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HomeMy WebLinkAbout19107-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No ZT9385 Date SEPT. 25, 1990 THIS CERTIFIES that the building ADDITION Location of Property 340 WABASSO STREET SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 078 Block 63 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 1490 pursuant to which Building Permit No. 191072 dated JUNE 8, 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 SUN ROOM ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to GRACE M. WEST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N150127 SEPT. 18, 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector I, Rev. 1/S1 Y'DRM N®. 0 TOWN OF SOIITHOLD ®UILDING DEPARTMENT TOWN FIALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N } 10 Z Date ...........~.,x..~-!:~..... g 19..4.! Permission is hereby granted to: .......l..n~........~.~,tf4. ~ ~ ...~~-u-:~,4.....K.. d to ...ba~:::~!::V!sa!:....4r....'.!~„1Y~''.h~aY T~'.:Yl.....~r.~:..`^-~c-'•.:f.,. ~*.:17..... C?.v:....~^~.. .~........~.~:f' ~ta...~...ar~',..11.'-..~~.~....~,,~~d:4 of premises located at....1~.~v....Wak3[:P.~2....i~^~h~Y ...~..G.~l.~:~...A~...l,A?. ~~C County Tox Map No. 1000 Section ......~,~.g....... Block ......57..3......... Lot No..'l:l~ pursuant to application doted ..........~.J.r!.^.^~......~ 19.~..V.., and approved by the Building Inspector. Fee 5...?~.... r..... wilding Inspector Rev. 6/30/80 ~ Form No. 6 .`ob VV q TDWN OF SOUTHOLD ~y 'a' N ~ 1 I BUILDING DEPARTMENT 14,J' 6~.~.-------~~~ F ~ n~y TDWN HALL ~ , ~ ~o IV 76s-lso2 AUG 1 4199(1 A!lLICATION FOR CERTIFICATE OF OCCU! NCYTOWN OFSOt HOLD .1. 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 Board o£ 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, indusCrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible £or the building. ' 6. Submit Planning Board Approval of completed site plan requirements. B. 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 naCUral or topographic, features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C; 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 L'puated Certificate of Uccupancy - $50.00 , 5. Temporary Certificate of Occupancy - ResidenCial $15.00, Commercial $15.00 Date :7ew Construction Old Or Pre-existing Building.. q q,,~ Location of Property ..~,~a..... .,y?~~~~l~~o QuTl~Uz~.-.-...... ELouse No. •..•Street••••••••-••.•••••.Hamlet••• Onwer or Owners of Property,. ~~AE~ ~G~~/ County Tax Map No 1000, Section ..............Block................LoC...................... Subdivision ...................................¢$.Filed Map............LogC.............':........ - PermiC No.'~~19~,~.,.....Date Of Permit ~~:~~f.~.......AppllcanC.. ®~f!:~.®~G ~~`rC~~~. Liealth Dept. Approval ..........................UnderwriG~ tv ers Approval...................... • ~ . Planning Board Approval Request for: Temporary Certificate.........,. Final Certicate.