HomeMy WebLinkAbout18918-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19118 Date DONE 7, 1990
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 40 BEACHWOOD LANE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 070 Block 10 Lot 62.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 26, 1990 pursuant to which
Building Permit No. 18918-Z dated MARCH 29, 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 ALTERATION & ADDITION TO EXISTING DECK ON ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT & NOREEN FISHER
(owners)
of the aforesaid building. i
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N{A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
~i
Bui ding Inspector
Rev. 1/81
Foss xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 1, $ 918 Z Date ~.G~.~::Gl.T.....°.~..( 19.~d
Permission is hereby granted to: ,
..`..:1.'.1.41 Aru; 1.?~'!"^~....~~7. P' ..~5..~.......
......~..~.~.~.G.,....N :.y,.:....1..~.9.
to....~:...~R..~R.....~......a.~,....~.~~.o..~:,::~....~~.>:~.
............o
ct premises locoted at V..0.:f~4'2.4~'~?':Y ~R"'LA- ~_a
County Tox Map No. 1000 Section\.........C?~1.~.... Block .......1..4......... Lot No....1'9.a~.~...1.......
pursuant to opplicotion dated ......~.GEC.I~.....,c~.!'R )9.9.0.., and approved by the
Building Inspector.
Fee
Bu ding Irespectasr
Rev. 6/30/80
<<
TOWN OF SOUTUOLO
BUILDING DEPART2fENT'
TOWN DALL
SOUTDOLD, NEW YORK 11971 "
765 - 1802
APPLICATION FOK CERTIFICATE OF OCCUPANCY
DnTE r?aY 3?>. 1990 . .
r
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING.,,.,.VACANT LANT)........
(
Location of Property....... L~0 ~aehaaood•'~arie So~thold.._.
HOUSE NO. •"STREET HAHLET
Robert ~r Noreen Z;'isher ,
Owner or Owners of Property...,....... ~
621
County Taa Map No. 1000 Sectiono7Q, Block 1!J Lot
Subdivision.Southwood._..,.., Filed Map2141 .-.,.Lot.. 12 '
1~91~'L 3/2990 PP nvg.ronment ~;ast;, Inc.
PermiC No. .Rate of Permit ,.A LicanC'
for ~Oainers ~
NA
p pp N A Underwriters Approval..
Health De t. A rova.l_,;,,___, „
Planning Board Approval
Request for Temporary Certificate ........Final Certificate
Fee Submitted: $..25.00
APPLICAN J. Pres:.........
tea' y~~~;;~. ~,nwir~nrie±at~T~.ast, Itic:
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ev. 10/14/88
(~ee,3y68'~
I;:SP~C:IU1J ~~llATE ~ COMMENT° ~
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FOUtDATION (1st)
- c~~,
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FOUNDATION (2nd) - m~~
z
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G
P,OUGA FRAME &
PLUMBING
H
31
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3.
~
I1dSULATIOP7 PER N. Y. ,
STATE ENERGY
5
CODE ~
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4 .
FIi3AL
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ] !ROUGH PLBG.
[ ~ FOUNDATION 2ND [ ]INS CATION
[ }FRAMING [ FINAL
REMARKS: j
DATE INSPECTOR
~?.~°.c,
n``nrµ j~~ y/~}2u,Q,~80ARD OF HEALTH , , , , , ,
~~IJt~f~~ ~ 3 SETS PF PLAN
D FORMry0.1 SDRVEY ...~/oaf
?r, TOWN OF50UTHOLD CHECK
Z BUILDING DEPARTMENT SEPTIC FORN
~~.a•..,.,~._.„._,.,....,~,,~~ TOWN HALL
rsi_rr; ~j,~~f:,~; vOUTHOLD, N. Y. 11D71 NOTIFY
-rcrtvty t,~ ~r>uB-ra,3t ri TEL.: 765.18p~ CALL
. v,. , ~ , , , , .
Gxamincd.~?:~0.~4~..a~...,199°. MAIL T0: 73Y 7~. ,
APProved .~~~`..~9.., 199A.Permit No. /.`~.9~.~.'~. '
pisaPProved a/c .
~ v
(Building Inspector)
APPLICATION FOR 6UILDING PERMIT
J lJ
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Bujlding ItupactW , wtth
ets of plans, accurate plot plan tq state. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street:
>r areas, and giving a detailed description of layout of property must be drawn on the diagram which is port qF this appU
:anon.
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 tq the applicant. S4Gb permit
hall 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 pf Acgupancy
halt 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
tegulations, far the construction of buildings, additions or alterations, or for removal or demolition, as herein described.'
.he applicant agrees to comply with all applicable laws, ordinances, buUding code, housing Gade, and regula4ia{ig, and to
dmit authorized inspectors on premises and in huilding for necessary inspections.
