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Home My WebLink About22058-z 'e FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2302) Date MAY 31, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 655 FOUNDERS PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 1994 pursuant to which Building Permit No. 22058-Z dated MAY 12, 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 TO CONSTRUCT AN ACCESSORY GARAGE IN THE REAR YARD AS APPLIED FOR. The certificate is issued to DOROTHY MULLANEY (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,Auilding 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) /y) N2 22058 Z Date `'~/O 19..1... Permission Is hereby granted to: 5.... . ~ i ~ ..1 ~ ? . 7 1 to ~t .....T/ ~r'~ ......../s °~~4~ ~J......., at premises located at . ~o...... . = ................................................................/..21 J............................................................. County Tax Map No. 1000 Section ` Block v7............ Lot No. pursuant to application dated /.!.~/~G....... .4C 19...9j......, and approved by the Building Inspector. 35- ea Fee S• uilding Inspector Rev. 6/30/80 .41 Form No. 6 TOWN OF SOUTHOLD MAY 21994 BUILDING DEPARTMENT TOWN HALL 765-1802 6LDG. DUEPT. TOWN OP,SUUQLU..-.-. 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 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 $15.00, Commercial $15,00 Date . New Construe ion.. Old Or Pre-existing Building.. Location of Property.. G'Jv. ..~U 0fJ7.f0(t~ House N t r e e t Hamlet Onwer or Owners of Property. LC County Tax Map No 1000,/ Section., B1ock...5?:3........... Lot... Subdivision. CJU/U~IsS S Filed Map„ ~hr, .Lot.. , , , , , , Permit No„ ~o-~ti ...Date Of Permit.'~//Q;~V*",•,,,,,,Applicant. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.... Fee Submitted: 0_c~ y1 915 . z 2-302 APPLICANT COhtMGNTS~/: ~ •-.~..,.R..,..,-.,.-~ a 7OU11DATION ^ (1st) - - y FOU14DATION(2nd) r ' I z ROUGH FRAME o -PLUMBING 3 H INSULATION PER N. Y. I m STATE ENERGY CODE 4. I FINAL r o ADDITIOPIAL COMMENTS- • x • c*1 ' x H \ 9 H O H Cl M - H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING NAL REMARKS DATE-:!!5/W/7 INSPECTOR +5 BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS 6 } ` R B I TOWN O.m N P Sn1i,TNO.LD SURVEY R ~ L 1 E MINT CIIECF . . . SEPTIC FORM S a THOiLD N.Y. 11971 ®OBa P i TcF1~R 31 r:OTI FY , 1-4i 4est y 1 CALL C~: I~I _ Examined 119 BLDG. ®M A1 L TO: p Approved /~oz 1 Permit N F L~•..~ ~ U l5 ~~S ~G~i /LA°~IS Disapproved arc AM 2 6 1994 ' BLDG. DEPT. WN OF SOUTFi0LD. _ di Inspector) APPLICATION FOR BUILDING PERMIT Date .~.cX 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 sh,% ving 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 1vork 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 ins ectio is. (Signature of applicant, or n' -!me, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /.t!?!~~~lz~'r/..LG . Name of owner of premises . 1/1 ~.Lr se . v Q.47,x4 (as on the tax roll or latest deed) If applicant is a corporation, signature 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 . I . Location of land on which proposed work will be done. .t?.~ ! ~!4> idJ4.Wn 6 House Number Street Hamlet LL// ~J County Tax Map No. 1000 Section ...Ck Block .Oa Lot Subdivision . 4? ww! t 4"... C.5 /We Filed Map No. . r0j3. P........ Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: -11 - a. Existing use and occupancy . ° . . b. Intended use and occupancy ...~A ....7,2Z? vt:-`..' }i 3. Nepure tu . of . . . . . work (check which ap plicable): New Building . Addition Alt6ration R Rem_ l val XAAPT~yMI-V. Demolition .X./.O,x2s`,Myg2Other,Work (Description) 4. Estimated Cost .q0 Fee I -Rwa,a . . . . . (to be paid ;Pit{ is application) 5. If dwelling, number of dwellin;;'units Number of dwelling units on each floor If garage, number of cars J ' <4kt lan 9~ 2 . 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use , . , . 