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HomeMy WebLinkAbout18588-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23187 Date AUGUST 30, 1994 THIS CERTIFIES that the building ADDITION Location of Property 1585 LONG CRBER DRIVE SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 1989 pursuant to which Building Permit No. 18588-Z dated OCTOBER 20, 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 A DECK AND GAZEBO ADDITION TO S%TSITING ONS FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA SNOW (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUM8ER5 CERTIFICATION DATED N/A Building Inspec r Rev. 1/81 v sos~ xo. s TOWN OP 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) 0 C` N _ 18 8 8 Z Date .....10... `~:.f~ I9el.rl.. Permission is hereby granted to: L ~ r to ct premises lacated at ....1-.~~...~~.:.`~..~..,.~~ . ...f.~.I c .......................................3aa County Tax Map No. 1000 Section ..p.~......./~J.'.~.~ Block .............<1........ Lot No.......~............ pursuant to application dated .......NY... ,1.,/.~J )9 and approved by the building Inspector. / Fee $.4A..I~... { L .g ......................d... B din I for Rev. 6/30/80 ~iI ~ ~ Form No. 6 °~'s... n-~ TOWN OF SOUTHOLD D ~ ~ ~ I~ ~,~4 p~ (.~1 BUILDING DEPARTMENT ~u TOWN HALL " 2 9 1994 t G„ • 765-1802 ~ B~-OG DEA7; o-~ APPLICATION FOR CERTIFICATE OF OCCUPANCY -~•....•70'J?ftlOFgOUTHOt® 4 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 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, t:he 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential d$1/5./0/0, Commercial $15.00 Date $E.~.O 1~7 . New Construction........... Old Or Pre-existing Building.......... Location of Property...~~.~~.-5...~DYI~.~J;e~~C..~riYe ...................~.duJln@~Gt............. House No. - - - - - Street - " _--Hamlet Onwer or Owners of Property..~F4J.l:lC.lr~C..~P..!4C~!!tG~Y!t.~.7. h0~••••••••2••••••••.•••••••••• County Tax Map No 1000, Section...~'`.~......Block.. p.1..........Lot..«1 Subdivision ....................................Filed Map............Lot...................... Permit No..~,(,~~gg~,...Date Of Permit. 12:q(S'.I.....Applicant. `~i`:G~.eLl:c.~.~'?•..~!?4~..... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Ce tic O Fee Submitted; ~ lcLJ :::9.: E I~~n::. 1~ ~G:`if~fENTC ~ °~f1 m pb ~ I. -1 ` =0U17DATI0`7 (1st) ?OUI7DATI0:7 (2nd) ` oQ~ ~OUGH FRAME ~ O • a ti PLUMBING ~ H 3, m n .3 IISULATIOP7 PER N. Y. ~ ~ STAT° ENERGY CODE ( = `",1 m r ? . ~ FIi1AL I D~ CG' < ~ ~ ~ ADDITIOCIAL COMMEt1TS: x~ r ~ m •n H 9 H\ O m~~ ' / \ v~ • m ~a .-3 Y FORM NO. 6 TOWN OF SOUTBOLD BIIILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building ' Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ' 2. Final approval of IIealth Dept. of water supply and sewerage-disposal~S-9 form). 3. Approval of electrical iustallation from Board of Fire Underwriters. k_ Sworn statement from plumber certifying that solder used in system contains less Chan 2/10 of Iz lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. S. For existing buildings (Prior to April 9, 1957] non-conforming uses, ar buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent Co inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant, 3. Date of any housing code or safety inspection of buildings or premises, or ocher pertinent information required to prepare a certificate. C, For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing Co the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 ' Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $IOO.DO. 3. Copy of Certificate of Occupancy - $5.00 - over S years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial l0/14/S8 i TOWN OP SOUTllOLU BUILDING DEPART2IENT TOWN HALL SOUTIlOLD, NEW YORK 11971 765 - 1802 r?o ~ ~X 1l7/ I~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY ptJ / i DATE.lor!?f~Y........ NEW CONSTRUCTION ..."....pLD OR PRE-EBISTING IIUILDING......VACANT LAND...._... ISBN ' Location of Property.. .....