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HomeMy WebLinkAbout19678-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of. the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20543 Date FEBRUARY 24, 1992 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property 1665 SHORE DRIVE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 42 Block 2 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1491 pursuant to which Building Permit No. 19678-Z dated FEBRUARY 22 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 ALTERATION & DORMER ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to DOUGLAS & MON14UE MORRIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-221152 - JANUARY 20, 1992 PLUMBERS CERTIFICATION DATED FEBRUARY 19 1492 - ROY C. TAPLIN Building Inspector Rev. 1/81 it'OBYrf 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) N° 1 9 6 7$ Z Date 2 I9.9.l. Permission is hereby_gran~o• ~ ~ ~ . J . P of premises located ot .......11'a..~~...~--`...........c~2.~.....~.~..Arles`.~ ..............................................~:.f~~rxl/ j~a4~''~ County Tax Map No. 1000 Section .......T..7...... Block Lot No...-°'~..~.............. pursuont to application doted 19.r~~, and approved by the Building Inspector, Fee Bu ng Inspector Rev. 6/30/80 Oc~VFF~(~-`, TEL.7G5-1802 o,, To~rr or so~~rL~o~,~ - 6_"~•..•}' OFFICE OF BUILDII•IG INSPECTOR - u°-~ rn P.O. BO.ti' 728 ~~e?s " r TONN HALL ~~~~~1~"~',dQ~' SOUTIIOLD, N.Y. 11971 C C R T I F I C A T I O N Date Z ~ `~~1~2-~- Building Permit No. ~~6~ Owner ~ ~i~"g~a~'°"° (please print) ~ Plumber ~ O ~ C 'T ~ ~ l ` ~CJ ~.I r,_ Z / /9~Z (please print) „f .;;i I certify that the solder used in the water supply system contains less than 2/10 of 1; lead. (plum cr's sign ure) Sw~o~rJn ~o before me this 19 ~'Y T N ary Publ c tlot3ry Public, ljk{fi~/(.~ County vot pYELYNtleLUWq a'j' Stafeo1NewYork ot,~~r~~,49~~~ erm ~Pues L J 3 I THE NEW YORK BOARD OF FIRE UNDERWRITERS -^~~tls'~ ,r 1! `I cr ~ ~ ~ BUREAU OF ELECTRICITY z ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ,7p,P1UAtiY i'~, i~~;i' Application No. on file ~T.~~(°`rHilyf ftj;l h? F, 'I1'.?~ THIS CERTIFIES THAT ° only the electrical equipment as descrihed 6ebw and introduced 6y the applicant named on the shove application numher in the premises of S7R>. i~t, i?i(I;rYtTS,. at; c,5 FSp~~, 27¢i~tV~t, r.N'd~:z11E'nit'+'~ ?ti.Y. in thefollowinq loootion5 ? Basement ~ let FL? 2nd Fl. i"~/P P~!!l J ~ 1 t'lTlf6 ~r Sertion Block Lot r1~i7U7~i7Y 1~.,'i7"iQ~? uas examined on oad found [0 6r in coetplianer wit h the requirements of this (ionrd. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING PECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT ftUOFESCENi OTHER AMT. K W AMi K.W AMT. KW PMT. K W. AMT. H P (17 L(I .1 fY IF(i .j DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CIACKS BELL UNLT HEATERS MULTI.OUTIET DIMMERS ° pMT K. W. OIL H. P GAS N P AMi NO. A. W G AMi. AMP AMi AMPS. TRANS. AMT H P SYSTEMS AMi WATTS NO.OF FEET S ri+'I 1. &DO SERVICE DISCONNECT NO.OF S E ~ R V 1 C E METER NO. Of Cf COND. A. W. G. a w. G A. W. G. AMi. AMP TYPE EQUIP LB' 2W 1 ,e' 3W ~ $ 3W ~ j1 dW PEfl Of CC COND. NO OF HbLEG OF HbLEG NO Of NEUTKALS OF NEVTKAL OTHER APPARATUS: Br~F'f', ??7:!"(~$ ]fhihTF:dr`{~ : [ -~f.5 R:. 4d, ,;rf~}.~a, toR'fhi'i'tiCts~; r - ~~!i~a~ -C~~ tiLIG75 & IIAflIIIJW,111'dtl 'CiUC'e .,(c;,~3r:'tF? Y.t).FiL~iL 7.""/fro ^()iPT'110C.