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HomeMy WebLinkAbout18232-z ,V FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22388 Date JUNE 15, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1630 CARROLL AVENUE PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 1 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 1989 pursuant to which Building Permit No. 18232-Z dated JUNE 19 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & PATRICIA NULTY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - JUNE 10 1993 PLUMBERS CERTIFICATION DATED N/A ~~i~ uilding Inspector Rev. 1/S1 rosai 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 ~ 8 ~ ~ ~ Z Date ../~!/.l..l 19Cd.~ Permissio~n,.Iis h~ereby'g~r~~an---t-ed to: _ O ~ ~~..~fl ..Q!/..`.er................. ~jJ L/ 3f ••~'Jl'.liCr... ylr.././...G... to ./.~+FAA.....le/%...,~6y~i~.~.~.~r.~... V~~~'~~..a'~.~.t~~.~..,7....!lQ.....!r!~ .....tee. 'n~ . at premises located at ..~~..°+.f..Q........ .......~t.~/..•.~ ..................................................~,,f..~,!~G~............................................................................... County Tox Map No. 1000 Section BI«k .............GL~ot No. 3.................. pursuant to application dated .........6~r~',,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 19.,1.., and approved by the Building Inspector, Dg Fee i B i g Inspector Rev. 6/30/80 Form No. 6 ~`,r" % ~ ~ TOWN OF SOUTHOLD ' ~ BUILDING DEPARTMENT /G 7 j +1~{y ? 4 {'~~`3' TOWN HALL 77 765-1802 ~ 6 r~~S~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted 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-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the soldeF used in system contains less than 2/10 of 17 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-existing 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 Building - $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 New Construction. v~-5.,,,, Ol~dy Or Pre-existing Building „ Location of Property~~:~..Y:~}~'.°.'~.~/t~!~:...~~:~e;C2S'"2...~@Cb/?/C~F/!~~/':. ~lg,l'~J House No. Street Hamlet Onwer or Owners of Property. , „(J.yD P~~"p(G /~PS(~:C~..... . ~ounty Tax Map No 1000, Section.,./.'r........Block....1...........Lot..:' iubdivisio/n ...Filed Map............Lot............ 'ermit No /.ap~:3~.,,~,,.Date Of Permit.CO.l~f(,~~,,, ~t~~'1Q~ r/~~,....,. .Applicant. ,f Iealth Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval .equest for: Temporary Certificate........... Final Certicate...!!,,.,,, ee Submitted: $ C3.-e~c. ~f~a ~1 . CA2ROLL AU~NUE ~ L O _ N 32`50 IOW. ~ ~ 407.0 r?OOt +o N Rd p, f 1 O ~ tc~ ~ 1. R. 2 -y- A o U ~ 1' a 2 = ~ N D 22' I'I p~ ~ , StoYy m ~ n D PI m O R°' c.~..,,e Nouz~ ~ ~ _I D ~ 71 a6'- ~ Z Z ~ N ~ Z ~ Z o 2 ~a?' ~ ~ A ~ N o o p~ n ~ ' Z 0 A ~ o o D ~ O * n t` - 0 s Q T 4 n m ~ ~ nl j~f/~~,U~o s Fi'(?C`1K~ ~ ~ Ali I', ~ \ 6~~p ~ ~ F 4 ~`fQo~ ~ ~ r ~ 1 ~ + ~ - - ~ Q L 10 ~ k _ S 31"3040"E. 106.50 - - - - r N~ < c n " i U~ ^11 ~wa+m 3m ~ z ~~K; .,w U ~ L ~ N it ^ ~ ~ 7 ~ iJ iv 1~ G 1'l~a y~©Z i 6 j S 0~~1,~ffiu'~ may' n 4 as ~ s u -1- 1sa3r~~ co~a~3~'p' THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,nrf: ~ aell~ns~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Ji1Nli li1,7993 q f %11(994F3f3=3143 qpAO PPliwtion No. on ile fl {ij 3 ~ Mw 2 I THIS CERTIFIES THAT i only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JAffES OUf,TY, lase rsAltal:,t.t= nvhuu~t ITrcofll:r,, r~.s>. ~I in thefoGowinp location; 0 Basement ? 1st F'l. ? 