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HomeMy WebLinkAbout20469-z `S R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20737 Date MAY 19, 1992 THIS CERTIFIES that the building ADDITIONS Location of Property 1310 MAPLE LANE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 1992 pursuant to which Building Permit No. 20469-Z dated MARCH 6, 1992 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 & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & RUTH FRIES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 7 1992 PLUMBERS CERTIFICATION DATED N/A 6~ Building Inspector Rev. 1/81 sous NO. a 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) No 20469 Z Date 19t.°` Permission is herebbranted to, ............1.6 06.....:.~~ ~ to . i.... 40.7 at premises located at . ,Aid~p, County Tax Map No. 1000 Section Block ..........1°........ Lot No Z pursuant to application dated 1 19,n and approved by the Building (Inspector. Fee Bui ng nspec or Rev. 6/30/80 Form No. 6 Z~ ff /P&_ TOWN OF SOUTHOLD BUILDING DEPARTMENT l~ 7 7° C TOWN HALL 765-1802 /Z_6 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 17 lead. 1 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 $15.00 ~p/7rT/o6-l Date New Construction........... Old Or Pre-existing Build•ng.: Location of Property..a~U.......l~lY~~......, House No. Street / Hamlet Onwer or Owners of Property.( fdCTZ~ ° ,w G X/ >L el ll! County Tax Map No 1000, Section !~.>r ',,,,,Block.... b... ....Lot.... z................ tc Z CL~A1iC a..v% Subdivisionn~~ ! .............................Filed Map Lot.... Permit Nof.Vf q. Date Of Permit-~~/-/, ,,,Applicant S ~~ft!,_, Health Dept. Approval ..........................Underwriters Approval... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.X Fee Submitted: ....1?..i~%~:,. ~t'r........ QOe •tI3$~0 r e0 ~a©7.3 APPLICANT INSPECTORS Victor Lessard ©"biffat Principal Building Inspector v p Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector cn p •;i,` - u, Z Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector O " t Q Southold, New York 11971 Gary Fish I: Fax (516) 765-1823 Building Inspector a Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MAY 8, 1992 OTTO SCHOENSTEIN P. O. BOX 95 1645 MAPLE LANE EAST MARION, NY 11939 RE: GEORGE FRIES 6 ANO To Whom This May Concern: We are unable to complete your certificate of Occupancy because of the following reasons: x%x An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. x%% 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 # 20469-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: GEORGE FRIES S ANO rI-lD all FOUNDATION (1 . st) ~I c FOUNDATION (2nd) m 'o A 2. / Z e lni, logmgna622"' 7b" J2 O ROUGH FRAME & U Q PLUMBING 3. c n INSULATION PER N. Y. STATE ENERGY CODE I T } 4, a __(y FINAL ADDITIONAL COMMENTS: s rrl x \ w Y H O W r m y H o -v H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA N [ ] FRAMING [ INAL REMARKS: DATE Z /f~' INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ]'FOUNDATION 1ST ( ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,,rfRAMING [ ] FINAL 0 REMARKS: V-00° 1, ! ik la G s4 ~cvi Y3 GCt `s (~/00C)~NQl F (b ~15'rt~CC~ No~IS~ ka 6 f Qe-u i r i I' i DATE R INSPECTOR U ,C 4 _ ~~ati~~~~L1, DD 765-1802 UILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: - .Qo r DATE v INSPECTO to zt ~ ; ~ ~ ; lz 14 10 .n _q\ I'C ~ ~ ~ tt o rMyp`~"e ! x1 , ~Y i\j Y w 6~'WATe(Z MAIN T ~r "t. eB3 B. RC). N Im an ~ I CD LA U ' LI " ~m~ }lf~j.•• BLDG. z[~tOL`iucE T`I ~T `'f '1,110 l,.J J I ' Q W O mf y ~y r7 1 i 4 I f CG Tt l 0 is 03 co H y b V ~f f a ' °d m Llt IW) ~'ffm u m r m h+;~ « 71( n tat 't r, M Ci .Zl : 5~,~e rV ~VI h lUl iy ~ 'o " • 9~ wl -,+_.~j. r FTI } q Al ~N C Zi N I- ~yy~ 14 C" I^++ ~v i~-+t i ~llz Z , { 4{ , ~ ~ Y Lh o N) p~ ' 7l f rn .Tl " ~Nrm O t D A BOARD OF HEALTH 3 SETS OF PL.l:7 I°'~ 9 FORM NO.1 .....__S ppp _ 4 I~~2 TOWN OF SOUTHOLD SURVEY f1 BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM U TOW... B},:: SOUTHOLD, N.Y. 11971 o Tt N Or'y`li:!I4_ + TEL.: 765-1802 N1) F'f , CALL 7.7 Examined , , „ 197!1~ MAIL TO: Approved . . . . . . . . 19~A Permit No. o-. ~c .F.7,41 Disapproved a/c ' (Bu' ding ector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS ta. