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Home My WebLink About18685-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219625 Date SANUARY 2, 1991 THIS CERTIFIES that the building CHIMNEY Location of Property 61505 MAIN ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 056 Block 04 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 7, 1989 pursuant to which Building Permit No. 186852 dated DEC. 7, 1989 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 REPLACE NEW CHIMNEY AS APPLIED FOR (OLD ONE DAMAGED BY FIRE1 The certificate is issued to_ NED AND MARY ANN HARROUN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 nosas xo. s TOWN OF SOUTHQLD 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 18 ~ 8 5 Z Date .-l~u.~,<?.~c,:~.~......7 a ~.8.~ Permission is hereby granted to: ~'......~1.~,.....~..~.......-r ..~.e-.:~~.... ~ ~ ~q~.l......... y to ~ .!!.?.Ital.,... ct premises located at ~..~~.....5...........~:ar....1F+p............D~.~~ Q~~ ..............~r County Tax Mop No. 1000 Sec"tio~n~......~a1,~..... Block .......~.T......pLot No. pursuant to application dated .....i~C.SY.w..t!A.?.i,,.....7 19 ~.1,., and approved by the Building Inspector. Fee $.?r~.... Building Inspector Rev. 6/30/80 D L5 ~ L5 IJ lt/ ~ Form No. 6 ~ ~ S ma,vy.~ TOWN OF SOUTHOLD ,~Q~ g ~ ~ BUILDTOWNDIE~PARTMENT f i 765-1802 7b1NN8 O 80Et HOLD LIGATION 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 5. Temporary Certificate of Occupancy - Residential $15.00/`, Commegrcial $15.00 Date ~ZJ.z.~~..1.~ New Construction...9:...... Old Or Pre-exinsting Building.... . Location of Property....(~~c~....M~in.R~I.....~Q~~... House No^.' ~~J Street ~ Hamlet Onwer or Owners of Property...lV~.~..//GLrL 1K.1~...~lA'~.~i~. ,~Y~.C7~ :1tY1....II County Tax Map No 1000, Section... v ~~p.....Block.....~~ .......Lot...Ql Subdivision ....................................Filed Map............Lot...................... Permit No..~.~Y:V.J..~..Date Of Permit...l2:I..L.l..l1~..Applicant..I,~.k1~.I~~~:~C/(1(f~Q. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $...~5.......4/C-.s~7:~~..... ~ 3/y~ ~ APPLICANT ' z / 9G~2 f i La i:.$. ~ ..v:. II:~n:L ~:i1:YMLNT~ _ I ! . - II a II ~ ?OUilDAT20:! (1st 1 - - -a I _ ~r~ ?OUIJDATIO;J (2nd) - - - m ` • I o .'.OUCH FRAME & .PLUMBING jp~ y 3, y ~ ~ NSULATION PER N. Y, I n y H STATE EIlERGY CODE m H FZ;JAL I ~ o ADDITIOPIAL COMME;JTS: m S ~ • _ m x ,q , G M 37 • _ 9 ' J H H p ..O m 5 - r ~ y ~ m . ~v ' H i • ~~~azr,:r„~.,, TEL. GS-18~'_ `p`~~~"~ ~0~~ T01~'N UI~ SOUTIIOLD fi;%~j6;,~~ Y;~' OI~f'ICI; OP IIUILDING SNSPECT'OR r~_, ',u~,,',.,~. ~~,;~9° ~ i'.O. IzOY 1 17 9 `+r~''dy `';'i~~ ~ T01'JNIIALL O,y~ SOLJTSIOLD, N.Y. 11971 '~r^ DECEMBER 19, 1989 ISLAND TREE & LANDSCAPING CO. 51505 MAIN STREET SOUTHOLD, N. Y. 11971 'I'o 47hcm This, May Concertt, 4;e arc unable r.o complete your Certificate of Occunancy because_of the folloc•~ing reasons. An application for Certificate of Occupancy is not on fil.c. ENCLOSED) /Y/ ~fo UnderwriL-crs Certificate on file. / 'Ctie chec•}: i::~4iE5XtdSX€~ci/nut oil file.) $25.00 /Y/ D:o tical.th Dept. Approval on file. t`o Final insi~ect:ion has becu mace. Plc;ase contact: our office on this matter. T;~ank you for your cooperation. Pn.ildir,g Pcrmi.t-. A L _i Z Building Dupt. ""kJ~/ t!o Plumber ;;older Certificate on file. ( al.l permits involving plumbing being i~sucd aFt.er April 1,1984 ) (`r~'(~ r~ (~C1/7(~ ~ BOAFD OF • HEgLTH' J[ tom- v L t~--~~J L~,l' 3 SETS OF PL.1NS v~ FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK , a~~_0 BUILDING DEPARTM ENT SEPTIC r•oart t3t.DG.a~'I'r..v.re~ $OUTHOLD, YL11D71 NOTIFY; TOWN OF SOUTt90L0 ~ ' TEL.:7G5.1802 CALL Examincd~c°t+"~°^:..).., 199 MAIL T0: gpprovcd-4-~cuM~~ . ~ 19~~ .Permit No. /.$.14 . Disapproved a/c 0 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~zi . ~ 15 G INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 part 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 Laws, 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 applicatite laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections- . (Signature o~ant, or name, i~corporatton).. . - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...,bw n~e:~ Name of owner of premises ...N.