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HomeMy WebLinkAbout17839-z T. FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19091 Date MAY 31, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1325 PARK VIEW LANE ORIENT NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 015 Block 5 Lot 24.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 1989 Pursuant to which Building Permit No. 17839-Z dated FEBRUARY 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to JOHN EBERHARDT (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-11- MAY 29, 1990 UNDERWRITERS CERTIFICATE N0. N-107181 - DECEMBER 13 1989 PLUMBERS CERTIFICATION DATED DEC. 13, 1989- KING PLUMBING & HEATING INC. ^~d~l~ uilding Inspector Rev. 1/81 roaae< xo. s TOWN OF SOU7HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON TtiE PREMISES UN71L FULL COMPLETION OF THE WORK AUTfiORIZED) 017839 Z Date ...~..:u.....1..~......., t9.~.9. Permission is hereby granted to: ......:.L~~.k.....~a...`f to ,..~~.A.:^~1/~~1c4.S~....a1......5'1.':^..4.-.... I. ..~1...:>.. ..,..P-:o...... at premises locoted at ~..~.~,e~.......C..~,~...?..... ~I!r?,:1............C~'.~.i.Qin.~ Caunh~ Tax Map No. 1000 Section{ ...I.~.!.:5.......... Block .......~.s~...~..... Lot No.....4~. ~ :a~~,. pursuant to application dated ...c7AJ~r!!-~4,:.~..~ 19.2.., and approved by the building Inspector. Fee S..w~'~o7.:.9.U... wilding Inspector Rev. b/80/80 ' Form No. 6 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ~aV 3 ' ~ ^p TOWN HALL 171 z ~j~?j - / 3 7 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANC A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contaimms less than 2/10 of 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential j$~15.00, Commercial $15.00 Date l~~.~ New Construction.. Old Or Pre-existing Building... Location of Property.!-~-25~..~'9?.~..~c'z...l ~.Tn.~/Fr........0!C~~~?~........... House No. Street Hamlet Onwer or Owners of Property.%~,?,~? _ ~~C ~ G/ County Tax Map No 1000, Section... ®~.f .....Block... :t . -/.......Lot../.`. I.::~.`S.~ Subdivision ~~iF~~d~ .~.~3......Filed Map. ~1.~~....Lot,.!.?~. Permit No / 1. a.'~~.....Date Of Permit..~.~,r~ ~ .Applicani~.: , Health Dept. Approval ..........................Underwriters Appro/val......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.~'...~. Fee Submitted: $ ~~'L 9 /l ~ a ~140y( APPLICANT O ~~FF~~~~0~ TEL. 7G5-1802 ! ~~1) TOWN OF SO~JTEOd.D (.;;:a ~ L y~jcp < OFFICE OF BUILDIt•IG INSPECTOR E ' ~ ;=r, P.O. BOX 728 ~ a, -c TONNHALL ~ SOUTHULD, N.Y. 11971 ~~Ol ~ ~b • C E R T I F I C A T I O N , Date •'~'`?