HomeMy WebLinkAbout18669-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Tnspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18946 Date APRIL Z, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 1595 AQUAVIEW LANE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 022 Block 02 Lot 04
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 24, 1989 pursuant to which
Building Permit No. 18669-Z dated NOVEMBER 17, 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 KITCHEN ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to ROBERT & DORIS ANRIG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N{A
UNDERWRITERS CERTIFICATE N0. N-022339 - ,TULY 19, 1988
PLUMBERS CERTIFICATION DATED N/A
+ d,.t., 1~A.0~---~
ui ding Inspector
Rev. 1/81
Fosat xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N°- x.8869 Z Date ....~.$-!~!:1(;~-*,.....a.`F.........., 19.~i..l
Permission Is hereby gran~ted't"o~:
...1....1}7.".LIcR....~.:......1,
~ .wS:-'~....... .
ta ...L.~~eTv~::~?~.~r,,~4:4r~"....4~~1....'l.~.t~rtlir~4A'7~..Q ~1~?-~....~?~'1
.~.,..p..........
at premises located at ..~..k.~.5......./...`.~„~:4r~t.~.V..l.fert?..........~.~ ~ ^~~''~!-!!rte
6 . ~
County Tox Map No. 1000 Sectlo ....S~.~r.:~-' Block Lot No..~
pursuant to application dated .f~~~-~'~T 19 ~..1., and opproved by the
Building Inspector.
Fee $..w7~....
ild ng Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...April 2, 1990
New Construction.....:EX... Old Or Pre-existing Building
Location of Property..,~595.Ac~uaview Lane Fast Marion. N:Y:
.
House No. Street Hamlet
Onwer or Owners of Property.,,,ROBERT 6.DORIS ANRIG
County Tax Map No 1000, Section...p?~ .......B1ock...02...........Lot.,,04
Subdivision ....................................Filed Map............Lot......................
Permit No..18669-Z .,,Date Of Permit...~~~?4~$~...Applicant,DORIS M: ANRIG
Health Dept. Approval ..........................Underwriters Approval...~,n~?339
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Femm~e ^^SubmittedlI:/I 25:00..
`Jt~• 31~7I DORIS'.~.. ANRIG
(p ~ ~~~y(~ APPLICANT
-A'
` THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000287 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date JULY 19,1988 Application No.unfile 49374087/87 - N 022339
THIS CERTIFIES THAT
only the electrical equipment as described 6eloTO and introduced 6y the opplicont Homed on the above application number in the premises of
AQUAVIEW AVE., EAST MARION, N. Y.
in the following location; ? Basement ? 1st F'f. ®Ynd 1•'l. .Section Block 4ot
uws esarnined on JURTE 20,1988 artdfound to be in emnp(imu•ru•iTh the reyuirernenta @f this Board.
i
OUTLETS ECEPTACLES SWITCHES FIXTURES V RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
INCANDESCENT R110AESCENi ypppp AMT. K W. AMT. K W. AMT. KW. AMT. K.W AMT. M P.
6 7 8 6 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEII UNIT HEATERS MULTI.OUTLET DIMMERS
AMT. K. W. OI\ W. P. GAS H. P. AML. NO. A. W G AMT. AMP, AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT WAITS
NO.OF FEET
• SERVICE DISCONNECT No: of S E R V 1 C E
METER NO.OG CC.COND A.W G
AMT. qMP. LYPE EDUIP I,g pW t,e ~W 3.e JW 3$4W pER9 OF CC.COND NO. Of H4LFG OF~N lEG NO. OF NEVTRATS OF NEUTRAL
OTHER APPARAYUS:
G.E.C.I:-1
SMOKE DETECTOR:-1
LAKE ELECTRIC
17 FOREST TRAIL
RIDGE, NY, 11961 GENERAL MANAGER
i1 -
LICENSE N0. 1845E Per 'st».~~'
This certificate must not be altered in any manner; return to the office of the Uoard if incorrect. Inspectors may be identified by their credentials.
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BOARD OF HEALTH
3 SETS OF PLANS
~FORMNO.1 SURVEY
TOW V OF SOUTHOLD CHECK • • - • • • . • . .
