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HomeMy WebLinkAbout18308-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No ZT8680 Date JANUARY 2, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 1230 OLD ORCHARD LANE EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 06 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1989 pursuant to which Building Permit No. I8308Z dated JULY 12, 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 ALTERATIONS TO EXISTING BREEZEWAY (CLOSED IN) OF EXISTING DWELLING. The certificate is issued to CHARLES & ANNA WOZNICK (owner, XXXXA:~;}C7L~KXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A z~ Building Inspector Rev. 1/81 r+ossi xo. s TOWN OP SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) D Dare ...1...~/~- 19.A./.. Z Permission is hereby gr ed ~~n...~. . ~.-c . at premises located at ....l.iP~~ ~ .~~...~j........,.~..~. ~r~~rf...t:~r..~................................... Caunty Tox Map No. 1000 Section ..........:3~.... Block Lot No........~~....... pursuant to application doted 19........, and approved by the Building Inspector. Fee .0.:~.. B i Inspector Rev. 6/30/80 TOWN OF SOUTIIOLD ~g BUILDING DEPART2fENT 1$ e TOWN HALL ~_~~,..r:~s~~ SOUTIIOLD, NEW YORK 1 197 1 ~A~ 2 6; 765 - 1802 ~i.,+'.... .,,.QV<~~~=`+~ ~~,~:,~,V c~~ ~J+»wc~_l~ ._.~~..~„~..,,~a~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY n /~l pp DATE ~°~/p~ ~O / . NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING.!~...VACANT LAND..._._.. Location of Property..IO` 3O . . . . . .........~1D ©RC>yl~l~D L ~9•. E~95~'_/"grlDA7 HOUSE NO. STREET. HAMLET e~A~~t Owner or Owners of Property.. /`lfV~t1A„_~D~~.GI.~ County Taa Map No. 1000 Section Block ~ Lot q~ ~0..... Subdivision Filed Map .:s-~ 8:3..Lot..f.7':5.... A Permit No. l~:~oB~.Date of//{~Permit ..'3~?y/~y,Applicant ~~9C`~~.~~{{.//''.//~~//o?NECK" Health Dept. Approval ....~J.'!.......... Underwriters Approval..,.'~l;,,..... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT.... ~`3I~0 ~~~`I 3 6~0 ~ tiik ~a rev. 10/14/88 • TEL. 765-1802 oo~~~F~~cc~ Town or souTaoz~n 1? ~c OFFICE OF BUILDING INSPECTOR ,z P.O. BOX 728 ~yO ~ : ~ ~ TOWN HALL ,y~D~ ~~Ot' SOUTHOLD, N.Y. 11971 DEC. 21, 1989 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /x7( An application for Certificate of Occupancy is not on file. ENCLOSED / / ~No Underwriters Certificate on file. }I%/ The check is (outdated/not on file.) $25.00 / / No health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 0 1 8 3 0 8 2 WOZNICK--ALTERATION Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1989 ) r1ELD S::SPc~:lU:i ~Jni:, ~ i;OtKMENT~ ~ S ~ . - m G1 ~ 1, ~ c~~~ ® y -V ?OUWDATION , (1st) ?OUNDATIOtJ (2nd1 m • z ~ o ?OUGH FRAME & wO PLUMBING ti H 3. ~ m m IIJSULATIOIJ PER N. Y, • • STATE ENERGY CODE r 4. m H FZiJAL o ADDITIOIIAL COMMENTS; x ra ro ~ a m \ H H O `m A\ r, _ y T O. m ^o H ~ {S. i i< I , 1 ryy1 i iy Y....y VI s, , . ~ ~ 'l~ a jo,~r: ~ ~ .r T~ , ty -3-• ~ , ~iyy a 4 0 qum.~~ I ''C 1 r _~"~.ai~ ~ ~ M ~~iv?v'~ a;aF ;4,.,-„iJ' 1+ 1 (n p •l'+` I 1 ~ ~2`•. ~ ~ ~~I ~ ~ ~ ~,,.,~~9 1 y.' ;a ~ V' ~ w ~ ~ ~ i ~ x. ~ 2J ~ ~ ; } E. ~F ~ ~ ~ h ~'.'1 ~ I ~ • ~ I L.. _ . E~ y T.:. ~ f .11 U ~ !-~c ' D r~ ~ . ~ ',r~ v~ -1 ~ i•* w n~ m N z m p t"~''. T~ .m C ~ .._-"1 ~1 IG;'rirri 'w^zvzi000~~~m n ~ ~r~ z~' 7D~r~nee~cooo~s~ l^~" x 5.:'r m ~ 1 '..