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HomeMy WebLinkAbout17810-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17835 Date MARCH 10 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 760 LESLIE RD. PECONIC NEW YORK House Na. Street Hamlet County Tax Map No. 1000 Section 097 Block Q9 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1 1989 pursuant to which Building Permit No. 17810-Z dated FEBRUARY 9 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 ACCESSORY SHED IN READ YARD AS APPLIED FOR The certificate is issued to LORETTA CUNNINGHAM (owner] of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N{A UNDERWRITERS CERTIFICATE N0. NlA PLUMBERS CERTIFICATION DATED N/A ~~~/~.L-.~ ~ (XKiu~-rt> Building Inspector Rev. 1/81 xoaar< xo. s TOWN OF SOUTHALD 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~ 01781 Z Date .....t1..Q.u~:.....1 19.1.9 Permission is hereby granted to: ~ fi L' J ~ ~ . y :....!.!.9 s~ ~,J ~ ~.°'`oo'.~~ ct premises located of ...~.!a..4... ...f~? .:.................~.A.S.~.............................. County Tax Map No. 1000 Sectio~~..t.7....... Block .....09........ Lot No....©.~............ pursuant to application doted ....~,!k~IF.~.r.~..4 V....~ 19.11.9.., and approved by the Building Inspector. Fee u ding Inspector Rev. 6/30/80 f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~/J~ p DATE .t7 : 9 ~ . NEW CONSTRUCTION .Y.....OLD OR PRE-ERISnTING BUILDING......VACANT LAND........ Location of Property.7Y'O_ L.E.SLIE-.KQA.[~,..,-,-_,-~EGQ~,(~•~,,,--.,.,.-... HOUSE N0. n/~ 1 1 ST/R~EET NAMLET Owner or Owners of Property.~O!\E..t.`.~1...4-~e1~~1.~~~~.~1~ County Tax Map No. 1000 Section Q~ Block .Q."1... Lot QQ.~.... l~ Q(~ ` Subdivision.!Jryry~~.~~rh~r.S........ Filed~jMppap J7PZ3...LotS...1... Permit No.O~~-O~Q~.DaCe of Permit ~'9,6.I...Applicant ~QR?:-t:~:A. `rl^a(~It419~j/,~M.} Lo'I s AtK ~~ISon1 U Nealth Dept. Approval Underwriters Approval.............. Planning Board Approval RequesC for Temporary Certificate Final Certificate ...4/........ Fee Submitted: $..l~.,1~. ~~~(!1... APPLICANT ~~~.?IN:A.? ~~d~~~:~* . r,0 ~ 118 35 rev. 10/14/88 r'lELD I;:SPEC:iU;7 IllliiiF. ~ ~OMt1ENT° = -o m ,.1 t ~ W H Q - H FOU2dDATSON (1st} ~~F FOUNDATIOid (2nd) - m 2. z ~ 0 r a ROUGH FRAME & PLUMBING 4 H 3. m ra I1ISULATION PER N. Y. y STATE ENERGY CODE x 4. p ii 'a F I1J A L ~t~-~' O ' E z ADDITIONAL COMMENTS: x ' x ro H H +A O O Z 1 . y a > ~ $ H d [+1 H . ~ ~-o ~ ' - ~ ~ ...._.a. . r.r-~_~ _ r ~ ~ i - - -'t ~ , , - _ _ - i, - ~EPr~ ~ ~ r r.. i ? A i l_ - ' ' ! ~ 1 _ ~ 1 id~ - ~ ~ _ _ . d r.',rC/.~ 1 ~ r _ _ ~J.v~ ~Uaq - -r . ~ ~ z, y~RONJ ~~..~c'ia'2t.e.rS ~ ~`J:w .'Y'om ^<<- ~~+nt. i ~q r~ wFf/f C' ~L'~.'l~q/i r9~~,ud P, 7 t- ~ - i - 1 ~ ~ 7 f _ _ _ _ f C I ~ ~ ~ ~ ~ ~ ~ ~ ~Oe A{~~ ' ~ ~2~S10~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST f 7 ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ l FRAMING [~INAL REMARKS: ®r I~ , ~~Iy C' ~~~0 ~ DATE INSPECTOR V ~ CPS ` i ~ ~ ^;ie .:8 h,.