E I I r- - - - _ - - -i A-CGRhD= `I. r--- - ri- -1 DEPT ,S I I D N. 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