Loading...
HomeMy WebLinkAbout19122-z 1 ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-19146 Date JUNE 14, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 10585 MAIN BAYVIEW ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 001 Lot 005 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1990 pursuant to which Building Permit No. 19122-Z dated JULIE 13, 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 RELOCATE EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to THERESE O`BOYLE & DOROTHY MULLANEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A sy Buil g sp for Rev. 1/81 FORM N®. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT 70WN HALL SOUTHOLD, N. Y. BUILDING PERMIT ffHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 ~ 1 ~ E~ Z Date .........Y'~:~ 19.<.: Permission is hereby ante to• j~;~ at premises located at .....~..4~.~.f~.~~~~1~'J.....4;1k~7~/n: '......tG"t ...........................................................................t.................................../A................................................. County Tax Map No. 1000 Section Block ............l....... Lot No..........~....... pursuant to application dated .............~0....1.~?..............................., 19.~Q.., and approved by the Building Inspector. Fee S•••`.~~' ~,xl.. c_-~ ..f Sr Buil ' g Inspector Rev. 6/30/80 Form No. 6 '~~PJ I ~ O ~ TOWN OF SOUTHOLD ~ A ~ ~ BUILDING DEPARTMENT TOWN HALL ~ ~ fi 765-1802 E, c..m.~ TOWN OFOSOUTFI'b4D ' APPLICATION POR CERTIFICATE OF OCCUPANC A. 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(5-4 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains a 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. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 4, 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. 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 huilding $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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.......`...•01d Or Pre-existing Buiplding.. Location of Property.. ~YLE? ~ 1j.~65.$-~.... J'J !:Y"~....... ~?9':'°.E2 House No~,¢ n /J~Street Hamlet Onwer or Owners of Property.:~'::"~:.~ .OL/:~~!''?~t~... ~..`aG~.~.. ~ ~J S+'J~. County Tax Map No 1000, Section....~8.......B1ock....~.~.~.......Lot. Subdivision ....................................Filed Map............Lot...................... PermiC No..~.9~.c~:~.~.....Date~~jj~~Of Permit. /a~!-~~~p .......Applicant.........~./ . Health Dept. Approval....~,C~ .................Underwriters Approval....:!'............. • ,,,~ll ~ ~i Planning Board Approval..,/1~ Request for: Temporary Certificate........... Final Certi ate........... , Fee Submitted: $ 3v~q~ APPLICANT ~0 ~~9~~((p ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE ~ Lk+S5041 BUREAU OF ELECTRICITY 88 JOHN STREET. NEW YORK, NEW YORK 10038 JULY 05,1990 69459390/90 H 139252 Dote Application No. on file TH18 CERTIFIES THAT only the electrlcai equipment a. deecrlbed hsloRD end introduced by the opplicont named on the ahooe applieatton numher in the profnieee of HRS. THSRESE O'BOYLS, HAIR BA~~7YyyVIEW-OPP.G.W LANE, SOIITHOLD, N.Y. in thefollouiny laeation• ~ BaaerAtent L1 let Fl. ~ Pnd F1. ATTIC Sertion8~ Blockl Lat 5 u~ae examined on u7tUtlnlrFi. LLD> 1x 9797UU and found to he in contptianre trilh [he rryuirementa of this Berard. RXTUEE AC16 tYNTCTtFS RXTUREE RANOEE COOKING D[CKS OVENS DISH WASNEKE EXNAUET MNE WTIETE INCANDESCENT FIUDRFSflHT OTHER IJAT. K.W. AMT. K.W. AMi. K.W. MIT. K.W. AML N.I. _ fMYERE BIKING! MOTORS IUTURE AMMIANp REDERS Se[CIAI RRC?i TIk1E CLOCKS pLL UNIT MEATiRS taULT1.0UT1lT DIMMIRE ~ AMT. K. w. ql N. P. GAS X. r. AMT. NO. A. w. G. AMT. M11. AMi. AMPS. TRANS. AMT. N. P. SYSTEM{ AMT. WAT15 NO.0/ /EEii 5lRVIQ DISCONNECT NO.OF S E R V 1 C E AMT. AAV. 1RPE EGW 1 / ]W 1 / xW S R SW 3 X AW ~.OFER rCOND. Of CC. COND. NO. M NLIEG Of ~ M NO. Of NEUTRALS Of ~IV~Ei!(RAl Oi1MR AIMRATUS: RESIDENTIAL SUVEY-1 ~ _ GENE HEACOCK ELE. CONTR. I,IC,/943-E ~ 3515 CEDAR BEACH ROAD 1~ SOUTH06D, NY, 17.971 pENRAt MANAO~ 17 ~A Psr Thit certificaH must not be alrored in airy manner; return ro the offita of the Board if incorrsd. InspectorF may M iderNiTwd by tleeir ntiols. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MUST NOT BE ALTER~1 NI ANY M~IiIER. BO.\RD OF NE.ILTH 3 SETS OF PL.1:iS FORtA N0.1 SURVEY •p~ TOWN OFSOUTNOLD CIIECt: ' BUILDING DEPARTMENT SEPTIC FURrI TOWN HALL $OUTIlOLD, N.Y. 11971 NOTIFY i -7 I / TEL.: 7G5~1B02 CnLL .~...I, e~a~ , , . 19!.