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Home My WebLink About19310-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19476 Date OCTOBER 26, 1990 THIS CERTIFIES that the building Location of Property 225 WAMPUM WAY House No. County Tax Map No. 1000 Section 87 Subdivision ADDITION SOUTHOLD~ NEW YORK Street Hamlet Block 2 Lot 36 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 1990 pursuant to which Building Permit No. 193t0-Z dated AUGUST 7~ 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MELVIN MORRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-156971 - OCTOBER 22, 1990 "- 7/ Building Inspector // Rev. 1/81 IFOR.~ NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ ~i9310 Z Permission is hereby granted to: ..~......~._,......_.~b~....~.,~ ~ .......................... · .~....~....,.:,...?..m..m.~. ...... ~ County Tax Map No. 1000 Section ......~....~....~. ........ Block .... ..~.....~.. ........ Lot No..~..'~D. .............. to application dated ~.~:~...?~.....~ ................ , 19.c].,~., and approved by the pursuant Building Inspector. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN OF ~0 JTI.:~OI.D APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Cert[ficate of occupancy New Dwelling,$25.00, Agce?.sory.,~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 /,~. /~. 5.Updated C.O. $'50.00 Date ./..~) .....c?.. ..O ........... New C on s t r uc b i on ...... Old or Pre-existing 8ui{ding ............ Vacant Land ............. Location of Property .'?."~..~. ................ ...g~..~ House No. Street Ham/et Owner or Owners of Property County Tax Map No. 1000 Section ...<?~ .7 ....... Block ...O..2.,. ......... Lot..~. ~. .......... Subdivision ............ ~ .................. Filed Map No .... .~ ..... Lot No.. Permit No. m Z. Date of Permit .App,eant :...,M.'. ............ Health Dept Approval '-' Labor Dept Approval Underwriters Approval -' Planning Board Approval Request for Temporary Certificate ~ Final Certificate Fee Submitted $ ~,~.~.: ~ '-~ Rev. 10-10-78 (~-~. ~/o Co ~ ;qq 7& TOWI~4 0F SOUTHOI,D OFFICL: OF BUILDING INSPECTOR P.O. BOX I 179 TOWN IIALL $OUTIIOLD, N.Y. 11971 October 12, 1990 TEL. 765-1802 Mr. & Mrs. M. Morris 225 Wampum Way Southold, N. Y. 11971 To Whom This May Concern, We are unable r.o complete your C rtlflcate of Occupancy because .of the following reasons. ~X_-/ An application for Certificate of Occupancy is not on file. ~_~ No Underwriters Certificate on file. ~/ The check i'-;~tx~k/not on file.) $25.00 /~/ No Health Dept. Approval on file. /--/ No final inspection has been made. Please contact ()ur office on this matter. Thank you for your cooperation. lht.[lding Perm.i.t t~ -1- .3_ ._3._ _IL ._2.o z Dui ld in(j Dept. ***/-- tlc) PlumbeL- solder C ' ' -- ert.~fzcate on file. ( all -,' pe~L~ts involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS i~AG~ 1 ~.000~.2~. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 t)at~ OCTOBER 22,1990 Application ~o. on/i~e 70661590/90 N 156971 THIS CERTIFIES THAT ~ELVIN ~ORRIS, 225 ~A~PU~ ~AY, SOUTHOLD, N.Y. i~ t~e~o~o~.~.~ ~,>catlo.~ ~ ~asemen~ ~ ~st F~. ~ ~nd FI. GAR .%etlon ~l~k Lot ~sexa.*inedon OCTOBER 16,1990 andfoundtobel, co,~pllar~reu'iththereq~ire,~ents~fthizBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET WIRING FOR AD.& GENERATOR OUT.-1 S E R V I C NO, OF NEUTRALS PAUL R. BURNS 275 TOWN HARBOR SANE SOUTNOLD, NY, 11971 LIC.#282E GENERAL MANAGER Per__ This certificate mu~t not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. FOUNDATION ( s~t COMM£RTE FOUNDATION 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FO/UNDATIoN 2ND [ '~/FRAMING ] ROUGH PLBG. ] INSULATION ] FINAL DATE, INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~FO~DATION 1ST [ ] [c,,}/FOUNDATION 2ND [ ] ROUGH PLBG. INSULATION FRAMING ~r ] FINAL DATE INSPECTOR/~ ~ ToW-N'O~'SOUTI:IOLD Approve~-~.44~.~. 7 -, 19~..O. Permit Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-1803 Received ........... DateQ..T../. ........... , 19~..