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HomeMy WebLinkAbout18638-z , 4,, FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19059 Date MAY 17, 1990 THIS CERTIFIES that the building AGRICULTURAL STRUCTURE Location of Property 2458 ELIJAH'S LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 3 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1989 pursuant to which Building Permit No. 18638-Z dated NOVEMBER 14, 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 AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to LOTS F. WOODHULL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-126467 - APRIL 30, 1990 PLUMBERS CERTIFICATION DATEII N/A L~ Building Inspector Rev. 1/81 r rosai xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CgqOMPLETION OF THE WORK AUTHORIZED) Np 1U~3O Z Date .~.1.~~ 19~!. Permission is hereby granted to• ~ ~~l ~G~~~~ ~~..ia ~ at premises located at ......:z.~f...~-.~...,~,~ .,G,G~4................................................................ County Tax Map No. 1000 Section ......../..Q~.... Block LLot No..........~i.r..,l.. pursuant to application dated ......,~D..,~~~ 190../..,, and opproved by the Building Inspector. , O Fee ate.. Bui ing I for Rev. 6/30/80 TOWN OF SOUTUOLD t r,. ~ BUILDING DEPART2IENT ~ "°'-~`~~i TONN HALL ~ MAY ~ 6~~® SOUTIIOLD, NEW YORK 1 197 ~ .~.i ~ ~ 765 - 1802 ~ o Ei ~E, ,t"ri 3. _.r : t xi't 1v ,_;z~cF~f.yfl~~..,..~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY ' DATE. I,I~~ I I- ~J~ J:Y,L~~~ NESJ C0:7STRUCTIDN ~ - -OLD OR PRE-E%ZSTZNG BUIfLDZNC......oACANT LAND......., Location of Property h6~}i1~ BODSE N~. .............~~~.~~~k _ STREET DAHLET - Ovncr or Ovncrs of Property,. ~ Q~~~...~.~~7 ~,L1b~-•'--•••• County Taa Map No. 1000 Section ~ Block . Lot' .~~a: Subdivision.. 2 Filed Map ........Lot.._ _ Permit :fo. ~ 7J~ J~z_Date of Permit • • • ......_...Applicant Ucalth Dept. Approval " " Undcruritcrs Approval..-•,,,,-.--_. Planninn Board Approval Request for Temporary Certificate Final Certificate 1~ ~ Fcc Sub©itted: APPLICANT reV- !0/14/8/8 C~c. 3 q.SQ g coy ?~osq ' ~jl I IIiII~" I .~I ~ , III =7.,r - TH~ ~VEW~,.YORK`~UI~R~??~,OF;IF~,~2E,,UNDE~RINRITERS PAGE 1 ~~h1~1 2t~~14_51, I I ' p ~ ".,1: 6UREAU OF•EL,ECTRIC:ITY ~ ~ , ~ , III 11 '~J '~,I' 85 JOHN $Tft,EET NEW.YOR14 RIEW YPF2K~10038 " I~~II ;/Iatei,!' ~-f„~'!~1PRIL,, 3,Q, 1990 Appliratfon No,.an fdn' ;6F~13290~90 -~N 126467,: I I`~~ ,I'T~f1~J~ERTIFIF~$ THAT ~ ~ " ~ ' t '!only th~ electrlcol,equipnsent as deacri6ed beloto and introduced 6y the applicont named on tha above applicotion number in thepremwea ~oJ s" p i U. t o. LOIS,F, WQODHUL4, ELIJAH LANE, POLE# NYT #21, MATTITUCK, N, Y. ~in the ollofcirrq Incotion; ~ ? Qoaement f Sertifin Block Lot r(. ~ lat FL ? Znd F. oVT~ ' ugaexarrljnedmr - APRIL 05,1990 and oundtobrrn' ~ f coufplianrr with the rvynirentent.Y of tkia Qoard. _ 'FIXTURE ~ FIXTURES ~ RANGES COOKING DECKS OVENS pISH WASHERS EXHAUST FANS OUTLETS' ECFPTACLES SWITCHES INCANDESCENT iIUORESCENT OTHER K. W. AMT. F. W. AMT. N. W, qMi. K. W. AMT, N P. = 17 18 10. 