~ r1niL To. . . Exatttincd • • . . Approved ..,{f:~l:~......., 19 Permit No. . . D Q~1,~,p'(~~~~~, Disapprovedalc Cis ; (Bu' ding Spector) BLDG L~C:~~'~~ ' TUWN OF .rC1iTL9d~^_i APPLICATION FOR Bt)ILDING PERPAIT ~ Date ~.JV•'~~ 15 ~O ' INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildit~ iitspectoz, 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 strcers 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 appliant. Such pezmit sh~li be kept on the premises available for inspection throu_ltout the work. e. No building shall be occupied os 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 issu cc of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New YoY ~ and other applicable Laws, Ordinances or Resulations, for the construction of buildings, additions or alterations, or fo emoval ar demolition, as Merin described. The applicant a;rees to comply with ail applicable laws, ordinances, build" ~ cad , o ing code, and rcg:lat:ons, and to admit authorized inspectors on premises and in building for necessary inspe t .,I - ignat• •at Pli ant, or ame,'f a eorp ra;wn) • ..w.. ~ ~ . . . l ~ (Mailing a Tess of applicant) ..a _ l 'f} ..5 -f!. 'i~ State whether ^~~,pl1c.~~t ts, owner, lessee; agent, architect, engineer, general contractor, electrician, plumber or builder. Name oCowner,{pp'CPcg?Jieps, .~CQt~~'F •Q G;~~[f .../;1^!r~...~~~'d ~:`.U~~/}yc°ti/ r, D'. _ r _ (as on the tax roll or la est deed) If applicant is a`corpordCiori; signature of duly authorized officer. • , • (Name~~nd'fitle'b~f cor'poratc ofGccr). • • • • • • • • Builder's L''icehse~.1o~ ;.N ' Plumber's Liccnsc No. . Electrician's License No. 1~..p., Otltcr Trade's Liccnsc No. .../V l~ l Location of land on which proposed work will be done; - Ifousc Number Strce[ ~ Hornier County Tax Atap No. 1000 Section .....c~..g• . • . • Block©~.' Lot ~ Q ~ t. Subdivision Filed Atap No. Lot ..(Namcj . State existing use and occupancy of Premises and inten d use and oceupan~cypof proposed eonst//ructio~j - ` a. Existing ~N r ~-:.~R F ~~.`7. use and occupancy • ~ ~(j~^,, , , , , , , , b. Intended use and (Sl~.~.~ l~%:': ~.`,~1, ~~.Cl(gr~' _ ~Ci ..~C!~ , occupancy J, ..,.a~.-, - - 3. Nature of work (cacck whi app t le): Nc wWmg • • • , . Add~UCn • • • • • • ~Utetatton . Repair pmov'a Demolitio Swiatnin ; pool........... . Tennis Court Accessary lJuilding....t~ , .Fence • • .Other Work........... . 4. Estimated Cost ....../.1~Q~lF I . Fec (to be paid on filing this application) 5, IC da•clliny, number of Jwcliing units , , , . Number of dwelling units on each floor . . ICgarapc,numbcrofcars 6. If busmcss, commercial or mixed pccupancy, specify na41 rc and extent•of each type of use ~p7 . . 7, Dimensions of cxistin; structures,~,if any: Front . , , Rear • • • • • • Depth . . Hci:_)tt Nuntb~r of Stories . . Dimensions of same~$t;Qt,cturc wit alterations or additions: Front • . , , • • • , Rcar . . Depth Ilcight Number of Stones . S. Dimensions of entire new constnt~tion: Front . . . • Rcar Depth . • . Hciht f~ti..:.'1~,.~,.... Nu r br:r of Stories . . 9. Size of lot: Front ......o~ .L~R Rcar ~ 71Q.. Depth l 10, Date of Purchase , , , , ....,~D,$~ , 7L, , , , • Dlamc of Former Owner , ....~fJ.l~./.~l7 . . . 11. Zone or use district in which prcn) scs arc situated , I Does proposed construction v'solaiie~a y zoning law, ordinance or regulation: . Nd• • • • • • • • • • • • • 13. 1Vi11 lot be re;raded , ~0 . tViil excess till be removed Crom premises: ,Yes Na. . 14. Name of Owner of premises .~U,~~!~,I,Q ~,O,t~l~: Address ...................Phone No............... , Name of Architect , , , „ , , ,Address . • .Phone No.. _ . Name of Contractor , , , i . ....Address . .Phone No.. 15.Ts this property locat'ied within •1 00 feet of atidal .wetland? ^YCS.. .t90. *If yes, Southold Town~,Trustees Permit may be required. PLOT D)AGRAh1 Locate clearly and distinctly all 17uildings, whether existing or proposed, and.indicatc al! set-back d'unensions 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'1~ ,QetecA~e ft~,r~}~'E o~F~ p~ea~PRJ~~ L~y~' P~NI`~ ~®I'~ i>~CIS7 ~~JC~~ X04 /1DUSF ~4Nr7 >~c~OC•~ ~-/~10 • AVP AV AS NOTED DATE: /3 O B.P, li `/Ov7 ~ . r' ~ BY: II' NpTtFY BUtLOdNG REPARTM '765.-9802 9 AM TO 4 PM F R THE i FOLLOWING INSPECTIONS: 9. FOUNpAT10N TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUM91NCi 3. INSULATION b. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ' THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION aI, ENERGY CODES. NOT RESPON8ISLE FOR DESIGN OR CONSTRUCTION ERRORS STATCOF\E1V}G6,R ,_rO~~~5S COUNTY OF ...`•.-~.~11 ~!!..../.".L',.. being duly sworn, deposes and says that he is the applicant • (A'amc of individual si~nitig contract) about named, f~. E (Contractor, agent, corporate officcr,•ctc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contaijted in this application arc true to the best of his knowledge and belief; and that the work will be perfomtcd in the manncr'sct forth in the application filed tltcrcwith. ,y" -Sworn to bciorc me this ~ ' ? 1 Votary Public, • • • County ' ~ .G "~~"'J SEPHH.GIf3 NS G~~~~~~~~yrr max, abra' ~ n.++ r«k (Signature of applicant) - - No, if161B~ °„"w.a w rn~lt swig t11 co~M.t~ i.pw. /p/