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HomeMy WebLinkAbout17917-z J ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18844 Date FEBRUARY 23, 1990 THIS CERTIFIES that the building RENOVATION Location of Property 2055 ANCHOR LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 04 Lot 38 Subdivision HARBOR LIGHTS ESTS Filed Map No. 4362 Lot No. 27 conforms substant~.ally to the Application for Building Peraut heretofore filed in this office dated MARCH 8, 1989 pursuant to which Building Permat No. 17917-Z dated MARCH 14, 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 RENOVATE ROOM & CREATE NEW BATHROOM IN E%ISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY & JESS WOLF (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-108249 - DECEMBER 26, 1989 PLUMBERS CERTIFICATION DATED AUG. 6, 1989-M.DAWSON PLUMBING & HEATING Building Inspector Rev. 1/81 a~osas xo. a TOWN OF SOUTHOtD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 017917 Z Dnte ......~.~c.(~......~..~ ~9g Perm+ssion +s hereby grunted to; ~f-... ~-s......w Fa ~k,~~''./.u???:/o;~t:...r?-?''~:.'.?7.....4!c~~..~.T.t1?,-9~GX_ ./1.1.1.st?..N~~-tJ~l^ra ..01--6~...... G~;y{~ Iriq al. I U ct premises located at ..~!o.:f.~/....`.~~::4!'!<<'.'.- . ...~.`::'.'~Si- ......~fl"cf..... . . . Caunty Tax Map No 1000 Sect+on Q'~.-9n.. Block .....Q~......v.. Lot No.....~~.. pursuant to apphcat+on doted ..rn ~S..ti.~a.~. 194 ~ and approved by the Bu+Iding Inspector. 1 Fee ~ ~ ~s7-~ ~ Building Inspector Rev 6/30/80 . ~ . ~ TOWN OF SOUTHOLll ~c/,_ BUILDING DEPARTTII:NT (~(~nf ~ /~~1~ TOWN HALL ~It~ v -~y~ ~ ~ SOUTHOLD, NEW YORK 11971 1 765 - 1802 BLDG DEFT APPLICATION FOR CERTIFICATE OF OCCIIPANCY TOWN UFSOUTHDLD DATE NEW CONSTRUCTION ._~...OLD OR PRE-E%ISTING BUILDING.~...VACANT LAND..Il._.... Location of Property..~ss.... ~N~~~`,"_. t:~~~:_...._.SOc_.t`C'~~~d__. HOUSE NO. • . ''~STREET~, j t1AMLET . ~~-S~z mil- `l (7 RG l~4 ~t~ © Ovner or Ovners of Property..' . ..................c..~/..~...._ 7 County Taz Map No. 1000 Section ~ ~ Block Lot .?5~ c~`Jou Subdivision. Filed Map ~.3G'':Z...Lot...~.1..., PermiC No. ~.'~~?_Z..Date of Permit .._...__..AppLicant Health DepC_ Approval Undcrvriters Approval.__._._.._.._. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ r APPLICANT... rev, 10/14/88 (~,sc . 3 Y ~ 3 ~-l CC -~JS~vy THE NEW YORK BOARD OF FIRE UNDERWRITERS ''A`'k~' 7o~n7.2I BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK. NEW YORK 10038 Date DCCBNBER "1b,1989 APPlimtionNo.onfile 6]~15UA89/89 N '1(18?.4'i THIS CERTIFIES TNAT Ratly the elecetiul puipment a dsecrt6ed 6eloso and tntrodund 6y tke applicarst nomad on tke aFAOee application numFASr in ekepremtsx of J, WO7.k, 2055 ANCROR LANE, SOIJ~~yT,H,07.11, N.Y. in tkefofbuinR IoeaRiBpB~mP~~~ ILJ Ixt Fl. ? 4nd Fl. .Section Block Lot coos examined un ur.~.16A!