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HomeMy WebLinkAbout19437-z FORM NO. 4 TQWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19634 Date SANUARY 4, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 1750 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 20 Subdivision INDIAN NECK PARK Filed Map No. 551 Lot No. 35 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 1990 pursuant to which Building Permit No. 19437-Z dated OCTOBER 4, 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 WITH STORAGE SPACE AS APPLIED FOR. The certificate is issued to CATHERINE RAYNIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-167028 - DECEMBER 31, 1990 PLUMBERS CERTIFICATION DATED N/A iC/~.~./ Bui ding Inspector Rev. 1/81 roses xo. s TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN N!?LL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) F N~ 1 9 4 3 r Z ~ 19.~'~ ~ Date t i Permission is hereby grouted to: " CHARLES E. TAPLIN P.O. SA% 336 PECONIC; NEF~ YORK 11958 . ~.,~....rr..r..,.......a.,~...... ..~..,~....~1..... E at premises, located at ...1~.~s~~.......9~•l!'~ j .G~.••..~`~'•*•• County Tax Map No. 1000 Section .......,1. y~.......... Block .......~.........~L~ot No..........~~...~...... j pursuant to application doted 19...~i!; and approved by the i k Building Inspector. Fee S..•1,~6.gS f ! B ' lug 1 v tom 'r i Rev, 6/30/80 ' `~,1~ Form No. 6 ~y,r~p ~ ~ TOWN OF SOUTHOLD r-'°~°~ ~W BUILDTOWNDE~PARTMENT [~~~}~'~r`~ ~~(~~/J 765-1802 ~ ; t' OTC - dl9gp APPLICATION FOR CERTIFICATE OF OCCUP BLdG pkPT. 7OW(~ OF SOUT A. This application must be filled in by typewriter OR ink and su mi ing 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. 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. 3. 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. v.. 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 .~.~~.,,1~~~. ':ew Construction... Y Old Or Pre-existing ~ui~ld-i-ng.n., \ Location of Property......t1.~?0............ ......~,Q:G House No. Street p Hamlet Onwer or Owners of Property........... ~~yNl~...~..~.{~.T~~V?.".`~~z,,,....y~ County Tax Map No 1000, Section...~~.......Block.....:-~.........Lot....°.~~-? p i Subdivision.'. .1:JSL:xS•...f~~........Filed Map.S.~~.....Lot..S?~........ ~ ``qq rr~~ i'ermit No...l.l:~.i~.l.~..Date Of Permit.J,O.IIL.(~cC~....Applicant.~....T~Q?s !iealth Dept. Approval ..........................Underwriters Approval... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. /y Fee Submitted: C~,RC. ylaY7 ~ APPLIC~~~........... Cow )9~3y 1ELD I;: S.~....~;i ~~J:,; :;U:Ki1r.NTS \ O `w p H \W' H V 'OU;IDATION (1st) I ` - - ~ - 'OUNDATIO;d (2nd) d-' ~ o SOUGH FRAi~1E & •PLUMBING 4 H i. ~ C*7 GI :IISULATION PER N. Y. ~ • • ~ STATE EPIERCY CODE I r ryn ~ H _I FI;1AL I ~I • I ~ o ADDTTIOPIAL COMMENTS: x ~ • ~ m I x •o ' H N O O" ~ - M • r _ '-7 • ~ v ~ m H - O t 1.^..rm'1,-~.