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HomeMy WebLinkAbout17891-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17885 Date MARCH 24, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1090 BAYVIEW DRIVE & 530 KNOLL CIRCLE EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 5 Lot 9 Subdivision GARDINERS BAY ESTS.Filed Map No. 255 Lot No. 18&19 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 24, 1989 pursuant to which Building Permit No. 17891-Z dated MARCH 7, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to SCOTT R. WERNER & WAYNE A. GRIFFITHS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 roans xo. a 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) ~1.789~. Z Date .....~~!!~!'1.....~ 19.0..( Perm+ss+on +s hereby granted to• .~.~t...!-~.~~:. x.47... ~...C~'.~-~~ n to ...~...Gd~...eM-e.l.~C Cltiro.cQ~+~I.J>ta.....rri1?....Cl~+^.~... .....~?:1~-- 1 ct premises located at .1.~q.Q.1.?~lle~*:4:~?..~. ~^~~.....'1. ~t-~I,S?4s..... ~"'~""n County Tax Map No 1000 Sect+on ~'.s~~... Blocky~[[ Q.~i.. Lot No Q..S..... . pursuant to appl+cat+on dated ~:~''~':-"-..~:.4.. 19~~., and approved by the Bu+Iding Inspector lVC' Fee S . ~ . Building Inspector Rev 6/30/80 } ~ ~a TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ P`~¢ M~ '~2 V~ TOWN HALL ~ UL SOIITHOLD, NEW YORK 11971 TOWN UF5DU HOOD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY j p DATE _ Y_ .a . NEW CONSTEUCTION .......OLD OE EUILDING..i.VACANT LAND........ Location of Property~4tN.rf. iJb1y'.J ~~i/ Vf.?4,..I .fG_tielj .~+:{/.~c.....SFG!S~af.l.'_!' ec¢~t~ HOUSE NO. STREET,-) HAMLET _,J, Owner or Owners of Property.:~GG~_~7/S_ ~~nV.~.w6y~i.(~_,(~_G~/t~~___.____ County Taa Map No. 1000 Section ~J Block ...~.7.' Lot ..1...... Subdivision.~CC~~~~.IX!`~.~... Filed M((a~~p .~5~...Lot.~Q.f f?~C.. Permit No./I~!'~...Date of Permit 3~7~i!...Applicant Gxe~i'a~r........... Health Dept. Approval Underwriters Approval...........-.. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT... L•~ ,Ay~~`~''"`"~~ ..:J ...-v.K 6~.~,c. 3 ~ 88 Y C d ~ 17885 rev. 10/14/88 : 1::LD I;.S. EC::y:~ ~IUi.:.. .;i,M tENT~ r ~ R~ ro m a H H FOUNDATIOfJ _ (1st) - - c N FOU;JDATION (2nd) n 2. 0 P.OUGH FRAI]E & PLUMBING 3. ~ ra I17SULATIOfI PER N. Y. STATE ENERGY CODE ?7 ~ © C _ FI;JAL ~ - o m` ~ ADDITIOPIAL COMMEflTS: ~ 3 ' x H 7] 9 H H O 2 • x ca A r H ~ x 0 m ^o H ~ A6q~iier:xLivYF.Awh~s~'lA' ~ - ~ M a O ~b ~ o ~ ti ~ ~ ~ o u£ s ~1`~ ~ a ~ .t ~i ~ w x ~a , ~1 ~ iry \ - F. ~ ~ o ~ ~ c N `~'1 C ~ I\ 1~ C r ~ j ~l y ~ ~ f -n ~ ^ M~=l~ ` ~ 3 `o ~ z ~ ,ti ~ J V ~ 3 3 H C ~ L ~ ~ 0 2 ~u t/1 _ x 2 a =a ~ v _ n ~ V ` ' ~1 kCC1vyl~D PWN "Oavi m D ~ in' Am~m~n-Z,a T,~cn m ~Cg ~tn"('~~rtna~bi Zv'c epp en ~ •fG -xiOON zz~ ~ a n NZa~ c~n~ ~ -c ~ y C~ Q'S, Otp¢d20,nj Q'~OUt,~ S t ,~G7 Zm D ~m~ m "a C ~ SJ' ,y7 ~mm2~ z G R O D . r G'! ~ x m m ~ ~ ~ C 7J ~ 7` O ~ 2 m C ~ -i ~ a H G ^ L"' ? V i~ ti.y ~ ''1 P Y ~ 1 ~ c ~ ,n 7C ~ ~ , ~ ~ ~ ' ~ c 1 C' C` In r U n y' r Op ~ f ~,i 11 Q1 ~ ~ Ci ti - h ~ f ~ ~ ~ ~ r-- c p ~ h ~ O t . 4 r.~ { ~1 L.:. ~ ~ r n r r" ~ C • ~ i'n c c ^ ~ r [ ' c - r b` w t~ i s c ~ C ~ ~ ~ Ma Z`' ~ ~ w t ~ ~ N t Y Lj~~`~~~ a vy(i~Ut 1~-215~i!'3 FORMN0.3 Q~P.L~SP Scc u. ~ao~.e'~ TOFVN OF SOUTHOLD BUILDING DEPART14fENT n~~~~ ~~~5 TOSYN CLERK'S OFFICE 1` SOUTHOLD, N.Y. Ovr G~v~JP.lStpf'iOw NOTICE OF DISAPPROVAL Date ~ al.aw , 14 g.9 . . ..