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HomeMy WebLinkAbout17834-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218797 Date FEBRUARY 14, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 2705 WELLS ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 Block 004 Lot 012 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 10, 1989 pursuant to which Building Permit No. 175342 dated FEB. 14, 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 ENCLOSE EXISTING PORCH. The certificate is issued to OTTO & JUDY SCHMID (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N079058 JUNE 30, 1959 PLUMBERS CERTIFICATION DATED K & K PLUMBING APRIL 19, 1989 Ci1 ra-c st.G Building Inspector Rev. 1/81 sosaa xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TI1E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_ 017834 Z Date U..~..`~ i9.~.`~ Permission is hereby grouted to: ..a. o ~ ~o ..~?1cX~vA....wZ:~!.r4~"^~.....~~...1i~4.~+.......sig....4,FQ.lP?F..~:.. . .........`...........................................V...U..............y.~..0.........n.......................... . ct premises located at .a:.2~~..........l..t~:o:Q~?.....~.r ..............~!~-!:f~~,l~..~.....!?~,........................ Caunhj Tax Map No. 1000 Section ...07.°........... Block .......1i.~....... Lot No......I pursuant to application dated ....~:a.~Qa.~I:~-y.....L.4 199.., and approved by the 6uildfng Inspector. v Fee $...;a~::'~...... ~!-t. ....................................g Buildin I actor Rev.6/30/80 !-Y--a'~?'~„,m;~ ~ TOWN OF SOUTIIOLD 01•' '"'°r` P'~`^` BUILDING DEPART2IENT t~ I Q ` ~ ~P . ~ ~ TOWN HALL SOUTIIOLD, NEW YORK 1 1971 -~`C',~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY i ' DATE...S.~ID/~..... ~ t NEW CONSTRUCTION ......,••OLD OR PRE-E%ISTING BUILDING...... VACANT LAND........ Location of Property...P~.7,bS.--; ~ ~ ' HOUSE NO_ STREET HAMLET Owner or Owners of Property-...ve."~?~„~7,~'up-~_ ScHfynl.Z?----------------------- County Taa Map No. 1000 Section -~-D „ Block I LoC . J..Z' . Subdivision Filed Map ../.....-Lot..-....,-- Permit No. (:~.~~g,`;,Date of Permit L- ~G p,yy~- /J~2.~ -•~-~--/.Applicant Health Dept. Approval Underwriters Approval.._........... Planning Board Approval Reques[ for Temporary Certificate Final Certificate Fee Submitted: „ APPLICANT....G%... C-;-_~~........-' reV- !0/14/88 C~`e~•3899Y la~q~7 t > i ~ x FORM N0. 6 TOWN OF SOUTHOLD - ~ BUILDING DEPARTMENT TOWN HAL. v~ ' 765 - 1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must b~ filed in typewriter OR ink and submitted to the Building Inspector with the follgwing; for new buildings or new use: 1, Final survey of property with accurate location of all buildings, property lines, ~ streets, and unusual~~~natural or topographic features. 2. Final approval of Health Dept. o£ water supply and sewerage-disposal~5-9 form). 3, Approval of electrical installation from Board of Fire Underwriters. ~ 4, Sworn statement from '',plumber certifying that solder used in system contains less than 2/10 of IZ lead: 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. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings QPrior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" landluses: 1. Accurate survey of property showing all property lines, streets, buildings and 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 Che reasons therefor in writing to the applicant, 3. Date of anq 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 ofi 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 reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $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 Certi';ficate of Occupancy - $20.00 5. Updated Certifica,'te of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial II APPLICATION ON BACK rev, 10/14/S8 TEL. 765-1802 S~FFOC/~-C To~rr or so~rT~oa.~ O ,.r ~ D~y ~ rc OFFICE OF BUILDIiQG INSPECTOR ~ A= P.O. BOX 728 0 `f' ~ ` 3~ T01VN HALL SOUTHOLD, N.Y. 11971 ~ r C E R T I F I C A T I O N ' Date Building Permit No. d) 7~.~~ 7. Owner ©'7'7~d ~ T~ [~l~O Sep[yai~ (please pr nt) Plumber 1~ ~ `~~V'("~~c~ ~\l~ ~U\P~ ~~V.X~.~V.~- (pleasc- print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (plumber's signature) Sworn//~~o before me this 'day of ~/'l~/,~ n/ 19~/ ~l otar-y Public Notary Public, ~ County EgICO.KaCH Netery Pu61ie 8teta of New YaHt , ~ cwnNneaas~ saHoiR E,wi..e,len. a~ 1BLD II;SPECTIUtJ ~~llATE ~ COtKMLNT° ro ~ 1 . ~ H - _ _ y~ FOUidDATION ( 1st ) o c FOUNDATIOtJ ~ (2nd) m 2. ~ - ~ / [J ~GC~[~ z N o ROUGH FRAME p / ~1 PLUMBING' ti s. 3 y ~ IIJSULATION PER N. y L /UOC- c~' ~ STATE ENERGY CODE J \ n ~ ~ 4 . b 8 ~ C',, O . r' H x _ FINAL o/! ~ ADDITIONAL COMMENTS: ~ x 0 . 'fi ro • F-1 ~ .,G H ..D H O O 2 x ro ~ A r H T C m ^o H c 7~~P~ c9h~. CONSTRUCTION MANAGEMENT CONSULTATION Box 208 East Marion, New York 11939 (516) 323-2676 JOHN /C). BORN, PRESIDENT DT TO ~ ,1 uD,/ .SCr-Imfb y( 70 l ~y S ~G E rt"C i~l ~X1STrN6 St DC ~oRc-N M/~Int7Alalnl~ E~cISTrti16 rooTPRiN'"f" i NEW ADbSf / SLr uLR. 1~"PiERiEC71oN5 TT ovE2 ~"Pty C1C I ST IrJ G J RLouSIF'" 1xbTQG ~trJITS iZEml1t{6~ Eur sT G GON~RE'fG FLD~~ NEW ~~'ISTING CLS-Z LIJ RW~ P.A~SE F+-o~P~ 1 r hREA bn M~HIA3pARD , ; 2K~ F~2 Am5 ~~~p~`' lti~ Gy1c -..I b" FII; /NGUr- NEW i3GTwt'~N C2S~~- e".9Ft~1~i1~Et~ AS Nfb~'E~7 ~"xNSU4 AT ExT w,w-s ' ~ ~ ~ ~ S'~? . v 11~~'. Lam, . _ ~Nf1J ,at(>''~S S'Y fdta~4.Clsttifi !7E;'~S=2TMENT AT ~bb~ MEW ~ ~oP Si?,3% !aP~~ 'ft, n p^t t-OR Tt-iE CiS-2. hCli tLh^/R^~C. i~S*'S_l^T;'}t.i;. SYpRE 1 FfJUPSOAiIOtV ~ TvUO hE(]UIRGO beoR FOR POURED CONCRETE 2. ROUCiW -FRAMING ti; r'LUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST >~Q.