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HomeMy WebLinkAbout19105-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE 6F OCCUPANCY No 219291 Date AUGUST 13, 1990 THIS CERTIFIES that the building ADDITION Location of Property 385 SHIPS DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 679 Bloek 03 Lot 08 Subdivision BAYVIEW WOODS EST. Filed Map No. 5520 Lot No. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1990 pursuant to which Building Permit No. 191052 dated JUNE 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 A GARAGE & BREEZEWAY ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to TIMOTHY AND NANCY MULLEN (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N141183 JULY 19, 1990 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FO8ffi NO. A TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON 7HE PREMISES UNTIL FULL COMPLETION OF 7HE WORK AUTHORIZED) N° I ~ ~ ~ J Z Date 19.9.« Permission is hereby granted to: ....:~.I>:.~....l~-u~~:~........~-...... ~~J~~~~ t :~!n?.:!,.`~:~.-r.... x.1...`.1..?.1..~...~. ~,,p... vY.~r.. . .s ~ at premises located at ...~n..~. -~4.~ County Tox Mop No. 1000 Section ........5~..1.~..... ppBlock ....5:~...w~........ I_ot No....~..~............ pursuont to application dated ..~~..'..1 19.q.4.., and approved by the f Building Inspeetor. Fee S•1.'~~l./. .......l.~.......... w ding Inspector Rev. 6/30/80 f TEL. 7G5-1802 pS~~F~~k~aGy TOWN Or SOUTIIOS.D b ~ ..~@ OFriCE OI' BUILDING INSPECTOR ~ ti" z P.O. BOX 728 ~~i.~ r" TOWN HALL WO ~ ~ SOUTIFOLp, N.Y. 1 1971 'y~~~ ~ ~a0 August 3, 1990 JOHN BERTANI BUILDER, INC. 1380 OARWOOD DRIDE 50UTHOLD, N.Y. 11971 RE: TIMOTHY MULLEN To Whom This.May Cok~cern, 4 We are unable to complete your Certificate oL' Occupancy because of the following reasons. ' % / application for Certificate of Occupancy ' ^ is not on file. No IJndcrwriters Certificate on file. JJ_/ The check is(outdated/not on file.) No ttcalth Dept. 1'•.pproval on file. / / No final ins.pc:ction has been made. Please contact our office on this matter. Thank you far your cooperation. Buil.di.ng Permit i) 1 9 ] 0 5` Z Building Dept. ***J`/ No Plumber Solder Certificate on file. ( all permits involving plumbing being i:,sucd after npril 1,1984 ) • i ~ - . _ « i-.~^db.~. ~.,c~bfi ~..~atP'.Fn cr. vma*..3~t%fAt'*','A~Y~ "s< 'r1ELD~Ii:SPEC:iU;7 ~~ll6iE` ~ COMMENTS ~ ~ ~y 1 . / - ~ .,0 < ~ H ~ _ - H FOUNDATION (1st) ~ ~ FOUNDATION (2nd) _ { ti 2 . 7 d ~ - r~ z o ~ ROUGH FRAME & Ir~ PLUMBING N H 3. ~ m ~ m IIJSULATIOP7 PER N. Y. • • STATE ENERGY CODE x a r 4 . ~ y FI7JAL - o z ADDITIONAL COMMENTS: x„ ~o K mac.. ' x ~o • ~r J o ..i z ~ x b • r x v m •u H THE NEW YORK BOARD OF FIRE UNDERWRITERS s'~<;t, 1 t?1~17,3h1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW' YORK 10038 Date s7f711V 1.x,19<)f) AppliratfonNo.onflle F7~311:ftS(l,l~(7 N 7~iikl3 THIS CERTIFIES THAT only the a/ectricof equipment as deaerihed 6ebw and introduced 6y the oppiicont named on the o(rove opplication numher in the premises of ~,~rtcrrlf~ N, t~trr~[,k~t~, sfll.s~, (~Ir~,:e~v„~5[R,„ ID~~~~ i~t~r ~~slrr13nL11. Ra.~, z in thefol(orring location; ? Basement CI lxt F'(. ? 