~ TEi. 7C5-1807. '~p ~FYC~»LXC^ 'I•~~i'I`i t)F S(3llTII0~.d3 ~;?-'r,'•a4p,.ilt~}~ ~t.~ OCt'ICI's OP IIUILDING INSPECTOR ~ nri, ,r .c r P.O. I]OX 7~8 ~i4/f/~.;~~~,:J~r.~ SO1J'I'IfOI.i), N.Y. I i9'7i ~``~~az'r..w%,9' Dec.- 13, 1990 ,Charles Taplin Custom Builder P.O. Box 336 peconic, N.Y. 11458 RE: KATHERINE RAYNIS To Whom This May Concern, toe arc unable r_o complete your Certificate ' of Occup;incy bec.au~c of the following reasons. % / An application for Certificate of Occupancy .is not nn file. ao tlndr_r:oriters Ccrtifiaate on file. J / `1'hc chec}: is(outc}ateu/not on file.) C:o stealth Dcpt. Approval on file. Nct final itlspection ha, been made. P]e,u;e contact our office on this matter. Thank yoi: for your cooperation. Buildin, Puxmit it ~ 9 4 3 ? Z IIuilcli^CC UcpL-. *h*/~/ No P.L~mhcr Solder Certificate on file. ( all permit:; involving plumbing being .iaruccl afL•cr April 1,1944 ) I ~ ~ ~ . ass-isoz BUILDING DEPT. INSPECTION [ FOUNDATION i5T [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL / REMARKS: ~ ..~~j~- ~rr~~-i /yJ7 it JTYL/C ~ O e DATE ~ .~-3 INSPECTOR - ~ P 14 7 T/ ~ i 7H~ 4VfW YORK BOARD OF FIRE UNDERWRITERS I'^~~~ , tiultn~l BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 +u~RT^°':•.:"'~`DFC.EMF4f.R'11;19'3fl ?txottll~dCi/911 N lb'Ci?x bate Application No. on file THIS CERTIFIES THAT only the electrical puipment m described bebrs and introduced 6y the applicant nomad on the ahooe application numher in the premises of F.ItA'YN1S, 17611 SttYIH N!).. F'F~CihdlC, h.'i. in thefollominp bcotion; ? Basement _ ? Ixt Fl. ? Ynd F4 ~'AK .Sertion Block Lot was examineJun I) f~ ~ l~MF1. R I i ~ ~ andfound to he in complianre with the requirernentx of this Board. FIXTUR! flXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECBTACLES SWDCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMi. K. W. AMT. N. P. ~ ~ 5 ri DRYERS RIRNACE MOTORS PLTUR! APPLIANC! FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-0Ui1ET DIRIMlRS AMi. K. W. ql N. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP._ AMT. AMPS. TRANS. AMT. N, P SYSTEMS AMT. WATTS No. or RET ~ 'u SlRVIQ DISCONNECT NO.OF S E R V I C E AMT. AMP. TTPE METER 1 A tW 1 ,e 3V/ ] H ]W 3 X AW NO. OF CC COND. A. W. G. NO. OF NLIEG A' W' G' NO. OF NEUTRALS A. W.G. EOUI?. PER / OF CC. COND. OF NLIEG OF NEUTMI OTHER APPARATUS: WTRtNG f'(1fj of 1"AcHFai r1tRAr,E Ilhl~.v t F4NF1 f~(IARU''~,:J-6 C'CF. !nil r„. F'.~..7,. l G ~ S C17N TFiAf. I ~1p 1. L~ d6JH -e~ Fi(ix ~ 1 5 O U I H (l l G, M Y, 11 7 1 ONMRAI MANAOR tl t F - ~ Per This certificaro must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPT FOR BUILDR9G DEPARTMENT. THIS COPY Of CERTIFIGTE MUST NOT BE ALTERED IN ANY MANNER. i . 