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HomeMy WebLinkAbout18962-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20211 Date SEPTEMBER 12, 1991 THIS CERTIFIES that the building ADDITION Location of Property 2250 NORTH SEA DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 100Q Section 54 Block 5 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1990 pursuant to which I Building Permit No. 18962-Z dated APRIL 19 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 AS APPLIED FOR The certificate is issued to JOHN CHIHLAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-199386 - AUGUST 9 1991 PLUMBERS CERTIFICATION DATED [d/A ~t uil ing Inspector Rev. 1/81 rows xo. s 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 ~ g 6 2 Z Date ~ 19.17. Permission is hereby granted to: .....~.~.~..~~~.s ..................::........,~9 .~~~~,0,.,~.,,...~~..< ..!..........7~ ro .~n9.N~~~~. a-...... 4x~-rf~..... ~r~~~.~~~ J. ..~....~~~Gc~~O.~~rr..r .~...,~~~;~,..~..~~.....~.....~,~,a,~ :.~.....i of premises located a~~.. Z.~~.........f~.Q`~.~e~/~....~,,;Qsx..~.l.~!'c.~. ~G c'n" ~.i" "P ~ ~J..................................................................... . County Tax Map No. 1000 Section Block Lot No...~-+,. pursuant to application dated 19.~~~.., and approved by the Building Inspector. Fee $.t 7.~... B ding I for Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~r~<:-. -~.DO'~..0 ~1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dote Ai1GU i-' n9,`y9' Application No. on file 7; 9!'-.TIS.U/90 7"'lai8"• THIS CERTIFIES THAT only the deetr4sJ equipment a described 6sbw and Introduced 6y the opplicent named on the eboae application wumber in the premise of ~OHDi CHIHLAS, 2?,S Tdr_r;:,°'ii S-;A. 0'? SO',;THOL~, G; .'P. in thefdloFrinp GFCation; ? Roseman[ ? Ist Fl. ~ Pnd F'1. Oi. , Sectian Block Lot uw esamined un '~t;?~1 ~~~.-~y mdfoundtu ba in caolpliam~r TSith eha reFpTirements of Chia Berard. pX1URE ACl6 fWRt]I!S RX ORES RANGES COOKING DECKS OVENS DISH WAfINRS EXNAUSi fANS OYTIliS INfANOESCFNT FlUO1tFSCFNT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMI. K.W. AMT. N. r. 2 3i :5 _ 2 . DRrxs RnINACE lAOioRS wTFKtE •rrsutta IEEOERS sPEC111l REC7T TItRE CIOCKS pXt 1F111r tIEAneE tWtn~0ut1lT DIIAIAlRS AMT. R. W. 01l N. F. GAS N. r. AMT. NO. A W. G. NAT. NAI. AMT. AAVS. 7RANE. AMT. N. r. N ~«D! RRT AMT. WA775 ~ J swvla wscartN[ci tto. a s E R v 1 c E AM,. AAe. TTFE I w rw , J sw s ! ]W s / +w No. Rs OF CC. COND. GF NI-lEG a"~~;uc NG. OF AeunAls a ~NWFUTUI 4 I OTNEE ANARAiIIf: NOTORS:i-0.75 H.P. i G & S CON'PEACTON _C.#:,703 BOX 2J.5 SOUiHO~_;i, ~!'f, OfNRA1 MANAOM Ptr ~1 • • ? This drtificaN must not be ahered in any.enanmr, roNm to the oFiica of tM Board if incorrect. Inspectors may bs identified bT their ctedenKala :6.t.~ Zpys{~~GT,LC1t~ - IfD?47~ i~ Co.`c~tc.uT.s ~ I a ~ C ~.1"\ ~ QS` R1 OU']DATI0;1 (2nd) _ ~ ~ ~ :DUGS FRpilE & at .PLUMBING H • ~ C~1 3. -a IIISULRTI0:1 PER N . Y STi•T« Ei1ERGY 1 CODE f _k . 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GuarsnYesa Ind:ra<ad hereon shop tuk ~j - I m /l orr• [a Ore perxon for whpm the surye>i' •x / ~s o: e:•~red. znd pn hie hc~ha(f t0 the , ~Z Q ~~i w ::r. •;vrernn+ontal agency arlQ r.