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HomeMy WebLinkAbout18591-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20098 Date JULY 22, 1991 THIS CERTIFIES that the building ADDITION Location of Property 870 SMITH DRIVE NORTH SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 1989 pursuant to which Building Permit No. 18591-Z dated OCTOBER 24, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MEINRAD & KAREN DANZER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A I, Bui ing Inspector Rev. 1/81 noaai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fTH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1591 N ~ Z Date d~~.~ ~ Permission is hereby granted to: ct premises located at .....f!..7o..... .....uy~......~ ~T ; a2~.f~................... Caunty Tox Map No. 1000 Section .........~r~t........ Block .........~.......~^Lgot No.........~-~........ pursuant to application doted ........~~./9 19.Cf./., and approved by the building Inspector. Fee ~..1.~1!. . ~ ..r........ uildi nspector Rev. 6/30/80 Form No. 6 TOIJN OF SOUTItOLD ~ „ BUILDING DGPARThIGNT TOIJN !(ALL ` 765-1802 APPLICATION FOR CGRTIFICAT): OF;~000UPANCY This application must be filled in by typecariter OF.~~ink and submitted to the buildinh inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property 1ir.es, streets, and unusual natural or topographic features. 2. Final Approval from }icalth Dept, of water supply and sewerage-disposal(S-O form). 3. Approval of electrical installation from hoard of Pire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than Zj10 of 17 lead.' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~%mpliance from archi_ect or engineer responsible for the building. 6. Submit Planning Iloard APProval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. eccurate 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 Guilding Inspector shall state the reasons therefor in writing to the applicant. Fees ' 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AlteraCians to dwelling $25.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building $25.00. Busic;esscs $50.00. 2. Certificate of Occupancy on Pre-existing Building - S1D0.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $1D.00 4. Updated Certificate of Occupancy - $50.00 5• Temporary Certificate oC Occupancy - Residential $15.00, Cgomjmercial $15.00 Date ......j...~ 8.. f. 1• ^•a Construccion...•:~.. Old Or Prc-existing Building...~J... cation of Property.....~7~ .....~~.fy~'Il,d~;l.•.~~:IV~ • /:!t9.;~Lerl........~f~~?I r%tC)~~.... Ilousc No~Jj /Q g`{ a,SIC~lreet /y~\ Hamlet :ucr or Owners of Property.../'1 ~~'/~?~•7:'/'.D • ~f • 61 ~7~~j~ 5.J ~~Z-f~•~ • • • • • • • • • • • • - • • • . • • • .unty Tax Pfap No 1000 ,A /Section..... <.I1?.....Bloclc......:?'.-. .....Lot...(~G~~y~...CC~~........ • '.:division...~ooSp.../~!2C~• ..............Pilcd Piap.......,....Lot...l.(..9~.1.~...... :mit :10..1~J~..[l......Dace Of Permit.. ~(~/-L~~Q•7~...Appliuant.C°.'.~{r'~~~/•F!••~(.fi°r?Y~~~„ filth Depe. Approval ......................./...Underwriters Approval......................... nnine hoard Approval uest for: Temporary Certificate........... Fina/l//Cferticate........... Submitted: $..I Zs.:..... .