~...... , Fee Submitted: $ C 0.5 S~3 2/ /0~ s~ ~ 7 Y/a ~ APPLICANT j~e.,-rn;~,~ ca..zr9~~s THE NEW YORK BOARD OF FIRE UMI3ERlNRITLR'S RAGE 1 100f1121 NYREAU OF ELECTRICITY . ~ bb JOHN STIWET. NEW YORK, NEWYORK 10038 = SEPTEMBER ]8,199(1 Application No. on file 711'14h69(1/90 M 15111?;' THIS CERTIFIES THAT only the electrical equipment a descrihed 6ehrw and introduced 6y the applicant sunrEed on the show appBcation numhsr in the premises of t 4RAfE WI='ST, 3911 WABA350, S0117H4t.11, N. Y. in thefollowinR location; ? Basement ® lst Fl. ? Ynd FL (1UT S[rtion Block Lot was examined un SE. F T F MB ER Ihi , 1 9911 and found to be in cornplianre with the rrquin:menes of this Board. R%TURS At76 SYgTl:lllS R OiWG118 MCKt DWI W UST FANS ODTURS INCMIDlS[!NT PIIICltfS[!NT OTNSR AMT. K. W. NAT. K.W. AMT. C.W. AMT. K, W. AMT. N. P. s .t s 1 r- t DRYRRS RJIINAC! MOTORS glTlJtl AMUANOY RRRMS fIROAI R>1C'?T iMAR CIOCRf ~ IRtlT MSAT95 AW1140BT1RT RRS - AMT. K. W. pl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMT. AMT: AMPA TRANS. AMT. N. P. ~ ~T AMT. WAT15 - SRRVIOT DISCONNRCT NO.OF S R R p~ V 1 C R AMi. AMP. TYPE ~ I f TN t / JW t / TM 9 X IW ~M;COND. ~ CC COND. NO. OP NI.IfG ~ NO. Of NFUIIIAIS a . W - OTMRR AMARATl/5: WIRING FpR NEW AI'lgT'ITON-1 F LN.C. Yi00M NEATERS.2-. T5 K.U.,2-'1. K.U. i;_F.i:.I:-1 PAUI. R. 811RNS LU:. Y7.82-E 275 t9UN NARB(7N 1. ANf LR~ 'itill'iNOI.D, NY, 1.19?1 OD~ALMANAMR 11 i~n'~` Psr r 1 ' 1 This certif'xoNt mVll rrW be phered in any manner; relarn fo 1M effia of the Board N,.', be ' 1Mir cndentialt. ::LD 'Ii:SP.^.,^.iIC>;y ~~UAin ~ COMMENTS t . .3 - ~ .~•aO ~ 0 °OUidDATION (1st) _ ~ FOUNDATIOIJ (2nd) m 2, z o pp . ,n ?,OUGH FRAME & a PLUMBING 7~ ~ y ~ y~ 3. ~ m m IiJSULATIOM PER N. Y. In STATE ENERGY CODE Q~ x a 4 . ~ FIiJAL 1 F q z ~ ADDITIONAL COMMENTS: ~ rn x ,d • H r 9 ~ ~ H F.{ O ~ z Z r _ a x d m •o 765_1862 BUILDING DEPT. I NSPE~TION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: - DATE lJ 0 INSPECTOR ? I ~ ~ ~6s-1so2 BUILDING DEPT. .INSPECTION [ ] FOUNDATION iST [ ) 1R000N PLBG. [ ]FOUNDATION 2ND [ fNSULATION [ ]FRAMING (].~F~I.N--AFL-~ REMARKS: yi`-' . DATE ~ INSPECTOR - ~~y~ l ~i~ ~ 7~-1802 t3U1LDING DEPT. .INSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [r) INSULATION [ ]FRAMING [)FINAL REMARKS: ~~~~R,~-y --~a~i DATE ~ INSPECTOR ~L`1 I ~C~ ~ T6S-1802 i LLLL BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [t~]'~RAMiNG ( ]FINAL REMARKS: ~ ®_s~ G~~ DATE ` ~ L7 INSPECTOR S~~F~x~ TEL. 7G5-1802 o~p , OGy TOWN . Or SOUTIIOLD ''ti~~ti ~ OPf ICE Or BUILDING INSPECTOR o ,7. ..j(,~};q , n P.O. IIOX 728 • ~ TONN HALL O~al ~ ~a~~ SOUTIiOLp, N.Y. 11971 August 9, 1990 Daniel Fisher RR BOX 79 Main Road Orient, N.Y. 11957 RE: GRACE WEST To Whom This..May Concern, We are unable to complete your Certificate oL-~Occupancy because of the following reasons. An application for Certificate of Occupancy , /is not On file. (ENCLOSED) /~'/~NO Underwriters Certificate on file. Tlie check is (a~xtYC3~TCfX~3c/not on file. } $25.00 No Ilcalth Dept. P:pproval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. 11uil.di.ng Permit $ 1 9 ] 0 7 Z • Uuilding Dept. ' No Plumber Soleier Certificate on file. . ( all permits involving plumbing being .issued after npril 1,19II4 } i v,.r ~ ~ . I' Fo/m~CIY~ ' .j" ~ ~ t~asla/c~ca ~ Cedric . N Wickhom ' ~ daG~irl` ~ ~ , 13298 - i ~ N c/./av N , r: - " \ r ~ ~ .~.;~,ftiti. ~ ~ -~fz~e'~ ~ p ~ 1 ' !T1 O . O I N d \ V \ Y~ O "33.