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HomeMy WebLinkAbout17984-z ~w FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20618 Date MARCH 31, 1992 THIS CERTIFIES that the building ADDITION Location of Property 840 ARROWHEAD LANE PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 2 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1989 pursuant to which Building Permit No. 17984-Z 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN J. & MARGARET J. MOYLAN (owners) 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 !'OEM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 917 9 8 4 Z Date ~.~.~,.~~1 19....... Permission cs hereby granted t ...R f. O.. 4~~~2" Q.r.. toLiff7.F:W./f~....G.~i!tf~.?r.....G.ZG~-~~~'rf~... ...~~~F'°^'f• its. .....~X~ at premises located at ..~1Q.......... tl.~Z,.~ 7.'..G,CIf~Yf.~l.. . . County Tox Map No 1000 Section ~.4....q. Block ~c7'Z........ Lot No . pursuant to application dated ..~y1..3~1~./ 19.... and approved by the Building Inspector. od Fee . c~~ ~ ~~F ilding Inspector Rev 6/30/80 n Form No. 6 ~ ~ ~ ~ TOSdN OP SOUTIIOLD 3 O ~ U BUILDING DEPARTPIENT TOWN HALL 765-1802 SLOG DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typecariter OF, 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 Pare 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-exLSting" 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 New Construction........... Old Or Pre-existing Building Location of Property.. `~:'~~!a~'~L~rL~,11G-R1D_.~Ti _..........,t~~'Cpq//G Ny //9:!~..,.._..... House No. Street Hamlet Onwer or Owners of Property.. , ?UNN s~ /vl.Sdf,~i.~dPL'% /vJDYL.Jn/ County Tax Map No 1000, Section...~''..('~.~.......Block...~ ~ .........Lot....l.°.'~ Subdivision...:4~'t'0/6aFr?!O..CO?C' ..............Filed Piap..~g.~O...Lot....~.5~.3.'G......... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ ~ ~..ec,, K 3sy C~/~~ PLICANT co ~ao~/~ . *r (516) 765 802 o~pS~EFO(,~-CO hy` Gy SCOTT L. HARRIS, Supervtsor VICTOR LESSARD, Pnncipal ~ CURTIS HORTON, Sensor y = Southold Town Hall VINCENT R. WIECZOREK, Ordinance ~p "r P O Box 1179, 53095 Matn Road ROBERT FISHER, Assistant Ftre d ~ p!~ Southold, New York 11971 'h0,~ ~0 Fax (516) 765-1823 Bmidmg Inspectors ~ Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 27, 1992 Mr. & Mrs. John Moylan 13 Lakeview Drive Kings Park, N.Y. 11754 SECQND NOTIFICATION To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 17984-Z (DECK } Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *NOTE: ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD IT IS UNLAWFUL TO OCCUPY OR USE SAID ADDITION WITHOUT A CERTIFICATE OF OCCUPANCY. PLEASE SUBMIT APPLICATION AND CHECK IN THE AMOUNT OF $25.00 SO THAT THE CO CAN BE ISSUED. THE ABOVE BUILDING PERMIT HAS EXPIRED. ~tm-rte, TEL 'GS-18r.] S~FFQf.~C' < t c,~ Toy rl or sov~roi.a t 1~~~~ y< OI~f'ICI? OC' CsUILD[NG INSPECTOR rte", [58~i}~Y° z I'.O. I20X ! ] 7 9 ' m t„~i TO`VN l IA LL ' ,yyo r~~'~- SOUTIIOLD, N.Y. 1 1971 1 ry7n November 15, 1990 Mr. & Mrs. John Moylan 890 Arrowhead Lane Peconic, N. Y. 11958 'I'o t•7hom This, May Concern, Y 4.e arc unable ro coatplete your Certificate of Occupancy becaus•, of the follotnng zeasnn:;. An application for Certificate of Occupancy is not nn fi]c. J / No Undcrerritcrs C~:rtificate on file. 