~~~~~ ALIECONSTRUCTION SHALL MEET `~`C~ SATE OUNSTRUCTION & ENERGY Ci Q ~ CODES. NOT RESPONSIBLE FOR ~~4} ®CC~ P DESIGN OR CONSTRUCTION ERRORS NI i { 'Yl G f w ~ ~ s P t N. 2 4-~ZS E 90.00. _ `~.o e - 4 J n' ~ ~ 1 ~ aa. <b ~ ~ C- F N ~a (tl U . ?z o,~ w~ o u ~0 ~~\v~ r h.2 r~ ~ o ~ ~ ~ L C ~ ?v r„ c 3~ Z y O O n -tom t~• ~ : 4 o 3 s ~ ~ ~U - / ~D'y ~ y /7 ha NSG ' ~ LrAm~ S I \ I - ~ i D A j ~ _ - - _ . ~ r ~ ~ ~ t s ° 0. b K ~ ~ ~ ~ a c~K ~Y C R a ~ ~ i! ti `I - c t ~ ~ P ; ~ / lp (1 ~ ~ 765-1802 - BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ J FOUNDATION 2ND INSULATION [ ] FRAMiN6 [ ]FINAL REIViARKS• w ~ ~-~"l DATE ~~U ~ INSPECTOR . y 17~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: c~ DATE S INSPECTOR 'H'~'arrlf~pr=,)t}i,~f 1`HE NEW YORK BOARD OF FIRE UNDERWRITERS PALS 1 7.ooolzl BUREAU OF ELECTRICITY JANE 30,.14$9 85 JOHN STREET. NEW YORK, Nb1166089~8938 N 079058 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment a dsecribed below and introduced by the oppHcent named on the above eppHcation number in thepromiaae 4/ OTTO SCNMID, 2705 WELLS AVEN~.yUE, SOUTAOLD, N.Y. in thefdlowinR taco sent U let FL ? Pnd Fl. ,Sertian Block Lot woe examined un and found to 6e in compliance with the reyuiremente of thL Board. A%TUE! ACVi fItKTGIlS R%TUEES EANOlS COOKIYW DECKS OVENS DIWI W lrA#IS OUTIElS INGNDlEClM 1lUGelSCENT OTNen AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMt. N. 1. 3 6 5 3 1 P DRYlRS RBEUCE MOTOK IUTWE AlMIANCI MEET Sf ErJAL EECfK TIMI CLOCKS ~ WNi 11EATflS tMttTl-0IITtET DIEAMEEf AMT. K. W. dl N. P. GM N. 1. AMT. ND. A W. G. AMT. AMI. AMT. AMTS. TRANS. ,AMT. N. 1. ~ ~ MIT. WAlt6 fET Na. Ye S E E V I C G~ E AMT. AMI. I1T! ~ t/tW IX7W 3/7W 7/AW ~'aER% OND. Of C C ~ D, NG.Or NIdEG G~IWX-'CM NO.p NEDrRAIE 01 NWlUT0.RAL OIftN AAAR11TU5: PAUL R. BURNS LIC.N282-B 275 TOWN BARBOR LANE SOUTHOLD, NY, 11971 I~tiu iMARIAOEE Per This prtificaN must riot bs oMered in any monrwr; return to tM office of the Eoard if irrcorract. Inspectors may hs ' lhsir craMMials. I NG DEPARTM .THIS L IN ~ BOARD OF HEALTH 3 SETS OF PLnNS FOHM NO. t SURVEY ~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC marl ' TOWN HALL , SOUTHOLD, N.Y. 11971 NOTIFY ,1 q TEL.: 765-1802 cnLL Examined .y~S~W~ 1:`4~.> 19~l. MAIL T0: Approved .t~.-4-~-+ti~:y.Q )1 194. Permit No.. ~.~.g 3~2: re ll P r Disapproved a/c _ FEB 1 Q 19$~ q~. 6 e.~ ai. . D".z-?.°.`" dK......... TOWN p a. pE L?~ (Building Inspector) SO(~ij tj APPLICATION FOR BUILDING PERMIT Date ~-.I i©.........,15 g9 INSTRUCTIONS a. Tlus 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 8r 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 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, azchitect, engineer, general contractor, electrician, plumUer or builder. .........................aul~P~~.............................................................. r Name of owner of premises p'7T0... T+tt U~... ~.ch('t'.K l . ( son the tax roll or latest deed) If applicant is a corporation, signature/I duly authhorized officer. C:....V. ..4~.•.. . (Na e and title of corporate officer) Builder's License No. L Z2~...L`~'~....... Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will Ue done . , .....78.5 KIEL.LS...n~.