HomeMy WebLinkAbout18519-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219115 Date JUNE 6, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 4240 PARADISE POINT RB. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 81 Block 03 Lot 07
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 13, 1989 pursuant to which
Building Permit No. I8519Z dated SEPT. 19, 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 CONSTRUCT FENCE ENCLOSURE FOR A SHOWER AREA ADDITION.
The certificate is issued to DOIIGLAS F. BARNARD
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED EAST END PLUMBING & HEATING 12/13/89
~ LL
B lding Inspector
Rev. 1/81
]M]BM N0. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMMPLETION OF THE WORK AUTHORIZED)
a ~.8 5 9 Z 9 i~' 1~/....
N _ Date
Permission is hereby granted to:
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to ~.~.~.:I'~.111::...~r..~..`.:~r...:::~:~~..~.~.~....1.:::~Y.::..f-+j......~............
O
ct premises located at .....t~...'sir...~s~~........~«'~:fj~:/G11.:(~1......~:~1
~......:L.'lL
County Tox Map No. 1000 Section Block Lot No.......~.
pursuant to application dated ........9...,1!~ 19..~and approved by the
Building Inspector.
Fee 5.
C/-^~ui ng Inspector
Rev. 6/30/80
~
1~J'i
TONN OF SOUTIIOLD ~~'B~
BUILDING DEPARTMENT
BIOG DEPT.
TONN IIALL TOWS' C ~ CJUTHOlD
• SOUTIIOLD, NEN YORK 1 1971 ~ r Q,3~
765 - 1802 ~G ~ N~
FYI a~
APPLICATION FOR CERTIFICATE OF OCCIIPANCY ((JJ
DATE...~,1 .~l.g~...... .
HEN CONSTRUCTION .......OLD OR PRE-E%ISTZNG BUILDINnG.~._.VAC.A~N/T L/A/ND........
Location of Property...~a`4`~....:~AY/~(T ESL ~T..~Y:...... aou" "o~"` _
UOUSE NO. ~ STREET HAMLET
,l / /-~Prk`re~k~D
UOLG L/0 r I!S~7'~1fFYG~
Ovner or Ovners of Property..... ~~y./.._.._
County Taz Map No. 1000 Section ._Q Block ._3.._. Lot ...J.....
Subdivision Filed M11ap .._.....Loc...._..._.
Permit No. ../~'S.~a..Date of Permit .g.~~gJ.~9.AppLicant Qob !\?CNt ~-JoN /a'G
Health DepC. Approval Undervricers Approval.___._.__.____
Planning Board Approval
Request for Temporary Certificate Final CertiFicate
Fee Submitted: $
APPLICANT..... ~j :"F::'..~./:T:':'o....v /it6e:......
39~8s
Co z l9 //S
~~~/9~
rev. 10/14/88
~ FORM NO. b
~ ~ ~ ~ # ~ TOWN OF SOUTfiDLD _
BIIILDING DEPARTMENT
J.
TOWN 31ALL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A_ 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
f. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features_
2_ Final approval of 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 solder used in system contains less
than 2/]0 of 1Z lead.
5. Commercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
b. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings ~PrlOr to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land uses:
T. Accurate survey of property showing all property lines, streets, buildings and
- unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or ocher
pertinent infox-mation required to prepare a certificate_
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate o£ Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lpt prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25_D0, Swimming Pool, $25,00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $SD.00.
