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HomeMy WebLinkAbout18321-z T FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18269 Date AUGUST 10, 1989 THI5 CERTIFIES that the building ADDITION Location of Property 1527 ROW OFF CAAROLL AVE. PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 74 Block 3 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 1989 pursuant to which Building Permit No. 18321-Z dated JULY 21 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 JAMES HUBBP.RD (owner) 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 1!013M NO. ~ 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°- ~.83~~. Z Date .......~....~a 19.x.9 Permission is hereby granted to: ...........N..~.~ ro ..N~....a~. J.>:x:s.Q'....~?......c~c~.....a:~lrR~~.+;eh...~':o.......4kn....~?r.q......(1.?^..~,.... ~~..`~.t,~ :e~::.e~,... ~ ..........................................................1......;.............. _ n ~ of premises located at ...~.5. ~ .~......Q:.° N ~...4......Q.1F.?........~..rg.:..:..:•- :.Y•........... County Tax Map No. 1000 Section .....d-?.~........ Block ....o..~......... Lat No...s~::~ pursuant to application doted .........~...1~ 19..~.~., and approved by the Building Inspector. Fee . Building Inspector Rev. 6/30/BO TOWN OF SOUTUOLD BUILDING DGPART:ICNT TOWN IlALL SOUTIlOLD, NEW YORK II97I 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPAI7CY ' DATE . _ AIIG:. 10,. 1989 • , - NEN CO:ISTRUCTZON ......,OLD OR PRE-EBZSTItIG BUILDING....._VACAl1T LAi1D.._..... Location of Pro ert 1527 ROW OFF CARROLL AVE. PECONIC, N.Y. P y " UOUSE NO. STREET " " " llAMLET Ovncr or Ovncrs of pro crt JAAiBS HUBBARll P y Couoty Taa Hap No. 1000 Section 21 ..74.. Block ._.3.._ Lot' Subdivision.. Filed Map ........Lot.......... Pcr~it llo, ,18321-Z.._.Date of 7/21/89 PermiC ..........Applicant Ilcal[h Ocpt. Approval Undetvriters Approval........... Planning Board Approval Request far Temporary Certificate Final Certificate Fcc SubaicLed: $....01.5:_........ APPLICANT.. _~-~y~t~ • . - - ' °y• IO/14/88 QQe • 3~95~ ' FORM N0. 6 ' TOWN OF SOUTIIOLD BDILDINC DEPARTMENT TOWN UALt 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Huilding Inspector with the Following; for new buildings 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 of IIealth 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 solder used in system contains less than 2/10 of IX lead. 5. Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. ' 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior', to April 9, 1957• IF a Certificate of Occupancy is denied, the Building Inspector shall slate the reasons therefor in writing to tf~e applicant. 3. Date of any housing code or safety inspection of buiLdings'~or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1• An aPPlication for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a Citle company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, ,the Building Inspector shall state the reasons therefor in writing to the applicant_ D• FEES: 1• CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration Co Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory 6uildiags, $25.00 - Husinesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3• COPY of Certificate of Occupancy - $5.00 - over 5 years' - $]0.00 4. Descant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6• Temporary Certificate of Occupancy - $(5.00 Residential $50.00 Commerciale ' 'v• 10/14/S8 1ELD i;:$7~.:.1U;: ~~Jn; I Cvt`(Mt.NT,^. 