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Home My WebLink About19178-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219334 Date SEPT. 4, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 922 YOUNGS ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 018 Block 02 Lot 16.16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1990 pursuant to which Building Permit No. I9178Z dated JULY 3, I490 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 REMOVE GREENHOUSE & REPLACE WITH ADDITION TO EXISTING ACCESSORY STRUCTURE. The certificate is issued to KENNETH & JERIE NEWMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~C./ B ilding Inspector Rev. 1/81 f'OHM NO. f TOWN OF SOUTtlOLD BUILDING DEPARTMENT MOWN HALL SOUTHOLD, N. Y. BUILDING PEISMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ' COMPLETION OF THE WORK AUTHORIZED) N°_ . % ~ / ~ z Date 19.~'.Q Permission is hereby grantyed to: erg, Q ~J , q Q~. 4Rt.~s,` :R~.'.`:,P.`....lw~,f~:~.'.F.L.4?~i4'~'!~.....IJh(1^~. .t,s.l!.R......531.4?..... ` a 4P Cl ~ . of premises located ot .9.~::~e...~!~u-!'.'.:~........?C........~4.d,Aer.~..~ r.................... I County Tax Map No. 1000 Section .....5>.F..9......... Block ......Q..r1.c..... Lot No....~.Sr..:.~.1x..... pursuant to application dated 19.0. and approved by the Building Inspector. J t Fee S..~J.~.:~. tiC.#..d-~i. .f~Lo~ Bui ing Inspector O Rev. 6/30/80 ~ Form No. 6 TOWN OF SOUTHOLD ~""°'~%y BUILDING DEPARTMENT - r"' Q~~,~~..~ TOWN HALL 765-1802 ' PV~'~ ~ 1g9~ 'r`~~ APPLICATZON FOR CERTIFZCATE OF OCCUPANCY (3~J~j~,$Fi~~tSffi't be filled in by typewriter OR ink and submitted to the building ns~®~ F Ei the following: for new building or new use: 1 nal 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 electzical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2110 of 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate o£ 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 natural or topographic features. 2. A properly completed application and a consent"to inspect signed by the applicant. Zf 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 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'puatad Cezci£icate oY Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerci/al9$CJ15.00 - Date ....~~,~,rc.J~~.Q~.•°27J 2' 6~ ::ew Construction........... Old Or Pre-existing Building. Location of Property..... ~D.(.IY1~s 4,~NEJFJU.T._..... House No.~/ { Str 7t^ yn~ Hamlet Onwer or Owners of Property....1.~.~'s1:1l/~1~(//~:'~P.1..1`:~...``4-..11~'.~: ~~c... Ll :..f.~.'L.u.).ti//?:~~//~:1. • • - County Tax Map No 1000, Section... d•D•••••••.Block.....~ ........Lot...~dPf6CL Subdivision..//...//...........................~.y...Filed Map............Lot.............:........ - Permit No...,L.~J..~~~.-.Date Of Permit.'... /.:.~..~~.Applicant.~~~~~C..~.UU'~Yti}Y!C2'::... ((ealth Dept. Approval ......Underwriters Approval.......... . ' Planning Board Approval...• Request For: Temporary Certificate........... Final Certicate..~..... , Fee Submitted: ~ ~Il~! ~/U APPLICANT ~ • . r d ~Jy335~ ` rlELrD II:S:'~C:IUN ~~lln:c ~ COCiMGNTS ~ - ~ v. T m~ t. a ~ _ H ~J FOUIJDATION (1st) - ~ ~ ! FOUNDATIOtJ ( 2nd ) ~J - r 2 . 