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Home My WebLink About18269-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218315 Date AUGUST 28, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 545 BIRCH ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 02 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1989 pursuant to which Building Permit No. 182692 dated JULY 6, 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 ACCESSORY SHED IN REAR YARD. The certificate is issued to JAMES J. KIERNAN ' (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A LLG Li Bui ding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218316 Date AUGUST 28, 1989 THIS CERTIFIES that the building ADDITION Location of Property 545 BIRCH ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 02 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1989 pursuant to which Building Permit No. 182692 dated JULY 6 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JAMES J. KIERNAN (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 8/28/89 ' PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 rosat xo. 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~ $ ~ ~ ~ Z Date .........~..~-1r~.....~ 19~.~ Permission is hereby granted to: l~!1r4..... ..r~.~R~~t'! a:'~...... ro ...1:.R.?'1::aA1.1~3.:c~.:....UC!a....~v.Q!:..~...Al......~.....:...?.!~!~r.!~ ..lf'...... .Jw ~Qi at premises located at ...~~5.....•~.~':4~.......~~l., ..............1.J. ...........................................................................qq.................................................................................... County Tox Map No. 1000 Section .....~.J...1....... Blocgk .......~.z-..... Lot No....~...1 pursuant to applicotion dated ......~..d.A1.!'lR........~..1 19.~.~., and approved by the Building Inspector. ~ 'i Fee $..~s.i . Building Inspector Rev. 6/30/80 a o ~ D ~7 , . TOWN OF SOUTHOLD "'tl~~~ tilt BUILDING DEPARTPIE NT ~ 2 C~ fi TOWN HALL SOUTIIOLD, NEW YORK 11971 6LDFSDEPT. 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE NEW CONSTRUCTION .......OLD O/R~PRE-E%ISTING BUILDING......VACANT LAND......._ Location of Property.:~.~~/: _ _ 54r/Th`'o~f~_ . _ Gr r`' Z/ HOUSE NO. STRE~E-T~ • • • HAMLET Ovner or Owners of Property....~~,f°,~,,,,:~„f~ihR~/,~_____________ County Taa Map No. 1000 Section . Block Lot Subdivision Filed Map ........Lot.......... Permit No. ~(0.~,..Date of Permit ..........Applicant Health Dept. Approval Underwriters Approval......,....... Planning Board Approval Request for Temporary Certificate Final Certificate a~'= Fee Submitted: APPLICANT.. ...........~a.~'Jj 21~3~~ 3~ I DI ~i~~~~y rev. 10/14/88 p ~ ~ ~ f~ . ' TOWN OF SOUTHOLD ~ BUILDING DEPARTAfENT ~ TOWN HALL • SOUTHOLD, NEW YORK 11971 ~ d 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE NEW CONSTRUCTION ......,OLD OR PRE-E%ISTING BUILDING.~.pACANT LAND........ Location of Property.:S.~s,,,,,,,,,,~~!@G~_~/~._._._....?ociill~0z-~ HOUSE NO. STREET ..HAMLET Owner or Owners of Property....,.~~`~~s,,,,~,_/~.lL_/'~'~/f'~.__._____.., County Taa Map No. 1000 Section Block ...2 . Lot Subdivision Filed Map ........Lot.......... Permit No./,0 ~ 6~....Date of Permit .........,Applicant Health Dept. Approval Underwriters Approval....,,,,,,,,, Planning Board Approval Request for Temporary Certificate Final Certificate d Fee Submitted: $....~5~ _ / ryry '8 2j~5 APPLICANT.. . 3 fr(~ I ~~~~/~y rev, 10/14/88 ~ 1. -,.c i:-. cLD 1. c ~~U„,~ ~ ~OMMENT~ _ a i I 1. m o4 _a SL, H o _ _ . y ..9 OUt]DATION (1st) `I o ~ ?OU1dDATION (2nd) _ _ ~ z ° U~ ROUGH FRAME & PLUMBING ti 3. ~ ~ m IIJSULATIOAJ PER N. Y. y STATE ENERGY ~ CODE r 4 . ^r o 7 y ' liter FI;JAL ~ ~i0 o ADDITIOPJAL COMMENTS: m x~ _ `~-fi. m x ^o H 1 ~ 9 H "Q O _ ~ ' / H S b m -n H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~INAL REMARKS: .~~G~ - DATE ~ INSPECTOR it ~ . li I I I 'I ~I I i li II `~~)'1 II CS I~ W i r~-+a'` L~ azW~ ~ ~ V H ~ ~ ~ 0 O~ ~ ~ y~y ~ Q S W 2 Vl LLj > ~ y Q i ~4 OC ~ W Z o Q dI ~ ~ • ~ CC ~ ~ ~ ~ W LL ~ ~9o LL oWd ~ Jos„ mw .r~ 6~ y W ih Q F U Z 1- ~ `gtaz~c~ic7 ?U~O~Oa ' ~y ~ ~ QOGQW 2Z ~02~FUe1..~V1~ ii ~J o _ gc ~~z2O~aowUU~7~~z ~ 0~ ac O ..r ~ ° * ~ 2D S~ ~ V1azZ¢ ~z Q L= ~OLL ac?LLm~wQO~j ~ LL2PIL fV tO Ct QF=--SAOD i i ' ~ ~ ~ I BOARD OF HEALTH , r p 3 SETS OF•PL.\NS•;::::::::::: ,tljlt FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK 29 ~ BUILDING DEPARTMENT SEPTIC FORr1 . . TOWN HALL BLDG.DEP'f. SOUTHOLD, N.Y. 11~J71 NOTIFY - TOWNnFSOUTHOLD TEL.: 7651802 CALL . Examined... ~.4, 19~~gg q MAIL TO: .\pproved , 1941. Permit No.