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Home My WebLink About22309-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23316 Date OCTOBER 28, 1994 THIS CERTIFIES that the building ADDITION 360 DAYTON ROAD & Location of Property 870 NORTH PARISH DRIVE, SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 19, 1994 pursuant to which Building Permit No. 22309-Z dated SEPTEMBER 8, 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 FOR A BILCO DOOR ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN & PETER FRITZ (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Z'e- Building Inspect Rev. 1/81 IF 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 AUT OWED) Date 19.. Np 22309 Z Permission Is hereby granted to; ,f - ..~/l. .......I'( ........ieLr --.../~~..~~/w..../..l to...... D. IL/.5'7~ c'L.c e%v..-~.... . 1 5 .............,r . .........,}?../.:e.<~c ......12 at premises located at........... -7c)........ ...44.. ..............I......... Q/V V~.ye...................,....... County Tax Map No. 1000 Section Block Lot No. . :;~4 . 6 pursuant to application dated .............f 19.:./....., and approved by the Building Inspector. a~? Fee S.,,..~ ;7R, Building I ector Rev. 6/30/80 L 11'C L• V~~V 1".r J .n COHMENTZ J1IDATI03 _ (1st) q) 111DATI01!' _ _ y~ (2nd) o !GH FRAME PLU G B N H M MATI011 PER H. Y. II y STATE ENERGY II ~r CODE I N f, We ~el) W/lo FINAL Ale lee ` • N ADDITIONAL COMMENTS' 41r 115'71 x • H • H ~ H `V ° ' r m ro i+fi%.'r•.r' _~:'•LSw•"•..^w:.'•w a-«.r r:°S 3Y.. .;.e1.•...:. ~ - H .a?r .tii c 0 Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 5 ` .F Telephone (516) 765-1802 Southold, New York 11971 y~ol dap! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 3, 1994 Mrs. Buckley P.O. Box 991 Southold, NY 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) 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 # 22309-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOLIC AN; go Fax (516) 765-1823 Town Hall, 53095 Main Road P. 0. Box 1179 Vft Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 3, 1994 Mrs. Buckley P.O. Box 991 Southold, NY 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) 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 # 22309-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ] INS TION [ ] FRAMING FINAL REMA KS: DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [Zjf INAL REMARKS: c v DATE l3 INSPECTO Form No. 6,.,IS "j.U] ~a t TOWN OF SOUTHOLD " BUILDING DEPARTMENT UCT 27 ~m TOWN HALL 765-1802 y BLDG DEPT iOWq OFSOUTHOLD 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 19 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 h 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial V* 00 / Date ~.4: 9 New Construction..Y Old Or Pre-existing Building. Location of Property.. (2 ~ , o0,e7 1{ o,wt- A(~, V SOU-11-VOL. . House No. eet Hamlet Onwer or Owners of Property.. PE i`......,°..! ~1? Z . ,~o ? , , , County Tax Map No 1000, Section... 7./.......Block.../ ...........Lot.. Subdivision Filed Map............ Lot...................... Permit No.-? ......9...... ,Date Of Permit.. ~~...Applicant.. ! ~ Z ..~Q.' ° W . Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..'..~.. ~C S$............ S h..PI1 CANT l _ U ainrc~ Let w'iork SWM I CGUCc LN ~~-r ~ ra:~n ib_::ap F`FZT7H PAO S5 4 c)o v so e 1 ya s M a ttO cr =cal shelI no4be con.. dtrad i W be 2 vnlld mo copy. 1 ~rAeI,~ for sbm t -a S75 5¢SQ E_.___-_~ I~JS•O s en Ns bch to.ne ~ --1- , ~ wed ~0 iAP aq ~f-- X11 i I -I /stta e 4j i ROLToP qjZ 1151'D2YFRH0 t 1 w G ~.r Z Ljr i c~ vfle AT dj 3 6AYVft rr - r~~8i-~ L6Ldd wrz~~N cA~E u , 19 1994 AK? I6 ` 6F , =,P_ BLDG. DEPT. r 70WN OF SOUTHOLD GIJA2ANTEJ~D M COMMONWEALrH LAND i Lk CAE ca 0 M 5OUTH01_1) _SAVI WG5 SANk k foYSt vn^i rG~ tJr F: a ~{~3q MAP DATq, t om' 71 1 30 AS 5URVEYED SEPi I5t14E~ ~ y` 206ERICK VAN TUYL , PC. ia- _ f? ~ ~SEd LRNp ~ i - - LtC.IAND 513F~V(r"YG[Z5 Gt~rNS'2 -fGT, N.`T`, i i BOARD OF HEALTH FORMN0.1 3 SETS OF PLANS ~.I TOWN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT CIIECK TOWN HALL SEPTIC FORK _ "r7 SOUTHOLD, N.Y. 11971 TOWN OF bOUTHOLD TEL.: 765-1802 ttOT i FY ~ ~y l/ .v2D_ .j>c Examined J........ lqCALL MAIL TO: Approved 19yermit No. Di _ _ . Disapproved a/c (Building Inspector) APP ATION FOR BUILDING PERMIT Date 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 re°ulatidns, and to admit authorized inspectors on premises and in building for necessary inspections. J64f..K~//c S.. f6.,u..ti?