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Home My WebLink About19320-z ... FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20291 Date OCTOBER 17, 1991 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 1010 JACKSON STREET, House No. NEW SUFFOLK, N.Y. Street Hamlet County Tax Map No. 1000 Section 117 Block 10 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1990 pursuant to which Building Permit No. 19320-Z dated AIGIST 14, 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, ALTERATIONS & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES H., RUTH ANN, & ROBERT A. CONNOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N-196909 - JULY 22, 1991 PLUMBERS CERTIFICATION DATED SEPT. 26, 1991 - HARDY PLUMBING & HEATING Rev. 1/81 TOWN OF $OUTHOLD BUILDIHG DI;PART/~EHT TOWN HALL SOUTHOLD, H. Y, BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N~ 'i7320 Z Permission is hereby grpnted to: . / ~ / et premises I~ted ot ....~.~ ...... ~ ....... ~ ................................................... ....................................................... .................................................... co~ **~ uo~ uo. ~0o0 s,~o~ ..... ~.7 ........ ~k .......... d~ ...... to~ uo ........ ~ ............. pursuant to application ~Jo~ed ..~Z..;~... ......................................... , 19..~..~..., Fee $.~..~..~ and approved by the / ~iJdi~g ~n~sl~ector ' Rev. 6/30/80 Form No. 6 TOWN OF SpUTllOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · \. 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 [~oard 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 ~ ~plete~ sl~e 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 natur.al 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 Occapancy - 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~te ........ ,....r...I. ............... :~w Construction ........... Old Or Pre-existing Building .... X..--~- ...... ~ ....... .oca,on of roperty. ..la . ..... , " House No. ' Street ' Hamlet ' 'h,wer or'Owners of Property..~..~.f~2~-~. .... ~ ../~O.~., ..... ~'Ounty Tax Map No 1000, Section .... fi. i% ..... Block ...... 1.~. ...... Lot ........ 7. ............ ubdivision, rm t ............ ' ' - ' ........ F'~'t.'/~J' '.k'! .Filed Map ............ Lot ...................... iealtb Dopt, Approval .......................... Underwriters Approval ....................... . . !anaing Board Approval ........................ ~q,est for: Temporary Certificate ........... Final Certicate .... ~ .... ' ?Oz.., ............ ~4/. ~.~.z~z.~.. .............. I ~ ~ 20~1 ~ APPLICANT . TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PEETI'OR P.O. BOX 728 TOWN IIALL $OUTItOLD, N.Y. 11971 SEPTEMBER 20~ 1991 TEL. ,765-I 802 STONEWOOD COKP. BOX 1790 SOUTHOLD, ~ 11971 RE: JAMES H. CONNOR &ANO. TO Whom This May Cogcern, we arc unable to complete youZ' Certificate- - of Occupancy because.of the following reasons. /V/An application for Certificate of Occupancy is not on file. (ENCLOSED) /~/ No Underwriters Certificate on file. /~ The check is~not on file.) $25.00 /5/ No llealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt I 9 3' 2 0 Z Buildin{! Dept. ( all permits in~olvzng plumbing being issued after ~pril 1,1984 ) CC: James H. Connor T-EL. 765-1802. CERTIFICATION (please print) · {pleas4 print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) sworn to before me this NotaY' .County FOUNDATION ~lst) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTItOLD, N.Y. 11971 SEPTEMBER 20~ 1991 TEL. 765-1802 STONEWOOD CORP. BOX 1790 SOUTItOLD~ NY 11971 RE: JAMES H. CONNOR & ANO. TO Whom This May Cogcern, We are unable ko complete your Certificate of Occupancy because .of the following reasons. /V/An application for Certificate of Occupancy is not on file. (ENCLOSED) /~ NO Underwriters Certificate on file. /_~ The check is~not on file.) $25.00 /~/ No llcalth Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office Thank you for your cooperation. Building Permit ~ I 9 3' 2 0 Z Buildinq Dept. ***/_~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) on this matter. CC: James It. Conner 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST FOUNDATION 2ND FRAMING ROUGH PLBG. IN~TION ~]~INAL DATE INSPECTOR ~ // -~Y 76S-1802 ~ ~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~N [ ] FRAMING [~"FINAL DATE INSPECTOr7 ~/'~/ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH ,PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~'~MING [ ] FINAL REMARKS, ~'"~~~~ ~,~,..