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HomeMy WebLinkAbout19804-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20095 Date JULY 22, 1991 THIS CERTIFIES that the building ALTERATION Location of Property 1459 GOOSE CREEK LANE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 77 Block 3 Lot 17.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 1991 pursuant to which Building Permit No. 19804-Z dated APRIL 24 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 ENCLOSE EXISTING DECK AS APPLIED FOR. The certificate is issued to EDWARD & EILEEN DEUTSCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H-023141 - JULY 11 1991 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 >los~s xo. 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) Date N 19 B 0 4 Z 19.~~ Permission is hereby r ted to: of premises focctea ut ../.,ra.~.rl~...~C~...~?.~..i!~>.R;.~r~•••..sL..~r/ ........................................~~z..~..~r~:. ' County Tox Map No. 1000 Section ........~.7....... Block .........~...../~Lot No....... ~.7/.....~`- pursuant to appilcation dated ....1~..~~~F..~ 19..a,.l and approved by the Building Inspector. Fee S..c.rR Boil nspecto Rev. 6/30/80 Po nn No. h .fir m.,~,°°~;...~ TOWN OF SOUT[IOLD }3 ~~~~~:~~~~~~1' BUILDING DEPARTMENT ~ d ~t 765N1802L I B ~ ~ 4 y;' j 41~ r®wN of s®urHCtl APPLICATION POR CERTIFICATE OF OCCUPANCY 1. This application must be filled in by typewriter OP, 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. S. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cc,de Compliance from architect or engineer responsible for the building. 6. Submie Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1457) 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 e reasons therefor in writing to the applicant. 7/~ ~J 7 7 Fees ~/~o~ ~~71~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellin^ 5.00, 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 - Resident'al $15.00, Commercial $15.00 Date ~ ~ ~ . ew Construction........... Old 0 Pre-existi g Build}n~ v/ i ocation of Property, j,{,~,~1,,,,,, t.c;S~ ~~r~Y, . ~ r.,~ ~ ~R House No. 5t eet 1 Hamlet ewer or Owners of Property.~~~G\n;~~ti.Vl~~~.~/1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, runty Tax Map No 1000, Section..... ...,,Block.. .Lot.. t. ~.Z . . l .7.. ibdivision Filed Map............Lot.. , t ~ ii e :rmit No. ~ ~ ..Date Of Permit..'~~~~ Q?.....Applicant).~U`~~~«,16~^ ~alth Dept. Approval ..........................Underwriters Approval.......................~, anning Board Approval quest for: Temporary Certificate........... final Ccrticate.,l!.,,,,,; e Submitted: va~a~ ; C O AP o~ao9,5 Y THE ~ NEW '~tK BOARD OF FIRE UNDERWRITERS pAG>;' R025R60 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK. NEW YORK 10038 ' Date JULY 1],]497 APPtlcationNo.onfile 71i1R841/QJ H 0L:t74J i TN13 CffRTIFIE3 TNAT ~ only ehe aka;trleal pulpment a dpcrihsd 6a/ots and introdtscsd 6Y eM appNeant nawssd ow the ahooe application number in the promisee 4/ x SC,iOTTO, 1459 GOOSP CRFRK LANE, SOJJTHOi,p, N.Y. 4 in the fdlolring loco ' nt ? let Fl. ~ Ynd FI. Seetiun Black Lot 7a'~4" - caw examined an and found to 6e in compliance scith the reyuiremente of thb Board. RXTUR! AG7lS fYMTC11l5 RX COORIN6 DlCKf OVBiS RXNAU4T fANS OUitRTf INCANpEECENT flU0eE5CFN7 OTHER AMT. W. AMT. C. w. AMT. [.W. AMT. K. W. AMT. N. f. _ } DRYRRS RlRNACR RgTORS tEttlN! A?t11ANCR 1NRN5 enCaµ RRC'RT 7RAi tXOCKf RB,s utRt ttRAiMR A~ OItAMNS AMT. W. Oll M. f. ~ aA5 N. f. AMT. N0. A. W.O. AMT. AMI. AMT. AMfE. TRANS. AMT. M. I. ~ ~ ~ AMT. wAm RRRVIQ ORCONlNCT S ! R V I C E AMT. AAV. T!! l01M, i / ew i / tw s i tYI s / ew NO. a~ ~coNO. Or ccW.. No. a Ni.ua A. wi~ NO. aF NEIRMIS ~ ~r e4nul ' oTNRR AtMGRATYf: ~ F.J,RC., ROOK NF.ATFRScI.