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HomeMy WebLinkAbout18966-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCIIPANCY No Z-19430 Date JULY 16, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 260 SONSET WAY SOIITHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 91 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1990 pursuant to which Building Permit No. 18966-Z dated APRIL 20, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL & ROSEMARIE BIRMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-146418 - AIIGIIST 29, 1990 PLUMBERS CERTIFICATION DATED JIILY 15, 1996-HARDY PLUMBING & HEATING r / ~ X $ i~in Inspector Rev. 1/81 / gosas 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 1 8 9 6 6 Z Date ......~l~.A..~.~ 19..L.no Permission is hereby granteG~~ C.,~~ q' C 1f9~fis ~ Q.st. at premises located ot ....i°Z..~e(..2.........QJ.Gt.+x~G.~S/ County Tax Map No. 1000 Section /..........:1.~..... Block Lot No.........1~ pursuant to application dated ..3.1.~:9 19.~r.~.., and approved by the Building Inspector. ~~/7/~ po Fee $..ti'~.p. .~-'~-'R.~. Bu ng Inspector Rev. 6/30/80 Form No. 6 /J d°I~tiyi 0~ _ ~ 1990 ~ TOWN OF SOUTHOLD _ ~ _ l~l 1 ~ BUILDING DEPARTMENT 76~ ~7~ 8~ ,~_a.,.al_;, 4 TOWN HALL ` ISI.('i~ CTi--('( i .e.,P 765-1802 O/7/ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 1~ 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 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. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00 ,C, Co gmmercial $15.00 / Date « ~b'(jf~ Ohl V New Construction........... Old Or Pre-existing Building....'...... Location of Property.... 1~ ~?f~ ..................SLt n) SET . W r~ou.T.htaL~....... House No. Street ~ Hamlet I Onwer or Owners of Property.......~~L..~..~S,fyYl~2lE...~f~ahFhll County Tax Map No 1000, Section..... q.~..777.~~•...B1ock.....~..........Lot....~ Subdivision....q F~/jlced Map............Lot...................... Permit No... ~ 8 l ~ .....Date Of Permit../ !~:d./ b. ..Applicant....:'0 ~ , ~ b2n~ Health Dept. Approval (.....U/nderwriters Approval...,..................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate....?./..... Fee Submitted: $.......°2.~.'.~ b ate,- ~f oG~f3 . . ~ i 9 3 0 ~ ~~~'APPLICANT . THE NEW YORK BOARD OF Ftf~tE Ul~~~iNRtTERS vAGE 1 1GOG1.21 BUREAU OF ELECTRICITY. BS JOHN STREET. NEW YORK, NEW YORK 10088 bate AUGUST a9, 1990 Application Nu. on file 70244590!90 N 146418 fir THtfi CERTIFIES THAT unit' the a/eetricel equipment v described 6ektm end introduced by the.ppltcmtt newted en the ebeee epplicetion number in thapromiws of - PAUL BI.RI!SAN, SUNSET WAY, R/P~~---778tT/3, 3QURNOLD, R.Y. _ in theJotlotelnR location; ? Boement LJ lAt Fl. ®Ynd Fl. QfIT Section Block Lot tees exomined on AllGUST 13 ,1990 and found to be in rnm lance with the pl requirements of thu Buord. ACIlS SYtlTpllS RXTURK RANOlS COOKM16 ORi15 DISMWASMHS lIIKMIfT INCANDttCEM aUdIESCEM OTHER AMT. K. W. AMT. R. W. AMT.- K.W. NAT. R. W. AMT. M. Y. 17 15 7 17 1 1a.6 1 1.?. 