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HomeMy WebLinkAbout19597-z ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20704 Date MAY 7, 1992 THIS CERTIFIES that the building ACCESSORY hocation of Property 825 OAK DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1990 pursuant to which Building Permit No. 19597-2 dated DECEMBER 20, 1990 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & ANN BRADY (owners) of the aforesaid building. SUFFOLX COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 rox>.t xa 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) ........r?.Sf?: ~.~.^.-.'4t~.~.....s~. 19..`3. U ' N° 1 9597 Z Date I _ Permission is hereby granted to: ......Jr..~,:K~s~1..r.....:.Y...:.~.. !C. ~.Z.9....... o ..~~w~di:kkS~.......~.....~f:S: EEEEEE~::.. .~C........4°.....~~. ..C~~:1.... ~j of premises located at ..A~.~.,~. County Tax Map No. 1000 Section ~ Block ......~1..~....... Lot No.....~..~:......... ' pursuant to application doted ...1..,1..R.S.Rrr..~:a~:S.Ra.......~...8.........., 19.9 and approved by the Building Insple~ctor. Fee 5....~ ~?.l..l..l.,...... . wilding Inspector Rev. 6/30/80 ~ ~ Form No. 6 - ~ ,~s_~_,~, @~.__. TOWN OF SOUT[IOLD BUILDING DEPARTMENT ~d~, ~gp~ i4 r . @"lPi~ l TOWN HALL y w. „ 765-1802 ~3~. 1'~"t~,rit. is APPLICATION FOR CERTIFICATE OF OCCUPANCY ,.F.." A. 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 19 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. 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 Date y/.5,/7i New Construction..... Old Or Pre-existing Building..../. r Location of Property...~~5. ~.~C....~A~IG:~E.........I~~~~JG~,S„ri~C1,.......~~CQ~IfC.~`~~... House No. j Street Hamlet Onwer or Owners of Property.....•JrfG~~S„5,,,~/1J/Z~,,,,~~~/,~,1~,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section....~.~'L~•••..Block... ~'.(.........Lot...,,5 ~ Subdivision...~.1..t~13{ ...................Filed Map.,~.3(......Lot..'~7.}..~.2C~?~~....~~.~_ / ~ / Permit No...I~..~.7..~.Date Of Permit.. ~°".'~:j,.~~;,,,App7.icant.C{,il~tpvYl~G~.94..~;•Y~:.~. f klealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for; Temporary Certificate........... Final Certicate........... Fee Submitted: eon. ae~oy APPLI~ANT( i INSPECTORS Victor Lessard . ~J'rl'IJr?ff Principal Building Inspector ~oLi' Z'®~, Curtis Horton , ~ ~ SCOTT L. HARRIS, Supervisor Senior Building Inspector +-a ` rsy ~ t'f:~'^'lr- Southold Town Hall Thomas Fisher w ~ ~"<'~%'i,> ~ P,O. Box 1179, 53095 Main Road Building Inspector S;~~u<*:%"'" Southold New York 11971 Gary Fish ~`J~t31 4,rys Fax (516) 765-1823 Building Inspector 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 ; ii NI~tY ~ APRIL 3, 1992 '1~`~y~ ~ t ~ z? , , THOMAS BRADY 44 FRANKLIN AVENUE SEA CLIFF, NY 11579 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is 1(113~I~I~18~ 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 # 19597-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. INSPECTORS y py~z Victor Lessard ~~~FFO(,(-~ Principal Building Inspector w Q Curtis Horton ' v;~ lO~ SCOTT L, HARRIS, Supervisor ,a Senior Building Inspector ~ Southold Town Hall Thomas Fisher w .,ti; "«,t ~ P.O. Box 1179, 53095 Main Road Building Inspector ~a ~ Gar Fish '~f'v~ Southold, New York 11971 Building Inspector `~d P Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR ' Telephone (516) 765-1802 TOWN OF SOUTHOLD APRIL 3, 1992 THOMAS BRADY 44 FRANKLIN AVENUE SEA CLIFF, NY 11579 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX 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 # 19597-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. "c'IELD I::SP.~.CiIU27 ~~Un^.E ~ COMMENT 4~ W 1~ ~ ar ~ ~ b ~ FOUtJtJATION ( 1st ) ° ~S FOUNDATIOtJ (2nd) _ - v 2. z o pIj V P,OUGH FRAME & ~ PLUMBING N H 3. m H IIJSULATIOPI PER N. Y, STATE ENERGY CODE m '@~ li m H 4. FIiJAL • ~ o~ ~ . z ADDITIOP]AL COMMENTS: x x -o H 9 H O zr z m A r • - d ^o H • a 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~1~ n7"~-- ~J7,p , s DATE ~ INSPECTOR BOAFD OF HEALTH 3 SETS ~ PL,\NS FORM N0. 7 SURVEY , TOWN OF SOUTNOLD CItCCR : ~~`1~3......... . DUILDING DEPARTMENT SEPTIC FORT•1 . TOWN HALL • $OUTHCILD.. N_Y_ 11271 Nt7T i FY TEL.:7~5-1II02 CALL r~ ~ Examine . •rF'+'~p~. 197 MAIL TO - . • . • ~^•:^V-!~ ? ° 196. Pc ~ q S ~'7 ~.C~~-~L~~n?-P~ . Approv rmit No.. 1.......~ ,_.:~~.~rr,•... ~ ~ J'.I~.. . Disapproved a/c a{ ~ (~;'s i r. r ~~s °a { ~ ~ ' f Si }t ~l.,~s ~P`-:-.... DECi ~ 8191 (Building Inspector) ~.E ~a.~.~ ~ijc;~"ins=Nr: ~ APPLICATION FOR BUILDING PERMIT I'C+"°Ol~,,.