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 -ts 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 hall 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 >uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary ins ec 'ondk (Signature of applicant, or name, if a corporation) N -1 (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .U,Crl Jame of owner of premises (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 715 Z/ I-- Builder's License No. ! ~ 9 . Plumber's License No . Electrician's License No . Other Trade's License No. CGLE%4 `/6 S PC), NJ-1- es q IC Location of land on which proposed work will be done. C ! ...c`" } 0& OF- IVL4PL< G 4n/Z~ ?J.~...MA f~Lt ~ArJC- .............E?gsi M141el0^J House Number Street Hamlet County Tax Map No. 1000 Section Block C? Lot ....Z Subdivision t- ~ . Cj Lt N}, , , Filed Map No. . (Name). Lot ....Z State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • , j -aft=' .,,,p , b. Intended use and occupancy. . . . . . . . 3. Nature of work (check which ap'plicable): New Buildin t/ i g • • • • Addition Alteration Repair Removal Demolition Other Work . . 4. Estimated Cost . Fee r i. (to be paid on filing this applit tp4ton 5. If dwelling, number of dwellin s 5 ~owG omit ...........c~. Number of dwelling units on each floor , , . If garage, number of cars , . ,(I/, 4T. , , /6. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structure Is, if any: Front ~ , , , , , ,Rear 3. !l Depth , , , , , , , , Dimensions of Number of Stories Fro ^ . . . Height 1.6 • • mth alterations or additions: : Front . : Rear Depth ~ . Height ...1~-/. ' • • • • Number of Stories , Q/t(G;", 8. D mensions of entire snew construction: Front , , , , R / i Height ..l1?. , Rear 1. Depth . • • . Number of Stories . , , , , Q Q({,~/, . 9. Size of lot: F ront " " " " " ' • 7chpur Rear V.O,c? . . Depth . 10. Date of Purchase , , , , , , , Name of Former Owner , , . 1 1. Zone or use district in wh ises are situated . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: /.V 0 " " " " " " 13. Will lot be regraded ' ' • •A/ Q • • • • • • • • • • • • • Will excess fill be removed from premises: Yes to 14. Name of Owner of premise =:0,~,Y~ , Address Phone No.~7.7.. ~l , Name of Architect . Address . Phone No.. , . Name of Contractor ~f.p, 3YIV. , , Addres (`Y5, M ~ } . Phone No. e7e L 15. Is this property within 3 R'Y7 *If yes, Southold Tp feet a tidal wetland? quire,,,,,,. No. ow 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~(l~ o W012K l21 ~q 1 Q /_00 1T,0 ~3 Ati~O S~ x t2= j>t etc A o0tr~oN p , pR r (/e- L,/,% •s-- ~ rye a rr r\\ y i ITI mss- . ~1~1 35 ;TATE OYF NYORK 'OUNT i G S.S t ' ' ' ' ' ' ' !7 e~•(• ~ !Z• being duly sworn, deposes and says that e is the applicant (Name of individual si nin contract bove named. 'eis the , (Contractor, a ent, corporate officer, etc.) F said owner or owners, and is duly alltlionztd t%o.pcx rm or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. .vom to before me th;}g oay;of.. „ 19l~ otary Pubh unty C~ NRB L 13LEW ty! . Notary Publla. State of New (Si ' ' ' • • • • • • • • • • 0.4879806 gnature of applicant) Commission In ZZ CeuMy Cecetnber % ya~ I , l O i .I d - 19'0 1 190 I I y ~4 c \s hi~ 't~U ~1J~, PR J4r~lAraal f ,t _ M N~1 P - - - tne}ravx.Sloe~Ld'- . 3~=~ 3'S f li: H~''i~IR FP,~~tl ~~~V~i„ftl TI r~ q rf gC [Y~~~+T,y~y I 2'G" 30~\wSU~P'~'a~ J _ ._tL IIlC`a*br dp0'r Ti; Ip2 x11,-~ - tZ~On I Ctil2+F, . I~h~/E:_,CYO ~9¢56E'tb A ' L!T~/=7=-L-C4.F'q~b9 - _ 'k:' .._E0.Nal ~ zx~ ct 3.. F~ 0E - Iy I ~ ii rtll~t f)W IG OF -`/+Nd J[ IT AT d802 - P.'vl TO e, PP, FOR THE E dNINf:O CTnw I F C U~IDATIiiW FI F1YJU " REQUIRED FC POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING a' - ;a INSULATION - 2 P}, oulr~ndM 'y _.._~N14-r+J e, FINAL CONSTRUCTION MUST 7 - BE COMPLETE FOR C.O. f ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y Qi a~,H Yk~s ydQ . STATE CONSTRUCITON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UNDERWRITERS CERTIFICATE ee ¢"~.~j~tr 2xLo REQUIRED ~A\\\a`\`i~~ ISg scar I iYl ~ Plywood x I FL NOTES - '-Ft~~f =..[ni R>o w~l Goc)f ~N~n1~LE':a r- - -2x$RoQas aw 14 nC4r5. C XISC~N6 O~G1_ ~ 1. Lva IkS,C41 ~\H nr~ bC cpvaned wl'fl,_.004 vapn'r~i,.-Prior }o,. 5-Nnn ~-vac.k . S~eeTrvC!E-~2`-Th~rk- f~ lJ~./ S, ce -nrtupq,a So C.' Vca }s 1 l l I'r•. -ors a~, Id"eba, f V; Lt' u" I. Widiy~knly. pn 1-H ba eb+ at .ue --z-^~,i/Ie Fp^ Pua7e~ l%{Y rpv k bodrA Toq - ~ L>'*Tlrld'~ i S Yhl~ra +a ode E,~ Meek _ i. IH'irv d ! G. 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