Loading...
HomeMy WebLinkAbout18091-z FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y CERTIFICATE OF OCCUPANCY No: Z-27409 Date: 11 15 00 THIS CERTIFIES that the building ALTERATION Location of Property: 510 CEDAR DRIVE SOUTHOLD (HOUSE NO ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1989 pursuant to which Building Permit No. 18091-Z dated MAY 2, 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 GABLE ROOF OVER AN EXISTING FLAT ROOFED ATTACHED GARAGE AS APPLIED FOR The certificate is issued to HERBERT C BLOORE (OWNER) of the aforesaid building SUFFOLK CODNPY DEPARTMENT OF AEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDMBERS CERTIFICATION DATED N/A Authorized gnature Rev 1/81 rossc 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 ° ~ $ ~ 91 Z Date ...~~Z 190...x. Permission is hereby ted to: ...~~.~~.',....~i1..- to . ct premises located at ..:old..... ........................................................................v. .......................pp............................................... County Tox Map No. 1000 Section. ~Q...... Block ..........~.l....... Lot No. ......s,!..~... pursuant to opplication doted ....7`~,r 19~., and approved by the Bwidiny Inspector Fee S•vv uildinp f for Rev 6/30/80 ~ ' , BUILDING DEPARTMENT TOWN HALL ~~1<I' -`r~ 2 ~ 2U1~ 765-1802 JC, t., r E ' CLU3.Gtri ~ APPLICATION FOR C£RTIFICATC OF OCCUPANCY TOWN GF SOGTHGLC~ ~ - tis application must be ftlled in by typewriter OR ink and submitted to the h inspector W1CE1 the following- for new building or new use 1 Final survey of property with accurate location of all buLldings, property streets, and unusual natural or topographic Features. 2 Final Approval from Eiealth Depc. of wa[er supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4 Sworn statement from plumber certifying that the solder used in system con less Chan 2/10 of I~ lead. 5. Commercial building, industrial building, multiple residences and similar and installations, a certificate of Code Compliance from architect or engi responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ~ro B. For existing bua.ldi.ngs (prior to April 9, 1957) non-conforming uses, or build "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the ap If a Certificate of Occupancy is dena.ed, the Building Inspector shall stat reasons therefor in writing to the applicant. C. Fees 1. Certi.fscate of Occupancy - New dwelling $25.00, Additions to dwelling $25. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $ 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 - .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residen ta.al $1i15.00, Commercial $15.00 Date ~".1..2or~Qoa......... New Construction........... OId Or Pre-existing Building..~i............ Location of Property.. d..........~r~.~AE~:IZ..~~1.1lG. So~TNOLl~ House N1o~. Street Hamlet Onwer or Owners of Property.. S: ~-.~~z7 ...C'-: ~~-.QQg~ . County Tax Map No L000, Section..©.~.~?.....Block.. g9..........Lot..~ Q Subdivision~~~~l~?~-...~t~l~- .............Filed MapQ~:~t-.I.~,ot.4~?`.~.... Permit No. .L~f.Q 9L~d.....Date Of Permit ................Applicant.~X~.~"~L~.: ~lavl Health Dept. Approval ..........................Underwriters Approval............... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...:k...... Fee Submitted: 5: ~ . 