HomeMy WebLinkAbout18499-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-16499 Date OCTOBER 16, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 1400 DELMAR DRIVE LAUREL N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 04 Lot 016
SubdivisionLAUREL COUNTRY ESTS.Filed Map No. 5486 Lot No. 50
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 5, 1989 pursuant to which
Building Permit No. 18499-Z dated SEPTEMBER 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to TIMOTHY R. HANSEN & BARRI1R 21 J. DUVA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
~Gdf
uilding Inspector
i
Rev. 1/81
rows 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)
N°- x.8499 Z Date ...:~.~1.~~......~.~........, 19.8..I.J
Permission is hereby granted to:
~........!.~.q.~`.~
_ n -
at premises located at :~-~1.°.4:5~......l.f..'~::.........
County Tox Map No. 1000 Section .....~.a,7......... Block Lot No....4/.4P.
Q - / ~ q
pursuant to application dated .......1~:4-.~....~'^'YN~.~......~~.2 19.8.:0., and approved by the
Building Inspector.
Fee S..u`~.:..~........
SCI
Bu ding Inspector
Rev. 6/30/80
TONN OP SOUTIIOLD
BUILDING DEPARTMENT
TOWN IIALL
SOUTIIOLD, NEW YOF2K 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE.:S~Pr.~~ /~e~9...
'DECK
NEW CONSTRUCTION __.....OLD OR PRE-E%ISTING-~€LH=IdFCs......VACANT LAND..__._..
Location of Property...~~~.._..:....DEL_NflR.DRIJE..._..._..~j~uREL.........
BOUSE•NO. STREET NAMLET
Ovner or Owners o£ Pro ert Trkorlfy R Jf11NSi=N. J /SRRbR~fA J. Du?~} i{RNSEN
P Y-..--•----.. 1
County Taa Map No. 1000 Section ~°~~:DO Block b!~:0O _ Lot D~I~•800..
Subdivision Filed Map .~~g~n..Lot.. SD•,.-.
PermiC No. ......._..Date of Permit ..........Applicant .rHOT'l~~~i ~f1NSi=N l~b~'•
• • Duti
Health Dept. Approval Det.a7~l97~? b R.ViIIQ PP n~ssrss Nv?!4 1974
Underwriters A roval._._._. i.
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted:
APPLICANT...~~4~~~.. . `~./.F~"~~'~ ~4
rev. IO/[4 /88
Qflc•3$433
cb ~ Is~r~~
l ~ [ ~ ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS: ~ c~_
- ~ ~
DATE INSPECTOR
i 1ELD I:. F.: °C: (I'Jn: I Cv:YMLNT.".
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OUI7DATIOf! (lstl ~ ~
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.',OUGH FRAME &
PLUhIBING
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I17SULATIOfI PER N. Y. • • 'j
STATE EftERGY '
CODE
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ADDITIOPIAL COMMENTS: x
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I ~ ~ ~ I1 1!I ~ I BOARD OF HEALTH . • • • • • -
cJ ~ i 3 SETS OF PLANS• -
FORMNO.1 SURVEY
SEP 'rJ 1989 TOWN OF SOUTHOLD CHECK -
BUILDING DEPARTMENT SEPTIC FORPI
' Bt.DO. DEPT. TOWN HALL
TOWN pF SUUTHOLDrt~._~ SOUTEOLD65 1801971 NOCALL . ~.y8 -S r ~-3 , , ,
MAIL T0:
Examined . , ~ 19 ~9.
Approved q':..l.~ 19~. Permit No. I. ~.~94
Disapproved a/c
...ti~ 0.'a"
(Buil ing Inspector)
APPLICATION FOR BUILDING PERMIT
Date . ScPr`.:~r........, 19
• INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witi
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 stre:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apI
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 peri~
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 Occupan
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 t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessa ~n~s,p~ec,,tiogns. t""~ `
. '""'S.. (4~~-wa~,..~.
y-?*w'CLtG.g. Jl~t~4 ; ~J6~k.?G2?.~
(Signature of applicdnt, or name, if a corporation)
.~a.l~,4vFtiu>`.~..K~NC~_~aRe,. N.y..ll7Sf .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build:
.......OWNEK.
Name of owner of premises .,TINO'17~~ >P,. I~p~gry ,~I}>~PrCa' J, ~uVA~ ~I;L~FNSf~I}
Y
(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 CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. !V~!I .
1
Plumber's License No. ...~~A" .
Electrician's License No. ~1~ .
Other Trade's License No. ~~!1......... .
1. Location of land on which proposed work will be done . .
.....1.'~ao ~r4H~~ DK(V'E J~}t-u,eEL
House Number Street Hamlet
County Tax Map No. 1000 Section ~0.2.~` OO ~ ~0 Lot . ,d/~..L~40
Block
Subdivision Filed blap No. ..S~/8la Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occu anc /~fF~~ . DECK 7'/l/Uk!'E ONE' FfFdll~)/ DwE'LLI.v(r , , , ,
P Y
PR~a DECK P~2IV/~E...ON,E FiFHILr ~U1~LLI~1%6-:
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
....h
Removal Demolition Other Nork ,~X(STJNb; • P~L?(C
Repair
(Description)
4. Estimated Cost.........- Fee
` (to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each f7aor .
