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HomeMy WebLinkAbout17908-z r FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19060 Date MAY 17, 1990 THIS CERTIFIES that the building RENOVATION Location of Property 50 EDWARDS LANE PVT. ROAD #8 ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 018 Block 3 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Pernut heretofore filed in this office dated MARCH 8, 1989 pursuant to which Building Permit No. 17908-Z dated MARCH 13, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK WEZNROD & DONALD BRINKMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-114883 - FEB. 20, 1990 PLUMBERS CERTIFICATION DATED JAN. 31, 1990-THOMAS P. McSHANE uilding Inspector Rev. 1/81 POEM NO.f 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 ~ 017 9 0 8 Z Date ........~..Q~:C.~1.... 19..~. •4 Permission is hereby granted to: ...~..w.....~ di.t ....1 ~P.....$ to ...f 7.Qr~-~?;:u ~.~2-....:~j~::,~.~.:^~a~....~'1~.. ~.Q-r~v~,~....J~......!?:`~:'.-~' ..x.....~-u1. . ct premises located at ..,~....~~!1.'e!:5~...~:!:~f4.... Q.....~?:~ . . . County Tax Map No 1000 Section ~ ~ Block ~?..3:...... lot No f ~ . pursuant to application doted ~ olet..t.~. . ~t . 19.~t.~.., and approved by the Building Inspector. Fee g. . Building Inspector Rav 6/30/80 `1 .'/G~; n ~/~~y~~~~~,~ Form No. 6 (~~~L IY ~/LGa^~ D L ~ ~ c. ~ TOWN OF SOUTHOLD `T 77~ BUILDING DEPARTMENT ~1II , ~ TOWN HALL .xf~ 765-1802 ~~w~~ ?/J TOWN OF S_O~ F'Cs_~sy APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 contains less than 2/10 of 17 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 $15.00, Commercial $15.00 Date ..I~~Y....~.©~.]`.~.~~ New Construction........... Old Or Pre-existing Building.............. Location of Property...r~.~.~~5-~f~c3D5.LfkN~...~~T~~ .............~.~~J1.~........ House No. Street Hamlet Onwer or Owners of Property...~C?.K... LtQQ~.~.r~RVDJ....7~~?`~4-~.. County Tax Map No 1000, Section...~~4i......Block...../~..........Lot....~.~~ Subdivision ....................................Filed Map............Lot...................... Permit No.~7.~.Q g.......Date Of Permit ................Applicant............................. Health Dept. Approval..... ~ ...................Underwriters Approval...t.~5.................. Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... ss~~ OV Fee Submitted: APPLICANT C ~ ~ 19oGo < [ ~'~~r~( x`1.1 19 Ig90 al ~ ~'1 ah1,~G,, ~ I SOUTHOLD LUMBER CO., INC. Andersenm w,ndowmis° DEVOE TREATED LUMBER YOU NGS AVEN U E, SOUTHOLD, N.Y. 17 977 HARD WARE MILLWORK 57 6 - 765-2552 DEVOE PAINT ROOFING & SIDING MASON SUPPLIES WOOD PANELING BUILDING MATERIAL OF ALL KINDS ARMSTRONGTILES HARDWARE-PAINTS-VARNIS/H CUSTOMER ?'l//td _ORDERNO. ~l/~~ ~0~ DATE~6~t9 ~ STREET CITY & STATE SOLD BY CASH COD CHARGE ON ACCT MDSE RET'D PAI OUT PICK-UP DELIVERY COMMENTS ~ . ~ X + - ~3 rAx nn , TOTAL 8 l`D 2 RECEIVED IN GOOD CONDITION A FINANCE CHARGE OF t Yt % PER MONTH RH DING ANNUAL PERCEN7AOE RATE 1818%1 WILL BE CHARGED ON UNPAID BALANCES ON ACCOUNT OVER THI AYS OLD MILLWOflKAND GOODS CU7T0 OADER ARE N07 RETURNABLE ALL STOCK MERCHANDISE RETURNED IS SUBJECT TO A Y6% HANDLING CHARGE. PURCHASER AGREES TO PAV REASONABLE ATTORNEY'S FEES AND OTHER COSTS INCURRED IN COLLECTION. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPAN IED BY TH IS BILL GAVIO ALL[N ~.INi INC M[LVILL{ NY IIIAf Il[010.