2nd F1, Sertion Bfock Lot J(IfRY q9, Lf3'3f3 u~os examined on and found to 6e in contplianre with the rer(uirentents q(this Roard. fl%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W AMi K W PMi NW AMT. K W AMT H P i ; f f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMi. K. W. Olt H. P GAS H. P. AMT NO A W. G. AMi AMP AMi AMPS TRANS. AMT H. P NO. OF FEET AMT WATTS ~!1 SERVICE DISCONNECT NO.OF 5 E R V I C E AMT, AMP LYPE METER ~ S 4W L a. 3W 3,N SW 3.0~ dW NO. OF CG COND A W G. NO Of HI-LEG A. W G' NO. OF NEUTRALS A' W G' EQUIP. PER d Of CC COND. OF HbLEG OF NEUTRAL OTNER APPARATUS: UT7f,;f,'f'2 KA1 & 6n'C8 ktYi, itl:fllAi{+~°f Jc~D'Y PtIhITIIhO C,:4~~~r.`~~'317U-N, i PA'3' 71&N.F. G!~~~ tYA`f'1'T94FC!!, idY, 11.9 ~2 GENERAL ,MANAGER Il ! ~~i ;L. Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspettors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ ~ ~ a~ T~-~8oz BUILDING DEPT. INSPECTION [ {~]~OUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~1,,,,,~. ' _ r DATE INSPECTOR p ~ r ..~al~J+•Ily"~rr,4rv-v •~.lXt :'t`m±er`;.aY{~Y y~a r!R 'Tq~+T iY'Qlh(.'Xi~i' •2Sw~i ^aM CJ' ,~r C^nT_ I tr .yro ~'P"iM Y:. i4:,'?fx',C`! ~I 'N ut'~.!'yS~. }yT~~~ T m, I~S Y 'a £ E k r x ri' r v 5Y -"-y+4r~/ •va"ti. "s, 4 /'tCz~ tti ~f frv4 z. fi. ~r ` :1\A_tda, 5~ S~ ~ r~r~~ 3.- r }~~~iyrv3"vX'jt,; 37 ,/~3~ -r5 ~ a 1~, Ai ^r "P-_ <+i R t p t a t + ~ m 7 .x t~ i fir ~ .S,'t. 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(~~~~y.?~r fvt,* P~' S`4'3^~' n`'+:~}{r!`~'G "4' tiF' td`r~'yr ^1,. , r[.yP'"' ,'S _a^t`; N'{ .f.t~ f rill ' r ~ {g'~! rxa Kr 3V } l yw' t '~F'N ~rY' ,fit c L rl drGl bra !i, ~ykf' { ~k x ~ ~lw. e~ t + 3 t ~ w~nr r., _ v- . ~ ~ r a -A at~~" ,k~C~a+~,,,x p ~~.~`~tw4h r yy,, a Orn rk~•t~C a~ ~ ~ <o w. „cn ~ ?aff. ~ xrv"Y ,~y \ a .u%~.t f4i,. x~-~{Zy k"V ~ .rt!C ak~~rp. ~~Kr 41~'< ~y a} I , f' ..t ; s.'=1>i r R %5 ,.v~. i?' e. {a. 4 :L r,,.~~ BOARD OF HEALTH 3 SETS 0? PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK . . BUILDING DEPARTMENT SEPTIC FORD1 TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.:7G5.1802 CALL Examined . 7.., 19 9 ~ MAIL TO : 13~ Oo..Q2-eu~e~~ Approved F~"y..~ 19 y~. Permit No. R.~ ~ a~ Disapproved a/c ~ MMY29~ (Building Inspector) TO N OF SOUTtIOLD APPLICATION FOR BUILDING PERMIT Date 15 . . INSTRUCTIONS a. This application must be completely filled in by tgpewriter or in ink and 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 stree or areas, and divine a detailed description of layout of property must be drawn on the diagram which is part of this app. cation. c. The work covered by this application may not be commenced before issuance of Bui]ding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm 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 Occupant shall have been granted by the Buildin; Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporarion) ~~80 dit4KUJ.tlo!.7...~~(.clu ...SQ4~~~ • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...~ut~e:~? Name of owner of premises /!!'.'~D.7~ 3`. I!-~~9~/. c;l.. ~!1lJl./.~~5-? . (as on the tax roll or latest deed) ]f ap licant is//a/tco/~rp~or~ation, signature/JOnf duly authorized officer. .Qy~ ,M.F~N~~= ~CGlre.'40, . (Name and title of corporate officer) Builder's License No. ?a7.%9.~'.hf..,ir::....... . Plumber's License No. ~l~l . Electrician's License No. . .