HomeMy WebLinkAbout18278-z 1
Y
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19299 Date AUGUST 16, 1940
THIS CERTIFIES that the building ACCESSORY
Location of Property 275 SOUND AVENUE PECONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 67 Block 2 Lot 7
Subdivision Fiied Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 3, 1989 pursuant to which
Building Permit No. 18278-Z dated JULY 7, 1489
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 AS APPLIED FOR.
The certificate is issued to JOHN T. VARDY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
r
r
Building Inspector
Rev. 1/81
P08~I NO.
TOWN OF SOUTNOLD
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 G~ 8 Z Date 19..~.~
Permission is hereby granted to:
3:20... 5.~
~ ...~.........:~n.~ .............1........
ta ...~%!?.:^-~lksa.c.~.:.....sks:~......Q4:.~?!~0~:~...~~Rx~.Q~C.,r.1^:s.:...:4,at.....~.°~c~:...~.....
AA
of premises located of ...~,7.~....... S?:'.:':rkC s.~?:^..:4:u...............................
County Tax Map No. 1000 Section Block ......Q.?-...... Lot No.....~~...........
pursuant to application doted .......~.~r4,1....~ 19.~.~., and approved by the
Building Inspector.
Fee
..1.~.4t.(. o:'L.
.9.. c
Bui din I for
Rev. 6/30/80
Form No. 6 ,~75 how-.I/4ti~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.1. 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 solder 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
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residentiajl_~ec$~~15~~ss.00, Commerciappl $15.00
:.cw Construction..... Old Date ....S:1~J~?~...~~~..~.19~
Or Pre-existing Building,
Location of Pro ert rr~~ ~ V•~• (~~C
_
P Y•~l.Z~No.'~:~. ~.L.Q~.E ~ ...~V..~1..~~.1:-2 g.
_ f ~ Street ~ Hamlet •
Onwer or Owners of Property... • • . V . • • • ~ '
County Tax Ma y
p No 1000, Section...:
1.~,•,,,,•Block....//•c~
M',nvr ........Lot
v n
Subdivision., c 3 ? " '
~~~~r •11' !.C;t;~,lsy s .S~'J0~'l~~iled Ma p
-ry p..~Is-1......Lot...Iq........':........
Permit No... Date Of Permit..!
. z:... 7 . ~
7 . ~
7• ~ ..Applicantsl.~~L1.~:.~...YQ'f.~~L...
Health Dept. Approval........ /
•••••••••••••••...Underwriters
Approval.........
Planning Board Approval
i .
Request for: Temporary Certificate......... Final Certicate.,~
Fee Submitted: $
e v ~ ~ qq q 9 • • APPLICANT ' E~~~~t ~J............
' TEL. 7GS-1802
5JfE0Ck~,4
0~0 , , Opy 7.'OWN.Or SOUTIIOLD
'jai ~ Orr1CE OP BUILDING INSPECTOR
ti` : z
o ~•~q ,T, P.O. IIOX 728
• ~ TOWN I[ALL
,~Ol ~ ~a0~ SOUTIIOLp, N.Y. 11971
August 14, 1990
JOHN 6 LINDA VARDY
275 SOUND AVENGE
PECONIC, N.Y. 11958
To Plhom This:. May Concern,
We are unable to complete your Certificate
oL~O cupancy because of the following reasons.
/_d/ An application for Certificate of
Occupancy
is not on file. (ENCLOSED)
/=~No Underwriter:, Certificate on file.
/ / Tlie check is ( of on file 525.00 •
No ?calth Dept. l:pproval on file.
No final ins.peclion has been made.
Please contact our office on this matter.
Tha:ik you for your cooperation'.
Dui].di.ng Permit 1 8 2 7 8_ Z '
Uuilding Dept,
. No Plumber 5olcler Certificate on file. ,
( all permits involving plumbing being
.i:,sucd after April 1,19fl4 )
i
•
...u. :ufiv.~}'.`a'"$C--1 `~^C_`.p:), .•..'.rs+~•f•.~3.3.'..
1" LJ_ I;;S: E;,:~u;. ~~U„:~ ~ i;vfiMCNT^. ~ i
1 . _ I -a os
J
_ _ ~ w
H t~
r'OUtJDATIO:! (1st)
?OUIJDATIOtd ( 2nd )
- C~~
- m
`o N
..°,OUGH FRAME & ~
h
PLUMBING
ti
3, y
a
m
IIJSULATION PER N. Y, y
STATE Ef]ERGY
CODE
r^
4 . m
H
t
FZ;JAL
ADDITIOfJAL COMMEI7TS: m`
x
• m
x
..o
!-1
~ V
~
H
H ^0
O
m
~ ~
, y a
m
^o
H
rwt Lin~,t<nm
.~-----_~..-..ta rto~rlvand distinctly all buildinCS, whether existing or proposed, and indicate ali set-back dimensions from
siding ~ji iccording to deed, and show street names and indicate whether
•
. w
- ~ ,n
_
y
_ ~ it>
1 ~O ~
~ . 6
om orders "OUR" QUAKER _ ~ h ~ '
_az~- y8'
T F.F'~~-
y +
~ fZ6~"Z2'-'~
~~-lY~-~J .71"1~~
COUi TYQF....