[ i SOUTHOLD LUMBER CO., INC. Andersenm a'I^ao~,~u _ 4EVOE LUMBER TREATED LUMBER YOUNGS AVENUE, SOUTHOLD, N.Y. 11971 HARDWARE MILLWORK 516 - 765-2552 DEVOE PAINT ROOFING & SIDING MASON SUPPLIES WOOD PANELING BUILDING MATERIAL OF ALL KINDS ARMSTRONGTILES HARDWARE-PAINTS-VARNISH e ~ ^_p/ t CUSTOMER 'L ~ ORDER NO~~.c ~~.t~_Y`il4_DATE ~?""~19~ STREET CITY & STATE SOLD BY CASH COD CHARGE ON ACCT MDSE RET'D PAID OUT PICK-UP DELIVERY COMMENTS ' . . . ~inraina~ ~ ~ G/l~ TAX _ p TOTAL 8 8 RECEIVED IN GOOD CONDITION AFINANCECHAROEOFIISXPERMONTH REBPONDINOANNUALPERCENTpOERATE1818X) WILL BE CHARGED ON UNPAID BALANCES ON ACCOUNT OVER THIRTY DAYS OLD MILLWORK AND GOODS CUTTOORDERARENOTRETURNABLE. ALL STOCK MERCHANDISE RETURNED IS SUBJECT TO A 18X HANDLING CHARGE PURCHASER AGREES TO PAY REASONABLE ATTORNEY'S FEES AND OTHER COSTS INCURRED IN COLLECTION, ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL DAVID ALLiN NRINT INC NiLV11Ai NT 11)Al 1)i0)O.i 1 SOUTHOLD LUMBER CO., INC. Andersenz R'~~'~~~ DEVOE v TREATEp (UMBER YOUNGS AVENUE, SOUTHOLD, N.Y. 11971 HARDWARE MILLWORK 516 - 765-2552 DEVOE PAINT ROOFING & SIDING MASON SUPPLIES WOOD PANELING BUILDING MATERIAL OF ALL KINDS ARMSTRONG TILES, HARDWARE-PAINTS-VARNISryH~ ~ CUSTOMER ~ -ORDER NO t' , r' Q ~ ~ DATE a i 19~ STREET CITY&STATE ,E _ 8Y CASH COD CHARGE ON ACCT MDSE RET'D PAID OUT PCK-UP DEIIWERY COMMENTS . . ~N~'~ X~-i~ 5 TAX TOTAL 8 2 3 9 RECEIVED IN GOOD CONDITION _ _ A FINANCE CHARGE OF 11lt% PER MONTH (THE CORRESPONDING ANNUAL PERCENTAGE RATE IS 1a,7L1 WILL BE CkARGED ON UNPAID BALANCES ON ACCOUNT OVER THIRTY DAYS OLD. MILLWORK AND GOODS CUT TO ORDER ARE NOT RETURNABLE ALL STOCK MERCHANDISE RETURNED IS SUBJECTTOAI6'A.HANDLINGCHARGE. PURCHASER AGREES TO PAY REASONABLE ATTORNEY'S FEES AND OTHER COSTS INCURRED IN COLLECTION ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL. owia nux mwr me xnwuc xr u>~> rna>o-~c tE THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'A+~~ ~ i 119511"l. BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 s 6'EBRtIARY Gn,199t> gppBcationNo.onfile f,149n889l89 N 1:t4S18:9 THIS CERTIFIES THAT only the slectrkd puipment as descrihed hefor0 and introduced by the applicant named on the alAOne applicstion numher in the premiua of ~ - U,BRINR.MANlM.NEINROD, MAIN RD., 1,1:I,C0.197, ORIENT, N,Y. in thefollominq locations ? Basement ~ Iat Fl. ®Pnd FL 3ertion Black Lot maa a:amined on JAtI1JARY 7,.1 , 1.9110 and found to he in complienm mirk the rrquirernenta of this Board. NXTURE [CNTACtES SWIT01E5 RXTURK RANGES COOXI/Ki DECKS OVENS WASHERS EXHAUST FANS OUTURS INCANDESCENT FIUGRESCEM GTNEN AMi. K. W. AMT. K. W. ~ AMT. K.W. NAT. K. W. AMT. N. P. 19 29 1.9 1Q 3 F ~ DRYERS WRNACE MOTORS tLTURE AMUANC! PEfDERS S~ECIAlRK7T TINE tYOCK4 UNITNGTEK MUITI-0UTIlT DIMMlRS AMT. K. W. ql N. I. GAS N. P. AMT. NO. A. W. G. AMT. AMI. AMT. AAVS. TRANS:. AMT. H. P. ~ ~T AMT. WATTS E9 bun SlRVICTf DISCONNKT NO.OF S E R V 1 C E r. AMT. AMP. TTPE ~qF. 1 / tW 1 / ]W S,e tW J / ~W ~R dCONO. OF CC. COND. OF NIiEG NO. GF NEUTRALS OF EVTML OTHER ArPARATUS: f t,.F.C.~L:~-1. SMOKk; DETEC'PO~R;°1 Ri f .cro'~ SAGE & F,AllEMANN 1NC. LIC.~3fi35 Y.O.BOR 1768 S011THOLD, NX, :1.1.971, OBEYtAI ~1AN~t ~ 17 `I ~ Psr ~ This certifico» must not bs altered in any manner; return to rho office of the Board if incorrect. Intpadors may be idenKfNd by their cndantiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIG7f ARIST NOT BE ALTERED Bi ANY MANNER. TEL.7G5-1802 S~FF~~'~C TORN OF SO~TTHOd.D ~O .v Oli ~ .y f ' ~ , , ~c OFFICE OF BUILDIAIG INSPECTOR o= ~ P.O. BOX 728 ~'tf~j} ~w°~"~---~"r yE ~ T TOIVN HALL +LJ`J'~`",~"y~~'--~~1~-',~L;~,I~~g~ O/MOl ~ ~~~Z- SOUTHULD, N.Y. 11971 f, I~ f~ _ 5 j~ r~r+', C E R T I F I C A T I O N Date ~9© Building Permit No. /'y9Q~. L'~an ~~~n iC /na-~ Owner yy}Fy~e/< ln/c`/~U'~oQ (please print) Plusher ! ri~.rtl+ s ~ f)/} ~ ~~i,u-,~. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. , ~~a~~ " EpLumber's signature) Sworn to before~~me this day of ~/A17GIQR? r 19 }D t ry Public notary Public, *tUIK County NOTMY PUB! 1C,S ~ N~York Qualified 5n S.~uHOIk~Cquta,// Comrnigsron Exprres I1{arcq..4p, 19_ 3xN.37 749'i. ~ o/ ,}~f~~,,~., ~ ~'n~i N (?T s©LITIIQL~ ~,~-'(•rtd4L:t13~~i OCI"1C1~ OI"}1U}1Ll/I~)IN^G I}JSPECTOR ~ 5rs~ 51 iA IA Q. Ul/~ u0~~~~~2;~J~i ~ .l'Oti~'t3 }TALL 515,E cy ~`5 ~ ..j~mn r~` SOUIItOt,i), N.Y. 11971 ~~1 .i~s --~-~:L'' 3anuary ]9, 1990 L. Weinrod Brinkman 50 Edwards Lane PvC. #8 Orient, N.Y. 11957 To 6Phom This May Concern, P;e pre unable to complete your Certificate 01= UU cupanr_y becau~o of the following reason. 1_V! An application for Certificate of Occupancy ~LS not on file. (ENCLOSED) /_//~:ro rtnder.,rriters Certificate on file. 't'he check is (3b7I~Ufl~lnot oa file.) $25.00 t?n ?[c~nlth Dept. Approval on file. Ln final inspect.ion han been m~dc. Plen:;e contact our office on this matter. Thank yott foz yot:r cooperation. Builclin, Pr_rmit f! 1 7 9 0 8 Z ***/-ice/ do P1~~mber Solder Certificate on file. ( all permit:; involvinc7 plumbing being iaaucd .iftcr April 1,1~II4 NOTE: BEFORE CERTIFICATE OF OCCUPANCY CAN BE ISSUED, A LETTER IS REQUIRED FOR INSULATION. r1cLD IL:;. c..._J:+ ~(Jni it ~~.MMLNT° ~ + } . -o 1. ~ H _ ..j FouNDATIO;r, (~st~ c FOU1dDATI0;1 (2nd) m 2. L c _ 0 P,GUGH FRAME & PLUMBING ti 3. ~ m m IIISULATI01r PER N. Y. • • 'j STATE ENERGY CODE I _ a 4. d GO _Jm H FIi~AL . ~ - o ADDITICIIAL CO:TMEPITS: ~ . ~ ' x ro H b A H H O z + x m a r H d m ^o H l ~ ~~g ~ 7ss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST (ROUGH PLBG. ( ] FOUNDATION 2ND ( ]INSULATION [FRAMING [ ]FINAL REMARKS: ~~FZ~~ ~1~G(~(i~.5 P..-~~~o1L-`i -;:ZL ~T l I-( C, S ~.G©d-L ~ YL~G' l~= ~ at ddt,S Y~-1+n l~- ~ ~ c.- i r~ iE.~-~~,. Y SO rub u1 ~,~,2..~ AE2tc-Ltz9, 1'D__ u~ST~' L, ~U~S, ~2 ~.f 0 r ~ U DATE 3 2~l ~ l INSPECTOR ~ ~ ~ c~~~~~(, 1 >~F~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL d REMARKS: r ~ J DATE ~ ~ INSPECTOR f D ~ BOARD OF HEALTH 7 3 SETS OF PL<1NS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK rwr[ ~g j~ BUILDING DEPARTMENT SEPTIC roar! . • TOWN HALL BLDG DEPT, SOUTHOLD, N Y. 11tJ71 NOTIFY TOWN OF SOUnTF{OLD TEL.. 765 1802 CALL . Examined . ~~c.pn.1.3 19~~. p MAIL T0: y7' ~ ~~(f~I ,\pproved ~`~.o.'!.c-¢? . I.'~.~., 19?'~. Permit Nod lob DtsaPProved a/c . ............l ~V? .`tx-.. ~`.n . (Butldtng Inspector) APPLICATION FOR BUILDING PERMIT Date ....-3 15~. INSTRUCTIONS ! a. Tlus application must be completely filled to by typewriter or in ink and submitted to the Butldtng 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, relarionshtp to ad~ommg premtses or public stree~ or areas, and giving a detailed description of Layout of property must be drawn on the diagram which is patt of this app! ~cahon. c. The work covered by this application may not be commenced before tssuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perms shall be kept on the premtses 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 Occupant shall