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HomeMy WebLinkAbout18051-z a FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20849 Date JULY 13, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1305 PARR AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 1 Lot 2.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRZL 17, 1989 pursuant to which Building Permit No. 18051-Z dated APRIL I8, 1989 was issued, and conforms to all of the requirements of the applicable provisa.ons of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY nWRT.~.rNG AS APPLIED FOR The certificate is issued to PH7S,IPPE & MI~?~•r.a LEONARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 rows 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~ Date .........5'!...../..$ 19.~.J.. ~sa51 Z {{JJ Permission is hereby granted to: ~;-o-~.~-.~~.,.~......... . to .~.'.:~:^:v~r~l:!:s:-s~P.:...s~....a~:s.~..~cQ.s-~..<:a~,...Xo....~t....R.dt:~!~:rq....t~'!~s.~. I 1 at premises located at .~..~w.~.rit....~.... ...S::~K.:.. ~?.".-~r~//~!:SC:::~ . County Tax Map No 1000 Section((.''.~~....~©~ S.~QP...... Block ......~.1........p..gLot No pursuant to opplication dated .....\„A.... E ~ 19.Ft 1.., and approved by the Building-+I~nspector 1 Fee S••~:41.'...-... Building tnspector Rev 6/30/80 - Form No. 6 a~~~~=,~~ v>~~?!'~~~f,~,~+j=~"1 i~' 1 TOWN OF SOUTiIOLD s .r BUILDING DLPART:IGNT c~~~/ TOI: N UALL ~ / 765-1802 APPLICATION POR CCRTII'IC.1TL OP OCCUPANCY This application must be filled in by typewriter OP, ink and submstted to the building inspector with the following. for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-Q form). 3. Approval of electrical installation from Board of fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 19 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and • "pre-eristing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Euilding - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~Ury...~°..... ry$z '.ew Construction.~G.~.... Old /OJr Pre-ex~i7sting Building... ~j [ ocacion of Property ~3©5..../.~Yt~ A?~ ................~0v7`~a?~ ~U, j ...r~~!7/ House No ~/S~treet haml/et Onwur or Owners of Property.~h.~l~,M7,rL..r•':'.~..../..<.L~EI/~C.... ~'.c~Gn~~`' <.uunty Tax Ma//p No 1000, Secption,.CG~yS~~p........Block... Q.G~.........Lot. a. ~O.,................ tiubdivision.(~DI?` /~Ohv~-... fr:7`~!.Gi~.~S....Filed Map.P.O~?.7.....Lot....~0?.......... y..... icrmit Yo..// + CSQSI.Z....Da/(t/e Of Permit.:"~....!lJ. ~1APplicantl.~~"~~~//((.//--.//~~~.~.°t.`.'......... ~[ealth Dept. Approval.....(Y.l!~+~ ..............Underwriters Approval.... lie!!.:............... 'l,~nning Board Approval.....~V..~............ .request for: Temporary Certificate........... Final Certicate.. X "ce Submitted: $ Qom,, y W 3?1 . /.l'..~~;'/~ . ~ ~ ~ ~ O APPLIC.\\T 1cLD I;. S: .