/
STATE Or NE1V Y K, S•S being duly sworn deposes and says t)zaf _ ~
~ ~ 1........:`~/r../............
the is the applicant
(Name of individual signing contract)
above named.
He is the Q W ocJ f 3'~...: ~ ~1~~..~.'~.~....~1~? ...~J Gc~~~r1 ^,J,,~J .
(Contractor agent, corporate ofl•icer etc:j`
~v
of said owner or owners, and is dul authorized to erform or have erf ~~.'~,_~,ua m ~@ ~ ljal~hd file thin
Y p p Q G~^ihe saiSl wrv"oilc;an ~ F
application; that all statements contained in this application are true,To'°t`t~e'y~e§tGo h9sn~wledge~c~nd.;laelief; and that the
work will be performed in the manner set forth in the application fi1Cd~.tlaarewi(hn= m<"";' ~
Sworn to before me this Y'~a`Y'" ~~Y~"'~'
~ r?
.................day of . 190 . ~ T~,"'
/ 6 ~ ~ ~~@~~,'.»
Notary Public, .~~Li:xt~~7.... r County £ ~ . Bw?P,"`~`~•. aw
i~. - .c~
KtNfltTll CAINCM ~ ,t2
• ktttxa auo~ic, s~,,,. „i nAw rax ignature of applicant;
.#c il-S,roW.EJJ
L`em,nuMC~a E[Uurc r!,~, I9
~y:.
~yt t
i y i~„µW1 {'~A ~?Y~ ~1 ~ 3
7 ~,t , m
a IhYr ,.9 ~'~lVt~tis 1 ~~-..~t~ t,i ,-k,:~f~ t.~ 4~~. 1 t t ~ ~ K. k.
f ~~6 ~ 76S-i8U2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ~ INSULATION
[ ]FRAMING [ INAL
REMARKS: ;
DATE ~ INSPECTOR
B0.1RD OF HEALTH ,
FORMNO.1 3 SETS OF PL.1NS
TOWN SURVEY
OFSOUTHOLD CHECK ,
BUILDING DEPARTMENT SEPTIC FOR;1 • ~ • •
T06VNHALL
EOUTHOLD, N. Y. 11D71 NOTIFY
q TEL,:7G5~7302 CALL
L•xamincd 19~, I .
~j 1•fAIL T0:
.lpprovcd Q. ~ _
191: Permit No: J D ~~~UJ~'-"-~ ~ .
~.,~.7 ,
Disapproved a/c
.
• BLDG. DEPT• .
• .t!Y Sk4 ry'OWN OF SOUTHOLO
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
' Date . 1~
INSTRUCTIONS
a, Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, a•.
:'ets 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 st:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a
=anon.
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 wil] issued a Building Pcnrttt to the applicant. Such
shall be kept on the premises available for inspection throughout the work.
~A
e. No building shall be occupied or used in whole or in part for an ur ose whatevet'pnfiI a:Ccrtificate oC Occt.p~
shat! have been granted by the Building Ins y.P p
pcctor. „
APPLICATION IS HEREBY 1viADE to the Building De ++gg',,l~ "
3uilding Zone Ordinance of the Town of Southold, Suffolk Coumy, NewhYi~sst]ance'of a Building Permit per-.uant to
Regulations, for the construction oC buildings, additions or alterations, or f ~artd other a hcable Laws, O:d:n,,,
Tite applicant agrees to comply with all applicable laws, ordinances, build , e~r'ioval,.or,dcrnolition, as hcre:n deer::
edmit authorized inspectors on premises and in building for necessary ins "'c~e'.,housfng code, and rc^ul
. P°c; at:ors, arc
( g ture of applicant, or n me, iC a cor~or~;ion)
./.~9.J~..
(i)failing address of applicant)
State •whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p1umL•er o: build
\ame of owner of premises ~ • • • • • • .
(as on the taz roll or latest deed) ~ ~ ~ ~ ~ ~
iC applicant is a corporation, signature of duly authorized officer. •
(Name and title of corporate ofRcer)• ~ ~ ~ ~ ~ ~ ~ , ~ . .
Builder's Liccnsc No... , Q L~ ~ " ' `
Plumbci s Liccnsc No . ~ `?i: };t''°' i
Electrician's License No. . , , , , , , , ,
Otltcr Trade's Liccnsc No .
Location of land on whichrr proposed work will beppdone. , , , , , ~u ry~
house Number • ........l':~~.G-o ni 1 G .
S/t•r~cct. Hamlet . • • •
County Tag D1ap No. 1000 Section Block . ~ .
