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HomeMy WebLinkAbout18763-z a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20852 Date JULY 13, 1992 THI5 CERTIFIES that the building ADDITIONS & ALTERATION Location of Property 1755 SIGSBEE ROAD LAUREL N.Y, House No. Street Hamlet County Tax Map No. 1000 Section 144 Black 2 Lat 13 Subdivision_ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 23, 1990 pursuant to which Building Permit Na. 18763-Z dated JANUARY 31, 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 & SECOND STORY ADDITION & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & BARBARA CONDOM (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-02577$ - NOVEMBER 26 1991 PLUMBERS CERTIFICATION DATED JUNE 1 1992 - JOHN J. CONDOM Building Inspector Rev. 1/81 voaa~ xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COppM-~P77L~~^^ETION OF THE WORK AUTHORIZED) ~OIU~ N ~ Z Dote 19 Permission is hereby gronte~ ~//~JJ , .w-% ~ .0.... ~ . .a~ ....`.,CL~G(~.................... County Tox Map No. 1000 Section ....~7..-//.7......,. Block Lot No pursuant to application dated 19.......,, and approved by the Building Inspector. Fee $..P...1..7..~Q.. i~~uildi I for Rev. 6/30/80 Focm ~VO. 6 1°' r....,..,,_ TOS~P3 OP SOUTItOLD , BUILDING DEPARTPfGNT ~ . . . .1»3~ L 5 TOWN HALL P~ 1~'~=, 765-1802 L:',. ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ,1. This application must be filled in by typewriter OP. 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-° 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. S. 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 S years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......1°..:/: 9 ? :lew Construction........... Old Or Prc-existing Building... Location of Property.....~75~ :................~:~~?fSEF~..........~:~T. T!_r~;~l~...... House No. Street Hamlet Onwcr or Owners of Property.... ,~yy ~ D~~Q=`~•••••••••.......... County Tax Map Neon 1000, Section.,~'`~Y•.:.....Block... Z ..........Lot.. (7..R:L~............ Subdivision...!,!:~7.T;7'c~Gf~„~.'.~•'•~.~~~.....Filed Map ..~~.~4......Lot..~g Permit No..l.~.7~.~-Z"t-,,,Date OC Permit..f.J.~S. ~.~y~...Applicant.. Td!':"'`T~•~A2d Ilealth.Dcpt. Approval.......,~/N~ .............Undcrwriters Approval....!~7T/t~J¢:;~-......... Planning board Approval....! Request for: Temporary Certificate........... P1nal~Certicate...~.... Fce/~Sub_m~itted: ~,~J„~-a `~C•y"7~I~ .PL C T ~c o d i ~ ~ v d Y d .n a p v C " x W 4 r ~ ~ ~ ~ T W g N 9 ~ ~ v~ % ~ a N w m w O. ,3 W > u N y}~ ~ a 0. ~ 'tl W 3 n: ~ ,may $ ri r ~ 5 6 r r.i, Q Ypp W ql ~ ~ ~ ~ ~ _ ~ t7 ~ ~ d m ~ $ ~ ~ at a 3'x N LLI x ° ~ v d N v i = a W ' i W Y Z~ V V ~ ' ~ W N Q p rn u o Y~ Y -o xd o ~ ~ ~ ~ ~ ~ o. y E' e g ~ ~ N tq e r 3J ~ ap E O V a~ W r~~ ~ U ~ S g a ~O N O ~ U r ~ E, ~ ; ~Z 2 W rcZ~ S Y a ~ Y ~ o a ."e ~ W V m W W G h ~ ~ « ~ LL3 z° r ~ n ~ ~ ~ v ~ 72 4 ~ ~ ~ e o Q Wr ° ° ~ € O~ W R AI ~ M N ~ W m F R ~ J. W C'~ T s N - ~ ~ A ~ a 0 ~ .