~ ~~.G~...V"a 1~x1?:>~..~~ c3 Y.Y;L?ttil'l . ~as on the tax roll or latest deed) u~la&'13flF'~~ fs~, ~tl0a' If applicant is a corporation, signature of duly authorized officer. FEE saw _ . ~ C,._ .G'~ (Name and title of corporate officer) .y ~ Nr?'rtFV Pt-E,; (t~rr:: [',l~E~- ~ ~,I N~`1 d~, 766':s3s2 ,was, ~:n = ~tn- F3~iE Builder's License No . r~Q~ P`NFV~~'„~ FbL~.t.)1rdl~~i.~;;~.:~_~:'r~Ct~•~. Plumber's License No. R 1 FOR POUREO Ct7n1C~RETk~t~~~tl~~E4a ~1~~~~ZG~QQ?tiG x. FIOUGH - FR.~MINC l~ s~t.a~nrRlnifi Electrician's License No . ~~°49~ ~~?C 3. INSULATION F a. FwAL ~oNSTRUC`rlr~N I~nu;T Other Trades License No.~./~-s~.~,~.r..: ~ BE COMPLETI_ FOR C.C ALL CONSTRUCTION SHALL McET ' 1. Location of land on which proposed work will be done; THE R£t1U1REMENT5 OF THE N.Y, STATE ONS7 ACTION $ ENERGY ~-P.1~4.~ .........MS`s n. Rs~..........:. coo.. oNSIaLE Foy F[ouse Number Street. I~~j~I~OR C®IVSTii 7lON£RRORS' ' County Tax \tap No. 1000 Section .........s~... , : Block , , , , , , , , , , , Lot-.... t`......... , ` , , Subdivision Filed Map No. Lot . (Name) . State existing use and occupancy of premises and intended use and occupancy of proposed construction: b , a. Existing use and occupancy ~ . b. Intended use and occupancy ~,f~__w"`~'``e"' • • • • „ . . . . . . . . . . . . r~V 3. Nature of work (check w•hic~t applicable): New Building ..1/ , Addition Alteration . Repair flpmova~ Demolition ..............Bier. o go . Tennis Court Accessory Building..........Fehce .......01Wor. 4. Estimated Cost ; ~ .00,.60 Fee g lin un, (to be paid on filing this application 5. If dwellin , number of dtvcl, g its Number of dwelling units on each Cloor . If garage,numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~^a®.t"?'~r........... . 7, Dimensions of existing structures, if any: Front . . z`."f. X.~-,`E... Rear . Depth . . Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . . Depth ~ . , ;Height ......Number of Stories 8. Dimensions of entire new constnrGtion: Front ~ (o .X ~ Lp.. Rear ...............Depth , ' Hci;ht .'Number of Stoles ......G`.lai M.~'~'.`.~. . 9. Size of lot: Front • ~ .~0, K l D.~? . Rear Depth , . . 10. Date of Purchase ~ ~ ;7~, , , , , , , , Name of Former Owner . . . . l 1. done or use district in which premises are situated ~i"Jkd~ r; Cl~ ?S . . . . . . . . . . . . 12. Does proposed constructiop violate any zoning law, ordinance or regulation: N . o !d. Name of Owner o fpremrse ~ ~ ' ' ' ' ' ' ' • • • Wilt excess fill be removed~rom premises: • Yes No s . ~ ~ . l~4?.r'CO.W'~.. Address ln~,~4~..1:I.~Z+ltd2c ..Phone No, :1.17S..1`~C~3... , . Name of Architect , ,Address . .Phone No. . Name of Contractor . ~C'1(a C-~i KI,~'~.f{, , ...Address .6~~'. `o~~: ~'C~' QC~. Phone No. 1/7~~~'.. . IS.Is this property located within 100 feet of a tidal~etland? *YGS....NO. *If yes, Southold ifown,Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, 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. V~ ~~S ~i ~ ~ ~ • ~ ~~f ~ ~ 0 - Nt p~` t F [ `s Fi STATE OF NE\V YORE, I st:~ r,. ,u* ,yv COUNTY OF ~ I S.S ~ ~ eyp ~ ~~'r,. r °£8, (Aamc of individ' ~ ' ' ' ' "'~~1?~Lng dtaly sworn, deposes and says that he is the applicant ' ual sigc}ing contract) above named. , l+cisthc........., I.., (Contractor, agent, corporate officer, etc.) oC said owner or owners, ;<nd is ,duly authorized to perform or have performed the said work and to make and file this 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 manner set forth in the application filed therewith. Swom to before me this i ~ , Y ...~~-.........,19~~ ~~j~~' da of., Notary Public, :~.r,~'yS~ . ,Y~':~... County p NELEN K. DE UOE • • . • • • . • . NDTARV PUBLIC, State of New York ($igna tore of applicant) No. 4TD7878, Buffglk County , •Term Expires March :10,19 .-`;1l _ I ~ ,