The URL can be used to link to this page

Home My WebLink About18844-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219173 Date NNE 26, 1990 THIS CERTIFIES that the building ADDITION Location of Property 355 SECOND ST. & 2395 JACKSON ST. NEW SUFFOLK House No. Stxeet Hamlet County Tax Map No. 1000 Section 117 Block 09 Lot 25 Subdivision Filed Map No. Lot Nc. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 28, 1990 pursuant to which Building Permit No. 188442 dated MARCH 7, 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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING, The certificate is issued to ANNE & THOMAS LOWRY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N(A UNDERWRITERS CERTIFICATE NO. PENDING SLIP NNE 21, 1990 PLUMBERS CERTIFICATION DATED NjA Building Inspector Rev. 1/81 1COEM NO. ~ TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na x.$$44 Z Dote ..3.~ 19.....9.0 Permission is hereb~ nted to: -~.r, .............~..~~i/p--~.................................. . at premis~ ted at :3?~?r... .~...1.£~-~.r ...............................................................ll~.~a/~~. c>~i s.................................................. County Tox Map No. 1000 Section Block Lot No.........r~.z...`-`......... pursuant to application dated ..............~~,4~}........................, 19..,~Q, and approved by the Building Inspector. / a4 Fee 5...`. B fding for Rev. 6!30/80 y, ' Form No. 6 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL 765-1802 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 (5-9 form), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains a 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 $1~5.yl0~0~, Commercial $15.00 Date r:%~4~a.~ New Construction.......... Ol/d Or Pre-existing~Building... ~ Location of Property......~~>. ..~Y,.SQr~,....~~? . ~_t fS b.. House No.~~• Street I inlet , Onwer or Owners of Property......~,,iL:C.a...'-I~~. ?.uw1~.~?~1~ County Tax Map No 1000, Section....l.~.~.......Block...~...........Lot..~.~~.......__....... Subdivision ....................................Filed Map............Lot...................... Permit No...~.~A.~~.~.Date Of Permit...~(~.l ~....Applicant.~lr/SQ~:". ~~:~,/Z~~'?"/F~/~r~/). ~Iealth Oept. Approval ..........................Underwriters Approval.k!!1c~14(.Z:/.~ 111 ~I Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~... . Fee Submitted: $.`.~a~ J R~ aq~~y C O Z' (y/~ APPLIC /~,~yo S~~~Q~C TEL. 7G5-i 802 0~0 , ~Gy TOWN OF SOUTIIOL7) ~ 1 ~ ~c Oi'FICE OP BUILDING INSPECTOR Y a '4 P.O. BOX 728 ~'""Q u' ~ ~ ~I` ~ ~ TOWN HALL ~ 5 5 s' . ~O~ol ~ ~~~F SOUTIiOLp, N.Y. 11971 ~ June 1, 1990 THOMAS LOWRY 2395 JACKSON STREET ' NEW SUFFOLK, N.X. 11956 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. \X \ .n application for Certificate of Occupancy , is not on file. <ENCLOSED) o Underwriters Certificate on file. The check is (~YiSd;YtxrSd/not on file. ) $25.00 No health Dept. Approval on file. No Linal inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 1 $ $ 4 4 Z Building Dept. No Plumt~cr Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) :i' F.IP-~D TNSi'~TIatJ IID~#T~ i~ Co.'-tc•tt.J~.S r ~ t. _ I - FOUIIDATIO;I (1St } - L FOUNDATION (2nd} - 2. ROUGH FRk2•lE & -PLUMBING ~ ti 7 a 3. m n H IIJSUL:.TION PER N. Y. • STATE EIJERGY CODE m. / ~ 4. ~ ~ FI;2AL ~ ti • I q m~ ADDITIOTIAL COi^.Y~IEJdTS: x m • x ^o H x A • H H O ~ . m a • ~ y - Z O • m .a H I ~ E ~ ~ 765-1802 G BUILDING DEPT. tNSPECTtC~N [ J FOUNDATION 1ST ( ] ROUGH PLBG. [ }FOUNDATION 2ND [ }INSULATION [ ]FRAMING ~INAL REMARKS: ~ DATE ~ INSPECTOR ~yJ~+ UU~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ } R H PLBG. [)FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: ~i~.-z-U'~~C~~3 C~ 1,~~ .~-L`2~, DATE ~ INSPECTOR BOARD OF HEALTH 3 SETS OF PLAt35 FORDA NO.t SURVEY TOWN OFSOUTHOLD CNECF BUILDING DEPARTMENT SEPTIC FORPI TOWN NALL $OUTHOLD,N.Y.11~J71 NOTIFY 'o ~~y'~~} TEL: 7G5.1802 CA L qq MAIL T0: Exalllined 19/.Q p Approved ..`3~~ 19 90 Permit No. ~4? DisapprovedaJc a ud g Inspector) APPLiCAT10 FOR BUILDING PERMIT Date ~2S%...., 15 INSTRUCTIONS a• This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w. 