~ DATE INSPE~OR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION 2ND [~.-~uLATIoN FRAMING FINAL REMARKS: INSPECTOR , 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ F~INAL DATE INSPECTOR /c;5U/ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [~SULATION [ ] FRAMING [ ] FINAL DATE .<1' INSPECTOR ) '765-1802 BUILDING DEPT. INSPECTION UNDATION 1ST ROUGH PLBG. FOUNDATION 2ND[ ] INSULATION FRAMING ~r ] FINAL INSPECTOR r' I '; ~ "<~'~~-~-""'-~"--:~-,r~'; - \--.--.---.--..-~~-.---................,--.---.-.--; -~ -;; .-.;.~~-,-.....--.-;-..-i......-.. -~ ',h.', ''',' 11 R~077 I Oa" THE NEW YORgi 'BOARD' OF"ftRE UNDERWRITERS \ BUREAU OF .LII~C!:IY 811 JOHN STREET, NeW YO.It, ,NIW YORK 10038 JULY 22,1991 711l7190/90 Applka'lon IVa. on Jl~ J>AGF: I - I ., ~'~ .t~ V~ ~;l ~ N 196909 THIS CERTIFIES THAT only 'M ""'rlealequlpm.A' 00 "en_ ".,.,.. and IA'raduead by 'M appl/eaA'namad on 'M _ applka.1on Aumbar In 'M pra_ oJ I JAMES CONNOR, 1010 Lo. in .laeJollottinR 10000~;y wcu Cl'.I'aminf'd' on AXnJII OUTUTS ~ l8 58 DIYIIS ~. ANlT. K.W. SlIVlCI D1SCONNICT ""T. _. I 200 JACKSON ST., N.:W SiJFFOJ,K, N.Y. ~ ell, GAR/OUT hi ,'tI11Y\"'A' U 10, Fl. U Ind Fl. .'iH'1on BI.." and l0f4tad to'" in wmpliance u:ith the rrquire,nera,.8 oj thy Board. I . t ACIIS SWlTCHIS "XT lIS NCANDI!SCENT FlUOllEsceNT ILW. 0_ W ....T. IllHAUST .ANS AMt H,', DICKS K;W. "c.W. 12,1 OTHI!R NAT. ""'T. ""'T. K.W. 59 ,31 I I 1.1. 5 ;' FUlNACI MOTORS ,ulllC'l!T l1MiClOCKI IBL UNIT__ MULT\.OUT\IT Ml.T. N/III. NAt. AMP$. fUNS. AMT. N.'''. ..:-~ 1 )i Ii. _lIS IlUTun APPUANCI ..... A.M.T. NO. "W.o. OIL H.P. ... H.P. ""T. WArn 1 F 600 6 "" NO. Of - _. 1 ] S I l.1'lW 11'JW 3.:JW '.l4W NO.OFCC.C~. I It..w. c ct ;:.Lfo v I No. Of NEutRALS ",A~ un NO. or HI-LEG 4/0 CB x OTMEI A"AIATUS: F.J,F:C. WATER HEATERS: :1.-4.5 K.W. G.F.r.r:-6 SMOKF. DF.TECTOR:-2 ROSUK F.I,.;XTRTC P.O. BOX 164 ClITCHOGlJE, NY, 11935 l,rt. #3677-'; 1" ~~~r~~ t.~~ 'f", ;~~ ~ 11 .."'- J I,..;~- " .Nf'I M'iNMIR ,"l.~L,i;;,i;~,~.~;.::::u~,..', ',.:.~ FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTROLD, N.Y. 11971 y/,), TEL.: 765-1802 Examined '¢ 19 .~.~. Approved . ......... 19.~. Permit No .... ' ...... Disapproved a/c ..................................... APPLICATION FOR BIJILDING PERMIT BOARD OF HEALTH ~ ......... 3 SETS O~.PLANS .......... SURVEY .... j ..... : ........ ] · ' SEPTIC FORH ................ CALL ................ MAIL TO: BLDG. DEPT. · mOW OF Date .. i .'.~/~.O. ........ 1.9 ~.O INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink ~nd submitted to the Building Inspector, with 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 Pmmit to the applicant. Such sh~all be kept on the premises avai/able for inspection throughout the work. permit s ;e. No building shall be occupied or used in whole or in part for any purpose whatever unti/a Certificate of Occupancy hah have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pexmit pursuant to the Building Zone Ordinance of the Town of s°hthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for/'emoval or demolition, as herein described. /be applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to iadmit authorized inspecto~ on premises and in building for necessary inspections. (Mailino address of applicant) ~:~ate ~ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) ................. , applicarg~a corporatma, mgnature of duly authorized officer. t c ana title of corporate officer) ' Plumber's License No ......................... Other Trade's License No ................ : ..... Location of land on which proposed work ,.viii be done; House Number Street, ' ' Halnlet .... " County Tax Map No. 1000 Section ...... Subdivision ...... (Name) ' . ....... State existing use and Occupancy of premises and intended use and Occupancy of proposed construction: 3. Nature'ofwork (check xvhich applicable): New Building .......... Addition ........ Alteration ......... ~.. ..... ' v · .' .Swimming pool ............ · Repair ......... R~mo al .............. Dcmoht,on ............. Tennis gourt .... . ..... Accessory Building ..... gehce ....... Other Work ............ I.. Estimated Cost ;.. ~.. '-t '~ ,.~..O~ .~?.o.,.°f. ................. Fee ..................................... · · .' (to be paid on filing this application} If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, hum ber o f cars ..................................................................... i. If business, commercial or mixed occupancy, specify patnre an.d extent of each type of, use .................. i ] 1. Dimensions of existing structures, if any: Fron~.~'~>~.... Rear .... ...~..~.7.q .... Depth..~$~7.":~... Hemht ... ~ P:" .... ,... Num her o f Stones ....~ .................... , ............................ Dm~enstons of.same, structure Wit ~ alterat oas or additions, ~, Front ,.~. - 5/. ....... Rear.. ~'.~.; ~/ ...... Depth .... ~. '/-* ";//. .........'.. Height .... ,,..~, ~ .~ .O. ............ Numberpf Stories ..... ~ ............ ~. Dimensions of entire new construction: Front ... r.~.~'7 ?. ..... Rear .. ,.3. cf.C ./-/ .....Depth . .q3~. tV..": ~. .. Heieht .. ,.O../.n ~; ..,. ~ Number of Stories ...... .,SL ..... ; ....................... .... :3 ........... 9. Siz~oflot:Front ...2~'..~{~.~.'7 ..... i ...... Rear ..... 7..~.,.,2-'.,~ ......... Depth ..~_.o.p..%.o. ........ 3. Date of Purchase ......... Z/..~. ~,,~ .............. Naz~e o~ F~o~m3~r Owner ........ ~.~.e/~?. O.~ ........... 1. Zone or use district in which premises are situated .... ; .~'t,170~Y.r-"or.?.~/~ .......... ,/ ........................ 2. Does proposed construction vio~3te any zoning law, ordinance or regulation: .... ~ .......................... / 3. Will lot be regraded ...... /.O'g~ .................. Wiil excess filI be r~moved from premises: yes .... Nag'. l. Name of Owner of premises .. C~,~o4~ ..... ' . Address /.0./tS,,.R~-.0~vS~.. Phone No 7.o~.//"r ~'o/ Z'... Name ofof Architect .......................... .L~.,i~,~te,...~.o.,;,~, .~/~ Address ........................ <.~ t~_ ~_,...~;°'. . ~. ..... Name Contractor ....... Address ~.0/3.o7,.. i? ?.o.,.hv/.*e~WhoneNo.o2~'~&. ·: .... 5.Is this property loe-ilted wit~lin 300 feet of a tidal wetland?~--*IES.tr.-NO .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAG1LAM Locate clearly and distinctly.all buildings, xvhether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and bl0kk number or description accor~[i~.g to deed, and showy street names and indicate whether ;'FATE OF NEW~,,,/'~/o,YORK' __ S S :OUNTY OF .,.~.w. Cq .'d..'7'.'q. ;.'. ' ..... d. ................ - ~ (Name of individual signing contract) bore named. being dtdy s~O6rn, deposes and says that he is the applicant is tile ,..~' ,e. .... R~'.o . . s .......... '.. (Contractor, agent, corporate officer, etc.) ' said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this ppi;cation: that all statements contained in this applica, tion are true to the best ofhis knowledge and belief; and that tt~e turk will be perfommd in the manner set forth in the application filed therewith. :worn to before me this .......... ..... .......... ...... ............. . .............. ~/' a' (Signature of applicant) ,....,~~~,.i~~,-.<;.~T'-''''~:7l'T'''.--- ...... ",,'1 ----.,-? ---'~""''"'''"~,''!?'"~.,..--.,---..- "___'b.__._.._~..... ,*__".. ,.~._,.,_....~___..."v,,_.~, '~"'...,... _"...~._~. ,....._,...~______~"......._,.......__.-..__ STQE€r , _S'?~~,~9'CX)'E. j.--:t..9.2.S c':', '1:~ 695.3/ Tp r:, , ' \J.ic ~ \ I,.' "P:K. ......,/.. P'1i,' HST;~ C<;f A.I.J:J' . ',iI..;e\G j , \ \ II: 0. , 0' ' \ ~!,! v; 'r'\~ II 1Il ( 4. , -' , ~ i I \ . \ I A\ , \ Ie> \ IJ-. 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