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HomeMy WebLinkAbout18183-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218501 Date OCTOBER 27, 1959 THIS CERTIFIES that the building ADDITION Location of Property 540 ORCHARD ST. & 1730 3RD ST. NEW SUFFOLK '_?ouse 'riU. Street Hamlet County Tax Map No. 1000 Sectior, 117 Block 07 Lot 13 Subdivision --.led F?ap No, Lot No. conforms substantially to the Application r"'or Building Permit heretofore filed in this office dated MAY 30, 1989 pursuant to which Building Permit No. 181832 dated JUNE 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 DWELLING. The certificate is issued to STEVE C. FLURRY (owner, XXXXxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A [/trC.ie uil ing Inspector Rev. 1/81 n~oaas 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) 18183 Z Date 19.9.. Permission is hereby granted to: .'-j~..._.~~....5~4~ . . r ro .Gayt'..~••.`Jl~~f~~.~....:....C.fttz....vv..~~~I1~XJ......... at premises located at ..r~~..7'.Q....aj.Y..~l.~!~/.....~ ~ 7„~.~........:3~......................................................................... Caunty Tax Map No. 1000 Section Block ........7..........~Lot Na......./..r.3.......... pursuant to application dated ...~~/.3~ 19..x/., and approved by 4he Building Inspector. OB Fee 5...~~/" ......TiT... ..qyy~~,,.. /M Buildin for Rev. 6/30/80 TOWN OP SOUTIIOLD BUILDING DEPART2tENT _ TOWN HALL SOUTIIOLD, NEW YOKK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.~_~t~ 89... _ . . NEW CONSTRUCTION ....~~.~/.~.OLD OR PRE-E%ISTING BUILDING......VACANT LAND..__._.. Location of Property?.'L;1.._~~C~~~I~2/'.~'-,~~~~.$j.,.~~~~`U~.:~~Je~~../~ ~ HOUSE NO. STREET [1I~ IIAMLET _ - , 0`aner or Ovners of Property....-~~?~ ~,~•w~.c~ --77 -7~ County Taa Map No. 1000 Section ,~I,/„ Block Lot~.~.3..... Subdivision Filed Map ......_.Lot.......... Permit No./~~~`3, Date of Permit 9,~~~~`.A 1 PP icant s/.~U~_ fLC%2.~' S-' IIealth Dept. Approval Undcrvriters Approval.._........../ PlanninU Board Approval RequcsC for Temporary Certificate Final Certificate _ Pee Submitted: $_a°1,~..~_ ~~ifjQ y/~'~ . . . n APPLICANT.. , `~~~-L.~, ~i..P/~iT ~ . G~~ r~3 Z ~ ~ 3 85"2 3 G. o. ?/~'s0/ r~~- 10/14/88 _ _ _ r ....~...,-..-~.-..y.._.~~ _ -~-T. T._ _ - I TH~f NSW YORK Bi9ARD Of ~II~E UN~~'RWRfTERB ~ ®UREAU OF EL.ECTINCITY ° 8E JOHN STREET. NEW YORK. NEW YORK 10038 Dete NOVA:IAHKtt 1;?,14!4 i APpNcaNan-No. on Jile t';".:r~ ti', pit': ~b i i , - THIS CERTIFIES' THAT only tAa e/eeteicd pnirwsent au aleeenl6ed 6elote end 7ntrodxdd by the grUewit nomad en eke e6ooe ePplirotion number its the premieee of N'!'*;V?'; rl,!iK$Y~ (;OK. UN,I:Hggli k '~'vl (kl~, PKW S!)+~r til,..., R in tkafdbtcinA brotbn me E ~ /at Fl. ? Ynd FI. Ssrtion Block Lot NOV~l1BF'R 04., t Div i. uw eromined on end found to ke in rompRpnce uitk tke requirements of tku Boord. 