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HomeMy WebLinkAbout18420-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220112 Date JULY 25, 1991 THIS CERTIFIES that the building______ T ADDITION Location of Property 2885 INDIAN NECK LANE PECONIC House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 05 Lot~14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 1989 pursuant to which Building Permit No. 184202 dated AUGUST 22 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 BARN. The certificate is issued to PETER STOUTENBURGH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NLA PLUMBERS CERTIFICATION DATED N/A ~ _ B ilding Inspector Rev. 1/81 I , FOSM IJO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ y~ a c~ at premises located at ~.....ll..c.?~....../ ..................................................e~.~t9. ~~..a.................................................................................. .................................................................cc....//......................................................................................... County Tox Map No. 1000 Section .....Q..!€t........... Block Lot No.......~.~.r2... pursuant to application doted 19........, and approved by the Building Inspector. ~ ~r Fee $..c,'.~..~ ~ . ildin Inspector Rev. 6/30/80 ~I Form No. TOIJN OF SOUTIIOLD ,n`\Lv/('7 ~~,~ti~~ BUILDING DEPARTMCNT U ~ TOWN MLL gas-1BO2 ,JlN, 2 31991 " APPLICATION FOR CGRTIPICATL OP OCCUPANCY yp~Nl'p~ SOUTt~r)~ This application must be filled in b t ' ~ ~ - " inspector with the Y YPewrifer OF; zP71c and submitted to tFie building following; for new building or necJ 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 C,;mpliance from archi_ect or engineer responsible for the building. 6. Submi[ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 19x7) non-conforming uses, or buildings and "pre-existing" land uses: 1• Accurate survey of property s}towin;, all property lines, streets, building and t unusual natural or topographic features. ( 2• A properly completed application and a consent to inspect signed by the applicant. Zf a Certificate of Occupancy is denied, the Building Inspector shall state [he ~ reasons therefor in writing to the applicant. 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 $15.00 Date ^^w Construction.... Old Or P e-e " ' r xisting Build ng „ xation of Property~gg;s,_ ~IJ~)~ N~~ ~~p...,1p1B.•~•~~'_rGlt~e 2Iausc No. Street 4~ ' Hamlet twer or Owners of Property~G,~~;~„~y'~c~,~P,~ ,unty Tax hlap No 1000, Section...,,~~ ,,,,Block.. .......Lot..l Z bdivision.. " " " QQ''~C .Piled P1ap•• .Lot.. .Dale Of Pcrmi.t.. APplicanLi-: ~~1~N ulth Dept. Approval........., '~CC)~2 ................Underwriters Approval............. ginning Board Approval J ;uest for: Temporary Certificate..,,....... / Final Curticato„ Submitted: s. C'o z ao ~.z 7/ / C ~ z a o% ~ _ ~s y~~ 6a s, APPLICANT ~JF Q r~ TEL., ,7G5-1802 o ~ X Opy TOWN OF SOUTIIOLD , '{,a, ~ OPFiCE Or BUILDING INSPECTOR ~ P.O. BOX 728 y ~ ~ 'CO1VN HALL oyo~ ~ ~ao~- SOUTHOLp, N.Y. 1 1971 JULY I5, 1991 To 41hom This May Concern, We arc unable to complete your Certificate oL- Occupancy because of the fallowing