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HomeMy WebLinkAbout18056-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18694 Date JANUARY 5, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 5845 NORTH BAYVIEW ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 03 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1989 pursuant to which Building Permit No. 18056-Z dated APRIL 19, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certxf xcate xs issued is PARTIALLY ENCLOSE EXISTING DECK ADDITION WITH SCREENS AS APPLIED FOR. The certificate is issued to DANIEL & JOYCE KENNEDY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A i Building Inspector Rev. 1/81 >.os~ xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('PHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 18056 Z Date .........1...9..........., 19~~ ~erm~ssion is hereby granted to: to ..S?!:~:5~...44~..~S~S-!`t~.....1n.,4ta~.p..?.....4..~...s.~.~.!-~'~'~' M :.................,.~.....~.~P-~-~P..~............................................................... at premises located at ..%Z~..~".~~......~.:....1.~.`~<(..l!.ti°.'c'~...N~.:...... County Tax Map No T000 Section~.~~.~..... Block .......Q.~......pLot No pursuant to application dated ! ~ 19 and approved by the Buildingtt~~ Inspector Fee S•.1~~..~.~.. Bu ding inspector Rev 6!30/80 - 'r7va~~ .'fe ~ 0 8~ r r 9 ~ y X147 V TOWN OF SOUTIIOLD U ~ +G~p~ BUILDING DEPARTHCNT J1~ TOWN HALL TOWN OF SOOTHOI.D SOUTIIOLD, NEW YOILK I ] 97 i 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY p DATE_.~ ..Z•I, NEW CONSTRUCTION .......OLD OR PRE-E%ISTING EUILDING.~..VACANT LAND..__._.. LocaCion of Pro ert .SO V"~ ~j ~ I HOUSE NO.''''~~ 7, *S~T-REET HAMLET Owner or Owners of Property...~~K~~,~,4 JO _GC t~5. ,y/ r cc~~ County Tax Map No. 1000 Section O 7.L. Block © 3 Lot Subdivision Filed Map ........Lot.......... Permit No. .1~~~~.`~.Date of Permit ..~~~~~Applicant Health Dept. Approval Underwriters Approval.__....__.___. Planning Board Approval . Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT rev. IO/14 /88 C~u~ 3SSa5 l~:rs~ TEL 7G5•t8r,~ ~~o~'~aG~; T0~'P7 Ur SUUTUULI3 ,~s~~. ;''~~3y6:~~~ o- O(:E'ICL• OF GUILDING INSP£-.C'COR u-i ~ ('~,,x~l ~1',t , ~ TO~VNiIALL 4,y SOU711OLD, N.Y. i 1971 .h June 30, 1989 DANIEL & JOYCE KENNEDY BO% 119 SODTHOLD, NEST YORK ]1971 To L9hcm This May Concern, U7e are unable ro complete your Certificate of Occupancy because of the follocn ny reasons. An applicatton for Certificate of Occupancy is not nn fi?c. / / D:o Undcrc~ritcrs Certificate on file. /?J the ct,ec7~: i::( nUt on file.) $25.00 / / DSO Slcalth Dept. Approval on Yile. ho ft.nal ~ns3~ec:t.Len ham bccu made. Please contact our office on this matter. ' T:rank you for your cooperation. I:utlc3icc~ Pcruitt 1. 1 8 0 5 6_ Z f3uildiny Dept. J do P hamber Solder Certificate on file. ' ( a? I ltormiL:. invoiv~_ng plumbinrl being issued after .lpr~l 1,1964 oSVEFOC/t'Co VICTOR LESSARD ~ < Town Hall, 53095 Maln Road PRINCIPAL BUILDING INSPECTOR ~ ~ P O. Box 1 179 (516) 765-1802 ~ ~ ~ Southold, New York 1 1971 FAX (516) 765-1823 ~.{io/ ~ ~SQ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 21, 1989 Daniel & Joyce Kennedy Box 119 Southold, New York 11971 Re: 5845 N. Bayview Rd. Southold, New York BP #180562 Dear Mr. & Mrs. Kennedy: Please be advised that the building permit that you applied for a deck addition and partial screened in porch has been written and is ready to be picked up. However, the fee for the Building Permit is $50.00. We have your check in the amount of $25.00. Please stop by the office with an additional check in the amount of $25.00, and we will release the permit to you. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar i::LD I:.S: E;,:-u:, pu„T~. ~ ~:~tK~LUr~ ~ t 1. - m ` _ H r POUt1DAT20N (1st) ~ - - - - FOUNDATI0:1 (2nd) _ _ 2 o G ROUGH FRAME & ~ PLUMBING 3. ~ m n ItdSULATIOft PER N. Y. STATE Ef]ERGY CODE r 4 , H l FINAL 4 'S f $ t' `m '-t[ ADDITIOPIAL COMMENTS: _ ~ ca x -v N ~ ~7 H H O C m ~ ~ r H - ~ i v m -n H l ~o 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INS CATION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTOR BOARD OF HEALTH 3 SETS OF PL.1N5 FORM NO. 1 SURVEY , - • • . 