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HomeMy WebLinkAbout18439-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18542 Date NOVEMBER 6, 1989 THIS CERTIFIES that the building ADDITION Location of Property 370 WILLIAMSBERG DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 078 Block OS Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1989 Aursuant to which Building Permit No. 18439-Z dated AUGUST 29, 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 ROOF & LATTICE WORK ADDITION OVER EXISTING DECK AS APPLIED FOR The certificate is issued to WALTER H. & MARSORIE SMITH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 soaaa< 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 18 4 ~ 9 Z Date 19.4l..~ Permission is hereby granted''t~o:,,/~ ^ f ra a^-4`!:5.:x"' .s?.++.s....~t,-... ~f:.....Qa.~?.`:~ :~:.....lr~?-.....(Jlt?:4:....C~.... . . . ~.....c~.s.~.........~-~.. ~ of remises located at ~..:t~t .!1-fl..A..~4~~.... p .~`.7. U.....1.~.. .o`rr.~...... ~..a.~?:.:.... County Tax Map No. 1000 Secti .......~~...4.... Block Lot No...©..•1.••..•...•.. pursuant to appiicotion dated ...bf~D~.....~..W 19.~. f and approved by the Building Inspector. Fee 3.•~. U...••/. Bui ng Inspector Rev. 6/30/80 I'~ . TOWN OF SOUTIIOLD BUILDING DEPART2fENT _ TOWN HALL SOUTIIOLD, NEW XOIiR 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY A~ DATE . _ !~1 ~.va .~,~.I r1, NEW CONSTRUCTION ......%.OLaD..//OR PRE-tE%ISTING BUILDING. ? -_pACANT LAND........ Location of Property:3t.~, ~'i!! ~rlltryysp~ D,r.iV.-e HOUSE NO. /,~ST~~RE~E//T j~yq HAMLET Owner or Owners of Property...ll.~s4~S`.!:/1.~r`-'yX~'../{jG~/ County Taa Map No. 1000 Section Block ..~J~-(~ dd9 . Lot Subdivision.l/_./`.......~-.......... Filed Map _..`-~.-Lot.......... Permit No. !•~~„J'g,-Date of Permit APPLicanC Health Dept. Approval n!/.~,,,,,,,,, UndcrvriCCrs A PProval Planning Board Approval Request for Temporary Certificate yc~d~~'L Final Certificate •Fee Submitted: $ °~J'~~ „ e APPLICANT... . GZ-r!c~J; ..l:.~.~~ :i5`?e~. - - - - - . . ~~/,i / aioNlnos ~o Nnnud / / ~ Ld30 ''JO'1H D ~1~- ` 1' ~ , ~zc.~~~J7 4/88 _ a y ~ , FORM No. 6 ' TOWN OF SOUTIIOLD _ BUILDING DEPARTMENT TOWN MLL 765 - 1802 APPLICATION FOR C~ERTZFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application musC belfiled in typewriter OR ink and submitted to the Building Inspector witfi tfie following; for new buildings or new use: ' 1. Final survey of prope~ty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Hea~[h Dept. of water supply and sewerage-disposal(S-9 form). ' 3. Approval. of electrica} installation from Board of Fire Underwriters. 4. Sworn staCement from plumber certifying that solder used in system contains less than 2/10 of IZ Iead. 5. Commercial buildings,'~industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect - or Engineer responsible for the building. 6. SubmiC Planning BoardlApproval of completed site plan requirements. _ B. For existing buildings ($rior to April 9, 1957] non-conforming uses, or buildings and "pre-existing^ land Cises: 1. Accurate survey of property showing all property lines, streets, buildings aad unusual natural or topographic features. " 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in waiting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information ,required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of ,the entire lot prior to April 9, 1957 shall