}61t and found to 6e in eontpliance rcitk she reyairements of this Buard. RXTWt RX RANOB tOOxINO DRCRS OVlNS 4411 W T ANf QI1TeRT5 ~ S~TCIfRS NCANDSSClM NllalllSCSM OTHER AMi. R. W. AMT. N. W. AMT. R.W. AMT. R. W. NAT. M.I. 4 3 4 DRYERS RNINACE MOTORS 1VTURE ARLANq rwREIK Se[CIAL RRCIT T1w tXOCKf pu UNli tBknRS dMMERf AMT. N.W. Oil K1. OAS M. 1. AMT. NO. A.W.G. AMT. M11. AMT. AM1S. TRANS. AMT. N. 1. N~.a RRT AMT. WAFTS SERVIOT OIEOONSHCT NO.01 S E R V 1 C E NAT. AAV. T'?t t / tw t f sw s,e sw s X Aw NO. a ~cono. a A.c c~. Mo. w Ni.ltc a ~ NO. a Ntunws a 'teitn°iAl oTNRR /1hARATUf: NA'CHRCx>N WIRING ONLY-7 f:~r,r.~7:-] PAUL R. BURNS L1.C..~282 E l'15 TOWN HARBOR LANE S~3IITHOI,B, NY, 7 i9"T1 O~EU ~RAEl~ppl 7} / Psr This certificate must not be altered in arty manner; rNUrn to fM oNiee of Me Fbard if incwred. InspsNOrs may be ' n " e b. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST ti0'f BE ALTE N ANY TEL. 765-1802 oS~fFUL/~~p TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ~ "rz~ P.O BOX 728 ~ TOWN HALL "O ~ SOUTHOLD, N.Y. 11971 ~1,~, y,~ C E R T I F I C A T I O N Date ~ ` (p x Building Permit No. Owner 7'f.~c~ -beT '+-~o~-~ (please print) Plumber i'1. ~7~•-?clor? PL v ~ b/~D-' /~/F.~T/~~'"~ _(please printD ^?lLI~F3fL yq+,~SO ~ I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber's signature) Sworn to before me this if day of ; s 19~• Notary Public Notary Public , , F~ ~ ~r County .J?oTA2 y ~~,0 t ~ c ~ rA7E OF Il~c„~ YO2-_ ¢'+t~9~~,g8 QUIQL //-'IE~ /rte S..t/-^FO~I~' CzO~.J;~. COT!/. 3$ ,on Lx~/2sS 3J3o~g/ -i-- - - --~-i- - 4 - _ ~~--j - - - - ro' - rt L _ _ tff ~ 1_i V - - - - - - - ; - - - - ~ ~ ~ o _ ~I o _ - - - - - - - - - - y- - - - o ~-1--- ~ --I - ~ - ; - - ;1 ~ ~ ~ j l l -w , I , y i f ~ ~ r~ I E , I i I i 1~ I ~ _ _ - s i T i _ ~ I - , ~ ~ - ~ - _ . ~ y -t - - - - - . - ~ --I ~ - 1 ' - ~ --~----i-- J - ~ 1 - - - - - - IJ - - ! - ' - ~ -I- _ _s _ . -s. ' I - I ~ - ~ - I - I I I i~ ! i i l~ >i j ~ • i i- i ~ i < - - - I - - - • - ' - - - ~ r- - - - - - iN ~ s , - - - - - - --I- - - ! - - - - - 1 1-1 - --r . - -Q - - . - - _ , - _ I r-I I 1 I I i i I i- ~ i I - - I I ~ i ~zw ~ i I I I t j { I ~ ` i _ 111 _ W ~ e ~ I I I ~ , '~k- ~ - ~cv { ~ fit-'-{ -j' ~ -i_ ,i , I - i -f- - - _ i v y _ ( -i I _ _ -rv ' I___ _ zr<;~,~, TEL. "GS-180'_ ~at..~~c; T0~'N or 5aUTIIOLD ~'1:+~~.`u~ y4 ~.~.cc OPi'ICE OC TSUfLDING INSPECTOR ~ ~~.G z P O. [SOX 1 1 7 9 u' '%1°~ 1, ~ TO1VN ESALL '~`'O ~ ' t- SOU"I IIOLD, N.Y. i 1971 ~~0~ ~i r~0 ` August 31, 1989 DOROTHY & JESS WOLF 2055 ANCHOR LANE SOUTHOLD, N.Y. 11971 To Sahom This May Concern, Pre are unable to corrnlete your Certificate o,f~Occupancy because of the falloon ng reasons. An application for Certificate of Occupancy / is riot nn file. (ENCLOSED) :!o (Jnder~rrrt-crs Certificate on file. '['he chccF: i:, (~~fi1;Ixi~1exLYnut on file.) $25.00 D!o F[calth Dept. Approval on file. tvo final ~ns[-~ection has been Trade. Pluasr. contact: our office on this matter. T[rank you for your cooperation. P.irLLQtr,g Perm~.t- ~k 1 7 9 1 7 Z IIuildincl Dent. +*"/-i Uo i'h:mber :;older Certificate on file. ' ( all porriiL:, involv~n9 nlumbinrl being i~sucd aEt-cr :1pri 1 1 ,1984 ) 1::LD i:.S. ~~Uh"E ..:`fMCNTS ~ ~ 1. n a H _ _ _ y FOUNDATIOf!