70WN OFSOUTHOLD CHECK .....I~ BUILDING DEPARTMENT SEPTIC FORPf ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY 'fs ~ ~ q q TEL.. 765 1802 C L . Examined re~•~e+wv~. ~.1..., 19.1. MAIL T01:~ • Approved ....[.9.... 19~~ . Pennrt No. L $.oS~fo ~ r Disapproved a/c D ~ ~ . ~,i ..t. 0:~ : BLDG D (Building Inspector) [ 70WN OF SOU7HOL0 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 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Ploi plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of Iayout of property must be drawn on the diagram which is part of ttus appl, ratron. 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 perms shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or to part for any purpose whatever until a Certificate of Occupane~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY bIADE to the Butldmg Department for the issuance of a Building Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Orduiances o 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, housing code, and regulations, and t~ admit authorized inspectors on premises and in butlduig for necessary spection (Signature of applican , or name, if a cor anon) 58 5 N ~tE~J D. ~ouTNo\9 •1tq.i , ~ ~ ( ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ WN ~.CL Name of owner of premises • • • • • • • • - - . . (as on the tax roil or latest deed) If applicant is a corporation, signature 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 . . I • Location of land on which proposed work will be done . . ..58`-15..... ~c~Y1 l•C~,J....~~.~......... ...Sov'C t-~o~D . House Number Street Hamlet County Tav 41.ip No 1000 Section ~ • • • • • • • - Block ..:3 . , , - , , , , • , Lot ~.3........ . Subdivision . Filed niap No. Lot . (Name) State e~tsting use and occupancy of premises and intendedpuse and occupancy of proposed consintctron a. Erisung use and occupancy ~^~}.V, yai,~. , , , . l•D f_= rc e F_ b. Intended use and occupancy S•j;~,nrM r . • • • • 3. Nature of work (check which applicable). New Building Addition Altcration~... . Repair Removal Demolition .Other 1Vork . ScRc=Ety tN-tY ~tN ~C-c~~ tL~P,CZ as \.~ovSC (D~scnptton; 4. Estimated Cost ~ l 2,.UC}.• Fee . (to be paid on filing [his apphcauon) 5. If dwelling, number of dwcltmg units ~ Number of dwelling units on each floor . If garage, number of cars . 6. If business, commercial or mired occupancy, specify 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 . IIctght Number of Stones . 8. Dimensto~,Qt' ent~Sttew construction. Front . Rear : ; : ; Depth . Hcigltt , , , . Number of Stones . 9. Size of lot. Front Rear Depth , 10. Date of Purchase . ..................Name of Fonner Owner . 11. Zone or use dutnct m which premises are situated . . . 12. Does proposed construction violate any zoning law, ordinance or regulation. ..C1. ~ . 13. \Vill lot be regraded . , . , . , . Nill excess ~l~e remov~d frorr~poremise~s~ l D Yes 1` 14. Name of Owner of premises ~]11.~~.N , ,Address . ~ ; ~ F3 Y! ~ !s-:. ~.t? Phhone ~ o... , .7- ~.5_ Name of Architect . .Address ...................Phone No............. . Name of Contractor .........................Address .............Phone No............. . 15.Zs this property located with in 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAhI Locate clearly and distinctly all buildings, whether existing or proposed, and indtcate all set-back dimensions frog property fines. Give street and block number or descnption according to deed, and show street names and indicate wheth~ intenar or corner lot. ~gcoT3S ~+t~, ~F'i Y tC w 12 p - 3 0~ s'I ~T .t5~^ ' ~ ~ {tlxS'tY FR. Ho. , a ~qs !k~ s e a' FT In STATE OF NE\V YORK, S S COUNTY OF . • being duly sworn, deposes and says that he is the applicar (A'amc of mdn'tdual signing contract) above named. Ile istlie (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly au[honzcd to perform or have performed tftc said work and to make and file th apphcauon, that all statements contained m this applic4[ion are true to the best of tus knowledgc'and belief; and that th work will be performed in the manner set forth m the apphcauon Ficd therewith Swam to before me This ...day of . ((.~~..C4/~/. , i-:d:......... ]9 \otary• public, ...ue_.~~`~ h/.4r. 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