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HomeMy WebLinkAbout17851-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFTCATE OF OCCUPANCY No 217842 Date MARCH 13, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 2055 ANCHOR LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 04 Lot 38 MAP OF HARBOR LIGHTS Subdivision SECTION #1 Filed Map No. 4362 Lot No. 27 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 15, 1989 Aursuant to which Building Permit No. 178512 dated FEB. 16, 1989 was issued, and oonforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY BUILDING IN REAR YARD. The certificate is issued to JESSE & DOROTHY WOLF (owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A B ding Inspeotor Rev. 1/81 rows 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 ~ ~ 17 8 51 Z Date .....~..-.~~:......1...~ ~ v.B.~ Permission is hereby granted to: ct premises located at a°.. SS......`~'!::~'S-~`~:.. . ~>.........~~(./!!-a!t,~ .......................................................................qq........................................................................................ Caunty Tax Map No. 1000 Section ........~..l.......... Block .....6..~......... Lot No...~~ pursuant to application dated .~7.".R-C~^r.!A.......~..,5 19.4.., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 ~9~e~ TOWN OF SOUTIIOLD n02~ BUILDING DEPART2fBNT /~"Y TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE..3LR~r.~.C........ NEW CONSTRUCTION ....OLD OA PRE-EBISTING BUILDING.._...VACANT LAND....._.. Location of Property..:Lo=~S.A-N~~•m:Z..L!~"!Q..---SOu`I-~+o(,~ HOU5E NO. STREET HAMLET Ovner or Owners of Property.....-.-77.~~.±±....... County Taa Map No. 1000 Section .`:I,,, Block b Lot .J.~.... Subdivision Filed Map ........Lot.......... PermiC No. ..........Date of Permit ..........Applicant Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT.. 3~~00 3f iY~~'% C°a z / ~~`fz-- rev. IO/14/88 :'lELD T;'S:30:iU;i ~~DAiE CGMMENT° _ ~ - - ' ~ -o J 1. a °d H - - y FOUNDATION-, (1st) ti FOUNDATION (2nd) _ _ m c~~ 2. ~ o POUCH FRAME & PLUMBING "Q, 5 ti H 3. ~ cni I1ISULATIOf1 PER N. Y. • • STATE ENERGY y CODE m a k . ~ ~ H _ FZ;dAL 7~j~j~ • _ ~ p -II ADDITIOf7AL COMMENT`: x v ro ' x 'o • H 31 _ 9 b,. 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N J VV y fit(//~ ai m ~ Q W zp ? ~j o Z `w~„ . ~ U. ~ i'' ~ Z ~ Q d . ~ z q o a Wo aoo~°`?LLm~ia`5r(Q}~utlt '.~H~~ , ' ~ 0~ U~ ~ ; O LLZ LL.- Nl'rl tf Q NVJ'~~ f~ 1~ ~ ~ t ~ O h' L , Q F- r ~ r ~ Q I d1~4 _ ~ ~ ~ , ~ M. .m U ~ I' a , O " m, i. ~ p QJ ?R, ~ ~ w U 111 ~ r ~ l' ~{:e~! f~ ~ 1, LL f ~4 ~ r. d ~ o ~ ~ v N.25'S 50"E. ^101.64 4 W ~ ~ 11 u a~ . r, • W. i N D J A M M E~ CL . . ~ `0 0' Q 1- ~~'~W h N ti ~ H: . a u. u ~ -~ozo t , Ss d'% .,i ~ ~ ~~n'~~~ 6th 2 Q `Y°` }vp H O~ 4t'~q, 3xYnf ~ o e 33(x bl lll , r, , x51' V 5}~"Y. :tS}. y ~ ] i~. :oli: m YQ O V ~ ` r ~ ~3i + ,o,~tr~i _W~~~r'a4 o±i 111 LLNyZ L O KUji ~J V~ Q w , 3 : gl~`I I O o ' y _ I ~ ~ ~ _ } R y` y 1' w e, _ ru '4I ~ter~ f _roma•rir- a y 8 I j / R e` W/bB ; ? o~-l x+ ?q .j~.. l n Y F. ~ y i i oe S r e 3W ry~p' ~ s x ~ ~ i]~ , ''m _ ~9 ~xx~wy i n Q \.O .