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HomeMy WebLinkAbout17745-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218008 Date MAY 8, 1989 THIS CERTIFIES that the building ADDITION Location of Property 465 TARPON DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 053 Block 05 Lot OS Subdivision SOUTHOLD SHORES Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 4 1989 pursuant to which Building Permit No. 177452 dated JAN. 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 AN EXISTING ONE. FAMILY DWELLING __ The certificate is issued to BARRY WILLARD (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N069702 MAY 2 1989 PLUMBERS CERTIFICATION DATED JOHN E. WALTERS PLUMBING 4/27/89 Building spector Rev. 1/81 gosas 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) ~0 V~.. ~ ~lfJ Z Date ...~..4~?.'!'K........~!'..........., 19...1 Permission is hereby granted ta: / ~~ Q ~ ~ .. ~.:.~.... ~ 8.7 ..................................... ..~~........ ..~.~:-...: ~.:y..:.... r .c 9. ~.~...... ~~ .~u.~.~,..~.~..~....~..~-<.... .......................................... ... . ......... ct premises located at ...`7:~0..J~..'......11...4~.~.11~.....,~..~l.Q ........ ........ .......... ............... ....... ..........................................................................................................................O.S .............. ~~ ....~3.....1.~?.4Q.4.~uc~l............. ....... ..... Cvunty Tox Map No. 1000 Section ......Q.~.,~...... Block .......~.r~....... Lot No..........r........... pursuant to application doted ....~.1.1~Hr.!ti:.....~ .............. 19~.~., and approved by the Building Inspector. ~Vf Fee $..~.... ~... . ........................ ........................ Building Inspector Rev. 6/30/80 i ~' .1 ~ ul f'i]L~I.lJM ~~L~~~ ~ ~ 4'. , ~ Y ~~ T' 3 +~ 4# . ;';,~a x ,~' ~0 '-1'r ~ ~V/~CAh:T~ A\ 1 ,~~, _.. f a~ ` ~ ~~ ^! .w~,. _ i ~ b 1 `mod ~ ~~~ ; -"«•._._~ ST. _ _..~ , ^~ T~- b ~~ "~ 4 ~ ~t25HArn~•r?~ ~~I~ '" ; }i~=V ~ ~~ ~rJl!v CF~J' UTHCu. N:Y.~ is ~ i r~. ~ ,- fvx:a.ivr) ~ - ~ x - I ~: Y~ ~ ~ _ ._ "`~ v - ~ ', `, i o Foa_~. !~~ i - ~6` 3c~ ~ h- rAr K;-. CUi-F CD. ~tlk N1AF Jr.~.A:IGCC 53 ~_~, \` ... ~ pY'I i V ~~ r~_ Tns 6~ \~ ~O.QSO MAIN RUID I~~~~t~-~ 4 `~1~ ~~ ^- - N.6352'3C'W. 12C.C0 ~ ~A~nr~-re~G_-IC-~ e an!~,. r n;?=w ~ :. j - ~ ~ ~t%A~' i- T E ~*Q 7}j~ ~ i_lra Gst~_t~~lrt.~,s~[. . (t - .:, ~}TA2PON _ DfZtVE ~ -SO` `'`SSt~/~1''~YEU )fin'. . X962 1 _ 5" slAi EE NPAIN - i <~Y.`y.~ ~ ~•-F ,~i - 1~^ _~_~~ Y _ ___ IVAG ANT __ ~ ~G. ~G.-~_~~ -r~ _'~!v .~i-.. ~~~~~T~~'A%: ~? F .Gy,';{rGy .f-YCl:.~ ~'..E.i~ CJC.LhAi:~~l.lc:.%E •r -~ ~ -:-~ _ ...._. ~~.?~~F-r-~'• .s.4~~<!SS_.+2 `r~F F E_ Pt1 Mh r~ ty ~ 3.34 _ ~ ...._. ~_~. _ ~_ ..: " t E~..rlii - b. A.Y. _~ _ _"J__ QM~riDEL;_M/tY 4,_r?eYs S_pr.TC16Z. Npv~ ,19.5.:_ .w ~e ~.r.~.~..i'$ TOWN OF SOUTIIOLD BUILDING DEPARTSIENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 I~ 8M APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.. Y!*e`-~Fv f....... NEW CONSTRUCTION .......OUuLD OR PRpE-E%ISTING BUILDING. ~.pACANT LAND...._... Location of Property....6~/l'. ~~~f/.0/7~ ~/~l(/~_ , _ ... ;S'O07~aL~.~'~ ....... . ....... UOUSE NO.//~~ // STREET •• HAMLET Owner or Owners of Property..Ull~h~i~Q .