9 . APPLICANT co~a~yoy : 1cLD I;~B. EC:;ON ~~U;,TE I~ ~CMMCNT~ - -o 1. ~ a H - H \ FOUNDATION (1st) C FOUIdDATIOlJ (2nd) m _ 2. z L o ROUGH FRAME & c s PLUMBING w H 3. a m m . IIdSULATIOf! PER N. Y. f STATE ENERGY CODE ~ c © ~ r 4, m H FINAL r - ~ O £ ~ Z ADDITIOIIAL COMMEIlTS: ~ cf ' x '-o ~ H ~ ~ a ~ H H ~ O ~ m H x v m ^o H - - - - - - - - - - - TITLE NO 695 00931 o: li ~s4oS, <O P 8 r ~.,~3D.F O~ o~ % ,5' J/ ~ ly,~r es •i T/a fna a~ " f'arD ~ ~~~'O m ~`y Syr e t 00' o ~ s< //RUC < 4 ` 2 O pp~ 4 p b ~ O4• M ~y~ 0 Q °5/S u f T~ b y ~O ~O o~N n < ~ ~ n a ~ M1~ f'o ~o=/ Nn f4d v s4o ~O s430,k' 0 v 00 o ,~o ~o ~ ,o h /2o f'4' y ~ 00' O v / 5~~~/T R~'QD SURVEY FOR REFERENCF SUSAN J RfKER FILED MARYS'D 53AFILE NO 2034 A7 13AYVIEW TOWN OF SOUTHOLD GUARANTEED TO SUFFOLK COUNTY N. Y HOME TITLE DIVISION CHICAGO TITLE r INSURANCE CO. SUSAN J RIKER SCALE ~ 30~ MAR 25, 1969 r LAND SURVEYOR N,YS. LIC.NO P87P5 RfVERHEADLN Y .2A"p' ~,1 c ~,r~' r ry~~if ./rr /S ~1 r a~ P/ ~a F~/< ,~Co,, a~~ ~'''r• f "P/. ~ccuPA~~Y aR ~s u~~A~~u~ ~ ~ ~3~~~~u3 cE~~~~~cA~ ~~~UPAi~~Y - ~ - r~ .f, ~e ~<'CU~ .i~~ M, 2 3S` ~ f , k~ f~ i C o ~e ~ ~6 ~~Sylrr f/ ,T:,..y /mss s6, y ,~,',~'r .4 y,, per// + 1C ed'~ New CD fl ~"ruC~~~U~~-- r ~ ~(j~r~7c /Nn~ R=,r~f~~n~r Dacr Ora t ~ ~ ~ F/~a./ r~r~ ~ v ~L.'~7/dO S+dr~ ~GH)S7rLU C7'vi c./ ~G/757 Y<ce7 Q ~f G(~~c /oar suer CC 7 ~0.~ CI eC..` ~'UGT• ClK Q Uhe CQ/ ~,Q/(G5 B /.fir/,/ dy .GF /.~os9 /r;~. B0.1FD OF HEALTH 3 SETS OF PL.1NS FORM NO. t $URV EY . TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FOR:I ` TOWN HALL SOUTHOLD, N Y. 1I~J71 NOTIFY • TEL 7657802 CALL G~ammcd . `.'~,1.? I~f~q pp .,j MAIL TO approved ..v.%/~'........., 19 Pcrrrtit No ~0.0 ~/,f.~ ~ C"~ I.t 1J IS Disapproved a(c D f ccG . , _ , ,v~~(, ~ TOW6 OF SOUTNOLD uildiRg Inspector) APPLICATION FOR BUILDING PERMIT Date IS.. INSTRUCTIONS a. Tlus application must be completely filled in by typewnter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premtses or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus appl caftan. c. The work covered by this application may not be commenced before issuance of Buildin; Permit. d. Upon approval of tilts applicaiton, the Butldtng Inspector wilt Issued a Building Permit to the applicant. Such germ shall be kept on the premtses available for inspection throughout the work. e. No butlduig shall be occupied or toed to whole or m part for any purpose cvhatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btuldtng Perini[ pursuant to th 8uildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re;ulations, for the construction of buildings. additions or alterations, or for removal or demolition, as herein descnbe~ Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and t admit authonzed inspector$~y~, r~pli ~ building for necessary inspections. e , ~ (Signature of applicant, or na e~, if a corporation) TF, r~!av -s;aw~' "~Ni{I;s:i%r t!~~C' :...!~3!. '~!L'.:=.?'~~"..:~.J. ?'Vt s,. ;7 , i (Mailing address of applicant) a State whether appp'l~t ,~(~,,~w r~/ ~~saRei}t~ ~chttect, engineer, oenerai contractor, eIectncian, plumber or butlde, C~1 ~1'F-s'4 r=: 5..°P?R.~'J3.~C.fiCC`~~ a ~i• r: € . yy~y~ r~x - Name of owner of ~s8s"'. x`j i ~ r~ 2G'~-~'"~-~ fi!(i['l.OllfR24At}:3 ~ , (as on the tax roll or latest deed) IC applicant u a corpp[fptij~ s1~aAECPI~''i~A1'd9 t~'~ia$iced officer. ~8~~ ~~A`, (Name a r~c~p/ Builder's License No i.. C.j ~a. ~ . Plumber's License No. ):?-?Y:-:`.~-:........... Electncian's License No ~?r?:':-:~- Oilier Trade's License No. . i. Location of land on which proposed work will be done. ~G .