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HomeMy WebLinkAbout19354-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220116 Date JULY 29, 1991 THIS CERTIFIES that the building ADDITION Location of Property 1230 OAK DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 02 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 27, 1990 pursuant to which Building Permit No. 193542 dated AUG. 28 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MICHAEL COMANDO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A • _ y-~~_~.~~ Building Inspector Rev. 1/81 F08M NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~.3~?~a- Z No Date 19...1 Permission is hereb granted to: q,~ Tj Y ~?.....F.!!.~ .~~~~.~:~r to .........fir.. ..~..c at Premises locate at County Tox Map No. 1000 Section Block Lot No..........,~°' pursuant to application dated ......!~,.l.:r`...`~~ 19.~~, and approved by the Building Inspeetor. ~ ' Fee S•~i~. ~c . ~:.v . uildi 1 for Rev. 6/30/80 E i~ CLLLD li..~::.....:.V:~ ,~Jn:._. I{ -e W 1. r ~ I ? H FOUttDATION list) FOUNDATIO,S t2nd} ' 2. ~ z o P,OUGH FRAME & 9 .PLUMBING } H 3. ~ m INSULATIOh1 PER N. Y. ~ y STATE EhlERGY CODE ( j ' a ~X"~ I m 4, X FZ;lAL ADDITIOhlAL COMMEPJTS: x v Yb • x ro H A \ . H hi °N x m _ r ` ~g - ~ _ q. ~ cc*r1l r '9 t ~ ! r / 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. 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K' f ~ f E < ~ (6. ..~f rs x4 e ~ r,1~~, ?W VVV7 .I11 I , 'V I O ~ ~ ~1M0 ~ ~ N 1~~ , F.°6~(~.I^i ti f ~ f ~ C, lV _ 'ry(~~ ~ 1 E a ~ {,r'W rn ~ ~'V u Z~ i i ~~c ~-o9 oEGzs' "SO .A 5r' t ~~~7~~f,"d' r at. 1 ~+K~~nn vd ~J e " ° ~ 6 f o ° Y * a'K {3"n'~a.1 ~R {"Tt~4 en-. ~,~v~ z - ° ~ - t ~Z;> o ~ SC'r tf 4l J ~ ~1~~'-.~~x#" * 'q~`~p+~~'~ r.:;.4 ~ I~ { li 1119 .,4.., .~~,k. ,'firvF.~v~i:~~'X`~.i7ewi$`, Y~ 6~.~, Ll`~. ~ J~ BOARD OF HEALTH • • . • . • • . • 3 SETS OF PLANS FORM NO. 1 SURVEY 4~.. p~/ . AUG Z T 499(1 TOWN OF SOUTHOLD CHECK t?~..1~ 47 . BUILDING DEPARTMENT SEPTIC FORM • BLDG. DEPT. TOWN HALL TOWNUFSOtlTHDLD $OUTHOLD,N.Y.11971 NOTIFY TEL.: 7G5-1802 CALL ~ . ll 19.~i9 MAIL T0: Examine) .p~. _ (IJGUAI . 5 • • • • • • . Approved C~..:~....., 19l'tI. Permit No..,1.°. ~bC~"•--,Y . Disapproved a~ Cwt f-~/l C.I~~iK- Mt?ss~g~ ~ A~ . ( uildi g nspector) APPLICATION F R BUILDING PERMIT Date ~ 19.~~. INSTRUCTIONS • a. Tltis application must be completely filled in by typewriter or jn 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 shalt 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 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. f~• c%~.. a . (Sig^n~at(u~re of"applica~n/t, or'jn~am~-,e, if a corporat n) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. . nfn ~}'~im~ r Name of owner of premises ~`!It~1~e;(.. V' • • • • ~•n~• • • t ! • I~~ • • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of coCrporate~o/ffiQcer) ~f Builder's License No. .V. ~..1..