also accompany the application. If a' Certificate of Occupancy is denied, the Building Inspector shall state the reason's therefor in writing Co the applicant. D. FEES: ' 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00_ 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land CerCif~.cate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial I lir`~'"~y, TEL. 7G5-1802 ~S~FFOC,~~C/ TO~i'N 01' SOUTIIOY.33 ::,!rJ6;;r~ ~ '}gl=`cs OPl'ICE OC• fsU1LDING INSI'[;CTOR ~ ~ ' ~`j ~ TOWN BALL ` O~yO~ ~i ~~~t- SOUTIIOLD, N.Y. 1 1971 October 2, 1989 MARK FINNS t37o LacaTHOUSE xD. SOUTHOLD, N.Y. 11971 RE: WALTER SMITH 'I'o P7hom This May Concern, We are unable co complete your Certificate of,~occupancy because •of the folloc•~ing reasons. An application for Certificate of Occupancy is not nn fil.c. CHNCLOSED) / *Ic1 Underwriters Certificate on file. 't'he check .i:.{ t nn file.) $25.00 tvo IL:al.th Dept. Approval on file. No final inspection has been made. Pleasr. contact our office on this matter. - Thank you for your cooperation. lluilding Penn.it-. it 1 8 4 3 9 Z Building Dept-. tlo I'lumbcr Solder Cert.ificatc on file. ( a7.1 pr;rmit:s involving plumbing being i i:;sucd after rlpri.l 1,1984 ) ~ ~3! T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN 'CATION [ ]FRAMING [ FINAL REMARKS: -~„i. ~ ~ DATE a~ INSPECTOR ~ ~~jj li lELD i];S: ~~u,;::, I~ ~vP4~(ENT.^. - 1 m Q0 ~ - y~ POUNDATIO"7 ( ~ s t ) ~_I ~ `-0 OUNDATION (2nd) _ - 2. z o ~ .°,OUGH FRAME & .J a PLUMBING 3. ~ IIdSULATI0P1 PER N. Y. y STATE EP]ERGY K CODE a I C, 6 ~ . .--7 H FI]dAL { ADDITIOt]AL COMMENTS: ~ x tt ' x H a "'3 W.~ H O m } g - G... j H - _ .U • v ~ m ^o H I s~ / 1 FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ...Z1.50AD....... Date.October 27•,•,•••••••••••,,,,'.~198C'. THIS CERTIFIES thattlrebuilding,Alteration & addition Location of Property 3.7.4..Williamsburg Drive Southold, N.Y. House No. Streee • • • • • • • • • • • • • • • ~f/emle[ County Tax Map No• 1000 Section 078......Block 05...........Lot ~~9 . Subdivision • ..................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated •1~[oyember• 18 j • • • • , 19 85. pursuant to which Building Permit No. 1 4479 Z dated December 17, 85 • • • • • • • • • • • 19 ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which flris certificate is issued is . .g1x,e,r,alij.o,q•~pd,•additi.on to existing one family dwelling The certificate is issued to Walter & Marjorie Smith /owner, le~A'e~ Ye)f:?i~d~l x ~ ~ . of the aforesaid building. , Suffolk County Department of Health Approval ~?~Q . UNDERWRITERS CERTIFICATE NO N66463• - Plumbers Certification dated September 5, 1986 - ~ Building Inspector Rev. 1/81 BOARD OF HEALTH ~ 3 SETS OF PLANS K, , 12 a ~,{p--' FORMNO.1 SURVEY ('~T~,,,,_,,, ~ 15 1~ ,,P.~.~- TOWN OF SOUTHOLD CHECK .t ~1i4~...... . BUILDING DEPARTMENT sEPTic r•oarr l ~ ~ TOWN HALL SOUTHOLD,N.Y.11~J71 NOTIFY ~~S'' ~/3.~0 BLDG.pEPT. TEL.:765.1B02 CALL TOWN OF SOt1TpI0LD ' f Q MAIL T 0 ;pP tine ........~r:-~:~.1.9~ ~ g'F3"t roved~...~~., 19 Pennit No.........~. Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT r~ Date 19'. ! . INSTRUCTIONS a. This 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 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 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 ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect~ioyns. ' (Sigr~a[ure of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................