2nd F'l. Offs Ser[ion Rloek Lot was examined on `3UNe 1m, 197:i andfourzd to be in compliance with the requirernerzts q(this Board. FIXTURE gCEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER PMi K W. AMi K W. PMi K W AMT. K W AMT. H. P 7 l7. J 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS REtt UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H. P GAS H. P AMT NO A. W G. AMT. pMP AMi gMPS. TRANS. AMi H. P. SYSTEMS NO.OF FEET AMT wgTTs 5@RVICE DISCONNECT NO.OF S E R V I C E AMT. AMP, TYPE METER I NO.OF CC COND q, W O, EQUIP. ~ ~W' I R 3W 3 %JW 3,e' 4w pER % NO OF HI-LEG A. W G. OF CC.COND OF HI-LEG NO. OF NFUTRAIS OF NEU PAL OTNER APPARATUS: eft9~zo-~ G.1~.f,.Sz-i JftftES fdtILTY ® C~~%~ `I l'.0.130X 25'L ~ PECONf;C, NY', 11968 GENERAL MANAO@R It This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors ma~be identified by their credentials. - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE LTERED IN ANY MANNER. INSPECTORS <az._t Victor Lessard ' ;~-UfF~(~ 1 Principal Building Inspector a~i:~ _ ~ ~ Curtis Horton ~i r'~~~ SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ ~ ~',nr,; -`y ~ Southold Town Hall Thomas Fisher i$, 1 ~ ~ y Building Inspector - i.a~ - P.O. Box 1179, 53095 Main Road Gary Fish a Southold, New York 11971 Building Inspector ~ ~ ~ ~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector ~ Robert Fisher ~ ~ ' Assistant Fire Inspector OFFICE OF BUILDING IN5PECTOi, ' 'i Telephone (516) 765-1802 TOWN OF SOUTHOLD n~ e: - MAY 26, 1993 s;e SAMES N1II.TY 1650 CARROLL AVENUE P. 0. BO% 252 PECONIC, NY 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) %%x No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18232-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. INSPECTORS «Q.- ~ ' a Victor Lessard ~ sB(~r Principal Building Inspector }~~~,3" ~ Curtis Horton llu'e~'s ~ FS SCOTT L. HARRIS, Supervisor Senior Building Inspector r± rya ; < • Thomas Fisher ~ t~i Southold Town Hall Building Inspector .:rv~' P.O. Box 1179, 53095 Main Road Gary Fish Southold, New York 11971 Building Inspector , Y ' Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MAY 26, 1993 JAMES NULTY i 1650 CARROLL AVENUE P. 0. BO% 252 PECONIC, NY 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) 7~x No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18232-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. icLD r,:s:°~c::ua pu„~E q cokMCUrs m ~ 'OUIJDATION (1st) H 'OUNDATIOIJ (2nd) - - O,~ z o TOUGH FRAME PLUMBING Q ti 3. ~ m m LIJSULATIOII PER N. Y. STATE ENERGY COpE m r ~ ~ i. H FI;JAL - o ADDITIONAL COMMENTS: ~ x . r=r x ~o N . 9 H ~ O r H S O. m ro H J 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: 11 1 DATE ~ J INSPECTOR Z- Tss-iso2 BUILDING DEPT. 1 NSPECTION FOUNDATION i5T ( ) ROUGH PLBG. FOUNDATION 2ND (]INSULATION [)FRAMING [ ]FINAL REMARKS: ~~~~~~y~ ~ _ DATE ~ 02 INSPECTOR ~a~ Z 1 ° ~ 3 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ~ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION J FRAMING [ ]FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. ~ 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: a' / , o G~~ DATE INSPECTO BOARD OF HEALTH 3 SETS O~PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CFIECK . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11D71 NOTIFY TEL.: 765-1802 CALL ..~3~~:yr'.?:~. ~~j Examined ~.I 19~!~.j: /Q MAIL TO: Approved . 19`-'/. Permit No. !.0 ~`32 . ~ ~`y f~' ~je Disapproved a/c t ! L.