reasons. /g~ An application for Certificate of Occupancy , is not on file. ENCLOSED / / No Underwriters Certificate on file. / RJ$ Ttic check is (~~1CR~$$~N/not on file. ) $25.00 No Ucalth Dept. Tapproval on file. /_I No final i.nspecCion has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 18420Z Z BARN ADDITION Buildi.ncl Dept, No Plumber Solder Certificate on file. ( al.l permits involving plumbing being .issued after April 1,19B4 ) -1ELD I;:S1'EC:iU;J ~~U„.n OOMM€NT° ~ 7. ~ _ a FOUIJDATION ( 1st ) ~ FOUNDATIOII (2nd) 2, O z M P.OUGH FRAME & ~i PLUMBING H 3. ~ m m • ~a IIdSULATIOII PER N. Y. STATE ENERGY CODE x 4 . y ' ~K FI;JAL ~ ~ ADDITIOPIAL COMMENTS: x~ ~ ~enE . 'T1 N~ F-1 N 9 H f H O Q m • r H - ~ . C7 ~ f tT7 b H • i BOARD OF HEALTH 3 SETS OF FLAN ' FORM NO. 1 SDRVEY f ~ ~ ~ ~ ~ ~ ~ ~ ' TOWN OF SOUTHOLD CHECK ~ ~ ~ ~ , BUILDING DEPARTMENT SEPTIC FORM TOWN HALL - SOUTHOLD, N.Y. 11971 NOT --72~ ~J - TEL.: 765-180 CAL [ cJ ~ ~ , c c~ . . Examined . 194.! ~ MAIL T0: . Approved ~~z.~ 19~~?. Permit No. f.~ 1. ~ ~ - tltt ``fi~gg i%U Disapproved a/c ~ RUG - 9 Imo. ~Ll3ui n; nspector) TOWN OFSOUTFiOLD APPLICA/TI~ON FOR BUILDING PERMIT Date r6,/..Q........., 15~°.l INSTRUCTIONS a. Tltis application must be completely filled in by typewriter 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 premises or public street: 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 pf 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.' flte applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tdmit authorized inspectors on premises and in building for necessary inspections. " (Signature of applicant, or name, if a corporation) .3475.lh~1:n~. N~.c\~.~,n~..,Jf~econi.4...... ' (Mailing address of applicant) tt State whether applicant is owner, lessee, 'agent, azchitect, engineer, general contractor, electrician, plumber or builder. 1'~~, '=r.~......r :,Y;7;2 .~s ~~ev~'G'C~4:~; ~L~,e~n~ro,~~o,l,' ni4h1f3Fdllar(•di ":4'+; d,~l il• u:'.,>t; Vame of owner of premise~sS~ ~e.~'~~°'# ,S;Fo~-~~>•.~0~ r` , tgkli5ll tArJ~'~'i~'^i:"`~F"+ ~ ~ (as on the tax roll `~or latest deed ft :7 fdt t:a ~T3 1<~,;y}r t,) 1}. ~ ) f applicant is a cofgg?~ttiApAbfgn~litit~";dABt~lys~il'thbl3zed officer. ~.M 3N'/ i0 F,?TW~ltA:4AfttlS~1~p Ala} ••~,`UAJM~•./.SAIkT9t.1HIZ?+A41~.~LArC-...., (Name pyQp~tit~jlll8i''~te.ydser)B~tl~~°' ' Y.fV1~11~M~' lfnYSV.f ~#iJ 4Rk)s . Builder's License No. .C/./..J`~.~J.~o.......... Plumber's License No . . Electrician's License No . . Outer Trade's License No . . Loca~o~n" off' land on which proposed work will be dotle. ' ~ t ....I.MOIu~h..~?~~~..!~-.~r~...... ' House Number Street\ ~ " ~ " " " " "~~CP.n J ,C . . t Hamlet County Taz hlap No. 1000 Section .....g.fP.......... Black ...:5. , , , , , , , , , Lot : , , , , , , , , Subdivision Filed t`Iap No. Lot . ..lName) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...S.........~.GS :r . b. Intended use and occupancy • • • • • • :~.e~f;ll~lay'~'v~v:t^~' `."~d;l~'~;er;tlq~ C~~~or'~' 3. Nature of work (check which a{~plicable): New Building • • AJdition Alteration , . Repair Removal , . Demolition Other 1Vork . . 