The URL can be used to link to this page

Home My WebLink About19216-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22013 Date DECEMBER 8, 1992 THIS CERTIFIES that the building. ADDITION Location of Property 1875 JACKSON STREET NEW SUFFOLK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16~ 1990 pursuant 'to which Building Permit No. i9216-Z dated JULY 20~ 199~ 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 AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARtmENT OF HF2LLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MICHAEL E. GUILL & BARBARA BUTTERWORTH Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No_ BUILDING PERMIT (THIS PEPoM, IT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Z Date .... ~.! ..................................... , ~......~ t / · _~,~/ . . . ............. ; .... -~.~ .......... .... ............ ~.....,. ~ ...... ~:~.~,~ ~..'"""'.'"'~".2" ~' ................... at premises located at ...../.~..~(.~~.~.~.....~, ....................................... County Tax Map No. 1000 Section ..... ./../...Z ........ Block ~ ..../,...~,... ......... ....................... Lot No. pursuant to application dated .......................................... , 19..~..~.., Building Inspector. Fee $... ~~ and approved by the Rev. 6/30/80 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFF/CE OF BUILDING INSPECTOR TOWN OF SOUTHOLD NOVEMBER 20, 1992 GEORGE PON~INO P. O. BOX 2 ClrrCHOGUE, NY ! 1935 RE: MICI[~EL GILL & BARBARA BU~TERWORTH To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~x An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~x~X~not on file.)$25.00 No Health'Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT 9 19216-Z (Deck addition) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: MICHAEL GILL & BARBARA BUTTERWORTH FOUNDA'TION FOUNDATION 2. ~(lst) ROUGH FRAME & ·PLUMBING ¢2nd) INSULATION PER N. STATE ENERGY CODE FilIAL ADDITIOM~L COMMENTS: 3 SETS OF PLANS .~'%-/~-'.. 'FORM NO. 1 SURVEY ........... BUILDING DEPARTMENT TOWN HALL NOTIFY , SOUTHOLD, N.Y. 11971 CA~ ................ ~ TEL.: 765-1802 MAIL TO: Disapproved a/c ..................................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of ptans, 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 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 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bui/ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (~J~Plicant, or name, if a corporation) o ~. ~.~ ...... (Mailing address of applia/ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... .Fro.. :[. ¢.,.,< .................................................................. Name of owner of premises ....~...q:.T.~.O..~..~,~ .~..~.~..e~...u?.q'f?..~...-:-..~..l.q,.~.e:.q ?.,....~'l.~' l ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , ALL CONTRACTOR'S M.U~T^B_E SUFFOLK.~g-OUNTY LICENSED Builder's License No...l. 7;~ ./~].'~ .~ .~7...~?. ! ~. .... Plumber's License No ......................... Electrician's License No .... ~/k .............. Other Irade's License No... {~]/~/. ........... I. Location of land on which proposed work will be done] ................................................. ...... t.g 7.¥.. ,s'.rr.,.<7 ............................. House Number Street Hamlet County Tax Map No. 1000 Section .../.]..~.. .......... Block .... ~. ............ Lot...J..2./ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... Nature of work (check which applicable): New Building ..... ' ..... Addition ..~. ........ 'i~l,k~.t,~ii0fi Repair .............. Remoyal .............. Demolition .............. Other Work ........ ~'7 ~.~;~;. 4. [ Estimated Cost ....... ..~4..~.0..0 ...................... Fee ........ ' ................... ':... (to be paid on filing this application) 5. I If dwelling, number of dwelling dnits ........ Number of dwelling units on each floor. ' ' ' If garage number of car~ 61i[ If business, commercial or mixedi, occupancy, specify nature and extent of each type of use ..................... 7 Dimensions of existing structureS, if any: Front ........... ~... Rear .............. Depth ............... [ Height ............... Number of Stories ........................................................ [ Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. [ Dept .................... ,. Height ........... I .......... Number of Stones ........ "-8. i Dimensions of entire new construction: Front .... [ .~.. ' .... Rear../..~. ......... Depth . I; Height ............... Nufftj0er of Stories ........................................................ 9. [ Size of lot: Front ...... /.&.~t~ ~ .......... Rear ..... /.' .~.~"..~ ............Depth .... ~,$.~.6f ............ 10. [ Date of Purchase ...... .biT. J.~ ................. Name of Former Owner .. )0'.G~Pl'~.'a~. ................. 11. Zone or use district in which pre~nises' are situated ........ ~x ~ 5.ti.~. .v-~.'TE'.~. ............................. 12 Does proposed construction violate~ any zolaing law, ordinance or regulation .... ~"~.~ ............... 143:[will l°t be regradedName of Owner of ....... 1~ ~'~f~ T~'"'i ..... ~.O. ......... '~.l.'~ddressWill excess fill be retook:ed from premises:~.~,~,~ ~' f: ~'.,t t,r' Yes premises ,-~ .,..~. ~.qE,.-~ .~... ~, .-rr:..~ W.'. '. ~-~,.. Phone No ................ [ Name of Architect .......... i ' · '---, ..... ......Address ................... Phone No ....... [ Name of Contractor. ~ o. ~.~ .~o ~.T[ ~,~· .... Address .~ u~r.~,h. Pc~./.~.4V~..... Phone No. ~,5..d.~.*:..~" 15.[ Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No .~.. ~If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from pro: )erty lines. Give street and block gumber or description according to deed, and show street names and indicate whether inte flor or corner lot. STATE OF NEW YORK, S.S CO~Y OF ................. · · .~ .............................................. being duly sworn, deposes and says that he is the applicant ~ (Name of individual sigmpg contract) abo4e named. He i[ the ...................... ~ .................................................................. ~[ [~ (Contractor, agent, corporate officer, etc.) of sbid owner or ownem, and is dulg authorized to perform or have perfo~ed the said work and to m~e ~d file t~s appl:jcation; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner[set for~ in the application filed therewith. Swo~m to before me this ............ .... ...... ........ .' .... ~. . .... .. ou.t ~ 4~0~, su~l~ ~. ' .............. ~ b~r0s ~tch ~, 1, V/ (Signature of applicant) _!