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HomeMy WebLinkAbout18556-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218718 Date JAN. 16, 1990 THIS CERTIFIES that the building ADDITION Location of Property 685 OSPREY NEST ROAD EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 035 Block 006 Lot 027 MAP OF SEC. ONE Subdivision CLEAVES POINT Filed Map No. 2752 Lot No. 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 2, 1989 pursuant to which Building Permit No. 185562 dated OCT. 3, 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 GEORGE AND PHYLLIS GARBE (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N108752 DEC. 29, 1989 PLUMBERS CERTIFICATION DATED N(A Building Inspector Rev. 1/81 roaas 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 o 8,~ 5 6 Date ..:3 19.~.~ r Z ~ Permission is hereby ranted to: G~~ ....~...,f.~....~..~......~'~~.~.J~. ......,~.Gt~t.,~.. to ~.~~T~.tl~*G4,1QI~GG ~~....~....~?,~i..GCr~•<~d''J.. ,~f••••• ~.....~¢1~~..... ~'e~ lY~:~.T..~.ll..l/.?:1.. at premises locat at ..G1..~ .[~ZG~~`e~...~~ ................................................,,~`~a~~....:......~,l. ~1 County Tox Map No 1000 Section Block LQQot No........a pursuant to application dated .....~Q~~ 19..C/.1.., and approved by the Building Inspector. Fee S..t.~f 1.......... `...~'1,.. B ~ Inspector Rev. 6/30/80 TOWN OF 50UTDOLD BUILDING DCPARTaCNT TOWN QALL SOUTDOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ r/ p[; DATL: l 1~9.,f _ . . ~(c~p~T~ 01. NEW CONSTRUCTION ...._..OLD OR PRE-E%ISTZNG BUILDING_ ? ..VACANT LAND..__.... ~ £35 DS ~~~cl n/~S7 ~d~~ Location of Propcrty UOUSE N0. STREET DAHLET Ovncr or Ovners of Pro ert ~ ~~/C'~ - ~.9 /3~. _ , _ _ . County Taz Hap No. 1000 Section 3-'`~.. Block ._p Lot Subdivision Filed Map ? 7~.~_.Lot..2~7...~. Pcrait No.~B~~ <O ~ f~~.~~~ O(? ~cilo~'~l/~~%C`//lam .....Date of Permic ..Applicant IIcalth DepC. Approval Undcrvriters Approval.___......._.. PLanninE Board Approval Request for Temporary Certificate Final Certificate Fcc submitted: 2 S oe APPLICANT...C~~iZ.-T: 4;. ~ 3~8s3 r/r c /9a Co zi8'7/ff Rev. 10/14/88 TEL. 765-1802 o~p~~FF0I1{~OGy TOWN Oi SOi)TIIOLD ~ ~ 1 OFFICr OF BUILDING INSPECTOR ~/~6 (y6 16 S ? S`'.~ ~ - r P o. Box 72s ~,X -~c N Yom,! ~ ~ ~ SOUTFIOLD ~N.Y 11471 ~ ~~D~ "~0 diva.. ~.I~i a~~' y To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. The check is (outdated/not on file.) ~a.S.~O No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I! / ~ .S ~ Z Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 0 ~ ~~.~~c~~, ~ _ f ~ ouNDTTIO:i I~ ~ 0 8i ~ OrK _ (/w =OU,IDP.TI6,7 [2nd) i 3 ?OUGH FRAI.1}'~ PLUMHIi1G c (n 3. / ~ a m n =fISULATIOPI PER N. Y. ~ 'j STAT° EPIERGY CODE 4 I 1?~ I1 3v~ ~ ~ ~ ~ FI;IAL , I ADDITIOPIAL COMhfE1:TS: m x H 9 7 H H O r • m y r` - / ~ - o m ^o a - - :-a- _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS )'Af~)'~ ' 1.011O~IOA BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date I)$Of;NSER 75),1989 APPlicationNo.Dnfile 66163789/$4 N lU8`1C>.t THIS CERTIPIES THAT only the alectried puipment a. dsecriked hekrts and introduced 6y the applicant nerved on the ahoxe opplication numksr in the promLsa of ,r:OR(:N; GARHE, 6$5 O::YARY Nh;~'P ROAD, r:AS'P HAR10N, N.Y. ® Ixt Ff. ? Ynd Fl, Section Block Lot intMJdlowinR ktcation; ? Basement 1.)IPP roes esamined un nf'{"6'NAt"R 1. it , 1 98 1 and found to 6e in compliance with the requirementx of thb Buord. IUITUtl RXTUBK RANOES COOKING DECKS OVBNS DISN WASINAf BXNAUST FANS OUTLETS ACLK SWITCIKS NGNDESCENT RUOEESCENT OTNER AMT. W. AMT. K. W. AMT. K.W. NAT, K. W. MIT. N. P. 0 1 DRYNS FYBNACB MOTORS wiUtl ArwANa nEOUS SMCIALEK'?i TIME eLOC1IS Eeu UNIT NEATEES swATl.olliuT DIk1MiBS AMT: K. W. Oll N. r. GAS N. r. AMT. NO. A. W. G. NAT. AAV. AMT. AMP]. 