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HomeMy WebLinkAbout18199-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18381 Date SEPTEMBER 19, 1989 THIS CERTIFIES that the building ADDITION Location of Property 2250 MILL CREEK DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 051 Block 06 Lot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1989 pursuant to which Building Permit No. 18199-Z dated JUNE 12 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to WILLIAM BECKER & WF. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-091460 - SEPTEMBER 13 1989 PLUMBERS CERTIFICATION DATED N/A Bu i l~_d~~i..nssg~~I n sp ec f or Rev. 1/81 f ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18411 Date SEPTEMBER 25, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 2250 MILL CREEK DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 6 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1989 pursuant to which Building Permit No. 18199-Z dated JUNE 12 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 ACCESSORY SHED AS APPLIED FOR The certificate is issued to WILLIAM BECKER & WF. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N~A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81" n~os~ 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 ~ 1.8 ~ ~ g Z Dote ...........~.M":~,......1..:~' 19...1. Permission is hereby granted to: ...::~x..~ a~-~~...:~~..... ....1.. 3..~ -~~,~.-~..-.~.-.u..-.~....,....?~.d..~........ . of premises located at ~..:4~.... ~:1~!+#.....!..???~l.!!::~ ....`1~:...~~; ~?.~lM..~:.c~s.~ County Tax Map No. 1000 Section ......5',~..~~.J....... Block ......Q~p.......... Lot No.......Q~.......... pursuant to application doted ........~..A..(tla.R_...~- 19..a.9., and approved by the Building Inspector. Fee 5...~...Q...... ~ ~ , C ; ~ c..~w........ ' ° S S Q Building Inspector d```~ e ~ Q'l/ J ~Y/~9o``C Rev. 6/30/80 9~~-cp, - TOWN OF SOUTIIOLD BUILDING DEPART?1ENT TOWN HALL SOUTIIOLD, NEW YORK 11971 n 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE_.__/~ ~.~~..1.._.. NEW CONSTRUCTION X,..,OLD OR PRE-E%ISTING BUILDING_.....VACANT LAND..., Location of Property,,,,,,__•...:_•__... . HOUSE N0. STREET •q HAMLET Owner or Owners of Property..4-}~~_,~QC~.L~•~- 1~~.~...• .County Taa Map No. 1000 Section O5,) Bloc[c Lot' -n. k Subdivision.. Filed Map _.......Lot........._ Permit No. ......_...Date of Permit APPlicant IIealth Dept. Approval Undcrc+riters Approval PlanninU Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $.o?s••~~-..._... ~ o ~ ~ ~y~~ .eV• 10/I4 /88 ' 1XXY~rM4~_4 77 TOWN OF SOUTHOLD BUILDING DEPART2IENT TONN HALL SOUTIIOLD, NEW YOfiK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE ....j I. ~ ~..1. . NEW CONSTRUCTION X_,,,OLD OR PRE-E%ISTING BUILDING....._VACANT LAND.._.._.. Location of Property • HOUSE NO. 'STREET•'----•--...HAMLET..._.....• tOvner or Ovners of Property..~A-r~,.~~.~J-w.~..•--._•---'-_••--_.• County Taa Map No. 1000 Section ~ ~j Block .©~P... Lot' QS,._• Subdivision.........,,•,,,,_,,,,,, Filed MaP -.......Lot._........ Permit No. ate of Permit D ..........Applicant Health Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate . Final Certificate Fee Submitted: $,e~ J:._~__,.._._ APPLICAN ••~.C~ti.~F~L//!~/Le_........... rey. 10/14/88 C~ec.3$a~% co IB 3~1 . T- F v FORM N0. 6 TOWN OF SOUTHOLD BIIlLDING DEPARTMENT ' TOWN HALT I 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be'filed in typewriter OR ink and submitted Co the Building Inspector with the following; for new buildings or new use: 1. Final survey of properrty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Heailth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical. installation from Board of Fire Underwriters. 4. Sworn statement from lumber certifying that solder used in system contains less ' than 2/10 of IZ lead.!, _ 5. Commercial buildings,lindustrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board~Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land ~ses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in whiting to the applicant. 