`l.... w-~~ . C~~`?~-.... . PLEASE TAKE NOTICE that your application dated .t~:...... . ~ 19 . y- ~ p , for permit to e-o`^µ~.4~~. J~S~..wQ. .7'a .~~.,','.^:~.~..0~~?~ ~t,~.)tvr.!~^a. at Location of Property ~ 09~ ~°.```~!.eW7~ ;F.S;3o l:cxeX.~ ..~'`y4.. ~?'>.0.~.!~?.~ 1 House No Street Ham/et County Tax Map No. 1000 Section R'~~.. ...Block Q Lot Q . Subdivision Filed Map No Lot No is returned herewith and disapproved on the following grounds llnrti~.~' . . ~ ~ ~ L' .u-.a ~ ~c~~= . Building Inspector RV 1/80 l~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST t l ROUG PLBG. [)FOUNDATION 2ND [ ] 1 ULATION C 7 FRAMING [ FINAL REMARKS: DATE ~ o~ INSPECTOR ~'~1 •3 ~y ' • - 1 _ - _ _ _ ~ ~ J `o j V ~ Q _ b I~ ~rA N ~a - ~ ~ \f~ t ~ ~ ~L ~ I ~ t ~ J i ~ f L RC / '9p,,, N os~ -25' ` - ~ ~.y ~h4r/ ~1 - - - - ~ ~ P ~ r ~ l $ a 1,27 t t L ~ - - - ~ - 3a=-- ; t 1 j 3-G- 9S ~ 3 •Ta (~~.t%~oLNs- p~i2nnv,-~,},go~ • G~e,;,r=~LfHs ~ l~, £ W r,Q nli~lZ r M~~ car P~ cars T5'u2;~EVi o .~o~ { - - - ~ i fJJiNOI :!0 Ali[:A7~DV O[ A. CIi E AT Ip T' S V,•V•Y b A VI: U7 JN Of - - „G~~zoln~Fas .SAY E'15r.•~TES f I:CC4 ,,,,~f L1 NF i•: h.1Y Y~.A SSA (~SUrF. Co. Mi?rd /Y C• LSS,. T C~i1L'fi •~L'VYM•! ^.Ri 1 T ~ ~ , e ~ -4. . J' "1S. 1 . - T / -_F~+A S~ •C~7~~V"I~-JV~Y f ~ TJUAVA ~C C.X CGI[ V - l (,•W>.A>.iF3 w;tiA:3 ML^M StW- ~ A ~ w / ` OhAt Ti. TY- Y_7l f.^.l VV CM fM:. Ala©• s~to~s'tt n. r1 ' 'sv~"~. $au EdfJ -+~dG, Z ! J 1i LL h: i'u~l A ~ AS L•A:} !O f~'ed tt? ~A.`•Lff~ G'+P. C!$i'!G'S o~iCS aS N4. .'875. I TIR.., is Ar,r, Y:.:.tiecAL k- tiA ~ • s-: r.: sY~ el.spK :G .t_:.Y:^.f4.tlKRUt1~6tPF?l • J.r us, Gua•r'arrrfdcd' f'~ PI" = Monurrtsrrt :~crurydra t'if/s /»aur~rrc.a -ror, -7?~•% %ta. BC 23713_ -cra su~veync s56fi~. 2;, l58t- II ~Zad2rtc:c Var, T%~Yl, ~ 5uf~~l1t CC 7'ax portal: - . - • BOARD OF HEALTH / 3 SETS OF/PLANS FORM NO 1 SURVEY 1( . . TOWN OF SOUTHOLD CHECK • b~1Tb• • - BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY BOUTHOLD, N Y 11971 CALL TEL.. 765-1802 (n~ MAIL T0. Examined l~O~C~ 7 , 19`a~ Approved C,(~ 7 , 19~~ Permrt No ~ ~ Bbl ~ D ~ ~ ~ 0 r~j~l' Disapproved a/c FEB 1 7 I~ ' . ~ ~ 70WN O SOcUTF1pLD D ~ ~ ~ Q V ~ ' ~ (Building Inspector) 1.J APPLICATION FOR BUILDING PERMIT r~ F~ 2 4 ~ Date ~ ~ ~ 1. , 19 BtDG OEPHOtD INSTRUCTIONS TO~vN OF SOUT a. This application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this app cation. c. T1ie work covered by this application may not be commenced before issuance of Building Permrt d Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such perm shall be kept on the premises available for inspection throughout the work e No building shall be occupied or used in whole or m pazt for any purpose whatever until a Certificate of Occupan~ shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Buiidmg Depaztment for the issuance of a Bwldmg Permit pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authonzed inspectors on premises and in building for necessary mspectrons SCOFF R. WERNER (Sig ature of applicant, or name, i/f~a/~co>rporation) 9CHERRYWOODLANE ,Srvtl'~GJ~~v~et of (i~a~~xW„~ ,°,yl'"`~~'„'S~yy~~ PORTWIISHINGTON, NY 11050 (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchrtect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ~~.