-1 w W ~ a w ~ 1" rom ~ ~ ~ w ~ xw o ~ C ~ 3` N N p ass V c7 U s t7 i ,2 F ~ ~ H p W ~ M ~ d ~ O 'cG ~ ~ E LLB ~ ~ r e y M n ly ~ U n ~ 3~ x.~' ~ :.w OpO~ ~ ~ ~ G ~ N p O . l i, t ~t~ s~,. ,a fi=g: ~~'t j;3 ~;u;S~'. N ~ +:a;l t , 4" a ~ < fir` ~~1 q^h JtS.i p . TEL. 7G5-1802 ~pS~Ff~~~~~~0~,, TO'NN Or SOiJTI30'LI] ~ 0l;~' Cti~'r,~l' ~c OFFICE OF BUILDIIQG INSPECTOR ' i o il~~:~. ,rti-~ P.O. DOX 728 ~ ~ y 3 . u,~~-„ ~~~~'i~' ~ TOWN HALL ~~~itits~ 4 B~ a ~ . e~ ~ O/,~`c- SOUTHOLD, N.Y. 11971 f ~ p ~ 2 5 392 ' of i,~ Jl1N ~i~~~'~~ ~~t~~ a. C E R T I F I C A 2 I O N Date Building Permit No. /~~~.as-~ Owner ~o~-e.u B. ~'.6~@.^ra~-/~ ~ ~t~N37~A~ (please print) / Plu.;.ber ~oN~DaAI (please print! I certify that the solder used in the water supply system contains less than 2/10 of la lead. j(p9-runiZer's signature) Sworn to befcr~ me this " day of ,,A 19 9~- -~P~ is / ..q_~ ~ NotaL tlotary I'ub11C,(N4'J-GGKaX,w..J County ,ppNMARYTILUS~FUND ~ ~ry ~~6NC, State at Now Yo[k Ne.4861522 QuatNlod in LNestchester COUntyj~ ' Commlaafon ExPiree ~ ~•19 INSPECTORS Victor Lessard c,~JfFO( Principal Building Inspector ©\4„ ~'p ~ Curtis Horton ti~ G~ SCOTT L. HARRIS[ Supervisor ~ ~ < Senior Building Inspector A ^ ~ Southold Town Hall ~ Thomas Fisher ,moo. " n P.O. Box 1179, 53095 Main Road Building Inspector ® ' ' Gar Fish ',,~~aa~.F,,,_ Southold, New York 11971 Building Inspector ~1 }~t Fax (516) 765-1823 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 MAY 20, 1992 JOHN CONDON fi WF 1755 SIGSBEE ROAD LAUREL, NY 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) ~ No Underwriters Certificate on file. xx The check is ,________/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. ~ No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18763-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. PLEASE NOTE: PERMIT REQUIRED FOR DECK ADDITION IN REAR 1 _ ~ _ _ _ .,~~r.l~.u:~ 1~Jn i:. II ~ ~ UIlDATIO:! (1St) • ~ ~ )U',IDATIOt1 (2nd) _ _ ~ , z l - ~ OUCH FRkilE & 0 9 ~ •PLUhIBIVG , ti zn H ~ p m S. -a CIISUL6TIOY PER N. Y. ST;,TE EifERGY ~ ~ ~ \ CODE ~ r m H ~ I 4. f Fa::AL 7 ` • o m ADDITIUPIAL COi~IMEt1TS: ~ ro ' x -n r ~l H W b ' H H O \ M 9\~, y b [*7 • ro a ' C f {V..- 765-i80Z BUILDING DEPT. f NSPECTION [ ]FOUNDATION i5T [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ]FRAMING [ FINA4 REMARKS: ~ c. 6 DATE ~ ~ INSPECTOR d~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) GH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ 1 FRAMING [ ]FINAL REMARKS: C~ .o, DATE INSPECTOR ~ C~ 1 ~ ~ rsS-1802 BUILDING DEPT. INSPECTION [ FOU TION 1ST ROU H f ] G PLBG. ( OUNDATION 2ND [ ]INSULATION [ ]FRAMING (]FINAL REMARK ~'~,y -y~:.:=. ~ y I ~ I I DATE INSPECTOR uw ~ C ~l~ ~ ~nareV o vR ~ 1 765-1802 BUILDING DEPT. IN~PEC7'ION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~ ULATION [ ]FRAMING [)FINAL REMARKS: DATE T O INSPECTOR ~j l ~ 