~3 y Huildirg Permit No /'Z F139 Owner ~pNvJ ~2 ~ •f ~/(pleanse print) Pluc;er ~/n~ y'~i.,rvh ~r.v -.a~.rTc,~, ,1rx~ (p ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1g lead. ~ CY,~ scat c~~l"1 ~ . (plumber's iynature) Sworn to before me this ~3 day of GQ-~~p / ' 19 ~Li l~(/.f~--~ tart' Public Notary Public, ~ County 110. AIIII r'1cLD I~;S:~~:iU;i liii,ic. ~U.KMENT3 m ~ ~ W ~ FOUNDATION (15`t) ~ - - - - - ` l 8 ~ ~cT . ~ Q~ AA FOUNDATION (2nd) ~ (ip cv~~c.Jyj ~ ~ ~ ~,C' ~ - - 2. J /'-~-e -use z P,OUGH FRAME N ~ PLUMBIN~ "l}' ~ 3. ~ m Q~ IJJSULATIOP7 PER N. Y. STATE ENERGY c CODE Q 4 . ~ y 1 ~ _ FINAL ~ o~. z ADDITIOP7AL COMMEN'T`S: x c~ ' x H ~ w.... ~ a.. H H O "''p z a ' x op ca ,y A ~ _ y N ~ o v t m .d H TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....9.24......... Date ..........March..].,...1.9&9 Name John Eberhardt Street ........P..,fJ....B.ax...6.42 Town Greenpo,r..#,..,Ne!N...X.R!°k.....1 ~..2!!.4 Your application fora (single trailer) (OkKDS&(c24/~ permit was reviewed by the Town Board on .............F.ebruar..y...2.8.,.............................., 19..,8.9.., and (was) fas~sxrot) approved. A permit is hereby issued to locate a (single trailer) PK~utraf), license number or serial number at .......1.32b...P.ark...Y.le.W.. ~+ifle.~..................... .........Q.r.isnY.... f~ew...Y.o r.k.....1.19.5:I pursuant to application dated FggruaY.y...~7.....1.x$9..................... and the following conditions : ................................PERMIT„GRANTED..FOR, A„SIX„(6).,MONTH PERIOD ...................................................EXP9.RAT..IO.N...D.AT.~ ;....AU.O.U.S2...z8.....19 &9....................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk y~ L~.~ f~ N T6S-1802 ~~--~~CC BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. Jkf FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REIYIARKS: c~k ,D'~ ~a~-=~Q DATE ~ INSPECTOR C ~ ~3~ T6S-1802 BUILDING DEPT. .INSPECTION FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ \ w D E__~~ INSPECTOR 'Ac w~ _ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f l ROUGH PLBG. [ ] FOUNDAT{ON ZND [ INSULATION C 7 FRAMING C ] i REMARKS: _____a~ .._.._~--~-.~1~ DATE ~ ~ ~ INSPECTOR 1? ~3 ~ 7~-zsoz BUILDING DEPT. 1NS~ECTtON [ ]FOUNDATION 1ST ROUGH PLBG. r I [ ]FOUNDATION 2ND [ ]INSULATION [d] FRAMING [ ]FINAL REMARKS: _1~- / ~ ! .mac--. G ~J c, / DATE / ~ ~ INSPECTO ~Ij DATE - v INSPECTOR ~ _ .-.9.-.~ ._F-.....-~. -a..._....,.~ A._.vT -r , - _ THE NEW YORK BOARD OF flf~E UNDERWRITERS I'AfSf ) l i t t11 0 i EUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK. NEW YORK 10038 f)LCE:MHF:Ft 15,19$9 AppllcaNonNo.onfile 6139111ft9/f49 N il171N1 TYiAT only the alectrknd equfpasant r daerfhed 6eloto and Introfitced by the opplkwt nerved an the ahooe sppUcatfon numhsr iR the pretnieee of aa~ .fOfiN i-U F.Nf1ARl?T, 1325 Y'AKK UfNW L.ANiC, p11Lkk3, tIRSENt, N.Y. in thsfdlotolnR lacatlon3 ?K Basement 0 IAt FI. ? Ynd FL f+Aft Sertian Black Lot aNU exomfned wt Df: I; F~MBEN Ud, 1989 andfound to 6e in rnmpliance with the reyuircments ofthb Board. ~Tyd !A tbOKRIB RRCRS O W R%KAUST FANS 0111IRTe ACIB ~TC1~ INCANe!!C!M fUM7KlSCINi OTHER AMT. K. W. AMT. K. W. NAT. R.W. NAT. K. W. -MIT. N. r. ss 41 3? ;,3 1 7.1 1 6.9 ] '1,2 F ORYRRS RJRIMtR MOTORS NIIIR! AMlANC! IRpM fNOAlRN7f i1MlCLOgIS ~Nl UINiMAItES ; ~TIT~ pIMIRRRf AMT. K. W. ql N. r. GAS N.I. AMT. '.NO. A. W. G. AMT. AW. AML AANS. TRANS. AMf. N.I. ~ AMT. WA715 F 1 dl) 1 !i i?11f1 c SNVICR Og00eY1RtT tq.0! S R R Y 1 C ! - AMT. AAV. T'IR I r tw I w sw s w sw t w ~w w. wi icoro. a ' ~'r+o. No. q NFLEG aQ~w lrlti nG. q raursAlaL a , 1 '7ltp ('B 1 K 1 b/l.i 1 2.