0 P.OUGH FRAME & PLUMBING r ti 3 . ~ (A ro IJJSULATION PER N. Y. ~ • • y c~ STATE ENERGY CODE x r ` 4 . ' T~7 y FI;JAL ~ ADDITIOP]AL COMMENTS: ~ { c~ ' x ro^ H 9 ~ C H H ~ O ZN x r _ H x r~ m ^o H 9/ 7~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION '1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~ ~ ~ _ DATE ` ~ INSPECTOR r ~ ~ ; j ~ _o ~-_____i----~ ( z ~ ~ ~ ~ i o ,i i 1? . I. ~ ~ ~ c n ` V H--~~` , C i c-- ~ i~f'o ~ R~ ~ `l ~ 4 'j% ~ S 'v1 ~ N C~ r' n m I I ~ I i I r i i J 1 ti . ~ ? ~j 1 + O_ I _ ui~u, ~ ~i...~..~.,~~~~~~,~~~~~~~,,.....,,~~~duume~~~~~~.~~~~.,.~_..~~...~.....~,.~...~~..___~~,~~~..~,,..._._ ~ w ~ a Feu ~ Lvaod s~ ~~y ~ ~ , ~GO~ ~ ~ ~ ~ 6~~ i ~ ~ ~ ~ l ~ ~ w~~ ~ h QATE ~=B.F N ~f 7 B ,,,-V U~\~~ FEE S'~- B~, _ a ~f_~_. C~-'~ NOTIFY F '~~Din, ~ "tT -,T x - 765 180. Ann 7p a +E - ~ FOLLOW,7d~ !naC~'E'C'RiSr~ . C~ OR 1. FOR PWRES3 CONCR4 RF._'7 OCC~P,,^A''Nt pA~cS~ppl~~ 3. NSULAT10NAMING 8 '~"/!BIF.,i r ySE ~S nt~t1FwvA 4. FINAL - CONSTRUC ~ iON MUST ALL ECO STRUC7 ON SHALL MEET THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY ` Ss~~ \ ~..tP Sd CODES. NOr RESPONSIBLE FOR 1 ~ W u /Vr DESIGN OR CONSTRUCTION ERR _n . o ~ J ~ ` ~ n Uj ~ ~ c_a _ A\ r f ~L r tD _ l ~P ~ ~ 6 1 s,~i ~-~-C..G N ; - ~ ti- 41 ?~=7~ ~ ~ ~ lr.- ~ ~ y ~ ~ ~ ~ ~ ~ ~t l v ~ ~ ~ ~ ~ ~:.p<.~~.. ~ r O' T r ~ q L~`~' ~ 1T ~ ~ ~ ~~„tVf. ti ~ ~ 1of alp , . ~ ~ ~ } ~ ; r" ~ ~ _ ~ ~ ~ ~ r ~ ~Y L w ~ / ~ Cv ' y ~ vh~t + u~ ( t i ~ ~ F( 1 ~ ~~'y$ `V~ 1'*' ~ E V. S~ ~ 444 ~ '~1 .,G~ i t ~ ~ ~ i ~ e i t e ` .---i l ! l ~ BOARD OF HEALTH 3 SETS O~pLANS FORM NO.t SURVEY~~.yt,~:•... TOWN OFSOUTHOLD CHOCK J BUILDING DEPARTMENT SEPTIC FORPI TOWN HALL $OUTEOLDGS- 8021971 xOCALL `..3,?,3, : ~Gl92, • • • • • • Q ~ ,,pp MAIL T0: Exatnincd `{..~`~.'!D.., 19 9.~ . . Approved 19 9.~ Permit No. ~ ~..7.8.~- . Disapproved a/c (Building Inspector) ~1 tt APPLICATION FOR BUILDING PERN117 BLOLi.OEPT. TOWM OF SOUTHOGtI Date 15 . INSTRUCTIONS a. Tlris application must be completely filled in by typewriter or In ink and submitted to the Building Inspector, with ~ sets of plans, accurate plot plan fCxscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to ad}oining premises or public streets or areas, and giving a detailed description of layout of property must fie drawn on the diagram which is part of this appli- i 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 applicant. Such permit shall be kept on the premises available for inspection throughout the work. 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 IIEREBY 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 Lativs, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for rem 1 or demo]itian, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin~n,~C"6 , ho ing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signa[ur ~ of applicant, or name, i{f a corporation) • • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..~V.~YJ2,C .............j~............................~~yy.~~.~~......................................... Name of owner of premises ..Kel'a.l:,~~h • .`a} . U. ~.~.1.~.... fl}c. 1J.).I!1:1.a ~ . (as on the ta:c roll or latest deed) (f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..•..