~/~.x,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Taa Map No. 1000 Section .,~.~. Block ..~... LoC .s~~..... Subdivision_.s10,gq~/p0,~~,~,/~Q/'{~S._ Filed pMap ........LOt...._..._.//,~. Permit No. l~J.'~~Z,Da[e of Permit .~~:~p,~,,,ApplicanC :L~Q~~.QFII~~,~' Health Dept. Approval .................. Underwriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ....... Fee Submitted: $ .................... ~; ~, ~ ~~~ 5 ~~~~9 e~ z/64Q~ rev. 10/14/88 oS~EFUC/r~p TOWN OF SOUTHOLD o Gym r? < OFFICE OF BUILDING INSPBCTOR ~ " z P.O. BOX 728 v' ': ~ TOWN HALL '~~l ~ ~~~t- SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Building Permit No. / 7J~/,S Z owner ~!/i.C~~, D ~.~.k'(/ (please pint) Plumber ~~{a ~~ ~~NGUJ ~LUkI~~~ ~'~l`~ (please print) TEL. 765-1802 Date ~ p~ / t I certify that the solder used in the water supply system contains less than 2/10 of to lead. Sworn to before me this ,~~_day of 19~. Notary Public, County ®~--- (plumber's signature) o c f~ Notary Public ~E9'11~ L WAlTER3 ROTARY PU81C, Stete of New Yarn Ra 52•{1QS50. SuNoik County .Taal EgInR MN{~M1rt 80. ~~ d= THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 Date MAY 02,1989 Application No. on file 61598289/89 N 069702 THIS CERTIFIES THAT ' only the electrical equipment as deacrihed hebfo and introduced by the applicant named on the ohove application numher in the premises of ILL BARRY, TARPON DRIVE, GREENPORT, N.Y. in thefo/lominp location; ^ Ba.¢ement ® l.¢t F'!. ^ 2nd Fl. .Section Block Lot uos examined on APRIL 17, 1989 acrd faund W he in cmnplianre uilh the requirements q(thia Ilourd. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHW ASHERS EXHAUST FANS OUTIETS ECEPTACIE$ SWITCHES I NCANDESCENT FIUORFSCENi OTHER AMT. K W. AML. N. W. AMi K W. AMi N W AMT H P 3 6 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS $PECIAI REC'PT TIME CLOCKS gEtt UNIT HEATERS MULTI~OUTLET DIMMERS AMT. K, w. On H. P. GAS H. P AMT. NO A. w G AMT. AMP. AMT. AMPS. TRANS. AMT M. P. SYSTEMS NO. OF FEET hMi. WAttS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER EQUIP. I ~, tW ~ !f JW ~ g 3W R,e' 4W NO. OF CC COND PER 9 A. W. G. Of CC. COND NO OF HbWG A. W C' Of HLtEG NO. Of NEUTRALS A W G. OF NEUTRAL OTHER APPARATUS: G.F.C.I:-1 SMOKE DETECTOR:-1 . ~ ~~2~4~ /~ -E'~ ~7~~ /~ G & 5 CONTRACTOR LIC.#578 E G BOX 215 SOUTHOLD, NY, 11971 GENERAL NA ER 11 ~~ ~ Per this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. c'li:LD II:SPcC:lU:i (~llATE ~ ~OMMENT°, ~; _ M "" v 1. ~ m . 3 s 3 H / ,~ + FOUI7DATION (1st) ( ^ ' F //„ '~ ~n'.~L ~- ! ~ ~ (~ c FOUNDATIO2J ( 2nd ) _ m 2. _ 02 / ~ d ,C. / ~ z 0 ROUGH FRAME & fw ~C.- ~ v PLUMBINC;~ a~- h_ J" ~ H 3. / / ~ t ~ IIJSULATIOII PER N. 7(/ .. ~ STATE ENERGY CODE x A 4 . '` Z ZD ,p~ ~~ ry t'~ ~ V Gam. (.C.'~~ .~.. ~ H FIi~AL ~\ ADDITIOIIAL COMMENTS: ~, c,i fi t. oar. . , ti ~ ro .~ H +.., ~ .~ H H O z p s t o A t y . m H ro .. ~ J J 'nn r/ JI .. 765-1802 BUILDING DEPT. ~~ [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~NAL DATE ~ ~m/INSPECTOR G~~, y .. r' REMARKS: , I~ ~ Cc , , c~ (~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL DATE v~ a_ <~`~INSPECTOR •. -,,, REMARKS: , ~ .--~-~., 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ [~RAMING [ REMARKS: .