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HomeMy WebLinkAbout19506-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19697 Date JANUARY 30, 1991 THIS CERTIFIES that the building ADDITION Location of Property 44360 COUNTY ROAD #48 SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 1 Lot 20 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1990 pursuant to which Building Permit No. 19506-Z dated NOVEMBER 8, 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 ADDITION TO EXISTING BUSINESS STRUCTURE AS APPLIED FOR. The certificate is issued to WINDSWAY OF SOUTHOLD ASSOCIATES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JANUARY 29, 1991 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FORK NO. 2 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 1 9 5 0 6 Z Date 2 19. ,U Permission is hereby granted to: s c...... ,....,...:.y.:.....?.~ 9.~..,....... t0~ Q::Y.1...... fi l.. at premises located at . l.O.a~.......4 ' ......../..8........ . County Tax Map No. 1000 Section Block Q.)........... Lot No.... pursuant to application dated .d ShA!m. 192.A., and approved by the Building Inspector. Fee 5..~ . Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD r-TOWNOF fc Form No. 6 BUILDING DEPARTMENT TOWN HALL 765-1802 LD 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 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. 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 ;~0. , S 1 New Construction..... ~[[.''``7 3Old,~ Or Pre-existing Building Location of Property .....Y Av/.... .k41 ...........d?!NY!^~~7 L~ House No. I! Street JHamlet Onwer or Owners of Property. A"!146//..4f f!'G County Tax Map No 1000, Section... /p.?........ Block ..........Lot................... Subdivision ....................................Filed Map.......... .Lot................ c / LY++~ Permit No...//S 8~.Z....Date Of Permit.. A; 190 .....Applicant. All' . . Health Dept. Approval.... .....................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ (91k.'I Of 'z 0 Q6 9 7 APPLICANT ri-ELD INSPECTION JIDATE COMMENTS ro .n 1. 1/l 0 p"Jt 14 1 H ~ FOUNDATION (1st) a FOUNDATION (2nd) m o ~ ROUGH FRAME & PLUMBING f4 3 IL a INSULATION PER N. Y. 3 °6 STATE ENERGY CODE a Y 4. J 3S H FINAL ADDITIONAL COMMENTS; m 0-.(b n " ra ro H 9 ,04 . H H `~O Z °r A . r _ H d . t=f ro H I SoG ~ k2VOM THE NEW YORK BOARD OF FIRE UNDERWRITERS fF+v~, BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date F I43R11teFi ~ 9 r i 9i3l Application No. on file N 1746,Q THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of bll,illl.T Td~X Fst1.C.GLl~1r. I.Caf41, CH «R, .,(A)T12t%D, H,Yk. in thefollowing location; ? Basement ist Fl. ? 2nd Fl. Section Block Lot was examined on EF~HkI)!1R 3. , r~tj and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W AMT. KW. T. K W. AMT. H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H. P GAS H. P AMT. NO. A. W. G AMT AMP. AMT. AMPS TRANS, AMi H. P. $Y$TEMS AMi. WATTS NO, OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER 10 2W 1 a 3W 3 q 3W 3,e AW NO.OF CC. COND. A. W. G. NO. OF HbLEG A. W. G. NO. OF NEUTRALS A. W. G. EQUIP. PER 9 OF CC. COND. OF HILEG OF NEUTRAL OTHER APPARATUS: - 375 TOWN HARra N t,AIVE :i t7d1`I'i11JC1(}, Tilt, 11971, GENERAL MANAGER Peril This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credlntials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ! BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS , , • . . . SURVEY TOWN OF SOUTHOLD QUECR BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY: ` TEL.. 765-1802 Examined ..0,t~ CALL . . 