6 l1 1 . F DRYERS FURNACE MOTORS ~ FUTURE APPLIANCE fEE0ER5~ SPECIAL REC'?T TIME CLOCKS EEII UNIT HEATERS MUITI.OUTLET DIMMERS AMT. K. W. Oll H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. qMT. H. P. SYSTEMS AMT. WATIt NO.OF FEEY 3 F ~f ~ I I ;`SERVICE DISCONNECT NO.OF-.." . . ;:,-•n-S . E-,. ~ ' METER„ R:~.V I C E- _ ,'(AMT. "AMP. 7YPF EQUIP. 1 R 1W 1,9 JW 9.B' ~W 3,B' ~W NO.OF C[. COND, A. W.O. ~ NO. OF HbIFG ~ A, W. G. NG. OF NEUTRAIt A. W. G. PER d Of CC. COND OF MbIEG OF NEUTRAL I a d;l-, .200,. C,B,' 1 X 1 ~~0 1 I 2/0 o OTHER APPARATUS: • r ~ , "~MOTORSi2-F H.P.,2-P H.P.,1-F H.P.,1-~.~"H.P.,i~-3 H P "'~~r~ ~ ~ - MOTORS:1-7.80 H.P. = G. F. C. I:-1 T j z=`- a .'a~. LAKE ELECTRIC LIQ.#1,865 E~,' G!~~~ 17 FOREST TRAIL ' , RIDGE, NY, 11961 i:. 6ENERAI MANApER _ ~ t ri' I .,.,,1 Per This certificate most hot be altered in any manner; return to the off¢e Hof the Board If dncorrect Inspectors moy be identified by th it credentials. A • a : ~'~!IY 16 f9~~ ~~FF~U(C TEL. 765-1802 q0 OG~ TOWN 0~ SOUTIIOLD ' . ~c OFFICE OF BUILDING INSPECTOR ~ ta. ~ P.O. BOX 728 >v !~'`j ~ TOWN HALL ~~Ol SOUTFIOLD, N.Y. 119?1 ' APRIL 9, 1990 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 No Underwriters Certificate on file. Jlx/ The check is( /not on file.) $25.00 No health Dept. Approval on file. ATo final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit II 1 8 6 3 8 Z AGRICULTURAL BUILDING Building Dept. No Plumber Solder Certificate on file., ( all permits involving plumbing being issued after April 1,1984 ) F ' ti~~~~~ ~ 6 c'IELD If:SPFC:iU.J ~~ll~ A~1 COaKMGNT° \ ro ~ ~ i m ~ ~ H FOUt7DATI0N (1st) ~ c N FOUNDATION (2nd) _ _ m 0 0.1 ROUGH FRAME & PLUMBING' H 3. m ra ItdSULATIOtJ PER N. Y. • • STATE ENERGY CODE m~ a r 4. ~ H FI;JAL y~- ~ ~ ADDITIONAL C MMENTS: ~ 6 ro H ~ ~ \f\ H H \ O 2 [T1 A • r . _ y ' C7 h7 b H 1 ~lp 1j ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: GL~ , _ ~ C~ DATE © INSPECTOR 4 .ir 1 765-1802 BUILDING DEPT. .INSPECTION [ ]FOUNDATION 15T [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~~""t~~~' DATE ~ ~ INSPECTOR- . ' BOARD OF HEnLTH r... 3 SETS OF PLANS •FORMNO.1 SURVEY TOWV OF SOUTHOLD CHECK BUIL"D.INGDEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11977 NOTIFY . ~ rc/~ TEL.: 7G5-1802 CnLL t D Examincd..~~1",,,,,,,,,~1gld MAIL T0; Approved 19~ Permit No. ~O ~l 3 - -_,-a ! j ~ ~ . I Disapproved a/c ~ I~"` ~ ' + a ~ ~ - MK -2~9 ~'I z • trownl~'sou~n'~ow uil g Inspector) APPLICATION FOR BUILDING PERMIT Date 19~i INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sits 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- ~ation. 