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HomeMy WebLinkAbout17764-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18036 Date MAY 18, 1989 THIS CERTIFIES that the building RENOVATION & ALTERATION Location of Property 44900 MAIN ROAD SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 075 Block 06 Lot 73 Subdivision Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1989 pursuant to which Building Permit No. 17764-Z dated JANUARY 18, 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 RENOVATION & ALTERATION TO EXISTING ONE FAMILY DWELLING__._ The certificate is issued to TIMOTHY P. COFFEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 17, 1989 PLUMBERS CERTIFICATION Rev. 1/81 aosai 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) N fl li 1 ~ (~(~ 4 Z Date ~. 1...~?..........., 19.~.~ Permission is hereby granted to: '~" '"~'a ", .....~.aeyt:~::: ~.:^"1 .....~....... ~~... ..'~-.~.q~.....7.~.:~1..~.. ~ ......................... a.r4 ....~ ...~~ /-st~/- ............................:.............................................../~.................................. ct premises located of ..7:.T..9.~.....~.Q-!gin.. ~:........~.:tK- :.............................. ................................................................................................................................................................ County Tax Map No. 1000 Section .....C2..~S....... Block .....Q.~....... Lot No...7.:..~~............ pursuant to application dated ...~0~!1,4:~.~....~..!~ ................ 19~~.., and approved by the Building Inspector. Fee $...a~..~~.:4?.~.. ,<~U.c, ~ Inspector Rev. 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TONN IIALL SOUTIIOLD, NEW YO[tK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCOPANCY DATE. l~ ~0~~ / /, 0 1 .. NEW CONSTRUCTION ......~.0/1LD OR PRE-E%ISTING BUILDING.l~,...VACANT LAND....._.. Location of Property..°T:"/. ~QU , . _ , _ ~~1//(/. • ~ /d' _!!!!!!- •~~-~~-- - ea~~L~ ^ o IIOUSE NO"'.''~~ STREET IIAMLET Ower or Owners of Property.../. .!MU~N~„~.f~~~ /'fin ....................... County Taa Map No. 1000 Section :?!~ Block Q ~... Lot~.~.~... Subdivision ....................... Fi{{le((d// Ma~Pq -••-•-..Lot......./'.J.. Permit No.,.`J.q~,ZDate of Permit .1~~$~4,~. D~Qi CU rr / .Applicant J.jM .......... ... Health Dept. Approval ................. Planning Board Approval ................ Underwriters Approval .............. Request for Temporary Certificate .~..... Final Certificate ................ Fee Submitted: s...~~~...® ~,,,...•.. - APPLICANT... ............... C6 ~ ISb3G reo• 10/14/88 i } 4i. y• ' ~ FORM N0. 6 .. i '~, OWN OF SOUTEIOLD ', B ILDING DEPARTMENT I TOWN HALL ~ 65 - 1802 APPLICATION FOR GERTIFI ATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to Che Building Inspector with the follbving; or new buildings or new use: 1. Final survey of property vi h accurate location of all buildin s streets, and unusuallnatura or topographic features. g property lines, 2. Final approval of Health De t. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical inst llation from Board of Fire Underwriters. 4. Sworn statement from plumbe certifying that solder used in system contains less than 2/10 of IZ lead: 5. Commercial buildings ,I Indus rial buildings, multiple residences and similar buildings and installations a certificate of code compliance from the Architect or Engineer responsible for the building. 6, Submit Planning Board Appro al of completed site plan requirements. B. For existing buildings (Prior ¢o April 9, 1957 non-conforming uses, or buildings and "pre-existing" landluses: C D 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograp is features. 