~0 Ol11RR A!?ARA711k Pact. ROUM ti£ARiNS:2-1 K.W. MOTUkS:f-.75 H.i'. 11191'OtiAi-:1--:SJ4 K,td. P.I.C. I:-7 5MUKF OEI'ECfOH:-1 aE- ~ G ,1 S CgNIftACIUR t. CC.ptitri E'. SuUf HUI.D, NY, 11'~/1. OED ~ 1 1 Per ' This not I>. aHend in any manslerT nNwn ro the aNioE .of tM Board H intorrotf. Inspectors rnoY ba ideMHiad bT Meir c Nab. x' F01t WILDING DE MENT. TNIf CQ!'Y OF CERTIFIGTE MWST NOT YI€ ALTERED IN ANY MAIMER. ; u,~ u_. _ _ _ _ __._,.a_- .a,.__.._.._.... ~ ~ (~"jj` BOARD OF HEALTH . i-a ~ r ~a i ~ u 1~L~ 3 SETS OF PLANS Y FORM NO. 1 ' ' ' ' ' SURVEY .........1~.......... TOWN OFSOUTHOLD CHECK .......:V.......,,, FEB 141989 BUILDING DEPARTMENT SEPTIC FORM ~pp ' TOWN HALL (l?~ IBS TOWN FSOU~iF~IOIC SOUTHOLD, N.Y. 11971 NOTIFY ~P~•~~- S TEL.:765-1802 CALL ~~11 Examined 19 ~9 • . • • . MAIL T0: Approved ~~1~.., 19$~.Penni[No.~7.p.a9 ,f v/~.~.~ ~~~~~~`'/?/iJ~ Disapproved a/c ~ ~ ~Y~ ..D~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ c Date ..~:Z....~...~....> 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 Pettttit 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectiorys~ (Sign ire of applicaln~t, or name, if a corporation) - .............................sy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. U 4.~~-I -2~_ j... Name of owner of premises • ~ . . (as on the tax roll o atest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No. ~^'jj O~ ..J KJ~ p'~/(pfB Electrician's License No . . OtlterTrade's License No . 1. Location of land on which,p/r~oposed wor~k~will be done . . House Number ~ Streets Hamlet County Tax Map No. 1000 Section ...u~. /dam .Block ~ ~7; °Z,f' Lot Subdivision.Or(!e:•^.'~.`•~~~..T~.c.'.::°j`=.°.9.........Fi1+edMapNa. ..~l.G° ~~/'2'f Lot (Nan1C) r State existing use and occupancy olfp~remises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ b. Intended use and occupancy . : • G--' i 3. Nature of work check whuh ' p • • • ~ . • • RL applicable): New Building ~ Addition Alteration Re air moval . Demolition Other 1Vork ~ , . p ( t> ~-v (Descriptioij)i 4. Estimated Cost O . j . Fee '•4._ ~1 . R;rO ~ , ~ (to be pai~ on CFA 5. If dwelling, nurnber of dwelling units d,';~ , , , , , , Number of dwelling units on each floor , , , , , • , , , CJ-[JG-~ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , , g Nn y; Dimensions of existin structu' Depth . of mberofStorics..........•........................ . :Front ........Rear Dimensions of same structure wtthialterat•ons or additions Rcar Depth . J Height . . Number of Stories . . ' 8. Dhnensions of entire new cons'ttuction: Front . Itegr 9 Y' , , , , , , De th .-3{,! • ~ ~ ~ • ~ • Height Nufnber of Stories . ~ ~ •6~~~ ~ • ~ ~ ~ P ' ' ' ' ' ' ' • • 9. Size of lot: Front a Rear . .