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Home My WebLink About21371-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22512 Date AUGUST 9, 1993 THIS CERTIFIES that the building ADDITION Location of Property 260 The CROSSWAY EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 30 Block 2 Lot 1.08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 1993 pursuant to which Building Permit No. 21371-Z dated APRIL 27, 1993 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JACQUELINE HENNELLY (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 284152 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 WORK NO. s 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°N9 21371 Z Date ........... . .. ...sP.7............ 19J.c'1 Permission is hereby granted to: 1... . . :.. . .. ........ ..............o...rJ................................ ....... (.......... to .... . s ..... ? L.. ..... . ....Gh ... .. ... .. ......011.0 . . . P... ... ............................................ ......................................... at premises located at ..r r!oSl.....l1hA ............. ..... ....... .A....t'...?................. . 0.G ' . ...........�.........................Q .... . ... ........................................................................... ..%..... ...............� o .................................,. ................. County Tax Map No. 1000 Section ........................ Block ....A.:............ Lot No. .......... pursuant to application dated ....... 1+et./�i..L:trQa. .......v .!1................. 19.114a , and approved by the Building Inspector. 1/ Fee S• 4��:. - .... ...... .. ..... .... B i Inspector Rev. 6/30/80 D Form No. 6 4'! 'p, TOWN OF SOUTHOLD JUL 21,17 �, BUILDING DEPARTMENT TOWN HALL _._� e . .., 765-1802 SLOG. ULPI. TOWN OF SOOTHOL.D .M:.'/o-..nxwavx APPLICATION FOR .CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OF, 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 C(xnpliance from archi':ect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "Qre-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. 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 , • , . , July 27, 1993 • . • • ew Construction. . . . .XX.' Old Or Pre-existing Building. . . . . . . . . . . ocation of Property. . . 260 The .cross Way, East Marion . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet gwer or Owners of Property. . . Jar,gueline HennellX . )unty Tax Map No 1000, Section. . . . J'IQ. . . . . .Block. . . . . . . . .?. . . . . . .Lot108 . . . . . . . . . . ,bdivision. . .pebble Beach Farms 6266 41 . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . .. . . . !rmit No. . .21 71,Z• • • , , .Date Of Permit. . 4/26/93 John Bert ani Builder Inc, . . . . . . . . . . . . .Applicant. . . . . . . . . . . . Buil . . . . .Inc. :alth Dept. Approval. . . . .NA. . . . . . . . . . . . . . . . . . .Underwriters Approval. X anning Board Approval. . ,NA• quest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .XX. Submitted: $, . 25,. 00 C'::��:. :<�. . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS , ' PAGE 1 1001071 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 - Data JULY 27 ,1993 Application No.onfile 81144893/93 N. 284152 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of J. HENNELY, 260 THE CROSSWAY, EAST MARION , N.Y. in thefollowing location; ❑X Basement IM lst F7. ❑ 2nd Fl. OUT .Section Block Lot was examined on JULY 2 3, 19 9 3 and found to be in compliance with the National Electrical Code. FI%TURF ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fIUORESCENS OTHER AMT. K W. AMT K.W WT K.W. AMT K.W AMT. M.P. 3 6 2 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W OIL H.P. GAS H.P. AMi NO. A W.G. AMT. AMP AMT. AMPS TRANS, pIAT. H p SYSTEMS IJAi WATTS NO.OF FEE[ 1 30 SERVICE DISCONNECT NO OF S E R V 1 C E METER NO.OF CC.COND. A.W.G AMT, AMP. TYPE EQUIP. 1.0 TW 1 3W J d 9W T 4W PER d OF CC COND NO OF HI-LEG OF Hb A.W.G.LEG OF NEUTRALS A.W.G. Of NEUTRAL OTHER APPARATUS: G & S CONTRACTOR LIC. #578-E BOX 215 SOUTHOLD , NY, 11971 "' GENERAL MANAGER 11 Pe _ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may a identified by their credentials. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL �J �- REMARKS: - DATE 100 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL REMARKS: � C S S I i DATE INSPECTOR E M-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. ( FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS= DATE / / 3 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ AL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUND TION 2ND [ ] INSULATION [ RAMING [ ] FINAL REMARKS: a DATE �5 INSPECTOR l '�IQi c�l 37 � 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( FINAL REMARKS: DATE 7 INSPECTOR k THE NEW YORK BOARD OF FIRE UNDERWRITERS Phu,' 1 1001071 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Juby 27,190'-1 Application No.on file 81144893743 N 284152 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of J , IINNtIFLY, 2501 TfIE CRQa"SNAY, EAST MARION , 14.Y, in the following location; ® Basement ® lst Fl. ❑ 2nd FL OUT Section Block Lot nes examined on J(11,Y 2 3 , 1 9 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES ICOOKING DECKS I OVENS I DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER I AMT K W. PMT X.W. AMT KW. AMT X.W. AMT. H.P. 3 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT TIME CLOCKS IRELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. N.W. OIL I H.P. I GAS H.P MIT. NO A.W.G. AMT AMP. AMT AMPS. TRANS. AMT, H p SYSTEMS pMT WATiS NO.OF FEET 1 39 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER I A,RW 1%3W 3%3W 3,e'6W NO.Of CC COND A.W G NO OF HbIEG A,W'G NO.Of NEUTRALS A.W.G. EQUIP. PER% OF CC.COND OF HI-LEG Of NEUTRAL OTHER APPARATUS: G & v CONTRA,CT311 GTC, 4578-E G/�� BOX 2'l5 SOUTHOM) , 17Y, I1971 GENERAL MANAGER 11 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 credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST,NOT BE ALTERED IN ANY MANNER. �,. � .., I� I. .. �, j. , '_ I � rp. t.,+ ;i!rl'.'li�h "��•;a�„ . .av�'i' . ' ,kpa;t�l,diq�a..r � ' i B3°274516.. 