2. A properly completed!applic tion, a consent Co inspect signed by the applicant and a certified abstr,'act of title issued by a title company which shall show single and separate o ership of the entire lot prior to April 9, 1957. If a Certificate of Occupan y is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of. buildings or premises, or other pertinent information%requi ed to prepare a certificate. For Vacant Land Certific~;ate of Occuoancy: 1. M application for vaicant 1 nd Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of'ithe a fire lot prior to April 9,-1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons the efor in writing to the applicant. FEES: I. CERTIFICATE OF OCCUPAN - New Duelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition Co Accessory b~ildings, $25.00 -'Businesses $50.00. 2. Certificate of Oceupancy~ on pre-existing dwelling - $100.00. 3. Copy of Certificate of Ollccupancy - $5.00 -over 5 years - $10.00 4. Vacant Land Certificate ~pf Occupancy - $20.00 5. Updated Certificate of Ollcupancy - $50.00 6. Temporary Certificate of~Occupancy - $25.00 Residential i $50.00 Commercial ICATION ON BACK 1. ~ rem- 10/14%S8 pc~uFFOC~'~0~ TOWN OF ~O~JTH[O]LD o~ , ,~.ly i? ,'` ~ OFFICE OF BUILDING INSPECTOR ;~ P.O. BOX 728 o ,-• ~ ! ~ TOWN HALL ~~Ol ~~0`r SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N TEL. 7GS-1802 Date~~~~~~ ' Building Permit No._~2-. Owner //f7? Lp ~/~.rit-j (please print) Plumber /ylJ~,~, ~L~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this day of _~ ~~ , f P Notary Pub i Notary Public, 's~ ~~a/K County PATRICIA A. ~P[LLMAN Notary PE;JIrc, S1°.a cr 1'~w York QUA!'"ic;l in C„"; ~:: Court :'lELD I;;SPEC:iO;J ~~UATn ~ ~OMMGNT° ^ ~. ~ ^ 1. m . ~ 6 H ..c _- H _ FOUIJDATION (1st) ~ FOUNDATIOtJ ( 2nd ) _ _ ~ ~`~' 2 _ •~ f 0 ~~ ~ .e11-' t . z o ~ ROUGH FRAME , P r' ' - LUMBING ~ "tiw .: d-' • Q t H 3. ~ m , m IIJSULATIOAI PER N. Y. ~ '~ n e STATE ENERGY ~ CODE a ~ r 4. ~ y V aI~ ~~ I FIiJAL ~ ®~`~~ / o~ z ADD I TIO N AL COMMENTS: x G ` ~ c ~ "~.U `'S~ .5' """ s r~ x -n • ..: H "^". ? ' 04 y +... ~ H O ..L ~,.,,,.a o,. , ~_~ ~ 2 0 - ~q ~~ y.Y ~CCI.~ - - - - ~ _ ~ - - ~ m ~ H ' - ~ d m ro H SAMUELS=STEELMAN ARCHITECTS 25235 Main Road CUTCHOGUE, NEW YORK 11935 (516) 734.6405 ~~~~~~ o~ ~aa~~c~o~~a~ JOB ro _ WE ARE SENDING YOU ^ Attached ^ Under separate cover via_ ^ Shop drawings ~ Prints ^ Plans ^ Copy of letter ^ Change order ^ FH following items: ^ Samples ^ Specifications COPIES DATE NO. DESCRIPTION I~ ~ J 1 ~ ,/~ THESE ARE TRANSMITTED as checked below: ^ For approval ^ Approved as submitted ^ For your use ^ Approved as noted ^ As requested ^ Returned for corrections ^ For review and comment ^ ^ FOR BIDS DUE 19 ^ PRINTS RETURNED AFTER LOAN TO US COPY iPOWCl110.t O~~,C~~, Mea. Oli71 If enclosure9 are not as noted, Mnd(y notify us at once.. ^ Resubmit copies for approval ^ Submit copies for distribution ^ Return corrected prints ~77~Y~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [L,Y NSULATION [ ]FRAMING [ ]FINAL REIVIARKS~i_~~ . `~ tiL~~~~ DATE -~`-6t R~~I INSPECTOR ~ 7~~~ rss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. DATE ~ I ~ ~ 16 .. [ ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL '~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 3''nG`L; t. .f £)U(3'l,1,:t BUREAU OF ELECTRIGITV 85 JOHN STREET, NEW YORK, NEW YORK 70036 qy ( Date VlFf~l lr 1.~, I~'1 ~'n ~! APPlieotion No. on file ~~H~f}~s~EJf ~'(; {Q f5 yf (}~"J (I THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of FT.M!774i1' C!1(`~'Pl~f~ q~~)1917 7>i~110 ftaA~, StTUTFt01,i3, N.`Z. in thefollowinq location; ^ Basem ent © lxt F'!. ~ 2nd F'l. .Section Block Lot a~¢s examined an '11.7N F~.' 1), ~l)li (i and found to be in cmnpliance with the requirements q/'this Roard. it%TURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLE$ SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHEn AMi K W. AMT K W AMT K.W AMi K.W AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H P GAS H. P . AMi NO. A. W. G AMi AMP qMT. AMPS TRANS, AMT H. P. $Y$iEM$ NO. OF FEET AMi WAliS SERVICE DISCONNECT NO.OF S E R V I C E AML AMP. TYPE METER EQUIP. ~ ~, ]W ~ ~, ~W 0 9 JW ] ~, 4W NO OF CC. COND. A W G NO. Of HI-LEG A W G. NO OF NEUTRALS A W G. PER b' OF CC.COND. OF HbLEG OF NEUTRAL VInCM AYYARAIU]: It}pAt3i? t9,TIPtlIi~C, 'CAAhtSf;klf? ii~i't1't`li-i PAl9k5L13(7AKUS:'i.