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HomeMy WebLinkAbout18065-z FOFM NO. 4 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18502 Date OCTOBER 26, 1989 THIS CERTIFIES that the building ADDITIONS Location of Property 2500 PRIVATE ROAD #15 ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 016 Block O1 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1989 pursuant to which Building Permit No. 18065-Z dated APRIL 21, 1989 was assued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is TWO ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to SAMES T. HUGHES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H-012369 - OCTOBER 19 1989 PLUMBERS CERTIFICATION DATED N/A ~~C Building Inspector Rev. 1/81 lOSM N0. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N° 18065 Z Date ........a/ 19..A..1 Permission is hereby granted to: yJ,~~/ 11 p, q n/ nr.~ to ...4,,.:~'.r.:~..~.1~....V~r1'.0.4.Yd.....t44:QPFY~t~h..'!c.4...~..0....Q!'.!'1....:1~.~ of premises located at .~~5?'~?.........~(~.....~..9>..... ~.r~'!1~ County T x Map No. 1000 Section ....lam 1 ~.o........ Block ....Q..~.......... Lot No. .4...~...... pursuant to application dated 19d~., and approved by the Building Inspector. Fee S•~:• ~J Building Inspector Rev 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- torwith the following; for new buildings 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 of I-lealth Dept. of water supply and sewerage disposal-(S-9 form or equal), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance #rom the Architect or Engineer responsible for the building 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees• 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy 51.00 Date ,July 25• 1989 . New Budding ............Old or Pre-existing Building(X) . _ ?t= rVacant Land , Location of Property 2500 Pvt' Rd. #15 Orient Houu No. Street Hamlet Owner or Owners of Property sTatne s T. Hues County Tax Map No. 1000 Section - ~16........ Block ...I , , Lot - . , , . Subdivision ......Filed Map No. ..........Lot No . Permit No..1,$065Z... Date of Permit ~P.ril?1• ,Applicant , , gim T. D2enkowski Health Dept. Approval ~`TA . ...Labor Dept Approval NA . Underwriters Approval ........................Planning Board Approval . , . ~A..... , . , Request for Temporary Certificate . . .Final Certificate , XXX . , , - Fee Submitted $ Construction on above described building and~permrt'meets all applicablyodes and regulations. Applicant .,I--~•= Rev 10.70-78 ~•a ~:-1rsS0a. ~ . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8006459 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Hare OCTOBER 19,1989 ApplEratiartNo.onfile 63424889/89 H 012369 THIS CERTIFIES THAT only the efectnca! equrpment as described helow and introduced by the applirnnt named on the ahoue oppkcation number in the premises of JAMES T.HUGHES, 114 MAIN ROAD, ORIENT, N.Y. ~IS'rv{ - r• in theJolluwEng location. ? Basement © /Rt Ff ? Ind FI. Sertwn Blork Lut JANUARY 12 1989 1 rMa examened urt r andfound to he in cmnphon<e ulth the reYTurrententK Of [hie Buard. ' FIXTURE FIXTURES RANGES COOKING DECKS OVENSDISH WASHERSI EXHAUST FAN' OUTLETS ECEPTACLES SWITCHES INCANDEECENL F{VORESCENi OTHEP MNL K W AMt T K W TAML K W qMi K W AMi H P t _ - 1 DRYERS FURNACE MOTORS FUTURE AMl1ANC! FEEDERS SPEUAI REC'PT TIME CLOCKS BELL UNIT HEATERS MULibOUTIET L DIMMERS SYSTEMS AMT K W OIL H F GAS H P AMT NO AWG AMT AMP AMT AMPS TRANS AMT N A NO OF FEET J AMT WAIL] S[RVICE DISCONNECT ta0 OF f E R V 1 G E ' METER NO OF CC COND AWG AWG A W O AML AMI TYPE QUIP 1 X ]W 1 / 7W 3 X ]W ].I ~W PFR .e' Of CC OND NO Oi HI lEG Or HI lE NO Oi NFUTRA{S ~ NEI/T~ OTHER APPARATUS IiIRING FOR ADD.