1 f' olnl~as R/B/AQ MOIOgS ti1TItB: A/KIANG /BMMf srowl~'?T ithrtxoa: art awttlt14Tg11f twtn.ourln olA4i1BB - AYT. R. w. at a. r. GA5 n. 1. NAT. NO. A. w. e. AMT. AMY. AMY. AAVS iRAtIL AMH. N. Y. tp. ~ AMT. wAttt ~ ~j: ~ a l a 1. 1Q 4 6Ga - _ _ _ ff1RYM,! ONGONIMCT rtO.Of 5 E.. R Y - 1 C ! a AMT. Aw. TTYt p~j~. i,e tw i x ew s.s tw t w Aw ao. o~c rca+o. a ~c toiro. •a. a R.ut: a~w;~ w. a ntuT¦Ats ~ w lM ~ OMta AMYATUS: ' G.P.C.I:-2 SHORE DETECTOR:-1 _ PAUL N'. BURNS LZC./282E G/~~~ 275 TOYR BARBOR LANE SOUTHOLD, NY, 1197] oYfOU MANA4~ 11 '9 Per Tldt ......Harp Hof bR oMered in ntonner; return ro Mrf ofiia of Ms Boord if ' M identified by thei ~ a COPY FOR BtNLOIlM' . TNIS OP CERTIFICATE IN ANY • 1rr<;r~, TEL.'G5-180 or.,k~cv To~rrr oz, sou~oy,o orJ~u:J: or• ~uILDINC 1NSrrcTOa ~i'„~`~ ~ TOWNIfALL ^ 4,y SOIJTIIOLD, N.Y. 1 1971 ~p . JANUARY 17, 1991 John C. Born, Builder P.O. Box 708 East Marion, N.Y. 11939 RE: PAUL ~ ROSEMARIE BIRMAN To P7hcm This May Concern, DJe are unable r.o complete your Certificate o£ Occupancy because of the fellocoing reasons. An application for Certificate of Occupancy is not nn fi].c. / / Ito lJndcrwritcrs C~.rtificate on file. • 'Phc checF: i:r(rnrtdal:ed/not on file.) / / No Ileal.th Ucpt. Approval on file. No final insl~~ect:ion has been made. Pluase contact our office on this matter. Thank you for your cooperation. Ilu.ildir:<J Pcrtct.it. 11 1 8 9 6 6 Z L3uildinq Hope. ^`*'"fcx/ tlo Plumber Solder: Certificate on L-ile. ' ( a7.1 permits involvi.ng__~-r_lumlring being- iasucd after April 1, 9A4 L , Y~ei•..•':. '••.."..5.~.u~wr.a~aLtltl~i=f•,.Flu"hr.'.~a+ca;!w1eF~"i~F'.iwr+r•>~•eukzawat:...iaon.w+,-w ,,...~>t .o...a.wm:.++e~xkv4r..a3€ua5x!>t+ma0p'AVAtiM~'J;+i~buw~y,i+erHq. ~f TEL. 7G.-1802 c~, To«rr or so~ra~or.~ j;`I~~ti= '~;i; ~ OFFICF.OPBt1ILD11•IGNSPt:CTOIt. ~ ~;ti ~ ryr ~~"k P.O. BO:~ X28 y « TO1VN Ii.;LL ~~ro, SOUTHULD, N.Y. 1197fl • i C E F2 T Y F i C A T I O P7 J Date ~//S i Building Permit No.~• ~~~~oyr I Owner__/~/~UL ~(~(2YY1l~"~ r~~d SUrtl,~ls~G`1J4-yr ~Sdv~~fDL~ !(S~l (please print) n ~ ~(~(~,l Plutr:~er /efe»cc> G-Affe// 6~~r~ P%,m5. (please print) I certify that the solder used ;n the water supply system contains less than 2!10 of 1$ lead. (plumber's signature) Sworn to before me this ~ - day of ~~,-„,y ~~ra-~=~ - 19~_ Notary Public Nota~: P~~~'.ic, 5'~.f~~r~ Coun:.y pa;ry,pi,btl~,staceofNow p~~XZ7~ No. 4884A83 • Qualified In Suffolk County ~ Commission ExpireaOydl 13,18.~G - 2.~Q,~.,_ ~,.--w.,U,.a----- - - - -~-r.v----_ - ,~.~~_!s1~ c~ ' TEL. 7G5-1802 S~~F.ackc ~p ~ Op 'I'OZVN . Or SOUTIIOLD :?a~ 'al;„.~ y.''t. OFFICE OI~ BUILDING INSPECTOR ~ P.O. BOX 728 ~ TONN HALL O~O~ ~ ~a~~ SOUT1iOLp, N.Y. 1 1971 August 9, 1990 John C. Born, Builder P.O. Sox 708 East Marion, N.Y. ]]939 To Whom This'. May Concern, t We are unable to complete your Certificate of~ Occupancy because of the following reasons. An application for Certificate of Occupancy ' / s not on file. (ENCLOSED) / y/" No Underwriter:, Certificate on file. /~Tlie check is (dri%9C~%3C6~Xd/not on file.) $25.00 ' No Ilcalth Dept. T:pproval on file. No final ins.pcction has been made. Please contact our office on this matter. Thank you for your cooperation'. Bui]ding Permit 1 S 9 6 6 Z Building Dept, ' No Plumber P,olclcr Cnrtificatn on file all ncrtnits inv:~ v; ng pl>>mbyylg n; n~ .iasucd after Rpril 1,19£34 1 '1. t . Ft6.1..y rNS~'EGTxor~ - i1D~#7~ i~ Co>r:•I ~ vT•S - ~c _ ' ~ vP , ~ ~ ~ ~ .