HomeMy WebLinkAbout18095-z
~ FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18040 Date MAY 19, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 600 SHITH DR. SO. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 76 Block 3 Lot 24.1
Subdivision GOOSE CREEK Filed Map No. 1663 Lot No. 59 & p/o
58&60
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 3, 1989 pursuant to which
Building Permit No. 18095-Z dated MAY 3, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate as
issued is DECK ADDITION TO E%ISTING ONE FAMILY D'4dET•T_TNG
The certificate is issued to CFIARr.FC & GLORIA RETTIG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
O'~•-
B da.ng Inspector
Rev. 1/81
rows xa a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING ERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
AO ry
CN'°- ~ $ 0 9 Z Date ~ 19.~.Z.9
Permission is hereby gra ed
~Q~.
°---...~~~~..~~,r-
.
.
~..~t.'~.....~9.....3.-...i.~~'P...........
ct premises located at ....~P..Q.Q..... ~ ~..l~.t.......4!.~
.
County Tox Map No 1000 Section .../.7F?.. Block Lot No ..~.rr..I
pursuant to appiicotion dated 19.~, and approved by the
Building Inspector. ~ / ~
G' o
~y3 p 0
Fee S..
Buil ng Ior
Rev 6/30/80
" ~ TONN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY /un ~j
O~-G°~'~ q~~ ~~-1/'`~--~ DATE.. ~1.~! .1, .
?Pr?y'~ l
NEW CONSTRUCTION ......r.O/,LD OR PRE-E%ISTING BUILDINGj..I...VAlC;A/NT LAND..!_....
Location of Property..{JV.~..~~JT~.I/R.Y~.~~/U~./1~FQ~.~L~./_=•-ll~~./..-..
HOUSE NO. j~/ /1n / ,{STJR~/E'ET~ryp 'y- AMLET
Owner or Owners of Property..~Ll,/ll~SLeS.L'..5~~4'1?~/Y..1_L:.1.T~~
County Taz Map No. 1000 Section ~ 4... Block Lot .~-Zc~._.
Subdivision Filed Map ....._..Lot........_.
( ~~jj > Q
Permit No. .4~~1_~cDate of Permit ~~~i..Applicant
Health Uept. Approval 1!~.n.......... Underwriters Approval..
Plannins Board Approval ../v.~..........
Request for Temporary Certificate Final Certificate Y
lld
Fee Submitted:
1
APPLICANT... kZ:~:l~:... 1. . • .
co ~ ,go~'o
rev. 10/14/88
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NEtd '/ORK STATE DEPARThIENT Of zrNVIRONMENTAL CONSERVATIOh1
ReguF.o.#any A~gaCna Uwit
S.edg. 4D, SUNY--Room 219
r S#any finooh, Ny 11794
(5J6) y51-7900
~6tk~ Stt.~va.-{-a ~ ~-cS~CFPUr~~eS
~-~J ~AIIO wel( LC.NZ I
CGS' A Yt~ ~ Y~l 1 17 2-7
Dean Slr'
A nev.Lew hae been made o5 ,rowc pnopob #o:
L'
ov. S ~3l ~ e~ q ~ ~ ~ U'CV r~(crr-~ D ~ti fv .So ~R 5 1
Cc~rr~ r d F b.o,,r s.e I
Locat~en: ~c~o s 2 C~ee {2 ~ Sou s<m~ aF ScK;(-~, ~v~ ~P g~;~~
5`f S L. , F ~s-r o< 1~(n ~ dal u ~ ~ r'~9~ r..-re. ~(~~-r.: wH Asa-~.~e. a I~Dj Su FE' cv N ~
New Yenl: Sate Depa~:,tmer~t ob Lnv.<~wnme~ Cenaexva~i.on has wound the ~~aneef
~nojeet #a be:
_ Gneatelc #han 300' Sr~om ~nventc2i.e .tida,e wa~Panda.
Landeeand o3 a aubb#an#,iaf man-mad 8#Jcuctc~ne r,..cfrc~rK ~"..15~~K~~a~'gn.eaten
#han 10D' in .2erg#h ccne#nucted p 'on #e September [0, 7~)~
.r
Landwcvcd o% 10' ecntoun e2evaLLon above mean aea Qeve.C on a gnaducc~, rcrluna.~
- a.Cope.
Landward ad #apognaph,tea~ clcea# ai beu65, eX,ibS on dcule .in excc.~a as 10 bee#
.Ln e,2evati.rjn above mean aea Xeve,P.