-1 ~~R~.E%cc-~i? o~ JAMES T. HUGHES G~~~ti~ 'I MAIN RD.P.O.BOR 223 ORIENT, NY, 11957 GENEGL MANAGRR Per1I ~ This <artiflcafe must not be oltered In any manner, return to the Dfilce of the Boord if Incorrect Inspectors may be Identified by their credentials TEL. 7C,5-180' ~~FFaL~I' ~o c~~~ TONY I`I Ur SOUTIIOLD a r.. ,,~,-'.r+y(~,,+,~~ ~c Ol~f'iCIiOFPSUELDINGiNSPECTOR ~ i~ yt~(j~i4 ~ 1~.Q. IF~`t 1 17 9 ~ ''~°U~'j' ~ TOWN IIALL O~~Q ~~~t' SOU1 EIOLD, N.Y. i 1971 < ~ September 22, 1989 EIM T. DZENROWSKI 1000 CEDAR LANE EAST MARION, N.Y. 11939 RE: JAMES T. HUGHES To L4hcm This May Concern, 4te arc unable to complete your Certificate of~Occupanc;~ because of the folloc~ing reasons. An application for Certificate of Occupancy is not nn fxlc. (ENCLOSED) No IJndenor~tcrs Certificate on fi1c. 'Che chr_c}: i:: (ISiG~~iX.1FX1$~ut nn file.) 525.00 No tlca]Lh Dept. Appro•?a1 on file. No final ~nsl~~ec:Lion ham been made. Please contact: our office on this matter. Thank you for your cooperation. IluLldtir,q Permit- i} i 8 0 6 5 Z Builclincl Dc:pl.. do Plumber Solder Certificate on file. ( all prrmiL:, involving plumbing being iasucd aFtcr April 1,1984 ) 1::LD ILS. E .-~:J ~fU,;TE ~Cc`iMLNTS 1 r 9 H , _ y i_ FOUNDATION (1st) c ti FOUNDATION (2nd) m z o }i ROUGH FRAME & PLUMBING 4 Sq 4r ti H 3. ~ a m n If1SULATI0f1 PER N. Y. 'j STATE EflERGY CODE FI:JAL o Rr-~ ADDITIOtIAL COMMEAJTS: m S ~ 1[t} m ' x .a . t s • a ~ H H O v O `m b ~ H b m -v H C yDC~~ ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~LATION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTO ,/n~ ~p 765-1802 BUILDING DEPT. 1 NSPECTION [ ] F UNDATION 1ST f ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ] FIN,gA~L~ REMARKS: ~ ~ r~--- DATE l ~ INSPECTOR CP S 76S-i80Z BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: , DATE ~ U INSPECTOR 1~0~ ~ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ ]FINAL REMARKS: DATE ~ INSPECTOR ',~.a~ 'FORM NO. 1 "~'A'~~~~~ TOWN OF SOUTHOLD ~ ~1~ ~ ~ BUILDING DEPARTMENT 70WN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ,199 Received...........,19•• Approved . ~ , 19 ~ 9 Permit No 1 $ o (o S~ Disapproved a/c (Building Inspector) 1 APPLICATION FOR BUILDING PERMIT Date--' ~'d 19 ~ INSTRUCTIONS a. Tlus~apphcation must be completely filled in 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 location of lot and of buildings on premises, relationshrp to adloming premises or public stree or areas, and giving a detazled descnphon of layout of property must be drawn on the diagram which is part of t}us app cation ` c. The work covered by this application may not be commenced before issuance of Building Permr d Upon approval of this application, the Building Inspector will rssued a Building Pennrt to the applicant Such pe~,~ shall be kept on the premises available for mspectron throughout the work. e. No building shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupan~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwldmg Penntt pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances . Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authonzed inspectors on premises and in building for necessary rnspections . . . (Signature of applicant, or name, if a corporation) 1000 Cedar Dr., ,ast Marion (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or burlde GeIIeral Contractor . . . . . . . Name of owner of premises James T._ Hughes. . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authonzed officer . . . . . . . (Name and title of corporate officer) Builder's License No 12x988. - HI Plumber's License No Electncian's License No Other Trade's License No _ / 1. Location of tand on which proposed work will be done .2~U ~ . J ~!~f ~ , ..T... Priuate Rd, ~ Oriant Pnt:•. ~f F~`t t • • . . House Number Street Hamlet County Tax Map No 1000 Section . V~'9 Block Lot 5ubdrvision Filed Map No .Lot . (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy one family, reaidenee , . Same s... +,~.nl; --,.,i~ b. Intended use and occu anc ~ ~ , . . p y '.,rat wp.- ...+'t~ ~nntA. . . _ . 3. Nature of work (check which applicable). New Building Addition Alteration . Repau• .Removal Demolition .Other Work . (Descnption) ~ 9,990.00 4 Estimated Cost Fee............ (to be pazd on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . . Ifgazage,numberofcazs . 6. If busrness, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dunensxons of existing structures, if any: Front .Rear Depth Height Number of Stones . Dimensions of same stnacture with alterations or additions Front Rear . Depth Height .Number of Stones ~ . 8. Dmensions of entrre new construction Front ~ l.. Rear Depth (O. . Haight Nnmhrr of Ctnnac 9. Size of lot Front 100.00 Rear. 100.0 ~ ~ ~ SS• 7 Set 1957 10. Date of Purchase P . ! .Name of Former Owner , ~$n i Se' F~Y'ih5' ' ' ' ' ' ' ' ' 11 Zone or use district m whrch premises are situated . 12. Does proposed construction vrolate any zoning law, ordinance or regulatron• ~o. . 13. Will lot be regraded ...N 0.. .Will excess fill be removed from premises y 14 Name of Owner of premises .Jame$ ~..Hughes.Address 45'14 21,6th. St.phoneNo.~~8~2~~-15~ Name of Architect Address ....Phone No. zenkowski~ East Marion X7'7-2A6.5 Name of Contractor $7-m. ~ . P....... ..Address . ...........Phone No. . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensrons fro• property fines Grve street and block number or descnphon according to deed, and show street names and indicate wheth interior or corner lot See P~i~ti 5 STATE OF NE OR S.S COUNTY OF ~lj.C..~ $i~..L' . D2 erikD~v~kl being duly sworn, deposes and says that he is the applrca~ (Name of individual signing contract) above named He is the .C9rit~3Ct4x (Contractor, agent, corporate officer, etc. of sazd owner or owners, and is duly authonzed to perform or have performed the card work and to make and Pile th application, that all statements contained in this application are true to the best of his knowledge and belief, and that tl work will be performed m the manner set forth in the application filed therewith. Sworn to before me thrs ,(j ~ q . a- .day of ~.(.~lC.~!//! N~//~ , 19 ~6 Public, . L.a ~ / . ~i.l~~ County , iraury (Signature of applican No. 62.81 6860. 8uHoic Tian OctcMr 81,1 8222 PERMIT ~ iSO~~S Z 13 ~ -----------~I ~ 2-,eee 2X6 ~TU05 284~ Mgt ~ ' n! N ' ~ W N ~J C C A P O F? C rt ~ i • ~o `y Q~,~, ~ ~ i ~ y~ - ~ ~ ~E X i S T l i~{ 6 t-r EA G E P> 1~U '=?Et~.^.Ai tt l~WENDED KI~C~~N ~XT~NTON cp R MR. MRS. Jk~a.~c ~~Gr+~ 5 9 ~ SClt~E : ~~4, = I ~ ' l i ' pLENKDWSK! ~GM~ ~MPR~/eN\e NT 2MpY 9`! SHE-r ~ A