1990. MAIL T0: Approved 1984. Permit No. Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date /.o I5 f'Q INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan tfrscale. 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- cation. c. The work covered by this application may not be commenced before issuance of Building d. Upon approval of this application, the Building Inspector will issued a Building Permit to he applicant. Such permit shall be kept on the premises A pble 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .tc;ulations, for the construction of buildings, additions or alterations, or o rem 1 or de of i n Clio applicant agrees to comply with all applicable laws, ordinanc ov es, builc{y WC . dose ' ed. admit authorized inspectors on premises and in building for necessary inspecti eaAtion~s, an i.-nature of applicant, or name, corporation)" (Mailing address of applicant) ;tale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. t.......pp........ . :ame of owner of premises (f v du•~,~~ ,Q (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of /corporate officer) Builder's License No. -PXV/?dW -!J., s j Plumber's License No. Electrician's License No. Other Trade's License No . Location of land on which proposed work will be done: nn f rouse Number Street Hamlet County Tax \lap No. 1000 Section 6 3 j Block Lot . A? D Subdivision . • . • • . • Filed Map No. . Lot . (Name) Stzte existing use and occupancy of premises and intended use and Occupancy -of proposed construction: A. Existing use and occupancy.. B. Intended use and occupancy ........?P~... /CI d?l~• q Nature'of work (check which applicable): New Building Addition Y Alteration Repair Rlimoval Demolition ,Swimming pool.. • . • • • Tennis Court . Accessory Building ......•••.Fene•e 4 • • .Other Work . Estimated Cost......... . q t?••ir,$. Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on cach,floor If garage, number of cars , " " " " if business, commercial or mixed occupancy, specify nature and extent of each type of use I90.D,P,Te0aa.. Dimensions of existing structures, if any: Front , , S04 , Now S..., Rear Depth Lo ~ ' o~FYy~- Height Number of Stories . Dimensions of same structure with pltcrations or additions: Front Rear . • • Depth , , sleight . . Number of Stories . , . Dimensions of entire new construction: Front Height • r2.° Rear Depth . ~ Gi "c^`t Height Number of Stories . .4 V.0 Size of lot: Front.. .1. Rear,.` .....................Depth....................... . Date of Purchase , t,7,I? , , , , Name of Former Owner . • . ' ' Zone or use district in which premises are situated • • • • . . , • . ' ' ' ' ' ' ' ' ' ' ' Does proposed construction violate'any zoning law, ordinance or regulation: • • Will lot be regraded .N!? IVIRcess fill be removed from premises: Yes J . , No . Name of Owner of premises ~t,tpp¢ y q aut(1utyf. Address iA .%G(Ve2! , . ?"trIub, Phone No..~60: Name of Architect p Address • . Name of Contractor (n1%?A{ fNish /3a?ib: 2bj, Address Phone No. Phone No. lee=i"Jr ).Is this property looted within 300 feet of a tid..al...w.e..t.l.a.nd? * .YCS... .NO.,1:.:...00 *If yes, Southold 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 )party lines. Give street and block number or description according to deed, and show street names and indicate whether crior or corner lot. '%TE OF NEW YORK, UNITY OF. S.S `indiviciuall signing b 1` • . . ' ' ' ' ' ' • being duly sworn, deposes and says that lie is the applicant (Name of contract) rvc named. is the ...........4~ W.N.