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HomeMy WebLinkAbout17880-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17814 Date MARCH 3, 1989 THZS CERTIFIES that the building ADDITION Location of Property 655 SMITH DRIVE NORTH SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 76 Block I Lot_ ZO Subdivision GOOSE NECK Filed Map No. 1663 Lot No. 13 & 14 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, 1989 pursuant to which Building Permit No. 17880-Z dated MARCH 1, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate as issued 1s DECR ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JOEIN & MURIEL WILLS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 fYlftEi NO f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ ~ ~ ~ a Q Z Dote a-Z-4'1.1........,I 19. ~ . J Permission is hereby granted to• ..}P..w~..,s...1...........: ro .5-%!y~:44~.t-A~:c~'....ati,,,.n.GKI,S~CJ~... a.~.~n.~=c.~n~,..~u.....s~....l~,r~wrs~.t=raq......Q~'!:~. ct premises located at ..~.F.,~.±a....... Caunty Tax Map No 1000 Sectron . .~P Block Lat No. ~ D C1 pp . pursuant to opplicotion doted ...~:414h+1 . a:.Z . 19..b..1.., and approved by the Budding Inspector J Fee S..b~11.:. ~.so-~-........... Building Inspector Rev 6!30/80 ' w TOWN OF SOUTHOLD ~ fl~~[_?~ BUILDING DEPARTMENT p d ~ ~i~ TowN anLL ~ FEB 2 8 I~~~ SOUTHOLD, NEW YORR 1!971 , BLDG DEPT 765 - 1802 TOWN OF SOUTFIGLO APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. _/LEg_ _Z ./.9~~ NEW CONSTRIICTION ...1X....OLD OR PRE-E%ISTING B;;~~UILDING.t....VACANT LAND........ Location of Property...(0.~~.5 .........:SMI~"f./R~,Nr_.____ SvTN0L~7 ~~Y HOUSE NO.// ,STTREET ^ ! HAMLET ` Owner or Owners of Property..`::yN ~ /Y,v~«< ~~GCS. Couaty Taa Map No. 1000 Section 74~.. Block Lot Goo sr /BECK 1~~3 l3~cry Subdivision Filed Map ........Lot,.......... Permit No. ..........Date of Permit ..........Applicant Health Dept. Approval Underwriters Approval.....___.._... Planning Board Approval Request for Temporary Certificate Fiaal Certificate / Fee Submitted: APPLICANT.._.. 136?~ r~e ~10%g14~ 8 8 : 1~LD I;.5. E...:~:+ ~~L'r,T.. ~~M~~IENTS + I n 1. _ ~ H "1 FOUtIDATI0;1 (1st) - - C FOUIJDATIOtI ( 2nd ) ~*1 0 2. o` r ROUGH FRAifE & PLUMBING ~n H 3. ~ ~ m ~ m . IlISULATIOII PER N. Y. 'j STATE ENERGY CODE x a 'Y f ~ 4. m H FI;dAL c o z ~ ADDITIONAL COMMEIITS • x~, i X b H ~ _ 9 H _ H O Z -f ~x m A ~ r _ H ~ _ d m -o H Un.o}hom.d albuhon or .dtldion to fhn rdn.Y n . .ral.hon m P ^ O ~ Q '1 ~ ~ f, ..1 of 5.<hon tipf of th. N.~ Te.Y Sta. Eduuhov l.M ,A 1. ~ ~ JJJ ~ VI (1V CoO~.. of fbt .urv.r m.o •ot Deeri.a IM l.nd Su.v.ror'. rnkN ~ VU' ~ C ( ~ v ~ p ud o..mbou.d ud rhdl nol D. wvrdo.d to D...did fm S. L C ~ lYi .oov ~ ~ L O m m O t7 y D c1a.R.t,rrw o. «.»nc.noa ,nd .aid n.•.o^ .n.l~ .un .nir ro - m ,j fm/1 p ~ m ~ •{t•:.L tdT M1an~:~u r,;ay~ut abo...d ..d on n~. D.h.rf to ~ m ~ ~ L 1ti p ny rr{-~~ ~ m m ~i ~ $ ~mHnr 4nr..nmi.lel .-""`,ncr ne L.ain4 ^rerubon O O O Z N m f'p r}'Q y[i.ron Zy ~d t9 rp'. .=.Pwnro. at rn. i..a~np in mrutio. ' ~ /q~ 0 n Q Z /~ul...~A.