~~'~Gjl!;"ref.A~... ~~,-L{~~ra~rp - APPLICANT Pd ~ ~0 oq~ _ - = TEtr. 7G5-1 S02 pS~~F~t_k~Ol~ TORN OI' SOIITIIOLD ~ , ~ :i~~ ~~~:4:,hq:~. ~ Opl'ICE OP I3UILDING INSPECTOR ~ ~ + ti~ + z P.O. i30X 72$ ~ ~f ~ TONN EIALL O~Ol ~a0~ SOUT1EOLp, N.Y. 1 1971 7~~< To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. nn application for Certificate of Occupancy is not on file. / / No underwriters Certificate on file. Tlie check is ( /not on file. } / / No Ilcalth Dept. Rpproval on file. No final i.nspcction has been made. Please contact our office on this matter. 'Phank you for your cooperation. 73uildi.nq Permit ~I ~ ~ 2 I3u.ildi.ncl Dept. / No Plumber Su7.cier Certificate on file. ~ . ( nl.l permits involving plumbing being issued after Rpri1 1,19II4 ) _ _ _ a~ ?OUIJDATI01l, (1st) _ ~ _ _ c ti 'OUtJDATIO;J (2nd) m~ - 2. ~ `o °S) O ~OUGH FRAIdE & i PLUMBIiJG V` ' y y 3. m c~; 17SULATIOfJ PER N. Y. I • • a STATE EfIERCY ~ ~ CODE I ~ mQ,(~~ 4 . ~ ^3 ~V FI;JAL • I o ADDITIOf1AL COMMEtlTS: m x~ m ' ~ x •o H 7]\ _ 9 H H \ O . ~ _q • r / a v m - - ^v a ~lVllll ,1l~Il~t•{ .(~~~I1~~ 1l'C ls' Iy.80°30 00 ~ 16.02 o S C~ 00 m ~ S/° 0' ~ ~ . ~ .n._ 3b /~9 e\ ~ ~ ~ , A o l,, . qC' O Sb...~ /O o ~ d or q t tr. Houses v ~ ~ ~ ! s~,'Jgorn9e y 99 Q ~'3' :nn N O.._.-, AO ~ ~ ' r..._-~ ~ O . ~ 'w .y ~ ~m°! > ~vg ~~9 OQ J- ~ s~ k ~ o~ o ~ 00 ~O a <o~, oo °O 9 ~s h°~ o, M ~ 6 ~ o no, ~ <ar i l,r~ W b 7\ ~ eYS ~ d CIS ~ 4 ~ Q. h F~ Y iL ~ g£ ~ k ~''t~~ ~F ^x, r T/f'"~~ ~~3 ~r t~ 7 ' FOR tY J. BURTIS nc a7 qR f-~ QA nF BOARD OF HEr\LTH 3 SETS OF PLr\NS . FORM NO. 1 SURVEY TOWN OFSOUTHOLD CHECK BUtLDI-NG DEPARTMENT SEPTIC FORM ' TOWN HALL EOUTHOLD,N.Y.11971 NOTIFY -7/~-• TEL.• 765-1802 CALL . . ~~C~ . MAIL, T0: , Examined JO .°2. 19 Approved ..~~/~T......, 19~Permit No..~P. . p ~yllf' DisaPProveda/c Y V ~~f/ uildin nspector) APPLICATION FOR BUILDING PERMIT qa - Date g......, 19.$./ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or;n ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apple- ' cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall leave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described- Tlte applicant agrees to comply with all applicable laws, ordinances, building code, housin; code, and regulations, and to admit authorized ins ?bpd in building for necessary inspections. ~$lA (Signature of applicant, or na rf a corporanon) t'H [lt1~1iN'C1+1+~~1~41 ai3Nle7.;.1',:1 °^'i=,r -~•t s t :err at,~ ~tw s rxr 1~~, N~ ~€t , . . ~a~.'N ~:+~tt .1p+~ 1 N®.. S.~ ~i"~.~1 1 t~is41~_i~.,,aa (Mailing address of applicant) State whether'Bappncl~t~,I o, g1~;~~gsaRabeeat, azchitect, engineer, general contractor, electrician, plumber or builder. i,. i~S, ~?f~l'Bbdit,i~# ~ ;,rwannr;xa - Nameo£ownerol'premrs~~;~,,4.,...'~~.LN. ) ,r~~~~ , _~si s, t;~; ~ - ~ - (as on the tax roll or latest deed ,t p., n,:~ If applicant is arctdrpt'H14~tit~A! s3~rt3futr;; df duly authorized officer. . (Nam~`afldr-(it`1e'of'corporate officer) Builder's License No. .......V ~ N.1`~-~...... Plurnber's License No . Electrician's License No . f e Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street, Hamlet County Tax i\tap No. 1000 Suction Block Lot . ~~p......ry....... . Subdivision -~~-CBSe. 1~1e;cE( Filed D1ap No. Lot . 