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HomeMy WebLinkAbout18470-z r • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18899 Date MARCH 15, 1990 THIS CERTIFIES that the building ADDITION Location of Property 270 GOLDIN LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 135 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1989 pursuant to which Building Permit No. 18470-Z dated SEPTEMBER 12, 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 ADDITION TO EXISTING SUMMER COTTAGE (SEASONAL OCCUPANCY) AS APPLIED FOR. The certificate is issued to STANLEY & ANN KEMPNER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - JANUARY 29, 1990 PLUMBERS CERTIFICATION DATED FEB. 27, 1990 - BAY BELL P & H Building Inspector Rev. 1/81 IOBM NO, f TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 1.8 4 7 0 Z Dnte ~y 19~.~1. Permission is hereby granted te: , j yy/ ~yJ . ~~~.3~.r... . ~_rc,./....~~.`1.-..1/90 tai.e~iGF.~j..~..Akru~rrF••(-~?!`:iL....... ct premises located at ...~.Z~J......LT"'.C~.....~~ County Tax Map No. 1000 Section.,./....1.'~~..:~f . Bock ...........y:'...... Lot No..........~l......... pursuant to application doted ....A.,,1.y.,l 19.~~, and approved by the Building I~n~spector. FeeS..~/••~ u11.•• g Inspector Rev. 6130/80 TOfiN OF SOUTIIOLO ~ ' IIUILDING DCPAAT:SCLiT ~ TORN IIALL SDUTIIOLD, NCH YORK 1197 TO5NN4OFS0 ~ . ' 765 - iII02 APPLICATION FOR CERTIFICATE OF OCCIIPAtiCY HEN CONSTRUCTION ...OLD OR PRE-EBISTIiiG IIUZLDING......CACAtiT LA2tD....._.. Location of Propcrty ............:~P~.p(1Jl:A:.._......_.SOJT"f(U4/J...._..~... DOUSE NO. - ST{R~EET IIAHLET Ovner or Owners of Property.~~~.~`1~r~rY~NaC'NN.~~h'~F'ti/a~_____________„ County Tax Hap No. 1000 Section IIlock Lot'..._..._. Subdivision Filed Map _...,.._Lot_...,...,. Pcrnit No. ......._..Date of Permit ....._._..Applicant Heal[h Dept- Approval Undervriters Approval........_..... Planning Board Approval 1 Request for Temporary Certificate Final Certificate Fee Submitted; APPLZCANT~,~.!lLY~- - _ - _ 4 JJ '1% Q.ac. 39/SS _ ca-~.is$9 y tev_ to/t4/aa TEL. 765-1802 oSUFFQt~i ~~1~, TOWN OF SOYJTTf30bD " ''s~ , ~ OFFICE OF BUILDIiQG INSPECTOR [ ' P.O. BOX 728 o ~ ~s rn v' E TO1VN HALL ~O~O~ ~ SOUTHULD, K.Y. 11971 , C E R T I F I C A T I O N Date~,Z 7 ~ y0 Building Permit No.J~{~ ~ ~ _ Owner Srrai.i =,r g,un ~ntu ~ 4~e:.Mfi~~~~ (please print) Plumber,~SAY ,{Qr'LL 1~+1~ (please print) Y certify that the solder used in the water supply system contains less than 2J10 of l~ lead. (plumber's signature) Sworn to before me this day of cat ~ (ti `PC. 19gp_. _ _ Notary Public r~~ _ il0tars PLLb11C,~.+k-l'U~r~y COllnty~ ~ KkHENE.SMRH Public, Stets of New York I No. b -4621294, Suffolk County i Canmkadon E~iroe [5~3 ~ l q O ' ~i n`zrv`, ~~,~.~~F~I..