HomeMy WebLinkAbout18016-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENfi
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18372 Date SEPTEMBER 13, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 350 SALTAIRE WAY MATTITIICK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block O1 Lot 38
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 5, 1989 pursuant to which
Building Permit No. 18016-Z dated APRIL 7, 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 BWELLING AS APPLIID FOR
The certificate is issued to SAMES & ELLEN LEMONDA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uil ang Inspector
Rev. 1/81
soaa~ xo. 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 0 8 d,.. ~ Z Date ..........1 19..P...1
Perm~ss~on is hereby granted to:
~I1 ~.:.y.,.....~.~.~~:~~..,.
ro ......LL ....c1c.A.,et~.-....s#,~~....~::~?....4?^~.....~~ . lJ.??R,_
,..fd..w.r......
at premises located at .~:5~?....~...~.r.
S?:1rk.4-....~.~......~. a3~..cu.~.QlS~r
Q'fl Block D.L
County lox Map No 1000 Sectio1l^n^ pplot No.
pursuant to application dated V 5J . 19..1 and approved by the
Building Inspector.
Fee S.•~•:'
Building Inspector
Rev 6/30/80
~y n M 3 ' 1y s a-
D. l3 15 P7 U ~ TDNN OF SO UTL70LD
BUILDItJC DI:PART:[CLlT
S~ ~ R ~ UUU TONt1 HALL
BLDG DEPT. SOUTIIOLD, tiCN YORK 1 197 i
TOWN OF,SOUTMOLD 7b5 - 1802
APPLICATION FOR C):RTIFICATC OF OCCIIPAtICY CJ,~~n-j
DATL.
NEH COt75TRUCTION ...CO`L`D OR PRE-ESZSTI2iG IIUILDI2`7,G1_/~...._DACA?t/iT LALiD..__._./.
Location of Propcrty..n`~. _.....~R~:TI~`~2~..(.~~L'~.. _ i
J.~ ( l ~G?\
110USE 270. j' STR~L''`ET llllA(-MLG(T'~p,.~
Ovner or Ovncrs of Property.... A~~~. ~,t.~C~~.~.. f!~r.'''J]],,LGQQ~L/.`.1_._.....
County Taz Hap No. 1000 Section . ~ IIlock _ _ . Lot _ :-14~ .
Siibciivxsiontf¢{ Filecl Hap ...._...LoC.._....._.
Pcrait :io.((}C-C~~__..Date of PcrmiC _.........AppLicanC
Ucalth Dcpc. Approval Un~crvriLCrc Approval.
Plain in;, Board Approval
~eKucst for Temporary Certificate Final Certificate
A F P L I C A t! T C~.C-L-XJ.hl~e_ 1.~:: l : ~e~? .
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SUFFDLK COUNTY DEPARTMENT OF N M SERVICES „ e ~w~ k$4FFpL~r;A7 TAX M/4P, DESiGiNAT1oN:
i lY DWELUN ~ ~ °
DAT~ G Y~"''d~;_~'~ ~ ~OIST ~ECT,G~„y;eMBI.PCK ~ PCL
H.s. ND: • { ySf , ~;",fix , 'N',a,~~ , ,,r*,k.~+'~'~' s , .1~;-,~'. .
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The sewage disposal and water s ppl facihhes for this''"'~' rj '.'y ~ pWNERB ,A~3pR4SS: --T - T
bcahon have been inspected by is artment ind/or '~"sh < _ E ' ~ • • • ' ~ .Y~. "
otherage~ d founlf~to acl5ry,^ ~:a. ; „ ~ .'n,~,~r•r'~r ,
Chief of ureau of WasteNat r Management ~ t,,:a. r g':~,;, ~ r.h~ k ~ r ' . '
J''J~lr~~ ~j *id~1 '.'(~,~~..3 ,v+r~1!^~~~t fiv
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RQpERICK YAN TUYL.~ .C.,~<~ ~,~,t`t,.` I a•" I~%t ~ ~O• g 2I+ ~ tv
I tICENSED LAND SURVEYORSy t,• -
CiREENPORT ,NEW YORK- ~ ~.~s`'°
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rss-isoz
BUILDING DEPT.