~/GGC'...... . Other Trade's License No. . I. Location of land on which proposed work will be done. - .a House Number Street Hamlet County Tax flap No. 1000 Section .....~.7~• • • . • • 'Blpek , 3 • . , , , , • • • , , Lot g . Subdivision ~/.~:yvl~..~J.U.Y1.4....~~.~~r~.... Filed A4a ~ No. O ' (Name) 1 Lot . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....©.~6... ~d92/a~'...~6utt~f . b. Intended use and occupancy ~ ~1~~• +QG~!~.~{.g2-c . . i , 3. Nature of work (check which ap'plicable): New Building , Addition Alteration . Repair Remgval i Demolition Other 1Vork . (Description) 4. Estimated Cost ~f072a... II : Fee , . I (to be paid on filing this application) 5. If dwelling, number of dwelling Units : Netmber of dwelling units on each floor............... , If garage. number of cars v~ . , . , . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ?~Q.: Rear , Fig; , Depth ...?c~ , , , , , , , Height ....a28, Number of Stories . . i . • Dimensiong of~~ testTUCture with altcrationsjor additions: Front ~2: • . • • Rear . , , , , , , , . Depth 1.,~ . Ileight . Number of Stories ...a?/~~ , , , 8. Dimensions of entire new constrtution: Fronf P~. ~ Rear ....a~,~l.:...... Depth ...a'IJ~:....... . Heigtt.~ Number of Stories ...~7.7..... . .....................p . 9. Sixe o a ront ~d J Rear i....::zr./.9,`..`........ Depth ../CaG2 . . . 10. Date of Purchase , ...!`.~~~~/7~ . : .......Name of Former Owner . 12. Does i6pbse.$construction violptesana sonin~ted ~..i~~a.•pr~Tre,~L• p" y ~ law, ordinance or regulation: „t,~O . 13, Nils L t be re~radeddO Jtvhich r y!q 1Vi11 excess fill be removed from premises: Yes 3a No 'ii'.'"``` . 14. Name of Owner of premises ti(~4'',./:. ~!!~~t ......Address ~L~zs„~{~. ,C0767~f?~Phone No.~~+J^.7.1'x,6..... . Name of Architect , ..........:......Address ........~c~.R.~........ Phone No............. . ......Address 0~~+ 3p~Phone No. 7C~ IJ~fS~ Name of Contractor G~S~irt..~NiG~E~W IS.Is this property located within 300 'feet of a tida a land? *YES...,NO. *If yes, Southold Town', Trustees) Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly allll~buildings, w)?ether 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. Sd~~ ~ I ~I I I i I ~I I STATE OF NEN YORE, S S COUNTY OF ~yU~T~'-~.-~y~... ~I ~..t,(?dc.,.. ~°-'f~ ~~7.~./... being duly sworn, deposes and says that he is the applicant (Name of individual signipg contract) above named. He is Ute ~~Jy~O7L,1q~ ,Zr....~7a~<,CCt~....! . . . . . . (Contractor, agenf;corporate officer, etc.) of said owner or owners, and is duly authorized to perform ornhavc performed the said work and to make and Gle this application; that all statements con[akned in this application are true to the best of ltis knowledge artd belief; and that the work will be performed in the manneti, set forth in t~rc application tiled therewith. Sworn to before me this a.9 ...day of , 19 Notary Public, t*~-~! ~1:.."':~'".~ • •~ounty ~J ~~~kpEypE (Signature of applicant) NfgMlY Pl{~BtIC, Sta0.e of No~wgY~od~ Term ~plias?Muoh~~ loil.~4 ~ ~ .w... ~ ~ ~ ~ ~ G ~r~ ; ' ~ AC~~`vt~t , . r { ' r.{~ ~ V t ~ ~ ~ I ~ ~ y ~ { Y ~y ~ } ` t'. r ; ~ j u_ ~ ',~t - N m {~3 t a dL j i N ~ ~ tt? 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