~U;~ IL'r.ir~ i ~i:MMCNT~ ~ r 1. m . _a H - - y rOUtlDATIO:! (1st) c FOUNDATIO;J (2nd) m ~ • z 0 ?OUCH FRAME & PLUMBING w 3. ~ m m It15ULATZOPI PER N. Y. • • STATE EPIERGY CODE _ m ~ y FIiIAL o . ADDITIONAL COMMEflTS: x ` m ' x ^o - H • 9 H H O r ~ ~ r H d m -n H . ~ _ 1' ',fin ,0>`' ! -a• ~ *y~ r '(ij~a~ `V '•(Q 'I/, ~I I ! r i"~ 1 ti~~ ^V ~br l~V~•'~T KID. ~„a~,~~ o ~ ~ _ , _'4 s'> ~ 'l'~..~ tc„ 'T_~• ~ •=.x- ;.yet ~5~~" £o r,r "w V"~4pjv ' r! w •`'r1 ~1'a3•'~'ac+~j/J~'~{ , ~x 4 ytii~•}~~?? a.t R' i K.^,~° ,P '~r11~ ~`~Y~fJ ~ ~S~p,YR=,- 1~' ~w ~1 4... F + ^M ,C ,rw ~"a,. rri'A ~ ? r i.' s,- xf ~.5 ~?y> ~y , a~ ~Y~' F~4 r , ~ f 4 ~'`M 1 • 7 t i ~ apt T' ~iw,~y Stpy[.v". 4 6 ~f ,V T r 4 "d"~ t: t~`T d 0. ~ ? ~y ,^7~•sl~'Tia3F'-r~~F~r'~.A4hi.l.z~'~ y3 r fY J ~ ~ ~ 4~ r ` }{fir`.{ > 1 ' e 11~ ~ ~ ' ` ~ _ `yJ~~ ~ r ~ / ~ • l~ Y k _ Ai C~i+`p6 :'Y vC. ~ yr ~4 f~~ _ ~,jM~f ~~°~f 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. ( ) FOUNDATION 2ND [ )INSULATION [ ]FRAMING [ FINAL REMARKS: DATE ~ INSPECTOR BOAFD OF HEALTH i FORM NO 1 3 SETS OF PLANS ; SllRVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL ~~•(1 SOUTEOLD65- 8021971 NOTIFY ~7~~ r~L~ Examined C ~•g 19~~. / MAIL TO/: O Approved u. 19$.`~ Permtt No 6S1 VVV ~ ~ Disapproved a/c ~ a~ ~ 1 Z 1668 ~ .1 A 'a""° ~C_._ .DEPT. SO1JTi10LD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ra. (....(`.1..., 15~ INSTRUCTIONS 111111 a. Tlus apphcahon must be completely filled to by typewnter or m Ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocatton of lot and of buddmgs on premises, relationship to adlommg premises or public stree~ or areas, and giving a detmled description of Iayout of property must be drawn on the diagram which is part of t}us app[ canon. c. The work covered by this apphcatton may not be commenced before Issuance of Building Permtt. d. Upon approval of tats apphcatton, the Butldtn; Inspector will Issued a Building Permtt to the applicant. Such perm[ shall be kept on the premises available For mspectton throughout the work. e. No bulldmg shall be occupied or used in whole or to part for any purpose whatever until a Certtficate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEKEBY MADE to the Butldmg Department for the issuance of a Building Permtt pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Rc;ulattons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbed The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and t~ admit authonzed inspectors on premises and in building for necessary inspections. m - - (Signature of"appbcant, or name, if a corporation) .Pa..~~..1~8t z~~Q1~rN.~.lI9.7.I. - (Mailing address of appbcant) Stat//e~~w~'h~~etherppapplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder t.-'•~- Name of owner of premises ..~~1.~i~,".!?'~..:.~-. .'Z~.. ~•!c. ~ c~~~f .......e~c~~3.~1-;~''~ . - ' ~ ' ~ (as on the ~a,~roll_o~ latest deed) y' tR, `t2t ~s't]` ~ . .wfri~, et:t~+ ~F If appbcant is a corpora}on, si~tt~titrp of ~ilyauthonzed officer.