~ncn Feted horeon entl I I N , . ~s of tho !onCing instl• ` ~ _ 'sxs Rre noI 4renstePahie - {~:PCn90r SUbsat)peM ~ a3~°59'3Q°W. 96.oi ' 5~0 25'30~W ~ 1 { 3.52 ~ SCAL~'~4'J'<;° i JENN:NGS 'MONUMENT O° LOC'S15_._,_ T 5T,0.sCEg, j i ,:P ~(;~CvK~gV,y,y f~9 I i i.t3~F 0 '/hit cjr Tl MAP'~F PP,s~p~RTY F ~ ~ 2 C 5 2 5;5ry 4~ 5UC2VEYE~ FO+y2 „ ~,1 sFdc,A>vos~R' r; { 1....E t,~ N,~ i~ ~~'T";:i ~ .v, ,si ~ t _ ~ s`-~ G lav~°,taed 'ro Vie. A.cs•,aK.i~tss+ .4: 4"=~i CO (`+3 'T";t to Ir15.: r~GYnc.;x fa-s~~,x na; cxs ~ ~1 ~.i+~+y cln~v~~,..~d QCac~Y t5, f'''.,~'.`f'.1. SOU~_i_^3Ci..17 i~., T 'OWN ~ ¢ r'1<~, ~ ,~kl,~ V,nri uv~, P. C. ~ ~ 5J'''"'4rJLC~N•Y ~a'~ µ - F ~~'"~--.~.~^a,.w-.:.-a llCENS~Ci tANC? SU4ZVGYGC?5 ~ ~ 1~-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] !ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAM{NG ~ INAL REMARKS: ~ ~Z ~U~~- DATE INSPECTOR BOARD OF HEALTH 3 SETS OF PLANS ? ~FORMN0.1 SORVEY TOW V OF SOUTHOLD CHECK ~ BUIL"D.INGDEPARTMENT SEPTiC FoR,f TOWN HALL NOTIFY EOUTHOLD, N.Y. 11971 CALL TEL.:7G5-1802 MAIL T0: Examined . , 19~f'J 3~ Approved 19~. Permit No.. ~9. ~6z~.~ ti~~ ~,~C~~~,,~ ~•~C._ ~~p Disapproved a/c U I i~oYa uildin~ Spector) APR ~ 61990 APPLICATION F R BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in inl: and submitted to the Building Inspector, with 3 sets of puns,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 Buildin; Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi[ shall be kept on the premises available for inspection throughout the work. e. No building shall 6e 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. ' APPLIGITION IS HEREBY hfADE 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 Re;titations, for the construction of buildings, additions or alterations, or for r oval, or demolition, as herei.-r described. The applicant agrees to comply tivith all applicable laws, ordinances, building o e> housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect- n . V~a~.... (Signature of applicant, or nam , if a corporation) (hfailing address of applicant) State whether app©lic~a^ntyis olwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner oC premises ~:n....1.~~~ h.L.~,:S . (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 COt7TRACTOR'S MUS BE SUFFOLK COUNTY LICENSED Builder's License No. ....~~~~.3~?~.,....... Plunrl;cr's Liccnsc No . . Electrician's License No . . . Other Trade's License No . . I. Location of land on wl[ich proposed work will be done . . . House Number Street Hamle-t County TaxtrtapNo.l000Section ...ti L,C........,.. Block Lot.. Subdivision Filed ~1ap No. Lot ..(Namej . State existing use and occupancy of premises and intended use arrd occupancy of proposed construction: a. Existing use and occupancy ~.`C-.~ . . b. Intended use and occupancy ........~.r~.~~~.~ 3. Nature of work (check which applicable): New Building • • • • • • • . Addition • • Alteration Repair ............Removal Demolition , , Other \Vork~, , , 4. Estimated Cost...... ..1~ ~.~..Q Fee...................................... ` (to be paid on tiling this application) 5. If dwelling, number oC dwclling'',units . . . Number of dwelling units on each floor , . If garage, number of cars ~ . 6. If business, commercial or mixed occupancy, specify nature and extent oC each type of use . . 