~•-3:3~.1,~........... Depth s`. . 10. Date of Purchase • ............Name of Former Owner ?,j'~~;.5/~g/~• ~ls,~ ' 11. Zone or use district in which premises are situated ,°O i'y' ' ' ' ' ' '~^'~'~g• 12. Does proposed construction viglate any zoning law, ordinance or re elation: ° 13. Will lot be regraded yes g N~~E ~ ...Will excess X11 be removed from premises: es No 14. Name of Owner of premises ~ ~~?d,'! , Address/''° ~`~'a ,d~rr! Phone No. ~6~5 ~'3S Name of Architect :-S.~GVE' ~~H-'7~T',.,f- , , ,Address-3~, ~~;~!°~r, ~/i?2~~, ' ' Name of Contractor ; S!~~%i r-" • • dshonr No. ,~:~,'2,°, f Y,l~, , , , If es Southold Towl ~ " • Address .......Phone No........... 15.Is this ro err located with in 300 feet of a tidal wetland? *YES,.,,.NO.~"' * Y 'n 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 whether interior or corner lot. \ ry ~ O ~b v d • / ~ sa, v li~y ~ y,~ f Sry "1 STATE OF NEW YORJ~' /33, 7a COUNTY OF--~°' ° T~o~~f ~•5---""-_~. • ' ' ' ' ' ' ' ' ' ' • • •6 • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si~m~ig contract) above named. He is the ,~~-w?t •~c~- . (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 Gle 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 filed therewith. Sworn to before me this Notary Public, , /~r~!, jl , ~,;e , ~!¢2._, . , , , , County NELEN K DE VOE ~ G~ . NOTARY PUDLIC, SYato of Ne York / No. 4707878, 8ofialk Cou (Signature of applicant) Term kxpires March 30,19 r- l '~S ' ~ r~?FFOLK t0 HFi!S~TMit3~i+T Ai~#R~7u~,L.~~ - r f,.f~7` t3o's r~~x-~t~7TS ~~~~~~.~?v~~~ .,~-cr g, Ff~.~. t•J.;~ I _.P.'rkr~ty[,~ ~ ~ ~k~~ :iL.iF~~Li,'"i..~(e'f~si ~`iE'F°f A:, t+1~P_;~:ID.~f&a. 1 ,R } k t ~ +~~fC: ~ Vt~n7 ! A~~lf'° ~ 1 rt3 T S CA t'EMi[~f•17 ~1= f[JF13fy r \ r`a5.35a TG !'t.1C.(!E CO~JN, , o ~ - _ . ~ i ~+fr wnTturz suf~Pt v wr.w sEwac.~ u; 5F~3S~t ~ ari~'[~ut-~r;.1,rtt, +`L:.~_s?1~1:~. - 21 .CJC? ~I ~ ~ =YSTE~ht'~- t:Ga Tisir~ IZFSfr~e3~ic~ 'iJtt,;•, f Y ~ ~ _t 1 Gt3NFQ2M T~ Tt~ 57t,ND~SRDS• ~ T.?iE ip `L'~ ~ f=t=tJ[,li C4, ©Et~f. ~F taLA,t,:t;~1~Vs s. GEl y tau ~ dg r i ~ ~ r _ ~ / lL=ST Nom,;; «'m ? SUFFOi.ri ` CG:.°f~xY 6ER#, fff• hEAL7f-i i - _ , i X12' ~ 3k.wnT'~fc.) Ij ~ ~ ~•t`_ ti ~,~t CES - FAR APPS k ~t< 1 • Cl:hf5Ti7lJCTIfli`ti tltdlY. L $'.iC}~:PQ.F[SO I DATLe I svF17: ' 1A~y}"~ F ~ ..s~j.: ~ St.r FC'S IC LtJ.TAX i~lF,i' Lc~l;>Td ~.~r; ~l 2g7*. ' i .,_tL_T 6L5CK F'CL. ti D15 , L7 - z4 'y ' 9 SllFF6LK PARTME ~Ff SEEi1NC64 ; tw ~Gl •~~j1MkLY DWELLING~ONLY ~ 4 '41`~_~'f~1FJA±LCY BI.Yt?. I7.7; G'J p.1 _ _ , _ , EsAY _StiGik'{..t~•I.Y t 17Q~7 oars Ws REF ao ~ , - The ~tsposaRand water sups°IY'acilitres for this I i~'~ {r7- ~l.P` r"~ _ laa!ron have teen ins ed `y this De;,arhnerkanUlw :~b'~ Se~~ a '7• e~• ~c5>- Pte' _ `.d 9~i 1 . ~ other i>:~ d faugQ tc be„~Usfa r7 ~~G~~~- `A 1" C t -ELF tY: ~ t:= a~ (J~, Leda ~y _ _ _ ~tpp _ _ _ ~ ,Chief of Bureau of Wastewater Managwnerrt _ _ ( 5 ~.a~^.' ;2.L:Ci °.il~{,7, :985 ~clc ,.E a~ r tl'- . 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