BUIL'D.INGDEPARTMENT SEPTIC FoR.'1
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11071 CALL
'1_ _ n TEL.:7G5~1802 MAIL T0:•-•.•.•-•-•-••
Examined . N.D7"~^^ n~!~.?-~., 19~q~ C~
Approved . 19 .+.t Permit No.~. ~.(?~y.~~.
Disapproved a/c
D ~
~ ~ ~ ~ `j~;~
BLDG V7~s~~F.
!
(Bull ing Inspector) 70WN OF
~O„
U~ ~.w-~.N-~•^
APPLICATION FOR BUILDING PERMIT
Date ..I.L:... ~.7......., 19 ~P.
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
oer areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
e. 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
Re;tilations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein described.
The applicant a:rees 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
. .
(Signatttre of app cant, or ame, if a corporation)
(hfailing address of applicant)
State whether applicant ' owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................................................../y~.../~.,,./...................................
\ame o£ owner of premises .,~r~,S~.2T....~.. Y'.. ~s'le!S..7.'1:. ~l~R'iG .
(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 IIE SURPOLK COUNTY LICENSED
Buildei s License No . .
Plumt:cr's License No .
Electrician's License No . .
Otltcr Trade's License No . .
1. Location aC land on which proposed work will be done . .
House Number Street Hamlet
County Tax hiap No. 1000 Section x.2:2-......... Block Vr.Z........... Lo[ , , , , , , , , ' • ,
Subdivision Filed hlap No. Lot .
. 'tNatncj .
State existing use and occupancy of premises and intended use attd occupancy oC proposed construction:
a. Existing use and occupancy , . , 'e`!!'t-!{,.fL-; , , , _ , , •m, ,
b. Intended use and occupancy ~ ! ~"t
.............1~..... , , • ~ ;1!1 i Y.u??'.~... tC~l~~
3. Nature otwork (check which applicable): New Building Addition . X• • • • • • • Alteration
Repair Removal Demolition , Other Rork ,
. ~ esc Pti..
(D ri 'on)
4. Estima Cost..~~~1 Fee.~~..~.:........
(to be paid on filing this application)
5. If dwelling, nu r of dwellingl!,units Number of dwelling units on each Aoor
If garage, number o } .
6. I(business, commercial ixNd occupancy, specify nature and extent of each type of use
7. Dimensions of existing struct 's, if any: Front .......Rear Depth
Height ....Numb of Stories 1
Dintcnsions"of"satrie~ati•tic'ttt~iitti•+th alt lions or additions: Front Rear
Depth .............:.i,~r"..Height . Number of Stories
8. Dimensions of entire new constiuction: Front . , Rear Depth' .
Height . Number of Stories
9. Size of lot: Front Rear.. Depth
0. Date oC Purchase . Na of Former Owner
1. Zone or use district in which pr 4mises are situated .
2. Does proposed construction violate any zoning lativ, ordinance or rem ation :
3. 11'ill lot be regraded , . . .will excess'fi 1 removed from premises: Yes No
4. Name of Owner of.premises ...............Address .....Phone No................
Name of Architect ...............Address .Phone No.. .
Name of Contractor I! • ...............Address ...:Phone No....
5. Is this property located Within 300 feet of a tiidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLOTDIAG1VlMed.
"
Locate clearly and distinctly al] ,buildings, whether existing or proposed, and. indicate all set-back dimensions from
:operty lines. Give street and block number or description according to deed, and show street names and indicate whether
aerior or corner lot. ~i
s.
I
S`~ Q ~
,
',I
. ~ .
~M
I
.
"ATE OF KE\~' 1'ORR, S.iS
~G\7Y Of° .
`amc of individual si~nini ` ' ' ' ' ' ' ' ' ' ' • being duly sworn, deposes and says that he is the applicant
\ ~ . . ~ 'g contract)
' ovc named. I
~isthc .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly ~huthorizcd to perform or have performed the said work and to make and file this
alicatian; that all statements contained in this application are true to the best of ltis knowledge and belief; and that the
rk will be performed in the manner set forth in the application filed therewith.
orn to before me this ~
~ ...day of. 19 8~/.
tar}• Pu61ic. l'::`r^:!, , ~'I . kJ'c UsL. , • , . County
NEtENK.DEVOE ~ ~ • (Stgnature of applicant)
PlDTARY PUBLIC, State of New York
No. 4707878, SuNolk Count
Yeim Expires A9:rch 30,15