HomeMy WebLinkAbout18168-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218121 Date JUNE 16, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 750 TRUMANS PATH EAST MARION
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 012 Lot 003
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 26, 1989 pursuant to which
Building Permit No. 181682 dated J[}NE 5, 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 CHRISTINE E. SCHILLIG
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uildinq Inspector
Rev. 1/81
Fosse xa s
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 ~ g U ~ Z Dote ....~a//...~..~ 19
Permission is here y granted
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ct premises located at ....~r.~~.....~„r.~,c~yx,?,~,6i:........(
mac.. .5?,1.~!!1,~i-i.............................................................................
County Tax Map No. 1000 Section .......'.3l........... Block Lot No.........s~..Q..~..
pursuant to application doted pproved by the
19.l~T^ and a
Building Inspector.
00 ,
Fee $..~.f...I~,./. ,5!
B Iding I for
Rev. 6/30/80
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~ ~-31~..,u:li
TOWN OF SOUTIIOLD ~ - py,[ ~ 419~~
BUILDING DEPARTMENT JVi~
TOWN HALL BLD6.OEPT.
` TOWN UP SOUTHOLD
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~
NEW CONSTRUCTION ._.....OLD OR PRE-E%ISTING BUILDING..'",..,vACANT LAND...._...
7~~
Location of Property.,:'~ :.....:.......~~~~-j~v~~~_/L_,.~_,,,c~~lQ~
HOUSE NO. STREET /~iJ`+~(
HAMLET
Ovner or Ovners of Property...C~IC~If.I"~!~"e'. _ _ ~.J.
County Taa Map No. 1000 Section Block ~ ~ a'Ud ~ ~vC7
Lot.
Subdivision/ Filed Map ....,.,.Lot..........
Permit No. .D,l~pp!f!-:Date of Permit
APPlicant
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate
~f Final Certificate
Fee Submitted: ~
APPLICANT..
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rev, 10/14/88
`
TOWN OF SOUTHOLD. n ~
BUILDING DEPARTMENT
Towx HALL MAY 2 6 1989 ~j
SOUTIIOLD, NEW YORK it 71~
765 - 1802 Gd.Ut, r,,
TOWN OF SOUTrlG~it,~
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE. , May .23 :.1989
ADDITION
xx~I~f~xf4R~~XRa~~x~~xxxxxxxxxl~~,]~x~~x~~~x~~~~~~~~x~y~~~~xxxxxx~x~~xxxxxxxx
Location of Property...,,~10 Trumans Path East Marion New York
_ _ •
HOUSE N0. STREET .........HAMLET.......,.,
Owner or Owners of Property...~hristine E. SChilllg
County Tax Map No. 1000 Section ~1s~Q: flock ,.012:OOLot „003.000
Subdivision Filed Map ..,,,,,,Lot..........
Permit No. ..........Date of Permit
..........Applicant I
Health Dept. Approval Underwriters Approval.....,,,,,,,,,,.
Planning Board Approval
Request for Temporary Certificate
Final Certificate
Fee Submitted: $,,;~d_',U~
APPLICANT..
WILLIAM H. PRICE, JR., Agent for
Applicant
rev. 10/14/88
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ~ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS: ~r.~,O _
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DATE ~f INSPECTO~
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OUNDATIOtJ ( 2nd ) _ _
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STATE ENERGY
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ATTORNEY AT LAW
828 FRONT STREET, P.O. BOX E
GREENPORT, N.Y. 11944
Pxorve (616) 4771016
May 25, 1989
Town of Southold
Building Department
Main Road
Southold, New York 11971
Re: 710 Trumans Path, East Marion
Christine E. Schillig
Gentlemen:
With reference to the above-captioned matter, enclosed
herewith please find application for Building Permit to construst
a deck together with copy of plans for the deck. Also enclosed
please find application for certificate of occupancy to cover same.
I have enclosed my check in the sum of $75.00 to cover same (fee
for the building permit is $25.00 and fee for c/o is $50.00).
Please send to the undersigned the certificate of occu-
pancy to cover the deck. If you have,any'questions please do not
hesitate to contact me.
Very truly yours,
v"` i
William Pricer Jr.
WHP/lg
Enclosures
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FORM NO. 1 ~~/3 `
TOWN OF SOUTHOLD 3
J BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.1802
Examined 19~~. Received.......... , 19.. .
/ ,
Approved ..(0%1 19~!. Permit No. ~Q ~ 1.,., 7
~ n i ;n"~
~S lJ LS
I~
~1'~ ~L:;
Disapproved a/c ~ ~ ; ! ~ a
MAY 2 6 1989
BLDG [3[:Y•~_7..0.......
~uil~Inspector) TOwN OF SOUfwOtO
APPLICATION FOR BUILDING PERMIT
Date MaY. 2.2........, 19$9.
