HomeMy WebLinkAbout18104-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218100 Date NNE 9, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 745 EAST ROAD & 1750 FLEETWOOD ROAD CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 06 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 4, 1989 pursuant to which
Building Permit No. 181042 dated MAY 9, 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.
The certificate is issued to STEPHEN & CONSTANCE HANRAHAN
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
.~o~/
uildiB nq Inspector
Rev. 1/81
voaaa xa a
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 ° $ W 4 Z Date . 19
Permission is hereb ranted to:, p r~~ /
/380 6~~~ c~?~.~~~
.
to~i. 921,~(r~i~..`.~..~~~~........~~..,..~~..y~l-s~...~r~..~~~Gt~~.......~-.°~..~.
~r~c:n~~.......~L......a~~...... ,
ryry ,Q...
of premises located at ...,r~'~..... ~ 1 <^S~ ~iL;t~~,.~T~~~ ~
............................................L'G~______'' .
Caunty Tax Map No. 1000 Section ....~~d.......... Block Lot No......1„~
pursuant to application doted ..s.'.~~~ 19.~/..., and approved by the
Building Inspector.
Fee 5.~~~...
B in Inspector
Rev. 6/30/80
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TOWN OF SOUTHOLD t / l~
BIIILDING DEPARTMENT ~""'-ti ~"/l~"~'
r' i,,
TOWN HALL UN "8I9~9
SOIITHOLD, NEA YORK 11971 ~
765 - 1802 TO~N,UFSpE1'~
UTy0~0
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE -u~e:. .I.9~. .
NEW CONSTRUCTION .....OLD OR PRE-ERISTING BUILDING......VACANT LAND........
s
Location of Property....~7.J.....~~!„oce..d_._,~,j7~Z?„~/ee,(;_~~__..
HOUSE NO. STREET/~ HAMLET
Owner or Owners of Property..S'~Fe:Rhe~:. Q-!~.~1.-'..l//.DY1c,S"~G?1~,i';,,~r'Cti,~'~G.Y`;,,
bounty Tax Map No. 1000 Section Block ..kl... Lot
Subdivision Filed Map ........Lot..........
Permit No. .~~~U~.~..Date of Permit :,1~./...Applicant ~[Qh!1~~('~~1,!•!.~~'~
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate Final Certificate
~~77 ~ r ^ 1
Fee Submitted: $...c~.J
APPLICANT..~~'~C:`: ~ , ,
GO 2lklao
~~9i~y
rev. 10/14/88
~
765-1802
BUfLDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [)INSULATION
[ 7 FRAMING [ INAL
REMARKS: C~
c
DATE
INSPECTOR ~'?V
.
,~D~' l ~ TEL. ?GS-1801
~S~~FOt.~~c; To~rrr or sour~oL~
---'+'s;76i;:~~ OPI'ICI? OP pSUILDING INSPrCTOR
,
~ ~ ~~.r. ~ ~ TOIVN BALL
~ SOiJTI10LD, N.Y. 1 1971
< ..Illy' June 8, 1989
.JOHN BERTANI, INC.
1380 OARWOOD DR.
SOUTHOLD, N.Y. 11971
RE:HANRAHAN, STEPHEN 6
To p7hcm This May Concern,
47e arc unable ro complete your Certificate
of Occunancy because pf- the following reasons.
An application for Certificate of Occupancy
is not nn fil.c. ~BNCLOSED)
/ / *IO tJnder~oriters Certificate on file.
'Che chccl: .i:%(~Rdid/nut nn file.) $25.00
No Ileal.th Dept. Approval on file.
No final insl~~ection has been made.
P]casr.. contact. our office on this, matter. -
Thank you foz youz cooperation.
Ih~.ilc]ing Pcnn.it: I! 1 8 1 0_ 4_ Z
Building Dupt-.
Dfo I'lumbcr :;older Certificate on file.
( all permil:s involving plumbing briny
issued after April 1,1984 )
iei.D ,:s~~:c:~u,~ puA.G ~ ~o,KMCUrs
'0~
6
J.
H`^
_ _ H !`.1
:OUiJDATION (1st) ~r
C
N
FOUNDATIOIJ ( 2nd ) _ _
2.
o~
ROUGH FRAME &
PLUMBING y1
y
N~
H ~
3, m
o
IIJSULATIOPI PER N. Y. ~ • •
STATE ENERGY
CODE
.~G
FIidA~ `
o .
z
ADDITIONAL COMMENTS: x~
. X
ro\~
V-i
'.n
H
H
O o
2
[*7
A~
I
r
- H~
C7
m
-o
H
h ~ ` BOARD OF HE,ILTH ~ .
`I J' 3 SETS OF PLANS ~;K', , ,
FORMN0.1 SURVEY 0;~•
TOWN OF SOUTHOLD CHECK ~ G~41.