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 permi[ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~yhole or in par[ for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLIG\TION IS HEREBY bfADE to the Building Department for the issuance of a Buildin; 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 inspection r g~, (Signature of applicant, or name, if a orporation) • . (Ivfailing address of applicant) State wh~ethye~r applicant is owner, lesseeCagent~rchitect, engineer, general contractor, electrician, plumber or builder. ...>~ls/SV/ Name of owner of premises , . ,~-¢.®L,G. , • • - • - (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 SUF•0 K COUNTY LICENSED Builder's License No. /~,~'~j, , , , . , , . . Plumber's Liccnsc No . . Electrician's License No . . Other Trade's License No . . . . . . . . I. Location of land, yr~ proposed work will be done . .Tif!~-. r~~ `-I~(i'T./.~.~.......... ~~1'1 LA/U~•...........,M,AT~~~. . Street Han[let County Tax Dlap No. 1000 Section . Block Lot . ~ . Subdivision .Filed \fap No. Lot , ..1Namc) State existing use anJ occupancy of premises and intended use attdfo~c~cupancy of proposed construction: a. Existing use and occupancy . ~~.p.~i.. , ~.x., ,~,.~1~~ b. Intended use and occupancy .!'!~It`':•:,r,,~;~?~ 3. Nature of work (check which applicable): Ne~v Building ~ Addition Alteration Repair Removal Demolition Other Rork ~ • ' 4. Estimated Cost?? ~ , , , , , , , , , , , , , • , • • • , t~~®: r~y_~ • . • • (Description) • Fee ` (to be paid on cling this application) • 5. If dwelling, number of dwialin s , , , , Number of dwelling units on each floor ...F , If garage,numbcrofcars 6. IC business, commercial or mixed occupancy, spccity nature and extent of each type of use . • • ~ • 7. Dimensions of e~s~ structures, if any: Front ,Rear , , , Depth . ;'~!~!!mr• • • Height . Number of Stories • • ~ ~ ~ • • ~ • " " • Dimensions of same structure w~tlt alterations or additions: Front Rear . ~ • ~ • Depth Height 8. Dimension t~re•nonstruc • • • • • • • • Number of Stories , ~ , , , , , , • lion: Front R ar . , , , , . Dcpth• Height . yg . N y`~be f Stories ~ 9. Size of lot: Front ;/•,7 .~J Rear . r ~ . ~4: ~/.~y . 0. 'Date of Pufo~il~sp,s%~'•1~' .~?b ~ • . , , , ,Name of Former Owner . , , • one e'r11'se ` tstrict in which rc P p p ~miscsaresituated,,,,~}-C,,,,,,,,,,,,,, . Does ro osed constru on vtol~te an zoning Y o law, ordinance or regulation: , . 3. \1'ill lot be regraded ~ ii . 1Vi11 ex e s II be re o~v~f.~~from prerpises:. .Yes . • 4. A'ame of Owner of,premises ..~:ti~~l~~,~ Address~~~~ /N!r96.•+. Phone No.. : . Name of Architect ~.