Loading...
HomeMy WebLinkAbout19373-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20294 Date OCTOBER 21, 1991 THIS CERTIFIES that the building ADDITIONS Location of Property 2250 LITTLE PECONIC BAY RD. CIITCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block IZ Lot 1 Subdivision Filed Map No. Lat No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 6, 1990 pursuant to which Building Permit No. 19373-Z dated SEPTEMBER 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 GARAGE & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & MARILYN FLYNN (ownes) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-206514 - OCTOBER 3 .1991 PLUMBERS CERTIFICATION DATED NfA /u/iC/ ildi g Inspector Rev. 1/81 soaas xo. a TOWN OP SOUTHOLD iUILDING DEPARTMENT 1 TOWN HA6L SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_ , ~ z Date .....9/ .9.~~?. Permission is hereb grante a: G9~~ .~~.......~.v........~" to ....a:. .9G:.~.~.~....~:~~~~/..~..~"...~"' at premises located at .s'~~:~r..a.... «.•.~.1...._.... County Tax Map No. 1000 Section .........,.r.l~..... Buck ~.~1...'.. Lot No..........~.......... pursuant to application darted ....~~?7 19.91!., and approved by the Building Inspector. `~"r~ ~~~/ll~ Fee ilding Inspector Rev. 6/30/80 ' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL T65-1802 n APPLICATION FOR CERTIFICATE OF OCCUPANCY • This application must be filled in by typewriter OR ink and submitted Co the building inspector WiCh 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. ' b. Submit Planning Board Approval of completed site plan requirements. B, For existing buildings (prior to April 9, 1957) non-confozming 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 wziting to the applicant. C. Fees i. 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 Uccupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 rf,, _ , Date 4~: ~6 ~`LCb / . :;ew Construction........... Old Or Pre-e fisting Building ~'o G~ !~~-,e~utL 43~ ~a~3 G'~~t1TGM ©C~;UC Location of Property...... rr,yy~~~S~.~1•~P4v.~Yrnfi•F~~3~3 House-N'o. Street Hamlet ttyy ^ . Onwer or Owners of Property......V,O,l~nr...~~.. ~~1~(C•Y'n1. ~"L:~~lv 1 ~......B1ock......J.°2.'.......Lot County Tax Map No 1000, Section.....,.. + Subdivisions ........................'...........Filed Map............Lot.............':........ Permit No...t~ ~~3.~..Date Of Permit,. ~~7~.~~".~.....Applicant.~~L~~.. ~ ~ Ftealth Dept. Approval ..........................Underwriters Approval.. l~f~.l~............' • tJ - ~.G 6 S~ ' Planning Board Approval bequest for: Temporary Certificate........... Final Certicate..~...... , Fee Submitted: , ........Cw Q~,f~Ci~ ~agolj', ~ APPLL ANT ' c o ~ao~q~F ~ ~ ~ THE NEW YORK BOARD OE' FIRE UNDERWRITERS >T~;i.}~ I r j (Sf)Od ~ {I BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038` tit'"q !~)9'i "Pi tih~J (.1~r2 ii ',`,.i 4i l(::,'z _ Date DL~.P.11PI~k;f? fI is ro No.e ~~~~lp, FI~~~'Iia'~' i~f1, ii~tt[~E(3d.ilid THIS CERTIFIES THAT ' _ only the electrical equipment qs deacrihed 6eloty qnd introduced 6y the gpplicgnt homed on the shove application number in the premises of ~'1Gf7pS r'(,YNtI~ (ILT4i,NI fr''({4pWSC HfhV A~S>1X3, rlinjt7; i:£7T`C;f¢pC,lfv""~.. N. Y, C)U°?' in the following locq~sj~Frf• ~ Bq~erryent ? (st FL ? 2nd FL Section Block Lo[ UiS~ ~';!)