3 IIRTURR WOKS FNSN W RXNAUST FANS OUrilTS Ate WIITO~ DEECEM tNlOElaQM aTNEA AMT. R. W. AMT. K. W. AMT. R.W.. AMT. K. W. AMT. N. r. ' ~ i ~ DRYlRS RJMIACR MOTORS IUTIIW AlNIANq RIRRMS SMOAt ~.'M TIEIR UOOIS RNL IR7T IIMTRRS IWLTI•gIITIST gMMERS _ AMT. K. W. dl K r. GAS N. r. AMT. NO. A W. Q AMT.' AMI. .AMT. AMN. TRANS. T. N. r. a ~T M1T. WATTa ~ 4 - i: SWVK! RNfi1NRA6T ND.OE S E R V 1 C E AMT. AMr. TTIE I x aw I x aw a x aw ax ~w ~ c`cda. w. No. a N!uo aj wl[!s No. d NEUTRALS a •~Ml OTNER AtlMRllTIIS: E:2 x_ - ~o~ MOGAR'PY Pfha"f'Rf!; !,i['.p~7+1~-b: ~ MM'r'+'r•rtlcw; wrr, tt§5< aW1NEluAUNAOR Per'r This csrflicop m!nt not be pMated in o~!y ; rNUrn to tM olfip of Ilw Marl1 N -incomct. Inspaelors pwY_:be ttMMiflil_d by IM'w cntdentials. ~ !!OR ~ pEPA~'F~T. 7`INS OOP1f OF C'!RT'tNCATf MMIET NCB ~ ALTER ~I /iNY ?M!ilIER. - _ {.c..J 3..:.... _~;i j~bn'.~ I~ COeKMLNTC ~ 1 OUNDATIO^7 (1st) -a ~ cCg~ OUNDATION ( 2nd ) 0 r~ o \ OUGH FRAME & o PLUMBING ~ ~ ~ [7 IJSULATIOII PER N, Y, ~ y STATE ENERGY CODE a , FZiJAL 0 ADDITIONAL COMMEIlTS: m~ x~ t~' • x ro H A H H O - y ~ ~ S b - m -o H ~'~/~3 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. 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'P ~ , F 5 M-tr~y ~ ~~4 eec~w~~'%Y s 9 1 ~ ^YV~ t } i ~ t ~f H ~ : ' F f A~~ ~~1 ~ dRl~Q~ A~ a?4Y a$ ~re~f ~ +c}~''rx n~ ~rJ i V fi ~ '{e._ k ~ ~ v~ ~ ~ ~ ~ + ~ ~ a ~rR~Ak'~'~~q ~°~~~11#Sm ~A'~ ..„,ti"~ny~ "rq. ~ s!s ~ i ;q y > ~~3 `r f~ ~ a ;x~ ~ ~~~',,*ns, ~~~,w,~' a ~ ~ ~ ~ ~'~'"w~t 2 ~ 6.~~~ ~ ~x., _ ~ ~ "~+'%ny i{.ti ~d v.~'~ ~ ~u'~.;g fw fiF °!3'J-e~ . ~ r' , a..~.., s ~ we , ~a~' .~~sa~a~ ` .aaa~,.W..s>~b ~..a 13~~~ 80.\RD OF HE.\LTH 3 SETS OF PL.\NS FORM NO. 1 SURVEY • TOWN OF SOUTHOLD CHECK • , BUILDING DEPARTMENT SEPTIC FORM TOWN HALL • EOUTHOLD,N.Y.11071 NOTIFY g TEL.: 765.1802 CA ~ • Examined .V/7.........., 19.';! MAIL TO: jpJ Sal/= ~~y~. ~g /~/P3~ o G~_ Approved . ~ „ 19 01. Permit No.l.... f~ ~~r~ D L~ L5 Disapproved a/c MAY301989 ' ~ r' BLD~,.OEf'T. C' ' ' ' • . • . •~r • 70WN OF SOU7'MOLi7 / uildiQ~ Inspector) APPLICATION FOR BUILDING PERMIT Date ~(.C?.IA`/........, 15C~ INSTRUCTIONS a. Tltis 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 on 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 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 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 the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code sU ,and regulations, and to admit authorized inspector on premises and in building for necessary inspec s. „ , ~ (Signature of applicant, or nam if a corporanon) • .n...,., .~?cNf1'tJl„~,~~ ~ i• ~J~t;J SurFoL;IC. N•y UyJa " ` (Mailing address of applicant) State whether applica t~si~ ownBf 'lessee, `.agent, architect, engineer, general contractor, electrician, plumber or builder. ~5+:£~t3s~ d3 o 0 .i"3 y~ .y; , K ~,thaE'j5~t~.t~t .J . Name of owner of ~r~r~itsestaz~.";~:`:=~! ~Jt ~ Hw1,2.>v, `J, Fy =a O ytff,~ ~_~r~p~!~ .,t : (as on the tax roll or latest deed) If applicant is otFr s 't~'a~ a{g9RA 6~4J~@rtf•'fFdit~ a (l\orized officer. (Nan1d'~ ~"o~`fi4F 1~.~,r._,.. Builder's License No. ~~;~N, (r2, • , , , , • , , , , , , Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done. , ' /~30 .S. =.b .......O.~~N4.1?~. ~ 3~~ . ~!.~....N.~?. ~uF1=c? . ~......r~.•Y... . FiouseNumbcr Street Hamlet County Tax ~\1ap No. 1000 SCCIIO? .....'.L~ , Block , , , 7............ Lot.... l•3........... Subdivision F.ilcd tap No. (Name) Lot.,............. State existing use and occupancy o(premiscs and in/tended use and occupancy of proposed construction: a. Existing use and occupancy ~.1~1lJ~.~/2tS~l7, t1,)(7 b. intended use and occupancy ~t~.~..-~ 2r1~'4XI,tJ~.,•,,,,,,,•,,,,.,.,.••••,•,,,,.•,.••,• 3. Nature of work check which a ~C~• ~ ' ( pplicable): New E3uildin ' Re air g • • • • • • • • Addition rUtcration P Rerrioval Demolition Other Work ...~rGIC...... . (Description) 4. Estimated Cost ...........~.©©O::~ Fee . (to be paid on filing this application) 5. If dwelling, number of dwellin 'units Number of dwelling units on each floor . If garage, num bcr 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 . 3(, , , , , Depth . ~ . Rear Height • .Z`f: , • , , . Nurjtber of Stories . , • • • ~ • • • • " " Dimensions of same structure with alterations or additions: Front ..~,(,j , , , , , , , , , Rcar Depth ....•4i?)~-,r Flcight ,~Q•.. . Numbcr~gf Stories ' 8, Dimensions of entire new consftuction: Front . ' ' ' ' • Rear ~24f:......... Depth ....l, ~ Height Qr, !Gt~ Nuit'~bcr of Stories ..........~~.A..: • ~ • • ~ • ' 9. Size of lot: Front . I P.4? ; • Re ; . . _ ar ...IPA • Depth /QP,..... 10. Date of Purchase , , ,~;k~ l :..~.9.7Q, , , , , , , • ...Name of Former Owner T~lor~k$.. F1,4J2.R.~!, , , • • , • one or use district in which pr' 13. D 11 lot bee raded truction ~ emises are situated ......~1=•~t P.Etr?;)ap41,_, , , , , , ~ P P 'ate any zoning law, ordinance or regulation: ..A~Ot-~ . Q••••••••......,, \Villexc ssfillbc cm c from premises: Yes o l4. Name of Owner of premises S~,J£.,ir',.T~„UQ-~,y, , ,Address°.~~2D ~ 3~ tJaa.j&e~wyC . .Phone No.735G.-(o~,/.y„ Name of Architect . 54.1 . .Address ~ Pftonr. No.. Name of Contractor SK,~F.. .Address . dl~ ~~JI: phone No.. J .1 IS.Is this property located with in~00 feet of a tidal wetland? *YES....NO.~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM , Locate clearly and distinctly ally buildings, 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 APR ED AS NOTED oarE: ~ 7 a.p # ~ FEE: ~p °o ` II ~ O8T1 0,~ ILD NQ OEPART TAT I, FOLLOWING NSP~ 10~ FOR Th1E . 1. FOUNDATION T1MD REQUIRED II 2. ROR POURED CONCRETE s• INSU~t./4TlOry AMINQ A P(,UM81NQ I a• FlNAL - CONgTR~N MUST 8E ~'OMPLET~r FOR C.O. THE pE~RN BNALI MEbT STATE ~,~Of Tl1E N.Y CODES, Ndr REBRD~Y DESI©N OR C'CMIBTRUCRON QIIgpR~ STATE OF NEW YORK, S COU; ITY OF . • • ' ' • • ' ' ' ' ' ' ' ' ' ' ' ' ' ' • ' ' ' • • 'aniil, • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual sip 1g contract) above named. llcisthe (Contractor, agent, corporate officer, etc.) • ~ ~ ~ ~ ~ ~ • ' • ' ' ~f said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this :PPlication; 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 fords in the application filed therewith. ~tvorn to before me this 3 a rotary Public, t~:~:"~.../!: . Klf!1!~-:... County NEIEN K. OE VOE ~ NOTARY PUBLIC State of New York I~ Na4707B78,SuNalkCounty (Signature of applicant) Term Expires Mxrch 30,18.. 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