~-2'I t:i[2_ it)ra h.F.<'.T:-3 S@St)Etb; l7;';TFC'1'Qft; I f;?t7L Et. BTJ12Nt> }.LS~".~E:.A;d-tt 27ri '['t3YfN NAftHOR S,dtA1f6 St7lfPHt~G17, Rfv, i,i')"t~tl This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY FOR BUILDING DEPARTMENT. THIS COPY OF GENERAL MfANAGER r 1; 4- ..:~f ~,,,, be identified'by their credentials. TERED G ~~ C' . 0 , THE NEW YORK BOARD OF FIRE UNDERWRITERS ~•~{~~~ .l 11.~i511-~ BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 'Dete J111,P t).. 1',3 i§`S APPlu~ation No. un file fi (~'t~'~~;~$~?f ~i}9 ~d (1 Li f~e't ~.4 ~1 THIS CERTIFIES THAT only the electricafequipment as deacrihed 6e/ow and introduced 6y the applicont named on the shove application numher in the premises of `I'J~g9'HY CI)T"N'FIY, ;try09'F )t,, C)II'i'HC)]IlY, IQ.Y, in thefolloming location; ~ Basement ~ lst F'I. ® 2nd Fl. .Section Block Lot zeros examined on '7rJj`l~' itQ, I~)}~c) ondfound to 6e en complimLCe with the requirements gjthis Roard. FI%TURE FIXTURES RA NGES COOKING DECKS OVENS DISHW ASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES I NCANDESCENT FLUORESCENT OTHER AMi K W AMi K. W AMi K W AMr K. W AML. H, P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. Oll H. P GA$ H P AMT. NO A W. G AMi AMP. qMT. AMPS TRANS. AMT H P SYSTEMS NO.OF FEET qMi. WAiiS G SERVICE DISCONNECT NO.OF S E R V I C E AMi. AMP. TTpE METER EQUIP. Ilj.4W i A3W ~,e' 3W 3,e dW NO. OF CC COND A W G NO OF HI-lEG A W G NO OF NEUTRALS A W G PER 9 OF CC COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: ~i.. ~'.f .j: i) St4PaR$' Y71i~"Ctil'~Ctj.4t~~ 1 sAC>FI & t,Pl)~;F9AtdTd CNf'. P.~.6fIY, t'16j; 50U'L'tI<>Idt, NY, 7177 OENER~I MA,IVAGER 71L~ ~ f~' ~ _,/ This certificate must not be altered in manner; return to the office of the Board if incorrect be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MUST NOT.BE ALTERED IN ANY MANNER. FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . A!wM ... ~ ~ ., 19$q. Approved . ~i~w.KU!•!~j, .~. ~.., 19g J. Permit No. ~..~ ~ ~7 .~- D' d /c U BOARD OF HEALTH ... 3 SETS OF PLANS ..:'~ . . SURVEY •....Vy.... CHECK ••••••-••• SEPTIC FORM NOTIFY CALL MAIL ~sapprove a ..................................... ..................................~. ac. ..~n.~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS T0: JAN 1 3198 Date 5.~~ ........., 19 Z1g 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 Inspectof will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection roughouf;$he wo~ik. i -~ e. No building shall be occupied or used in whop or in part for any purpose whaYeve~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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .............................................. (Signature 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. .......................-.-~.^........~~.//............................................................. i Name of owner of premises ../.. /~ ~.7/l. ~ C~C)i~~~''~J! • • • • • • . • • .................................. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .. p.lnd eV ~:~.......... . Plumber's License No. .... ~1. (5~~ .......... , Electrician's License No. ..~.~I~~~~tt:!\....... . Other Trade's License No. ... ~.~/y.~........ . Location of land on which proposed work~~wppill be jjd~~one. ~:ryn/.I~7 ~? b....~~.». !! ~ .................... . ......................~~j..r?.J.1.hQ.~SX......fv~... ~/~~........................... House Number Stl!reet ~ Hamlet County Tax Map No. 1000 Section .....7J.......... Block .....~ ........... Lot ...~~. ~......... . Subdivision ..................................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use9and occupaxfzcy of propgsed construction: a. Existing use and occupancy ....:~~3!. ~ ~!~~l'~, `....... 1, .°~. !'~~ L ......... , . , g~. ~'~ r 1~~~~te7/~ Z ~ ~jgj~j L b. Intended use and occupancy ...... ... ....................