~f~C~ TO~T'ft UI~ SOUTIIOLD ,.,`Fib~-gym ~~c f:~c'24ur~~ Y~ _t~- OPi'ICI? QI' £sU1LDING iNSP£•.CTOR 4 ''~r~'''':i =t~ ~ TOWN 11ALL >'~~~i ~Z- SOt7TI1OLD, N.Y. i 197I ~~Ql rL: . December 20, 1989 McMackin S Quinn, Ltd. Box 633 Yaphank, N.Y. 11980 RE: Stanley fi Ann Kenpner To t•Ihcm This, May Concern, 4.e are unable to complete your Certificate of Occupancy because of the following reasons. /_~J ran application for Certificate of Occupancy is trot nn fil.c. (ENCLOSED) Pto UndcrwriL-crs Certificate on file. / 'ihc chrxF; .i:: (n~a~&7S3~tX1~'r~ot on file.) $25.00 /_I No Ilenlth Dept. Approval on file. No final insl'~r_c:tion has bceci made. Plua::e contact: our office on this matter. - Tliank you for your cooperation. I;u.ildinq Pcrnt.it•. ~I 1 8 4 7 0 Z Buildinc Dept. f:4 k/-/ tlo Plumber Solder Cert.if icate on rile. ' ( a].1 pn.r:aits involving plumbing being iasucd after April 1,1984 ) ~~y ,.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ~ ROUGH PLBG. [ }FOUNDATION 2ND [ }INSULATION [ ]FRAMING [r~INAL REMARKS: _ DATE ~ INSPECTOR c1:: L:~ ~ .-U:. ~IUi~i ~U~fLn ENT ^a _ , m ' ~ a ~ H / _ y oouDATIO2r (ist~ C FOUrlDATION (2nd) - ~ U ~ ~ . ~ 2. u, ~ o P.OUGH FRAME d& PLUMBSNG ~ . ' I H 3. m ra H ISrSULATI0T1 PER N. Y. STATE ES]ERGY CODE r m H 4. FI;JAL Q~ V o~ ADDITIOSIAL COMMENTS: ro • ~ x ro - H 9 H H O m a~ r H Z d m -v H lil - ~4:t 765-1802 6 " BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ !~R H PLBG~ [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING ~j' [ )FINAL REMARKS: ~-s~'~2t.X DATE INSPECTOR ~i Y 7v 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST (/.ROUGH PLBG. FOUNDATION 2ND ~ ] 1NSULATiON [~RAMING [ ]FINAL REMARKS: f'.~.i„~ ~ . DATE c~ ~ INSPECTOR l ~ r ~ © 765-1802 BUILDING DEPT. INSPECTION UNDATION 1ST ( ) ROUGH PLBG. UNDATION 2ND [ 3 INSULATION [ ]FRAMING [ ] RINAL RE RKS:_ y DATE ~ ~ ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGR 1 :1001381 BUREAU OF ELECTRICITY - EIS JOHN STREET. NEW YORK, NEW YORK 70038 cote HEBRUARX 03,1990 Application No. on file b60158$9/$9 N 111830 THIS CERTIFIES THAT - only tke a4ctrical equlpmsnt w described 6ekno and introduced 6y U]s appUearst rwwssdon tke sbeae epplicutton nuwsfwr in tke promises of STANLEY RBNPNSR, GOLDTN AY., POI' 3, SOUTROLU, N.Y. in tksfolloscing locution; ®Bmement ® Ixt Fl. ®Ynd Fl. OUT 5tction Block Lot uas examined on JANUARY 11,1990 and found to be in complianre Eritlt tke reyuirementx of tku Boord. pXTUtl WXTURES RANIOlS C90KM16 DEtltI1 T FANS - tR1TIRTS ACtB fW1TC11ES INCANDF]CEM TdUaESCENi OTHER AMT. K. W. AMT. t. W. NAT. K.W. AMT. . W. AMT. N. 1. - 11. 19M` a 11 1 ~ CRYMS FURNACE MOTORS FurYB AMUANCE WEBS SFEGAL REC'FT T1tAl tYOCRf ~ WNT NEATBS~ DIAAMRRf = AMT. K. W. dl N. 1. G/S N. 1. AMT. NO. A W. G. NAT. AAV. AMt, ANrQ TRAttE. ~11MT. N.1 Ild. tl? ~T AMT. WAitfi - 1 6uo d SERY101 pBEQNNRCt tt0. t)F S E R V 1 C E V/~p~ AMT. AAV. T'?E ~ 1 / iW 1 / ]W ] / ]V/ ] l AW dCOND. CC. D. NO. d MFUEO p'~~ 1]D. Q• NtU1RM3 d 'NEUIEAI 1 100 ca 1 x 1 a 1 4 OTtIER AP?ARATUS: WIRINGSI?OR ADDITION AND SBRYICS-1 G.i'.C.I:-1 SNOK$ DffiTBCTOR:-1 .4 JODY PUNILLO LIC.1230U G~/~~%~" PAT LANF NATTiTUCK, NY, 11952 oR111RAt MRIIATfN 11 Psr This arfificata mutt not bs alNrod in airy manner; return to /M office of the rd if incorrect. ~ br:. idemified by fiuir credaMiok. COPY fOR EWL~ING DErAR7MENT. TIMS COPY OF CERTIPNS?TE bW6T N07` ~ A~.TR~EED Ui Milt AIAINER. 