~I ~ i f 0 F~s1I ~ ~ _ ip~g r - rq r °g o it „e~.e ~ ~ t ~'9 j°t 1! y iii~~ ~ oa~E~a /r ash tt~F~ ~ to ~~~~I ,i ~I~i~ r~ ~ Y @n. ~ r i r i e i ~!___l~ r~ \ d „ l epV ganf ° ~ nvsxan \`0 a ~'=pJ 'moo a~1}~ 00.?6°°n: ~ t mm¢ tj x'~4 ~ $v is°3 ~ ~ ~ ~ µ ~ !3~'~ 2 _ ~ _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE .1 $005.356 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 Date ,TANUARY 09,1991.q IicotionNo.onfue 555211 $!1/$9 N O7vg07 TN15 CERTIFIES THAT P~RNTT NO. 1.7$57 f only the electrical equipment a deecrihed hebra and introduced kY the opplkant Hamad on tha efwoe app/icotion numher in the premux q/ BARRY INFROTE, 655 AGBACORE DRIVE, SOUTHOGA, N.Y.. in thefdlowinp lacatton> ®Baeement ®Iat Fl. ®Ynd Ft. GAR/OI1T ,Seetion 57 Blockl Lot 17 maa examined on DffiCffiNBffiR a7 ,1.990 andfound to he in compliance u•itk the reyuirementa of this Board. pxTUK pXTURES RANOlS COOKNtO DKKS OVlNS DISH WAfN/RS EXHAUST RAMS ~ txtT1lTS BiAC1RS fMHTt:NlS INCANDESCENT.FIVORESCENi OTHEn AMT. K.W. AMT. K.W. AMT. K.W. NAT. K.W. NAT. N. r. - ts 45 7:3 50 45 1 13.0 1 1.2 5 F DRYERS RIRNACE MOTORS Wi11RE AMIIANt! 19REK f/IOA/ RRCIT TM! cA.OCitS Rlll UNp NlATlK MULT40UT1lT OIAAIt1ER5 AMT. K. W, dl N. r. GAS N. r. AMT. NO. A. w. a. NAT. AMI. AMT. AAVS. TRANS. AMT. N. P. SYSTlIAf AMT. WAm NO.Oe IRli 2 F 1 20 fERVK7 DISCONNlCT NO.Oi S ! R V 1 C E WAG, AMT. AMr. TMFE ~ t / ]VI 1 tl SW 3 tl ]W ] tl AW ~pER A'C~D. OF CC. Ca• D. NO. Of NI.IEG p~ Nl •LKi NO. OP NEUFRAIS Oi NEUTtAI 1 20o cB 1 x 1 z/o t a/o OTt/FR ArrARATIK: NOTORS:i-F N.P. PANEI,BOARDS:1-25 CLR. a00 TRACK t,IGHTING:-12 ¦ - _ .cro'~ BARRY IMFROTE P.O.BOX 14$ SHOREHAM, NY, 1.17$5 ~ OENERAt MANAGER I1. Per ti rv "'l This certificate must not be alNred in any manner; return to 1M oNica of 1F,a Board if incorncl.. Inspectors may be identified by 1 'r credeatids. F LDI IN ?IAIi4~R.. BOdRD OF HE.ILTH FORM NO.1 3 SETS OF PLe\NS . SURVEY , TOWN OF SOUTHOLD CHECK ~!-?i-~ .~A^^:~ ~n~ f I~f~~ , , BUILDING DEPARTMENT ssrTlc r•oari TOWN HALL SOUTHOLD, N.Y. 11977 NOTIFY TEL.: 765-1802 CALL .....?~S ,-,y70 , , , , , MAIL T0: Approved:a:4~,a!-Yj. ~ ~n„ 194. Permit No.~.? ~ S I ,G ~ Disapproved a/c w .I, ~ FEB 151989 i~ (Building Inspector) BLDG. DEPI. APPLICATION FOR BUILDING PERMIT TOWN OF SOU'iH'yLD w_..u.i / i c, Date - c...., 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. Ptot 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 tfte 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 Lativs, Ordinances or Reculations, 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 i ections- ( ~ nature of applicant, or name, rf a corporanon) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (~wnle2 Name of owner of premises 52 SS-c~ ~ 7~ rZO't~ . ° [_l~ (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. . Nfl.t.''*Q'~-.. . ~'`.~v"~ _~~r~L`'\ Plurnber's License No . . Electrician's License No . . . . . Other Trade's License No . . 