~~CZ~~~W.'-~.........~~r~9~r~...._...... HOUSE N0. STREET HAMLET i ~~//rr77~~ Owner ar Owners a£ Prope~ty..:V4R'/!~'!~ ~,~~-T/zrcrr~.rd`:~°~' County Taa Map No. 1000 Section $,j Block 7._. Lot"~ _ Subdivision Filed Map ._......Lot.......... Permit No. ..........Date of Permit .._.......Applicant Health Dept. Approval Underwriters Approval......_..__... Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: ti I I' APPLICANT. I rev. 10/14/88 765-1802 ` BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING t FINAL REMARKS: DATE INSPECTOR / / y G~EE~ f a'\, J ~ o i oN ~ M ,~p~i~ p.N'~ m a 06 ~~nn9 / ~ t,e h^~ o LOT 7 ~ LOT 8 p ~ 'o ~ o_ Sc~ , . O SDK \ SrK al ~ _ u, r W ~ o . N , ~ o ~ N ~ O ~ ~ ~ , 4>•& 2 E~ /j, ' v _M ~ ~ b ! L hfe ~ W DfiC J a,.s o N ~n~//I,II/vd.1.'~ 32.9 q/.2,.. 1 ~ \ ~ ~^t ~Q ~ - N ` m1 0`t O d \ t / 1` 1 1 z 51 . 1~6 ~ ~ QO to 13.3 ta.tg ~ ~~°c~s 038 50 ~ W ' eta/b E. 3m'00' t 5.75 co~• DRI V ore~d~ 28' ~ to oNGREEK b~,~ ~,,,,t.. s L Prepared in accordance with tha minimu~ SURVEY OF standards for tiila surveys as establi_L LOT 8 t`te L.I. A. L. S. and approved and ad.,l.t~ ~ ~ J fur such use by The New York Stote land "SUBDIVISION MAP OF r{tlx Association. u LONG 'POND ESTATES -SEC. ONE FILED DEC. 27, 1985 FILE N0. 8037 sr AT SOUTHOLD y~o~'aNb'~~9 I TOWN OF SOUTHOLD U~~py~a ~F~2~~~ SUFFOLK COUNTY, N.Y. i =r 7, ~ ~ 1000 - 055 - 07 - 03 f + # .S. LIC. N0. 49668 SCALE 111= 401 FEB. 5, 1987 t ECO 9p f1tf6 A ENGINEERS, P. C. July 21,1987 ( 516) OF fJJJ~ P. O. BOX pjs~ loon MAIN ROAD S•.~fi o5'S Q~EQ = 4Z, 747 $Q. FT SOUTHOLD , N.Y. 11971 L~~ 3 OR 0.981 A;C. 8 7; - 132 BOARD OF HEALTH 3 SETS OF PLANS ~FORMNO.1 SURVEY 25 a' TOW-;v OF SOUTHOLD CHECK - - • • • • - • - BUICD~ING DEPARTMENT SEPTIC FORCf TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.:7G5-1802 ' MAIL T0: Examined ../p~a......., 19~ ,Q ~-,Q p p-tOH1ttOS d0 NMOl Approved l"./..Z~ 19~ Permit No. ~t!`~!! •o • . X80 •DO~g Disapproved a/c// $ { ,~a RAP~PR,~VE AS NOT/ED~'vr~B . Q fl DAT>r: j B.P. i? G.~_... ~ ~ ~ ~ '~J FEE: BY: . NOTIFY BUIL ING DEP M NT AT (Bu' din^ Spector) 765-9802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: APPLICATION FOR BUILDING PERMIT q 1. FOUNDAT{ON TWO REQUIRED Date 1.~1.'....., 19~ l . FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING INSTRUCTIONS 3. INSULATION 4 INAL CONSTRUCTION BUST a. T ~~'fi~'t~'As~ttf. completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of,~. n~ ~(~~~l~l~~~c~~ee according to schedule. b. Tiy>~'tt~fr~`7t~~~ nd of buildings on premises, relationship to adjoining premises or public streets or areag~-~tl s of layout of property must be drawn on the diagram which is part of this appli- caticnD~~E~ ~ {B ,FOB n may not be commenced before issuance of Building Permit. d. ~iPl$ approval oft 'sF~ plication, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept ori-Tlte prem"-ise 'av~iYabtl="fur inspection throughout the work. e. IS~Ebuilding_shalLber3t~eC.tlpledsu timed in whole or in part for any purpose whatever until a Certificate of Occupancy shall hav@14)~~hYgt~4~k~e@I~~ t f~'ti`ItFR-~g~Iisp€ctor. ?55-1£?C:2 AM TO n PtIR FOR THE ' ' App~'f~Fp~,Ie~~~.; $~~~fADE to the Building Department for the issuance of a Building Permit pursuant to the Bui]dinglZptlr~titt4~14i1'>lpe of ~1e/f.3'RE~IIPI~~uthold, Suffolk County, New Y~-k; d other ap~tlicable Laws, Ordinances or RegulationsffRO'tHtAl~ttFl~1'Lof buildings, additions or alterations, or~o removal or de lition, as herein described- , The app~ic~IIGFCes~yl9tRFN81}g,v~'t~M~Iq~Gcable laws, ordinances, boil - g code, using de~ emulations and to admit at>Shgpil~~{~,fifiPlpFtors on premises and in building for necessary ins a tip s. 4. FINAL - CONSTRUCTION MUST , , , , , , ,qr[ ~ r~~• . . . . BE COMPLETE FOR C.O. (Si; tore of applicant, or name, if a corporation) ALL CONSTRUCTION SHALL MEET ( THE REQUIREMENt5 OF THE N.Y. j¢S(t~~~..('qurf..1.~aS~:G~/yr.