-, (1st) ~ c~ FOU1dDATIOIJ ( 2nd ) m'- - i 2 . ~ /D 7 z 0 ROUGH FRkf1E PLUMBING w 3. ~ m cn I1dSULATIOfI PER N. Y. . • STATE Ef7ERGY CODE x 4 . U m r (p FI;dAL , ~ ~ ADDITIOf]AL COMMENTS: x M X 'Z1 H 77 5. H H O z A r H b c+7 ro H / ~ ~ 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST [!~]~OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~G DATE ~ D INSPECTOR y r BOARD OF EIEALTH 3 SETS OF PLANS FORM N0.1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC CORM ' TOWN HALL 9 ~OUTHOLD, N Y. 11971 NOTIFY ~`-S" t/30 - TEL.. 7651802 CALL `34~.+!`~......... . n i1 MAIL T0: Examtned ~4G~. ~ 111.., 19~p~ . APprovcd ..~.~LVh..J 19 P 5 Pennd No 1 7 ~L I ).L~'. DtsapprovedaJc - e ~y~~ ~ i (Buildmg Inspector) BLDG DEPT. APPLICATION FOR BUILDING PERMIT TOWNUFSOUTHOLD E Date . 3.'.~.~~-. 15.. INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or to tnk and submitted to the Buildmg 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 premtses, relationship to adloming 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 apps capon. ' c. The work covered by ttus application may not be commenced before issuance of Buildmg Permit. d. Upon approval of this application, the Building Inspector will issued a Buildmg Penntt to the applicant Such perm shall be kept on the premtses available for inspection throughout the work. e. No building shall be occupied or used in whole or to part for any purpose whatever unttI a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the ButIding Department for the issuance of a Building Permtt pursuant to ti• Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re_ulattons, for the construction of buildings, additrons or alterations, or for removal or demolition, as herein descnbe~ The applicant agrees to comply with all apph~l~te,laws,,ordmances, building code, housing code, and regulations, and t admit authorized inspectors on premtses ar~;}g{a11,u~1~in~, jor necessary inspections. , 'FlHftr2YCt.' = ' ' (Signature of applicant, or name, if a corporation) (Matting address of applicant) State whether applicant is owner, lessee, ~'~i#~,rlarc}tttect, engineer, general contractor, electrician, plumber or butlde pp ~,~:~•r:' . ~r Name of owner of premises . .'..~~2~.:`~":-E S-r....... . • = • . (as on the tar roll or latest deed) . ~ ~:r s IF applicant is a corpora~iohty, sjgnature of duly authorized officer ...........:..:`..q,41. (Name and #a~l~f corporate officer) Builder's Ltcense No . Plumber's Ltcense No`....~ ~.t~".t.-~~- Electrician's Ltccnsc No ' ' - Ot}terTrade's License No . 1. Location of land on which proposed work will be done . . at055 ~A%~p~ ~-PrI.I~L SUu'l'E+o~d 1{ouse Number Street Hamlet ~/c} i County Tai ~~h//t~~ap No I B00 Sec[ton ! . Block ...:T. Lot .3 . Subdrviston C?fkA-~?4`:i , LtStt-E.z ~sTA-T?S. . -Filed Afap No , `~3bZ...... Lot . Z7 . (Name) State evtsllng use and accup.tncy of premtses and intended use and occupancy of proposed construction a. Existing use and occupancy .....'~~e. • • t4µ'. ~ t-~e Ll c-c. ~ b. Intended use and occupancy ...5R,w+-.~„ . 3. Nature of work (check svh+ch apphcable)• New Building Addition Alteration . Repair Removal Demolition Other Work . {Dcscnption 4. Estimated Cast.. ~6~°p`.