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HomeMy WebLinkAbout18505-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18509 Date OCTOBER 30, 1989 THIS CERTIFIES that the building ADDITION Location of Property 900 LONG CREEK DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 055 Block 04 Lot 09 Subdivision YENNECOTT PARK Filed Map No. 1128 Lot No. 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1989 pursuant to which Building Permit No. 18505-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 (REPLACING PATIO} TO EXISTING ONE FAMILY DWELLING The certificate is issued to GEORGE J. & HELEN L. KEUPP (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ;irosac xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREM15E5 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ° ~ ~'S J v ~ Z Dote ......~.~I.P.:':!:I~R,t... )9. Permission is hereby granted to: UU ...1..~a .....................................~e ..~:e............. ro ...~~'"^r.4b"~:x.~....5~....~F:Cr~....41.{~S:P~.~.~frr.:r:,..l...°.`.P.!'^..°~~.`~M.I~.e?.~.....4~?....... ~?-r..n ~....t?.~..... at premises located at ...~..v'R..... ..?'.`.'`~....~lt-R:t.~.....5~-.-..~~...... .....S.r....~ R:.....~....... County Tox Map No. 1000 Sections.~.,..•..,~©~.,S.S..t... Block Q.rs....... Lot No.....~..i............ pursuant to application dated ...~~!~!:.l!~^:?^::..~ 19~~.., and approved by the Building Inspector. VVV Fee S•••~:../... ,i4....... v'r: Building Inspector Rev. b/30/80 qoo Cnuk ~~y TOWN OF SOUTAOLD - IIUILDING DEPART:IENT ~ Q ~ n D TOWN IIALL Q ~y SOUTIIOLD, NEW YOlLK 1197[ ~ 3 w 765 - 1802 YY BLDG. DE OP SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCIIPAN 11 qq DATE . ~ ~~'3 ~,l ! _ . 0 NEW CONSTRUCTION _..._~~JJ.,.9.f~ PRE-E%ZSTING BUILDING__....VACANT LAND.._.._.. Location of Property.!.~~... ~onlG-~~E£~E'~~'!-_.._. S6v~~~~'~.._.._.. DOUSE NO_ STP.EET UAMLET Osancr or Ovners of Property. C'r,~6rP~f_ 7': (~FLFN: p~~ F.~.P,P,_'._. County Taz Map No. 1000 Section ~ Block ~ Lot'. s ~ / y ~ g Subdivision .,G.~^.'^'.~e©~._.r~k., Filed Map .l......Lot_..J...... Perri[ lio. 1~ ~r~~..Date of Permie ........_.ApPlicant IIcalth Dcpt. Approval Undcrvriter5 Approval__.._..._._... PlanninII Board Approval Request for Temporary Certificate Final Certificate ~ t Fcc Submitted: $ l APPLICANT.,::...... ~ r rev. 10/14/88 38s 3s eo ~$.snw 1 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ) ROUGH PLBG. [ } FOUNDATION 2ND [ }INSULATION [ ]FRAMING [ FINAL REMARKS: DATE ' l ~ INSPECTOR 1cLD is:.°.: ..U:. (fun:., I CGMMENT~ t _ F 1. I a w ~ ~ H _ _ ~-1 OU77DAT20:7 (1st) it ~ c ?OUI7DATI0;7 (2nd) m `o ROUGH FRAh1E & .PLUMBING y 3. ~ m n INSULATIOP7 PER N. Y. STATE EPIERGY CODE FI;7AL . I o ADDITIOP7AL COMMEI7TS: s m ' ~ x H A . H H O m r y. b m -o H - - - - _ ~ ~ ~ r C'~ 1 ` - , - - - ~ - _ O ` i _ . ~ - . _ L. _ - - - - - - - - - - - r - _ _ - - - - ~ - - cu z - - . _ a _ - - - - r - - - - - - ~ - z oo ~ ~r m z o ~o Nao _ _ - ~ - Z Zd C - ~ m ~ k o oz ~g n G) _ _ 2 ~d W ~ - .