~"~'. SO' i - n ~ o ~ 3A ~y \ J d c>t 1' , ' r 1 n. T>^= O w ~ r ~ ~ ar W. ; W.-" , r-k T7^ W 1` C/I /J 1 II r P 130.75 r ' - 5.84°~! DO N! I p - --w~[~~.--- - - - - - ' 3 ~ o ? ~Q«~t o• u, ~ o {Cedric M Wickham ; 137.9 ~ ~R SUFFOLK COUNTY HEALTH DEPARTMENT I JUN p ry 197g Ias/ fio% S S ~ O DATE~~ H. D. REF. 7' (N o. o AThe sewn^e disporal and water supply >w ~facil,ities 1'or this location have been '.":d,, /O ooinspected by tlfis dep;rrtment and found ~o,,,, ,Lo b0 satisfactory. _ 3.0 ' ~ ~ ~ • ~ s4 Chie f 'enera Engineering l NOf~OM~,S' J°.,d Iry - ,ROAD ,z ° , NOTE THE LOCATION OF S{FELLS AND CCSSPOOLS _ 1PSE DF N~. ¦ UMENT _ SHOWN HERl;1N ABE.FP.Atd TIe I,D"°Dxs °(t'V-gTtONS ~ ~ 6 w r rk[~' I I ~~yE~gqliw~~rrRrAr~ tso~a Aar1~,,Ru+,At~:furrionAAT~~R~ ; ~ ~ a~P~~ W "r p'r I. . , ` ~ ~ ~ I, REwsipNS ~ YOUNG 8E SOU G z I ~ 4 ~ - ~ 'I'~ APR/L 9F /976 q00 OS7`Rq,N DER AVENUE, RIVERHE D, EW i10ft$~!,j ' ALDEN W. YOUNG PAOFESOIONAL ENGINEER AND a,A ~Y bUE(V,k~'0Y~ ~ 1.ANO SUAV[YOR, N.Y.B. UC. NO. 126A3 r1.>fi}, !q„fAOr• ROO SURVEY FOR: a"A{{TNagAED A"`RA,.°" DR A°DITI°"'° ?ONN R. F/NELL! Q LILLIAN FINELLf tpS~SUgVEY IS A VIOLATION Oi SEDTIDN ' (205 OF THE NEW YDPN 3lATE EDUCATION .AW1: 1 I 1. .OPI,ES Oi TNIS Suq VCY MAP NOT BEARINO~' fN[¢AND SURVEYORS INSED SFAL 011 .NROSSEO SUL SNALL NOT BE CONSIDERED rO OE A VALID iqu[ COPY , AT ~ GUARANTEED 70: ' ; L'Q(J~if'//N~i {'Y/~TER USL/FE T/TLE /NSURANCE COMPANY ;uARANTEES INDICATED NEREON 9NALL RUN OF NEW YORK NiLY TO THE PFRSON FOP WHgI TN[ TOWN of SOUTHOLD WRYEY IS PREPARED, ANO ON HIS 0(NALF R/YERNEAD SANNGS BANK f0 THE TITLC COMPANY, OOVCRNNCNTAL ' ?ONN R 99 L/[t/AN P/NELL/ 1DENCY AND LENOINO INSTITUTION LUTE° 8.( 1ERFON, ANO TO TNC AS SIONt[S OF THE SUFFOLK CO., N. Y. tfi/L .ENDINq INSTITUTION OUAMNiEq ARL /(HH/I qT tRANeFERAOLf TO ADOTONxI I yCALF; / n^ I GATE: Np, xsm UTmNe oR Lue[FDU[xT r..NCNO. ^#^-`~^w~- Y4 DEC, /r /975 75 ^ Q5 BOARD OF HEALTH 3 SETS OF PL.1NS r~ w FORM NO. 1 SURVEY . • • . • • - . • • • • • • • • . • a1Y1~ TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC, FORM BLDG. DEp7'~ TOWN HALL TQWN~,IE,SRIJTHOLO $OUTHOLD,N.Y.}197} NOTIFY 'a TEL.: 765-1802 CALL ...(/:,l~/~.~ .~v.~~ , , , ~A-!Mw.. 19 q,b AIL TO:,~! . Examindd • • Approved 19 Permit No..l .R 107 . Disapproved a/c ~ ~ / C't"'-~-- . ~ .....dir owC?C...... ~.,,12~Z,c< C~ (Building Inspector) - l~ • APPLICATION FOR BUILDING PERMIT Date . , 1.4 15 ,~,D INSTRUCTIONS • - • a. This application must be completely filled in by typewriter or jn 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appB- cation. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicatian, 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remov 1 or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ousin; code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. fI A / (Signature of applicant, or name, tf a corporation) (Mailing address of applicant) State whether//~//a/Ipplicant is opwnerl,,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........tl.e !44 r¢~..tiGyi t hR~i.4/ . Name of owner of premises .13:I,'44G. ~:,..~.?~.s,1," . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~~.9~:~ . !y.~:.......... . Plumber's License No . . lYlectrician's License No. Z~ 2 : ~ . Otlter.Trade's License No . 