lNSPECTl4N
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
DATE INSPECTOR
_ _ _ _
THE NEW YORK BOARD OF FIRE UNDERWRITERS l~j+f~l
i 1'S ~''II `~f BUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK, NEW YORK 10038
Date Af'h(L i;,,fyu(I ApplicotionNo.onfile b{$41Vhbjy(1 M i7sluip
THIS CERTIFIE3 THAT
only the electricd puipment as described below and introduced 6y the applicont nomad on the above appBcetion number in thepremises of
-1 AMP::i L((MUNUA, ,i 51b SAL lA1NC: WA1, Pql i. fil_11 N<, fIA11fPJCK, N.Y.
in the foGowing loeation: X? Roseman[ ? let FI. ? 2nd FI. Section Block Lot
woe eromined on M/i N'.!; I! 1.'~ , 1.9 0 and ound to 6e in com lionrr with the r
f p eyuirements of this Boord.
NXTUEF RXTURES RANOlS COOKING DKKS OVENS DISH WASIgRS EXHAUST FANS
OUTLETS K9TACIES SWITCHES INCANDFECENiFIUGREECENi OTHER AMi. K.W. AMi. K.W. AMT. K.W. AMT. K.W. AMT. N.P.
LI I f t ~ 7
DRYERS 11JRNACE MOTORS FUTUR! AMUANCE INDMS SMCIAI RK'Fi TIME CU%KS EELL UNIT HEATERS MIILTI.OURET DUAMERS
AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A, W. G. AMT. AMP. AMT. AMn. 7EAN5. AMT. N. P. SYS}MIS AMr. wAirs
No. a II9T
5lRVICE DISCONNKT tq. OF S E R V 1 C E _
AMt. AMr. ivPE 6Q~. 1 d tW 1 d JW 8 d 9YI J d AW GPER (COND. Oi CC. COND. NO. OF NI.LEG p~X NO.OF NEUTRALS Gj NEUTMI
OTHER A?PARATUS: •e.
WIKIN6 C~qK BASC[MI::N( fkgOM'3 oNCr-%
°,,h90KF Dtlliabk:-:A
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ItIHf'1-: "C" lI.i;C~IKti LCC.?!5.5>I e:
kl. @I, fill X, 4GM _
;rll)ND AV~PdUI' OBrlAE MANAW
M1VLkHiAU, NY. 1,19U'i .it
Per ~
This certifica» must not be al»rad in any manner; return to the office of the Board if incorrect. Inspectors moy ba identified by their credentials.
F BUILDING DE E ALTERED IN ANY MANNER.
BOARD OF HEALTH
3 SETS 0~+~PLANS((
FORM NO. 7 SURVEY - - - - - - - • .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORPI
TOWN HALL
SOUTHOLD, N.Y 'lt971 NOTIFY
TEL..7G5-1802 CnLL
4
rt L-- -ti
E~amutcd , 19 '
lpproved ! 19 L Pcrmit Na i `I 4
i (I APR - 51 - -
. ~ 3
Dtsappro~ed a(c '
} t
BLDG DEPT. -
`(A PI
~ ' • 701M . CF SCUTHOLU
~ ~ ~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT r
Date , . 1~!
INSTRUCTIONS
a Tlus apphcatron must be completely filled m by typewriter or m ink and submttted to the Building Inspector, with
acts of plans, accurate plot plan to scale. Fee accordtng to schedule.
b. Plot plan showing location of Iot and of buIldutgs on premtses, relationship to ad)ommg premtses or public street
or areas, and gtvtng a detailed descnphon of layout of property must 6e drawn on the diagram which is part of ties apgi,
capon
c. The work covered by ttus application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Budding Inspector will issued a Bu,ldmg Permtt to the applicant. Such permt
ahall be kept on [he premises available for inspection throughout the work.
e. No building shall be occupied or used to whole or m part For any purpose whatever untIl a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwldmg Permtt pursuant to th.