©.. f.f. ~ . • Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done; , house Number Shhtreet. Hamlet County Tax 11ap No. 1000 Section .S!(,R~ • • • • • • • • . Block • , , • , , , • , • Lot ,,',~f • Subdivision ~ . Filed Dfap No. ;J~........ Lot . , . (N:une) . State existing use and occupancy of premises and intende use and otc~cupa'nQc~y of propose(d/cpypn~st/r~uction: A. Y.xisting use and occupancy........ •'•4{•V ~I• • • Fs?•?r•'=r*~• B. Intended use and occupancy..... e 3. Nature of work (check whic?t applicable): New Quilding Addition . Ntetatior Re air R~mova'1 Demolition ...........hu imn o lJ, Tennis Court . ~ .../-.,,-..~^A~ccessory Building..........Pence .......Other Worflti .t.l~e:f~..... 4. Estimated Cost .....~:~?5-~-1.;~ Fee . n (to be paid on filing this application) g g its Number of dwelling units an each floor 5. If dwcllin , number oC dwcllin un'~ If garage,numbcrofcars ' 6. If business, commercial or mixed gccupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, jif any: Front . Rear Depth . Height Number of Stories . . Dimensions of same structure wilt} alterations or additions: Front Rear . Depth Height .1,.,y / Number of Stories . Dimensions of entire new constm~tion: Front ....~J-Z. ~~,~,e Depth . Height ~~!~tZr-.'~.~idwnber of Stories . ~.~~~.LLX.. ~~r . 9. Size of (o Front P.car ~epth I0. Date of Purchase .Y~.^..$~..~... , ame<~~~~vner~'~.~~~!'Gf.. ~~'l~~NX~C.°{^ 1 1. Zone or use district in which premises are situated l2. Does proposed construction violate any zoning law, ordinance or regulation: Lam! . 13. \Vill lot be regraded . ' . \Vill excess Cill be removed from premises: Ycs , No`~:C l~. Name of Owner of premises M I~-',.4.L~Ylf_J4Xhv. • • • .Address ~2 Phone No...... • • • • . • • • • . Name of Architect ..Address ,yam e No.. Name of Contractor ~..~r~~. • Address ~?X`~.5. ~•M~t'::'i'hane No..~.~~-•26t`fi IS.Is this property located within 300 feet of a tidal wetland? *YGS....NO.r~.. *If yes, Southold Town~,Trustees Permit may be required. PLOT DIAGRAM Locate cleazly 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 comer lot. ~ , 'i ti \V YORE: STAT13 Or ~ E S.S COUNTY 1~t,p~.- ^;,:.a-=~'~j . S lC. I L~.... r .~'S-~^..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) about named. ' fie is the W;t!~idC,, ~3~~ ~p~JF-7~4'? cam' ~o ~ . (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this application: that all statements con(ained in this application arc true to lire best of Iris know edge and belief; and that the work will be performed in the mann~;r set forth in the application filed therewith. Swom to before me this C~'/~ Notary Public, ......./.`.'r.:`~':'` •I'• !a: • •W.'•~ • • County ~ENKOEVOE ~~'-"•77"g~~,~°°l~~ • • Si~nature,of a. •licanU ?erm~~etA4rcg3Rk1~ ( a PP Form No. G ~ ~ 'T04TN OP SO'JTUOLD pg tp t Bt3ILDI1`SG,DFPARTMT:NT ~ JvL 2 4 1381 TOWN I{ALL ~j~, 765! 1802 U~..~...,.