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HomeMy WebLinkAbout18533-z _ _ _ _ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18604 Date NOVEMBER 30, 1989 THIS CERTIFIES that the building ADDITION Location of Property 225 LAKESIDE DR. SOUTH SOUTHOLD, N.Y. House No. street Hamlet County Tax Map No. 1000 Section 90 Block 3 Lot 11 Subdivision CEDAR BEACH PARK Filed Map No. 90 Lot No. 62 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 1989 pursuant to which Building Permit No. 18533-Z dated SEPTEMBER 28, 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 CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR ANB TO CODE. The certificate is issued to ALBERT & CAROL PROFY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A 'JC~~r: ,~~OJL~ uilding Inspector Rev. 1/81 roans xa s TOWN OF SOUTHOLD CUILDlNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) x.8533 N~ Z Date ..~~1®.;.~ 19. Permission is hereby granted ~~.5..,~C~~~~..GIG ...:b11<..... 5....... ta , aY premises I~ t ~.~......eG..~.....~%:~r.;,...... ......................................................~~"""7""".................................................................. County Tox Map No. 1000 Section .p......./..f~~.......... Block ........3........ Lot No...........1~........ pursuant to application dated .........l~t~ 19.~.., and approved by the Building Inspector. pe Fee ~Q C•••••••i:~•.•••• ..La.... I ing f for Rev. b/30!80 E. TONN OP SOUTIIOLD HUILDING DEPART:IEL7T TOS1N HALL SOUTIIOLD, NEN YORK ! 1971 gIDG. DEFT. TOWN OF SOUTHOID 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPA[1CY ~ry DATE. _ ~~J :ll:.~..... HEW CONSTRUCTION .......OLD OR PRE-ESISTING BUILDING. ..VACANT LAND........ Location of Property..°?.°?'~..~~'~~S/._ll~i:Jj~..S'._____~$_~^t~l~f_vL7~_ ~/,~.//QZ~_. HOUSE NO.//~~~1••• STREET HAHLET O'vaer or Ovners of Property., r":f~h'~L.~ ~~/.SE:Pi ..~i~aF~ s y_ . o9a.oo v3.ao o~/ aao County Taz Hap No. 1000 Section Block Lot'...__..__ Subdivision_~fD~9,P./3~/~C;y;_~,~99.ek Filed//Mapq.l.~....Lot_.~°,.~ Perait xn./533. _ .Date of PermiC ~J:~~~/ .Applicant ©.~'~.'~~E~ _ Health Dept. Approval Undcrvriters App roval..__..__...___ Plana iag Board Approval Reques[ for Temporary Certificate Final Certificate _ ~ Fee Submitted: $_.~:5'.~9........... APPLICA .1.~... tev• 10/14/88 Co'~ 1$6Dy i:: 2~:1 f_ F! i I . ~ ..1 I~ OUIIDATI0;1 ~ (1st) FOUIIDP,TIO;J (2nd } r, - - 2. ~OUGH FRAME ~ •PLUMBIiIG 3. y m IISULATIOII PER N. Y, ` ~ STATE EPIERCY CODE 1 1~ ~7 4 . l~ aj / LIB ~ ~ ~ c9 H ' _ FILIAL o ADDITIOPIAL COhIMEtITS: x~S . .r • m • x ro H 9 . H H O 5 r~ • - / r c i- m w H f ~ , i ~ °`1 " - x~ y:)'Y'i ~ 5' a + ~ ~,y +i .r~ y1~k? h; t'~. 1 1 '~'~*"rf L..'+ +u 1 1 ~ ( 4 r}r ~i J~ l i-'.,+~A`~ y y~'w'~ (a- 1 'fir ' ~'i Ry ~ _ l 2 ' " w ~+pl l:+'".{Y~{~.~I r V a1 ~ ~ wr' / 8 ; +r t + ! ~ 1 T ~ ~ I+Y~r1 'OJ.+« i; r ~ Z ^ 7 it . I r + ~ ~ t /~i P y R°• ...?[r1 a: , ' 4Y1 ~ ~*2`w1A! 1 +t t r r 1 + t y : ~ y~ h~'~ ~ V~~RG= vi+{y.~: ~kw 11.~'~~~'M'Y~~J~1 .r7.7 Q7i r~~Q4(QL •ry1~N '^~y ~r»~4 fM ~,y'7+}°F fj (yV jv•fr A y ~h~ +.~4.lt'i~ii~i~•. ~L j i`;lj~.~t i~'! 4 N~ ~.Nr~v ~+'Z. t1 ~ Tr'Ie• Fr•'. ~y ~~.-1'diOd i + ~ }yY.r+n+, ~I`F f}+ v, .1 Vi~~~ fir. alhl ~ ' +.aL' `N :gyp O'~ itr M.t; ~ ^{1 ` ! :y ~•e. :i4 y r n I ~ /2 1 V. + T y s;r' ~L~ Q ~11+J^'~'~,~y~ ~ ~ + w . r M'r ~y r. o Wf R+•_ wl..QC o• ~ P ' ~'p , i `..\1 yn n, J~ •ro- )10 1^ v' yr' ~ t~• I .m R~1~.Z,TJ A. .1<<. N'~4 t r ~,•t~1 + • a. 4 t C a ~ '~;~~i~~ft!!. t :~"•,t,: y.. II C1 ,fir f`i s ~ ~ r • • :.'tom A,y p.~,~+ a 1~ 1 J ~ J _ .,moo ~ c ~ ~ ~a m R z o :i V1 ~ d 'F:j ' ~ r -G R: ZC:a aQ S~ . D ~ ~ ~ ~ CC"t _ G to t^ -1 - , '1 C. t ~ p ~ L. ~ O. f .n T+~NS C • r C ~CJ~ ~ ~ ~li i~~t'~ Svc 7~ ~ i.. G•^ G + r ~ ~ ~ ~ Ems" ~ L! ~ . ! • - ~ .y rat v N 1' p .c. . y I i. c y' ~ i ~ r» tip ~ ~ ~ r ~ n I [`y + + ~ b ~ l" R ~ l7 !5 ~ LI BOARD OF HEALTH 3 SETS OF. PLANS--....... SGP 20 yam{ U FORM NO.t SURVEY V WOQ TOWN OF SOUTI-{OLD CHECK - BLDG.DEf'T. BUILDING DEPARTMENT SEPTIC FORi`i TOWN OF SOUTHOLD TOWN HALL .°.OUTHOLD, N.Y. 11971 NOCALL ~YtS:'• ~.~SS4 - • . TEL.: 7G5-1802 (c~GG MAIL T0: Examined .7...~/........, 19 0./ Approved .