2. Certificate of Occupancy on pie-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10_00
4. Vacant Land Certificate of Occupancy - $20.00
S. Updated Certificate of Occupancy - $50.00
6_ Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
ev. 10/I4/S8
EAST END PLUMBING & HEATING
POST OFFICE BO% 528
54 RIVERHEAD ROAD
WESTIiAMPTON BEACH, N.Y. 11978
516-2$8-3129
LEONARD T. REMPE, INC.
ecembe~~, 1'~, 198
To~~~n of ''outho~ d
Builain~ - ~ ~~rtment
;;!a.in r oa
'outhol , Nei,. Yorlr 11971
To ~^hom it may concern:
Thi^ i~ to certify that 95/5 polder -."ate used in the
moving o` the outsi~?e ^ho~°~r a.t the re~i~ence of r~ou~;la^
an' Jessica. Ba.rne.r~, ~ara'i^e mint "'oa' `"outhold, Nei^~ York.
per ectfu~~'~
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TEL.', GS-1803
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c To~Jri or souTUOi,a
i:`+~ 4u:.;~L~ 3^.4 r`c~- Ot'f'ICIi OF TsUILDING INSPECTOR
;d. ~ TONN HALL
''`Y~ Q° ~ ~ SOLJ'I'ItOLD,N.Y.1397t
y~41. ~i r~'o
November 27, 1989
BOB KOCH & SON, ING. ~
BOX 3037
MATTITUCK, NEW YORK 11952
RE: DOUGLAS F. BARNARD
To 4'lhcm This, May Concern,
47e arc unable ro complete your Certificate
of Occupancy because of the follocaing•reasons.
/~An application for Certificate of Occupancy
is not on ills. (ENCLOSED)
/_~No IJnder~aritcrs Certificate on file.
/ / 'i'he cLcc}: i::(~H~[N~d3IRt~~I/not nn file.) $25.00
No Ftcal.tlt Dept. Approval on tile.
i`:o final insi~ec:tion liar been made.
Pleac;e: contact our office on this matter. '
Thank you for your cooperation.
Ilu.ilclir•.cJ Pcrmat if 1 8 5 1 9 2
IIuilc3ing Dept.
*`'"/-~t(o Plumber Solder Certificate on Life., '
( all pCri:ll t:i involving plwnbing being
iesuccl after ,'1pri.1 1,1984 )
. t
~BOAFD OF HEILTH
j~~i, 3 SETS OF PL,1NS
l5 ~ 'S f '',ft is P""~~ FORM Nq. SURVEY .
'.n,_, - TOWN OFSOUTHOLD CHECK
_ , ,
1;~ BUILDING DEPARTMENT SEPTIC FOBa
~E~ ~ 3 TOWN HALL
U SOUTHOLD.N.Y.11071 NOTIFY
TEL.:7G5~1802 CALL
8LD SDEPT. MAIL T0: • • • • • •
Gaamtne ~ ~ 1 • . • 1Jo-8- Kc~c~' ~ .1`~~;
.\pPraved .~~~f.~~J....., 19 ...Permit No. ~~u~/eG~ , IO3"
Disapproved a/c / 1" ~l~-
( ildin~yl'tispector)
APPLICATION FOR BUILDING PERMIT _
Date S~ ~ I5~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stree~
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of this appl
cation.
!c. The work covered by this application may not be commenced before issuance of Building Permit.
~d. Upon approval of this application, the $uilding Inspector will issued a Building Permit to the applicant. Such permi
shall be kzpt on the premises available for inspection throughout the work.
'e. No building shalt be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant.
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petmit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Regulations, for the construction of buildings, additions or alterations, or far removal or demolition, as herein described
The applicant agrees to„gpmply with all applicable laws, ordinances, building code, housing code, and regulations, and t~
admit authorized inspectors on premises and in building for necessary inspect ions. r-
~o h ~o c Lt q J v.v... ~iv c
. .
. (Signature of applicant, or name, if a corporatron)
• (Mailing address of applicant)
State whether ap~}IAiR~t13''own~er~ lessle,ya~ent,,architect, engineer, general contractor, electrician, plumber or builder.
T~, !Rfi N14TT )t?:'` t ,e q• 1 .
\ame of owner of rem[ tC~ ~ r Y'vAYOC
JJ~ (as on the tax roll or latest deed)
Y.ii lFf1r ~'!YriF~lL'1NlSJR~~PI ;frl`
!f applica t is a c [~s !L!0't'~l11fl~ a,~Yhbi'ized officer.