3. Date of any housing cede or safety inspection of buildings or premises, or other pertinent informationrequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. M application for vacant land Certificate of Occupancy shall be submitted, and a certified abstr~ct of title issued by a title company showing single and separate ownership ofl~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasocjs therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 ' Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial I i -ev i 10/ 14 /S8 ~'i i _ ~ ~ ~ H "-0 rOUtIDATION (1st) ~ ~ fN ?OUNDATION ) ~ p 2. 9 ~ ~P ~ z o ROUGH FRAME & ~ PLUMBING ti H 3. ~ m IIdSULATI0t1 PER N. Y. y ~ J a STATE ENERGY CODE x 4 . ` y FI;dAL ~ ~ o _ ADDITIOIIAL COMMENTS: ~ W /M.~C ~.RR. ~ m ar x H H H ~ O e m H S b - m -o H -____-----___.__..._a.__.______. i _ .....-..._.n.. { G) ~ c ~rz~sr2or~~ ' t a I- n n ! sNQ~.u c-~rrcE _ ~ i i-~ ° 5rncueta~ sYz ~w,- * - ~ r ` . I ~ ~ i e`' ~'1 ~ }r 7a 0 l11 0 oAQ. j `''a t I -J ~ v ~ ~ ~ t -n t ~ ~ ; b ~ U~ Psi -t T~ I 1 t S: ~ 7~3 n} , ~ • ~ e j nr cJ , Q t ~ - ~ f~i v0 i R7~ ( I a ~ ' ~ 1 i ~ ~A.w'vlj;jf t I ~ t t I - - j;'I~I~I ,ft s ttrC ~ I ~ I I = ~ ~ - x { ~ ~ ~ i ! i,' ~(n ,l ~ ~t q tai { i I I y f ~ ~ t) - ~ } _ i-~ ~~-.z ~ ?~,n ~sr~ ~q ~ ~ tom, ~ ~ .w ; b if j~1~il ' I ~ .,l ! --1 r~^ ~ t C~ i fn ~ ' t ` I f?t I ~ I (L, ! 1 ~ [ _ I -r~ ~ i:0. Ul G' o" ~ `I -i j t-1 ~ ` ~~y i t I~ij i- .,j ~ ~ tt i lfrrl7fa77 THE NEW YORK BOARD OF FIRE UNDERWRITERS '3~'`'~' ~ BUREAU OF ELECTRICITY ,1 F;P'Pk;k9BE;J1 ~.3, ~1~~HN STREET. NEW YORK. N~~k~~t ~~38 I'I J914fi0 Date APPlication No. on file THIS CERTIFIES THAT only the electrical equipment as deacrihed 6elau+and introduced 6y the applicant Homed on the shove application numher in the premiaea of EThI, BICCCER, 2250 ~1tC,Y, K;RFk~3C ~1Pt:IVE~; ;Qlt"CI1{?L,I}, AS,X. y~ ~+Y~L\ in the follotvinq loca(kD'i>;.if 5"~2,~gs,~hl&fF`t ? l.vt Fl. ? 2nd P1• .Section Bloek Lot u~as examined art arzd found W 6e in roneplianre with the requireneents of this Roard. FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fIUORESCENi OTHER AMT K W. AMi K. W AMT K.W Ami K.W AM! H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-OUTLET DIMMERS' AMT K. W. OIL H P. GAS H. P AMi NO. A W. G AML AMP AMT. AMPS TRANS. AMT, ry p SYSTEMS NO.OF FEET Ami. wAiis SERVICE DISCONNECT NO.OF 5 E R V I C E AMT. AMP. LYPE METER 1 YW I,0'3W 3,9'3W 3,6'4W NO. OF CC. COND A W.G. EQUIP' % PER % OF CC COND NO. OF HbIEG A W, G NO. Of NEUTRALS 0. W G. OF HI-LEG OF NEU1RAl OTHER APPARATUS: CiARl7CrFi Af)U7'Sxt,)[S-1 t». F.C. Z:-1 G & S C:nNTRAfr`rnR I,.tt: ~ #578-F ~ ~~~~~-t~~ FC>X 2a5 Sfi6'PNOI,Y~, fVY, ~,j 971 Z~ GENERAL MANAGER Per f~ f This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be tidefi-tlfied by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ )FINAL REM/)ARKS:~,~ r G~~ .3C~ ~ ~`~l r - DATE ~ INSPECTOR / 6~4~~ ` ~ ~ ~ 7ss-1802 BUILDING DEPT. INSPECTION [ l FOUNDATION 1ST [ J ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING FINAL REMARKS: _~,~C DATE Q y/ O -INSPECTOR ~ ~~~1, s BOARD OF HEALTH FORMNO.1 ~3 SETS OF PL.1NS SURVEY ~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL SOUTHOLD, N.Y. 11071 NOTIFY ' TEL.:7G5-1802 CALL Examined . I.2., lg$'9, MAIL T0: ~~r... Approved ....~,<.tmp,., 19x.°9. Permit No. L~.~.g,q;~., nnh 5 Disapproved a/e/ { ~ !_~'y U \~l L~a •~`~'~'2i989 ~Illl~ ~~.f ~ BLDG. DEPT TOWN OF SOUTt90LD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 bets 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 B~lil~ing Kermit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing cod and regulations, and to admit authorized inspectors on premises and in building for necessary ins ect . (Sigtlpture oi' app scant, or name f a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engine ,general contractor electrician, plumber or builder. Name of owner ofpremises ~.C/,7/~-, , , , ,/~y;e~~L,r/~,1 ~1jM: ~ECK~~, v W7~ (as on the tax roll or latest deed) (f applicant~isj a corporation, signature of duly authnorized officer. l.! (.C,LI ~C.. ~C??