~~~~~ ] INSULATION ] FINAL j ~~ys 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~ FINAL REMARKS: 1 ~~~-Ltd p~ DATE ~ ~ 0 INSPECTOR _ ~ ; 171y5~~'-._C~ - __ THE NEW YARK E1~AR® rte' EIItE± l1N~ERW~RfTERS PACx a luolo7l - - - - ' .'WREAU OF lLtCTRICITY a4~Sit~;h~":t:r: 'r•, ~'. ~ is JpAM1~~*TII[ET. NEW YORK. N FW YOpK W6D6 , MAY 02,1989 6159B2B9/$9 N 1169'10`1. t>ra AppBcatton No. on file TNtB CtRTIF1E8 THAT only tAeeleetKiod equipesent w dweri6ed 6eba and twtrodroed by Hu eppfloent nerved on tke ekow uppliwNw wrrrntrer in eke premieee of ILL $ARRY, TARPON URIV$, GRh: IS N PURT, N.Y. ]] .. ,, in the fo/breirrR l°riY~IYL ~ Beeeraent LJ IKt Fl. ^ Ynd FI. srrtkrn 81oek Lot rtcx 119977SSYY , row eiemined on and found to 6e in romplioncr uitk the nyuiromenM of tkia Bwrd. llRfltr XTtIRlS CODKRID OSCKf _..__ _. ___ DIEM Mini fMllitSNS - . _ _.. fClM rluolMCeur OTXER NAT. K. W. AMT K. W. MAT. K.W. AMT. K. W. AMT. N. /. 3 6 Dry'M{ RIBIAC! MOTORS 11111tH A/MIANCS IYRMS SNpAI RRC`IT TMY C-OOtf SN1 _' _ YINTRMTRM .-__ ~ r L AMi. K. W. On K r. OAt M. r. NAT. rq. A. W. G. AMT. AW. M1T. AMIt. iWN. AMT. IG 1. AMT. WATTS ti SMV1q OMf:OIMrCT N0.01 S ! R V 1 C E AMT. AMr. TFP! KpiY 1 / [w t / tw t.e tw t/ Aw no. o~C,COND. .~ G NO. or M4LEG of • ~~ w. a u! u _ y r eu~iiAt n1nT YlM1ATYk G.F.C.L:-1 SMUX$ DBTSCTUR:-1 G ti S CONTRACTOR BOX 215 SOUTROLO, NY, 119')7. '~ ~ This urlificots mull not M oltered in L1C.R578 B return to tM. offin of the WILDING DEPARTMENT. THIS COPY OP ~~ tirlAl 11 Per if intorrM.. Inspxfors moy ba irJenfifiad by _ ,. GTE MUST NOT BE ALTERED IN ANY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .. ........ t4., 19~~. V Approved ....~d..~j , lv,, 199. Permit No..L7. ~~~',L-. Disa roved a/c (J BOARD OF HEALTH .~........ 3 SETS O~PLANS ............ SURVEY )}~ CHECK ~.-.8~`p ............... SfiPTIC FORM ................ NOTIFY //~` 22 r~ CALL ..~tp..7.:: `..l~l.Rd.... . MAIL T0: PP ..................................... q~, ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ....~~~/ ............. 19~`J.' a. Tltis 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 avai]able 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 Regulations, for the construction of buildings, additions or alterations, or for moval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin ode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in;pe i s. ~ / ~,_~.-~ orauon) !Y. a. t~b~l. 6.x';1,.. ~l?r~~:.vnq~?:r~~Y ~e >~,~...... . (Mailing address of applicant) State whether app]icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~J:~:-~: C~ R J?... !3.(:~.~ ~ ~ ............................................... . (as on the tas roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate office7r)-- Builder's License No. ./~... ~,~19~'. ~ri- •~~.,~.,. • • • % J~~~, / Plumber's License No. ..7p~1~,l.. ~~~G~."~3-"",'~-/~~~~~"~" / Electrician's Liccnse No. L?. G.~..~~~~~`~! ... /Ot}ter Trade's License No . .................... . Location of land on which proposed work will be done. .l/.-b1. )`/~~~an! , (~~ . S~y,~'7--ha L~;sy ..................................................................... House Number : Street\ ~~~~~~~~~~~~"""""" Hamlet County Tax Map No, 1000 Sectinon/ ........rJ.~-•~ ....... Block .....J'~, • • , , , , , , , Lot . , s.T~ ............ . Subdivision .