~ INSTRUCTIONS a. This 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 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 Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall 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 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 Building Zone Ordinance of the Town of Southotd, 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insl~c~ions. (Signature of applicant, or name, if a o p t' ) ~' (Mailing address of applicant) State whether applicant is owner, lessee, agent: architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..~/~..r-f'..~.~,p] ~.O]T..~JJ.. ............................ (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ff. ~. .eD.. .7.. ~. ~T)~. ........... Plumber's License No .... -..~-~. .................. Electnc~a s License No ..... ~ ................. Other Trade's License No.. ~ ................. c~ o~ ~ 1. Location of land on which proposed work will be done ....... ~./~..r~.~..U~..~...~. ~.~. f.~.¥.~...~ 2 ......... .............. ? .... ................. House Number Hamlet County Tax Map No. 1000 Section ..' .... .?7 ........ Block...~ ............. Lot..3.~ ............. Subdivision ..................................... Filed Map No .......... : .... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use dud occupancy of proposed bonstruction: a. Existihg use and occupancy . .~ i d/~. ~q.g,.~. ...................................... ' ......... - ...... b. Intended use and occupancy .¢[..~ .~ l .~.~. ~7. C.~ ..................................................... 3. Nature of work (check which applicable): New Building Ad. dition. . Alteration .......... Repair .............. Removal .............. Demolition ............ .. Other Work ............... (Deqcription) 4. Estimated Cost ................. :': ........... Fee ....... 1 .......................... ' . ' (to be p~id on filing this application) 5. If dwelling, numberofdwellingunits..../ ........... Numberofdwellingunitsioneachfloor.../. ........... If garage number of cars '---' 6. If business commercial or mixed occupancy, specify nature and extent of each type of use ....'"~'~... ..... . ~ ) ! · ! .... 7. Dlmensmns of ex~stmg structures, ff any. Front. ~.~ ........... Rear o~..~ ..... ...... Depth . ~ .8 .......... Height /~..~ ........ Number of Stories ... ] ..................... .......... Dimensions of same structure with alterations or additions: Front ~,~ ~.. ' Rear' ' '~'~t'{ .... i ....... h Dept .3. q .................. Height..]~. .... , ........... Number pf Stories ......... .... .......... 8. Dimensions'of entire new construction: Front.. ~.~.~. ....... Rear . fro. ti.'...I ...... Depth .~..c/., .......... Height .fi. ~./ .......... Number of Stories ...... ./. ...... ~ ............... i ........... ¢ ............... 9. Size of lot: Front . .lJ~-.~ ~. .............. Rear ...I..~..O. .............. Depth .J.~,~ql ................ 10. Date of Purchase ................ 77.; .......... Nain~ of For~ar Owner"T..~ ........................... 11. Zone or use district in which premises are situated .~.~e.3 .t.~/.,e. ,~.. ~ 3. l ........ i ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: /.~/a~ ................... 13. Will lot be regraded ..r~..o ........................ Will excess fill be removed from premises: Yes 14. Ntane of Owner of premises .~.e-.lv~. m~'t~ Address~O~.o~.~, ~o~ , ........... g;~-¥'{~ J ~ ' ' ' "' ' 'i' ' ' Ph°ne N° .......... i ..... Name of Architect ........................... Address ....... ..... .i.....I. Phone No .............. Name of Contractor~.e.o~.,..-7.e.e. (a.~ ............. Address ~ 3~ }i,;~ ' ~ ..,. Phone No. PLOT DIAGRAIvl Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all 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 corner lot. duly sworn, deposes and says that he is the applicant STATE OF NEW YORK, S S ....... · . . . ..~dl~-~...~.. ~ .'~-~-2:~,.;~-.. ............ being (Narr~ of individual signing conf~act) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa!d work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................ [......,..day of ..... ~ .......... ,19.~.6. ota, Publi , .' . . . . . . , . Coun" O NOI'kRY PLf~I.tC, ~tate ef New .; ~. 4707878. Suf~ k Co~,, ; ? ', =~J~tm ~p res ~areh 30 19~