~t1~Y12'~ Plumber's License No . " Electrician's License No . ' Otlrcr Trade's License No . . ,n~'.4 ' Location of land on which proposed work tviPt`-b~: done; C~ a 2 t,a~f~.~p , . PCi~4~:e . ~d : PIIS~ ra'F..~P1~t?~.t S..~> ..Q.'__.. le!~~ Flouse Number t" Street Hamlet County Tax Map No. 1000 Section ~j........... B['ock • • , , , , , , , , , , , Lot . ~.~D.•.~.~0....... . , Subdivision ftilcd Aiap No. Lot . (Name) • State existing use and occupancy of premisj(e~~s and intended use and occupancy o.{f~pro~posed construc{t~io~n: . A. l;xisting use and occupancy. t-'1~S~4r`~. U U~ . (-1-1'~Q.V(lliPlt° ~ t tu~~'-• q,,~ ~ B. Intended use and occupancy.. c}AYrr~.• • - l~•t•~'•~• • l~~r`•'~u~BY)`-3'• • ~~~n~~VSe-" " " ~ i 3. Nature of work (check which applicable): New Building Addition Alteration ~~~:e r~ Repair Removal Demolition ..............Swimmin; pool............ Tennis Court Accessory Building..........Ferlce her Work 4. Estimated Cost ~ . Fee .~aZ.1~: I d . (to be paid on filing this application] 5. If dwelling, number of dwelling units Number oC dwelling units on each floor If garage.numbcrofcars 6. iCbusiness, commercial or mixed occupancy, specify nature and extent of each type of use . 7• Dimensions of existing structures, i f any: Front . Rear Depth . . Height Numbc; of Stories . . Dimensions of same structure with Alterations or additions: Front Rear • . Depth . r~.-.-r•~». •~r;,;';~.23..;.'......'ilIeight ......................Number of Stories . 8. Dimerisiohs`~E~~n[tre rt~~V ~pnstnictnon: Front 2car Depth . Hcigltt Number of Stories 9. Size of tott~Frap~tt ~=i........ Rear Depth 0. Date of Purc~35e , ; • ........Name of Former Owner 1. Zone or use district in which premises are situated . Does proposed construction violate; any zoning law, ordinance or regulation: .1:~0 3. Hill lot be regraded ~ Nill excess (ill be removed from premises: / . Yes , No . . 4. Name of Owner of premises • .............Address ...................Phone No , . Name of Architect .........Address . .............Phone No................ . Name of Contractor .Address ..Phone No.. ~ lS.Is this property loc„~te!id•within 300 feet of a tidal wetland? *YCS....NO.tI. • *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly.all buildings,, whether existing of proposed, and. indicate all set-back dimensions from :roperty lines. Give street and block number or description according to deed, and show street names and indicate whetherr nterior or comer lot. see A~r~a~h~ 4 i i i ~I ill i STATE OF NE1V YORE, S S . ~OUNTY OF.. • • • • • • • • • ~r~ ~ • • ~ y • being duly sworn, deposes and.says that he is the applicant • • • • (Name of individual si nin contract) , tbovc named. He is the .......Qw~~i~........ ~ (Contractor,~agent, corporate officer, etc.) ~ ~ • ~f said owner or owners, and is duly ;i'uthorizcd to perform or have performed the said work and to make and Gle this tPplication; that alt statements contained in this application arc true to the best of his knowledge and belief; and that the .vork will be perfomtcd in the mannersut forth in the application Gtcd therewith. Sworn to before me this i Votary Public, ~2~-!`~" ' ' . County ....~000PE~t NotarvPublic, Steteof New York (Signature of applicant) No. ~Zas De mbar 3~1.1s+--* • • Term Exp _ -