~ < ~ ~ i F~. _ ' s ~ ~ ~ ~ w ~ _ ; ~ o a r Q . ,g3~ ~ ~ V~ ~ g ~6~9 v " ~ - ~ ~ ~ i _ ' ~ 3 1 ~ 6 AR ~ ' O ~ - wR~ ~ ~ r , q Y' E ~f .[V ~ A ~ lS0Q F T . ~4Y 3T~~'' O S_ s0. ~ F IAO.,' ~ ~ . r aIJ - a v uYm~ YS a ,S~ 5 ~~s ~ ~ ! Y , `332 ;:j a ~ 1 ( ~ ~ 5• ~ o~°~ ~ I NOTES ¦=MONUMENT ~ ~ ~ ~ ~ ~ , - ~ SUBDIVISION MAP FILED IN THE OFFICE t ~ OF THE CLERK OF SUFFOLK COUNTY ~ ~ ~ ' ON JUNE 2; 1972 AS FILE N0.5723. ~ ~ ~ ~ ~ ' ~ ~ ~ - - _ - - - _.w - - - - G.; _ REVISIONS , 4ktkt _ 400 OSTRANDER, AVENUE, RIVERHEAD, ~NEW'YORK ~ E ~ - ALDEN 'W. YOUNG; , , ' .HOWARD W. YOUNG ~ ..,.y 1t PROFE881QNgL ENGINEIR AND ~ . ~ F.AND BURVIYOR a5a t ~ ~ LAND BU{RV lYDR. N.Y.B. LIGi: NO. 1,2848 ~ ~ 'N. Y. S. 41C. NO. 44889 '_p UMORI2N ALTERATION O0. ADDITION T THIS suaver u A vlotnnoN o2 SURV/E~Y FOR:' - p ~y b iION T2OR OR THE NEW YORK STATE: ~ M.MICHAEL~CUNNINGHAM$~,QRETTA~ ~ IV F CATION IAW. ' C f1E3 Oi iNIS SURVEY MAR NOT NA0.1N0 _ LOT ~ Of I D~Y"HV V ~I ~ k~~ ¢f~' W YQ~ ~ - ;q i LANp SVi `(EYAR'S INCLD SEAL OR ~a ~ Q ~ a1 OSS.D SEAL SIIALI NOi YR CONSIDERED ~ Q. y ~ ~ `7 ~i BE A VALID tF.UE GORY. - ~ - H I +3A r A y I , ~G RANTEFS INDIf.ATED HEREON SNAIL 0.UN ~ ~ AT GUARA YFr~ a4 10 LY i0 THE PERSON FOR WNOM THE SURVEY - PECQ~ ~ C"' , GUARA TT ~~Lr°fF~ IvwN QS REPARED MD ON HIS 6E~fAlF TO THE TITLE I NGdr .F~k~ ~+61`~~~`"" Y : tTl E CCMPAWY, GOYfLNMENTAL AGENCY AND - TOWN OF ~ ,~pp ,c` / ~f +I LE PING INSTITUJION LISTED HEREON.AND ~ ',SOUTH~~~~ _ RIVERH U'yC I~aSBANK ``tf N19 i iXE ASSIGNEEb Oi THE LENDING INE74 ~ ~ ei J ION. GVARANTCLS ARE NOi iRAN3EERAEL6 Cf I~'F~1V /.O f.~ V ~Y A: ~H:1~+'~i~~~;',`~,~.';, ; ADDITIONAL INSi1TU71UNb OR SUBSEQUEM JU LR~ li 1 D NBLS. - ' SCALE: ' n~ 50L - DATE: ~NAy. 6T 1972 i ~ 72 - 8 96_ _...r BOARD OF HEALTH 3 SETS OF PLANS FORM NO.1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY r,,+~a/~ TEL.: 7651802 CALL 7 T . Examined ~4~^"~!M. ~ 19.9 MAIL TO : t7`$' `QL~.~nrc, Approved~.~. • 19}j9. Permit No..~ .7 dL~' ~ ~..1 L~ L1~~r~L"'~ Disapproved a/c ~~a - i~ ~ . k3LCv.0E#=f~ i"0`vvf:! {.,F SO U'i'Ht3f_t7 - ff ~ -aa.~_...,.~.-. . (Building Inspector) ~ , ~Af!` APPLICATION FOR BUILDING PERMIT J Date ..,3®..:J/fir'....., 15:~~' INSTRUCTIONS 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 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 Buildurg 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins tions. (Signature oQt~ applicant, ~o~r name, rf a corporation) • (Mailing address of plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. u®,ve~ Name of owner of premises ....:l:G~~.~. ~ errs, r'fvr.t (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plurnber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. . House Number ~ Streets Hamlet 1 ; County Tax Map No. 1000 Section ~ • Block , , , , , , , , , , Lot G~.