3 1 ~ x _ , I g 8 , l O 6~0.~ 3 . W O ~ N q~6~ i Q ' . ` o ~ p. ~ ' ~ tt ' ~ t 1 ~ Y ~ 1 r ~ W ~ ~ ` u V ~ ~ O T ' r1 _ . ~ G Ut z - 2 l l . ~ i ,/i c 6c 02'50"W. ~'..1? ' I ! i +"f 1 ah I ~ ~ i ~ Lc-h I ! f! 5ccy lc ' 30'= t' i ' -f'r+~e ntQ 're-s-a:xt- r! 2 t - •f MA~> or- L,cl~a ' ~ StJF'VEYEG ~Jk NE4R i l 5~~:'rw;,:_n ' Ge:uv.r•+i eec'1 i.o 1v4 I"t Cii•~Q "!'ia le f7i~ . Ghl ~.yy<; Tt+~< '..aura.~re Gca t_o.~~S qs ~rerve~;c~ Fepruoru t?, 1~7ti.~_ Mare 'T"rr4•~~ ~ 5ore ~luie • LOi rrt-Kul:,°Y~. sk.:,wr YE`.'. -lo ~~~"~y~. A/ w e~,t~v•t i0.~ off' 7~+'o tJ ier+~ otv ~r ti~i b.i CUi~b"l/'~L.•rY ~+kJN Go{~;re~~, i'~ted ir. tF!e .~,u~folk _ l~.icer~srect i..uwd Su~c4e,.{a~s ri>-~+y CfeY lc's offi_z~ as Mc,~, 1 i4~o, ~ GY~4r~~: -<i , New York B0.\RD OF HE,lLTH 3 SETS OF PL.1, S • FORM IV0.1 SURVEY TOWN OF SCUTHOLD CHECK • • BUILDING DEPARTMENT SEPTIC PORN • TON1N HALL ~OUTHOLD,N.Y.1i~71 NOTIFY Q//,/ TEL.: 7G5~,1302 CALL /~7.~ Examined . .Z........., 19 1 1•SA I L TO APprovcd ...g~?,-......, 19~Pcrmit No..J~T•7Q ~i i 1d34 '`JCt"~» DisaPProveda/c ~p~ ` y ~ WHIi 4 JI ~>7 , e • • . • • • uit n^ Inspector) • • . • • • • 21 ~ U APPLICATIO FOR L'UILDING PERMIT • Date 15 INSTRUCTIONS a. TIus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi 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 sfr~ ar areas, and giving a detailed description of layout of property must be drawn an the diagram which is part of this af. • ration. 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 Permi[ to the applicant. Such per shall be kept on the premises available for inspection throu;ttouY the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate oC Occupa~ shall have keen granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Scolding Permit pursuant to 3uilding Zone Ordinance of the Totvn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Rcculations, for the construction of buildings, additions or alterations, or for removal or dcmoIition, as herein describ iite applicant acrees to comply with all applicable laws. ordinances, building code, housin, code, and regulations, and cdmit authorized inspectors on premises and in building for necessary inspections. (Si;nature of applicant, or name, if a corporation)• ~~x~.3:~.Yf1;~NAr•!Kt N•Y •1~~'~•U. • (Dlailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p1umL•er or build L~k~L-:rttH c.. C4.t-r r[Z!~ GI:4.rL : . `same of otivncr of Premises SYXJNC.hr;Y.~-r..gND,r~ hlt! r , ICN,MD/JG~ (as on the tax colt or latest deed) if ap icon: is a corporation, srgna re of duly authorized officer. p(Namc and title of~c7or/P~orat/c offi~c~e/r) Buildcr'sLicenscNo. 1.lfli~~.la.~.•/'"J•f••••••••• Plumber's Liccnsc No . . Electrician's Liccnsc No . OtltcrTradc's Liccnsc No . Location oC land on which proposed work vviIl be done. • ' ~7~' ......G. P.~..t~IN... eft........... . ~as~TN..O. t-~..,.