~.nor/t~~Cl2~?~f.T:.~'./}v:7...,lR/~......
(Signature pf applicant, or name, if a corporation)
(Mailing address of applicant)
Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician. plumber 4r btahder.
tame of owner of premises l~o~t'Y:~.4. ~lAa'~?~... •~~G`.~~ . . . . . .
(as on the tax roll or latest deed)
f ap :cant p ti n, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. . , ~ C"
• • • • • • • • • • • „
Plumber's License No . .
Electcician's License NQ . . . .
Outer Trade's License No . .
Location of fend on which praposcd work will be doge. , ~ . . . . . .
House Number Strce~ Hamtet
County Tax hlap No`.`10p00 Suction-I V• • • • • • • • 'B1Yck ~ • ..l. (.ot , ..l~J.~ : ! , .
Subdivision~S~.-~'~11~,2p~C~ F~itedtv1apNo. .s~.ti~!...... j.ot..)Z.'..........
(Name) t'
State existing use and occupancy of premises and intended use a`nd occupancy of proposed construction:
a.Existinsuscandoccupancy .~.1.'11gJ,:~..~Grv~:\y wet\~~~
b. Intended uu and occupancy .~L'n.CJ~?..:tf~~:Y1~~y...C)Wt?~~•) , Rl~.QY,'G;~ ;°.`n ~-.~ar~ioh
V i t/
3, Nature of work (check which applicable): New Building Addition • Alteration .
Repair gust , • • • , • Demolition Other 1York , .
Acm
~pescriptipn;l
t. Estimated Cost . O o c~...-...... Fee . r , .
~T `~,r (to be paid on Gling this apP~icatiarl)
If dwellins, number of dwclling!units , . . Number of dwelling units on each floor , . , , , , .
If garage, number of cars . . . . , ~ , . , .
i. If business, commercial or mixed occupancy, specify nature and extent of each ty,.pe of use , , . , . , • , .
Dimensions of existing structurtis, if any: Front . . ,Sv,~. • Roar ..,..~.Z(". , pepth • • ~ . • .
Height .~ri?:.......Nurt~berofStorics
Dimensions of same structure with alterations ar additions: Front , , , , , . • • • • Rcar . . . . . . r
Depth IIcight Number of Stories , . , , , , , , , , , ,
t, Dimensions of entire new construction: Front ....a'~.•3 , , . , , . Rear , • ate, 3 , pepth ..1,~. , , , , , .
Height Number of Stories • . , ,
.....,!''aP.:..r........ Depth ...~e?
I, Size of lot: Front r , .~,a7, , Rcar
Date of Purchase ..................Name ofFormcrOwti~r
Zone or use district in which premises arc situated , ..~~s:~~Jeu~~~a-. • • . • • • • • • • • • • • • • • • • • • • • • , • . • .
Does proposed construction violate any zoning taw, ordinance or regulation: ........1~4 . . . . . .
• Will lot be regraded , .......(~J,P. ............Will excess tilt be removed from premises: ;Yes
• Name of Owner of promises , F~sbe Y:....... Address 23:x. S1•.~~ns.~yuct~ Phone Nor . . . . . . . . .
Name nf..Arskitect': ' ,I . . • , ...Address . , .~'JC4vk~~C r.... , Phot+a Np.. • . , , ,
Name of Contractor ~nu~.~ametl~.. ,~QSf.. !C)<t... Address . , . .Phone No . . . . . . .
S.Is this property loca',ted within ~QO°£pet aI a tidal wetland?''*XES..,.NA~.,r
*If yes. Southpld ~owq.Truste~s YermiC may be requited,
PLOT DIAGRAM
Locate clearly aztd distinctly all's, buildings; whether existing or proposed, and. indicate alt setback dimensiarts from
operty lines. Give street and block Wombat or description according to decd, and show street names And indicate whether
tenor or corner lot.
e cc~~~~.cy~.2 ~ ~ R.v c~,
ATI: OF 1:EW YORK,
LINTY OF . r , ~S,S
• • • . i r r • r being duly sworn, deposes and says that he is the applicant
(Name of individual signiltg contract)
.vQe named.
tT the rr,rr,rrrr•rr /,r? 1 rr..rrr•r •r~rr rrrrrrrrrrrrr•r• •r••r,r,,,. „ 1,,,,•?
(Contractor .•nf;.corparatc officcr,cko.)
aid owner or owners, and is duly autho perform or~havc performed the sail work and to make and Cile this
lication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
k will be perlorntcd in the manner',sct forth in the application t'ilcd therewith.
stn to before me this i
~~°..z .day of . 19
. Gtk ~sv . i7:. • ~.Q Y.~ County i ,
ary Public,
(t • .tarp Of applicant)
HELEN DEVDE
N(YfARY PUSLIC,~e of NeU1wI(Yark
TerNro ~Expues f~a ch
30, 18,~L