~., ,,,,~,.,.,.............. p ...... ( .Rem plicable): New Building .......... Addition . ~ ...... Alteration ~....... . 3 Ret air of work check which a pval .............. Demolition ..............Other 1Vork ......... , .... . ' (Description) Q~nn~O Qt7 db ........................ Fee..............................,....... 4. Estimated Cost .. V . • . • • • ~ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling!units .....1......... Number of dwelling units on each floor ............... . If garage, number of cars ....:................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of e~ch`t pe of use :......... . ......... . 7 Hemh~sions of existing stru NU~s, if any: Front .. i..:~. • • • • ...Rear . ~.:::::.,. Depth . ~/~ ......... . ... .. .. g ber of Stories ....... ~ .............. .... ...... ..... . Dimensio e structure w, Depth . , ~I ;ith alterations or additions: Front .. rte.. F.4. M..~:.... Rear .. ~~ ~.~'...... . . ~ . 1 ..Height ............ . ......... Number of Stories ...~~ ~~-'7-......... . 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...... , ....... . Height ......... Number of Stories .......... .............................................. . 9. Size of lot: Front .. /°~ . Q. Rear ... ' . . .... . ............ Depth 10. Date of Purchase ... /•a• /b ~} ............. .Name of Forme caner °rS. O~ C>K.R9~~ ~KAI'~'J 11. Zone or use district in whi h emises are situated .. ~.~.~~ ~~/.I?7~.~ ~~-~.~ifZ/(sf/t ,7f1!eA.tr........... . 12. Does proposed construction vto ate any zoning law, ordinance or regulation: .NO .. . ... . .................. . 13. Will lot be regraded .......~ .Will excess fill be remove from premises: Yes Nq~ 14. Name of Owner of premises .. ,~/.°1Q,?/~~,C, o~~~~. Address<} Ob, M.1.1/ti.~~... Phone No.~6.~v~~1~~ .. . Name of Architect S.AM.J~4 :~? ~~~ • A/~ ... Addressp~S~~~M~1/y~1~ . Phone No. ~.~ ~ ."COS , Name of Contractor .~/.M9.~t`~ G Address <,}'~9'gA/~A/N. ~~... Phone N~~i,$rav~.~'~.. 15. Is this property located~iwi~hin 30~~eet of a tidal wetland2 Yes ..... No *If yes, Southold Town Trustees Permit ma be required. PLOyT' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from" property lines. Give street and block''Inumber or description according to deed, and show street names and indicate whether interior or corner lot. ~S'~'', PAR AY~~ "~~'~R~~ ,~ ~"~~, ,'~ .~a~i~ .3 3a. i ~p,~ STATE OF NEW COUNTY O~ (Name above named. He is the ......... t./.~ :`rr! L.~-- :............ being duly sworn, deposes and says that he is the applicant contract) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have 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 set forth in the application filed therewith. Swom to before me t}};so i /~ _ ........... ... .day o~~'... ........ :; 19 otary Public, JUDITH T. TERR~~/ ' ' • County N Notary' PubBc, State of NeuW '~'~,,/~////// Yry~C ..... ~/~/~.7C_~ ~_~/~~~~ ...................... . No. 62-434ag63 .\I (Signature of applicant) .,.._,:.:e,, ~., s,.a,au r.~~,mv n 3-2°xlo' Wiq ,40 ro"X~" ccA . 40 ~~~, ~ NUrut To AU.FPr 2~kld - TE(iCJ MEtAL FpSiFne45, 2~~ 12~~ ~knGt~K ~ - - - - ! -- -- - - - it II IhII it I II I p I I I ffI ' I ~ i i I II ; ~ ~ i ~ ~ ~ NEV I F IN I R H[ li Iii ~ II ~ it Ii . ~ i II I~ I ~ it }- . g- I ' I 2"x i i i i, !i i lo° gEAM ~~ t I I~ ~ I I i '~ I i~ i~ ~ II ~ ._7 _ ' ' ~ ~ ~ - _} I ~ i ~ N n -" II i it ~ I ' I I suf PORT 1'fe14S~ 13) 5EE of-TAIL i i ~ I ~' I I~ I I ~ ~~ iI I ` ~ ~ i ) I I ~ i i it rI .I I I I ~ ~ '• ~ ii I ~ i' ~ ~) I ~ i ' i~ I + I I 1 ~ I ~i f i i ~ ~ ~ J ~2nxj2~~ ~G~rt pyvr e . ScRg7c.M cugj sNgL~ ~j~ \4>" bjEL.oW FI.IJ~IZ -1UIYfZ - "/4~~ t1-YVJcu~ iU6PLa'-+L N~rV~r~' N%D~IE~ 6HkLL M,•! 15rA-iFV 7b 5iu. w~ru ~l'CI~140d.15 ~' v. v, i I 1 i " Gonc~;~ 9G~ATt.FF GOAT ` 11XI I'~, ,i ,~ ~ ~ _~ ~. iililj ~ ~ Co~LOt~ I~n~ , , ., F(X171N<~ ~ o. . PIEre- ` ' ~`i hr4'ii~~'- FS 5ctua2e ' _~ d- 4~'~ 50l V SUP~'OFT pl@K bE7Ali, stone f NurcrArc ~~D~,~, FDUNOkTiC'~J is %r ~~ d/~~y~~~% /~/ ReG1ui2EO. ~~~ /~ O~ ~j° /!/ a~a ~~~~~ ~~r~r¢! «c.~