7. Di gensions of ex' ting structures, a s' a Height ~Q rrss, if any: Fr ont Rear D Depth . of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth d Height Number of Sto 'es . . 9. Dim of lot Dimensions entire new~s~ ction: Front I6. Rear ../0, ...Q...... Depth Q..... . Heieht 6.. !3R Nu ber of Stories . . ST n X . Rear.... 15 Depth ..f ~Q................ 10. Date of Purchase .A4.11, r~ BI f q9~, , , . , Name of Former Owner AA.. 11. Zone proposed or use district in which premises are situated . 12. Does construction violate any zoning law, ordinance or regulation: . A/0 . 13. Will lot be regraded P, ! Will excess fill be removed from premises: Yes djq ~ rX~4 Address 6S7~ W4 -1WV s. PAT A. Phone No. A Name of /D/~~ . Architect . premises . , ryP~PT~Q Q 14. Name of Owner of remises t Address Phone No.............. . Name of Contractor k .T?°i6 A, :?.V. . Q',$.r/?.. Address PAR. Phone No. . 15. Is this property within 300 feet of a tidal wetland? *Yes ......../N,,,,,,,, *If yes, Southold own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all1 buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockpumber or description according to deed, and show street names and indicate whether interior or corner lot. l'~ / I ~r ; J ~ Sal as 6°:t~ ~lv, c_ "qg 74-0 ~U Ale, 6Anw5-e ~ /ie l~ l x ~a s~~ l~~J~l Se 'T 14- %o ~rae% s ~r y I _ its is ~I ~6vlv~l~as Qa l STATE OF NE~YORK, S'S COUNTY7~O,,F,~ being c'v N me/divd al h.~ ~duly sworn, deposes and says that he is the applicant of in igni 1'g contract) above named. He isthe ..........j................. (Contractor, agent, corporate officer, etc.) of 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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manneriset forth in the application filed therewith. Sworn to before me this ~ .....day of ~:I 19 Notary Public, .ems County -icy Public, State ofNow u Notary York I No. 4952249, Suffolk (Signature of applicant) Term Explrea June 12, I ER W O 15. 0' \ NCB F U C 00 • N O a N .j84 m O` m Q u ' 6.0 - i f... _k •i _ j 0 + 6, j P ~ Nom.,.: 204 ~ m n } ti tp~ i ~ Y "IW g l Ell U T2 w \ `P^ _ 41 fr v 1 41 j 5 .l j~ } p}~ ft ~ k x~x 0 w r y5 y lip. / p0E r 7 16.00 y t V# 2 4, P X - Y7,", pTJ '~y" •~'3 4 < t m 'aq IlD, y I~ y a 2'i s0 C E ;t of ~s~O ~C ~vII ZQ~~m 0 ~ - % ~ s c~Dp~NyC m(n ~O aZ = ~ ~ i~o~ O ?cy o c~ O 111 - ~ Cm aJ~':;s,.-.v.,~° *w"~,,.T~A~,i'n _s?•~, ~:rk.- ~,,v, t< b&'!~w~. ~'`-;ui~,~' '~,~,.,~,,;:~.,F«'ax-~ck fix..; a.,,, - t~e#~ b /z S F p s J ,DNS 6 o U ~A 0A I~ ~ \ Nm \ ~ ~ O m NF ~ T~ N yN O 1y 'N e 20 - b G N N z o 61 O A 0 ~N $ \ Ia Z pC l'1 p 9 OQ~ Q ° N r a ~ lit V ell$ 'u 9 O ,fl w rO ~ 0 o ~ r is r F ~ va~~Et O I~ E o° 2g 55 s EOOE r L Of f( C) Q *4 V r O ~ y \ ~ - I I y 6 PAZ CD ct~ I , I tNa~, S + tic, ~t0~ 1 0(n +.t ~1 -4 F4, (t 'a JosFs~d 11 Q' o = OO ` $3p~oln .~c gri > a tp hJ Lam. C m(~ o o oak a,~~,ac~~, ' w 2 O w~ r° I y N * a0 ~i r~ r~ O.~ CJ AI~1 0 ' n oA Q I 1 T¦ ~ I r f ~ I I I .IR I I I i i 1 L_h6 72: o~'~ I ~ ~ I hl ~ a~7 I ~I Q. C.INGS:'R aYI"P ' A„'. "la~lK/YC W71. ~ .I`i (.{NVIEY~T~D _Cy utdJd Co-E'; - r, .-4- l I I I ,Py -IdC- Z4 7' 1I~ < o F Y - + ~`S' y/1 "l''"~,f'C.y.*~ror~- '~2-Ydt=1La'iaY~Ra"4f Y I~ zoo /2~~' 3~a. 3•.0 '1:.10~1~ 11 S~ - 5 70b~~ I - .l NQTe^ ~Tll "-G'8-bYfhl ikr H~i rl, 3` e`., ONE - 5+ ZA4 - r P e{g-*.'- i r~ a - - - - _ j~Y 1n 2,- ffiE1171 6 ~ I ~F - ' ` - UNDERWRITERS CERTIFICATE REQUIRED?. APPROVED AS NOTED DATE: NOTIFY BUILDING OEPARTMENI Al 788-1802 S AM TS -4 PM FOR THE OCCUPANCY ONDATION --0NS: ~IOR[~~ 7. FOUNDATION IfiNO REQUIRED 1. F USE IS UNLAWFUL FOR PDGRED CONCRETE TE .WITHOUT CERTIFICATE 2. ROUGH - FIIAE B PLUMBING r - - - - - - 3. INSULATION C '1~1'C'.EAT. S?261~'S~~?'rH'Eti.L VyiTK,o.-{ 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY . BE COMPLETE FWc.0. - i1°15BS_. ALL CONSTRUCTION SHALL MEET - - F 00 Nbd BAZ5 PATH S~KOO THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR sole A -,naNN sErroxEO DESIGN OR CONSTRUCTION."EBSOBB O L5 auwNrc3H.RIS.N - oeh:IL:JUC`f9i aas . . G a A4 A #OR 2 61994 0 1 ~ MWNG NUMBED 1 .I e a