1 „ 1 ~ 1 ~ ~ moo'. by ~ ~ ~ a: ~ ~ ~ ~ 3 ~ owl q 1 ~ ,>cg Z,ph14 G ,wy~R + z s x,. z 411--~ Cs c ^ ~ F., lr1 r rn a f v. 4. Y.v- 1 O 1 cCl to ~dsytl~ ~ ~ Ng ~ r ;v ~~~~~~~~i+N J7. ~ fl.lll LL. cp ~ ~ QC Q~ 2'~ 'Z p o ~ j4 Z"' 1- to ~ N~~~S , • O~ ` ad e 1 +oO pit ,1 £Z .OI S a~i d oo ~ 'w;J~ ~C° Q o~ ~~d~l~l ~ 3°~~ ~ ~6 ~ ~ z ii ~ ~ ~ ~~,004 ~ i M ~p b 11 pw O~ 1 ~ ~Q~ I ~ ~ d V ,y'G .e Eli ,r'A~ tfi qju. ~ y F,, ~ y JyZ Y G~ 4 Q O `.L d ' J A ~ 1=-~ y1 Z ~ ~ ~ a,'$ Z .a w 4 ~ny" - ~ ` F a ~ o w ~ r ~ ~ i .a% ~ ~ ~ ~ ~T 1 ) M~ Q 10~ G ` ~ z ~ ~ d~lpvl (M~,A ~ 1I iL Dat ~ t~~g0) o VotB6~~Y.. dY~ N ` o' av~Nly,Oaa Q N ~ n s e~oy ~N~~ a~~ld a i + 3. Nature of work (check which applicable): New E3uilding ~ • • Addition Nteration . Repair RRmaval Demolition ..............Swimming pool..........:.. Tennis Court .........gaAccessory IIuilding4~._.....Fence .......Other Work:........... 4. Estimated Cost .5.~~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwcllirtg units on each floor If garage.numbcrofcars ......nZ:~y 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front , Rear Depth . . Hci;ftt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . Depth IIcight .......Number of Stories i • , • , , • , ` . De th y. Dimensions of entire new constnuction: Front ~zf...... Rear p . Hcigltt ~,3.. . Number of Stories .......rte . 4. Size of lot: Front `4I.~ Pear .../.a?~ Depth . ~ .°r.............. . . i0. Date of Purchase .............................Name of Former Owner , l I. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: , 1Y.~4 ' 13. Will lot be regraded (k`4 will excess fill be removed from premises: .Yes NoQ~ 14. Name of Owner of premises , . (r(~?-:~:~x... ~~~`~?K`J• • Address ~<kr/,-~ .1:~~. p~°raro•:4.. Phone No • . Name of Architect .......Address . .......Phone No........ . • f/ k~ . Name of Contractor ~`1a cl~! ..T"~ j:^f • • • • Address .~oK. ~36../.~~~e^:'~... Phone No.. IS.Ts this property located within 300 feet of a tidal wetland? *Y1;S....NOl~.~•• *lf yes, Southold Town Trustees PLOTDIAGRAM a required. Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate ali set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ~~~r~~ , S~~ STATE OF NE1V YOB[~,,,, $,S COUNTY OF/ ...~:tt!!ro/:ti . Cfi,Ct ~-f~,r, , ,T . 1.4~~y being duly sworn, deposes and says that he is the applicant (Name of irtdivid 1 signing contract) above named. / ~ He is the ~4y. T~s~s ?o r . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application rlcd therewith. Sworn to before me this .......daffy/of .n(.~.~ . 19'a. . Notary Public, ...~~i.~:..?~• . •r1!?-~~'• • • • • • • County / HELEN It DE VIE ~~~~~~Y~--..(j~~. ~m476®876 S NnikfouMy rk . Term Expues March 3U,19.,..~~ (Signature of applicanU i ~ BOARD OF HEALTH , , . . 3 SETS OF PLANS . FORMNO.1 SURVEY .?.~y:. TOWN OF SOUTHOLD CHECK . ~ L~~.... , . , , , , , BUILDING DEPARTMENT SEPTIC roRrt TOWN HALL • $OUTHOLD, N,Y. 11J71 NoTIPY o I TEL.: 765.1802 CALL MAIL T0: Examined .r~.~~~......., 19 . Approved .,~.0~?, 19 ~~Pcrmit No.. ,~9~~~ ~ ........nn . Disapproved a/c . . ` , ; ~ ~ ~ u r' .e. ! . 