Thu:ebene, na plp'lunit unde2 Ant%e,Ce 25 (T.Ldak R'ctQanda ob the Env.ihanmen#a#
Con6oJcvati.on Lail) .i,e nequ,ilced 6~nce #Ize phopebak .ie beyond S#ade mandated 1uhc.5-
d.Lction pW[6uart.~ #o #h,i.a act.
~Veny xiucey youne~r
• '~c.,Q~ 1 ~ I~wTM.~.Q,~~-
Fo
Dancek J. Lahk.c.n
Reg~onae Supertv.ieon o~
nn ReguX.ata,.1n-y Ab/~cir,.a '
NcS~r'2'. rtS ~.cc¢ l S vi0 rD~ `Ih~s ~p.rc c`' cx~t-2r~.+~..,4{~~
11JL•RNT:cz `fCsxfL C~„ae/Z iS be;,., de-(ztrv,..rcQ
Tss-isoz
BUILDING DEPT.
tNSPECTtON
[ ]FOUNDATION i5T ( J ROUGH PLBG.
[ ]FOUNDATION 2ND [)INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
-
DATE ~ INSPECTORS ~
BO:1RD• OF HE,\LTH .
3 SETS OF PL.1NS
FORM NO.t SURVEY
TOWN OF SOUTHOLD C13ECK .
BU{LDING DEPARTMENT SEPTIC FORM
' TOWN HALL
~OUTHOLD, N Y. 1171 NOTIFY
TEL.. 7651802 CALL ..?.b5,,..}~,r'l~
~/3 19 ~ hfAIL T0:
Eramtncd . ////f l b
Approved Llr/.c~l.... 19V1. Permtt Nd
Disapproved a/c D
~ ~oz #3
jQ~ BLOG DEPT.
y . . , . TOWM OF SOJTHOLD
AP LIGATION FO~U LDING PERMIT
Date . r~~.. 15 ~
INSTRUCTIONS
a Tlus application must be completely filled to by typewntcr or to ink and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale Fee according to schedule.
b. Plot plan sho~vtng location of lot and of buildings on premtses, relationship to adlotntng 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 this app
canon.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of flits apphcaUOn, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the premtses available for tnspechon throu;Itout the work.
e. No building shall be occupied or used to whole or m part for any purpose whatever unLl a Certificate of Occupan.-
shah have been granted by the Burldmg Inspector
APPLICATION IS HEREBY hIADE to the Building Department for the issuance of a Btuldmg Permtt pursuant to ti
8uildmg Zane Ordmarue of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constructran of buildings, addthons or alterauons, or for removal or demolition, as herein descnbe~
The applicant agzees to~l~~ur~~~p~hcabie laws, ordinances, building code, housin, code, and re;uiauons, and t
admit authonzed mspec t~~ nd to building for necessary ms e ttonsp.
yy : (Signature of applicant, or na e, tf a corporation)
xn r`s~ :~+r~~,a~c ,Ir• try t..., . _
t1F41' /1t~ dA"i 1~ q'' t~A ~ gt,u+ ~ c~ v ..-5~''.! 1 4 ?.:~~Ft~ c /t~,;
BNQtT'ai".ct"+ ~ (Alatltng address of appbcant)
a~3ut otnrt' glo?Te~• • ` `
State whether appbcant t~~~~tta^"eh~; ar httect, engineer, general contractor, electnctan, plumber or butlde,
~pt~l~41J.!"1 ! c7N'sM I ~ i
22~. °
qa le,>r •~''>tx"NiPf+'~+t!):3 - 1,~Y"+'i' A
Name of owner of remises cl •~?i`/fil ~~f <?61!A ~G r` i % /G
.
T93t~s . 4Ki''~~ a9 S ~ (as on the tae roll or latest deed)
Ylet 34+Y' ar. `;aMVJJtIR i• ,
If appbcant is a cgr;}l?r~tton~srgrtSture" cDjbatl~5tor"faed officer
t.,,
~fiaN~>~'t.~.S.u1ItX31N1SADS~"t.~....
(Name and tale of corporate officer)
Builder's Ltcensc No N,~///4 .
Plumber's Ltccnse No .
Elcctrtctan's Ltcensc No.
Other Trade's License No. ...f.:,~ •
I. Location of land an winch proposed work will be done . . .
House Number Street Hamlet q
County T.ta Afap No 1000 Sccuon Block G? y„? Y•, f, , , , Lot /.9~PMt+.°t;
Subdniston ,GooS~....~.(~~'1~ Filcd;llapNo.~a•({k. ~~iC7~ .Lot S`J?tn~ie; uFy,'f~tf(c.