~.~~y~ FOU77DAT20:! (1st) ~ _ a In FOU;IDATIO;! (2nd) ' 2. ROUGH FRkifE & O •PLUMBING m m H 3. ~ n IIISULnTI0;1 PER N. Y. _ • • "3 m C\`C SThTE Ei7ERGY I CODE _ . ~ 4 . ~ F.:IAL I ADDITIOPIAL COi^.ME1dTS : x~ • x 'n ~\N1 A . f i ~l A H H O m . ? 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I i i-~-~'1~~~ zf-i~1~'.31~ ~;vde~--,v~ j u ~ tai 1 ~--~---»~~ssa ~ ~ i 1 ~ f I ~ ff '""i w rr r~i y ~ 1 "Y 1 ' I~.I I (J'i rwwr. 1 ~.a~,i«;°.,'-'"-':.:..:: ~itw '3J:.~^ . ,m,.F,. ,.,n<{„y..,.M...., ..w~R ' I j l il. .l. i~ ~ j ~ i cJ e{G i~ t era ~ I i i i, ~ ~~GI ~,;.._.4 I ~ i ' I 333 - . ~ I ...d .i _ ..v 1N30IS3!!d "NaO9 '0 NHOf _ 9L9Z-EZE (9L9) IV (V 0l,Lt/C,.I !v II J~ ~V ~/`I ~ lS.~ 6E61 l ~ao~ nnaN 'uolaeW lse3 SOZ xo8 ~~Q~ NOI1V1~ f1SNO0 1N3W3OVNVW NOIlOflkl1SNO0 F." 765-18®2 l ~ ~ BUILD{NG DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL REMARIIS: ~r DATE ~ ~ INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ROUGH PLBG. [ ] F®UNDATION 2ND [ ]INSULATION [ ~RAMING ( ]FINAL REMARKS: . - .--r-- DATE ~ ~ INSPECTOR 765-1802 BuaD~NG DEPT. INSPECTION [ ] FEU AT N i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: G~ ~~!1:~~~ D, D D ~J~~ i DATE 'd- ~ INSPECTOR / / 765-1802 (BUILDING DEPT. INSPECTION [ ,FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ,~~~,Q6~~~-~ C.c.1 DATE ~ ~ INSPECTOR . . e- ~ (may / 1'-i~~jL_5LJ_~`I~ BO.tRD OF HEALTH 3 SETS ,OAF --P L.\ :I S ~.$.~oi . ~1.•1{DIY >:oxrrNO.t SURVEY TOWN OFSOUTHOLD CNECI: BUILDING DEPARTMENT SEPTIC PORri BLDG. DEPT. TOWN HALL TOWty OF 50UTIiULD $OUTHOLD, N.Y. 11971 NOTIFY ; ~ 3~3-- ~~,7.G.. TEL.: 7G5~1B02 CALL , , , rtAIL T0: Exautined . l9~ C,' . Approved ~ I~~. Permit No.. ~,w, ~ . . Disapproved a/c ,~,,,t c~c~~a~V%~~~; ~,;i ~ p r~; (Bt din; Spector) _,~,e~,',~,f"3 OLOG. ~ss«~Y. i APPLICATION F BUILDING PERPAIT (aWN U 5©U'?'iP~li-tio Date . 15 INSTRUCTIONS a. Ttus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ sets of plans, 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 parz 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 Lavvs, 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 appiicatile laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premisaS'and in buildin; for necessary inspe on . n (Signa re o[ applicant, or name, if a corp~oratwn) (Mailing address of applicant) State whether applicant is~onwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................!`Jt.t.~XO~t> Name of owner of premises ...:1 eLta;~ :(!!!r!?~" : . . (as on the tax roll or latest deed) If applicanC is a corpoisdtioit, si natufg, of ¢uly authorized officer. 9 i~ ~ t~ (N~d' }iEle of corporate officer) Buildci s License No. , , ~.Qr .y~ :9 Plumber's License No. . ~~1`~.~ . Electrician's License No. . ~'`f'".L ~`5.... • • . Otttcr Trade's License No . . 1. 4ocation of land on which proposed work will be done; . House Number Street Hamlet County Tax ,,\fapNo. 