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HomeMy WebLinkAbout18599-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19860 Date APRIL 19, 1991 THIS CERTIFIES that the building ADDITION Location of Property 1815 BAY SHORE ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1989 pursuant to which Building Permit No. 18599-Z dated OCTOBER 26, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH G. WILLS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H-021342 - APRIL 8, 1991 PLUMBERS CERTIFICATION DATED APRIL 4, 1991-JAMES WILLS r uilding Inspector Rev. 1/81 rosai 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) f -f~ ~ No 899 Z Dote ..~2.~'Xr.4..:~:4r.....~.`P 19..4.. Permission is hereby granted to: .....a~l<~. ~.~.~1~.... - to ~~°v`~4~-C1r t4c¢-~~Y1 ~ ~ Q-i+aerP.t,r 1..,~ ...q....a,~.......... y... ...................I at premises located at ..a .......L .......Ls~..°.!-.5:1.~!!!:.A-1.R...F:~..........~.~i.A~:Nh~.............. /~~5 0 County Tax Map No. 1000 Section ...~..~.g~- ~5p.3~....... Biock Lot No....°...:~ pursuant to application dated .....f.?..4r.T..!?:R!"41•-...~..~ 19~~.,, and approved by the Building Inspector. Fee~$.. ~ .1:.5.x. wilding Inspector Rev. 6/30/80 • ~ `)7~~ Form No. 6 d// G~ TOWN OF SOUTHOLD //JJ LDING DEPARTMENT 7~7~~~~~ TOWN HALL ~I' t;~ ~ ` ~ S~ /i 765-1802 ~ ~ry s~''7 ~~=~89~~ ~"c~'lUUL1e~J~~l:.d APPLICATION 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 - Residentinal $15.00, Commercial $15.00 Date (.C...../. 1~~~ New Construction..... Old yO~r Pre-existing BJfuilding..`~~- Location of Property..~~.~~.~....1:~~}/$F/c7l'r-C ~0~...........~/~"_PE~.~~2~ House Nol. Street Hamlet ' Onwer or Owners of Property..JoS~~~~„~r...G.~t,-~r,,l/5,,,,,,,,,,,,,,,,,,,,,,,p,-,,,,,,,,,,,, County Tax Map No 1000, Section...~~~.......Block....~.~f .......Lot.....~.R Subdivision....c.~ ...............................Filedl,Map..........)..Lot.....~.7......~..).../.<.... Permit No.I~~/,9z,,,,,Date Of Permit.®~.Z6.~~~l..Applicant.Y©5:~~~~.L~I~~lS.4!`:~11.-1... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..:!....... Fee Submitted: $ i. ~ b ~ ) G ~ APPLICANT. THE NEW YORK BOARD OF FIRE UNDERWRITERS t~tLvi'. $fl?S6;fCa BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK. NEW YORK 10098 Date f11'f{l.?j QkJr Z~~)~ APPlication No. on file ~~4~i, Ea ~l9#3/r 9.~~"7 f{ (,')j~.}sN.~ THIS CERTIFIES THAT - only the electrical eyuipment as deacrihed below and introduced 6y the applicant Homed on the oftove app/icotion number in [he premises of ,)dSEi'il ~ 1)Y~1tSEi 'bt1'k,f,S, 'LOSS"; AAYSH(7~i'1 i2t)t~l'I,. r,kt~,~I~v'Pf}k~'. 