-a. m. _ _ ~ _ ~ $ m 'n 3 - ~a--q- - _ - - - 1 II ~F 1 ~~li iii ~I I~ ~p~i~e~~l Ii i~ Ill l~j.; li ~i ~ ~ ~ ~ ICI lli III ~i~~ll~ o~ pO 5, I`~ ' I-~ 1- In m '1~~'I ~7 J'~' I III~~'I iI~I~' ~ ~ I~ ~ gym;, ~~~r 1 ''i'~~I ~~I I'~~ i~~ ~ ~ti ~ y I'~ i l 'I~i ~~I ICI III 11ill~ i~ I I~ I I I i III ~ il~i I,i' I I' Ili { ~ ~I III III I it ii ~ r~ I'll ,ill. i i~_ ~l I~ N m~ r ,n II v P. ~~~i i~~ Ih ~i,lk L i /31 l i ail I f ~ p~ 'N ~ I I ~ ~ III li ~~I ~~1~4I i III _ - ur _ . . __1 ~ _ - ~ ~ f a ct a • ei N - --4--~ M ~ • - - ~ - _ _ _ - G - - - - - _ - 1 - t _ - - _ cr - - _ - - ~ f ~-~t-_..._.. e~ h III II!~~~ I! ~I ~ I li t ~~,,I ~11~ ~ ~i~i I! ~I III V III II ~ I~' ~ } ifs I I j ~ ~I I ~ ~I I ~ ~i ~I~! ' ~ ~~~i IF i I' l III ~ F~ I ~ i i I ~I I li it ~I~~~,,S~~ti~i~,l 111 I~ i ~I ~KI~~~ II~~ ~ I I II ~4I, ~~~t ~v, i ~I I M1~ I i III ~ ' -ICI 9 ~ r ~ ~~II ~i ~ I~ I I~ i ~ ~ ~I~ I ~ I ~ II I ~i ~I ~ ~ n ` ~ ~ I s~ I~ N III I I { ~I II ~n i 'ill III ~'l li ~ S'~F.80L$ .COUNTY HEALTH DEPARTMENT. l!!LL ff b 19TH nATE x. D. REF. ~ S- Sp G 1 The sewage disposal and water supply facilities F_or this location have been~~_ 6" wcfs.+ ,~qiy- inspected by this department and found - - - - - - - - -tv ba sat#sfactory. I Chief f G nera nginggr LONG Cf2,~,E K Dl2J1/~ Services h ' 1 ~ ~ _ 1~ sr 695.57 .to Ladre! Avenue-- ~4t ' l2~ ~ (1'00 JJ fC ~ / ' x ~ s. f U ~ \\\V++( 1 1~. ~ ~ 1 L W W O ,A I `q - E . O~ • ~ - sb' ~mr,o E. i~~,~ ~ ~ O ~ 4 IV l1y ~ ~ ~ ~ ~ ~ ~UNM111ED4EZfD ALTExATNN1 011 ADMl N2EE 1 . _ _ _ . _A ro Niu suavEV is A vEOEATEDEE a yEDifON 11(19 Of THE HFW VOI.K STAIR . 5.83°-SF,~~QO"'k'V. l3SOCl EDUCArIOr+EAw. COPIES G/ THIS SURVEY MAE NOT NAR11'.'! lI"1 ~ THE EAND SU;.VETOA'S Wk.D 3Ul Oa _ N ` ' _ [MROSSFD SCAL 514Att NOI RF CONSIDIRE'- H SO R A YAIID i1.UE C01Y. ~ I GUAAANIEES tNDICAAV j1L0.:0 `MNi Nf f! J Q - ~ ONp iD iM +i.S>t VOP n. L1.1~ __A. ~j ;(/~^E[~/+~ /r/f~~.rw~~~E++~ ~ "IS PRFGARFD. A~.D J: N15 4 ~~ALE 10 {N- i TITLE COMPAKY, u' '1 G ~AI"' ! F... I L T Y ~ 1 JYiR~:1.iLN1 AE AG':NO ~ ; IENDENG r SiRUi{ON L;51:C N.A-ON. AN TO THE ASSIGNFFS Cf IHE LE1'DEEK' ~ t~ TUrION. GUARANTEES ACl NUS [RAIFSf' ' L`.1Iti SU.Q'YC-YEC7' f OFC ro AomEwEEAS IEaErcwur.s oa Su'`- ;4~ En +`EY ~ 6UY??UMf'E°NC~I .7cd S'ouf~'Alcds5'avrrs~s °~YENN~coT7' pY4,~AG Barr, , nn~ S~eari~ Tt/a ~ duarunfy (.su~o!/G Co. Mo~ t/o. 5'187,, Gdm~ar;r~ os our~varye~l.:f~/~I /~/9?5 1, , ASOC/7'HUL,C7, .n/, ~ lZd~i.Y/Gl4 ' i/CN TuyJ;' v, c.. ' ~ i2 . Y ra._._. i " sad/e: ~O'~/" ,re~err~a!'~~'~'Lwnf~'r91.+vE~e crs ' ~ O j(/lOCJU1Tl E'!Y 7'' ~ Ga"~..°rf~JO!'f'~ !5/~.~y, ~ r,~/~ ,vD,s-arax6r-a L5 I!_ ~ ~ ry 30SETSOOFHPLINS t~.•.... f'i FORh9 N0.1 SURVEY K . SEP ~ T ~ TOWN OF SOUTHOLD CHECF 0. . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL Fi1.DLi.DEPT, SDUTHOLD,N.Y.11971 NOTIFY TOYV'~' OF SOUTrIOLt) 3 y d '.~._-•--'--°----............r.-~.,®.,_a TEL.: 765-1802 CALL :..rf.. Y.... . ) ~ 19~`~. MAIL T0: Exacttin Approve ? ~ 19~~. Permit No. !'.~.~5..ZZ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................15 INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi 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 str or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tftis apglication, the Building Inspector will issued a Building Permit to the applicant. Such pei shall be kept on the premises available for inspection throu;ltout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin; Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descril. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ani~ admit authorized inspectors on premises and in building for necessa inspections. ~I / (Signature of applicant, or name, i a corporatton) • (A4ailing address of applicant) State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or built Name of owner oCpremises ..lT'~Q r~:~ ..K-.l°4 . (as on the tar roil or latest deed) If applica/~pora o signa re of duly au~orized officer. (//t,// (Name and title of corporate officer') Builder's License No. . s a ~ - Plumber's License I~'o . . Electrician's License No . Outer Trade's License No . . I. Location of land on wftich proposed work will be done. . , _ , , , , , qOA...... L-~nc~.Cree~C:..~1, ~ou:~~o.~~...N,Y....... house Number Street, Hamlet County Tax hlap No. 1000 $eC[IOn • Block Lot . Subdivision Filed ~1fap No• Lot . (Name) State existing use and occupancy of/~p~,remises and intended use and occupancy of proposed construction: a. Existing use and occupancy C r . . b. Intended use and occupancy L' c1- ~`e~~t.~ , , , , , , , , , , , 3. Nature of work (check which applicable): New I3uilding Addition ~'ilterat~'on I~; Repair Removal Demolition Ot)~c~lVork . • ~ ~ -"'G.~` (Descripti~ 4. Estimated Cost Fee . (to be paid on filing this application) 5. If dwelling, nu[nber of dwelling units Number of dwelling units an each floor . Ifgaragc,numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing s[ructures, if any: Front . Rear Depth . Hci~krt ...............NumbcrofStorics.................................................... Dimensions of same structure with alterations or additions: Front Rear . Depth Height Number of Stories . ' Dimensions of entire ne~v construction: Front Rear Depth . Hci~ftt ...............NumberofStories..............:............,........................ 9. Size of lo[: Front Rear De th 'p 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in ~vhiclt premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. 1VilI lot be regraded Nill excess fill be removed from premises: ,Yes 14. Name of Owner of premises ....................Address Pltone No........... . Name of Architect ........Address hone No.......... . Name of Contractor ~~S.~j ~~,~~IU\S....... Addresses[S.r:'1Afl~~-k1ct~F....:'Yhone No..~~`~.~~~! IS.Is this property located with in 300 feet of a tidal wetland? *YES_...NO.~ *If yes, Southold Town Trustees Permic may be required. _ PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and. indicate all set-back dimensions property lines. Give street and block number or description according to deed, and show street names and indicate why interior or corner lot. STATE OF NE~V YORK, S.S COUNTY OF . being duty sworn, deposes and says that he is the appll (Name of individual signing contract) above named. ficistfre (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 application; that all statements contained in this application arc true to the best of his knowledge and beIicf; and tha work will be performed in the manner se[ forth in the application filed therewith. Swam to before me this 9 (y~/ ~ Notary Public, . , ~~X~i~-..~.. County L~~ - d HEIENI(.tlEVOE (Signarure of appli ~Na 4'tt 7878 3u~lk tbuM'!~ . Tc[m Expres Mt[ch 30, [