~.'~ae~~ ~.....C~~~~~.~.~`~..................... - - - . Name of owner of premises ...G~:%~11.5..":~z=,-,:J..~>°? y `,!Y,,,,,,,,,,,,•,.,•• (as on the tax roll or latest deed) ~ • (f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) r Builder's License No. ~ , t v, f , , , , , , • Plumber's License No . Electrician's License No . . Other Trade's License No . ,3 1. Location of land on which proposed work will be done. s-~y~ rc . . F ouse Number ~ Streets ~ Hamlr,t ' O 1 ~ County Tax i~tap No. 1000 Section ~ 7 Block Lot Subdivision Filed flap No. Lot . (Name) State existing use and occupancy of premises and into/nded use and occupancy of proposed construction: a. Existing use and occupancy n! ` LS / l b.Intended u tr} se and occupancy ~ •~~'`I~~°.~:.......... , i i Re arr , . , , , . ( PPlicable): New E3urlding , , , , • Addition , .Utcration ,~.•t . `aPure of work check whiRhm~oval Demolition ' / . Othcr'1Vork.... 4. Estimated Cost , ~.a ~ 0,•. , ~ ~ (D~scfiption) • Fee l (to be paid on filing this application) 5. If dwelling number of dwellin units . Number of dwelling units on each floor , . If garage, num 6cr of cars g' r 6. If business, commercial or mixed occupancy, specify nature and extent of cacti type of use , , 7. Dimensions of existing structures, if any: Front . Height . . Number of Stories . ' , • Rear Depth . , Dimensions of same structure with alterations or additions: Front • ~ • • • ~ ~ ~ ~ ~ ' ' • Depth . Iicight , . Rear 8.. Dimensions of entire new consttRrction: Front , , J, , • ' ' ' ' ' • • Number of Stories , , Height ~ . Number o Rear S-: J, , , • ; , , , .Depth , . „ • , 9. Size of 1 f Stories ......,~r:^.-.,g I{-~.......... . ot: Front Rear . ./.~'Q.. 10. Date of Purchase •'i,,,••~•~"' Depth~~9,' ..Name of Former Owner Gt/.!0, ~r~1~h.. 11, Zone or use district in which re • 1 Does ro ose~d construction vrol miser are situated , , , , , , , , , • • . P P i a e any zoning law, ordinance or regulation: . , • .,~;Q, , , , , , , , , , • , . • . , , • . l3. Will lot be regraded , , \Vill excess fill be removed from premises: Yes No 14. Name of Owner of premises Gr/,JQ~j~i~.~"i,,,,.7,~: ~ ~y~~,^ Name of Architect i~ Address W. , ;~.(i~;~• ,pig>hone No. S,~s, 3,SL. , Address . • ~ • Name of Contractor/??;r?:c ;Ci Tin.•,.~ . • ~ ~ ' ' ' • • • • • • • • Phone No. , • , . IS.Is this property located within "'Address/,S'.).~G: N,T•.Gygs~t,P ~ 3100 feet of a tidal wetl~nd?n*YES~~, NO~~.. *If yes, Southold Town', Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or_ corner_lot, - ~ X ~ i L ~ y.~ to I, - - ~~IrrJb'I~D ip - ~ - a- 1 -Q ~ ~ 3 ~ _ ~ - - - - _ ~ovs6 ~ p I ~ I SI : p - _ - - - %~OSO~ I . - - - - ~TATE OF NE1V YORK, ~ S. ~OUNTY OF S (Name of individual sip q ~ • ~ ~ • ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant ,Winn contract) bout named. lc is the I (Contractor, agent, corporate officer, etc.) ~ ~ • • ~ ~ ~ • f said owner or owners, and is duly ;juthorizcd to perform or have perforred the said work and to make and file this rplication; that all statements contain{:d in this application arc tare to the best of Iris knowledge and belief; and that the ork will be performed in the manner sqt forth in the application t;lcd therewith. ,vom to before me r~trhis ~.'','t~~.``. ....day of ~'L~G U , 19~y Mary Public, ' / + .'~•-a•'".! . ?t. ~ . ~ ~ u~...... 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