- ~ , ~ , i r' ~ "~'s v~iBt~ ~i ~taT' ~ (Name a' 7 t~¢ f=cozpo fficer) 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 bu done . . House Number Strcet Hamlet °gy County T,i>, Jbiap No 1000 S~ct{ion 5.~ Block . t/............ Lot `.'C'~.......... . Subdivision 1-V~1.~. ~~?~U . Filed tap No. 7 ~ ~ Lot . .S-.......... (Name) State eeuung use and occupancy of premtses annd~intendend use and occupancy of proposed construction. a Existing use and occupancy ~ ~-'t • • • • • • • • • • • . b. Intended use and occupancy 3. Nature of work (check which applicable) New Quildmg Addition Alteration . Repair Removal Demolition Other 1Vork .F-J4Se~r.6.Y. ~ (DcscnpUOn 4. Estimated Cost ....~UO.v.Y Fee (to be paid on 6Lng this apphcagon) h) I~ 5. If dwelling, number of dwelling units .N,/~t, . , , , . Number of dwelling amts on each floor . - , , , If garage, number of cars (`!/h? . 6. If business, commercial or mired occupancy, spectiy nature and cetent of each type of use . 7. Dimensions of existing structures, if any Front Rear Depth . Hci~ttt . Number of Stones . Dtmenstons of same structure with alterations or additions Front Rear . Depth . ~ f.... IIcight Number of Stones . Dtmenstons of entire new gbn~truction. Front . . . Rear Depth , , , , . , , , , , Hetgltt tuber of Stones . t .kMl.c3..... . 9. Size o~1,8tv'EI4Bt '~.,0~,~ Rear . Depth . 10. Dd`t"e"o1' ur'~""'~c`h . • • • • ..Name of Former Owner . . . 11. Zone or use district m which premises are situated . 12. Does proposed construction vrolate any zoning law, ordinance or regulation . i3. Will lot be regraded 1VA1 excess 611 be removed from premises: Ycs i` 14. Name of Owner of premises ......Address .Phone No.......... . Name of Architect . .......Address ........Phone Na Name of Contractor ..........................Address ...................Phone No. . IS.Is this property located within X00 feet of a tidal wetland? *YES__._NO.?~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAh1 Locate clearly and drstinctly all buddmgs, whether existing or proposed, and indicate al! set-back dimensions fro property fines. Give street and block number or descnption according to deed, and show street names and indicate wheth intenor or corner lat. Sp ~ /1 1 t~~ I P !1 p ~ j 1 T l~ lit J f ~a Yl s ~iJr (~C APP80YED AS MOTfD DATE: B.P !t O ~ Z ~ FEE " BY - ' G~'L.'-- _ NOTIFY BUILDING OEP~+r?TMENT i 1 765.1802 9 AM TO 4 PM 'r OR • FOLLOWING INSPECTIU^t5 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING i 4ccUPANCY OR iwsuLATroN tlSE IS OIYEAWF(IE 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O w~THQt1T CERTIFICATE ALL CONSTRUCTION SHALL MEET OF OCClIPAMCY STATE EC4N STRUCTiON b ENERGY COPES. NO! RESPONSiHLE FOR ' DESKiN pR (~IiBYRtlCTtON ERRORS STATE OFNENY R', 'G ~ .C1:1~-~r~ . ' ~ : being duly sworn, deposes and says that he is the apphcai ( a c of uidrvid al signing contract) above named. / Iieisthe......,.C,~ t~. (Con[rctor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl: application; that al! statements contained in this appticatwn are true to the best of lus knowledge and belief, and that tl work will be performed m the manner set forth m the apphcahon filed therewith. Sworn to before meftt~u/s ! / ...day of ~ 19 ..1~... otaryPublic,~~tfCtL.:t.