1. ~ Im ~ a H - _ y OUtJDATIO:J-. (1st) W~I ?OUNDATIOtJ ~ (2nd) _ m o ?OUGH FRAME & PLUMBING • O Fi H ..-`-J 3 . ~ v-- m IIJSULATIOIJ PER N. Y. ^3 STATE EIIERGY s CODE I a ~i. } Z' FI;JAL Z .C • o ~ e A ADDITIONAL COMMENTS: x Q- N ra - >n m ' x 'a • H r ~ H O m • r ` ~ y ~y . m -o H 30,\RD OF HEALTH F~arvrNa 1 3 SETS OF PL,1NS SURVEY _ TOWN OF SOUTHOLD CFIECK • • • • • BUILDING DEPARTMENT SEPTIC FOR:1 • • • TO6VN HALL • • ~ • • ~ ~ ~ • EOUTHOLD, N. Y. 1771 NOTIFY q TEL.:7G5.1302 CALL Examined ~ 19 . 4 MAIL T0: .\pprorcd L 19~ 1.,Pcrmit No. I. ~~a:I ~ . Disapproveda(c .~.IiQ Uy.. • (Building Inspector) APPLICATION FOR BUILDING PERMIT • Date ~~~9...... 15. INSTRUCTIONS a. TItis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with :acs 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 scree ar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app =ation. c. The work covered by this application may riot 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 perm shall be kept on the premises available for inspection throue}tout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant :hall have been granted by the Building Inspector. APPLICATION IS HEREBY h1ADE to the Buildin; Department for the issuance of a Building Permit pursuant to th 3uitding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re;ulat:ons, for the construction of buildings, additions or alterations, or for removal or demo]ition, as herein descr'bec one applicant agrees [o comply with all applicable laws, ordinances, building code, housing code, and regulations, and t~ 'dmit authorized inspectors on premises and in building for necessary inspections. :S ~1~e~...ll.uh.hA~.C~ (Sicnature of applicant, or name, iF a corporatton) ~ • A c_o•N t Cr......... _ (Mailing address of applicant) Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of ozvncr of premises :S.~.y!'I u p.~~ . . (as on the tax roll or latest deed) .Capplicant is a corporation, signature of duly authorized officer. • • • • • • • (Name and title of corporate officer) ~ ' IIuifdcr's Licansc No. Plumber'sLiccnscNo. Electrician'sLiccnscNo. OtltcrTradc's Liccnsc No . Location of land on which prop~o1sed work will be done. House Number • • • Y.O nJ i ~ . Strcct. . Hamlet • • . • County Tax ,11ap No. 1000 Section Q.7 Block , • , • . ,Q,3 . • Lot . a- I Subdivision Filed 11a ~ . . 1 No. - (N:unc) Lot............ ' State existing use and occupancy of premises and intend.d use and occupancy oC proposed construction: a, Existing use and occupancy ...~Qr.°~!:~.'~.~ ..~.t.-J ~ ~,l ~ J !U b. Intended use and ..~1 .1?!":? t 1. I,JL' ll / ,v ~ . occupancy • , ~ 3• Repair of work (check which applicable): fv'ow IlurWin ' Removal s .Addition . .Vtcratron • ~ • ~ • • • Demolition • • Other tL'ork , • ~ ~ • • 4• Estimated Cost : • ~ • • . . Fee ..°5~?. 5• If dwelling, number of dwelling units , , , , , • . • • • • ~ • ~ • • ~ • ' ' ' • " !f gar , , , tto be paid on film; this application) a. number of cars • • • Number of dwelling units on each floor. , • , • ' 6. If business. commcrcral or mi,vcd occupant ~ • • ~ " " ' 7. Dimensions of e:cistin^ 1', specify nature and c.