/{I'; 1~' 11-9+ 1'9 j)~l, u'as examined art and found W 6e in emnplianre with the requirernenta of this Board. R iIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUIIET$ ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER PMT. K W. AMi K.W AMl KW AMT. K W AMT N P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAI0.EC'PT TIME CtOCK$ gEtl UNIT HEATERS MULTI.OUTLET DIMMERS AMi K, W, Oll H P. GAS H. 4. AMT NO A. W G. AMi AMP. AMi. AMPS TRANS. qMi H. P. SYSTEMS qMi. WAiiE NO.Of FEET 3 SERVICE DISCONNECT NO.OF S E R Y 1 G E AMi. AMP. TYPE METER 1,e' 4W I ,e' JW 3 ,e' JW 3 p" 4W NO. OL CC COND A. W G. NO OF H[LEG A M'' G NO OL NEUTRALS A. W G EQUIP. PER B" OF CC. COND OF HI-LEG OF NEUTRAL OTHER APPARAWS: it i.t` g1f'I :;/l'~•;t ' HlL,~RY. kt. 1/OY,I,Ri)i<N .C St}SUi~ 1.'i.C.~'Ih62.~: ~~f~~ ~f C, 1`, A+ "1'itiR6 , ; ~lY , 1.1 { 5">, GENERAL Mjj"~~n\n\IAGER 1 Per ~ i` This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by ~thei credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU57 NOT, BE ALTERED IN ANY MANNER. ~I~ TEIr.7G5•is0'_' ~o~~FFOCK~oG TOWN 01~ SOUTIIOLI~ :CZ ~ l4 ~ t ~ OPFiCL OP BUILDING INSPECTOR ~ c..i.,.~,. iY,'+.;a+ P.O. BOX 728 o ,r ~ ; y y`"~ ~ •PONN HALL ~a~~- SOUTIIOLp, N.Y. 11971 OI ~ ~ OCTOBER I5, 1991 JULIA ROBINS P. O. BOR 678 GREENPORT, NY 11,944 RE: JOHN S MARILYN FLYNN To 4lhom This May Concern, we are unable to complete youz Certificate of Occupancy because of the following masons. /R/ An application foz Certificate of Occupancy is not on file. (gNCLOSED) No underwriters Certificate on file. /g/ Tlie check is fnot on file.) $25.00 / / No llcalth Dept. P~.pproval on file. No final i.nspcction has been made. Please contact our office on this matter. Thank you for your cooperation. Buildi.nq Permit 1{ 1 9 3 7 3 Z Bu.ildi.nq Dept. / No Plumber So.lcler Certificate on file. ( all pertnita involving plumbing being .irsued after ~tpril 1,19II4 ) CC: JOHN fi MARILYN FLYNN r'1 c.7-i7 1:.:,.~u.-u:i ~IUnic l~ CU~`tc4fiNT° 'Q ^v ~ t . q~ CA1 y\ ?OUI3DATION (1st) 111 _ _ a d < - ~ D FOUNDATION (2nd} ~ - r 2. s o~~.l P.OUGH FRAME & ~1p C1~ .PLUMBING ~1 / y m 3. ~ I13SULATIOPI PER N. Y. • ~ !-3 STATE ENERGY ~ _ CODE I T fl ~ ` H 4. l FI:7AL / I t • ( o~ ADDITIOAIAL COMMEPJTS: ~ x \ ro • N a \ • y F~ O n, x _ ~ I._ • } • r y Z b ' ro- , H • a t 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~ INAL Z _ REMARKS: DATE U ~ INSPECTO 4 765-1802 BUILDING DEPT. I NSPECTiON [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS DATE 9d INSPECTOR ~ R.Le,~r ~ v Des . ~~~~~~VJ~~ ~1~~~ _u_(~~; ~~yyyy~~ _ , December 6, 1990 (O lam ; ~ ~ TIMBERf'EG t'OST B.BEAM ~mr., STRU~ l Ultl"S Southold Building Department ~ 3o Main Street Main Road Southold, New York 11971 Southampton Newyork u96g Attention: Tom Fisher 5i6_2g3_0272 Dear Sir: ~'~1 Julia Roberts mentioned to me that you noted a change from Plan on the roof framing on the Flynn Garage (Permit ~~19373) involving a redesign of the collar ties. This office was aware of the change and approved it. The use of the double tie was only to facilitate "boxing in" at a later date and its omission in no way sacrificed or compromised the structural integrity of the roof system. Thank you, Richard Lear R. Lear Design c. c. Julia Roberts, John Flynn { w ~ ~ ~ ~,1~ f ~ ---......---.__....~~.ttt. ~ ~ . { 1 f 1, '1 C~Nr .z ~'n - ~ ~c~ra u i ,ry C? ~ Y7 ~~i r' ~ ! rY ' ~ Z { Y~ ~ M ~ / ~ -yF ~ Cho ~ i s ~°f ! ; w_ ~ ~ ~ l(,, r ~ ~r; 7 ~ U ~ x a `~SC {A' a ~ v ~/`1y. C r- 1 . at fa i lt7 " t Q C J ~ ''i ill ' ~ ~ 1 ; ' ' { rC~ I~i, Y ~ ~ ~ ~ t~~ _ ~i S f11 ~Y ( Y j 1 ~ 4 t ~ ~ S t ' a ' p 4358-`"~~ ^o j5S i~gr ~ ~ ' 1"" ~ Vi z~R ~ y,¢ ~ nm 7~ ~Y,;ia ~ ~ {l ~ C Z :B R Y / N~~ i ` rs.o :3 ~F^ i ; l t u ~ ~ ~ ~ r O ; 1 a. Y l q i~ _ ; i 3 f0L ~ P S ; ~ ~j ~ C. f~~~ , cG v C~' f BOARD OF HEALTH ~J D 3 SETS OF PL. QNS , •~`.r\... FORM NO. 1 SURVEY d• K 7 TOWN OF SOUTHOLD CHECK ~•~:35...~ BUILDING DEPARTMENT SEPTIC FORM TOWN HALL BLDG. DEpT. n NOTIFY c./ / T01/UN OF SOUTNOLD r vt1UTEOLD65• 8021971 CALL • • • ~ ` • ~a.