1~i„' _ in the following location; ? Basement ~ let F'L ~ 2nd F7. ~°~1~ Section Btoek Lot was examined on ~i'1\'~~(4' f1,I r.f ~~i 3, arulfoundto 6e in conrplianve with the rwyairement.c q(thia Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS iiOUTLET$ y INr~CANDESCENT F~TIUORESCENi OTHER bNi K W AMT. K.W AMi KW AMi K W. AMi N.P S ~ ~~r ~i L I td °I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. OD H P GAS N. P. AMT. NO A. W. G ppAMi AMP AMT, gMPa TRANS. AMT N P NO. OF FEET AMT. WARS 6 ~t} SERVICE DISCONNECT NO.OF S E R V I C E MST AMP TYPE METER ~ ]W ~ ~ ~W 9 ~ ~W 9 AW NO. OF CC COND A W G NO OF HI~LEG A G NO. OF NEUTRALS A. W G EQUIP. PER b OF CC COND OF N4LEG OF NEUTRAL OTHER APPARATUS: ~r.axr, n~,ri•~~.~r~u.-a, ~ i - L.~,,~E~ j 3f)tt6 13.AX,5'iir„Iht' tttiAD 6£SF.'N;N P01t',i', TdY, I~19~.~!~ 6ENERAtMANAGER ~a ' Y Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TEL. 7G5-1802 0~~5~~~~~-Cp~~ TOWN OF S0~3T~Od.D ; ' ~ OFFICE OF B[,ILDI2~TG INSPECTOR ~ ff r fG4; -tea ~ ' P.O. BOX 728 ~ ~ L~ \~~t~-~,~ I'" 1 ~ ~i yE`'~ :e TOWN HALL hi q - ~I ~i O/~ `t- SOUTHOLD, N.Y. ] 1971 3; ~ ~ ~ ~ ~ ~y + i i~ ~~0~ ~,~.b0 ;l,t~, t~ is ii w._u..,. C E R T I F I C A T I O N Date j•/d ~i ~ C~/ ~uildin/g~ Permit N~o~." %B~S~ ~ Z Owner ~p.~~/p~i iy,C.Q~ please •p~/rinot/)~ Plumber LL~,c.~e.0 (please print) I certify that the solder used in the water supply system contains less than 2J10 of la lead. , ~C~ (plumber's signature) Swo~r/n to before me this / 19..~_• Notary Public Notary Public,County HELEN K. DE 40E NOTARY PUBLIC, State of New York No. 4707878, Soffolk Conn Term Expires Maroh 30,1 ti , . r~ _ b . _ v , ~~~Fa~.k ~c;~ To~~rr or sovT~or.~ ~ .;~6us~t'~ 4° Ol'('ICE()C: TsU[LDING 179PCCTOR L, [G?',L„ z I.O. UO'C I',':~`li~ ~ TOP/NlIALL ''v~~. ~"j~ fit' SOIJ'S'IiOt-D, N.Y. } 1971 ,yob . April 9, 1991 3oseph Wills 3085 Bayshore Rd. Greenport, N.Y. 11944 'to p7hom Thin flay Concern, 4;e are unable r.o complete your Certificate of Occupancy because .of the follo~•~iny reasons. J / A application for Certificate of Occupancy not nn fil.c. / / *to Underwriters Cazl-ificate on file. / / 't'he cluecJ: i::(~uLclated/nut on tile,) DJo Jical.th bcpt. approval on file. t D:o final insi~ection has 'been made. Please contact: our office an this matter. Thank you for your cooperation. Pu.'tlclir.g Pcrmi.t; 1! 1 8 5 9 9 Z IIuilciinq I)cpt•. • f.4~k/-/ tlo Plumber Soldci: Cert,i.ficate on file. ' ( al.l pcnaits involving plumbing briny ` iraucd att:er ,1pri.a 1 , 1904 ) _ ~..uq, i s' x...w.+S:v..YrYISY. rr..n.. , ...ww.....nrsnb.y.A -'LD I::S:z .ice:: {IJn... :;G:`t•:1CNTY i:. - ~ I. . o ~ 'OUtJDATI0:1 (1st) ~l ~ ~ ~ - - - ~ .G~ ~ ~ =OUNDATIOtt (2nd) _ m ~ ~ ~ ~ o ?GUGH FRAME & .PLUMBING H 3, ~ n IIISULATIOf1 PER N. X. ~ ~3 STATE Ef1ERGY ~ A CODE ?4-'_J m • 4 . ~ 1 FI;IAL • I o m ` ADDITIOf)AL COMMEIITS: x T ~ ` m . x ro• H ~ 9 ' H (U H ~ O ..o m a • ~ ~ ~ :f~ 0 • rn ^o .a ' ~rlrr,:r„~, TEL. 7C>5-18Q~ ~~~~~~a~.~~% s To~rrr or sou~oi,o ,?'