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HomeMy WebLinkAbout17979-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218080 Date JUNE 5, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 210 SUMMIT DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 06 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 28, 1989 pursuant to which Building Permit No. 179792 dated APRIL 3, 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 ACCESSORY BUILDING IN REAR YARD. The certificate is issued to JOHN A. & INGE M. DOHT (owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~I/J~./ Building Inspector Rev. 1/81 f'OB~i 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 TiiE WORK AUTHORIZED) Na 017979 Z Date 19g...1 Permission is hereby granted to. •r/J~ \ ~ ~ G A- to ..~~:4?`n..s~:kL:SJA....:G4~-i...4.,. Y...kr.,..,~f}.r.?tt't:.. Y ..S:L.:a~ . ~z~~~............ ct premises located at d.....1~rF!~!:!ti!?.+.~/..'... .~1-..?~.:*~:Q..... . County Tox Map No. 1000 Section .\0,~1..~... n Block ...~`R.......... Lot No..~r.Z-- pursuant to application doted I ! .}.4i1.~1.. 198. and approved by the Building Inspector. 1 Fee S .a1.1:..,....... . JL Building Inspector Rev 6/30/80 Z')t:~"'1" ~ ~ a'v D ~ ~ j 3 TOWN OF SOUTHOLD ~b~'^''°~ ^ ~ BUIZ.DINC DEPARTSIENT ~ TONN HALL E~ 0~,~ ,__-,.T SOUTIIOLD, NEW YDRR 1 197 1 TOWN (JF ~',UTHOLD 4 765 - 1802 APPLICATIDH FOR CERTIFICATE OF OCCIIPANCY r "t7a DATE_....U~~.......~. HEW CONSTRUCTION _!:._..OLD OR PRE-E%ISTING BUILDI/N~G......VACANT LAND..._._.. Location of Property... ~'~~--._.....~\?yLrv`qt.l,--•..`:_pA~ HOUSE NO. ~-~--'I [STREET HAMLET Owner or Owners of Property.... ^.~~.~'?N...'.".._.~;"_ 1NCo~_.~ ~_lQ~~_+_ --//qQ ~ ~a ~ County Taa Map No. 1000 Section {.~.(.J. Block U.~:... Lot Subdivision Filed Map ....._,.Lot_..._..._. q. +f Permit No. ~.I. ~1 1 Z FF• ~ 411r_ ~~l _ ~~-~N N, _~/11.s ......Date of Permit ly''~a.._.....Applicant Health DepC. Approval Underwriters Approval._......__._.. Planning IIoard Approval Request £or Temporary Certificate Fiaal Certificate Pee Submitted: $ 1 APPLICANT_./... C ~ 7~~~ ~~~j~~ ~ p z/~D~d rev. [0/i4 /88 1:.LD i:.S: ~ ~~JnT~ I~ ~~a'iMLNT~ 1. u m a H y FOUIJDATI0I1 (1st} ~ , -p c OUNDATIOIJ ( 2nd ) m ~ ° l ROUGH FRAME & C PLUMBING t 3, a m n IIJSULATIOPI PER N. Y. 'j c` 1 STATE Ef1ERGY CODE ~ 4 . S y FI:JAL L L 4 ~ 4 ADDITIOIIAL COMMEIITS: x+rr S '~~o _ 1 x H ~ a • a H H O ~ m b r H z i 0 m -n H C~v. ~ t.. It.1'i.,FY~ j i~)r111 rl n1J~?.. ~J~1~. NrY March 23, 1989 • The Suffolk Times 67 1' y ~ ' ~x OZTH ~K -t ti.~, F !SPECIAL: 8x8Barnfor - $888.00 Other Styles ~ ~ Available 1 :~~.°M ° BUY DIItF.CT FR05[ LONO I9LAND MANUFACIVRER 100°h Completely built Painted • DeLvexed CCA Pressure 1Yeated Floors _ ~ FREE DELIVERY j -~`L~tSAY.Eitfi~" ~ ~ ^ vp ~ro 20 mnt~:s °_.,-'r1d°~~~ ,North Fork e. `'sfdp'~Eiy`~uict~`gee.: Wood D¢sign ` Np pliOUC,,p~i4£ Pecoiik. My ;'<a„, ; 11195a 7b5-3090 • N surM co NL~LTII O[IK. A?IROVwL h ~ no ~ ~10HN h?1D ,1,~fGE ~ObIT ' aro SvMmir ~Q~•uc: ~ ' a ~w .SovTl-~of-a, nt.y f ~q7r . ~ rep Sic-765-a18a wRw /6,2f6 s~ ffi f n~[nrL ~185f, P 93 , 4 ~ n 5 _ I 4 ' ~ - - ~ (vacarrh~ ~ 5.60.02ilO"E /ZSO ~ "rl n^~ F - 4 N' ~ ~k L~ ~ - Iz "rN. O ar ~ r '1 O ~4 ~ (y 1 ' r yr ~ O a ~ ~!