~.Nl,li7.3o... STATE CONSTRUCTION & ENERGY (Mailing address of applicant) CODES. NOT RESPONSIBL`'E FOR State w~ief~i~rNa~Rl~~NfST~t~CwTnl~t{V ~RRUR agent, architect, engineer, general contractor, electrician, plumber or builder. .......owtiE2 Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ! U LAWFUL (Name and title of corporate officer) ALL COtITRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. • • • • • • • • • • • ~~TU T CFTIFdCAT •~ri~....... - Plumbcr's Liccnsc No. Electrician's License No . . Otltcr Trade's License No . 300 0 ~Q,~/~,~Q.fi'~ 1. Location of land on which proposed work will be done. rS`~.~/• • LON~~ ~'~/(/E ........~oU7'Nl1z D ~ /J House Number Street ~7 Hantle[ County Tax lvlap No. 1000 Section Block ~ < Lot , , , , , , . • , , • Subdivision Filzd \Iap No. Lo[ . (Name) State existing use and occupancy of prem`is/es an//d intended use and oca~cupanc~y"'of proposed const~ruc~ti/on: ~ ~t'~SiiJ~'iu-ri~Gl ~SrC~YPCS ..~~url~.R #•Y~z~d©,~F~tt~'a.GC~N.rC}~s~~-:J.. a. Existing use and occupancy , . . b.lntendeduseand occupancy t...:,.:,~,~,,.,.;,' 3. Nature of work (check which applicable): New Bi Iding Y....~..... Addition ..6~• • • • • • Alteration . Repair . • , Removal Demolition Other work , . (Description) 4. Estimated Cost . ~j~©G• ! Fee . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling utiits Number of dwelling units on each floor , . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions Qf existirlgstructwres,l,ifeny: Front . Rear Depth . Height ^ . ; Number of Stories . . Ditrienseons of same structure wit1~ alterations or additions: Front Rear . Depth' ; .,..:Height 2 Number of St ~ . . . m~ppgg ~r = 8. Dim`e~nsionsto~e~t~e'~R1l4 cod§'t~tetion: Front + Rear ~ >of~.{~ ~ e~~it11 . Height; -.t •Z, rCafA.~.~W~.~,,,~!uin ber o f Stories . 9. 'Size otf lof: Fr'orit ,..f,{.:Ff-~~t"f+~.: ~ Rear Depth . . !Q i 8 Name of Former Owner, ~~112:~+;C•~~t s"!'/?/I;srS,F7'~. 0. Date of Puichasi;""':°`:.:.:~3. ~ 1, Zone or use district in which premises are situated . 2. Dees proposed construction violate any zoning law, ordinance or regulation: U'......'..'......:... , • . • . , • . 4. Aameoof Ownerdo d remises • ' ' ' ' ' • Will excess ill be remd3~ii-'R~dt~ premises:' Yes No .Address ,r. Y'~iohe'No. 27:~:~/?.g . ( , • . Name of Architect ............Address # f.~'~'.~PhOrie Nb... . .............Address , one No...:........... . lrame of Contractor .....oWN" '-5. Is this property located within 300 feet of a tidal wetland? Yes No *If yes, Southold Town Trusr~ees Permit may be re99u~ared. xs,r,; „i • ~ PLOT DIAG1tAM aE r;.;t ~1., - Locate clearly and distinctly all buildings, whether existing or proposed, and: is3Eilt'ntte>sall?set=back dimensions from ^roperty lines. Give street and block number or description according to deed, and s~ldtltW sttA~!h'niiiYi'es~and indicate whether nterior or corner lot. ,.,,.at ;;tl ' t€q;"' i!,~ n Q i •p,•~aae-. ~ w~ e.u+s{inq 5 ~Qqr. . ISO USA, ' i a « - y ~ ~ ~.7tl~ct+s~~ aueY CatuYz{r+(T6PYSt!3c~bwr~). #r~ 9,~'~.! y , . , ! t~i' ~ ~ ,r'' f~~.8~pa{ ~d ~.~tZ . - De~r~rc A Sfax 6 ~I~~G, wq s^ 2x6 aNaella~'"~ ~avajP'~rtrr/.e1~ii~n+S~ite~S - I . , 1x6 &ea c+rs Spsrtn f plrr~S a ~ cu!~ a/SC~c y-3'dKpcencrea<e~:ers, . • • • • • ,?(,1~ f;f•~~.~?.. YY:..... . being duly sworn, deposes and says that he is the applicant (lame of individual signing contract) :ovc named. ~W V~-4 isthc I (Contractor, agent, corporate officer, etc.) ' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ' plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application iilcd [herewith. vorn to before the this / _ c, 1 °c~~~~'`pd~~day of 19~,f. Mary [ ubl'sc, ~%lJ~-"`.,'_"."...~.,.. County NobryPulb~lob48~78teo(NetrvYOrlt (Signature of applicant) QuelHbdin Sttff6o0rrkBCounty ~a Commisekm Explros DecBmbM 8,1@..... 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU TION [ ]FRAMING INAL REMARKS: ,L~~_ ~ v~ d1~^u~fiL.~r~ ' _ ~ DATE 1 ~ ( ~d INSPECTOR- ` ' ~I~i~,: I ~ W , 1, 2a.s° l- / r im- ~_-L- -~l ~,.~x~'Ach°rm/!s ',3. 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