(Name and title of corporate officer)
Builder's License No. /~.'S 7?... • .
Plurnber's Liccnsc No . .
Electrician's License No .
Other Trade's License No . .
I. Location of land on wf[ich proposed work will be done.
.~~~.f~ ....................~9y~.e~~.s.e......f~....~~.~.........Su.~ p(~.........
• street. •
(louse Number Hamlet
County Tax \lap No. 1000 Szction Block I,o[ .
Subdivision Filed Alap No. Lot...............
(N;une)
Slate existin^ use and occupancy of ,pr~em~iQseys~and intended use and occupancy oC proposed construction:
a. Exis[ing use and occupancy • • : Y`r''-~~ :'t ' .
b. Intended use and occupancy . - • • • • • • • • • ; • , , • , • .
- - ~ i
1
3. Nature oCwork (check which applicable): New Building Addition • . • ~Uteration
Repair Removal Demolitiofl Other 1Vork .
(Descripti~
4. 4stimatcdCost.........1./Q0'.r~ Fee........SU; dU....~..............
(to be paid on filing this application)
5. If dtivctling, number of dwelling units Nttmbct oC dwulling units on each (Igor .
Ifgaragc.nuntbcroFcars
b. If business. commercial or mixed occupancy, specify nature and extent oC each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth .
lici^_lat ...............Number of Starics .
Dimensions of same structure with alterations or additions: Front Rear .
Depth FTcight ......................Number of Stories .
Dimensions of enure new construction: Front Rear Depth , S...... .
Height ...............NumberofStories..............:......................................
9. Size of lot: Front Rear pth
De
10. Date oC Purchase .............................Name of Former Owner
11. Zone or use district in which premises are situated .
1^. Does proposed construction violate any zoning la~v, ordinance or regulation : .
13. ~ViII lot be regraded ............................will excess fill be removed from premises: .Yes
14. Name of Owner of premises ....................Address ...................Phone No............. ,
Name of Architect ...........................Address ...................Phone No............. .
Name of Contractor ..........................Address ...................Phone No............: .
15.Is this property located within X00 feet of a tidal wetlaad? *YES.'~..NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate al! set-back dimensions fro
property lines. Give street and block number or description according to deed, and show street names and indicate wheth
interior or corner lot.
APPRO D AS NOTED ~ q
DATE: ~ B.P. #
FEE: BY:
NOTI Ui t G QEPART AT
- 765.1802 9 AM TO 4 PM R THE
FOLLOWING INSPEC7ICNS:
f. fOUNDA710N - TWOREQUIREO
fOR POUREGCONCRETE
2. ROUGH -FRAMING Il PLt.MAB1NG
3. INSULATION
d. fiNAL - CpNSTRLiCT10N MUST
BE CpMPLETE FOR C.Q.
ALL CONSTMIC~'WK lbiAL1: 1(IIEE7
TFiE 1lE9tARl9 Qf 1'tiE N.Y.
S7Al'E tAaNS11KfCT10M
( NW 11Ef/0N IrOR
UESKtN t~l1 CQfpt7fN1C{Kllt
STATE OFXE\~~/ S.S
COUNTY OF
~Q~•t; being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
above named.
le is[Itc
( ontractor ent, corporate officer, etcJ
~f said owner or otvncrs,'arid is duly authorized to perform or have performed the said work and to make and file tlr.
pPlication; that alt statements contained in this application arc trot to the best of his knowledge and beticf; and that th
~nr}; will be performed in ttte manner act Corth in the application filed therewith.
worn to before me this
ay ...~/~j~~~(r...., 19~F
ataxy Public, Gi~F~~'.~~\7~"-~""`...... County
. ~r~...
pepMypu~bNoRg
~eof York/~ (Signature of applicant
QuaVffied in Suffolk County ~7
C~mmissien Expires December 8. 19