(1; AiY, i "E.tl7? OENE~/4l MANAGER i? f t 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' _ ERTFFICATE MUST, NOT. BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ' [ ]FRAMING [ INAL _ REMARKS: I I I I DATE ~ INSPECTOR, ~ I l~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~,G~,~t,~.yr e~ ID. SIZE IAPMO CERT. #SP 1069 LENGTH 1 SPR-FLEX 100 1 /Z FLEXIBLE PVC HOSE FOR SPA, HOT TUB INCHES & POOL INSTALLATIONS. FEET PACIFIC ECHO INC. 23540 TELO AVE., TORRANCE, CA 90505 _ ~ DATE INSPECTOR ~ ~9~2~' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [~I ROUGH PLBG. [ ]FOUNDATION 2ND [ NSULATION [~RAMING [ ]FINAL REMA KS: ~LJ~ ~ - DATE ~ 3 INSPECTOR , 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~MING [ ]FINAL R ARKS: G%c.u~~~ _ DATE INSPECTOR 1cLD If:S:'~CTIU~7 ~~UATr. ~ COaMENTS \ 7. ~ i s~ H _ _ _ H FOUiDATION (1st) FOUNDATION (2nd) a _ m~ 2. r O P,OUGH FRAME & PLUMBING ~ ` 3. 2.P.t~ m cn IIJSULATIOP! PER N. Y. ~ y STATE ENERGY CODE V~ 4 . ~ i y FIiJAL ,r ~ ~ ADDITIONAL COMMENTS: x x\ ^o H 1n ~ ~J 9a H o `O z `/{v„ m a d ro H 1 ~3 - " "-C 19 BOARD OF HEAL7N FORM NO.1 3 SETS OF PL.1V$ UU~ ~ ~ g~ I'I TOWN OF SURVEY U I SOUTHOLD cllCCt: BUILDING DEPARTMENT SEPTIC r•oatt _ BLDG. OIF'T. TOWN HALL TOWM OF ~uOUTNOLD • ' ' ' ,~>.,~,..M,~, $OUTHOI~~ L~L.Y_ 11x171 ttOT i FY ~ ry TEL.: 7G5.1t302 GALL ~ Examined .~~r~°..~......, 19~f. ' • • • . MAIL T0: Approved ~ ~/~i ~8~ . . 19 Permit No. , Disapproved a/c _ . ~ t . (Bui mg Insp r) ' APPLICATION FOR BUILDING PERMIT /i / /Gy q ' Date ~ .l7 . l../....... I9.1~ - INSTRUCTIONS ~ sets of plans?aPcPcurate plot plan to s ~peetFy~ accordin Y typewriter or in ink and submitted to the Building Ins b. Plot plan showing location of lot and of buildin~ schedule. Pectnr,tiuitt or areas, and giving a detailed description of layout of o erpremises, relationship to adjoining premises or public stye: cation. P P y must be drawn on the diagram which is pan of this apF c. The work covered by this application may not be commenced before issuance of Building permit. ~d. Upon approval of this application, the Building shall be kept on the premises available for inspection thrnu out the Iwork d a Building Permit to the applicant. Such perry e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildin pc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable fates, Ordinances c Rcculations, Cor the construction of buildings, additions or alterations, or for iemoval or demolition, as he .°in describes The applicant agrees to comply with all applicable laws, ordinances, building admit authorized inspectors on premises and in building far necessary inspections. ~ c/od1e, housin, code,%an~d re;ulations, and t (Sig{nature of a licant, or name, if a Fd~" or orattonj' ' .....:St:.~,~t ~hlailing address of a4• r • • ~ " • • ' State whether applicant is owner, lessee a~ FPbcant) Bent, architect, en;ineer, general contractor, electrtctan, plumber or builder Nameotatvnerofpremises ,~f~' • `~(as on the tax roll or latest,deed)~ _ ICapplicant is a corporation, signature of duly authorized officer. • • • • • • • (Name and title of corporante of(iccr)~/ . Builder's Liccnsc No..._~~ 6' G ~ -'/T jj'' J....._......t:^..... Plurn bcr's Liccnsc No. , , . , . . Electrician's License No. 6 3 ,fir, Ii Otltcr Trade's Liccnsc No, , , , , , , , , , , , • Location of land on which pro-po~se%d work will be /done; scNumbcr Strcct V~~~°~~,"~~ • • R County Tax ,c\fa ~ Hamlet • • • • • • p No, 1000 Section ~UdO-O ~ Subdivision .~yce.y~~wY~ ~h 1F;~S, . ' • Lot . F.ilcd Alap No.-rr ~ . Stttc c.. (N:unc) Lot _ . ~uUng use and occupancy of premises and intended use and occupancy of propose) constrtction• • • , 4 A. 1:xisting use and occupancy, . , (/.