1. Location of land on which proposed work will be done. . c~ ~ ~L~ ~ S ~ A/ ~ ~ 2 L0. V~Q J u-"~."~ ~ I F{ouse Number Street. ,,jj Hamlet County Tax Map No. 1000 Suction Z. BIUck ...`7" Lot . ~~...r7......... , Subdivision 4l-(t°fLborz-, ,L1S(}~.5 ...~,s'fc~2,?...... F-fled Map No. ~,(D,~-..... Lot (Name) State existing d use and occupancy of premises and in [ended use and occupancy of proposed construction: a. Existing use and occupancy h ~ . f':`:`:":)~.4t....~-"`~` . . . . . . . . . • . . b. Intended use and occupancy S.~rC'::c:.. ~^".'f-~r.~:.. ~;-~-•e-~ Q 3• kNepaite• of work check which applicable): New Building , , Addition , ~ teration ' ( v • • R~rpoval Demolition Other 1Vork • • • • . • • (Description) 4. Estimated Cost ~ ;a-.r?"J . Fee . (to be paid on filing this application) S. 5. If ~wellin number of dwellins units , . , , , , , , , , , Number of dwelling units on each floor ; , , If ara~e, number of cars ....i . 6. If business, commercial or mixed occupancy, specify natur and extent of each type of use . , , , , c Q'~.~.••..•..• es, if any: Front.., g,,, ~,;s.C g Nu, Rear . ~ Depth . Hei_ht 7, ` tuber of Stories . , , rmensrons f ex' m strucm with alterations or additions: Front Rear P 8. Dimensrons of entiresnew consC ' FIcight , , , , , Number of Stories . ruction: Front • r He.i~ht . ~ . Nwhber of Stories Rear , , , , , , , _ , Depth ~ ~ , . . Rear....... o, I0. Date oflPar hrasa a- ! p;~3'`r • • Depth . (J ' ' ' ' ' ~ Name Qf Former Owner ~-i.c.~f.,.~, , ,~-~l~ 11. Zone or use district in tvhich r~ emises are situated ' ' ' ' ' 12: Does proposed constructioh violate any zoning law, ordinance or regulation: ...!v© • . 13. ryill lot be regraded ~ G • .Will excess fill be~ rert~ove¢ from remises: Yes • ante o caner of remises . . Name of Architect p ~ s s e• • C~ ~ t.~ Address ~,5$, ! C~ p °Z 6' s _ ° " " " " " ......Phone No...... • , ~f 3 0. Name of Contractor 1 • • ~ ~ • ~ ' ' ' ' ' • • • Address ...................Phone No......... , ~ • .................Address...................Phone No..... IS.Is this propertq Ioc~ted within~00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Towp Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all; 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 y (P s~r-m.~•~.~, ..,.~t-r L, s4e ~9 cz ~ ~z s4..._...~ t-P r~ e Q u..n..,`(_. b', ~ I< 4, 4 s-2 . ^'y t,ar.~e,c ,c.~.a .e ~-p ~'f a r ~ ,~-S I!, STATE OF NEW YORK, S, COUNTY OF 'S r (Name of individual signit~ • ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is fhe applicant ...,•.••..•,••~g•contract) above named. i Fie is the ' ...............,I (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 arc true to the best of his knowledge and belief; and that the work will be performed in the manner pct forth in the application Glcd therewith. Sworn to before me this ; ............~Jr.. ......day of .lu//.//?~ . ]9~y. rotary Public, , • ~ UD Q_; , , , , , , County _ fV Nu~~UB ~ ~ff ~C~n~ tk / V 7armExpiresMcrch30,29_._~/ ($igpatureofapplicant)