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 oti premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
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 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 pazt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector,
APPLICATION I5 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
Regulations, for tl~ fil~uildings, additions or alterations, or for removal or demolition, as herein described.
The applicant ag i ~ applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorizes ee~t}~~lise~a3'll~ift building for necessary inspec ' e,
.Y a...~.:~~1T
T~~ t~~l Y~ITt7uf t~. r of apppp~licant, or name if a corporation)
, ~ a ~ µA $ Qgg11 dw1 W L }1M H. PK1CE, JR. , ESQ.
8Nf1iT~~tc Ut DWSVac`1,;.1CI'~ 828 Front St : , PO Box .E .
(1;#ItttQ~110N~T 1ACJttA??~~1a .P
~AaN~l~Q~fl[IItR s10~ (Mailing address of applicant)
State whe~~61I1'1ca~ti~~s~ "~~5*1ee
rf1 % gineer, general contractor, electrician, plumber or builder.
!'s1 ~ ~+a ,gent, architect, en
*:±:Y4Ap~`~T,c,-~d~;~`~"i"s' agent for owner..... .
~G 'ailri'~;~7Rt"'ia,~;1
Name of o~%t~e~f~ Ises. ~ r~s.t~~e..>~.. S.chil]-?,5 .
{ W 3t r,PbA-Jtvl d4d
as on the tax roll or latest deed)
If applicantrjsa corptgCa91'dH'signa}GS~e of duly authorized officer.
_
(Name and title of corporate officer) -
Builder's License No .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . ~
1. Location of land on which proposed work will be done. Trumans ,Path a ,East ,Marion,,, NY, .
„710,,,,,,,,,,,,,,,,,,, Trumans. Path ,.•.,,,......East Marion '
House Number Street Hamlet
County Tax Map No. 1000 Section 31:00, , , , , , , , , , , Block 012: 00 , , , , , Lot , ,003; 000
Subdivision Filed Map No. Lot...............
(Name)
2. State existing use and occupancy of premises and inpt~ended ause and occupancy of proposed construction:
a. Existing use and occupancy /i ~lJ.. / / .
b. Intended use and occupancy ~a'.M.~... Vin//.: ~eC"'
3. Nature of work (check which applicable): New Building Addition ..xxX..... Alteration .
Repair RemoJal Demolition ..............Other Work .
I (Description)
4. Estimated Cost X3,,,300:.441 Fee
I (to be paid on filing this application)
5. If dwelling, number of dwelling units p/.a Number of dwelling units on each floor x7/.~......... .
~ If garage, number of cars .''~n~a .
6. If business, commercial or mixed'Ioccupancy, specify nature and extent of each type of use n/ a, , , , , , , , , , , , , , ,
7. Dimensions of existing structures if any: Front Rear Depth .
Height Number of~Stories n/.3........................................ .
Dimensions of same structure with alterations or additions: Front Rear .
- ,Depth . He' t Number of Stories .
8 Hem hntsions of entire new c Nu rnhction Front Rear Depth .
g er of Stories . .
~ 9. Size of lot: Front ....75' .I )tear Depth 270'
]0. Date of Purchase ......6 ~ 4(8,6 Name of Former Owner .$ecky, ,Johnston, , , , , , , , , , , .
11. ,Zone or use district in which pre~jtises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ....no . .
13. Will lot be regraded ..x14.....; ..................Will excess fill be removed from premises: Yes X
Name of Architect p ist' e . E ; :::Address .?00, Madison ,Ayerghone No..(?.12) X51-8400
14. Name of Owner of remises Chr i }chiYlig Address .
.Phone No .
Name of Contractor ................Address ...................Phone No............... .
III PLOT DIAGRAM
Locate clearly and distinctly all puildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
I
~I
~ W1T~: ~ ~
N
NOTIFY o
' 786.19U'L 9 AM 'Ip 4 P#A AT
FOLLOWING INSPECTION8: ~
1. FOUNOAi'1(1N TWp p~pgp
FOR FOUR~o CONCRETE
1 2. ROUGH -FRAMING IA p1,(HIA81N0
j 8. INSULATION
1 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y
i STATE GONSTRUCTION 8 ENERGY
COPES. NOT RESPON318L{L fOR
~ pESIGN OR CONSTRUCTION ERRORS
I
STATE OF NEW YORK, S
COUNTY OF .SFk'F.Q71~........ S
WILLIAM H. PRICE, JR. , , , , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the.... AGENT ,FOR, APPLICANT
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly', authorized to perform or have performed t17e said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner'Iset forth in the application filed therewith.
Sworn to before~^m~e~t-his I
.........°.~1`.'...........day of MaY..........., 19 89
Notary~Pu~b~lic~, ......Sr?~fR~$.. County
LAURIE E /iRA
N8 York
ry~.A827g1~ Suf~dKC~n
eras Sepcemner 30, t~~c, (Signature of applicant)
Term Exp