99. 90 9..~ (N;une) ~ ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existm~ ~ ~ use and occupancy ~!~/~...........,.,/.,.,/......`~~.y Ml~l!>b'.!§A06 a-- b. Intended use and occupancy ,tf~gl$u~rN . F,,,Mr y~aar flN6r6 3. Nature of work (check which applicable): New Building , . , Addition . Alteration . Repair Removal Demolition , . Other 1Votk . (Description) 4. Estimated Cost p;Q..' Fee . (to be paid on filing this application) 5. If dwelling, number of dwclling'iunits Number of dwelling unison each floor . Ifgara;c.numbcrofcars ! . 6. If business, commercial or mixc~l occupancy, specify nature and extent of each ty c of use . 7. Di S,A,f~axisdin ;t ctures, if any: Front Rear Depth . ~ . Hs}~;1'ty, 1~' ~ 4 ~ ~ . Number of Stories . `j?irtre~sivrtS~3tne urc wjth alterations or additions: Front . Rear , , , Depth . ,~_p~y~ . IIcight ......................Number of Stories . t.e~ i ~s~fk~r•Rt?ire constntction: Front Rear . , . , . , Depth , , cigltt . Number of Stories . . . m 9. ~ . / , Rear . , af.S.~?..~ Depth . 14. D~'t,Hf . Name of Pormcr Owner . 11. Zone or use distcict in which premises are situated A.'.`~'..'~1~,"?A ~lty . . . . 12. Does proposed construction violhte any zoning law, ordinance or regulation: , N!Q . 13. OVill']ot be regraded . . 1Vi11 excess fill be remove from premises: ,Yes Nc 14. Name of Owner of premises , ./,ti1 ~ , .Q.~AI , ,Address ..Phone No.............. . Name of Architect ...............Address ..Phone No.............. . . . . . . Name of Contractor . ......Address ..Phone No..... . . IS.Is this property located within~00 feet of a tidal wetland? *YES....NO. *If yes, Southold Town Trustees Permit may be required , PLOT DIAGRAM Locate clearly and distinctly all (buildings, whether existing or propose icate all set-back dimensions frott property lines. Give street and block number or description according t ed, and sho street names and indicate whether interior or corner lot. _ .~e~~' ~ ~ ~t~ w•A Y~.,~ ,~©/L A At pdtE~ DATE: oo ~.R N 6~/ 19 - NOEi°IFY ~ AT 766.1802 9 AM 10 4 FOR TMH FOLLOWING INS ECTIONS: 7. FOUNDATION 11A10 RECIlMED FOR POUREO NCRETE 2. ROUGH - FR MING 8 FtUMl11Na 3. INSULATIpN 4. FINAL - C N5TRUCTION MUST BE COMPLET FOR C.O, ALL CONSTRUC tON SHALL MEET THE REQUIREM NTS OF THE N.Y. STATE CONSTR CTION R ENERGY I, CC~43ES. NOT ESPON818C~ fOR s ' 'iIUN OR CON TRUCTION ERRORS STATE OF NE1 RI:, COUNTY OF ~il`.1. ~~S - • 1~/V,~RY,~ ~ • • • being duly sworn, depos s and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ~ttutltorized to perform or have performed the sal work and to make and file this application; that all statements contair%ed in this application are true to the best of Itis nowledgc and belief; and that the work tvill be performed in the manner set forth in thu application filed therewith. Sworn to before me tfus _ ....day of , 19 Notary public, County ~ 11011rF ~p~, a~~ _ (Si ture of applicant) N0. Gly ~ tonAtNNIMdO+orant?~?N