~r~~ ,Address •~r~~, Phone No. . Iv'ame of Contractor rf~F+Is~.At ,Address frY.,~;/e~/®. ,(tone No 5. Is this property located within 300 feet of a tidal wetland? *Yes No ~ *If yes, Southold Town Tru$tees Permit may be reqyu~ired. PLOT DIAG1tAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions front roperty likes. Give street and black rjumber or description according to deed, and show street names and indicate whether acrior or corner lot. ~ ~5, I , ~-DG i a ~~I ~z ~ a ' -r~t57 4 ''A1"E OF \Et5' 1'ORF:, S.','S ~G\TYOF...... amcG6f indi~ idual si,nin - • • ' ' ' ' ' ' • befn, duly sworn, deposes and says that h is the applicant • Q{~ contract) ovc name is the C id~d' I C ractor, ant, corporate offic ~ ~ • ~ ~ • ~ • ~ • ' er, etc.) said owner or owners, and is duly authorized to perform or have performed the said tvork and tom •e and file this ~lication: that all statements contair%ed in this application are true to the best of his knowledge and bel'e(; and that the rk will be pcriormcd in the mmtncr set forth in the application filed therewith. orn to before me thi/s ~ NN,, 9' (......day of.:~ /vD~:........, 19~/. tart' Public, County JQHN J. Ehtll,f.Y L~~~~%~2' ~j c~NOTARY !'li"!.".C, STAfE n~~ NEVY YatiK - r;C?.h93'~9e+1 • ~~nat re of applicant) QUALIFIED IN SUNFOLK COUNi`~„ My Commisslan Expires ~u& 1, 19 ..~L._ I RODO ~a / aY P ~ ~ D\v Ifs' •y,0 9 ~ ` IN6ET NO 2 i 1 \~~,Da •p°~N?~ S, bCALE 1"'30' `\C~, (7 a~ O I 0~ ~ I ~ w* i`N i i""" R. ~ i ~ ' ~ ~ R ~ Ab ; ~ ; , rGR V- 4q b ~ goti ~ 4~4 pR~P ~pR~. \ Noll OR 1` 9. 1.y " as V J `'o. inlsar No I a aJ,~iay f too ems ecALE: I"•6o' ~ N"+ \ a p AVM ~ v, { \ NUS N G ~ ~ ~ ,pa ~ 't\~„t in Wigs ~~:.~.]eT ~ / ,i A~E4 O ~ ~ ~ ~ j; v o~ / s- ~o~^ c, v ~ z 3 ~ U~• 'J ~ ~ 9.0 ~ V g 4 p Fqe k~a 4-~ ,~,i~ ~2vU\ ~DyJ(e~i R O ~~Ra~ Z\ .I ~ ~ of ~pJ ~y\ / ~pR~~Q4 vy a~`'~ ao as R` ~pVl N~ rESr HOLE o ~y9 ra'ao1L NV.S• ~te• e ~ 4 Lo.w Mp1N ~oA~ ` 9 SURVEY FOR LDIS F WOODLIULL UC.T X584 APR 15, 1985 AT Mn'f'fl'fUGK DATES .JAN.13,1983 TOWN OF 90U'fllOU7 SCALE I" = 300' SUFFOLK COUNTY, NEW YORK No. e2 •'154 • AP _RO D AS NOTED DATE:/ CS' B.P. N FEE: cad BY: HEALTH DEPARTMENT-DATA FOR APPROM4L TO CONSTRUCT NOTIFY BUIL I G DEPARTME AT N NEAREST rare [u1M~N1.! NSOUACE ai WATERS MIWITE X PusLlc. 765-9802 8 AM TO 4 PM FOR THE N f1I/ C0. TAN YM OHT JODO SECTION 1mB._ KOCK 4.9_ LOT .Q~ FOLLOWING INSPECTIONS: RTN[RI AR[ MO wnLU+[[ WITHIN 10o fELT Of THIS MO?[RTY 1. FOUNDATION - TWO REQUIRED OTN[R TNAM TNOf[ SHOWN N[R[ON, N TN[ wru 3uffEr AID 3EWIA[[ a[ro3AL sv[T[M fd1 rNl[ RaloENt[ FOR POURED CONCRETE rlu taN?oRN TO TN[ STANDARD[ Of tN[ fINfOLK COUNTY D[?ARTMLNT 2. ROUGH -FRAMING & PLUMBING 0/ NGLTN 3UNIt[[. ARiuuwr. 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1[L ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY UN4ER RIB RED IFICATE C~7DES. NOT RESPONSIBC?" FOR Nw'SIGN OR CONSTRUCTION ERRORS J N TIE LOCATNNI W W[LLIW), SEPTIC TANK13T11 C[SSPOOl3(C?) 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