~ g°? ~ f,'~ ' Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................15... INSTRUCTIONS a. Tlris 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 ar 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 par[ 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, nd regulations, and to admit authorized inspectors on premises and in building for necessary ins ions. - ~gnantre of ~ aunt, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, geneial contractor, electrician, plumber or builder. r , ............:"~~!!z'~`:'~::... ......`...........pPPROVEQ_AS N0T£p Name of owner of premises . ~ ~i~r-o.,~-~-~ ' DATE:. 7/b~ B.P N ~e~ (as on the tax roll or la~ ~ ` ~ ' 1 UILDING OF€'ARTMEh T P,T } IC applicant is a corporation, signature of du]y authorized officai~ 765.1802 9 AM TO 4 !}nn rOR 7ME ~ - FOLLOWING iNSPECTIO~\;5 t. fOUNOATfON TWO REOUIREO (Name and title of corporate officer) ~O4J~~~ FpR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING Buildci s Licensc No . r..... Q,~~Q. 3. INSULATION ~;~w~'t~~` e~ '4, FINAL'®• CONSTRUCTION MUST Plumber's License No . ...............r~.... ~ ~ 8E COMPLETE FOR C.C. ° ~ ALL WNSTR(lCT1pW SHALL MEET a Electrician's License No . ~ ~,~~0`~oc~' THE REOUStt7VlENTS of THE M.Y. 87ATE C~MiSTRIJCT1pN ~ ENERGY Outer Trade's Licensc No . W0611. Ndt RESPONSIM.E FOR ' ~ ~ ~ DESION 0tA CONSTRUCI'IpN ERRORS 1, Location of land on which proposed work will be done. , ' House Number Street, Hamlet ~ ~ ~ ~ c t- County Tax ~1ap No, 1000 Section Block 2 , , , , , , , , , , , Lot Subdivision Filed ~fap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy ofpproposed construction: a. Existing use and occupancy .j~.G~? - ° b. Intended use st ? ~~~t"' and occupancy ......................................../,W;..`~~i~9rr............. azure of work check which P lapplicable): New.Uuilding Re air •~noval Demolition ! 4. Estimated Cost 1.~,~ ~ , , cicription) Fee.....,..,/. ? 5. If dwelling number of dwcllin (to be paid;on 17!ligg this application) 'g units . , , , , , , , Number of dwelling units on each. Moor , , , Ifgaragc.numbcrofcars ...i.....`:-: 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , , • 7. Dimensions of existing structu~cs, if any: Front , , ;7, j Hcigltt , . r Rear ?.3....... Depth . G .Nu~mbcrofStorics. A r Dimensions of same tructurc 'with alterations or additions: Front 7,3 ' ' ' • ' ' ' ' Depth Rear .....7, . • • . IIcight . . Nurnbcr of Stories ..J, , ~ ~ ~ • ~ ' 8, Dimensions of entire new constnrction: Front . 73, ' ' • ' Height , Nu~nbcr of Stories Rear , , , , ,Z.~....... Depth . 9. Size of lot: Front /o'D ~ . 10. Date of Purchase 7! Rcar , , , , , , , , , Depth ~3o°~"a ~ ' ' ' ' ....Name of Former Owner ....fem. !S • ~ • 11. Zone or use district in which • • • . YQemisesaresituated.,,,,,,,,,,, •t'• l2. Does proposed construction r 'late any zoning law, ordinance or regulation; .^r~ • • • • ~ ~ • • ~ ' ' ' 13. Will lot be regraded /Y~? , ,Will excess fill be removed from premises: Yes o . .Address ~.~~~{K« O -5aur~taa Name of Architect P ~ ~eEYliVif.~/ .......•---i---...........Address ...................Phony. No............ . Name of Contra ofor remises : ; • Address , - ..Phone No... 15.Is this property located with in~00 feet oP a tidal wetland? *YES....NO.~:~~ *If yes, Southold Towa Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alb buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockl,number or description according to deed, and show street names and indicate whether interior or corner lot. ~/I/1~~"/~/0/~ 9:Z ` ~ a, , u3 ' ~ i 9% ~ ~ O .`n' M V ~ i/` 2G ~7 /oa' I ~ ~ ~ u i ~1 s°~,uovi6w ~ J312 ctr R ~ f~.~,~, ~v.= ° IT G ~ _ ~ ~ STATE OF \E\V YO)tl~, r 3sse`e ib ~ ~ ~ ti COUNT.fY ~Fi .i.)•". r = ef4;t,l:asj~t,~k5#3~~$~6~e = ' ......`r 7iiY ~fJ ~ p{`zfi~,SfiitS`4i#i 1~1' ~ ~e' ~p3 4 ~4y ~ 3J.'~1Ati< • • • • • • • • ~~i7t~iluly sworn, deposes and says that he is the applicant above nditrrc~i..i.1~1~#P:~~~t~i~Sn~~ptract) ;~riit;?W~ a~#'IfT~LT#'tYltV4Da 4i~ 1:#Bt ~t1 (Ieisthe .......................1........ (Contractor, agent, corporate officer, etc.) • • ~ ~ ~ ~ • ~f said owner or owners, and is duly ;authorized to perform or have performed the said work and to make and file this =PPlication; that ail statements contained in this application are true to the best of his knowledge and belief; and that the ,vork will be performed in the manner sa forth in the application Gicd therewith. sworn to bafore me this I •...........R~.~...~.....da~y of./.~',...~.J..... . 19~!• ~otary• Public, , , , , ./,1,,, , ;(JR; l/L9-~,.-..U..... County HELEN K. DE VOE NOTARY ptIBLIC, State of New York No. 4707878, SuNolk Count (Signature of applicant) Term Er lens Mainh . • • • D 80,19