~<~-l 19~/. Permit No..~Ou'. Disapproved a/c .r"'~'~" (Bu- ing Spector) PPLICATION FO BUILDING PERMIT GJ G/~~~vYJ~ vr/~,~~tA~ Date 19 . , INSTRUCTIONS 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. PIot 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 part of this app cation. c. The work covered by this application may not be commenced before issuance of Building Permit. cj. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perry 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 C+ccupan~ sh311 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit putsuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for th ~j dings, additions or alterations, or for removal or demolition, as herein describe The applicant agre~~~pl'~~ t~a -applicable laws, ordinances, building code hous' ~ code, and regulations, and admit authorized~ms ,t~~difFBuilding for necessa - ~~ecti~on~~~ (Signature of applica name, if a corporation) -~t~i*a,, ads AK~s~~<-..D.~.,.<S'v.~~r.,~.a~, ~p ~14VY vSC1iTAt1i? a~ ~ (Mailing address of applicant) State whethl~l~ttl4is`y~n ~1~~~~;,t~~en dfiiib,pt, e gineer, general contractor, electrician, plumber or builde ~ ~ ......d ~ : s 1.a~,....~/.~~1?rho! y Name of owr7il~ s ~~~~~3' " ~A/f'oz ~iC'.4./~ •v~K _~N713?•? ~ `~t (as on the tax roll or latest deed) V&l 1, M[YITDt..311`'?4iC.l,^! 3'~" If applicant ior~ntttlppt8f d^uTy authorized officer. ®CCUPANCY OR li~h'.1tMi'~YIC?rT~ll''3YlCyr: 4,~. ALL CONTRACTOR'15 oMUSTOBE SUFFOLK COUNTY LICENSL~~E IS UN~~FU~ Builder's License No . WITHOUT CERTIFICATE Plumber's License No. 3 S S~ .F ~ ~ ~ ~ OF OCCUPANCY Electrician's License No. ' - , Otircr Trade's License No. Q,~:... . 1. Location of land on which proposed work will be done. ....S o t/ i't/e+L~ . q/_~'' . House Number Street Hamlet County Tax Map No. 1000 Section ~.90' Od....... Block Qq~ Lot . ~ 1~.. Subdivision .~E,DA~. /,~~'~~t5/.. ~'.9~('.~, , , , , , -Filed \Iap No. J. ~ Lot (Natne) State existing use and occupancy oC premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~.~.SIIJEn/CE . . . . . . . . . . . . . b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration ...t Repair Removal Demolition Othe ~ ftvt~~ CP~iO~~ G-c~- c~L ~ (P~}G~lfl..~,.j~ ~1G~-~~~1, Description) OC->~L~ 4. Estimated Cost ..,;~Q'Tl.fl:. Fee . . ' (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . 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 . Hcigttt ...............Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth ......................Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth , . Height ...............NutnberofStories........................................................ 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase, NameofFormer Owner 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: ..1 . 13. will lot be regraded .will excess fill be removed from premises: Yes Nc 14, Name of Owner of.premises : ~ .......Address . .Phone No.~!~~..--~' Name of Architect ........Address , .Phone No.......... , Name of Contractor .r~~. t~i:. Address a~'~~~ .....Phone No.2~ ~ . I5. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOYT DIAG uired. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate a]I set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether anterior or corner lot. "'/V t/ 33 ~ ~ 21 ~r D/}' . ity,, 7A6-1Sff! * AM TO 4 PM FOR TFIS FOLLOWING INSPECTiON3: i. FOUNDATION TIAIOA£OtIp1E0 FOq POURED CONCRETE 2. ROUGl1 - FRAMMIC{ 8r Pt><A~MMIQ 3. INSULATION 4. FINAL CONSTRIICTWN MUST SE COMPLETE FOR C.O. ALL CONSTRUCTION S1IAt.i. MEET THE REQUIRBiAENTB OF TIN: N.Y. STATE CONSTR4ICTlON i RtiY CODES. NOT RE FOR i7EStGN OR CONSTNt,JC11pplItROR= ~ >TATE OF NEI' R, S.S ~OtiA'I'l' ~F.~ being duly sworn, deposes and says that he is the applicant (\amc of individual signing contract) Dove named. icisthe (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 this ~plication; that all statements contained in this application are true to the best of leis knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this .............~0........day o~f/...J"{. 19F~. otar}' Pubic, ......,t`:~~fr~•;! .71 County ~ ~~NELEN (Si of applicant; Tum Ezpir~'Mi cb ~k 1~9~