have been granted by the Butldtng Inspector. APPLICATION IS HEREBY MADE to the Building Department for the tssuance of a Butldtng Permit pursuant to th Butldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and outer applicable Laws, Ordinances o 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, butldmg code, housing code, and regulations, and t~ admit authorized mspectois on premtses and m butldmg for necessary inspections (Signature ot""applicant, or name, if a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer generaS contr tea tea orjelectrician, plutnber or builder t 4 Name of owner of premtses !:i./t.. .1~1 a. K?:s. ~ ~ ~ r (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate~-o~ff-icyer~) Builder's License No ~ . J. - Plumbei s License No . . Electrician's License No . . Oilier Trade's License No . . 1. Location of land on which proposed work will be done . House Number Street Hamlet h County Tai hiap No 1000 Section Block , , • , , , • Lot . G,~ Subdivision . (3rt.ri ~C,N~ia..n/i _ npna/eF-. _ . „ . , _ Filed Pia No Lot . P (Name) State existing use and occupancy of premises and intended use and occupancy of proposed cons[rucuon- . ~ , a. Ertsung use and occupancy sZ6-~:~:~.~. • • • •~e~ c-`t-...... •G.~- . b. Intended use and occupancy • • • • • • ~'~~T• • • • • • • • • • • • . 3. Nature of work (check which applicable) Nety Iluddmg Addition Alteration v' Repair Removal Demolition Other 1Vork . (Dcscnpuon 4. Estimated Cost r.Q/. . Fee . (to be paid on filing this apphcauon) 5. If dwelling, nurnber of dwelling units Number of dwelling units on each floor . If gara;e, number of cars . 6. If business, commercial or msxed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any Front . Rear Depth . Heigftt ...............NumberafStones..................................................... Dimensions of same structure with alterations or additions• Front Rear Depth Ileight ..............Number of Stones . 8. Dimensions of entire new construction Front Rear Depth . Height ..............Number of Stones . 9. Size ofIot. Front Rear... Depth 10. Date of Purchase ........Name of Former Orvner 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation . 13. Hill lot be regraded 1Vi11 excess fill be removed from premises: Yes i 14. Name of Owner of premises ....................Address . Pltonc No............. . Name of Architect ...........................Address ...................Phone No.... . Name of Contractor ..........................Address ...................Phone No • . IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicatc all set-back dtmennons frc property fines Give street and black number or descnption according to deed, and show street names and indicate wheth intenor or corner lot. 'Q-e STATE OF \E1V YORK, S S COUNTY OF . • • • • • • • • • • • • • • • . • being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. fie is [lie....... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authonzcd to perform or have performed the said work and to make and file tl apphcauon, [hat all statements contained m thu apphcauon are true to the best of lus knowledge`'and belief, and that t; work will be performed in the manner set forth in the apphcauon filed therewith. Swom to bc!'ore me tfus ~ ........day of ~ ~~'`'°1-........ . 19 8.~ rotary Public, r~-~-win., lilt ~ County HELEN K DEVOE _ `~i , . HpTARY PuBLtC. 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