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HomeMy WebLinkAbout18686-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218867 Date MARCH 12, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 1750 MOUNT BEULAH AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 051 Block 003 Lot 002.010 Subdivision MT. BEULAH ACRES Filed Map No. 6984 Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 7, 1989 pursuant to which Building Permit No. 186862 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to HERBERT AND IRENE ERNEST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NjA UNDERWRITERS CERTIFICATE NO. N/A _ PLUMBERS CERTIFICATION DATED N/A L~ Bu lding Inspector Rev. 1/81 sosa;t 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 ~ ~ 8 (J 8 ~ Z Date ...tR~z~7 1 Permission is hereby gran d .Y / ~ t prb~~s located at ~7~~..-.''/ ........~~..~/`~.e.......................... ...........................................~~.CS~C~~................................................................................. County Tax Map No. 1000 Section Block ...Q.~:~..... Lot No.......<?..A..Z.~~~Q pursuant to oppllcation doted ......~~.~~.a 1~~...., and approved by the Building Inspector. O Fee $...ti:J...~ . u~ldi Inspecta~`~. Rev. 6/30/80 TOWN OF SOUTUOLD BUILDING DEPART2{ENT r~, TOWN BALL ~ ~ i~ SOUTUOLD, NEW YORK 1 1971 b,; ~ ~ „ ~ imfl ~~~~5~ 965 - 1802 laat~ BIOG.O'cP; 70Wbf Uf SOtJTFa;~f.D APPLICATION FOR CERTIFICATE OF OCCIIPAN e Q DAT/E... ~~D~/~ NEW CONSTRUCTION .......OLD OR PRE-E%ISTING IIUZLDING..:...~/ACANT LAND._...... Location of Property....l7~p.:.~::•-(°Z4YC~~•-f7~~,-" "~~:"1V~""'.`.' UOL`SE NO. STRL'ET HAMLET Ovncr or Owners of Property....:1~'~iZ^.y'~.•~~•l~"t'•~~'.•!~•""""""•"' county Taa Map No. ]000 Section O•y'~~O~B1ockOD.~.d~Lot' OO.Z;©fa Subdivision Filed Map ........Lot._.._..... ~y~'p~...A licant :~2eR..~.'. ~/2wjF3T Permit No_ ..Date of Permit 3 ~qq pP /86 $d2 Uealth Dept. Approval Underwriters ApProval..~/~?w`1.~..-,~(~, Planning Board Approval Request for Temporary Certificate Final Certificate FCC $ul)miCCCd: APP ICANT... L ~ 3y~~, 3~~~/~~ reV, 10/14/88 ^~L? J....Ci: L~.~V;. II~Jn ~ ~GM:9LNS~ ~ \ _ R II ~ ~ ~ ~ y 'OUIIDATIO`I ~ (1st } c m 'OU1dDATIO;S (2nd 1 - ~ ~ ~ ~ V ~OUGH FRAME & I .PLUMBING N H 3. m n 11SULATI01i PER N. Y. I y STATE EISERGY CODE w ~ -Jr 4, b y FISIAL I '~1 o T m ADDITIOSIAL COMMEIITS: x~ x ~ . H 9 • H O \ . r \ • . - / -l ~1J d -o a • TEL. 765.1802 ~~FFOU~c o~O CGS TOWN 0~' SOUTIIOLD ;y,~f' OFFICE OF BUILDING INSPECTOR ~ ;ap P.O. BOX 728 ~ fuse ~„E.,,-~~ ~ TOWN BALL 0~~~~ SOUTHOLD, N.Y. 1 1971 MARCH 6, 1990 MR. 6 MRS. HERBERT ERNEST 1750 MOUNT BEULAA A98. SOUTHOLU, N.Y. 11971 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 J / No Underwriters Certificate on file. The check is( not on file.} $25.00 / / No health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit It 1 8 6 8 6 Z ALTERATION Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) BOARD OF HEALTk1 • ~ 3 SETS OP PLANS ~FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N. Y. 11971 CALL TEL.: 765.1802 MAIL T0: Examined . ~2~ , 19~~ Z Approved . ~ , 19 ~I!Permit No. ~~6 ~6 ~ Jo ' Disapproved a/c w . . . G-'^~~B ding Ins ector} APPLICATI N FOR BUILDING PERMIT Date , ,November 20 . , . , lg f39 INSTRUCTIONS a. Tttis application must be completely filled in by typewriter or in ink and submitted to ttte Building Inspector, witkt 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 Buildutg PermiC. 