-ety. 7 A. i 1~7 r ~ `I w ,oe ~ ~ ~ rt, o .au ' s` ~ ~ y 3 I ~ Y ry Q Rcww '~'I' ~ ~ ' ~ ~ ~ Ow RYLWNfflelffi ~ U~ 2 ~ m-imrf'~iaO ~ Z a~ u ' io mu uym n A vwunw n j D i eRWH »pr Or M W V tOr[ LIM ~ .IAGKENS wu~awuv. 1 ~ ' h ow p tiYi st+vn w. MDI rAUq ~ „ I v ~ ru uro waraoef ..LO uu oa v (rear~enm) Lsu RAL 11W1 •ot rca+aLR D N A YAYp III/ NI. ~ . Yacnro wlo~ uuu ur J ~ nr to tN1 JYgM pr wMar Mt wrl{ 1 ~ • - - - - ' - - - - t w..ro, Ato on wl rn.u w nu EO'S ~'DlaO rta eon.un eorreuunu Auncr AM uow wnrvran utrn xwon, .wo u 11y /J{,M{l p IW WW4 YYIn TTL[ CSRTIP urwn cuwntw w nor rrwnyra•nI 1 4 ruarww wuNrw n wanuu,nr 1 rwnw, • ~ RAMS N1AP Cam= Pk'OP~fc:T}' ; •uL , ar - S~.rreyod Mar 27r f978 .J ' ~ ~AYVrC=YV noou+c[ vwN Yuri a. c ,n 72,xvN pF :~ouT~[_o,N.Y. Vc.._- • LIG LAND WRV[YORLOR[W R'T, N. Y. Su~o/LCo.7bxMr1~(ae5r~lnnhlorr.Ll3Fl000,Scrf:074,8Ax~i,[vfi2Z, __r'a'r.:._... ' ~~~-1~.~ c~3oS 33 L ~y ~ i'~, ~~,t~ ~ 1 60ARD OF HEALTH ~ t~ " ~ -i~ 3 SETS OF PLANS f Yr :....ui a... a~ f .l{~ FORMN0.1 SURVCY MAR 2 $ ~I TOWN OF SOUTHOLD CHECK •10 `L . I~ BUILDTOWN HALLMENT SEPTIC FORPf . 70WNLUFSOUTIiOLD SOUTHOLD,NY.11071 NOTIFY q TEL.. 765.1802 CALL E~ammcd , . 19$. f MAIL T 0 ZL~1-If`f 17oFtT Approve 199. Permtt No ~ 9, ~ a f Q So M 1-1 t 7- ~ ~ Disapproved a/c ~ So c~Tt?~Dt.U tJ~/ I 1 q /7 ~^~u-~' ~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date !:,!/t~C!'f..3°.., 15~~ INSTRUCTIONS a. This apphcatron must be completely filled m by typewnter or m ink and submttted to the But(ding Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of butldmgs on premtses, rclattonshrp to adlommg premises or public stree or areas, and gtving a detatled descrtptton of layout of property must be drawn on the dtagram w}ttch is pan of this app. catron. c. The work covered by ttus apphcatton may not be commenced before tssuance of Butldtno Permtt. d. Upon approval of rtes apphcaUon, the Butldmg Inspector will Issued a Butldmg Permtt to the applicant Such perm shall be kept on the premtses available for mspectron throughout the work. No budding shad be occupted or used m whole or m part for any purpose whatever until a Certificate of Occupant shall have been granted by the Bu~ ldtn ;,Insp~e~t9C; ri , APPLICATION IS HEREBY ~vL4,D~.to, e budding Department for the tssuance of a Btulding Permtt pursuant to ti Butldmg Zone Ordinance of the Town of Soauthold, Suffolk County, New York, and other applicable Laws, Ordtnances c Re,ulattons, for the construction`SYbu}ldtngs„~drlittons or alterattons, or for removal or demohtton, as herein descnbe~ The applicant agrees to comply rrYh,all a . hCablgg ~aws, ordinances, mg c"b ustng Cade, a ^ulauons, and t admtt authonzed Inspectors on prerx~~~n fifutkiing for necessary m tro (SIg tttie ot~pphcan , or name, If a corporation) • (My,~lmg address of applicant) State whether applicant Is owner, lessee, agent, archttect, engineer, general cogt~actor, electnctan, plumber or butlde ~ Name of o~.vner of premtses ~!°iS''!~ !4'. ~!":`:'u.°..1'N~<', !~'1; J7+?H i , , ~1 • , • (as on the tijyjrol~ f1r la~es~deed) If applicant Is a corporatton, signature of duly authonzed officer lrrY7 ~ , . (Name and title of co~poratenoffincer) Builder's Ltcense No. • • . Plumber's Ltcense No . . Electrtclan's Ltcense No Other Trade's Ltcense No . . . 