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 sty or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a 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 Buildin ;Permit to the applicant. Such pe 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 Occupz shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for tfie issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinane= Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrit The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, anc admit authorized inspectors on premises and in building for necessary inspections. • {Signature ot" applican , of na e, if a corporation) ( ~ address of plicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or buil~ ......~C~.<~-r...... Name of owner of premises ..f.-i.'Itta!12.~ ~S•--~.t:'~•-•••••••-••-•••--••••-•••--•-••- (as on the tax roll or latest deed) IC applican/t~is~a corporation, signature of duly authorized officer. J.1/. . (Name and title of corpioratepoffri~cer)1,_ Builder's License No.-'..... •d {.~.1.'. R.~..... Plumber's License No. Z.~ L-L. •P • . Electrician's License No. :....Z~.v'........... . Other Trade's License No . . 1. Location of land on which proposed work will be done; 39,5 ~p //~J.q-,•t ..3.~~~....~c..~-te~f..l.~~.r:. 1.~ .ll~S.,6............ House Number Street. `~~~~)'V Hathlet . County Tax Alap No. 1000 S¢ction • • • • ~ Block ,t............ Lot `.~S • Subdivision Riicd~iap No. Lot............. (hI8111C) State existing use and occupancy oft ,pr~em'ises and intended use and occupancy of proposed construction: a. Existing use and occupancy YiW, . b. Intended use and occupancy ...u'ZC2Y~ ~ • • • . 3. Nature of work (check which applicable): New Building Addition Alteration Repait Rs'moval Demolition ,Swia[z[ing pool . Tennis Court Accessozy Building..........Fence .......OtherSdozk........ 4. Estimated Cast ...."."¢~~r•O-c4.G~ Fee - {to be paid on Filing this application] 5. If dwc4ling, number of dwelling units I............ Number of dwelling units on each floor . CO . If garage, number of cars ~ . 6. If business, commercial or fixed occupancy, specify nature and extent oCeach ype of use .X/f~c.... . Dimensions of existing structures, iC any: Front ,~~t......... Rear Depth ..~I ~ . Hei.ht fir........... Number of Stories ..Z.--, • • . . Dimensions of same structure with alterations or additions: Front r Rear .~5`.'.......... Depth .....,i? ~ height ~!.........'1rk~m6cr.af Stories . . . 8. Dimensions of entire new constnuction: Front ! Rear ,l.a'c-...... Depth .2,~G~...... . r Hci;}tt Number of Stories . 9. Size of Ict: Front ,~,R~ Rear ~ o•l!.. Depth , . 1. . [0. Date of Purchase { , Ge~c.. , , , , • , • , • • • • , , , • , , , ,Name of Former Owner .fe.`+y~w[~'... . 11. Zone or use district i t which premises are situated .,,ry~y. r . 12. Does proposed construction violate any zoning Iaw, ordinance or regulation: i.W . 13. will lot be regraded . {~S•R .....will exec s fill be removed from premises: Yes 14. Name of Owner of~1 remises~•~l,.t ,(:'~,c~s ~,yt-~{Address ~etirl Phone No.:~~L~':G~~$,cc - Name ofArchitect`~~-~;,~,,t.~~ ..Wddress~l~.:,,in,. f .Phone No..:~.~j~-~~P. Name of Contractor .:'r. Address ~L F,r~}. Phone No.. 73~ ~.('tlv.~- IS.Is this property located within 1 00 feet of a tid w tYand? *YES....N0.?C~ . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAb1 Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fry property Lines. Give street and block number or description according to deed, and show street names and indicate wheti interior or comer lot. c _ _J-~i~ G1.tk r Syr-ce"Yirttr STATE OF NE1V Y COUNTY OF . ;•3 G? ~F. OLr~-- S.S f.. • • • • • • • : • •~•~~•nl•~. la?GU2.J~ , . being duly sworn, deposes and says that he is the applica (flame of individual signing contract) above named. I-kistlte ..........................r;~..................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or ltavc performed the sail work and to make and file tl application; that ail statements contained in tftis application arc Iruc to the best of his knowledge and belief; and that t work will be performed in the manner sc[ forth in the application filed therewith. Sworn to before me this .~~.'.~............day o~f./.~~./~1'~t~:~L,r-,~ 19 .`I U Notary Public, •i(~-~~:- l~Sl~,z`f;C,CI:"~,~'~C~ County /J Notay Auk ~ ~ x.:a c~ i:c:~ 4atk ~ Lv~ :u,t, ! . ka,»6=::;zu ~ I„ g~S';:e Ca^ary,{ (Sian cure of appliear ysipri L:QIlS5 td.:?} t::, ta~1