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 a,ty 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) Mt. Beulah Ave., Southold, NY 11971 (Mailing address of applicant) State wlietlter applicant is. owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Z ~c~/E Name of owner of pre,ises . , Mr. & Mrs. Herbert Ernest (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST, BE SUFFOLK COUNTY LICENSED Builder's License No. .admas, ,Sirli,tfl,, B,u,iJ der, , , , , Plumber's License No . . . Electrician's License No. .G .S. ,~1 ectr,i cal, , , , , , Other Trade's License No . - Location of land on which proposed work will be done . . 1750 Mount Beulah Avenue Southold House Number Street ` Hamlet , County Tax Map No. 1000 Section 05100 , , , , , , , Block, 003: 000 Lot 002 :010 Subdivision....Mt;,Beul,ah,Aeres,,,,,,,,,,,,,,,,,, FiledAlapNo. ,6984,..,,,,,, Lot....,.... ([Jame) • . . Stack existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residence • , . , , , , . _ , , _ . , , . Residence b.lntended use and occupancy - ~ , - - . , v _ a ~ ? . V; 34` xi ~ /r - v 3, Natpure of work (check whiRemovlal able): New Building , , , , Addition . , Alteration r..«. Re air Demolition Other 1Vork Skyl,i,g,h,is . (Description) Estimated Cost....$10,000......' Fee j ' (to be paid on filing this application) , If dwelling, number of dwelling units,'... Qpg, Number of dwelling units on each floor , N//{ , , , , , , , . If garage, number of cars ThtiBe . . , . If business, commercial or mixed occupancy, specify nature and extent of each type of use , Al/A . . Dimensions of existing structures, if any: Front , .130. ,Rear , , ,130'...,. , , , , Deptlt , , 85.x...... . Haight . 13; , , , , ,Number oaf Stories ....Qq@ . @nd .TW4 . Dintensions'of same structure with alterations or additions: Front ,130' • . • ReOr 167' , Depth , ~Q4 . ........Height ...13:.&.2$:. , Number of Stories Dimensions of entire new construction: Front Rear . .Deptlt . Hei,eht Number of Stories ...One Two . , , , ~ Size of lot: Front 15Q:) 7. f t:..,: , . Rear :..2@$ :~4 .f ~ Depth 22.1.•J 3. ,ft........... . )c Date of Purchase AUgUSt. 6, .1984 . :.......Name of Former Owner . , ,F,erris. Mega.r.i ty........... . , ~oneoruse.districtinwhicltpremise are situated....A-RB51dQlltldl,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Does proposed construction violate any zoning iaw, ordinance or regulation : . Will lot be regraded , . N9...... i . ........Will excess fill be removed from premises: Yes X No Name of Owner of premises MC, &,MCS..y, .~rOfSt. Address ..S4Uthol,c(, , , , , , , , ,phone No.51fir765r1212... . Name of Architect WARQ, A$SOQIAr~S, , P; C;., , , , , ,Address ,Bohemia , , , , , , , , ,Phone No.516-56Q-4$QQ, , , , Nance of Contractor , ,James ,Smi,tN Address Southold, . _ . , . , ,phone No51(i-765-1225 , , , , i. Is this property located wittlin 300 feet of a tidal wetland? *Yes No 1 *IE yes, Southold Town Truste$s Permit ma be required. PLOxI' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. . ~ ~ P 1~ ,p J1rri 2~~~' , J~ ~~o b ~ / 1 .r ' . 3 or I ~ ~ , ~ ' ~ t=X ? s-~1 tv~ t C RE~tC~Et~i~ A' ~r ' ~ W - TATE OF NEW YORK ~ ' S. S' OUNTY OF . , , , .Herbert, Ernest ~ being duly sworn, deposes and says that he is the applicant (Name of individual signingjcontract) rove mm~ed. - ' eisthe..,Owner ~ i (Contracto{, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this rplication; that all statements containedut this application are true to the best of ltis knowledge and belief; and that tfte ork will be performed in the manner set forth in the application filed therewith. .vorn to before me thhis ~ ~ p,. ..............l.. ..day of. .stjl~~/: r. ..........,19'.4 r, otary Public, , , , , County 7qp n~ HELEN K. DE VppE 1 ~ :"G!6 . t!DTARY PUDLIC, State dt New Yurk _ No. 4707878,Su9folkCouM~,. (Signature of applicant) Term Expires Atarch 3Q;1 ~