Loading...
HomeMy WebLinkAbout18645-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19883 Date MAY 1, 1991 THIS CERTIFIES that the building ADDITION 55 SNUG HARBOR RD & Location of Property 1200 MAPLE LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 1989 pursuant to which Building Permit No. 18645-Z dated NOVEMBER 15, 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 ROBERT & PAT BISHOP (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-15206 - SEPTEMBER 27, 1990 PLUMBERS CERTIFICATION DATED MAY 21, 1990 - THOMAS A. TAGGART N~~ Building Inspector Rev. 1/81 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) 18645 N~ Z Dote ..../l~s 19 Permission is hereby granted to• ~~..~..Q:s 9 ~-nc.....~1....~ ~~9~ ...G'~~G:~~.~~,rir~~....~c........ O G S ~ ,per at premi s located at ..s.'f ......f.T..~ll.................................................. ~0~0p ..~G'.~~..,,1~...~....~G.G~tbC......................................................... ~i1f~l.`r?/,~~ County Tox Map No. 1000 Section ......~L?~... Block .............1RQ...... Lot No........l.............. pursuant to application dated 19~., and approved by the Building Inspector. e Fee S•:~~••• ding Inspector Rev. 6/30/80 '~c"T"~+ Form No. 6 ~I I TOWN OF SOUTHOLD s~s ~ 2 ~ ~ ~ BUILDING DEPARTMENT TOWN HALL ~U~ 765-1802 !;l~DG. C~~"T. q TOti~lh! 0~= 50tJTF?Oi_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 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, 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 - Residential $15.00, Commercial $15.00 Date New Construction........... Old Or Pre-existing Building.. Location of Property.. Jr._.~...~~V G (~A2,ts ~2 /~L~~. ~ ~00 , rr/~-~Lt House No. Street Hamlet Onwer or Owners of Property...~~~~`.~... AN/~ /'79 % ~!S'l-f0?-,~,,,,,,,,,,,,,,,,,,, County Tax Map/No 1000, Section..:~~j.........Block..... G ........Lot.... ~ Subdivision.. 4.L ~I/e~ S ..Filed Map............Lot Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ C~~c.. 416G0 c'.~uy~~ C~.q 14g~~ APPLICANT TEL. 7G5-1802 45VFF~1l~ COI~i T0~°JN OF SO~JTHOLD ,~l::~' ~ OFFICE OF BUILDI2•IG INSPECTOR o P.O. DOX 728 y` ~ ~ -"Tc TOWN HALL ~ SOUTHOLD, N.Y. 11971 0,01 ~ r~ C E R T I F I C A T I O N Date 5-a~- 9n Building P+ermit1NO. / y V Owner R~hO~l ~S•C~o U (please print~~- Plur.Wer iAGGAfi'T Then>AS ~ (please print) I certify that the solder +.ased in the water supply system contains less than 2/10 of l~ lead. (plumber's siy el Sworn to befor: me this f~~ 19 g U Notary Public tlotar7 Public, .County L/d1&SG'f>~fMi Ndrf ~ Nri?V~rk OMN~d M St+ilok QoYtAy OO~Millou ~ bttioA fa,1401' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000708 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 pate SEPTEMBER 27,1990 .apylicationNo.onJile 00614090/90 N 152096 THIS CERTIFIES THAT only the electrical equipment a described belou+arad introduced 6y the applicant named on the ofwve applicotion number in the premises of OBERT BISHOB, SNUG HARBOR LA., E. MARION, N.Y in theJolfouinp location: ? Ro-+ement Ixt F'l. ? 2nd F7.? OU7 .Sertion B/cek Lot uns esarnined Dn SEPTEMBER 18,1990 arrdfound to 6e in rontylimee with the regairement+u(this Oard. fl%TURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DfCKS OVENS DISHWASHERS EXHAUST FANS OUTlE7S INUNDESCENL RUORESCENi OTHER AMI. K. W. AMT. K. W. AMT. K.W. AML K. W. AMT. N. P. - 10 1 10 10 1 F DRYERS FURNACE MOTORS FUTURE A?PIIANC! FEEDERS SPHiAt REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AML K. W. Oll H. P. GAS M. P. AMT. NO. A, W. G. Mli. AMP. AMT. AMPS. TRANS. AML H. P. NO. OF FEET ~K' WATLS 1 G 30 I SERVICE DISCONNECT NO. of 5 E 4 R V I C E AML. AMP. rypE METER 1-e ]W 1 ~ ]W O.e ~W l $ IW NO.Of CC CORD A W G. Np, OF HbtFG A' W' G' NO. Of NEUiRA15 A. W G. III EOUIP. PER L Of CC COND. Of HI-lfG OF NEUTRAL OTHER AP?ARA7U5: j WIREING FOR EXISTING DWELLING ONLY-1 [ I G. F.C.I:-2 3 SALVATORE C. PRATO LIC.#1049E G~/~~ WIGGINS LANE R.R. BOX 208 GENERAL MANAGER GREENPORT, NY, 11994 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials. ~~f i;OMMCNT~ ~ ~~UATc ~ -v =1ELD i;:S~EC.iU;7 ~ 6~ ~ ~ ^ ~ `1 FOUNDATION S1st) c N [T1 FOUNDATION (2nd) O~ z ~ ll~` 2. ~ ~ P,OUGH FRAME & PLUMBING ~~jD y f y 3. IIdSULATIOPi PER N. Y. ((G~~~` STATE ENERGY x CODE ~G.