/,.ir~` yZs ~ Ol~f'ICI? Or rsUILDING INSPECTOR 4,`~';~aN ~ I'.O.IIO}C 1179 ~ ''~"r,~~ ~ TOWN [TALL ~ fit- SOUTIIOLD, N.Y. 1 1971 ;~~0 . December 20, 1990 ,loseph fi Doris Wills 3085 BAYSHORE RD. GREENPORT, H.Y. 11944 'Ib L9ham This May Concern, 47e are unable r.o complete your Certificate of Occupancy becaus~•of the follotoing reasons. An application for Certificate of Occupancy 15 not nn file. (ENCLOSED) *to Under~:rriter•s Certificate on file. I 'i'he checJ: .i:: ( gat on file.) $25.00 / / No IIea1.Lh Dept. Approval on file. /M/ No final insi~~ect:ion has bcett made. Please contact: ouz office on this matter. - Taattk you foz your cooperation. Itu.il<ling Pcrm.i.t~. fl 1 8 5 9 9 Z H Duildin DepL-. } k}/,/ tlo Plumber ;ialdet: Certificate on file. ' ( .111 pnrmit~a involving plumbing being .issued after April 1,1984 ) r' 3 ` n1 . 3 '^~t~.. 0. ~ : ?fir ~3~p i t u~AlanbY~:cff'd~YS~iVte6.H.(.SM4L1 Lam' #4H. `.Y"r>ir~' d!#4~'v'Xw4F5 r.u..t.i+d~.+~iYfkYkYN4i'S4'i'nMfn~ I/ 765-1802 PT. .~iiNS~PECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ )INSULATION [ ]FRAMING ( ]FINAL REMARKS: _ - /i!2 c DATE INSPECTO ' rss.isoa ~~~V~ BUILDING DEPT'. iNSPECTlON [ ]FOUNDATION i5T [ c~1 ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION (NING [ ]FINAL REMARKS: ~ ~ - ~ Y ~~~2'"~"°"o ~ - f i DATE .S ~ INSPECTOR ~ 765-1802 - BUILDING DEPT. i NSPECTION [ FOUNDATION 1ST [ } ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL RE ARKS : _ ~6G ~ir2~~ "~'F- - .,moo DATE ~ ~ 02~ INSPECTOR l 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 18T [ ]ROUGH PlBG. [ ]FOUNDATION 2ND INBU TION [ ]FRAMING [ INAL RtMARKB: f"~-~-~ - 3 DATE ~ O IN8PECTOR BOARD OF HEALTH 3 SETS O1' ~7LA.IS rl...... FORM NO. 1 SURVEY , TOWV OF SOllTHOLD CHECK ~•i•~G..... BOIL"D,INGDEPARTMENT SEPTIC FORM TOWN HALL NOTIFY y~ q . SOUTHOLD, N.Y. 11971 CALL • j 7~= ~ ! s~.~• - • • • . • TEL.:7G5-1502 MAIL T0: Examined C`~.1'~.~h.t0.~, 19 qq i°'"~"'w"~""" p Approved .Q.~.o:~.. ~ 19 Permit No. J • l•~~~'-.' Q 't Disapproved a/c ~i L~~ u BLDG. DEPT. - ~ n TOWN OF SOUTWOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT q Date .~y.~.!~:~......, 19 ~1 INSTRUCTIONS a. This 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lativs, Ordinances or Re=tilations, 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....Q~nle?~- Name of owner of premises ..`.~e? S.C./' /f..(?-o 1C l~l~?r°S..~:.. ~c.C 1 . (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 COtITRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ;U~.~,/.~:eQ,J~ . Plumber's Liccnsc No. ~ . S/~/~~ I~i~?~r!~?dy~iC~jj/G~Y~~.>/~-~S^3 Electrician's License No. Df eJn'P r~ OthcrTradc's Liccnsc No. ..mow °Ye!~-........ I. Location of land on which pro osed work will be done. ~~`9~ .V:~(..e e.~r~,e ~ ..N<, y......... t9.!i'SN/~i??c2!??a ~C.t House Number Street Hamlet s County Tax Map No. 1000 Section Block i............ Lot . ,U',~r, , , , , , , , , ' , , Subdivision Filed i\1ap No. Lot . . •(jJamej . State existing use and occupancy of premises and intended use attd occupancy of proposed construction: a. Existing use and occupancy ,,;-?iNG~~,.(r./1 r~dG~ b. Intended use and occupancy . ,SING l . i 3. Nature of work (check which applicable): New Building Addition ~ • • • • • Alteration , , Repair Removal Demolition . Other 15'ork . 1/ (Description) Z• / ' 4. Estimated Cost ~J3Y 5~Oe~~ Fee (to be paid on filing this application) 5. If dwelling, number of dwellin units Number of dwelling units on each floor . If garage, number of cars @,L9;1t5 . 6. If business, c~ cy, specify nature and extent oC eachtype of use . 7. Dimensions w i s t,~s~, Front . Rear ~.`l Depth .;3. ~s.~ , Height ~ tt~~.• ries ...~!y~; . r s• Dimensions ~~r e t a~ ~ dons or add• jtions: Front W......... Rear .y 83 Depth fo S. Hci~tt i2: 3 Number of Stories ~ , 8. Dimensions f entire new constn{ctibn: Front . Rear Depth ..3............ Height Numt}er of Stoties . , •C;f"e.<~y) ~ . 9. Size of lot: )wont Rear 9: ~ Depth ..2~.7. !f. . 0. Date oC Purchase , Name of Former Owner . !~!'7e~: `c;q,N, ..yb.''? ~ . I. Zane or use district in which prerjtises are situated , fF0 . 2. Does proposed construction violate any zoning law, ordinance or regulation: • • . 3. \Yill lot be regraded 0.. ~ ..Will excess fill be re oved from premises: Yes 4. Ir`ameoCOwnerofpremises~:5•~~.;`~;~~q?!~„G;?.%l.~Address 3°~:;. ~C~'j!SL/~.:~'honeNo. y7,?l9/'.-~.. Name of Architect N-PiN. ~?~/'~::/.S............ Address .1~~:°f 7, ~~'`«':~~Phone No..33/: t ~9~.. . Name of Contractor G~t4~?P: r:~ :?:...........Addresses : /a$i4"YSy~?~` :Phone No. ~f.'7„7, 1, ,r1,.~,~, • , , 5. Is this property located within 300 feet of a tidal wetland? es No *If yes, Southold Town Trustees Permit may be regwired, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from' roperty lines. Give street and block number or description according to deed, and show street names and indicate whether, tteriororcornerlot. ~ j,~ey .~i~~ i`~~eL.<~~~ I ,h I I . I . "AT}r OF NEi~' YORE, . Yt ~Go~?G-~ Cai'flf, .S ^ being duly sworn, deposes and says that he is the applicant (timne of indir~dual si,nina contract) ovc named. :isthc ........................1 (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly ~uthorizcd to perform or have performed the said work and to make and ffle this alication; that all statements contained in this application are true to the best of ltis knowledge and belief; and that the irk will be performed in the manner sCt forth in the application filed therewith. orn'to before me this ~I ~ ~ ...............day of ..I ®r!toGQ.';C-, 19 ,`~`.7 % tari' Public..... s~F~v County p '"(Signature of applicant) r% NptppY PUBLIC, State of New _ No.469565a ry Qualified in 5~efs°MaY 31 19~I~ ~mtss~oa Ex4 t8; v q CD~ W n i2ap... 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