~......... . re 'I- fe _ Subdivision ..47`1 Y /~(/.r-r C.S Filed Alap No. 7 °.2.~...... Lot . (Name) 'i State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , , ,~C, C • • • • ~t1?+'r/K 1! • • G? ~';°~.t~ / d awr,r,•~iY t14`z=at°a, e.c7 o b. Intended use and occupancy ..G~l•z.~.~~ • • • • Sl~ct~• _ 7~"'tom 3 Repair of wor!` (check which',applicable): New Building 1'" • • • • • Addition Alteration • ~noval Demolition Re, Other Work . • (Description) , 4. Estimated Cost teyc~ Fee „ number of dwellit{ (to be paid on filing this application) S. If dtvellin~ g units Number of dwelling units on each floor . If garage, number of cars . 6. If business, comrnercral or mid ~ ~ • • ~ • ~ ~ ~ • ~ ~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ed occupancy, specify nature and extent of each type of use , , , , , , , , , , , , , • . 7. Dimensions of existing s[ru Nures, if any: Front . . . . . Rcar , Depth . Height tuber of Stories . . . Dime. ~,~rs o~s structure ' • • • • • . ~ with alterations or additions: Front Depth" :.................,~.,.Ileight............. Rear.................. , Number of Stories . . . . 8 Heml Ysions of entire new constnrction: Front , ! ~ ~ ' ' ' ~P...... Number of Stories , Rear sa? Depth Q, , , , • , , . 9. Size of lot: Front Rear j' r ~ . ...p ~ Depth ..:3.~.~... 10. Date of Purchase /iriu ,I , , , , , , . , • , , , , , ,Name of Former Owner t",j~uSt~.L , • ~°O~'s % Ca!ei~.~ 12. Does ~ ou osed constructrlonrv~ miles are situated . p P blate any zoning law, ordinance or regulation: ../,~f? , 13. Will lot be regraded ~ • ,Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~!?et.?n Quw,c•/,u~~q~ddress , ,0,~~'S~ti~, rtra Phone No. ~3,Y, ~ , , Name of Architect ' . , ,Address . Name of Contractor ....f1 f":-°!R,!G`~„ , ' ' ' ' • ' ' • • • • • • • • • • • Phone No . .......Address ...................Phone No. IS.Is this property located with in 900 feet of a tidal wetland? *YES....NO. d *If yes, Southold Toc~,n Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly a1,1 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. ~S~r /k~Hc.ffa~ Ca~'y OF SUSr~~/ I I STATE OF NE YORK, COUNTY OF S.S `(NaRme of ind~~rvidaal sn1~'~A M ~ • ~ ~ ~ ~ ' ' ' ' ' ' • • being duly sworn, deposes and says that~re is the applicant g jig contract) above named. S[fe is the Du?.~b.R........ . (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; [hat all statements contained in this application are true to the best of his knowledge and belief; and that the work wdl be performed in the manncr~sct forth in the application fled therewith. Sworn to before me this l -~%y) ~.djaJy of ~;8/L(.Ccr~~ Ih ~~7. Notary Public, ~?f ~~2%!4, t~, ,WG U~~,~~~ County (Signs a of applicant) ~Na aea5sio', SutfolktCountycr~ QOIIImISS~AR @r,Aues M?rch 30, 19 i