• • • • • ~ ~ ~ • • " " " " • • • • • • , llciclu , , e structures, if any: prom . ~tcnt of each type of use • • • • Dirncnsio • Nuntbcr of Stories , . • • Rear Depth • • • • • . ns of same structure with altcratio ~ • • • ~ ~ Depth.,,,,, ~ nsoradditions: Front•.~•••~•~•~•~~""""' ' S. Dimensions of e• . • , . • height . • • • Rear , • . • • . • • ntirc new cogstruction: Front , ~ ~ • Number of Sto • ~ • • Iicic7tt Tics. 9. Sizcoilot•Front,•~~•"NprnbcrofStorics...,,.•~•""'• Rcar,,,,,,,,,,,,•„Dcpth.,~~~••••~' ' 10. Date of Purhasc Rear , 1 1. Zone or use district in tvhi~lt Depth • ~ ~ • • • ' ° 1 Does r Premises arc situ Namc of Former Owner , , , • • • • P ocoscd cons ruction t•iolatc a aced , , , , • . 13. «'iil let be regraded n3' zoning law, ordinance or regulation: • • • • • • ~ • • ~ • ~ ~ • • • • • • . • . • • • 14. Name of Owner of premises , ' • ~ • • ~ • • ' ' ' ' ' • 11'ill excess fill be removed fro;n ~ • c • • ~ • • • • • • • . • • • • Name of Architect ~ ~ ~ • ~ • • " ' • • • • • • Address . pr mists: . • •Ycs • ~ • • . Pltonc No, ` Name of Contractor . • • • .........Address . IS.Is this • .Address .•.................Phonr,No.. property located within 300 feet of~ a ,tidal x+etlaod~n~No. ' • *2f yes, Southold Tovn Trustees Permit may be required, YES.~•~•~•••'•"' Locate clearly and PLOT DIACRA~'ii 'tro^_rt dist~lctly all buildings, whether existin^ r" y L.^.es- Give strew and blot! number or description according to ~ cs~d, and, indicate all set-back d' intcaor or corner lot, and show scree[ names and ' tm`nstons fror indicate whcthc ~.11LOF~L'IVt'ORfi ~U~T1' OF.......... S.S (~•-:.^,t of indi•: ideal signing',contract) • ~ • • ~ • ' being duly sworn, deposes and sa • ovc named, • • } s that he is the a is the ' PPlicant • . • • (Contractor, agent, corporate officer, etc.), 'aid owner or owners. and is duly atjthorized to . • • . • • • • . ~ • ~ • 'Ircation; that all statements contained in [Iris ? Perform or have performed the said work and • • • • • • • • • ^k wdl be per,'orrtcd in the manner spt', forth in 21 Placation arc tnrc to the best of Itis knou•Icd^ • to m~° and lilt this -m to bcfor: me this Pplication filed therewith. d< and belief; and that the . County NELEN K. DE VDE NOTARYP!IdtiC,StateolNew,YorM 2.-~-~.. L !J No. 4767878, Suihrk County • • y ~r?_~-,~•"I 111 Terre, Expires MErch 30,18 ' • • • • • . • (Signa[urc of applicant) , ~ _ - 7 + ~ Y ' ? 11 ~ ~ , } ~ APPRDVEp AS NOTED 4 ~ OATE~ 7 ~ B.P. N~ I~Y~33I-~lG F n FEE' ~ i BY'~(]~' } g P ~ ~ NOTIFY BUILDING DEPARTMENT AT h ~ - 4. 765.1802 9 AM TO 4 PM FOR THE ' - FOLLOWING INSPECTIONS. 1. FOUNOA710N - TWO REQUIRED A FOR POURED CONCRETE _ ~v` 2. ROUGH .FRAMING 6 PLUMBING - ~ C~~~~~t_'`~ 3. INSULATION _ ~~O ~nC ALL CONSTRUCT ONRSHALL MEET ~`S~ E ~ STA7E E ONSTRUCTION & ENERGY NouS~s-.-.--._: - - CODES. NOf RESPONSIBLE FOR ~J_~.,~j,.___ _ - I- - - ~ OESIGN OR CONGTgUCTION ERRORS - .I - - mp _ ~L1^iTi*~4"_. - I_~ _ _ -r'i y7 ~ ay5t _ ~cY- p w _ - ~ _ ~I i - - - - ~ ' _ _ _ ~Mi l'_YSSLY=RUZGS_f?I'LiZS_.~--_ _ x - ~ - - -sl•n'r~,nw~ I I i 1 r t+ p~ - - - - y~y.,fG?reds- -T - R. ~ + i ~ ~ - 35.U_~-)_ i. ' ~ ~ ~ I f~-__~-.__._.a-o-__ - su~S,A f unroveo tt yl v~ - /N,~ 6. KT7.:,'g7ECow..l - oeewN =r ,~~„I i - J L7~T~+_ .-~T V 1 a - _ . ~ - _ _ ` ~ _ G4WING NGM~FIt ; S1zt„~JcSa~ v~l~._ Wis.-.T.[`tx.. -_t : ° .a - jti:„