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HomeMy WebLinkAbout18846-z f FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20362 Date NOVEMBER 20, 1991 THIS CERTIFIES that the building ADDITION Location of Property 63417 NORTH ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 1 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1990 pursuant to which Building Permit No. 18846-Z 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN J. WALSH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-211337 - NOVEMBER 4, 1991 PLUMBERS CERTIFICATION DATED OCT. 23, 1991 - KIPIG PLUMBING & HEATING y~ Building Inspector Rev. 1/81 soaas xa 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~ 8 8 4 6 2 Date ....F..~~ 7 9.9..0. Permission is hereb ranranted t J 17 9 ~ ~ ~y- ~ at premises loctited at ,r....ll~...7~.~.7.........(,/..Q2~~.rf~...... ..................................................t~!~~,1 /~~?l, C~~..................................................................... County Tox Map No. T000 Section ........~i.~.s~........ Block Lot No......~~....... pursuant to application dated 19.9., and approved by the Building Inspector. O ~ Fee ...Lr~~~y~'~~~."`1.' ..~G........... B ding I or' Rev. 6/30/80 Form No. 6 + lr6~ 1J ~,`~1~~ 1 4l' __"_""."'s_ 1 TOWN OF SOUTEIOLD Er BUILDING DEPARTMENT N~ TOWN HALL { ~ 765-1802 ~ BO~.IrEflT. APPLICATION POR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new buildinfi or new use: 1. Final survey of property caith 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-O 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 of Occupancy is denied, the Building Inspector shall state the reasons therefor in cariting to the applicant. G. 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 5. Temporary Certificate of Occupancy - Residentiah)$15.00, Commercidal X15.00 Date ....1.`J~~~..~v`?,..~.~~! ::ew Construction...,./....tO)ld Or Pre-existin Building~.l . Location of Property...CO~"7~.~.......~~:~~..~~7~.Q ..............~~~~'-1~~~.~........ House No. y Street Hamlet Unwur or Owners of Property.....~~.iill.~, wc~~~~l.........t County Tax Map No lODO, Section....©"T:-:.....Block..... ~L........Lot.....~~EL............ :;ubdivision.ff.QQ...,~.].~._ ..........................ff..Filed hi:ip............Lot...................... Permit No...+.V~~. '.,Date Of Permit..~~.~.,C.~'~........Applicant ~1QY.'~. ~1A1:~,Y-1........... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval equust for: Temporary Certificate........... Final Certicate..:!....... !'ce Submitted: q ~•,D4 C'3.ae, ~a?~3 C/ ~Y.,/...1 •~03roaL. APPLICANT ~~JJ TEL. 7G5-1802 S~FFOL,t-~o To~rr or so~T~~oa.~ X4'4. Z f , r'c OFFICE OF BUILDIi'IG INSPECTOR ~ i'r„ ;T, P.O. BOX 728 y`'y~~' T01VN HALL O~,~y~yr~~Z- SOUTHOLD, N.Y, 1 1971 . 1 C E R T I F I C A T I O N Date02 3~j'/ Building Permit No. (please print) Plumber ~/N4 ~~f~~iJ' G . ( lease print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. c ~ . (plumber's si ature) Sworn to before me th{i~s 19 r~ Notary Public t]otary Public, 1/ County ~~LQ~ ~ry~No~ X96 6NewYbdt ~INied M Suffolk County ~ 7i--' ~issfon ~N Decent 8, t3 INSPECTORS Victor Lessard ~SpFfO(~C Principal Building Inspector p Curtis Horton ti'1' Gym SCOTT L. HARRIS, Supervisor Senior Building Inspector o Thomas Fisher x Southold Town Hall Building Inspector WO ~ ,F P.O. Box 1179, 53095 Main Road Gary Fish y'~O,( ~ ~,DO~' So Fax (5 6) 765-1823971 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD October 17, 1991 Rory Kling Box 203 Greenport, N.Y. 11444 Re: John Walsh 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) X No Underwriters Certificate on file. X The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. X No Plumber Solder Certificate on file. (All permits involving plumbin bein 1' g g ; issued after April 1, 1984). BUILDING PERMIT # 18846-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. TEL. 7G5-] 802 oS~FF~1h C0% TOWN OF 5~~TTHOb.3~ ,Z ~c OFFICE OF BiI1LD11~IG INSPECTOR ~ t: _ P.O. BOX 728 c°r _31: u''' .