1000 Section BI'ock ,,,,,,.1,,,,,,,,,,, Lot.....5~....... Subdivision G.E pl~... ~g~{~µ . Filed t\tap No. Lot 1.6 ~ . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' - ~ !Y~. ~ a. Existing use and occupancy ~ v.... .3+,3~.`r°t s~lg}A,.X~ b. In ~II,,~~ ~ ~ Y r a~sr,f< „yit• [ended use `.vi.y".l': • , `t-tn?; t.g and occupancy .,..6~ ,L'} 1g41.~StbT.ita' ~:'+.t,{M'.~ rlC'+wt+'i11NPN~ 3. Nature of work (check which applicable): New Ouilding • • Addition • • • .~t ta,~ygt~ V....... . Repair RFmovi,l Demolition _ . ,Swim ~oot"........... . Tennis Court Accessory~Building..........Fence .Other. Work............ v 4. Estimated Cost .aQP Fee (to be paid on filing this application) 5. If dtvellin„ number of dwelling wits Nttmbcr of dwelling units on each Moor • IC garage.nu~nhcrofcars 6. If business, commercial or mixed pccupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures,',if any: Front . , Rcar Depth . . Height Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Dopth Height Number of Stones . 8. Dimensions of entire new constntction: Front Rear Depth , Height . Number of Stories . . 9. Size of to ~ . Rcar Depth . . l0, i Date of Purchase , ...............Name of Fotmer Owner . . 1. Zone or use district in which premises are situated . . l2. Does proposed construction viola4e any zoning law, ordinance or regulation : l3. 1Vi11 lot be regraded \Vill excess fill be removed from premises: -Yes , No . . 1 Name of Owner of premises .~hy;~, ljit2,M,r„~ , , , ,Address ...................Phone No............... . . Name of Architect ,Address .........Phone No . Name of Contractor .~n~. ~:.l~o2nl. ..Address . .Phone No..3L`~~, fib? 4~; , , , , IS.Is this property located within 100 feet of a tidal•wetland? *YGS....NO.... *If yes, Southold Townl,Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all {tuildings, whether existing or proposed, and. indicate all set-back dimensions from, property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. i pp RQ •Ep AS MIOTEp ~ DATE: ~ Q~ B.R u ~ na r'EE: ~ Bv, NOTIFY BUILD! G OEPARTM ~T 7ti5~-iB02 9 AM TU d PM F'GR TFdE ~ FOLLfDWING lIVSPrCTIUNS. 1. FOUNOATIUN - lWU REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET • THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION a ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF \EN RK S COUNTY OF Y~ ...'........~C?.~4!'1..~... • 'i~-, ~ being duly sworn, deposes and says that he is the applicant (Natnc of individual signing contract) above named. ~ , Fie isthc.......,....~?~c~~~, (Contras r, agent, corporate officer, etcJ of said owner or owners, and is duly :tutltorizcd to perform or Itavc performed Ilse said work and to make and file this application; that all statements contained in this application arc tnm to the best of his knowledge and belief; and that the work will be perfomtcd in the manner,set forth in the application filed thcrowith. Swom to bciorc mp this ~ ....¢ay of ; 19 . _ Notary Public, . ~r~~... County l CLAIRE 4 Gt.EW I.1: , . C" . 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