+P.~edu.pa rrniC (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor electrician, plumber or builder. Name of owner of premises !f/. rZ... PkTk~ 9 W F (as on the tax roll or latest deed) If applica yorporation signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. / 30 7 Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . ....U0. . . . . . . . . . . . . . . 16Pry . Aet sN AORI a o u Tya r/ I-louse Number Street Hamlet County Tax Map No. 1000 Section Block Lot.. Subdivision Filed Map No. Lot (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,0~?lE«C Mfr . b. Intended use and occupancy !?7?/~eCt"'~ 3. Nature of work (check which applicable): New Building . Addition Alteration ; Repair Removal , h h Demolition , , , Other Work , ,~C Co Doo2 4. Estimated Cost vs,~6 o Desc~p on) Fee........ 5. If dwelling, number of dwellin (to be pail own Rijn this application) If units 4/?B, , , , , , Number of dwelling units on each floor garage, number of cars .i..7Yuo . . 6. If business, commercial or mix yd occupancy, specify nature' and extent of each type of use , . • . Height Dimensions of ~ existing structures, if any: Front . 6cr s . ......Rear , .Fe pi. Depth Number ofStories p,yiE,,,,,.•,•..•,}_ Dimensions of same structure wi De th alterations or additions: Front og~ Depth r 7YifiD Rear ...7~ Vz......... $ D . ons of entire new construction: Height Number of Stories ...Q.Kf. . ; , , , , , , ruction: Front . ..49 Y. Rear ,6, , , , , , , Depth e epth Height 3• • . Number of Stories N~,, 9. Size of lot: Front ......3 s ! , , , , , Rear . ,7, ! • • • Depth .IJA..(47; 77! 10. Date of Purchase , , Name of Former Owner . 11. Zone or use district in which premises are situated xx.' !Q!rer?Y*L • ' ' ' ' ' ' ' ' ' ' 12. Does proposed construction violate any zoning law, ordinance or regulation: ...4e 0 , , , , , , , • , , , , , , , , 13, Will lot be regraded , . fib, , , , , , , , , , , , , , , , Will excess fill be removed from premises: ` es No 14. Name of Owner of premises !°A TAR 7i 9. ~ANB. fX~tz Address . X.7§. waH/A4rH OQ , Phone No..76F, , . Z!6, ; Name of Architect ! Address . Name of Contractor All. KE ' ' • • • • • • • • • Phone No.. • • • ....Address CkOtw,~{?, ,?R, !gr7; , , ,phone No. ,3 R3, ;3S2j• 15. Is this property within 300 feet of a tidal wetland? *If yes, Southold own Trustees Permit may be required. No.,X 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 {lumber or description according to deed, and show street names and indicate whether interior or corner lot. i It/61Z.rh( ~~i~ ifi .D2r v h Fn L /~2 vA~ay ~gR.o~a I sTSRy 6 0o 5a0 SeRee' I QoRCN rt;l C 9 1994 rt` BLD. DEPT ~~fkt CG TOWN OFSOUTHOLD STATE OF NEW Y k /A 2,8yr COUNTY OF V1~ S.~iS above named(~Name~ocf individual siignin i being duly sworn, deposes and says that he is the applicant g/co'ntract) He is the . •II (Contractor, agent, corporate officer, etc.) 3f said owner or owners, and is duly authorized to perform or have performed the said work and to make and File this application; that all statements contain Id in this application are true to the best of his knowledge and belief; and that the ,vork will be performed in the manner sat forth in the application filed therewith. worn to before me this o ,19 ~ dotary Public, , , County ROB SCOTT, JR....................... . NOTARY BLIC,StateNN.Y, (Signature of applicant) No, 47 89, Suffolk CO Term ExpitN may 81,19 i i i / `ol ~1 I I ~ J6xld"('t[~ 7-1 "Y Co NC RCTFj psi 3... ry R9i~ t I i TIF I 11 f 1 _ I L. ALLY '.,i i,n, n,Lr .~/J C'o/?C Yo n'r"tN Cjs ~ j I • ! I a Lie x ,'A VATrG' ~-1 h 4u CONC, gA,?.4YE /fit OOe 'o ii b ~ i cow. Fi, vv Co"C', r7 i J'' nr6 ii;'xlG"PIER OCR FILL i i I ~ i f AP??ffVED AS NOTED i DATE: Vim B.P.#5~ OF FEE! B ' - NOTIFY 2 9 AM D EP~ I` ~I M ~pl TO 4 FOR THE AINSPECTIONS: - L FOLLOWING OR 1. FOUNDATION • TWO PEOIIIRED 7:-e '1 j FORPO!IRFnPnMr -F° 00= UL y I 6'eILr r ; Ti CATE Ora n:UGT ~o ~o:S60 /VFW ~/GCn Oos,(' foF :uL"r II,T"''N SHALL MEET fill N CY p SIT- RFOU!REA4FNTS Or THr- NY, STATE & ENERGY °ONSIBLE FOR ~'UN6tNUCTION ERRORS nOF