~ Fee {to be paid on filing this application) 5. If dwelling, number of dwelling units , f Number of dwelling units on each floor . . Ifgaragc,numbcrofcars 6. If business, commercial or mired occupancy, specify nature and extent of each type of use , , , , , , , , , , • . 7. Dimensions of existing structures, if any Front .Rear Depth , . Height Number of Stones Dimensions of same structure with alterations or additions• Front Rear . Depth Ilcight Number of Stones . Dimensions of entire ne~v construction. Front . . Rear Depth . Height ...............Number of Stones . 9. Size of lot: Front Rear . . Depth 10. Date of Purchase ~ 1 8 g Name of Former Owner R.':`~ . . 11. Zone or use district in which premises are situated ,fl~..~.Q . 12. Does proposed construction violate any zoning law, ordinance or regulation. .`J . 13. TVill lot be regraded ....~?4 . lVdl excess fill be removed from premises: Yes I 14. Name of Owner of premises~`~~ .1:~?~ r,F:....... ,Address S~. r~k+<.~!~. ~Q .Phone No 76. S:.`~ 3.°.~t. . 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 TrusCees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dunensions frc property lines. Give street and block number or descnption according to deed, and show street names and indicate wheth tntenor or corner lot. ~j A-i~'~a ~io,o i+.t ~ S r r-~1f-i 't'ti 1~ i Stwi.. ~i,'. ~ 'io i lei _ '-T a ~A ~u., ! Y W ~'t"~..~.e.. Sr-~~e'tt"-,~ n.o(o~~..e.y m{ ~ t s-t- .a. l 002 a~, clwz l (`-~-`II V 4~QG VY~ S C+4 l GU. . PLUMBING APPROVED AS NOTED Att. pLUMB1NG 1AAi1E~E W to ~ 3)1 9t 9 _ e P std & WATER LINES NEED Z tL' ~ Lt ~ f~ DATE • TESTING BEFORE CONERINQ ©O ~ ~ ~ !Q FEE ~ BYy tT '~Li ~ .s NOTIFY 6UILDtNG DEPARTMENT AT = ~ ~ ~ ~ 765 1802 9 AM Tp 8 PM FOR THE ~ ~ n. ' FOLLOWING INSPECTIONS i FOUNDATION TWO REOUIRED tf copper tubing 1s used ~ ~ ~ q w a FOR POURED CONCRETE for water dlstributinp ~ Z ~ kt t~ 2 RpUGH FRAMING Ri PLUMBING system, piping shell be ~ ~ j ~ N a tNSULAngN of types K or L only ~ V ~ 4 FINAL CONSTRUCTION MUST ~ ©V ~ BE COMPLETE FOR C O UNDERWRITERS CERTlfICATE All CONSTRUC710N SHALL MEET REQUIRED ~ Et ~ O 4 V THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION $ ENERGY ~ .Z ~ Vj y r,ODES NOT RESPONSBLE FOR O V DESIGN OR CONSTRUCTION ERRORS gCCUPANCY OR USE iS UNIAWFUl STATE OF i:E1V YORE, WfTHOUT CERIIFfCATE cou ` Y OF • • S.S OF OCCUPANCY .0+~ . ~ ~ t: ~ being duly sworn, deposes and says that he is the applica (Name of individual signuig contract) above named. Ilcisthe u,lc{!i/ C (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzcd to perform or have performed the said work and to make and file tP aPPlication, that ail statements contained m thu apphcyuon are true to the best oChis knowledge and belief;and chat tJ work wdt be performed m the manner set forth in the application filed thcrcwUh. Swom to before me this -......g.~t:..... .day of .~c~:~Cr:~:..... .19.~Y iota Public, 'S~4~C~.~-,:..... County , ..r--~. ~ LINDA J. COOPER C (i~ureofapplicar Notary Public, State of New Yar~- No. 4822b63, Surfdk County Term ExpiresDecemb~r3l, f9