~~ Flouse Number Ssreet. ~ Hauilet i h County Tax \fap No. I DOD Section i... ~ 1.°~ Block , , , • • • • • , • , , Lot •LI , Subdivision ...Nf9T}"I Kk 7J ..~4?t-'Dltt~• Find \tap No. ,{~Q~q........ Lot /.b......... (Iv:unc) Stale existing use and occupancy /of Premises and in[endcd use a/nd occupancy of proposed construction: a. Existing use and occupancy ..I~~.SI ,Q~,1~(~JJ4 G.r.. f. 1, e~- j ryy/,~ ~ b. Intended use and occupancy ' ' ,x""'•f' ' • • • • • • t 3. A'aturc of work (check which applicable): New t3uilding Addition K • • • • • • =Vtcrauon . Repair Removal Demolition Other tl'ork (D~sc^~. / / '•r' d. Estimated Cost ...~r.5py. QUQ Fec (to be paid on filing this application 5. IC d~ecliin„ nuenbcr of dwc!ling units / • . • , , , , , Number of dwelling units on cacti floor , , • C Ifga:a_c.nurthcrofcars 6. IC lauancss, commc;ctal ar mixed occupancy, specify nature and uxtent of each type of use . . 7. Dimensions of existing structures, if any: Front • Rear ~o-~.......... Depth . ,~Q..... r Iicipttt .i/.js Nuntbcr of Stories o~ Dimensions of same structure with alterations or additions: Front y.~........... Rcac ..~1.L.-....... Depth ~ IIcicftt ....~4,'.. Number of Stories ' S. Dimensions of ~c nesv constnrction: Front • , , Rear , . Depth ~,Z,., _ , Hci_ht ..a~:.......r. Number o(Storics ...e~.... _ ~ 9. Size of Iot: Front . /6Q Rear ..~©',.E Depth l~.'!r'.•>± f.......... 10. Ante of Pu:a::asc .............................Name of Former Owner . 11. Zone or use district in te•tticir premises arc situated , , I.. Doss proeosed construction violate an}' zoning laty, ordinance er rc;ulation: ..I.~Q l3. 1l'ill lot Ue re;raded , , • . \Vill excess fill be removed Crom premiscs:l~Q, Ycs 14. Nartte at Owner of premises . , x¢!''IO,N,~~, , , • , , , ,Address TrP!•+?rh1,~/)•, Sov,7Xou?• Phone No.2G.S.:~iyT.;. Name of .architect , ,Address .Phony, No............ Name of Contractor ~~~~'i'G/~/,!,/.~Gr?Kr1vInJ, L7'b.~.. Address,$4X,1<~'.3.vjgPN!W~ A~Y.Phone No..3~: ig7G IS,Zs this property located vithin 300 feet of a tidal veCland? *YES...,1J0.?. *If yes, Southold Tovn Trustees Permit may be required. _ PLOT DIAGR.ea~1i Lacats clearly and distinctly all buildings, whether existin; or proposed, and.indicate all set-bacit dimensions proparty Goes. Give street and block number or deseliption according to decd, and show scree[ narrtes and indicate why intc:tor or comer lot. ~u~T~• of bcingdulysworn,deposcsandsaystha[heistheappli (..\'~m:: oCindividua[ signing contract) ovc named. . :istltc (Contractor, agent, corporate officer, etc.) slid owner or owners. and is duly authorized to perform or have performed [ltc said work and (o make and file ~heatton: [hat all statements contained in this application arc true to the best of his knowledge and Gcticf; and that :k will be pe: iomrcd in the manner set forth in the application tied therewith. ^m to bcfar_ me this g ~ .da}•of.. .........,I9 ~ . P u h. t.. County .'~J~(/~/~ /~f~~J/~' I(////e/ N01~ ~ ~ (S1,naItflC Of arphC Tam Ext>ir~ Notch 30.1