If garage, 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 ...............Rear Depth .
Height ...............NuntberofStories...............................................,.......
Dimensions of same structure with alterations or additions: Front Rear .
Depth ......................Height Number of Stories .
H. Dimensions of entire ne~v construction: Front Rear Depth .
Height ...............NumberofStories.........,......................................:.......
9. Size of lot: Front Rear Depth .
10. Date of Purchase SAN o27 Idf 7$ • • • • • • • • •
.•.•••••~•••••.••••..........NameofFormerOwner ...A~!J..~c.CaPi65
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation :
13. Rill lot be regraded . 1Vi11 excess fill be removed from premises: Yes N~
14. Name of Owner of.premises .7ltiorrt ~ ~4ANSE~,(• Address 2?.?sI Aye , X(~!as P?}?K• ,phone No. ~1~9.:!a`j~ , .
Name of Architect ...........................Address ...................Phone No.............. .
Name of Contractor ..........................Address ....:..............Phone No.
15. Is this property located within 300 feetyof a tiidal wetland? *Yes No
*If yes, Southold Town Trustees PermitpLO"I'DIAG1tAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whethe.
interior or corner lot.
,SEC SU~2liE~J
~TA7E OF NE\V YORK, S.S
'0~:.'TY OF .
TP{aTll ~Y }~-hNSE/tl , . , , , being duly sworn, deposes and says that he is the applicant
(Nmne of individual signing contract)
~bave named.
ie is the bWNE>t
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi:
pplication; that all statements contained in t}tis application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner set forth in the application filed therewith.
,warn to before me this
..........:3~ . ..day of , 19 F?
rotary Public, ~ ~ ~-'r~OC"'~'. County
. 'kJ_"'"'"'
ELIZABETH t~f. SABOI
Notary Pubre, State ei New York ~
ray. naats~a ~ .
Qua;rtied in $uflNk G,eaty ~ (Signature of applicant;
My cow, c~c~a a ~rl~a
i t
STREET -
JOSEPN
SUFFOLK COUNTY HEALTH DEPARTiSENT
`gyp` ~l~•(~', ;g?Z H.D. F,EF. f~'SU f~L
38 3yA ~ and valor su~YOly
I ?TA TY'o ^e dis osal
fac l:tiFS for the st;uctu/roTloc:tited at
N N ~ ~ ~7Xi2~vl ~l/Y JO ~CI~ _
tNil~` ~~8-~-
u ~U~1P
hnco boffin in.,poci::d by ibis DoYarttwent and
m
found to be satisfactory.
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NOTE ~ c MONUMENT \ L o t
SUED/V/S/ON MAO f/LEO /N THE OFF/CE
OF THE CLERK OF SUffOL X COUNTY QV
JUNE 22,/970ASl9LEN0. S~i86.
- - -
RE"'"'"= YOUNG & YOUNG
MAR.29,1972 400 OSTRAN DER AVENUE, RIVERhiEAD, NEW YORK
SEPT. 11,1972 ALDEN W. YOUNG HOWARD W. YOUNG
OCT 5, 1972 PROFESSIONAL ENGINEER ANO LAND 9URV EYOR
IIVAUYN011ttU A111 v.?UN Oe AGOIl10N LANG SURVEYOR. N.Y.S. LIC. NO, 12345 N.Y.S. LIO. NO. 43390
1] 11:15 'd ll'VIY I` A W lAl1UN :.f _
sl..uo. rra .a 1Il NrW r: nA uArt SURVEY FOR: S_p1E OF ^/Fy,
`°L`""''"`A'" INLAND HOMES,INC. PRO w
00111. 1.i 1,:1. SL'~Y'fY vAV NJl tlIAV.ING {
11; 1•~.U Sd Y.I•~r.S Y^ GLrAI t]i LOT 5011 LAUREL COUNT Y
NL~ 9 5rA ,eAR uar zl mNS:nta[G ' I
6 A VA.IC trJ: CGVY. GS
UA AI 1..5 nu I~.AT9 IP.[ON SHAH GUN - _ - L` / _.l
NY 1 IHL ~L S.)+ f:F WgUM itli SUAVtY AT
S iFlr Anl'~. AbL .Hr h.S ..V.If IU IxI LAUREL S~~YAU{QjhL(~tIT~E~ GU RANTY CO
Rlf COM,AU\, GGV:L rNIN AI, Ah6CY AND TOWN OF "(~F~ "^'4~57~V1 S r NK
INOb+G In11 .IJ]IOL L'llL 4.A.uW, A+9 SOUTH OLD _ a
0 IN! At SIGw lS LF Ilx 11n0u1G II:SiL ~A.._ u4~~. _
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IUHUN. GUAI:AN1ll5 ARf NUI LA_>iU AILS BY v-S,O~n/
~y,y
O AJGIiIONAt INSIIIUIIUNS JA iYr`..yUtN[ SUFFOLK CO N. Y. l ~CGA AA/' q•LG6L4
SCALE: n l DATE: NO.T
I = 4 O MAR.27, 1972 ~ 72-221