`C-~, • • • • • • ' B. Intended use and occupancy.: ~F;;e,l~~~?J•,•••• ( p~ I . L~ 3. Nature oCwork check which a licabte): New DuildinS • • Additicn ,Ut (ion Repair . RFmoyal Demolition : ink ~~1. . Tennis Court Accessor Q" y Ouilding..........Fence .......Other Work.. 4. Estimated Cost ,Q',~J, o o' cam . Fee . b • (tn be paid on filing this apPlicationa 5• If ~ara`lcn number of arsvclli!!u•'inits , , , • , , , , , , , , Number of dwelling units on each floor . ; ; 6. If business, commercial ar mixedlioccupancy, specify nature and extent of each type oC use - ~ • ~ ~ ~ • • • • 7. Dimensions of existing structures, if any: Front . , ,Rcar ,3, Depth ;S, ~ • • • ~ • Fiei;ltt , , , , Numt~cr of Stories . . .%Z-r. , . • . • • . • . • . • • Dimensions of same structure wieh alterations or additions: Front e~rra; • • ~ ~ ~ ~ • • • ~ • • • Depth ...~?r.Y6~.. ...1. YY4:e....... Rcar ...5'~,?2~.C'....... .J,.Hcight..,,5':~-y;4;g, .NumbcroCStorics...~.~:m~.,, Dimensions of entire new constriction: Front , •Rcar . ,Depth ~ • ~ • Hcigltt . Numt~er of Stories , . 9. Size of let: Front . • . l~~~y~,` P.car . . ~°di .............Depth •l:~ 7 . ! 0. Date of Purchase 1' ``°t. ~ ~ • ~ • Name o Former Owp er , ..~.~e-?.~rt .s~2Y.~. . 1 1. Zone or use district in which premises are•situated . ,~;c y,~, ~ e n f ~ ~ 1 • • • • _ No. l Z. Does proposed constructi n viola'~tc any Zoning law, ordinance or regulation: . 13. 1Vi11 tot be regraded ..lY, ;3, ~ ,1Vi1! excess fill be removed from premiucs:. • • Yes .ll~~,, l~, Name of Owner of pre ices /r1rd,~lv;(Jdo laJ~oyyi~(ddress , _ .Phone No. ,•b _ _ Name of Architect awes ,ft ll <c-~ , pddress ..~/.5, 7f~ , , -phone No. Y~~ m~ 9 8 Name of Contractor /fit :-~.~e% 6 e ~ • J~~ y ~ Y7 • ..~,'rys,(~C:.?.. Address ..~~~..7 r'~ .S. t, , ,Phone 15.Ls this, property located within app feet of a tidal wetland? YE 170.... *If yes, Southold TownlTrustees Permit may be required. • PLOT DIAGRAM , Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimension:::: property lines, Give street and block r{umber or description according to deed, and show street names and indicate iv::c::. interior or corner lot. / / AY c h ±7~ e c~ yt s e rf ~ 5 •L- a i , i STATL 0]" NE1Y YORE, S S COUNTY OF.... l/~ • ' Y n;~ ~ ~~'.~'c ~ 'n'~~' • • • • • • • • • • • • , being duly sworn, deposes and says that he is the applirar (1\amc oCindividual sip ag contract) about named~~JJ Eft is the ...4.Q::t, ~Y z c ` o•? I' • •i • (Contractor, agent, corporate officer, ete.)• • • • • • • ~ ~ • ~ ~ ~ ~ ~ • • ~ ~ ~ " " of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file tl: application; that all statements contained in this application arc true to the best of Iris knowledge and belief; and that u: work will be perCorntcd in the manncr'Iset forth in thu application filed thcrowith. Swom to bciorc me this ~ , d~ Notar}• Public, County ~2/~• • • LINDA J. GpQPEFi ; ; , , ,fGG: C Notary Publlo, Stete of New Yr~rit ~ ' ' ~ ' ~ ~ No.4822683,SuffolkCou (Si;natureoCapplican' Term Expires December 31,1t8~. i ._..e~. ~ _.__A~..~_._.._,..._.._...._._....._.......~....._.._..m....._........._..._.~_..,..Y....e.~~.... m ._,.u_~~ 2 ~~p ~ ~ LC m ~,j c- n } z ° o~ a ~1 Y ~ e~ w O O ~ Q u w j Q a Av,, ~ ,\i ` ~ N 0 h ~ ~ ~a , ~ ~ u~ W V C` d ~ ~ /3' N /9.3 J Q ~0 ~ 33.2 oa i "J aa~V~~ .2 ~ /0"5 F~M~ 4.a ~U og /J~~ G%/~G V1 ~~y O R \F 2o.G 6 /CF•7\ ~ ((1~~ ~ o ~ I ~ rrv Live X550 3B:,3o ••~t/ /o©. oo mcanderir~~ /ne o~ ~ 6~.~~`ievd 3 D ~ ~ ~ ~r y~ ~1 o ~I ~ ~ ~ ~ ~ o ~ ®ou I~ ~ ~,J t^ ';t _ X N o h z W C~ r V q ° J p tl~£~.,1 U ~ X1,1 4 Q ~ O ~ o s; ~ v LL r ~ ~ w p. h ~ to III ~ {Y., ~ i~~ ~ o _ Y C~j ~n¢~v_n~r ~ 5, s' w ~ V ~ W O \ W W ~ W ~ fn Q ~h v Il ~ ~ ~ Q r a Q U. F ~ Z Ll, x7 Q~ V S~` 7 ~ i` L'J - ~ o o~ vUi ~ n m ~ r O h <n v Q ~ O