7l~ ~ r~-182 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ¢~~OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~FRAMiNG [ ]FINAL REMARKS: w~ DATE ~ ~ d INSPECTOR J- . Y n C' Ls„ a ~ ~ E 1- Q I i~ M F to o a 1- ~ d n~ aZ ~ ~ n x U ~ ~ ~ M ~E n~ U ~ N w~ Z ~'j Q Q~` ox ~ ~ ~U ~ ~ b ~ O ~ O p ~ ~ ~Z p w ~ ~ o ~ 1 ~ z z~~~ o Q ~ N~ 9JZ ~ e~ ~ o}ww ~ q o ~ i' ~ 4 4 ~ ~ o ~ ~ ~ ~ p (Y} q ° w 0. ~ Cn JJ ~ 3 i ' , ~1d1S9 /'1u S~ ~(N ~ ~ hb 4 U} UJ hi h G - 2 _ ~ O T d ~ ~ f p x . u uo @ ~ p p ~ 0 1 ~ O k r ~ { UV' ~ `y` ,p } Uo .4\ ~ O O ~ k ~ Zo oZ ? ~ ,OC J `C °vn n4 ~ 3 N i Z - 1- r y vi ~ t l~1 a Z •a w " r ~ a ,S~/'6 ~ ~ S t I ~ U ~ $ , 1U m { hw m m' 9 Z ~ goo kON ~ £B .6Ze ~ i x a o - ~ ,,,,esopz z < oo.oo~ a r Od~~ ~~gs9~ S a u d. ~ 3 a B0.\RD OF HEALTH 3 SETS OF PL.\NS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CIIECh BUILDING DF-PARTMENT SEPTIC Foarl TOWN HALL-``-~~--A 7~a~~ $OUTHOLD,N.Y.11977 NoTIr•YE 212-656-3033 / TEL.:7G5-1II02 CALL Examined 191~.~ h1AIL T0: 73 Roc]c, jtfl,., , Approved 19~~ Pcnnit No. l~f.76 Islip Terrace, _ NY, ~ J 7$2 Disapproved arc l ~ i %~G rz~.... JOIN ~ 3199p ~ a F~ Buildp(o Inspector) „„.o-~~~. st-cr.l'1EPr , APPLICATION FOR BUILDING PERMIT ~ TCDWN oG ss~UTFia~r~y„ - , Date ...San,11„.,,,,,, 1590 INSTRUCTIONS i - • a. Tltis application must be completely filled in by typewriter or in ink and submitted to tfte 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 street ` or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL' 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 permi 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 sha111tave 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 m Rc;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as irercin described Tile applicant a^_rees to comply with ail applicab)e laws, ordinances, build'utg code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessary~xs e~cl'/on's.~ (Signature of applicant, or name, if a corporatton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Architect Name of owner of premises „John.Condon,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of c[,o^~rporgate of~1fic/er) Builder's License No. .Q ,~.1~ .(7,-t . Plumber's License No . . Electrician's License No . ' 016388-1 Outer Trade's License No . . 1. Location of land on which proposed tvork will be done; - 1755 . $~,gSb~f?. Rd.. . . .....Z°fa~=tuck... ~/~!~de:~ }louse Number . ~ . ~ • Str~eelt. ,~7 Hamlet J z County Tax \fap No. 1000 Section I ~~:T • • • Block , yam; , , , , , , , , , Lot . ; , Subdivision Filed Afap No. Lot . ..(N:une) . . State existing use and occupancy of Premises and intended use and occupancy of proposed construction: 0 a. Existing use and occupancy . Single .Family Dwelling. , • . , , • _ . b. Intended Singe, Family Dw~lliijg, ~ ~ ' use and occupancy .;F~-.r.r.. 3. Nature of work (check which applicable): New Ouilding Addition ./F! Nteration . Repair RFmov~l . Demolition ..............Swimming pool . Tennis Court Agcessory Building..........Fehce .......Other Work............ 4. Estimated Cost.......