`/'t^ ~ri' 7 d"e ~ S 9 ? ~4! ear ~e,,~ - , , . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authonzed officer (Name and title of corporate officer) ALL CONTRACTOR`S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No EieUncian's License No Other Trade's License No 1. Location of~JMl'~a~n/d on which proposed,lw'or/k will be do1ne GOf1/~~f ~4xG'LUII OI~~P. Tf Wwa~Gi~lvLt Lz(.~rl~iwC~S lJl~•Y ~Z~'s7C.'~G} (~itl~/F?u~16v~~. Elouse Number 22Street /Hamlet C C~ County Tax Map No 1000nSection J ~ .Block s Lot . f / G . Subdiiision G~~~'uZ t?u~v ~ Filed Map No Lot ! 4 (Name) 2 State exisLng use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy p~t~it~evtc e . . b Intended use and occupancy -1~1.~d~ ~ cTCO~ • • . 3. Nature of work (check which applicable) New Building Addition Alterau RepaJr Removal Demolition .Other 1Vork V U~l~"a~wCN~• (Descnpiion) 4 Estimated Cost 6s~' Fee ..~S°` ~O ` ito be paJd on filing thJS application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor . . If garage, number of cars . . 6 If busyness, commercJal or mixed occupancy, specJfy nature and extent of each type of use . . 7. Dmyens~ons of exysting structures, Jf any Front Rear Depth HeJght .Number of Stones . Dunens~ons of game strµ~ture with alteratJOns or additions Front Rear Depth . ~ ..Height Number of Stones . . 8 DJmensJOns of entJre new constructton• Front Rear .Depth Herght .......Number of Stones . . 9 Size of lot ~•ront Rear Depth . 10 Date of Purchase ` ~.1-- ~ ...Name of Former Owner . SuSF~i°J!. Uda Pt TO 1 I Zone or use distract m which premises are situated 12 Does proposed construction violate any zoning law, ordinance or regulation 13 Will lot be regraded Will excess fill be removed from premJSes? ~ ~ Yes No 14 Name of Owner of premises . Address . .....Phone No Name of Architect ..Address .Phone No Name of Contractor .Address .Phone No . 15. Is this property located within 300 feetyyof a tggid~~al wetland? *Yes No *If yes, Southold Town Trustees PermatPLO`1'DIAGKAMed. Locate cleazly and dystynctly all buildings, whether exysting or proposed, and indicate all set-back dymensyons from property fines Gtve street and block number or description according to deed, and show street names and indicate whether yntenor or corner lot. S~~ S~•f~~ PIu,,, ~ r,(~G~v~ DAL STATE OF NEW YORK, S S COLNTY OF . ~a14~+. .SCO-f•~ ~ L~~~- being duly s:vorn, deposes and says that he ys [he applicant (Name of mdyv~dual signing contract) above named Heysthe (Contractor, agent, corporate officer, etc ) of say owne owners, and ys duly authorized to perform or have performed the said work and to make and file t}us apphca ,that all statements contained in thys application are true to the best of his knowledge and belief, and that the work will be performed m the manner set forth in the apphcahon filed therewith. Sworn to before me this ,,//J~ ~ . daY of 7`~ 19 Notary Public . c. ~~~L County ~ QUPrUN B NOTARY PUP1" ' F Ne•r: York • • • • ? . r!n v'°^ r ~ /J _ (SJgnature of applicant) Qur44^,J n i ConntY ~ °'f/u'f~/' Car ~'°'n~ i~rca ~rJ~rch 3~,~