~b.d'~.f~o1:(~. S(-~c2. c~S ............. Filed boa No. P .............. Lot............... (Name) 3' '-. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~1 ~-SJ.ClE'v': t t~~. • • • • • • • • • . .......... . .................. r/ a~ b. Intended use andoccu anc .... e/~`~t~~.~:':..~J,~,~,`~~a~~ P Y ~1'C 5d.y . tt! rE!r,..J 8ia+'Pr~$ .............. . .~.-6`i 3. Nature of work (check whichapplicable :New puildin ' Re azr ) ... • . • • ~ ' ' ' • • • • • • • Addition .. !~/... Alteration ........ . P • • • • • • ........ Removal ....... Demolition Other 1Vork ............. . 4. Estimated Cost .....;~~,~ ~ (Description) (J..drd ...................... Fee................ ...................... 5. If dive@in nurnber of dwelliri lto be paid on filing this application) g g units .... ~ ......... Number of dwelling units on each floor ............... . If garage, number of cars .. ;k :............ . .. . 6. If business, commercial or miffed occupancy, specify natufe and extent of each type of use ....... , ,', y, , , , , , , , , . 7. Dimensions ofFxisting structuYcs, if any: Front .....;5(~, , , , , , , ,Rcar ...... . . ....... Depth .a.C'/, , , , , , , , , , . Height ..~~ .......... Number of Stories , . Dimensions of sa ne structure With alterations or d lions: Front ~ .. 7c~ ........... Rcar...... .p D~ th ....,2/4.,......... Nul ... IIeight ... ~ .../ ........... Number of Stories .....~ . . 8. Dimensions traction: Front ...~,?,~ ......... Rear ............... De th , . j , . , ... , , . 9. Size lof Iot: F one net ~~~Fnber of Stories ......./..... P J.`~.......... , .... ............ Rear ...../®20 .............. Depth ... 1.7.:....... 10. Date of Purchase , . 5'~B~ • ...... . P ...................Name of Former Owner .~C'1,!/ii}QQ.~,ryz,-~~~ ....... . 1. Zone P r pse district in which demises are situated , , , , , , , 12. Does ro osed construction 41ate any zoning law, ordinance or regulation: /!!~d ........................... . 13. Will lot be regraded ~ ~• , . ,Will excess fill be removed fr m premises: Yes No 14. Name of Owner of premises /,~.'~4/~22. ,/J~2R.j!, , ,Address .~6.J."T RPPC/..L2R,,5'f,~ Phone No..'S~"7.7••,Cd?$~, , , , ame of Architect . ...... ..................Address .-_':', .............Phone No..."_:... . Name of Contractor ~,4'IYIJ!/~lj~,/~,.~q,~,ta~~ pddress p96rd 6&?~!;-,t?p~,NPrr, Phone No. ~.>x:l~d3... 15.1s this ro ert loci- /' P P y $ted with in,~g0 feet of a tidal we[~aud? *YES....NO *if yes, Southold Towjn Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly alj 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 whethen interior or corner lot. ~ - ---- bq' -~ ___.._~_ ~d~? ____ STATE OF NEW Y COU TY OF . :....... $'S .. eo ai ~... . ~e~L7~~,5. ~Kd g {rg contract) ' ' ' ' • being duly sworn, deposes and says that he is the applicant (Name of indrvtdual sr m above named. He is the . ,'', (Contractor, agent, corporate officer, etc.) ~ • ~ • ~ ~ ~ ~ ' ' ' ' ' ' of said owner or owners, and is duly authorized to perform or 7tavc performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner~sct forth in the application f}!cd therewith. Sworn to before me this ~. .............~.. ....,~.,d/aylof.I. ................., 19~'~ Notary Public, , , , , ,1~, G,L~~~~/+v......... . pf~~~ l/ ! .Count _ ~ tf„ (Signature of applicant) 7~`/