{1~ . i (Contractor, agent, corporate officer, etc.) :aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the, k will be performed in the manner set forth in the application filed therewith. r )m to before me this ~t....day of...:............ 194. / \ ary Public, .Cl:..: ` ; County / HELEN K. DE YOE • • • • ' NOTARY PUBLIC, State of New Ymkl, • • • • ' • • • • • ' T o.E47078s 8,Su of jaunty (Signature of applicant) m March MAP OF PROP)E[2:7y A` )CIA7 ' HT tiq.~s~al.F :?tQUTHCLD TOWN OF S0IJTG.;0L D,N:Y, I A63'~6 ~pNy t3,6-7 ~U ~ > rI'f`Tµ~~-" f F ! I o ' I ~ E t BLACIGTQP I - ~ LEIICFFI h.1G F170L_ J j 0, ZiR3_vu-ELL I ZEPTIC TANICZ I I~ ! I Q y f I r j U a J mp PQRSH III u I a 2 5TO2Y F72. BUILDING ' 1 4z' ' v ! I STORY to Sj) I PL SCAr_E.264„ o j AREA=24,513 S,=, w ! ig ~ 1 ~ I 1 ~ a I 3 1 i UJ • m -cl ® ON DRY `HELL liJ SUFFCC),TAX HAP :JATA:100C.-63-1,10 i _ - n n ,~E OF nicN .4_ I - C-r - yr, cw ary i ~ o~u n i I I . - EViLPTWG LOCATED JNQ. 10, 1991 s:6~ s5 z° W. A$ SUi2VEVF- FE2,2.1,1990 NOTE : Rif IZOVEMEI`'ms Sgow a A.2E FROM S_i 7F- y AN .$Y FC1.ANv- AT i nnt~r2,r~ f9 t ,C, LAW-LO ,UfP,/r; o E - vIZE.C ~!`FGT'[ ! i.Y. i 7. 07!? 6 mtAP OF PROPEIlly AT 5OUTHOLl7 ~•n1C0~~ TOWN OF SOUTHOLDI~i.-Y I ' ~e r9N~ 1s,6'~ O6 AO I g63,~~rTONU ,~.N~ ~ > I 13 AacTOP I ~ t.EACHfNG POOH., ~ ~ fl_:nrcr ~WF1L I ~ "~~J iES'TtC TANK I ;n ~ ~ 111 \l 1 L 1 I t OFFICE BUi'--"IIG II i r 1, I I I , 1 ~ i 29.8 J I I I , ~ ~1 ~ I i1 ~ II I W i I - `I I I I .I II Z j 1~_'bl PROP. ~ I I I j '.nl ADPN. I Ii ~q I NI i l i I ,255 c' 26 60-_I 1 l1 ~ SSALE~20° =PIPE i z - ~I f I u 1 Y 1 o m i °4 U> Z ®vre wE<t 5UFF•TAX MAP vTA- Imo; b3 1 20 'f I J fl h", I~ Diu., _u. I df nns m lu ~.,nQ p NFIN I I O 1 r GK SAN G/I \I FP ~f\ f 1'uiJU~~t° i 1 A t~tti (S2 I W. A5 alJ_ .CvEV P FEB.!F .G . CZQfi?Ef~.I~IC URti TI,~~,!L,F~~~, NOTE1 Of ?r-- t"~. rt~y~7f9VEMEt tFS SFiQ ARE. FQOM 517E _ 0 3~LA¢I av ~r aesu :tC[hsSCah , L.µ. , Or, LANNV CFkRsJk~t~?t2S PCi Tlk t,Y. l ~,IaGk S3y~a4 `s~~p_ 4 ~I A d 1::~{9kN~,t yt'v`-y i C.nNb4V 1w511~w. nNb4l lwtilf cw. ~~rq~ h~aQ' f l iA w_~.~R r„~~ j ' e p i ~ 4 ~ W ar14t wi~~ . f~ Col C4?ur M t 1 la 1E ~j l ~-CIWBu4~t i{~esil awl I i UNDERWREWI 4Y,r a C~ i ~o y REWIRED i i t`a.aypyy' , ~ I '~.r Wlb ub Soh .ftlli CS.. wa Qcni .i'+l'1~ifv'C4~ J 4 ~ i m^ I Ise.., ~fw. 4'YY Lezdan ~ _ UMBIIAG 11 tN, A~LPpTEP L\NES G- - - &`rv BEFORE .4 ,A'P~P@1DyVEaD AS DIED oA V. Q.L. - P!3 ~ 9Y' PEE: NT AT - NOTIFY RAIELDING DE RTME 765-1$02 9 AM TO A. PM FOR THE ..n FOLLOWING INSPECTI NS. `t { FOUNDATION - T OREOUIREO`~., t7 r' FOR POURED CONC. ETE 2. ROUGH . FRAMING !L PLUMBING - w - q., NSULATIO CONSTRUCTION MUST _ i 9E COMPLETE FOR C U MEE7 - „ ALL CONSTRUC nurv ° THE NY. f ' THE REOUIRE.MENT OF ENERGY I STATE CONSTRUCTI N & { CODES. NOT RES ONSIBLE FOR DESIGN OR CONSTfl CTION ERRORS a iitr 14 u .q.« -,rte' _ h if coppw Q tubing ieueed ~E.~~..~ jpr vMor dfevlbuting . ,Mom; piping Shell be i of types K or L Gnl ~rJ ~J pLUMBER CE ON LEAO CONTENT BEFORE ? . - CERTIFICATE OFOCCUPANCY WATER NOT SUPPLY M CAN EXCEEO2HOOF 16A LEAD. i ,I w' N k Icy-- ~u } x t I'f j °~tw 3'SN t>.bLlh ~ ~ _ - ~ I J 1, ! ~ I I ~ I i (''C~~o~tn - ~ ti I / i~ d~7.~L. ~u~q~wa`ww.~lith d-~lo_G''D_w"w -i ~Ml~ KIM. ~ j ~..r~,-,.c~ I ~"~4 r` 55uyS a' - ' ~ ~ tl llt lbw 1. - ~ ell \ \~~>~'w J K~~.i. ~t ~ ~t,. C: 'w-S to ~..o..? - ~VM4~ V'~QLoa. s1Y~4 swu IIJ Fp 4 4~F i AAq 4 w i ~ ~ f// t, E ~~y' lG D D ~o ti' r A