~0 npzOr G1roz~NW l1 "1 ~ ,O a d!~~s ~ I~...;~, i. ,~zpcrn~ ~xOOZ ~ - .,~mC~' Z~'nz 30 m fib :QN ~ f~+ 2 ~ + ~ ~ 1 3d~ . 1 ~ ~ , ~ , TM»......_.__ BOARD OF HEALTH 2 ~ 3 SETS OF PLANS D:K.... D IS ,~®.m•~ FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK • - • - ~ ' `.i BUILDING DEPARTMENT SEPTIC FORM r. , , , , , , , , , ' ~ TOWN HALL NOTIFY - ` - ;;OUTHOLD, N.Y. 11971 3d3 c?y/o ,aeG~w~~ ~ J MAIL T0: ExaimnedTC}~.~~1'r~L..... 19 TEL.: 765-1802 CALL • • • • • • • • • • • • • • • • Approved ...'f/.?~ 19(~Permit No. Disapproved a/c i ...g .p... j. Buildi Ins e r APPLICATION FOR BUILDING PERMIT Date ..:3/°~.r 198 INSTRUCTIONS a. This 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 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 pazt 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 i c~tio~~s. ca ` lGfi~eo-~/~(~ Gam . (Signature~f applh'ant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. QGU IJ PC' . Name of owner of premises . ~~!7!~./P5~/~N. !~.A LVD Z .U r e~G . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No. h?a44n~...~.°~° . ~d~4M~ ~ 1 / 0 S ~ 7 1. Location of land on which proposed work will be done. l Q~ R House Number Street Hamlet County Tax Map No. 1000 Section ~ Block ~ Lot . Subdivision Filed Map No. :S.D 8~....... Lot ~ ~ `J........ . (Name) 2- State existing use and occupancy of premises and intend/efd use and occupancy of proposed construction: a. Existing use and occupancy ....~!-~~~~sS . b. Intended use and occupancy ~ W.iv 2t: S . • ~7~ P_, . • . • • . 3. Nature of work (check which applicable): New Building Addition Alterltion:. , , . p ,~r~`~.~.. ~ !~~4"r~ ~g~i.+, ,~eG¢,ru/z+F/~.- ~ (I~e~pptionj 4. Estimated Cost ~ q~ Demolit'on Other Work . . ,~a. Fee......Q................................ ` (to be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor !v/A, . If garage, number of cars . 6. If business commercial or mixed o ccupancy, specrfy nature and extent of each typ ' e of use . 7. Dimensions of existing structures, if any: Front Rear Depth . Height Numbex of Stories . Dimensions of same structure with'alterations or additions: Front Rear . Depth ......................Height , Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth . Height ...............NumberofStories........................................................ 9. Size of lot: Front Rear Depth . 10. Date of Purchase . . . . . . . . . . . . . . .Name of Former Owner , . 11. Zone or use district in 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 premises: 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 feet of a tggiuudal wetlandY *Yes No *If yes, Southold Town Trustees PermitPLOXI' DIAGKAMed. 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 anterior or corner lot. ~/T/ STATE OF NEW YORK, S S ~OUNTY O ~ g (Name of irttirvidual nin • ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant contract) zbove named. -Ieisthe (Contractor, agent, corporate officer, etc.) ~f 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 are true to the best of his knowledge and belief; and that the Nork will be performed in the manner set forth in the application filed therewith. Sworn to before me this q ....day~o/f.:...,.........,19 ~1 ' lotary Public, ,~-e-.~!r~!. , ?1 ~R . V.d'C........ County HEIENK.DEVOE ~Nom4701878, 3u~Halk CNew York . Terra Expires March 30,191E (Signature of applicant)