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appltca6le Laws, Ordinances o
Regulations, for the construction of butIdings, addthons or alterations, or for removal or demolition, as herein described
The applicant agrees to comely with all applicable laws, ordinances, building code, houstn, code, and regulations, and tr
admit authorized inspectats on premises and in building for necessary inspections.
(Signature of applicant, or name, tf a corporation)
(Madmg a(fdress of applicant)
State whether appli//c~~ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder
C.~L~Li9C~ e+D?~f9 C ?aYL
. .
Name of owner of premises V T-. .~~~.4'~ l9i?c~/`(?J~ .
(as on the tai roll or latest deed)
If a he is a corporation gnature of duly authorized officer
(;vame and title of corp t fficer)
Bwlder's Ltcensc No . ? ~Z -
Plumber's License No . - .
Electuc,an's Ltc.ense No . .
Oilier Trade's License No . .
1 Location of land on which proposed work will be done . S.
~LT r''~~~ , d;~lp.T~l~"~e
House Number Street - - ~ - - - -
/ Hamlet 22 ~p
County Tai Jt,tp No 1000 Section ~ . Block Lot sr?. a .
Subd,vu,on ~~.L'(~}/~ .~~.5.~"~.... Filed niap No. /f..C?.~.L Lot
(Name)
State c~sung use and occupancy of premises ajn~d inten/d~ed use and occupancy of proposed construction
a EYtshng use and occupancy ~
b. Intended use and occupancy ....r. • ~:w •~~%~?~(-~~L-. -~;'~~~.-1'~ . , . , ,
3. Nature of work (check w filch applicable). New Qudding Addition ~Uteration
Repair Removal Demotttwn Other Work .
4. Estimated Cost • • • • • Fee .
(to be paid on filing this apphcatton)
5. If dwelling, nutnbcr of dwethng units Number of dwelling unds on each floor .
Ifgaragc,numbcrofcars
6. If business. commercial or mired occupancy, specily nature and extent of each type of use .
7. Dimensions of existing structures, if any Front Rear Depth .
Height ......„.......NumberofStoncs...
Dimensions of same structure with alterations or additions Front Rear .
Depth FIctgltt . Number of Stones .
Dtmenstons of entire new construction. Front Rear . Depth .
Height Number of Siont<s . .
•
..............•..1........
9 Size ofiot. Front Rear... Depot
10. Date of Purchase .....Name of Former Owner •
11. Zone or use district in which premises are situated ........~G'~1 b~"'.~.'~4- .
12. Does proposed construction viofa;e_any zoning law, ordinance or regulation: ~ .
13. Will lot be regraded Nill excess ill be removed from premises: Yes Q~t
14. Name of Owner of premises .ly~ts,~ r!r62~ .......Address • ~<1.~'(~ /c• ,Phone No
Name of Architect ..........Address ............Phone No.... .
Name of Contractor . ~=(4L.3.~~ ,Srj~tr~ . • Address Y•zf~~/J~I ~!G• Phone No.. ~~~:.~!Q 3~,(~
IS_Is this property located within~00 feet of a tidal wetland? *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 all set-back dimensions fro.
property fines Give street and block number or descnphon according to deed, and show street names and indicate whethe
interior or comer lot.
,SL2--- Sure
STATE OF NEIV Y~?K GK S.S
COUNTY OF J .
• • • ~Q~:b~?.~ • . • • ./~C4~: • • • being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
above named,
fie is [he ~P.~'.'~!~e~/~ .
(Contractor, agent,corparate officer, etc.)
of said owner or owners, and is duly authorized to perform or }lave performed the said work and to make and file thi
application • that all statements contained m this apphcatton arc true to the best of his knowledge and belief, and that th
work wdl be performed m the manner set forth m the apphcatton fai;d therewith.
Swam to before me this
..dayof...... 19~Z
\otary Public, .......~~YC.X~IlKI • , • • • . • • County
HELENKOEYOE
NOTRRYPUBLIC,ShtealNewYak (Sig ofappttcant
No 470f~81~8~ic~30 18~r
r
Tenn Exp