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HomeMy WebLinkAbout19142-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z1923Q Date JULY 23, 1990 THIS CERTIFIES that the building_ Location of Propert~ 2140 BRIDGE I~JqE House No. County Tax Map No. 1000 Section 85 Subdivision ISMAR ACRES ADDITION CUTCHOGUE Street Hamlet Block 02 Lot 26 Filed Map No. 5872 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1990 pursuant to which Building Permit No. 19142Z dated JUNE 21, 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A DOREEN AND FRANK J. KRUPSKI /~~uil~din~g~nspector Rev. 1/81 I~ORM NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $O~THOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ' 7142 Z Permission is hereby grant,ed to: / ~ to application dat~ ....... ~. ................................. , 19..~ and approv~ by the pu~uant Building Inspector. Rev. 6/30/80 TOWN OF SOUTNOLD BUILDING DRPARTHENT SOUTHOLD, NKW YONK 11971 · 765 - 1802 CKRTIFXCATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-KXTSTXNG BUXLDXNG..~...VACANT LAND ........ NEED CO FOR NEW DECK Locatinn of Property.......--..-~---2140 Brid~e Laq~,.~q~og~.~r~ .................... HOU~*NO. ~TRggT HAMLKT Owner or Owners of Property ...... ~ .J...~ttp~.~d. pq~e~ep.~p~ ............. County Tax Hap No. 1000 Section .~... Block .~ ..... Lot ..~6 ...... Subdivision ....................... Filed Hap ........ Lot .... ~ ..... Appli Frap~ J. Kru~ski Permit No. .......--19142Z .Date of Permit ........ cant Health Dept. Approval ...*--..---------- Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate .... ~ ........... Fee Submitted: APPLICANT. Fra W±lliam W±ckham PLEASE F~KWA~D ~.O. TO: Wickham, W£ckham & Bressler, P.C., pO Box 1424, 11952 NY Thanks so much! rev. 10/14/88 FOUNDATION (1st) FOUNDATIOn,! 2. ROUGH FRAME & .PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL APPUCANT _ - YOUNG & YOUNG 400 O$1'RANDER AVENUE, RIVERH£AD. NEW YORK SURVEY FOR: WARREN WRLDVOGE~ £OTNO ~ __ _CUT__C. HOGUE · ow~ o~ SOUTHOLD FORM NO. 1 TOWN OF gOUTHOLD '" BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 ~ TEL.: 705.1802 Examined. ~/,~/ ......... 19 Disapproved a/c .................................... BOARD OF HEALTI-I ........ .... 3 SETS OF PLANs ............ SURV,E,Y ..,~ ....... SEPTIC FORH NOTIFY: CALL 1. Location o£1and on wh~ich proposed work will bc done~ [louse Nun]bet ~ ' Street .'_ Ham/et ................ Count ax Map No lO00 Section ............ BlOck . ' Lot .... bd/ ' ~u vision ................... ~ .... ~ilcd Ma o. (Name) .............. Lot ........... ' Slate c .' " . x~Shng usc and occupancy or premises and ~ntended Use and occupancy or proposed construcfiom Other Trade's Hcensc No EIcctrichn 's License No ....................... (Name a~d~titt~lbf ~orporate office~').- Builder's Licehke No...~..~~ ..... Plum bet's License No ........................ OCCUPANCY OR USE IS UNLAWFUL 'WITHOUT CERTIFICATE OF OCCUPANOY INSTRUCTIONS a. Tiffs application must bo completely filled in by typewriter or in ink and submitted to the Buildi~gliXSPector, with $ sets of plans, accurate plot plan to scale. Fee according to ~chedule. b. Plot pl~ showing location of lot and of build~gs on premises, relationship to adjoining prem~ or pubEc streets or areas, and giv~g a dot,led description of l&yout of property must be drawn on the diagram which ~ of t~s app~- cafion. c. The Work covered by t~s application may not be commenced before issuance o[ Building Peril - ' d. Upon approval of this application, the Building Inspector will issued a Building Pe~it to the appel Such pe~it sh~ll be kept on the premises available for inspection throughout the work. e. No build~g shall be occupied or used in whole orin part for any purpose whatever until a Coati--of Occup~cy sbJll have been grated by ~e Bulldog Inspector. ' APPLICA~ON IS HEREBY MADE to the BulldOg Dep~ment for the issuance of a B~Iding Pe~it ~muant to the ~uilding Zone Ordinance of the Town of Southold, Suffolk County. New York, ~d other applicable ~, Ord~ces or Regulations. for the construction of bufld~gs, additions or alterations, or for 3emoval or demolition, ~ ~ de~c~bed. The applicant agrees to comply with all ppbcable laws. ordinances, bufld~g code, housing cod~% and ~/ions, ~d to admit authorized ~spectom on premises and ~ bulldog for necessaW inspections. , . . ,. ................ ¥?.. S O State whether appfli~i'~e~fii~ l~ss~te,' 'age,t, ~chitect, engineer, general con~ractor, electrician, plumber or builder. JSappJicant is a co~oraho~/~l,~nature OFduly authorized of~cer. 3. Nature o£work (check which applicable): New Building .......... Addition .... : .... Altcratmn · · .............. moval .............. "mo.tion .... ....... :. ~ ' '~e~ · Fence ....... OCher I~ork ..... 4. E~timn~ed Cast ~ ' (to bc paid Da filing thi~ application) S. If dwelling, number of dwelling uOits .......... ; .... Number of dwelling units on each Hoer .......... If garage, hum bar o f cars ...... ] ............................................................ ~. If business, commercial or mixed bccupancy, specify nature and cxtcnt of cach type o~ uae ............... 7. Dimensions of existing st~cturcx~ ifan7: Front ............... Rear ............... Depth ......... Height ............... Number orSto~ca .................................................. Dimension~ of same structure with alterations or additions: Front ................. Rear ............ Depth ~ H '~t N f St a Di i f ntt ~,i :Fr : ' ':'''~'' ~t~'::::::::: .... . ~C~S Dna o e rc ~cw coastal O~ oat .. ....... .... ear ............... .... Height ............... Number of Stofic,~ .............. ; ....................................... 9. Sizeoflot: Front ............ .......... Rear ...................... Depth .................... 1O~ Date of Purchase ............ , ................. Name of Fo~er Owner ........................... I I. Zone or use district in which prc~ises are situated .... ; .............................................. 12. Does proposed Construction violate any zoning law, ordinance or regulation; .~ .................... 13. W~I lot be regradcd i I N~e of Owner of premises ~ " Address Phone No ' N~e of Architect ........... ~ ................ Address ................... Phone No ................. N~e of Contractor. .......... 15.Ia :h~a proper:7 locacied ~i~i~'[~'Address ''' · ~ yes. Sou=hold TO~n[~ruatees PermlC may be ~equired. PLOT DIAG ~M Locate cle:17 ~d dist~etl7 ~1 6ufld~gs, whether existing or proposed, ~d, indieat: ~I set-back d~an~ions from prop:~7 Hncs. Give ~treet ~d b~ock nhmber or desc~ption accord~g to deed, ~d show street n~es and ~d~ta whether iatefior or co.er lot. STATE OF NEW YORK, COUNTY OF ' ' · APP, ROV, ED AS NOTED / DATE: ~S'R ~ FEE: ~~sY: ~ 766,-1802 9 AM TO 4 PM'rFOR FOLLOWING INSPECTIONS; 1. FOUNDATION ~O REOUIREO FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBIN~ 3, INSULATION ~. FINAL CONSTRU~ION BE COMPLETE FOR C.O. ~LL CONSTRUCTION ~HALL THE REOUIREMENT5 OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~ RE~PON$1B~ FOR D~SIGN OR CONSTRUCTION ; deposes and says that he is the applicant ................................................. being duly sxvorn. (Name of individual signb~g contract) above nam'cd. Fie is tile ; . . : (Contractor, agent, corporate officer, etc.) of sald owner or owners, and is dulyi:mthorized to pe.rform or have performed the said work and to make and file this application: that all statements contaihcd in this application are true to thc best of his knowledge and belief; and that the Work xvill be perforated in the manner ici forth in the application flied therewith. ./,' Sworn to bet'ore mc this i ..;I ................ ./..~. .... day of.{. ' ......... ,19 . .... i. ..- --' ......... ..-- I~. 4707878, ~df01kOo~Y ~-, ~ ' (S~nature o f apphc=n;)