~,`~-a lJ l~ ' JUN x'51989 . . • ~ n j Hl-D~. GEPT. Buil 'ng ns ector TOWN (}F SOUpyOLD 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 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 Re;ulations, 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 [o admit authorized inspectors on premises and in building for necessary t s ectians. Signature of"applicant, or n e, if a corporation) ' (Mailing address of applicant) State whethenr ap~ptlican`t_iso~w-ne`r, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~91~'1~:Q . ~ . VV (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . ~ ,O. ~ . $,~],g (-E . Plumber's License No . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ' House Number Street " " " " Hamlet County Tax Map No. 1000 Section Blpck / Lot Subdivision Filed slap No. Lot . (Name) Slate existing use and occupancy of premises and intended use an'd`,'^oc^~c^~u'~~pa~ncy of proposed construction: a. Existing use and occupancy . - " "w0•" ..•L,~o~ • ~ uT v,, b. Intended use and occupancy ..5~(`~'• • ~ i 3. Nature of work (check w•h Rh applicable): New E3uilding Addition . Repair tmoval • • • • • • ~Vteration . • • • , . Demolition Other t4ork . 4. Estimated Cost . ;4,~0 Ire , • , • • . (D~scription) Fee (to be paid on filing this application) 5. If dara'le numberof carswelling units Number of dwelling units on each 11oor........ , !f ~ ~ , 6. If business, commercial or mined occupancy, specify nature and extent of each type of use . 7. Himhisions of existing stru Nures, if any: Front , , , , , , , , , , , , , Rcar , , , umber of Stories , • • • • • • • • • Depth • Dimensions of same structurc'',with alterations or additions: Front ~ • ~ ~ • • • • • Depth . Ilcight . , Rear . Number of Stories . 8. HLmf isions of entire new c N gtruction: Front Rcar , , 2, ~i , , , , , , , ,Depth ,2, 2., • • = tuber of Stories . 9. Size of lot: Front Rcar.............................................. 0. Date of Purchase Name ofFormcrOwner 1', Zone or use district in which premises are situated , , , , ' ' ' • Depth 13. Nill lot be regraded olate any zoning law, ordinance or regulation: ~ • • • ~ • ' ~ ' ~ ' ' ..........p ose co~ struction vi • • • , . • • • . • • • • • . • • • Address ...................Phone No....... . \Vill excess fill be removed from remises: Yes 4. Name of Owner ofor remises : i Name of Arch~t p _ Name of Contract I ' ' ' ' ' ' ' ' • • • • • Address ..............Phone No...... . ........Address . 15.Is this property located within ••••••PhoneNo........' X00 feet of a tidal wetland? *YES....NO.,:. *If yes, Southold Toci,n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly a;l buIldings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to decd, and show street names and indicate whether interior or corner lot. 'I , II I . STATE OF NE~V Y'ORfi, ~ COUNTY OF Si.S °ni:~. ' ' ' • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant . • . • • • • • . ~(N'amc of individual si•~ contract) ~ ~ • above named. I~ [Ic is the (Contractor a en , g t, corporate officer, etc.) authorized to erforrnl.•........•..•••..••.••..•••••.••.•.•.•••,••••• tf said owner or owners, and is duly p , or have performed ttte said work and to make and file this 'Ppbc.ahon; that all statements contained in this application are true to the best ofltis knowledge and belief; and that the vork will be performed in the manner set forth in the application lilcd therewith. nvorn to before me this • ~ day of , 19~~, rotary Public, , , , , ..'w, .,?-,~j,~/t~ County ~!ZGk NO7gRY PU L C~StOote of Mew YorM . • No.47078%y,SuPfoipCogMy (Signet re of applicant) corm Expires ~1a~ch 30,19_„/ I CA2ROI~.L A~/ENUE I O - _ N 3Z SO IOW. 107.0 ~-7oo±+oN Rd m ~ o ~o a ~ i = ~ ' o z~ ~ c D ~ m ~ ~ ~ a i , s+oY,~ m ~ c.~.,,e tious~ Z o n Z o z ~ o ~e A o ~ ° ~ ~ w. 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