, uyi ~ BUILDING DEPARTMENT SEPTIC FORM , , , , ,
`~t"U t>tfI ~ ~ TOWN HALL
TUs+iP'Lr~'tlisrUtD ~ SOUTHOLD,N.Y.'11~J71 NOTIFY
TEL:7G5-1802 CALL
Exantincd t~/~......~, 19~,~, G MAIL T0: ~~5~/59~..
Approved 1~1~. Permit No.~Q/®~~ .
Disapproved a/c
~~/~~J~,.~Ju~il g Inspector)
APPLICATION FOR BUILDING PERMIT q
Date . 19~/
1 INSTRUCTIONS
a. Tltis application must be completely filled in by tgpewriter or in ink and submitted to the Building Inspector, with
t 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 part 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 Building Inspector will issued a Building Permit to the applicant. Such perm:
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 Occupanc
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Re=ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes
The applicant a;rces to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t;
admit authorized inspectors on premises and in building for necessary inspections.
.~.1oh n .l~e-~:
~un.l'..t~u-r !cl e,~ .1-r~ c..
(Signature of applicant, or name, if a corporatton)
(Mailing address of applicant){'ll~ //9~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
((~~~11
Name of owner of premises ...U.7.Cp~.hC'.?`~. ~;1,1,~, , l;Pinlj'~,V)r~+~, ftCl.Y7 txrv
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly gut orized officer.
(Name and title of corporate officer)
Builder's License No. . ,(~~,~/9~ N-1
Plumber's License No. „
Electncian's License No. .
Otter Trades License No. .
1. Location of land on which proposed work will be done. ~ . .
~'~t .
House Number Street Hamlet
County Tax [•!ap No. 1000 Suction Li.c? Block
' Lot .
Subdivision Filed t\Iap No. .
(Name) y Lot
State existing use and occupancy of premises and in(r'te~_nded use and occupancy of proposed construction:
a. Existing use and occupancy .........d ~ . T<A.L7.I J.~ ,~(~tl j
~s 4: J./1.
b. Intended use and occupancy ~Y1Q:.. !.~~L .~„C: W~l ~in p .
f
.
3. Nature of work check which a licable :New Building Alteration .
( PP ) Addition ~~:U ' , ;
Repait Removal Demolition Oth~„~Vq,fk
i~l~ IA ascription)
4. Estimated Cost...~~.~:., Fee......................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
Ifgaragc.numbcrofcars
6. if business, commercial or mixed occupancy, specify nature and extent of each type of use •
7. H~mhisions of existing stru Nums, if any: Front , .:`j(,: , , Rcar Depth .
ber of Stories ~ •
• Dimensions of same structure with alterations or additions; Front ..'`F~:.y".. Rear . . ky'
Depth a7 IIci t . .
gh NumbcroCStories...
Dimensions oCentire new constnrction: Front ,a,4,', , , , , , Rear.~.~....`.... Depth ..~3:
Height Number of Stories .
9. Size of lot: Front ........~/S.'........... Rcar ....9s Depth ....~~Y..
10. Date of Purchase .............................Name of Former Owner .
1 I. Zone or use district in which premises arc situated ~ .
12. Does proposed construction violate any zoning law, ordinance or regulation: ...p.~ . .
13. Hill lot be regraded , , ~.J , , , , , , , , , , , , , , , Nill excess fill be removed from premises: Yes N~
14. Name of Owner of premises ~S.t~,(7}.Y,lq,1, , , , , ,Address .E'ts~ta. ,~(,5~1,', , , ,Phone No..~~.Y:,~3~~.( .
Name of Contractor • • ~ • • • • • • • • • ' ' ' ' • • Address ...................Phone No.........U..... ,f
Name of ArcphiteP yrrrr • . 1 • • • • • • • • • • • • • • • Address ~~Q QGSk.~7/~)4' . rc~4.... Phone No..1b.S:f h
tJ~~
15.Is this ro ert located within 300 feet of a tidal wetland? *YES...~N(.... ,
*If yes, Southold Town Trustees Permit may be required.
- PLOT DIAGRAM
Locate clearly and distinctly all ,buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block cumber or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF \E\1 YO h, S
• • • • • • being duly sworn, deposes and says that he is the applicant
(1\ame of indrvrdual sigmrtg contract)
above named.
f is is the ........~~-O/~Jc~/;A;~., , O; ~?.~-~f~.... .
(Contractor, agent; corporate officer, etc.)
of said owner or owners, and is duly, authorized to perform or~havc performed the said work and to make and file this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
'•vork will be performed in the manner set forth in the application filed therewith.
Sworn to before nee tthis q
`otary Public, ....~':"-`:^!..Qt, ; .IW..vY~.~.-Q County
NEIENKDEVOE (Signature of applicant)
~No~4701S7b, Suffolk CNouwrdYr~
Term Expires Mxrch 30,19
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