1. Locatton of Land on which proposed work wtll be done . ~:lD.... Sr!!a/~'. ~,ei t!t~..... Sp d r.vo a.~,../v.j~ . house Number `~SQtreet Hamlet Coun[y Tai bfap No ]000 Seaton Black .....~P. , , , , , , • • Lot . Subdtvtston Filed ~Iap No Lot . (Name) Slate eetsttng use and occupancy of prem//~~tses and intended use and occupancy of proposed construction: a. Etilsttng use and occupancy ......./!4! 4~!4 ~ ?!9E . b. Intended use and occupancy • • •.SHE;,~ • •C•°'Q • S~'e~~ F OF.,~(gidi/ - ~'c~v'}~mr n/ i_ • . _ , . • • _ • 9 , . ~ Y'e* . r 3. Nature of work (check whuh applicable) New E3uddmg Add~t"on rllteraUOn . Repair ~ Removal Demolition .Other 1VOrk . • • • • (Dcscnptton 4. Estimated Cost Fee . (to be paid on filing this application) 5. If dwelling, nutnber of dwelling untts Number of dwelling units on each floor . If gara;c, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of e~tsting structures, ~f any Front Rear Depth , , • , . , Height ...............NumberofStoncs...............................,...................... Dimensions of same structure with alterations or addttions• Front Rear . Depth ..height Number of Stones . 8. Dimensions of entire new construction. Front Rear Depth . He"gltt Number of Stones..................................... 9 Size of lot Front Rear................... Depth 10. Date of Purchase .............................Name of Former Owner . I 1. Zone or use distract m whrcli premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. 1Vil1 loi be regraded ............................1Vi11 excess fill be removed from premises: Yes Z 14. Name of Owner of premises ........Address Phone 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 distutctly all buildutgs, whether existing or proposed, and indicate all set-back dunenstons fro property Imes. Give street and block number or descnp[ion according to deed, and show street names and indicate wheth tntenor or corner lot. OCCUPANCY OR USE IS UNLAWFUL _ WITHOUT CERTIFICATE A_~ As xOfED OF ©CCUPANCX OATE~ ~ B.P. N FeE~r. i BY . G. L. . NOTIFY BUILDING OEfMRTnrENT A7 785 1802 9 AM "O 4 PM 1.OR THE FOLLOVti4NG tNSCT"_CT{ONS • 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH • FRAMING & PLUMBING 3 INSULATION 4 FiNAt - CONSTRl1CT10N MUST BE COMPLETE fORG O ALL CONSTRUCT?Ok SHALL MEET tHE REQUIREMENT; OF THE N.Y. STATE CONBTRUCTablf If ENERGY CODES. NOt REB~ONSiSLE FOR DESIGN qR GONSTRItCTIONERROR8 • STATE OF \E1V Y~fC,~~-b COUNTY OF . \ S.S • • • • • • • • ~ • ~ N• • • ~ ~ being duly sworn, deposes and says that he is the applica: (Name of mdrndual signing contract) above named Eietsthe ..................0. ul.nv. ~ r............ (Con[ractor,agcnt,corparatc ofCicer,ctc.) oC said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl applicaton, that all statements contained to this appltcgUOn arc true to the best of his knowledge and belief; and that tl work wdl be performed m the manner set forth m the apphcauon filed therctiwtlt. Sworn to before me this r~^" • day of..,~.a:'![:r!`......., 19 \otary Public, • k~ County l ~S~y~p ~ ~ (Si;nazure of applicar ill Sufao~NtCoy~rl)( -