-1..25 K.ii. / -tr o~ tRANCT.SCO SCT.OT1'0 !k- ] 459 GODS}: l'RF.EK J~ANF SOIJTHOLU, NY, 11971. OO~AI .1 { % c* ~ = Per This prtilicaN must not Ix ehered in a mstmer; refwn b Nw office of the bard if inwrred. Inspectors nay; identtfted credentials. Cdr ~ 0!?ART#~iT. ffM9 CONY OF CERTI*~GTE'11~14~ !l@T'RE At. ql AMIY 11AMMlR. THE NEW YQRK BOARD OF FIRE U1~DERWRITERS 13AS1 1 1+)01043 E AU OF ELEGTRICIT' HS JOHN STREET. NEW YORK, NEW YOR1C.10098 A1`IYII. 2/,1vh0 Application No. onJite L7b",G69fi/90 N 1762'/:' - TMIS CERTIFIES THAT only tke alectricd equipment m daPeribsd 6skne and introduced by tks applicant namedow tke above epppeation number in the premiseu eJ i?M, FRAMK ;+;ll!110, 149:; f,t)i)~ik h(ti".F.K +A., Fli1.r #131-A, S9U1H61.D, N.Y. in tkefoUotcinK location; ? Basement (1111 Q /Kt Fl. ? Ynd Fl. SerNon Bieck lot alga examined on ANt11l. ll2 , 1490 and ound to be in rnm w~reTeith the ~ f pl' reyuirementK oJtku Buard. A%itME kC7lS fM11TCMES CGO%MpEEOIi T FANS ' OUTLETS IHCANOESCRtT PlUai{cENT OTHER AMT. K. W. AMT_ R: W. AMT. R.W. AMT. K. W. AMT. N. P. DRYERS FINIAL! MOTEMS IUTURE MFIIMtCE RARMf SROMtiEC77 1WEt10CAfE E~ IIIRT/IEA1Hi ONtIMNS r AMT. K. W. ql X. P. GAS X. G AMT. NO. A. W.O. AMT. AMI. AMT AAMt: TREIK. AMT. H. P. AMT. WATn". - SRRVKI g5[OFIMECT ND.Of S E R Y,: 1 C E t AMT. AMP. TTPE ~ i / ]VI + / aw a e aw s / AW HO. a~ ecoXO. t>F cc . o., XG: or HFIEG W~~y wo. a PRUttAIS of i :Oil Gf1 1 X 1 1)0 9 2/1? ~ OtINR Aurr.Rilrus: 'NO(!r: T1T1>: iu ~ irar~Cle1, oat n r,almPlete ccr•YlflcaTt.r.. _ GAMY AgN+J5K1 1..1C.#'1,941-1' ~i w~S N(1NSi-.1.t i M1N1 - .E t- C111C1{OGlbk', NY, 119:5; - Y~RAW1110R 71 Per Thit certificaM mutt not b obnd in airy nlollmc return M,.dau gF. NIR chard N b ctadeTRtalt. T COPY FQR WII.DRIC ' 7911 GQ~'V / T~ ~IDh' ~ 1{#;1" lit AID \,~~~1~'~ TEL. 7G5-1802 O~ COG, TOWN OI' SOUTIIOLD :.3 1 .mac OFFICE OP BUILDL*!G INSPECTOR =;r°; ~ rn P.O. I30N 728 ' p~ ` ~C TOWN HALL ~,~f/OI ~ SOUTIIOLD, N.Y. 1 1971 June 14, 1991 Mr. Edward Deutsch _ 1459 Goose Creek Lane /yf~~ G ~D 1v 7~- ~ o ii v Southold, N. Y. 11971 To L9hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy i.^, not on file. 14iX1 No Underwriters Certificate on file. ~f(g The check is (c3~t~xitacffi~$/not on file.) $25.00 tdo tlcalt-h Dept. Approval on file. N~ final inspection has been made. Please contact our office on this matter. 79iank you for your cooperation. T3ui]da.n~I Permit 1 9 8 0 4 Z Uu.ilding Dept. ***/_I No Plumhcr Solder Ccrt-ificate on file. ( all permits involving plumbing being .issued after April 1,19II4 ) I i =1ELD iCSPECTiUN ~~llAiE ~ COMMENTS ro ~ 1. ; z _ _ y FOUIJDATION ~ (1st) a FOUNDATIOIJ (2nd) _ - ~ \ z. ~ 1 ~ < o~ P,OUGH FRAME & PLUMBING ti y 3. x' ` m H IIJSULATIOPI PER N. Y. STATE ENERGY CODE aP.~~ 4 . r FIiJAL (~l o~ ADDITIONAL COMMENTS: s~~ ~ x ~ ro \ H 4~ ~ N y H O \ z I y C9 9 • r~ H x ~ `41 m b H 1~~0 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ]FRAMING [ FINAL REMARKS: C ~ DATE I3 INSPECTOR ~l 765-iS02 BUILDING DEPT. INSPECTION ' [ ]FOUNDATION 1ST ( ] RO PLBG. [ J FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: Cjl~-- DATE ~ ~ INSPECTOR ~G y~~~~ 7sS-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL REMARKS: c~ DATE ~ ~ / INSPECTOR ,,'~''r~ ~ ~ry( ~ ~ _ i I ~r ` + / / / r ~ ~ 't.3 143 ~5 '~'f°t°! 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' ~ .a 1`\~~'J°°(`"'a' ~ 60~\RD OF HEALTIi ~~~,~~~__=~,~~'r'~\l.,`~o-`~.araC~l\~fl_'_~~ FORMNO.1 J SETS OF PL.1:7S ~ ~y ~ TOWN OFSOUTHOLD SURVEY ~~Ij~~ 2 zl'>si~l f~ BUILDING DEPARTMENT CItECt; _ ~ ~ q, ~ TOWN HALL SEPTIC FOR:I 11' - "I SOUTHOLD, N.Y. 11971 ~ ~~,v,,ai-~,j,` ,,"9 TEL.: 765-1802 t:OTIF' 1 ~ ~.v.-..'...:-~.. GJ-~' CALL .~.'~:~CIC?