- 4. FINAL z ADDITIONAL COMMENTS: iJ Q `f' env, T ~ - - ` -r m x ~ Q~,` ~ \ a ~ _ H H O z M • r 5 'F~ - o m H ` ~ 765-1802 BUILDING DEPT. .INSPECTION [ ]FOUNDATION 1ST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ ~ 1 1'~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ROUGH PLBG. ] FO DATION 2ND [ ]INSULATION [ RAMING JJ [ ]FINAL RE ARKS: ~I'i,B~i yY~~Gi~_ ~T~~~~4-i_ 0, ~i 2~ ~i ~ d ~-T Jj_' O ~//~i DATE d INSPECTO / w 765-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION iST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ P INSPECTOR BUILDING DEPT. INSPECTION NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND I L l NSULATION ]FRAMING [ ]FINAL ~ G~ REMARKS: DATE / ~ INSPECTOR ~v 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMA~tKS: DATE °Z INSPECTOR 1 BOAFD OF HEALTH 3 SETS PLANS . FORM N0.1 SDRVEY J~.%~0~::::::::::: TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPf ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~ ~ 7 _ C ~ "7 TEL.: 765-1802 CALL //~j MAIL T0: Exantincd 19 . Approved . • 19V:. Permit No..`a~6 n ~ Disapproved a/c : : , ~ LS ~ ; (Bu din^ Spector) gI.DG. DEPT. APPLICA'~ ION F R BUILDING PERMIT TOwN OF SOUTHOLD Date 15 . INSTRUCTIONS a. Tltis 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 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 in e ti (Signature of applicant, or name, if a corporatton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, enginee general contractor electrician, plumber or builder. ~ ~4/ o n Name of owner ofpre>'hises .C~.......... ~~!?•••1~••••••••••••• • (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corpGo~rate officer)/ Builder's License No. .k .f<'• • • - Plumbei s License No . . /"r~ ~ ~ cJ~~ ~Zi4 % r7 Electrician's License No. f.::........ . Other Trade's License No . . 1. Location of land on which proposed work will be done. SS Sn/v~s- E-(~4-,~f30 2 ~'`fr~ (louse Number Street. Hamlet County Tax ptap No. 1000 Seetione,~...:~.-~~.. • • • : • • • • ~ Block Lot ~ . CL Y"O l??L, -Filed 6lap No . Lot . Subdivision ................iN11tte) 2. State existin^ use and occupancy of premises and intendcJ use and occupancy of proposed construction: o _ _ a. Existing use and occupancy ~ • • 5' ~~.'7 ' ' • • ~ ~ 2? r ~ ~ 1 . . b. Intended use and occupancy p`v~ ~'~M ~ ~ ' ' ' ' ' 1~ ' ' ' ' ' ' 1 3. Nature of work (check which applicable): New 4?uilding Additicn Alteration . Repair Removal Demolition Other IVork - . q (Description) 4. Estimated Cost ~l//, .`nOc~ Fee . (to be paid on tiling this application) 5. If dwelling, number of dwelling units C?,ct/. Number of dwelling units on each 17oor . If gara;c. number of cars . 6. If business. commercial or mixed occupancy, specify nature and extent of each type of use . ~ . 7. Dimensions of existing structures, if any: Front ;-'4 Rear ..A.~? Depth . Height ..f. ~ Number of Stories U.n!C t . Dimensions of same structure with alterations or additions: Front ...~-p Rear , .:~C? , . , , , , , Depth , <:`~~-r<O. 4:........ Height ~.~:....f ..........Number of Stories ...G?Al~ , . 8. Dimensions of entire ne~v construction: Front , , , Rear Depth . ~~.Q,~~, Height , , Number of Stories ...QN. • • • • • • • • • • • • . l~tont 9` 9. Size of rt~.lP./.:. , Rear ..~t.~'...f~ Depth .f.4 © . !0. Date of Purchase ...ly~.~ ...................Name of Fotmer Owner . 1 1. Zone or use district in which premises are situated X11.5..1. ~Q.Q • . 12. Does proposed construct~~iogg iolate any zoning law, ordinance or regulation: ...../.~D............ . 13. Will lot be regraded .../1!~ fVill excess fill be removed from premises: Yes Nc 14. Name of Owner of premises~oa ~P~i ~3cs~~o~ , . , • Address Phone No . Name of Architect Addres Phone No.. Name of Contractor ,,two . ~o~/~'~f.1/ 93'/~e~3 f t%/~ . ~ ........Address y,n,•w. , r l~l~Pe~a~ .Phone No!F.~~•~ 9.5.-. IS.Is this property located within 300 fee[ of a-tidal wetland? *YES....NO.Y.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fron property lines. Give street and block number or desctiption according to deed, and show street names and indicat .whethe: interior or comer lot. ~ ~ 0 ~ ~ © ~ `o N ~ ~O _ o o 11'te ff~~'' ~c,st~~rc,-ro~ su~r~ ~i ~ ~li Y I.U ut K 3`t ` ...1 s ~ M d , ~ ~ . ~ ~ ,~o ~ ~ STATE OF NE1V YORE, S.S ~P COUNTY OF . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) about named. lie istlte (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; [hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set Corth in the application filed therewith. Sworn to before me this Notary Public,~.Q^- h`"' W .:E'~~ounty 1~~ (Si;nature of applicant) SCALE 1/8'~: 1"0"' ,0 / / / / / _/ 4-1' LtJ R.E~IDF'NC, E .o~ MR.¢ MRS. F'. SNUG HARI~OR RD., ~RE. CNIPORT', L.I. , f-