'p`hi . uild' Inspector) • ' APPLICATION FOR BUILDING PERMIT ~,~..m.TOWt~ ~~'1 ~I Date 15 . INSTRUCTIONS a. Tltis application must be completely filled In by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location pf lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this appliclation, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~ltout the work. e. No building shaft be occupidd or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ttte Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building coda, housing code, and regulations, and to admit authorized inspectors on pretr}ises and in building for necessary inspections. (Signature of applicant, or nafite, if a corporation) ~'ex 336 • (Mailing address of applicant) State whether applicant is owner, ;lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. V!'ld.$t:'.......... Name of owner of premises ~rr.'~TEf.~'.i.~i.G'-.....1,~:~ i~.~`~ /~lJ,~ . (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corpo{ate officer) Builder's License No. 13jo . Plumber's License No. . Electrician's License No . . Other Trado's License No. , . ~ . ' 'i 1. Location of land on which proposed work will be/doneD; Etouse Number I Street, Hamlet County Tax ltap No. 1000 Secti' n <.0. i• . y~ Block , Lot , , Subdivision ..~M:d:a~r... 'l ~.~~C , r~a1:/~,.......... Filed i\fap No. . ,~.~f Lot . (Name) State existing use and occupancy of premises and intended use and occupancy /of proposed construction: A. lxisting use and oc~'Iupancy.......~erSGHq~....,~x',~Sj°CG'.Off;~ . ............J........... g. Intended use and occupancy..... „f Ep .l~N~ 4Q 1g8g O J~r Fil ~ d G wµEpp t p,RR~ Q MpP f E NQ 8810 ~ ~ ~R~~D L) oQ ~7, z Ct~p ~ yv (p cE ~N i OQii fEN ~ m ~ o~ p4 4MK tg~ ~ Z z 0 wA ita A P ~ K C~ s~ HPi~ c 1 ~ d~ 'V to o0 9 y g_ Cy oQ~ ~ lei .p, 3. 'f, ~ wry w e' ..tti a m emn ~ Z ~ ~ ~ r ~ ~ Q t. ~ - ~ v ~ ~ . a y4~K t0.4'a Ig.B' 'a ~ ~ f.7~ t0 y* ~ ~ w ~ tP C,~-~'~ "s yy,8• , •y F~ ~ a _ _ w S ~ _ - ~ m > w ~ ~ A ~q QPVl R, ~ ¢ ; ~ ~ v ~ ~d p'f ,t p ~ ~p~F QQ,. r P~ ~ $ to' \ 1QQ QQ, r R~ p,0 ~ N ~ SM~1 won o cn ~z^ r- c 1 ~ - ~ ~ vo ~ ~ ~ -C ;w 1 ~ ~ o c'~O W ,,~G'-1{"fl ~s ~ h ~ ~ ~ ~ ~ k ~y . 41~ Y INDIAN NECK ROAD 0 Q 0 ,5~ ~ ~ sURVEY QF ~ L D T ~3 0 - ~ ~ ~Ap 35 cor ~ ~ o a /NQ/ OF 4 f/[ED~ f y R " i fDEEDJ 198.?' q T y~ '~~K ~°q R 79" 37' 00" E (ACTUAlh98.31' j-a AND/qN N~ ~sJK ~N CNAMI LfW[ f N POST f FENC E suF ~ OF s C~ - ~ o~•s F©LK OIJTy~ W ~~R rooo COUNT N D N w rj ~ ~4 y ~ ~ T Y = g h ~ 6RAVEC 1Mf1'EIR~Y N _ _ _ _ - - ~C"~'8 O ~ L{! V ~ ~ o ~ F , ~ 4.0'n r STORY : t`tiy ~ lRAlff "i ~ LOT ~ ~ X1'0 13t ReKCVtd~ ' - j, o . rATSO ti ~ ~ ~ ~ r o ss.e• - -'t.r'- - - C ¢ ~ ` ~ 0 O d ~ ~ ~ C • n11E~ACp O ~ O ~ Q ~ ~ ~7M a POST f RAL fENCE--~ 0.!"M F!b FA4p 7` 0.7'E CNAfV L fEIVCE' ,AI' ~ rcMr .vaH cawc. xr r,+cc ?O~t.?8' (AGrt/AL) S 79" 9T 00" W ~ ?QS.?' (DEFQJ i i Q RE~0,127s9 ft, I t~1y r `G 9~PN A, ~ ~'G. 's.~~ ~ LAND ~ ~Z ~O ~ a rNYS 'v°• *~Ar P n