~ Examined , 19 rt TL zo : '7~ ~ - ~ ~ ~r. . . Approved , 19~~ Permit No............ ~ 1 ' ' ' : j . Disapproved a/c . i~971 n APPLICATION FOR BUILDING PERMIT Date'.. 19'.x. r INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to tare Building Inspector, with 3 ets 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 luilding 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. 'he applicant agrees to comply with all applicable laws, ordinances, ilding code, housing code, and regu]ations, and to dmit authorized inspectors on premises and in building for necessary i s ections. r (Sim ture~~ f ap~icant, or name, if cor oratiop.)... . (Mailing address of applicant) j~ state whether applicants is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i 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 of tcer)/' Builder's License No. .~\o,~a . ( C~GQ,/1~.~ 1~~ Plumber's License No . Electrician's License No . . Other Trade's License No . . Location of and on which roposed work ill be done. ................{............d~...~. ~ House Number Street ~Hanrlct County Tax Map No. 1000 Sec[ion ~ Block , , , , , , , , , Lot C `?3.......... Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of pr ices an intended use a occup cy of proposed construction: a. Existing use and occupancy . • ~ r b. Intended use and occupancy .c... I 3. Rret ur of work (check which applicable): New Building , , , Addition . Alteration • • . • • emoval Demolition Other SVork . o©Cj , ~ (Description) 4. Estimated Cost.....F....... Fee........................ g o (to be paid on filing this application) 5. If ~welglin number of dwelling units . . Number of dwelling units on each floor , . If era e, number of cars , , , , , , 6. If business, commercial or mixed occupancy, specify nature and extent of each t Ype of use g ? Heightsions oti existin stru Number any: Front . . . . .Rear Depth . Dimensions of same structure with ' of Stories , , , , , , , , , , , , , , , alterations or additions: Front Rear . Depth , , ~Ieight . Number of Stories . 8. Dimensions of entire new construction: Front Rear . Hei ht .....Depth g • • • • • • • Number; of Stories 9. Size of lot: Front ~ CJ • . . . x,7.0............. . 10. Date of Purchase 1 1. Zone or use district in wltich~ remis Rear 1 , , , , , , , • , , • , , , , Depth . . . ........Name of Former Owner , . p ~esaresituated.,...\„~~,,,,,,,,•,•„•• 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded ~~,,~n~ Will excess fil be remQ~'c~d~ ~rqm ~E? remises; Xa No P 14. Name of Owner of remises - ''"'~'~~'''Address ~`~d`'!, , v`""."'~.°PTione No:7G~;~f7~ b• , , , , , , Name of Architect Address ...................Phone No.............. , , L5. IsmthisCp ~perty within 300' ~ ~ • • • ' • " • • Address ...................Phone No. If es Southold Tow feet of a tidal wetland? ~ " " " " " ' ~ n Trustees Permit may be required. No..,,...,, 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 nurcjber or description according to deed, and show street names and indicate whether interior or corner lot. - ~ II ~ TATS OF NEW YORK, OUNTY OF S.S (Name of individual si nin c • • • ' ' ' ' ' ' ' • being duly sworn, deposes and says that he is the applicant g g pntract) rove named. ~isthe .....I.. (Contractor, agent, corporate officer, etc.) ~ • ~ ~ ~ ~ ~ ' ' ' ' ' ' ' ' said owner or owners, and is duly aut~horizcd to perform or have performed the said work and to make and file this plication; that all statements contained Iin this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. nom to before me this n~~........day of.........,... 19 QI 'tartrkPublic, County o J/~~Q/J~,-~ ~-ri-u°~C"" 7 ~ 0.0 I \ JVC!Jl.lrus-il • • 1/•'~F-~':.. LINDA J. COOP ( (Signature of applicant) Nto 4822669, Suffolk Cowry ~ Term Expires December 31,18