~..m~..._-m~,,.~~ 1'O+J'd~V U'r S'UTNE#L[7 ~.....o,.~.ax,»,.....«...,.~... x,,~o., APPLICATION FOR C);RTIFICAT): OF OCCUPANCY 1. 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 e.~ectrical installation from Board of Fire Underwriters. 4. Sworn statement .from plumber certifying that the solder used in system contains less than 2/10 ot` 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from ar chi:,ect or engineer responsible for the bu:.]ding. ' 6. Submit Planning Board Approval of completed site plan requirements. 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. 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ew Construction... ~...O(l~d O~rp P~r~e-,existing Build'iing ~oeation of Property........<<Ff'e'f4.~e:.c.,~.-onvvita-w~~- House No. Street Hamlet twer oz Owners of Property........• aunty Tax Map No 1000, Section ..............Block................Lot...................... ibdivision//....................................Pilped Map............Lot...................... ~rmit No. J.9i~s~~......Date Of permit.. ~/~~j~....ApplicanC •a1Ch Dept. Approval ..........................Underwriters Approval......................... anning Board Approval quest for: Temporary Certificate........... Final Certicate. e Submit $....".7a: ~ / C`OZ.~OI~~ ~ - ~ APPLICANT . `7~4 4 ~Cs / . y~ a ~ . C~C~~~~~C~f dR ~ I, " ~ UP~IAl~FC~L ! I,i it i - <<A °~`'~~~~~~U~ CE~~6~9C~~E II ~ i ~ I ~CCU~ANCY j I I, i I ii , r - - - ! I ~ ~ l Q` / I~ I~ i ~ I ~ ~ I ~ ~I I I ~ ~ lA STS C&Di i IZ I II I OV4 I 'y~fj' ~IrH h^ ~ llo ~ i 7 ~ 'I I ~ ~ ` cF 5a''p,c 1 ? _li~l i~ x / Wfl I ~ - - ~ ~I - - - - r - - - r` , FILL, yYNCvYJNfG' DNS ~ka~r~A~~~ Tlyr1J H^LT~D f i / I ~ j/ - - - - - - j ~I - - - - - 2X`~ Sr~c 1,'71 - ~ lRi ~ ~ 7~1~"~ u~re~ykrs 6' oc. ~ ~ I ~ I s ~ Ji 1 ! j ! 1 ! l j q 1 i i i i~ i F ~ ' 5-r7a-rya. iZa~rc_.r~ ~~*f l1 - - - - - r-r ~ biz I`f ~t is r; r - I~ _ . I ~ ~ t X ~ lJ " I s~c/v G.~ STk, ~ r`4f',rl_ Yr ~ ~ ~ ' ~ c ~ j - ~L1 , rP' ~ ~ 11 I ~ (i ; , y - I~ I - - . ~ E ` : ~ - e , y v, $ ,YI. De , -rl! 2ii 'r,' ~,o.7'g (3 P.n l - 'r I ~ f l V ~ CC. Fl mar. ~ ~ r , ,s t-~ - ~ / i ! S-ra rrz NwNpaarh. i r. .I j ~ ~ ~ 2 4 ~ Y.7~- v~ii2 mj h ~ " ~ti a /~-cc~ ~/N ~f 36 , f~P1a~c1 p 7 ~ ( O~/Z.raOie. 6r'1 Ir" tr E A 'R `I,CI? AS ~IdTip b?79 9a /_~3SS0~ ~ unsE . er e n a ~ ~ ~ ~jT7k 112.` ~T 1 ~ Z FeE. ~P..r_~.RV, !y,A(I,;:r ~ ~ ' ~ ~ 163~7802U8LAM TO 0.FRM FO i 1 ~ i FOLLOWING INSRECTiONS I ~ ~ `Jrnll ' i,frt+ ' ~ I 1, FOUNDATION - TW4 RFOU~~~"U Y I J i FOR ROUHEU f.ONCR~T' ~ { 1 ~ 2 ROUGH - FRAPA'^~ ~ ~ ~ ~ 3. INSULATIf?^ ~ 4. FIN-~d -I(SN nIiUEf _m.-~..,__.,. . ~ I a;, , . ~ , ~r rri., c. r~ 'UC I - Ai. O.J SIF0.T ENEE7 . ...Y....--..,.. ......:.._w...u..,..,,..,r ';iF t~UYREDAENTS O H N. Y. .ONSTRUCTIOM & ENERGY - =-w---,...,..,.„»_ ,...--~^`~tiES. NOT _RES~ONSI@I.E FOR ' ,I ~ ~ DESii.':N ~llq CONu'fRUCTION ERRORS s~ i - ~ - ~ ' ~ - ~ _ , I ~ -