$30,,000 Fee ' (to be paid on tiling this application) 5. ]f dwellin„ number of dwelling urjits • • • • • • 1. • • • • • • • Number of dwelling units on each Cloor . Ifgaragc.nuntbcraCcars 6. IC business, commercial or mixed occupancy, specif Stature and extent of cac~t t pe of use . 7, Dimcnsion~~frexisting structures,'iCany: Front Roar 25.'~........ Depth ..?7.......... . . Hei_ht Number of Stories . . Dimt:nsioST ga; fu,~ty~re with alterations q~~llditions: Front 3(i Roar 2..36 ~ . . Depth . t.t W~ i.~:: II s.:... llcight ......................Number of Stories . Dimensions of entire new'cohstntction: Front Roar Depth , , Height yy~~•Q~1 ~~QQ , Nwnb'er of Stories . . 9, Size of 1dt~rSnT Rear ..100 Depth ..140............... . . 10. Date oC Purchase , , .May„ 1981, , , , , , , , , , , , , , , , ,Name of Ponn,:r Owner , 11. None or use district in which prc~itises arc situated • • 'No • ~ ~ • • • • ~ ~ • • ~ • • ~ ~ • ~ ~ • • • l2. Dacs proposed construction biolatc any zoning law, ordinance or regulation : • • . • • • • • • • • 1'3. \VUl lot be regraded ~Q . ..Will excess fill be removed Crom premises: .Yes No .x 14. Name oC Ciwner of premises .JohnCondon . , , . Address ~ 7~5 j.gsk2~@, itC3, . Ph~nc T.u. 2.9.8-871.6.... . . Name of Architect .Joseph, Gabriel , • ,Address I3. Roq(C• R,d, ,j , .Phone No. 2.Z7.-38.7.6 . Name of Contractor Budget Construction , , ,Address Box, 70 Ridgy r , N,Y, Plrone No. 924-i71)81a...... , 15.Is this property locaE,ed within 100 feet of a tidal wetland? *YL~S....NO.... *Tf yes, Southold TowniTrustees Permit may be required. ' PLOT DIAGRAM ~ Locate clearly and distinctly all Uuildings, whether existing or proposed, and.indicatc all set-back dimensions from property lines. Give street and block tjumbei or description according to decd, and show street names and indicate whether interior or corner tot. ~ i o o. oo ' 4 829.83' poi 3 Np~ Npo 0 m oar uZ W 2 i ~ 2 (l mu R ZF ~ Z ~ I c ~ ~ n to ' ~ >I ~ N o ro Fo a u ens N ~ p ~ N Z I Z -I fTl o • ~ • d F a g ~I I ~ ` q r ~ ~ i ~ ~ Q ~ w~ u~ e ~o r za M` ~ G O Z A o ' Q m C p ~ o I b t ~ 0 • -1 I ~ t,i n oD ~ 4 n 2 0 ~ 4 M Z STATE OF NE1V YORE, COUNTY OF . ' S.S , , , , , , , , • , I being duly sworn, deposes and says that he is the applicant (A'amc of individual signing contract) above named. Hcisthc (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly anthorizcd to pcrCorm or have performed the said work and to make and file thi: application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the mannFr sot forth in the application filed therewith. ; Sworn to bc(orc me this ' _ Notary Public, ....G~1'K-e.~x./..jt•','....N.L.U~-.... County . ~~~~2~ucc c~ . HELEN K DEVOE (Si;nature of applicant ~N~74 07B~&S~IkC u~My~ Term Exp(res Mereh 30,19