-~t,,~H®LD Date . ~02 1540 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspectnr, with sets of plans, accurate plot plan to scale. Fee ~ccortting to schedule. b. Piot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public strce or areas, and giving a detailed description of ]ayout of property must be drawn on the diagram which is part of this app 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 perm shall be kept on the premises available for inspection throu;ttout the work. + 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 Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes The applicant agrees to comply with alL applicable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in building far necessary inspe ns. ~(5ignature of applicant, o name, if a corporation) N.. ~.r~.cn~k~,lt~ .~zve ~a.S oft k~ri ~'2. . e~ C I tnl3il~ng address o~~pk~c-~a+n°t) ddd~~.~,,,~y'• • • Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D.N~h~!~..... Name of owner of premises ID Cl'1Cc,~... , t ~.'!~.l') . ~ r~7~ (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporaterryyolffic~e(r) Builder's License No...... ~.~J. ~..C ! . l i . Plumber's Liccnsc No. ....~NrOn:e Electrician's License No...1~~Q:2 ' Otltcr Trade's Liccnsc No. . JIID.rf$ . 1. Location of land on which proposed work will be done; .B.a.J~... QGi.~...~t.+.Y.~.. .......~.a.t1~P. tcl !louse Number Street. Hamlet County Tax \lap No. 1000 Section .....O.~f.~• • • • • Block .1..... Q~ , , , , , , , , , , Lot a~~.... ' Subdivision . ~P1~~.Cat(•I...~.~1prF.5 Fi{cd Atap No. , .0~.~~(~.:a~3~/`Lot .a.~~. v'ii~.t`c~~ . (Name) State existin^ use and occupancy of premises and intended use and occupadcy of proposed•constnrction: 0 A. Existing use and occupancy......n~~~.°,~••2 B. Intended use and occupancy.~.....~(1~~2 • ~i / ~ ~ r •V 3. Nature of work (check which applicable): New puihling Addition Alteration . Repair R~mpval , , , , , Demolition ..............Swimming Pool . , Tennis Court , ~Acces sory Building..........Fence .....Other Work: 4. Estimated Cost ~1Jr ppp.0,Q 1 Fee ..,~,d.~~..........................• stn be paid on filing this aPPlication~ 5. If dwcllin„ number oC dwclling~,units , , , , , , , , , , , , , , , Number of dwelling units on each floor . If garate. numbcf of cars . . 6. If business, commercial or mtxe'd occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, iC any: Pcont . , G1A,~,'?:.... , Rcar . Depth . Hci~ht Number of Stories , , . Dimensions of same structure wlith alterations or additions: Front Rear Depth . E , ,Height Number oC Stories . ~ • ~ , , , 8, Dimensions of entire newconsihtction: Front , .~,,H:r....... Rear Depth ....aZ:'(,~ Hci;Itt,,A, Nur3tberofStorics.c~,....... l:. a T...'........... . 9. Size ot`l~t:`~'roni ....9~• P.car . qJ7.. Depth .~.'l8 , ~ . 10, Date of Purchase 9f~~~~'S," Name of Po cr Owner ,~du.tard..-k. sir-z4t~...~Y.rt 11. Zone or use district in which pr,'cmiscs are situated et~GdA?! , ,s~ n.D,r,~.g, , r . : . . . . . . . 12. Does proposed constructionv~''Q'laic any zoning law, ordinance or regulation: O 13. 1Vill lot be regraded ~`t u , ,1Vill excess fill be removed f o~ premises: Iv D Yv. I 1~. Name of Owner ofprcmise~(?D'1'11FtS.r,,~,nn,~j[~2'.Address~?;S.QA1~ P~Y~qq~~I~I-'honcNo..'z~s.:J`~..`1~... Name of Architect lt. ~ µ~ttlsPnd, t.~v.rf , Address~lU~Px,~P0~l~4,~~tYSt Ct~ti'hone No.. . . Name of Contractor~:PY.~P h!^~}4n? , , , ; , , , , , , , Address~.U.~XRI. ~PVtrio :4 Phone No7~P,~.:~?`.3 R9. 15_Ls this property looted with in~300 £eet o£ a tidal wetland? =YES....NO.I:~4. *If yes, Southold Town Trustees Permit may be required. i PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dime..^.siora is property lines. Give street and block', number or description according to deed, and show street names and indicate n•i:c::. interior or comer lot. I . ~ r 'i I I ' I~ ' , II i STATL OP NE1V YORK, S.S COUP TY OF • r• ,~d'~`~""'/, ^ . being duly sworn, deposes and says that he is the applica: . (N~ c of inttullr'vrdual signing contract) , above named. Fie is the ......L~t~d~-..... _ (Contracto , agent ~ orporate officer, etc.) of said otvncr or owners, and is duly authorized to perform or Jtavc performed tltc said work and to make and file tle application; that all statements contained in this application arc true to the best of his knowledge and belief; and that t work will be perforntcd in the manger set forth in the application filed therewith. Swom to bciorc me this .~f .......daypf ..~.../~~?'c-; 1994. Notary Public, , x~.,',. 9! , , , County ~ , ~l ~ t j v"•"~'ra o • (Signature oCa !rear NOTARY PUBIC S~~~of Now York • • pp No. 47078'18, Suttolk Cou i ' T4rm Expires Mxrch;i0,19~1