4. Estimated Cost Fee (to be paid an filing this application) S. If dwelling, number of dWc!ling iunfts . Number of dwelling units on each floor , , , ' If garage, number of cars • , • . 5. If business, canmercial or mixed occupancy, specify nature and extent of each type oC use . ~ ~ ~ ~ ~ • 7, Dimensions of existing structures, if any: Front . . ~50.~. Rear ~ Depth ~ P.~ Height Number of Stories ....~"%R• ~ . • • . Dimensions of same structure with alterations or additions: Front ..~i7:. Rear . , ; ~ t • ~ • Depth !^pa IIeigh . t . t • • • • • . Number of Stories o2.~R , 3, Dimensiop~,~f~ontirc new constmtction: Front ~4.:..... .Rear Depth • • • Height ....1~.:...... Nutrjber of Stories , plug ~ ~ • ~ ~ ~ ~ • ' • • • • ' Size of lot: Front ......a2. ! Rear Depth 7.3, : . Date of Purchase ....Name of Former Owner ~ • L Zone or use district in which premises arc situated , ,~Q, , ~ ~ ' ~ ' ~ • • • - • ' ? Does proposed construction violate any zoning law, ordinance or regulation: . N.°. - 3, 1Vill lot be regraded R . , , , , . , .Will excess ell be removed from premises: Yes ~ r ~ Name of,Owner of premises .'Pct,}s c . ~•.$i4~1~e:~~i4~Mddress .........Phone No. . Name of Architect ................Address . Name of Contractor , • • • • • • • • Phone No . . . • • • .Address . .Phone No.. • • . , . S,Is this property locajted within 300 'feet of a tidal wetland? *XBS..-.NO,,,• *If yes, Soutltold Towr} Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all, buildings, whether existing or proposed, and. indicate all set-back dimensions from operty hnes. Give street and block ~tumber or description according to decd, and show street narttes and indicate whether tenor or corner lat. . S~'c ./~'T f"fk~H~10 SURVEY I'' AP ROV S N b BATE: ~P M /~7 ~n NOl'IFY ILDI pEPARTM AT - ' 765.1802 9 AM TO Q PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING aw PWMBING 3. INSULATION b. FINAL - CONSTRUCTION MUST QE COMPLETE FOR C.d. ALI. CONSTRUCTION SMAId. MEET' THE REQUIREMENTS OF 7ilE N.V. ' STATE CONSTRUCTK)N St RRQV ' CODES. NOT , NEAPpNNtIN~ BEM L ~ DESIGN Olt CONSTRUCTIWII fMRDwS ATE OF ti1rW R ' ~.3 AUNTY O ~ n/ J ' • ' ' ' ~~~~r: • • • <.R~~.N~t~,~~~ being duly sworn, deposes and says that he is the applicant (Name of individual sign;ng contract) rve named. i is the y . I! (Contractor agenf;;corporatc officer, etcJ said owner or owners, and is duly authorized to pgrform or~havc performed the said work and to make and Cfle this ~lication; that all statements contained in this applicration arc true to the best of his knotvlcdgc and belief; and that the :k will be perl'orntcd in the manner set forth in the application filed therewith. ant to before me this - ' ' a btic,` ~ . d County • G E ETHANNNEVI4,E (Signature of applicant) ~lota Publle Stelte~ewYork No.6 -811660, 7brm E>tplrss Ootobor 81,1 ~ X d rr' rr F ' ~ N --1 -1 _ _ ~ ~ h~^7 O ~ mot'-' x °l ~ "TI f~ i ~ ~ ~ ~ ~ ~ z ~ d ~p~ ~ ~ ~ G v~ R ~ ~ ~ ~ w~~~ cL ~ r- is ~.s q` A ~ _ 3i M~v ~ ~ ~ ~ , n ~ v~ ~ ~ ~ ~ ~ G D ' ' ~ c 7 7: T' y~ ~ "CJ is ~ ~ "I ~ ~ ~ ~ S /I G U ~ r O n ~ ~ ~ i c ti 0 ~1 C ~ r~ i / ~S) ~ C~ , ~ . , . . , lV' ~,yy ~ j~..u ~ „r-~^ s9;~ rkFn~VJ_w~r~~74:a+y.~ e_, x ,,,r 1~...s a(k°~.i,,~c,};?~« 9. 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