~~or~ctrbbca tm fn n t t*}~n+t«.ch to .adNrond ~ - O ~ ~ L, Z C~ ~ntntufJpnQTrpu P aunt o..n~~+,1 gi, ro r o l l Q n ti C 1 ~~~~~moza°~T E'r ~ ~ < ~ 0 G C ~ ~J to Q p `,~j p Z~ S O n `'~0 m p i d h at O ~ `•.t'~ "'c':*,r' ~ a ,~A m~ 0 2 pm~ D 1 .G m ~ ~t ~ ~ y r .r r ' r ~yt 1 . m~ ~ ~ ~ ~ _ r .QVT~rm N ~ m u E.... DD 'I W S -C 4 ~-I G7 O m ?I ~J h`(o~ se ~p~~~"~m~ I' fM1 t_.~u a G Eo. Cyr. _y til of M k °T65DALE Z ~ \3 0 ~ m A MaaP` ti14i°oirE loo off' Lf._•1E q ~ 3~S.o~ ~ F 3 N ~ it ~ r o , ~ ~ N z ~ ~ 8 30.0=-~ ~ Q ~ ~ L ~ ~ ~ 9°D~ ~z ~ lv.n' 0. c ~ y~ I a ~ w - . c o ~ ` l~,o 1~, m ` U . E ~ - ~ J ~ N ~ 0 ~ ~ o N_ 600 .oo• e r ;f S39~oc~ ~ oc.oo ro u r„ SM~Tt-1 D~i~vE NoR'T' /K ,K q i~ 'c sr o. l O ~ 7 ~ p~`~~ ~'~ly q'~ s7~m"4g' .o' /m~ r ~c~N ~.o ? " BOAFD OF HEALTH 3 SETS OF PLC\NS FORM N0.1 SURVE~i TOWN OF SOUTHOLD CHECK . 3.'~.~a . BUILDING DEPARTMENT SEPTIC FORAf ' TOWN HALL t~.~.t~ SOUTHOLD,NY.11071 NOTIFY ~n} q TEL• 765 1802 CALL ....7~e S".. . L•eammed.~Gd.LY3..~•.. 19$ ! MAIL TOc \pProved . ~'J1.Rd.c.W..1 199. Permit No 1.~.4.~ ~ Disapproved a(c . .......li.~~..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ~~.3:. 2.~....., 15 fi: INSTRUCTIONS a. Tliis application must be completely filled m by typewnter or m ink and submtttcd to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shown; location of lot and of buddmgs on premises, relationship to ad~ommg premtses or public stree or areas, and givm~ a detailed description of layout of property must be drawn on the diagram which is part of this appl cation c. The work covered by ties apphcatton may not be commenced before issuance of ISuilding Permit. d. Upon approval of tins application, the Bwldmg Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premtses available for mspectton [hrougliout the work. e. No buildm~ shall be occupied or used to whole or in part for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwlding Permit gursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re,ulations, for the construction of buildmos, additions or alterations, or for removal ar demolition, as herein descnbe~ Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and reouiations, and t~ admit authorized mspecton on premtses and in buildtn~ for necessary inspections. ~ (Si^ ure of applicant, or name, tf a corporation) • (Mailm~ address of applicant) Stale whether appitcant is owner, lessee, avent, architect, engineer, general contractor, electrician, plumber or builder O N/NE7Z Name of owner of premtses ..J.~~..~:. 9=-./Nu2r~Z••~.•~n.//CGr••• (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. . Plumber's License No Electricmn's License No O[her Trade's License No. . 1. Location of land on which proposed work will be done . . . G 5.~....SM „7f /~a. N. ~ ....:-SO. v ~ Nv c,' N 9 ~ t . House Number Street • • • • ~ • • Hamlet County Tai ~l,ip No 1000 Secti/on 7~°.......... Block • • • , , , , • Lot ....°2 U........ . Subdivision . .~OGSt •/Vr•G~ Fdcd i\fap No l~ ~P -3...... Lot ~3• t~, . (Name) State existing use and occupancy of premtses and intended use and occupancy oC proposed cons[ntcrion• a.Eristin^ ~~J/~~/~/'~-`~/n/F~LE /A11+IC ,uscand occupancy % b. Intended use and occupancy .....