~ Lot,
Subdivision , ~ F.iIcJ 1fa .
p No.
w,me) ...lf, /tom
• Lot
State asisUng use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and,occuaancy .......:5.~~': J1°t: ~~r:~...r,(:.LJ.~
b.Intcndcduseandoccunancy ....:!.t~...•••••....~,;~lf~y,7
i~
i
3. Nature of work (check which applicable
Repair Removal New UuilJing ....Cj~~, ,adJition ,Vtcrauon
4 - y~ • • Demolition Other ll'ork .
Estimated Cost , , , , , , Z ;t9-~ -_..~{r
• Fec r,~,~.
5• If du•clling, nutnbcr of ~wclling units . 7 ®~"JR'I2t ~ (to be paid on !;ling this a • • • • • •
ICgara_e, number of cars 9 ~ ~ ~ Pphquc
• . Number of dwelling units on each floor......... ,
6. IC business, coin ~ • ~ • ~ ~ • ,
mernal pr mixed occupancy, specify nature and extent of cacti t
7. Dimensions of existing structures, if any: Front , ,.2<~ ~ , Rcar ~,Q, YPc °f use N°T; ~ •M),. ~ '
.Number of Stones fJ;V?t••~~' Depth.~J67?„
Dimensions of samct structure with alterations • • " " " " • • • • • • • • • •
or a~tions: Front
' 8. l'isioic~ Ilci_^ht r Rear •
n~jjf~tc new construction: F nt , f p r " • Number oCStories . '
Height . , ,,ie~f,~`.-'( ro .
9. Size oC i • • • r • Nwnbcr of Stories . • • Rcar , lC2 , , , , , Depth • •
10. Date oCPurrhasi~' Rear
1 Zone or use district in n•h;ich premise~~ c situated , ~ ~ ~ ' ' ' 'Depth . 1~ • •
me of Former Owner ,9td! ,t?(cy~ qo~~,
12. Does proposed construction violate an ' '~`~1•~~~~'"t
13, ~Yill lot be regraded 1' zoning law, ordinance or regulation: . /!i,r? • ~ ~ • "
14. Name of Owner ~ ~ ~ • • • .Will excess GII be removed fro • ~ • ~ ~ ' •
of prcmisFs .,,~j ' • • m premise ~u
Name of ,architect ,'iN? ni ~`~e•~L1Address ..'1,7J.. ~Ova;.?,?3-r1 Phone N3'.~~ G
Name of Contractor ' ' ' • • • • • Address , ~ `r• ~F~%•
15.Is this ' ...............Phone No.........
pLOpeLty located within "Address. ..PhoncNo...
*If yes, Southold ~ITown 300 feet of~a tidal•wetland? *yES„..lt0~~
Trustees Permit may be required.
- PLOT DIAGRA,1i
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-bacl; dL:.c::sions
property Gnes. Give street and block number or description according
interior or co~~mcr lot. o to decd, and show street names and '
( indicate wn
~'U
~~sU~AN~y'~ ~ r rim Jay
. TkQIjT Nlq yy~~ ~ I
' !t
I
APPROVEDgS•NOTED~~~~ ~~2,~ ~y~ ~,¢l~'^
oarE:7~7~e.P~a /??a.']$~ ~vJn
I
NOTIFV Rl11Lt)ING DEPARTMENT AT '
7(i5. 1602 A AM TO n PM FGR THE ~ `
FOLLnWING INSPECTIONS. ~ f2yr~
1. FUUNDA710N - TWO REdU1RED p
FOR NOURED CONCRETE 21 `4
2. ROUGH FRAMING Ri PLUMBING t pr
3. INSULATION ~ „2fJ
4. FINAL - CONSTRUCTION MUST
` BE COMPLETE FOR C.O. I ~ { 1
I ALL .CONSTRUCTION SHALLI MEET ~ J t{ r J'~ Z2 1
THE REpU1REMENTS OF T E N.Y. ~)°1
STATE CONSTRUCTION & E~1IERGY ' ,
COOES. NOT RESPONSISL~ FOR
T.1T~~~"NLQ~~~~RUCTIONERRORS S`~U 1
OUNTY OF . S.S
c
(~amc of ind!~du~~~ being duly sworn. deposes and sa s
. ~ • . • • . • •~ning contract
ovc named. t' ~ ,/J ~ Y that he is the applica
(Contractor, agent, corporate officer, etc.) •
maid owner or owners, and is dully authorized to perform or have ' • • • •
;!;ration; that all statements conYainrd in ibis applicaUOn arc true to the best othis knowlcJge and bclicf;and that th
rk will be performed in the manngr set forth in the application fllcJ hcrovithd the said work and to make and file th
orn to before me this
a;,~ Public, .~~~/J~/'~-.
e -l/I'p- County ~a • • • • • . .
Notary Pubiio, Stele of New Yotk i ' '
No.4822683,SuffolkCounty~~ i t ~ (Sign tureofapplicant;
Term Expires December 31, f9