~...f~.~:~~f:~~!:. .County E.:~ Notary P blrc gate RRY of New Ywk (Signature of applican Quali ed 6n Su>~sCouMy r/(/ CofR;plSSrOn Expues May 3i. 1 _ - - - " SUFFOLK CO. HEALTH DEPT APPRO`~ A._. - ~ H S. NO. -1 i 1 ~Q ~ p ~ i ~ SG s~v _ ~ • OF~~ ~ ~ _ _ _-1 r V, I, wAT~.'s MA,r• ~ HF.P'L~~ STATEMENT QF fNTENT _ _ I V'w l V t~ ~ I THE WATER SUPPLY AND SEWAGE DISPOSAL CiLE~; _,_L_--- i_~~-1~ ~F i~_~<~„jt~ L.I~~I T SYSTEMS FOR THIS RESIDENCE WILL _ //yy f__'_L ____e._`_, CONFORM TO THE STANDARDS OF THE ~-'er'r' _ II 1 ~ ~ ~ SUFFOLK CO. DEPT. OF HEALTH SERVICES. .a N;703Y.`-~~ ~ ~ ~ _~kv~Yrv FuiL t f { . ww~a d . S it _ ~ I / MC"rk.R- I i rf ~~^i ~ ! E~~ } ' _ ~ t' '1 r i., ~ APPLICANT i ~ I k+" ~ - - SUFFOLK COUNTY DEPT. OF HEALTH ~ E2~•- Al SERVICES - FOR APPROVAL OF ~ roves Z- ~ - ice- i ~-i 1 ~ \L~ CONSTRUCTION ONLY ~ ' ~~y "3'rJWlrl OF SOk1THGT:.U N.Y. DATE: ~ ~ I ~ ~y. ~ <<7', ; ~ ' vAUr-Jri - ~ H. S. REF. NO.: 86~~v-d !.3? l\I APPROVED: {a ; t ~DCri I ~ - - ~1 ~ Ft2lao ~ Bt~Kk.TOF ~ ~ SUFFOLK CO. TAX MAP DESIGNATION: i ~ I - i DIET. SELT. BLOCK PCL. n `""_____'_i 1 16 + a corgi ---51!-- OWNERS ADORE58: j PO.~?# 2.8 r~ ~?ACAr.,~t't I - - S~ALE-;~' `~DE,JTt-{O'L.DLEdy.Y_ f ?g7t I~~c / L•7d Nt~NUiv?ENT - - - ~ OBI y~ ~ _ - DEED: t. u(A P. I~ ~ ? ~ ~ . W ~ F10L . au,-.Ry'n.. d^'Na13an os ,,S ~ , W vd. TMw rock R7,Is _ ,a e,ka.(n to ~ I N ' t .LOT NO .i1-. iL E F E Lz 1Z y_P~;A;~' C~F=' I.CtNG PCJCJ U nc- N~Y%r ~ R-e e~ad~+~ - ___hn sx' du„n-,M. was ds~; or c~ L:~rr*,i L ~-sE=cT.ONE;FIL.EJ t_N rr~~ 5_ u~F.r~. . ~~~,d...~,N~M,d»d~ 'x a nl V. trw aoCX °Q' ' N `i.t.rzic'_ J~'F IcE A5 MrA~' N0.803'l r ~~-:1~~, , ` ~ ~ i ( _ _M__ _E_AP.1 .%F.~ r+E V_ _E~__L_. ~~-Y. ~-eK~m~T~, n,~,:u a f.. ~ ' L..LI_~. 11`J 1-yam fr• VF./. ~ {'1.i~5{N'{{i.f Md.F~ ~ ~ .1 ~Ff 10,^dh P6 nFT »rt n ~M c hid _ _ _ _ iC~1,0 ~ Y a ~ 3 Ti1l_E NG C, r 1U8733 .+-..sra ar _od LV ~ ~ ` 2>rv~scc~ APlz.2~•?9~;ocT.!4, t48~ ,EE~.io 188 i .c _ _ _ SEAL _ SUFFOLK COUNTY DEPAR(M`cNT OF HEALTH ~t j pF Neh, i ~ 1.,t INGLE, ~Y~wr~LINGONIY Tom, N K v, '"o DAT@ 'AR ~ 5 86- o - 5~9 N. TH FGRtE ~N ~ 71Zt.1`.zT i.G! u ~~o P~~ ti,, 9t H.3. REF. NA. _ t ~ o a ^ E < . y r ' The sewage disposal and water supply farslitiu fo[~lill i location have been inspected by this DepartmentenNh VAN TjIYL. y " ~o otlle and ennd to f~sa' IfNw '2~° ~z%,~'~` L S _ F(i S LANG of Bureau of Was afar MallEan1a11t ~r LIC6NSE® LAND SUfi EYOitS GREENPORT NEtill YOIFK TELEDYNE lVST NE~I]V ~ _ -