Loading...
HomeMy WebLinkAbout19963-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22172 Date MARCH 1, 1993. THIS CERTIFIES that the building. Location of Property 655 FOUNDERS PATH House No. County Tax Map No. 1000 Section 64 Subdivision ADDITION SOUTHOLD, N.Y. Street Hamlet Block 2 Let 38 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1991 pursuant to which Building Permit No. 19963-Z dated JUNE 20, 1991 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 PORTICO STOOP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY MULLANEY & THERESA O'BOYLE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-226075 - FEBRUARY 27t 1992 Rev. 1/81 I;ORM HO. ~J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 1996~ Z Date / Permission is hereby granted to: ............... ..... .... ..... ,~.~... ...... ~.:..'l.,.......~.~:~..z/. ..... ,o ...~~....~..::..~....~..~.......~.....~......~....~~ ~ . ~ r--,:.;' .......... O~ ........ ~ ..... ~-, ......... ',;% ........ ~' ........................ at premises located at ..~.~...... ~..~ ...... l..~.~ ........~~ ................... County Tax Map No. 1000 Section ...... ..~..~..~. ....... Block ..... ..~....~:.. ......... LOt No....~..~ .............. pursuant to application dated ...... ...~..~....L..~. ................... , 19..~..[.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 'Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. Submit Planning Board Approval of completed site plan requirements. 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. ~ 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 ...~..~.~. g~/~ /~ Construction .... ~.. Old Or Pre-existing Bui~l_ding.[[.'.~.'i'[[;.[[[[~[i[ ............ .............. ....m, .... zz. .. House No. Street Ha~et nwer or Owners of Property. .- ou~y ~a~ ~ap ~o ~000, Sect~o~ .......... B~ock .... ~ot ubdivision ................................... Filed Map ............ Lot. .. ~rmit No ................ Date Of Pe~i~ ........ Applicant .......... malth Dept Approval ....... pp ..~..~.~ ............ .................... Underwriters A roval. Board Approval lanning ....................... ~quest for: Temporary Certificate .......... f Final Certicate ..... ~ ..... Submitted: $.~ ..................... . ~~ ~ ~ .~ x~4~ ~l ~ ...... ~N~''": .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~G~ 1 [~0~,~ J, BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, HEW YORK I00~8 THIS CERTIFIES THAT only the olectr~cal ~uipment as ~scrlbed be~w and int~duced by t~ applicant ~med on the a~ve application number iR the premises of Lot OUTLETS DRYERS FtXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E R V I C GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrecl. Inspectors may be identified by their credentials. o o~ 0 © ~o INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor SouthoId Town Hal1 P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Dorothy Mullaney & Therese D. O'Boyle 655 Founders Path Southold, N.Y. 11971 February 10, 1993 SECOND NOTIFICATION 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. The check is 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 $ 19963-Z ** Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOW~ BUILDING DEPT. ** THE ABOVE BUILDING PEPd~IT MAS W~PIRED AND A C~TTWICA~. THE TOWI~ OF SOHTHOLD IT IS UNLAWFUL T~ OCCUPY OR II~g ggID ~TRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BERN ISSUED. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JAI~ARY 31, 1992 GERARD MC ELROY 1950 YENNICOTT AVENUE SOUTHOLD, NY 11971 RE: DOROTHY IVlULLANEY & TflERESE O'BOYLE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 ~ 19963-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ?'IELD '" "~'-; 1. FOU~__~DATION ( ls t) FOUNDATIOn4 (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: FORM NO. 1 JUN I ? 1991 i'!tI TOWNOF SOUTHOLD i:[,f,, BUILDING DEPARTMENT , ~,,i'!, TOWN HALL .',/'::', O SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .....~...~..., 19~. ). Approved . . .o~.., 19~. { . Permit No. /..~.~.(q.~...~. Disapproved a/c .... . ......................... :<~ ~'(~'~uildll~g InspeCtS)'~'':~' APPLICATION FOR BUILDING PERNIIT BOARD OF HEALTH ......... B SETS OF PLANS .......... SURV£Y ................... CIIECK .................... SEPTIC FORH .............. MAIL TO: r, ate .......... 