~~.ES/1~C7?T/fF2 - S/n/(,C~ /~~lhi C y 3. Nature of work (check w hrch apphcabie) New Durldrng Addrtron Altera[ron , . Reparr Removal Demolruon Other work :4 p© DrCK (Dcscnpnon) A. Eshmatcd Cost a o Fee . (to be pard on tiling thrs apptrcahon) 5. If dwelhn„ number of dwelling units Number of dwcllrng unrls on each floor , , , Ifgara;c,numbcrofcars 6. If business. commernar or mreed occu ~ ncy, specrfy nature and extent of each type of use ...per . 7. Drmensrons of exrshno structures, rf an Front ....r°.}~.'©...... Rear ...64.•L? De th . , ~~r.,~Q, , , , , r - Hergfrt ....1~. D.... . Number of Stones bN~ Drmensrons of same structure with alteratrons or addrtrons Front ~~'.4 , Rcar ...~3t ,v, , , , , , , , Depth .....`I P...4............ Herg}rt l6. U~ Number of Stones S?~~ 8. Drmensrons of entire new constrvctron. Front . ..3b.: P..~... Rear 30 : , Depth , , ~ Y~ d ~ Herght d .......Number of Stones . . 9. Size of lot. Front /.Gi?,.0.:......... , Rcar ,/vc?, P. Depth /30, LZ.,ty /,3t3,7c1 I0. Date of Purchase ,!UbV. !S / 97 2 , , Name of former Owner DANIEL i 11. Zone or use drstrrct m whrch premrses are situated . S! p~-r-rnRt . 12. Does proposed constructron vrorate any zoning law, ordinance or regulatron• , !vo , . _ . . 13. ~VIlI lot be regraded .....N. , , , , , , , , , , , , , ,Hill excess fill be removed from premrses: NSA Yes i` 14. Name of Owner of premrses JgNN+~ Murz/Zt Witt f Address 6~3 SMi7H N _ S J{otOpllone No. 7, /a S;!~ 9 , _ Name of Archrtect .Address . Name of Contractor ...:Sr<F . , ,Address „ ...Phone No... , , , 15.Is this property located with ing00 feet of a tidal wetland? *YES....NO.~S•. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and drstutctly all buildurgs, whether exuung or proposed, and. rndreate all set-back dimensions fro property fines. Give street and block number or descnptron according to deed, and show street names and rndreate wheth intenor or corner lot. f~ECX <6NIT/1~~_ CGy Waa!7. N' • ~ ~ D ~/E2 Fool/.?~S ~ , g"D/A ~c 3'~EEP, Ire--3a, o ---'°i s/yxG ~ccki~G-, ~ ,Z><frSF- 2x ~ J~oPtD , c/o/J/7 f BE~i1', 2.3~-~{ /1 [[K /5',D /.30,.22 z~Y+F flYX 6 ~ /ZR/G/.+/GJ. I wit/ST//t/G fi r33.~y oo~S~ 35.0` r /SRE CtlNCRE7E' /~/TE/C/o2 toT ~ ~a. a cry. ~Ax ~~AP , ~ J /ooa, sr'c, 76 I U B~ocK/,toT.2o MBA /6~3 tvT wi /2 GoT /3 LoT ~/f STATE OF\EtiVYORf: S_S -S•MITN 1~~'/?~ /vow -~~~1GE /~f'30,0~ COUNTY OF/ Y .d ~N . ~ ~ l being duly sworn, deposes and says that fre rs the appIrca; (Name of mdrvrdual srgnnrg contract) above named. fierst}re..... ~.~Nc.2 (Contractor, agent, corporate officer, etc.) oC said owner or owners, and rs duly authonzed to perform or have performed the card work and to make and file tl• applrcauon; that all statements contmned rn this apphcatron arc true to the best of lus knowledge and belief; and that tl work will be performed rn the manner sci forth m the apphcatron filed therewith Sworn to before me t}us .a7.7.. ...day of F 19 Rotary Public, .......z:l f~,4.~~P.`-.-..... County / NELENN.4£VOf ~ L ~ ~Sr nature of a hear NOTARY PUBLIC, State of New G~ ~ PP Na 474767& SuflMk CaurdY Term Expires Msrch 39,19 °