't'he chccF; t:: (~i1~11fiX7~irX/nut on file. )$25.OD D:o E!c:al.th Uept. Approval on tile. /_1 too final in:;l.ec:t.ion ha:; heed made. Plcaa;r, contact our office on thin matter. Thank you for your cooperation. Ihiil<lu.q Permit' f! 7 9 8 4r Z Builciinq C)ePt. ' tIO Plurr~bcr Solder Certificate on file. ' ( a].1 [~nrrtit:: involving Plumhiny bciny insuccl after .~pril 1,198A ) ~ 3 ~+-w R~ : IE#.D ILS: EC2iUI+ ~illAiE ~ UOMMENTS 1. _ H FOUIIDATION (1st) c FOUNDATIOII ( 2nd ) 2. z 0 P,OUGH FRAME & PLUMBING H 3. x m m II7SULATION PER N. Y. STATE ENERGY CODE 4 . ~ f m ! TT H C W FINAL O - z ADDITIOIIAL COhihfEIJTS: x m ' x N a H H O r H S b m -e H ~ ~ ass-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I~TION [ ]FRAMING [ FINAL REMARKS: DATE l D ~ © INSPECTOR ~ c~ ~~C~ ~ BOARD OF HEALTH.. • . • . • . r v u ~.J' 1_ ` 3 SETS OF PL~1N5 ~ FORM NO. 1 SURVEY I APR - 3,' ~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC rORM i"'"°°'°~'-°-"°° -~~+-r ~ TOWN HALL Parr, r~ r ~~'T01+~~ ~ ~ vim, SOUTHOLD, N Y 11D71 NOTIFY TEL.. 765-1802 CALL ~p Examinc:d~.~......... 19 V ~ MAIL T0: OU CP_,4,~.,,au~acp~e~r 3 y~• ~.~.1~ys~ Approved I~.YJ/. Permit No ~ 79~~ Disapproved a/c . . r • ~occUPANCY• o~ . ( uiMi nspector) USE IS UNLAWFUL ~ YJ6THOUT CEI1TIFfCE..ICATION FOR BUILDING PERMIT Date I5 . . QF OCCUPANCY INSTRUCTIONS a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of builduigs on premises, relationship to adjoining premises or public strew or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by tYus application may not be commenced before issuance of BuIlding Permit. d. Upon approval of this apphcaUOn, the Bwlding Inspector will issued a Building Permit to the applicant. Such perms shall be kept on the premises 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Re,ulations, 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 t~ admit authorized inspectors on premises and in budding for necessary ins e io (Simon ure oi' hcan~r name, if a corporation) Q~o 4~nrv.fcMO LD; r~ECaNiG, N Y- /!9~ (MaAmg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder •O wN~i2 . . Name of owner of premises 1.°.`!N ~ N4~tiA4E'?; , MoYtA~l ,A~ O D AS MOTE~9~~ ...5~- (as on the tax roll @P g•~' ~ [f applicant is a corporation, signature of duly authorized officer FEE.~..LO°~ BY• NOTIFY IL DEPARTM NT AT ~,/G,~~ 766.1802 9 AM TO 4 PM FOR THE FOU..OWINGINSPECTIONS (Name and title of corporate officer) FOUNDATION TWO REQUIRED Builder's License No ..:i'.°.'° F FOR POURED CONCRETE ' • ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • 2. ROUGH -FRAMING III PLUMBING Plumber's License No . • • No,c,r 3. INSULATION ' ' ' ' ' ' ' ' ' ' ' ' 4 FINAL - CONSTRUCTION MUST Electrician's License No ~'.°."V E BE COMPLETE FOR C O. ' ' ' ' ' ' ' ' ' ' ' ' ' ALL CONSTRUCTION SHALL MEET Other Trade's License No. !!~..°.'t?~-. THE REQUIREMENTS OF 7TiE N Y. ' " " " ' STATE CONSTRUCTION 8 ENERGY 1 Location of land on which ro osed work will be done. , . , , , . _ CODES. NOT RESPONSIBLE FOR P P • OCSIGN.OR.CONSTTiUCTION ERPQR$ . 