>_ ~ c r~ MAIL T0: Examined . 19 Approved 19 (!!'Permit No. Disapproved a/c t (Bildi~ s ~ cto APPLICA IT ON F R BUILDING PERMIT Date .~(~!rC.ti,cS~(7~., 19gg? 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. e. 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 Depaztment 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 Taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa inspections. , ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .J U K!~ .9W.~...(.~.~.~!~t- a?.. !1/~{v. , , , , , , , , , , ( on the taX roll or latest deed) If applicant is a corporati n, signature of duly authorized officer. (Name and title of corporate d'fficer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... ~2y.9. I~.E!'N~ . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on w proposed work will be o e. . House Number Street Hamlet County Tax Map No. 1000 Section I Block ........I.'`....... Lot I . . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occu/p~ancy of proposed construction: a. Existing use and occupancy `S ~L~...hix~-/'Z /Ci..~../8, ~'7??, , - , , , , , , , , , , , b. Intended use and occupancy . 3, Nature of work check which a /~L~^ ( ~plicable): New Building ,;~,~1• • 7-~~dd~ti3 rr`;, ~ ~ ~ teration Repair . . Removal , Demolition ..............Other 1Vork . ' s, ~ ~ (Description) 4. Estimated Cost .......3 ~.f P.R.° Fee . ` (to be paid on filing this application) 5. If dwelling, number of dwellin~ units Number of dwelling units on each floor . If garage, number of cars iL . ~ . 6. If business, commercial or mixFd occupancy, specify nature and extent of each type of use , . 7. Dimensions of existing structures, if any: Fronb......:8.~.... , . ;Rear Depth . ~...~p.r... , . Height ~o ~ Number of Stories ° ,rL......... . Dimensions of same structure v~rth alterations or additions: Front ......`~~:1.. , Rear r . Depth ~O!......... L ..Height ~O. ~ ..........Number of Stories ~ . Dimensions of en ire new construction: Front ~ Rear ?:4°:...... Depth ...yam, . , , , . Height Nurpber of Stories 9. Size of lot: Front C~~O~1............ Rear . ':..!S~J~,Z~.~ . / raj ~ ~ ~ ~ ~ • Depth 10. Date of Purchase ..~.97~ i . . ....Name of Former Owner /91~f ./'1~i.Y1................. . 1 1. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded J.' :~...........~L~ ...Will excess fill be removed from premises: Yes 14. Name of Owner of pr mises~"o~~M. gr2JL ,a! " ~/"n1. Address3u~•~~~421~r,.E/,,~}-, Phone No.7.13: 7d:2~~bo , Name of Architect ~ICI,fA.'~-.~......y~........ Address . gay ~ ~~~1°2~ Ir ,~.~%9..c~...--FrroneNo. ?83.°42>2 Name of Contractor 4,Zp,B,iNS~~+1~~y ~n1c ,Address ~.°h.l~78'.~~.wiffPhone No. Q.27.: 15. Is this property locatedlwithin 300 feetyof a t_gidal wetland' *Yes No .t~- *If yes, Southold Town Try~stees PermitPLOTDIAGKAMed. Locate clearly and distinctly al~ 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. i i~ II ~i~ I STATE OF NEW YORK, S.S COUNTY OF . (Name of individual si n~ ~ ~ ' ' ' ' ' ' ' ~ • • being duly sworn, deposes and says that he is the applicant g ling contract) above named. i He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements cont~ined in this application are true to the best of his knowledge and belief; and that the wo}•IG will be performed in the manner set forth in the application filed therewith. Sworn to before me this I ..............,~~/7.,,.. , ...mo~d//ay ofd..//./`.~^. 4 19 9.r~. Notary Public, ..~?~-..?C.•.. Y~, County NELEN K DE VOE NOTARY PU3LIC, State of New Ye,,,ti~ i . N0.4707378,SU0a1k0ouM9_..1 V (Signature of applicant) 1~ Eapfres March 30,1 - i i