(Name)
State evsung use and occupancy of premises and intended use and occupancy of proposed cons[ntc hon.
a. Eetsting use and occupancy ....~E~!,l7t?J'~('~ .
b. Intended use and occupancy 1~~,1.r0, k?i7
? ~ { e ' ~ , ~
3. Nature of wort. (check whuh applicable) New f3uildmg Addtuon , .Uterauon .
Repair Removal Demolition OihcrlVork~t:rJC.~'-.3~1:'E
(Descnptton
4. Estimated Cost ~ v: ° J.. Fee .
(to be paid an filing this appltcatton)
i
5. If du•ellmg, number of dwelling units N,~~...... Num6cr of dwelling units on each floor . /.lam/}.... .
If gara;c. number of cars ......11~.1/~
6. If business. commercial or mtecd occupancy, specify na[urc and extent of cactt type of use ~f./~, ,
7. Dtmenstons of c~cisung structures, if any Front , , `/,Lt ? , , •Rcar `/.~a:. S Depth , ,
Hctght ...1'Cv.fT.......NumberofStoncs...,,6{?c;,,,,,•
...r,...........
Dtmenstons of same structure with at[crauons or addthons Front . ~ Rcar ! .
Depth . Hctght Number of Stones , . UNr' . •
Dtmensto entire new construction. Front .Z~. , , , , Rear , .2,5 - : ; ; Depth .ll, ~ , ~4? ; , ,
Het;ht .~~:-...,/V.~.....NumberofS[ones....!v~/.9',,,,,,,,,,,,,,,,,,,,
9. Size of lot- Front ...~.,5. ` Rear ~
10. Date of Purchase Depth ..Z!fa•.(~....,....
7 S.. ...Name of Former Owner ~YK:A1 .
1 1. Zone or use district to tvhtclt prcmtses are situated ....G ~ N~.cr • • • • , , • • , • • • , , , , • , , , , , , , , • , • , _
12. Does proposed construction violate any zoning law, ordinance or regulatton• .../.'t~U.
13. Nill lot be re.raded ....,KY ZVtll excess Gll be removed from prcmtses: N~~ Ycs i
14 Name of Owner of remises (•i1Al, 6 Gtva{n,~TT7 r / , ....Phone No. Zlo.x ;-~S?
~l.. .
p ..G...AddressGrrs~Tir[r~•7! ~
Name of Architect ...N/.A . .Address fr?".~.'.t°~!? ....Phony, No............. .
Name of Contractor ...~1/.R, , , , , , , , , , , , , , , , , • ,Address ...................Phone No............. .
lS.Is this property located within X00 £ect of a tidal wetland? *YES_x_.NO__..
*If yes, Southold Town Trustees Permit may be required.
_ PLOT DIAGRAM
Locate clearly and distinctly all buddtngs, whether extshng or proposed, and indicate all set-back dtztersions frc
property fines. Give street and block number of descnptton according to decd, and show street names and tndtcaIe wheth
intenor or comer lot.
l~s ~d
DATE ~ R.R N 04S ""l
NOflF~~ AT
786-1802 8 AN! 7p 4 FAA POR THE
' FOLLOWSNG INSPECTIONS:
1. FOUNDATION TWtOR[-QUR1E0
FQR POURED flONCRETf
2. ROUGH - fit/IAAfNG i KUMAING
9. NdSULATION
4. FiNAI CONSTRt1CT10N MUST
BE CONIPL£TE FOR C O.
AU. CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N Y.
STATE CONSTRUCTION 1!t ENERGY
CODES. NOT RESPONSiBtf FOR
DESIGN OR iX1NSTRUCTION ERRORS
ST,ITLOF\Et6'Y'ORi:, SS
COUNTY OF . . .
• • • ~ • • • • • • • • - • - - • • • • • . • . , bang duly sworn, deposes and says that he is the applica
(Manic of individual signing contract)
above named.
iictstlte
(Contractor, agent,corporatc offtccr,ctc.}
~f said o+vner or owners, and is duly authorized to perform or have performed the said work and to make and file t]
'pphcanon, that all statements contained to this appitcaUOn arc true to the best of lus hnowicdgi: and baitcf, and that t
vork writ be performed to the manner set fort(t to the appltcauon filed thcri:wuh.
>worn to bctore me this
...........3 dayof......)??... 19 ~9
•otar}• Pubhc, . , i:t'~?-rl~+f~ ~ . Count _ -
D, ~
•
NOTARYPU
tBtGut~NnvYak (signature oCappiicat
Na 4707878, Sutidk Garrity
Tenn Expirex M=rtfi 30,18__