890 9.2Qew NrgO .yA•.• • . • . • . ,~fcn,?ee-• • .~t. y, • • •ii958 House Number Street. Hamlet County Tae itfap No 1000 Section F??'8............ Bluck ~ z , Lot G' Subdivision A.Q@o`ui/t?ID , e+oJC . Filed slap No ..3.~'!A....... Lot .3:5:'x.-~G..... (Name) State c~isting use and occupancy of premises and inten//d/ed use a~nd~o~c_c~u///pancy of proposed construction. a. Existing use and occupancy • • •`T• '1~'/• . Gt ...p.'`/ ` b. Intended use and occupancy - • • • • • • ~O~"~ Y • • •l~{A?I 3. Nature of work (check +vhtch applicable) New Budding AddiUOn~ECiC'!~~t. Alteration . Repair Removal Demolition Other Wotk . . (Dcscnpuon 4. Estimated Cost ~./~'po. ~ Fee . . (to be paid on filing this apphcaLOn) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . Ifgaragc,numbcrofcars - 6. If business, commercial ar mired occupancy, specify nahire and extent of each type of use , , , , , . 7. Dimensions of existing structures, if any Front , S.o, ~;4,' , , , , Rear S'Q./-, 4.°... Depth . ~,5: ~4,' , , , , , Height Number of Stones PN. r... . Dimensions of same structure with altcraUons or additions Front Rear , Dupth Iicigktt Number of Stones . 8. Dimensions of entire new construction. Front Rear ,~r7.: p.:'... Depth ..l~.~ ~ , , , , , Hcigttt .....Numberof5toncs • 9 Site of lot. Front 3 N ~ Rear .,'~!t Depth ! 3 S~. ~ . 10. Date of Purchase . Name of Former Owner nt4zu~ta<e.`..°.. A.6e?so.;t. , , , , , 11. Zone or use district m which premises are situated ~R.". !?~S!?~477t!<. ; .'ysQ!~:~QJe!`~4..~4~~~...... . 12. Does proposed construction violate any zoning law, ordinance or regulation• ..~!4 . 13. Will lot be regraded Will excess fill be removed from premises: Yes P 14 Name of Owner of premises :30.'~'~ ~'.°,Y",ti;~, , , ...Address ~9~ A?~'~p Phone No. 7.~'~?zS.. . Name of Architect ..............Address ...................Phone No.. , . Name of Contractor - :.............Address .Phone No...::. . . IS.Is this property Located with in 300 feet of a tidal wetland? *YES...~.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dunensions fro property lines. Give street and block number or descnphon according to deed, and show street n es and indicate wheth intenor or comer lot. cto~sJ~v~o.v To ~ I .P.¢//iivG.1' ~ ~t o I ~ds~a~r fS~Td`}~K ,So~ ` t i It cA-Q-iw • ; iii ~ - - - ~'pl . Ir t My STATTr OF NENRYORI:, ' ~ z' COUNTY OF -?vf~m4\k".`~` S S ' >?~vun! ~,~2; y~,~4,d,,~F, ~gR,o6okr~.`r,~.?.:"?ar~4•Y, , , being duly sworn, deposes and says that 4e-~s the applica, me;gf i~~iiv~ilua,4,~tgi17i1o Contract) above named. , ys.~- fiT°~;~•'' >t (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file tl' aPphcauon, that all statements contained m this apphcauon arc true to the best of his knowledge and belief; and that it work wdl be performed m the manner set forth m the apglication filed therewith Sworn to before me [Errs + ;da~y/of. .~.G~~:fi........... 1985. S~t`~w+c~ rotary Public, , , „sue C~ E<.~ County a .~J~~ `J ~f NEtEN K t1E YUE • i J ' i' ' T''~~" Ka.._....... . NOTItRY PUBLIC, State of New York (Si~narure of applicar Na 4T078T8,SuttalkCaurdy ' Twin Expires March 30,19~~