7773' I Lot 41 i' 20754 sq. I if Ci. All a• W II�Aoyfa M del n0 � 1' R � • ! I I 1 \ 70 N ` it S. cn • v ; 9 V � 830279B!!W 2O8.9f1 '' � 1 ' CL•42o 6.B3°z745"►✓ 77.73' I'I /gyp [�[� •':� .I. � �;ji �"!/• I' CL 4L.0 C.11 �JJ 41.5 �1 •�;,.� / .. �i THE �.. �.,. ------------- MONJIAj l �„ ado/VISION /N rilE OFF/CE BOARD OF HEALTH FORM .� . . . . . 3 SETS OF V i TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT carer -. .� . . . . . . . . . . . x711 APR 2 61993 I; TOWN HALL SEPTIC FORM . . . . . . . . . . . . . 3 �1� SOUTHOLD, N.Y. 11971 TEL.. 765.1802 fiOilFYi 7CALL y. . . . . . Examine �� . . ., 19� MAIL T 0 , Approve . . . . . . . ., 1913 Permit No. 4).3.7.. . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alk:�' . - :. . I mg Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . ., 19 9 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 lochtion 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) /2 121V41X * so, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . .?v-�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..fes. . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . ,, Joc • . .(/,. • • .<'`'!�i�u��t,P . . . . . . . . . . . . . . . . . . . . . . . . (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. fY`Z. . . . . . . . . Plumber's License No. Electrician's License No. Other Trade's License No. . . . . �A. . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(a o . . . . . . . . . . . . . . . . . . . . . � . . Css. . W. . . ! . . . �s� ,¢ ��o, . . . . . . . .. House Number Street a Hamlet County Tax l)4appONo. 1000 Section . . . .(0%aO. . . . . . . . Block'•/ . . . /cE�-P7 . /. . . . . . . . . . . . Subdivision . . . r.E� .g. . . . . ..�. � . .5. . . . . Filed Map No. Lot . . . l. . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . 6. . . . . . . ....� .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . l/. . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . -,-.(Description) 4. Estimated Cost . . �sin?�. . . . . . . . . . . I . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . 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 . . . . . . . . . . , . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entiry new construction: Front . . Rear . , , !7.::G a . , . . Depth . . , Height . . . . . . . . . . . Number of Stories . . . . . . . ./. . . . . . . . . 9. Size of lot: Front . . . . .7.7r 7 i3.'. . . . . . . . . Rear . . . . . . . .7, 7,.7„3 . Depth 10. Date of Purchase . . . . . Name of Former Owner . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . , . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . ..IVO . . . . . . . . . . . . . . . . . . . . . . . 13. Name of Architect Will excess fill be removed from premises: Yes No Will lot be regraded . . . .�Q p. 14. Name of Owner of premises , i..'i( --4 t(klr"�,G-y. . . . Address i*/.. S'.!&W. . ALI'V. Phone No. 7X7—. . . . . . . Address . 4:+`.�?!90?Cet`f. //7, Phone No. . Name of Contractor .V.E<4FMf. �I„i <Gy q � , Address 1.59,0. . P . hone 15. Is this property within 3Q0 feet of a tidal wetland? *yes. . . . . . No. , . . . . . . . *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. 1�e �T7 CuavA j-e STATE OF NEW WYpRK� COUNTY O� F rP. S).LlA;c K. . . S N..m�f individual signinb+! . ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant . . . 1.�i�7� contract) above named. He is the . . . . . . ae .. . . . . . . . . . . . . . (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 manner set forth in the application filed tlierewith. Sworn to'before ItfB this . .day of. . ! . . . . . . . . . . . . . . . . . 19 . Notary Public,✓! :�-"S, �y�U W. County \ �d HELENS D.HORNS I . . • • • . . . • . . • • • . . • . . . . • . • . . , . • . Notary Publio,State of New York (Signature of applicant) No.4961364 Qualified In Suffolk Countyy 5 Commission Expires May 22, 19 ! l 1 �3ASix�a.v7- f�Cc t�55 l i l a l-v��nr � � an P`c ,.✓�4f5 � � I ' `� Si is� i M0.-D'C.-+I i '"�P_'G.K i • 1 B'. � 1 _ -4 t�9`=! • Zs2 SLS s.aTic�n/ 1 T - p }A 2- ok I i y ',' i moi.k/S•/�A/Y l�r I _ r-� F 'IV s � _ e� M1 I Ill —csrica pt,r ' e� ,. irYaineru�r � ' 1 _ � h '__'._ ___._._•—_•_ 14 -b �._..-._.u..u,.....—_ '� � u l'1---z,II'4�" il."o.c R tPY -77= 300 I - - 246 �— {,•k-____._ _�_—__.3G b___.___-{._ I.E �� 1- _- - Y(1 /�__ �e.Aa9.fi.4c. .._ ROP ll I AT 'LsCr aG "fa' ;65-'iwr' a;, '.'.' UNDERWRRERSCERTIRCATE 3 ,01 f Iz r .l tal; rliE REQUIRED �+ 7�—zw- 17 „�tiTex.�vna..e' n - _ - 2 faY u 1 1'"'+✓f� �EG/C 4 rlr._ usr .JG�o� toe” BE, << „ ALL Fa , 13L n llu ,r. F7 OCCUPANCY OR LSv/tTiuh/ rrvs;r n ; USE IS UNLAWFUL ALL as it In w� STATE 1.,, U} ITNOUT CERTIFICATE W r f rL'V_9 r la7F . �' FO's - - - FSICN c e cctusreLEcrlr➢a Rl;r a;, OF OCCUPANCY