-`~"c TOWN HALL .,O~~O~ ~0`r SOUTHOLD, N.Y. 1197I C E R T I F I CAT Y O N ' BLDG. DEPT. Date 7 oZJ >~'D TOWN OF SOUTHOL6 Suildirg Permit No. ~ - Z Owner C~+}~S~-~- ipleasl1e print) Plu^:er~~~i~[~w~b~N9 LL a,rlC- (please print) Z certify that the solder used in the water supply system contains less than 2/10 of l~ lead. _ (plumber's signature) Sworn to hefor^_ me this a5 day of ~r/a_,~ ~_~~_U_~_-._ 19~. Notary Public , notary Public, f County ' }IELEN K DE YOE Ipf/~R1' PUBIC, Sbte of Nat Notk Tmn A~1nc 1 1 x6CCi? t_. , fJ-"__..._. . _ `F_.::, _ 7t .j.-i Zt~y cc~C} 3 +a! :EEL' F60'F ~N C+7 1 C, ~ L~.~r~~2 c.a~ r~l-r-a Ta f ~i,---- i -r Na~«~ ~ i 7oi.~r ~ i6'~ oc ~r7H UIS r~l fcR ~iC. t. - - ~~ou~.t~.2xbCCr G~R+~r"2 ~I - - I aN gout Wr? i, ~ < ~RPy~w~, " W ~ ~ 2X6 r 1 ~~Y 3~3;~'~.S Uli'r~ :io~S,' N~9afG,aeZ ` ~..~4UMIA1~ 11-~fr /J(~~~~j ,~j~C.:. f~ L~L~~~~i 'J L- { l~r h~ 1 `l ~ 1 ~ ~ / OIL RZ r { 2 ~ ; t ~ ' . _ ~ ~ 4 f TOWN OF SOU HOtD ~ i i ~1 ~ - . 'lELD I;:-51=::1U;i ~~Un:a ~ Ci::`tMENT.°. ~Y FOUIIDATIOh1 (1st) FOU1dDATI01d (2nd) _ 2. ~ d c I P,OUGH FRAME & ~LLao PLUMBIIJC 3. IIJSULATIOII PER Id. Y. STATE ENERGY CODE 4. ~ ~ ~~,lr'- FIidAL ADDITIOCIAL COhTMEfiTS: / 7 9a ~ ` I 765.1802 f BUILDING DEPT. .INSPECTION [ ]FOUNDATION 1ST f ) ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: - /~~a~~~ `-Gd~/`eA DATE INSPECTOR 765-1802 -'~UILDING DEPT. INSPECTION [JJ OUNDATION 1ST OUCH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [L]~FRAMING [ ]FINAL REMARKS:~~ DATE ~ l ~ INSPECTOR 765-1802 j BUILDING DEPT. .INSPECTION [ ]FOUNDATION 1ST jfij~l~OUGH PLBG. [ ) FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ )FINAL REMARKS: ___al _X,Gc,,,.~.~/~~'- ~4,.C,r~ CYk~ DATE ~ INSPECTOR ~ T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING [ INAL REMARKS: ~ ~6° ~ Q,,~_ DATE INSPECTOR i d G~ ~ 9~~ ~ I _ ~;~s7 r7r'~;;;trat3 ,n~ Res 3~ w~15~?.e3S E'¢v5' - - IFU~";av> i"iR~r.rk,N`7 a. 6~ c lr T ;~f+M t f ~ 1_ 4 ~ c c W. - 57 a t'~<,r.. ~ ~k'r%t~r_. A~ 1 ~4-- ~~1. i _ Arr~~..4C>~`.+~j~?t~.:_r~T(,t.t-r~Gitl~ L~1Ga U~iyeL ra ~tUu~ ~n ~Ir L~~CtA 1r'<6 ~ ~r ~~~n~y - r . _ ~ yam! ~ f r O,1 i i ~F t' ' ~ ~ - - ICtG, i ~ r r--- ~ . ~ C L ~ I' \ ~ ' ~ I ~ ~ ~ 'f~ 14 70WNOSOU yOIQ i ~ .I 1 i I ~at?..~-t°-~¢ - '-f ~ -'FORM NO. 1 ~ 1~7r~j ' TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 K ~~~L..~ ~U . ~,p-~L .~C3 TOWN HALL SOUTHOLD, N.Y. 11971 ~"1 Y ) ~ ~ y~ l TEL.: 765-1802_ Examined 19 f~! Received........... , 19. Approved 19J~.. Permit No. r1.3'~ Disapproved aJc ~ ~ `-J " . ~iDr. r*~ rr. uildin spector) TOWN OF S(,,Ui'NOi APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTPOtdS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl 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 stre or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl 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 peri ' 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 Occupan 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable_~aws,_Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ< The applicant agrees to comply with all applicable laws, ordinances, building code,,housing code,,ar~d regulations, and admit authorized inspectors on premises and in building for necessary inspections. _ (Signature of applicants grlname',9f'g'bb~oration) .P.a: ~x o~.o3~..G-~r~:k`~ . r.1z~ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ..............3v11.d~,~r...........f .~.1......................................................... Name of owner of premises .....:~1C1 `~"aI~~1 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . ~ ~ ~ ~ Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1'. Location of land on which proposed work will be done . . ..63 ~ ~ ~ .....................l~pY~h.. ~~n}xr~ . House Number Street amlet County Tax Map No. 1000 Section Block ~ Lot ? ~ . Subdivision . Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intendedau~s~e~and occupancy of proposed construction: a. Existing use and occupancy On~-:~~m~~ ..lw.,!i~-~:~~a .....-.7~ . b. Intended use and occupancy ~e.).~.. 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