/it~C ~~rte ;L¢;~ C~:~p~tul, ~J (Name and title of corporate officer) p / Builder's License No. ..~:~U. ~ ~ , , , , , ,t? • Plumber's License No . . Electrician's License No . Other Trade's License No . . 1. Location of land on which ro osed work will be done. ~_~-l1 c~ , . House Number ~ Streets Hamlet ~O4t'tt'Ld~QI ~ ~ ~ ~ ~ ~ ~ ~ " County Tax Map No. 1000 Section Block Lot. 5......... Subdivision Filed ntap No. . (Name) Lot • State existing use and occupancy of premises and in/t~ended a/se and occ//upancy of proposed construction: a. Existing use and occupancy S! ny.l~.. ~ ~~es r gPiH c~ b. Intended use and occupancy ........,of9'VYIC.....~ i &'xio ,~x~a- 3. Mature of worn check which ~ P aPPlicable :New Buildi ` ~ ~F/c~ $'V~v~L~g1e ( Re ) • • • . • • ng • • • • • • • Addition . .Utcration Re atr rPoval , Demolition • OthcrlVork.............. 4. Estimated Cost a 5 (Description) Fee..................................... 5. If dtvcllin~ (to be paid on 61ing this application) „ number of dwellin ~ units , , , , , , • ; , , Number of dwelling units on cacti floor , If garage, number of cars I..... • . . / ~6t <e . 6. If business, commercial or mixed occupancy, specify nature and extent of eact} type of use . . 7. Dimensions of existing structut~es, if any: Front . S, , , , , , , , ,Rcar (o S o Height ~,`.7-, , , , , , , Nut4tber of Stories . / • • • • • • • Depth . • , , , , , • . • , • , Dimensions of same structure ~yith alterations or actions: Front ~ , . . • ' ' ' ' ' ' ' ' Depth . IIeight Rear . 5?... ' 8, Dimenstoht9 df en~°new consfGntction: Front , ' ' • • • • • Number of Stories Height •/.vim. • /..S Rear, ..:~C~........ Depth j... . Nurttber of Stories . , • • • • 9. Size of lot: Front ..../.0.~ Rcar 10. Date of Purchase ~ ~ ~ ' ' • • • • • • • • • Depth 7 f Q, " " " ~i` .Name of Former Owner ~i a ~ 1 1. Zone or use district in which premises are situated ~ ' ' ' ' ' ' ' ' ' ' ' 12. Does proposed construction viojate any zoning law, ordinance or ic'gulation: /1!6, , 13. Will lot be regraded J1/. S~ ~ ~gt1r,!~ ~fd2.a~ tiVill excess 611 be removed from premises: • • • ~ ,Yes • • No 14. Name of Owner of premises/.~Z,,,t~,/,'r~; ,~~~~y~d~lress~!~~ ,~~~/~,~~luG Phone No.~65: _ , S;9,~(~,, , . Name of Architect ~ ,Address . Name of Contractor . ~iC7~:,~.~ y~,vE' • • • • • • • • • Phone No. , , , ..Address /.~~~Q•G/S~~,{/ous~honeNo.~~..'S'~t~,'3,~U _ IS.Is this property located within 300 feet of a ti al wetland? *YES....NO.~~ *If yes, Southold Tows Trustees Permit may be required. PLOT pIAGRAM Locate clearly and distinctly afllli buildings, whether existing or proposed, and, indicate ail set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lat. ~ /~_•3- ~ II i ~ ~y °v tJ ii bay 8s a d~ ~,y15~, I ~eJS ry, V~ - i "J P4P~6 \ /lo ~ 4 \ G ~ i . ~ s' - 3TATB OF 'E1V YORK, _ _ ~ / is ~ - 0 - -S:~S~ - :OUNTY OF _ - - - • • • • • • . being duly sworn, deposes and says that Ile is the applicant (Name of individual signing contract) bout named. i fcisthc • . • . • • • • • .~I (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • ~ ~ • ~ ~ " " " ' f said owner or owners, and is duly :}uthorized to perform or have performed the said work and to make and 61e this ~plication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the ork will be performed in the manner sot forth in the application 61cd therewith. .vom to before me this i .....................day of.. ..............,19~/` nary Public, , , j~j~.~X~rv, ...~.~~G/~:..... .County NOTARY PU L C~Stbet~ ~ fdewl~York • . 7ar~rn Exp~res March 30 1S (Signature of applicant)