~'.................. ~>?:y:1:N1~2~.................. I{ouse Number Street. Hamlet County Tax blip No. 1000 Section .......7©• Block , . , , • • , , , , , Lot . Subdivision Filed blap No. Lot . (Name) Stale existing use and occupancy of premises and intended use and occupant y of proposed construction: a. Existing use and occupancy uN~•t~A'[~y.. k?JC~-PS~A.. J~.D2~µ b. Intended use and occupancy ...F~:T~A . ~N~:OS~Q..G'(~4/•f , ,`~?t Nt'1nJ t,,yi,Jp~ , pQt2~..t{nJ~'~ Mt1-InJ'T~M~tN6 71~}E" SHvh~ po cN ~~o~rP~r...t7' p • • • • • • • , . • Re applicable): New E3uilding Addition Alteration .Y...... . 3• Ret ~c of work check whichmoval Demolition Other 1Vork , , . , . , . .Z ego., (Description) 4. Estimated Cost ~..C~.',.fJV.Q . . Fee , . 5 If darallennumbcr of carsvellm' (to be paid on Filing this application) g, g units , , , , , , , , , , , , , Number of dwelling units on each floor . 8 6. If business, commercial or mixed occupancy, specify nahr and extent of each type of use . . . 7 Heml Tsions of ex•istin6 stru Nuly~es, if any: Front . , , , , , , , , ; , ,Rear ' 2.°. Depth l o mberofStorics...,,,,~~}~;,,,,••.•.• Dimensionsof same strycture with alterations or additions: Front . , • ~tt9 Rear c th ? i , c: ~ 8. Di mensions.of entir~e~n ' V Nu' ~ ' ' Iieight , . , , , , , . , , , , Number of Stories . q~ , traction: Front . , Sjw,vl~; , Rear . Depth , , , , Hei"ht U ~nber of Stories . ~ • • • • ~ ~ ~ • 9. Size of-14t:~Frc~rit~`?,,;., • Rear . ........Depth....................... p .y ...................NameofFormerOwner ."~4uHJ.C•..~.A,+~~./z,.~~J.,t,~.. 101. ZDone P r up ecdistnct m which Qemises are situated , , , , , , , , , , , , , , , , , , 12. Does ro osed construction vt' late any zoning law, ordinance or regulation: . ill lot be re"raded . . . . .Will excess fill be removed from premises: Yes No Name of Architect , , ~ "Y .S~r+m'A , .Address ..?7° 5 weet~ r4a, , , Pltone No . S'eiA'~p~p ' A! . .......p...........Address Y~.... Phone No............... . 4. Name of Contractopremos~ •~I: ~Df~n1, .r7C7J{-U,E/~. , ,Address 32 3 -2676 . 15.Is this property located within ••PhoneNo. *If 300 feet o t a etland? *YES....NO.... yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alb buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and Klock number or description according to deed, and show street names and indicate whether interior or corner lot. I S ~r? i ~'R'!'+~cN-r~ ~'Kr 'fZld I • li STATE OF NEw YORK, COUNTY OFt 1S'S J o FtiJ ~ d~a2N ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • being duly sworn, deposes and says that he is the applicant (T\amc of individual signing contract) above named. He is the I (Contractor, agent, corporate officer, etc.) ~ ~ • ~ ~ • ~ ~ ~ ' ' ' ' ' ' of said owner or owners, and is duly authorized to p5rform 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 [he manner''sct forth in the application filed therewith. Sworn to before me this .............../.~Q ....day of.~!..~-.~'. Notary Public, , , , , ~?`-ePisf!..~.,',.. H! 4-t ; County ~ HELEN K. OE VOE , , ~J !1~-m Lni~~.. NOTARY PUOliO, Stmto ut N¢v+ Ynrk ' ' S^~ No.4307H78,Suffcdk0aunty q~, (Signature of applicant) Term Ezpires March 30,1/