7EAN4. AMT. N. P. ~ T AMT. WAm SERVIC7 GESCOENACT ttO.OE S E R r.~ V 1 C E AM7. NN. TVP! ~ 1 / 3Y/ I 1 TV 31 ]V/ ]X AW ~y lC~. Or CC COND. NO. OF N4LFG Oi NO. p N[u111AL5 A W.6. ~ 1 ~ ~ r~ OTINE AMAKATUS: ~7 ATRING FOR ONE ROON AI)U'1'1UN ONi.Y -1 35- to ,ero~ SAGVATC?RE C. YRA'1'U i,It'.I1Dd9 M.' N1t,GTN5 I,ANE1 R . R . )30X "1,08 O~1RAl hMNAOtl f.kFlF:NNOk1', NY, ]149q 6] Psr Thi] nrfificah mutt not be alhnd in any manmr; return to tM office of tFa Board if incorrect. ImpMon may bs idemiiied by Moir endentlak. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF tERTIFIGTE MUST NOT dE AL RED IN MA?NER. /~~s~ 765-iS02 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: DATE ~ INSPECTOR S~ rss-lsos BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] RO H PLBG. [ ) FOUNDATION 2ND [ INSULATION [ ]FRAMING ~ [ FINAL REMARKS:~/,~ ~~~~^~-tc~f'U~~ DATE ~ ~ ' INSPECTOR S5' G ~ T6S-1802 BUILDING DEPT. INSPECTION mac-, 1~~ [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ ~ , ~ rfLd7~sz.~, DATE ~O~G R INSPECTOR t~ ss~ z- T65-1802 BUILDING DEPT. INSPECTION ~ ~oT-~acc., [ ]FOUNDATION i5T ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL p~ ~1 REMARKS: ~ o-~~u.~ c~uS~--~ ~ D ` ~ u,<,c~7 C~ /v~ DATE /Olf~ p~q INSPECTOR Ct1 ' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ~ ROUGH PLBG. [ ] F NDATION 2ND ( ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~s2%r1.~ DATE 3~ INSPECTOR ~ ~',~'SG 7ss-isoz BUILDING DEPT. INSRECTION ~y~5 v c.lq-; i o c.-c [ FOUNDATION i5T ~ } ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING QQ [ ]FINAL REMARKS: i/~1,i ~t,r i DATE ~e.~I c t ~ °t INSPECTOR U ~ ~ ~ ~ eK ` a~ ~ ~ . `1 \ ~ 4r ~ o U ~ e O : ~ Il^\~r 14, <r =:z-. +~Q ~~J~ O U~1 ~ . i f ~ ~ n 4 C 2 ~ 1 C M .I C i CJ L \ I \~I T ~ _ ~C~~S~Ly~{O~ y r ryry 4 a C 9 a \ V ~ ~ V 1 Q ~ og ~ h U ~N Q ~ ~1 +Q ~i~ `V `V 4 h ~ ~ ~ r h ~ ~ ~ 0 W .uu ~ o°~ ~ ~ ~ u ~ ~ o\ Q 4 ~ ; y Q \ , ~°kk \ //^^V ~i 0 G~ vl ` vX \q 0 t ~ ~a ~ 'os 1- ~ ~ v h° \ ~ ~ ~ ti a z 1 J ova . ~ ~ l r~ JO~~ ° ~ Z. _ os>Yi ~ / / ; ~ ° fig' ~ ~ ~ Q S>~O "1 ~ ~ ~f y. ,A oh _ vv4' N ~ a~~ \ Y' ~4t~ 'n 6l/ M nS..1F p. ~pN~ ~ l/00 O~ N/ ~71YM y 6 _ - 1 I BOAKD OF HEALTH 3 SETS OF PLANS FORMNO.t SURVEY TOWN OFSOUTHOLD CHECK BUlLD1NG DEPARTMENT SEPTIC FORM • TOWN HALL NOTIFY SOUTHOLD, N Y. 11971 TEL.:7G5-1802 CALL ~~qq ~N MAIL T0: Examined/Ff',~.........., IR'Jz!. Approved f d/3 19g~ Permit No ~ ~ ~ 0 ~ 12 Disapproved aJc INr L5 wt -z ate; (B~ ding Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. Ttus appltcatton must be completely filled to by typewriter or to ink and submitted to the Building Inspector, witi sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing ]ocatton of lot and of buildings on premtses, relattonshtp to adloming premises or public stre• or azeas, and giving a detazled descnption of layout of property must be drawn on the diagram which is part of this app 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 pert shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or to part for any purpose whatever until a Certificate of Occupan shall have been granted by the Burlding Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to i BuiIdtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demohtion, as herein descnb. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premtses and in building for necessary m ec ions. (Signature of applicant, or name, tf a corgoratton) (bimhng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. . Name of owner of premtses .~"s~Q~~ . .~t ~E~~-~~ . (as on t e tax roll or latest deed) If applicant is a corgoratton, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S M T BE SUF OLK COUNTY LICENSED Builder's License No t''~.9"T~` .,t~.LE . Plumter's License No . . Electrician's Ltcense No. O[her Trade's Ltcense No . 1. Locrra~~tton of land on which proposed work will be~/~Jdone . . . ICJ tl ~ ©S 1~ ~E ~ i~ES % t~/J-S % ~/¢'~l . House Numbet Street .~S Hanilet r County Tax Map No 1000 Section ~.~Sl:. Block Lot ~ . w Subdrvtston~`'~A•~t- ~osn! - Fded Alap No. ~.~.-~r. .Lot (Name) 2. State existing use and occupancy of premtses and intended use and occupancy of proposed construction a. Existing use and occupancy .ANC . ~'T4.Y . !r !V~ . ~f>n?.l.~,t~ ll ~G b. Intended use and occupancy ~~E-. • • •~.t~. ``Z~~~~ . ~~rt~ ~,,~8t L's'CJ`'~ 3. Nature of work (check which applicable). New Building Addition Alteration . Reparr Removal Demolition Other 1Vork . (Descnplion) 4. Estimated Cost . 1 ~.~~C~. .Fee . • (to be paid on filing this application) 5. If dwelling, number of dwelling units Q~~. Number of dwelling units on each floor . If Forage, number of cars ..,~.1"~~.. Cif.'~./'~+~.1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , . . . 7. Dimensions of existing strut)',5sii y"S~ any Front ...2~ ~ :Rear ~ Depth . Height (of Stones ...~ti:~~. . _,u Dunensions of same structure wi terations or additions Front . Rear . Depth ...........~.wR. Jg...,k igfit r Number,_o~Stones . Q?:~... 8. Dimensions ofd mire new constr~ctioin• Front , ,W`~..'. • . Rear De th . , f $ .,r......... P Height Num er o~Stones ...Q./.`r~....~.y . 9. Size of lot Front ~ • Rear r!l.l............ Depth . - ]0. Date of Purchase'c/f1.~',~• .fl. FQ ~!f Name of Former Owner 11. Zone or use distract m which premises are situated ..,G'?lSJ.j . • ~~~p • • • • • ~i • • • • • • • • • • • . • . • • . 12. Does proposed construction violate any zoning law, ordinance or regulation: , .i~.1.4 . 13. ZVilt lot be regraded Q... 1Vili excess fi 1 e removed f;om premises: Yes N 14. Name of Owner of premises G~7`. p ....AddressPL',~i ~ ~"KIP.... Phone No. i}• ,'Z'J..~.Q fa . Name of Architect ;Addres ~ Phone No.........t~ . Name of Contractorar'/iO.vc,N,o ,T~'/Al ~ ~a e. •~bv`....> ~ ~ `J.. !..'S~ f Addres .y.~x ~i:*1~t w Phone No. 15. Is this property located within 300 feetyof a tgiudal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO"1•DIAGitAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fro„ property fines Give street and block number or descnption according to deed, and show street names and indicate whethe intenor or corner lot. ~ - ___-T `1'~ ~ N ~ V' l~ _ 1 ~ ~ 'S. ~ ~a3, s ~ ~ R. v E y STATE OF NEri' YORE, S S 1 .OLNTY OF being duty sworn, deposes and says that he is the applicant (Name of individual signing contract) loovc named. Ieisthe (Contractor, agent, corporate officer, efc.) if said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file tlii: pphcaUOn; that all statements contained m this applicaUOn are true to the best of his knowledge and belief; and that the work vvill be performed m the manner set forth m the apphcaUon filed therewith. ,worn to before me his ~ .otaryPublic, .....Y'~~~4~'C'~ ~~C_._. 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