197./. 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- c~ation. "c. The work covered by this application may not be cbmmenced 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~i~ns, peotions./q - (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 .~3.~.~..T~.../~.~../~...&(~..../~J. ~....~..~...'~-/?..~...~..~..~-/..~..t .~..'..4~.. ~..(~.. .......... ..... (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 ...................... 1. Location of land on which proposedtwork will be done .................................................. ..... 4. . .... ?. . . .:. . , . ., . )/. .. : ........................... House Number. Street Hamlet County Tax Map No. 1000 Section ....... ~ .......... Block ~ Lot ~ Subdivision...~~.~~...: ..... Filed Map No... ff~ ....... Lot.. ~. ~.~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy-of proposed construction: a. Existing use and occupancy O~'~I~V. ~~ ' ~ .. ~ -,, . ..~ ................... b. Intended use and occupancy.. . · ...... [').i,:'..;:'~'.~..:.....-......... 3. Nature of work (check which applicable): New Building .......... Addition ?.~..~'.,./7..~9... Alteration ~.6.~././ti./../~..~ Repair .............. Removal .............. Demolition .............. Othe~!.W, Orl~'. [. ~ ~/~/m~ ~-,-,~, (Description) 4. stimated Cost... )..79,:.-.7o.q~ ...... Fee ~ / (to be paid on filing this application) 5. If dwelling, numberofdwellingdnits.............../ Number of dwelling units on each floor ................ If garage number of cars ~ 6. If business, commercial or mixedl occupancy, specif~ n. gture and e>~tent of each typic of use ............. ~ ....... 7. Dimensions~ot~existing structurei, if any: Front.../~,~f:.,'.., ~. ,,.: Rear ,. ~,.~.: i .... ', Depth,: .O-.. ,~.,/. ........ Height ...c4/. .......... Nmnber of Stories ./ ................................................. Dimensions of, sa, r~e. structure wi!h alterations or additions: Front ?..../fi~'f~.. Rear . . . .~.,~../~.Z ......... Depth .~..5~., / Her ~_9/ ................ -- ~, · ·: ............ ~ . 'ght ............ . .... ' ..... Number of Stories ....... .~../'~/.~.. .. 8. ~Jimensions of entire new construction: Front ...... ,-~..' Rear 'O'-/ De,,th .' ~; .... Height ..... /.~.' ....... _N, umber of Stories ....... ' .............. ~' .............. 9. Size of lot Front 7.~..,,, ' Rear ~ ?'.~,,~ ........ ~;~ ....... ~/~'~-'~'~ .......... 10. Date of Purchase ..... /.c3. ?../.~ ....... ......... Name of Former Owner , .~.~?'.~f.'. ~.~.~'.'~ ........... I 1. Zone or use district in which premises are situated ..... ~..~p./.Q.,~.. ~.7..~.~..O~.O-. .......... 12. Does proposed construc, t,ion violdte any zoning law, ordinance or regulation: ...A./~ ................. i ........ i 13. Will lot be re reded 4/0 ! . ' · , g ....... -~,4~,~,~ ~,~,~//,-~,~s-~/,~ · · · Will excess fill be removed from premises: Yes ~ No 14. Name of Owner of premise~7',/~'~d:}~..~/x~5'O.~.~-~-. Address &.~..~(rJ~..f/"~/~. Phone No. ..... Name of Architect ' ~,~o~o ~h u Name of Contractor ...~..~-.... ' --- ~_0 '~'~-'~- '~"';:' - .... · - · ~ ................ ,~aaress .... .'-//.~./~' .......... Phone N~ ................ 15. Is th~s property within 300 feet of a tidal wetland? *Yes ........ No....~. .... · If yes, Southold T~wn TrusteeB 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 aumber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. ...... STATEOF NE)~.~OI~ / COU ./LOF O. L/;,; · .... GJ ~ ~ a.f..~--~...x,,~.. ~...//~ O--"-I .~. 'I'C'O' .~... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ! above named. He is the ' .... i (Contractor~rporate officer, etc.) of said owner or owners, and is duly lauthorized to perform or have performed the said work and to make and file this application; that all statements contaified in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner 4et forth in the application filed therewith. Sworn to before me this ........... of. i ..... Notary Public, State Of New York ..... . 0 .uat _m~d ~. suff~g cou~ ~ommlmsmn t=xplre, De~ember 8, 18 ..~.*'-