~~i«~.:._. ~ ~ r~ r ~ House Number Stre~Qiet Hamlet r~ County Tav tap No [000 $~CtiOn .......~.~t....... Bluck Lot Subdivision ` Filed tap No Lo[ . (N.nnc) State existing use and occupancy of premises and intended use and occupancy of proposed cons[ructon• a. Existing use and occupancy c c,_., - ~'.`uc`t%<'~ ''?.%.~..~.~~x..~!?:`~ . • / b. Intended use and occupancy • • •f • • • • •4~ ~z:`• • • ~`zti`.•f"'~• • •4~/~F-G~~ ~ ..L f . c/ ~ 3. Nature of work (check whtch applicable) New 13uil~lmg Addition rUterauon . Reparr Removal Demolttton Other 1Vork . ~ {Dc:srnpuon 4. Esuma[cd Cost ..:t.~ r:v Fee . (to Uc pa[d on tiling thu apphcauon) 5. If dweihn„ number of dwclUng unrts ..•.~4 Number of dwdlmg units on each floor . . If gara,e. number of cars 1... c'~*'t-.° . 6. If business. cornmerctal or mt~ed occupancy, specify nature and extent of each type of use . ~ . . . . 7. Dimensions of existing structures, tf any Front /S. • Rcar /.s. ; • • Depth . Hetcht Number of Stones • C`x.° . Dimensions of same structure with alterallons ar a}ldrttons• Front l~:........ Rear . IIctght ; Number of Stones 4 . ~ ston entire new construction. Front , S, ; , • , , , • . Reat Depth . . Hctght y Number of Stones . . 3. Size of lot. Front . Rear icz Depth . 10. Dace of Purchase ............................Name of Former Owner . . 11. Zone or use district rn whtclt premtses are situated . 1^_. Does proposed construction violate an}• zoning law, ordinance or regulation. . ?::l . 13. 1Vd1 lot be regraded 1:-' .Hilt excess fill Ue removed from premtses: Yes ~ 1` 14. Name of Owner of premtses__.,~;c:~?«><- ,/?/,;,'?-L; • Address s'-~~~E:•:. dS~-:-...Phone No. f.:.:•'.•1d t. Name of Architect .~t,~.~~-G~~:~:. C1..~::^.-f~-.~ . ,Address .~f'~'. r:-.-.. ~:6.,~!.... Phone No. Wes.:. a:i. Name of Contractor . LC/.-r-Y~-t-:..1.~ . L:'~~ss. Address J: x::31..... Phone No.. ?a r:. ! t. 15.Is this property located within app feeC of a tidal wetland? xYES....Nl):... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions frog property hues. Give street and block number or descnptton according to decd, and show street names and indicate wheth+ tntenor or comer lot. APP~~,_.,~D, AS Nal'ED DATE~1~1cpB.P.Ii O / ~ v NOTYFY 8U1 MG D~E•PA AT • 765-1802 9 AM TO A PIiR FOR THE FpLLdWFNCi fNSFECf1pNS: . 1. FOUNDATN)N - TWOREOUNIEb FOR POUREp CflNt~iETf 2. ROUGH - FRAMING i PLtMASSfQ 3. INSULATION d. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR CA. ALL CONSTRUCI'#QN •lIALi. MEET THE REQUIR9NENT>Z Of 111E N.Y. STATiw CQNSTRIiG'11ON >?~Y CODES. N~f RESPONE R1R DEStc~N oR coNStIWCTpN ER71O11i STATL OF \EN YORK, S.S COU\TY OF • • • • • • • • • • • • • • • • • • • • • • • • • • - • • • . being duly Sworn, deposes and says that he is the appltcar {Name of individual st,nutg contract) above named. --yy}} i{e 6 the • C~•r^?y.~;2•r.? c> . (Contractor, agent, corporate officer, etc.} ~f said owner or owners, and is duly authorized to perform or have performed the said wort. and to make and file th 'PPUcauon, that all statements contained m this apphcauon are true to the Uest of fus ltnowledge and bcAct, and that th vork will Uc performed to the manner set forth m the apphcauon filed therewith ~wom to Uctorc me ilia .otary' PubL0. . , (l... ~?n~UdC'....... County ~~/J (/J kFtftt K. OE VOE .....:W r~,hiv.. ~~'f . NOTARY rth)tiL Stag a• tEep York (Signature oC appltcan Ro Aal'~tb SvsJe 6adn ~ Te;rc, Hxpaes [ma~ct; ap, 23