7. Dimensions.of existing struchuos, if any: Front Rear Depth , . Height ...............NunjberofStorics.......... Dimensions of same structure .v{th alterations or additions: Front Rear . , , Depth .Height Number of Stories fi 8. Dimensions of entire new construction: Front Rear ...............Depth , Height ._.........Num;berofStories ............i............... 9. Size of lot: Front Rear.... Depth 0. Date of Purchase , , , . • • • Name of Former Owner . 1. Zone or use district. in"tahich premises are situated • , . 2 Does propostid'construction violate any zoning law, ordinance or regulation:....d~d:) • . 3. \Vill lot be regraded , Will excess fill 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. 5. Xs this property located 'within 300 feet of a tidal wetland? *Yes No ~ *Xf yes, Southold Town Trustees Permit may be re uired. PLOT DIAGT~AM Locate clearly and distinctly all ~Ibuildings, whether existing or proposed, and. indicate all set-back, dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether aerior or corner lot. I __-.,.....N.,....~ a ~ ' , "ATG OF ?:E\V YORE, S.~S ~G~"fYOF S contract) (~amc of rndictdual signin• • • • ~ ~ ' ' ' ' ' being duly sworn, deposes and says that he is the applicant ove named. ~isthc li (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly Puthorizcd to perform or have performed the said work and to make and file this olication: that all statements contained in this application are true to the best of ltis knowledge and belief; and that the r}: will be performed in the manner set forth in the application filed therewith. orn to before me this ~ wr}• Public, t5r~r,•4-..~~~., :,.~-lR-.rl~"~-... County ll/d~l/` C~ 1. ......~I'~~ Q:~:. I NEIENK.DEVOE ~ . • (Signature of applicant) PdOTARY PLIDdIC, 5tatu od New York No. 4107878, Su9totk Caun Term Expires Mxrch 30,19 _ ~ Form No. 6 ((]'~~~~(j~~~'~a~ TOWN OF SOUTHOLD 11 ~ ~ x-/11 t'/ L~~ BUILDING DEPARTMENT f ~1 TOWN HALL A~~ Q 19g( t' ~ 765-1802 ` APPLICATION FOR CERTIFICATE OF OCCUPAN'Zl' x .1. 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(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system contains ~ 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 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. If a Certificate o£ 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 S years - $10.00 b. Cpdatnd Cer~iiicate o1 Occupancy - $50.00 • 5. Temporary Certificate of Occupancy - Resid~intia,/l /$15.f0U0, Commercial $15.00 Date ...Q.l ~7/,/, U ::ew Construction. ~ ~ Old Or Pre-existing Building Location of Property.~L>V.../YP1RT+#s'z~p,.~~~';~.,.,.„ 5 1,~~•,•~ House No. Street Hamlet Onwer or Owners of Pro ert ~~~N GhlIHGgS P y County Tax Map No 1000, Section....-./.......Block....~...........Lot.....~1......._........ r Subdivision ...................................`.Filed Map............Lot.............':._...... Permit No.,1~Q,~;Z,,,,,,,Date Of Permit..yll5/.yd......Applicant..~.~I~~.,,cH/HL/gS~.~ Health Dept. Approval ..........................Underwriters Approval........................~ Planning Board Approval Request for: .Temporary Certificate........... Final Certicate,.......... Fee Submitted: $„`~''~,~:1~ ? ~ . . ~as~ • ~o~.aoa~~ APPLICANT