1, Location of land on which proposed work will be done; ....~9.° ..........:...........!'!rQb.a.aso.s>•t~~~r....... sow+tiei~t..................... I(ouse Number Street, Hamlet ~J" ~~JJ County Tax t,fap No. 1000 Section BI'ack ~ Lot . ~s~ ~ . . Subdivision Filed A1ap No. , Lot . . •(Nmne) • 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Rxisting use and occupancy...d".1ny.~~• ~d':~:".~~ resa+~~~t2 B. Intended use and occupancy.. Sz:a.aK??? •~;;n, ?~'°ry • • • • • • • • • - • • " - , T " .`'F MY9 .ZZ. 'Nature of work (check which applicable): New ©uilding Addition ration . . ,Swimmir 1,. ' ' ~ Repair Rpmovq'1 Demolition ~ . . Tennis Court Ae~cessory Building..........Fehce .......Other Work:...., , 4. Estimated Cost....~grood.. Fee ...................,•;IliL;u: •ga:.v)•.,,.... 5. 1f dtvcllin,,, nurnber of dwcllin ur~ (to be paid on filins fhfs~litlbata'on) g its Number of dwelling units on each floor , , , , , , , , , , If garage.numbcrofcars / ......:..................................:.:..........:...:t..........., 6. If business, commercial or mixed occupancy, specify nature and extent of ea6ch type of use tom. , , . , 7. Dimensions of existing structures,',if any: Front , .lf,'),~ , ; ? , Rcar , T 7~ Depth i Height . ,?,D Number of Stories , . , , , , , , , , , , , Dimensions of same structure with alterations or additions: Front ,'ru~ . ~ Rear . Depth . Height ~4,'jj , ,Number of Stories ~,i . 8. Dimensions, of entire nrw constnr~tion; Front : , {.4~X /~o, ~?'d?!~z°•~ear Depth Height ~lumbier of Stories . , '~q rea( ~ S~~~f . ' 9. Size of lot: Front , „ Rcar I'leptit . 10. Date of Purchase , , (,98,5; , , , , , , , . • , , , , , , , ,Name of Former Owner /~lchse+•+~ ~o~lart,C, . 11. Zone or use district in which pretjiises are situated . . !2. Does proposed constructio violate any zoning law, ordinance or regulation: .4:4 13. 1Vi11 lot be regraded ..a~ , Nill excess fil~~l~~~~e removed from premises: Yes Nd' . 1~}, Name of Owner of premises .~~r•E, :'1 • ~Y,~S.1:', , , ,Address .:°'.9° !7;q,~.dS16,ry•,f?7{~Phone No . . Name of Architect ,Address , , . .....Phone No. Name of Contractor 7JAN~i,:~ .4 ~ ;i'~te~'4q!Z ~ , , ,Address ~(Z,Bxryl!~!/;e.m, Or~rp(r, phone No.3i^3.;~•>'.~~ 15.Is this property 2oca ed within 100 feet of a tidal wetland? *YLrS....NO. *If yes, Southold Town~Trustees Permit may be required. PLOT DIAGRAM , Locate cleazly and distinctly all jbuildings, 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. ~ , j i STATE OF NE~V YORK, i S.S COUNTY OF . " • " " ~ • • • • • • • • • • • • ~ • • • • • • • • • • • • • , being duly sworn,, deposes and says that he is the applicant (1\amc of individual sipping contract) above named. ' Hcisthe . (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ ~ • of said owner or owners, and is dtjlly authorized to perform or have performed the said work and to make and Gle this application; that all statements contained in tltis application arc trot 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 ofd./. `/.........,19 Notary Public, , , , , , , , ,ll: , , , , County ` MDpRY PUBLtC, State M New VWIt ' .a~ No.470787$SuNoINCAU (Signature of applicant) Term ExWres Mer4h 30, 29~