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HomeMy WebLinkAbout17297-z ' FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Tnspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18155 Date JUNE 29, 1989 THIS CERTIFIES that the building ADDITION Location of Property 300 PVT. RD. #25 OFF SOUNDVIEW AVE. SOUTHOLD,N.X. House No. Street Hamlet County Tax Map No. 1000 Section 059 Block 09 Lot 26.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 1988 pursuant to which Building Permit No. 17297-Z dated AUGUST 4, 1988 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 GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to REV. DONALD W. McKINNEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-073699 - MAY 26, 1989 PLUMBERS CERTIFICATION DATED N/A ~ O2~ it ing nspector Rev. 1/81 1POEM 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) 017 2 9 ~ Z Date .~f..!.1.~.........~..........., 19.Q. (1 Permission is hereby gran ~,~w.... . .....~.~7~(...,1..~.A.,~ . ~„~.t...~ ......................p~..... . ct premises located nt .`1~....~~ County Tax Map No. 1000 Section ......A.~~....... `~B-lock ......~~........\\,,Lot No...s7.~R..<~..s~....... pursuant to application dated ....~~~....~.yc 19~.$.., and approved by the Building Inspector. Fee $.~.t.../.. .rCC:r!!°~ . wilding Inspector Rev. 6/30/80 e nn ~j„~ FORM NO. e ~~U ~ ~ f5 ~ ~ TOWN OF SOUTHOLD ~-N#.j~ Building Department ~A.~ - ~ 4~J ) Town Hall # Southold, N.Y. 11971 E 765 - 1802 3LC;G. t1cpT, ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY TObVN Op SOUTHOL_~ p~ ~ Instructions A. This application must be filled in typewriter OR ink, and submitted s Bea to the Building Inspec- torwith the following; for new buildings or new use: 1. Finaf survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 7957), 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4. Vacant Land C.O. $ 20.00 S.Undated C.O. $ 50.00 Date ...s~ I,I.S..1 Net„Construction„l,,,OldorPre-existin Building Vacant La Location of Property 3.4 "A ~=''S D1~ 70r+d V I~ W R~~ C~.t 'r ~!'A House No. ~ ~ Street Hamlet Owner or Owners of Property . d"'~ ~ C ~ A N N tltl ........7 County Tax Map No. 1000 Section ..C .5.4 , , , , , , Block ....1........... Lot ~ Subdivision .................................Filed Map No. ..........Lot No. ct PermitNo.~ZzQ,7,z Date of Permit ..~I.r.!..A licant!~.~M~ pvl~~~`S ~~7L Pp Health Dept. Approval , , , , , , , , , , , , ,Labor De t. A a A' p pproval Underwriters Approval : ' ..............Planning Board Approval : Request for Temporary Certificate .....................Final Certificate r............... . uv Fee Submitted$.....z~, ~a3~ Construction on above described building and permit meets II plicable codes and regulations. Applicant Rev. 10-70-78 c~,.e.~. • 3 ~ ~ as ec ~ )s/s~ 1` ~ f THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 _ 1001093 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date MAY 26,1989 App(irationNo.onfile 57050588/88 N 073699 THIS CERTIFIES THAT only [he elec[ricol equipment as described below and introduced by the opplicont nomad on the obova opplicotion number in the premfaea of REV. DONALD MC KINNEY, 25 PRIVATE RD., POLE #2, SOUTHOLD, N.Y. in th¢followinq lorotion; ? Aasement © lot Ff. ? 2nd F'l, GAR ,.Section B/ork Iwtt was ezarnined on MAY 15 r 1989 ~ arzd found La be in contplianre with the rw/u irententy this Ifoord. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENL FIUORFSCENi pYHER AMT. K W. AMi K. W AMi K W AMi. K W AMi. N P. 1 7 3 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS $PECIAI REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS MIT. K W. Oll H. P GAS H P. AMT. NO A. W. G. AMi AMP. AMT. AMPS TRANS. AMT. H P SYSTEMS AMT WATTS NO.OF FEET SERVICE DISCONNECT NO.OF ~ , S E R V 1 C E METER NO OF CG COND A. W G A W G A W G. AMi. AMP. TYPE E-0UIP 1 A' 1W t R 3W i.e 3W 3 % 4W pER 9 OF CC COND NO OF HI-LEG OF HblfG NO. OF NEUTRALS OF NEUTRAL OTNER APPARATUS: = G.F.C.2:-1 GARY DOROSKI LIC.#2941E G//~~ 420 MONSELL LN. CUTCHOGUE, NY, 11935 GENERAL MANAGER 11~ Pet- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. _ _ _ j i / l \ TEL. 7C,5-180 ~ ~C~°' , ,o'!~,~ cl, Toys rl o~~ souruoy,u ;.~c,;;;,~~ , ~ ~c~ OI'E'I<:E C11: GUILDliv'G INSPECTOR yu; ~ 's`1. `~1 ~ TOWN HALL ' Oryyo SOi1TI10LD, N.Y. 1 1971 1 ` March 21, 1989 ROMEO BUILDERS, INC. BOX 111 SOUTHOLD, NEW YORK 1197] DONALD McKINNEY To Plhom This May Concern, We are unable r.o complete your Certificate of occupancy because of the following reasons. An application for Certificate of Occupancy is not nn file. *1o Undcr~•rriters Certificate on file. / / 't'he cheep: i:; (nutdnted/nut on file. ) D:o Ilcnl.th Dept. Approval on file. Ne final inspection has been made. Pleae>r.. contact: our office on this matter. - Thank you for your cooperation. Ihc.ilding Perm.i_t 1! 1 7 2 9 7 Z }3uilclinq Dc:pt. tlo Plumber ;;older Cert.tficatc on file. ( a].1 pnrmiCs involving plumbing being i.^,sucd after ,~pri.l 1 , 1984 ) 1 Vim. G l 765-1802 BUILDING DEPT. INSPECTION. FOUNDATION i5T [ )ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ I FRAMING [ ]FINAL REMARKS: DATE z g~ INEPEC'TOR ~!~~t~~~~~~~%~ 'z~ ~ 765-1802 BUILDING DEPT. NSPECTI®N [FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~ ~ ~ ~ 3 ~ REM ~ DATE f ~ INSPECTOR ~ " _ 765-1802 BUILDING DEPT. INSPECTIt~N ` [FOUNDATION 1ST [ ] ROUGH PLBG. 4 [ ]FOUNDATION 2ND [ ]INSULATION f [ ]FRAMING [ ]FINAL ~~Lf REMARKS: ~1~~ ate' ~ { ~ ~ 4 f DATE ~ INSPECTOR l1' i- a ~ ~ . ~ : _ ~7L9~ 765.1802 BUILDING DEPT. INSPECTI®N [ FO DATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ y 'f q DATE ( ~ IHSPECTOR lELD, it;SPEC:iU.J ~~UA.E ~ OOMMEN7° _ _ l~{oL~ - ~ _ H '.O _ y ~I FOUt1DATI0N (1st) FOUNDATIOtJ (2nd) ~ m~ z 0 ROUGH FRAME & PLUMBING ti 3. ~ h m rn IIISULATIOP! PER N. Y. y STATE ENERGY CODE p' r GF 4 . y b_ FINAL n z r ADDITIOAIAL COMMENTS: ~ x ' x ro H ~ 9 .L". y ~s H O z p x c~ 9 r . d P7 H i" - ~'~?4 f.; LIIA 1211 111' III{A1.'1'11 r +,r t."F, : ,f< +t~.at };~..k. , 115'1' ^ I' I' I ~ ~ N ~ ~ . ~1`4:+~a~k?:,S~e~jl~ff`ac<%3~r~0flMNV.1 SURVEY TOWN OFSOUTHOLD curcx BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTTFY SOUTIiOLD, N.Y. 11~J71 CALT. TEL.: 765-1802 ~ - ~ ~ ~ ~ • - ~ ~ ~ • ~ - - MAIL T0: Examine ....~v1.. 19 . . APProVe . y...., 19d 1 . Pennit No. a:~ • Via' n Disapproved a/c D ~4~~ 4! ~ ~ . . . .e. a~ sir. (Bui ding Inspector) OF SOU17i01D APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 streets or areas, and giving a detailed description of layout of property ;must be drawn on the diagram which is part of this appli- cation. ' c. The work covered by this application may not 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ' 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, building code, housing code, and regulations, and to admit authorized inspectozs on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G~~.. ~:f . Name of owner of premises . R~?:..p~ro..~~ : I~Ae ~~vev.~.~.`'.J . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUF!~OLK COUNTY LICENSED Builder's License No. l 7.9... I........ . Plumber's License No . . Electrician's License No. y Z. . Other Trade's License No . . ' 1. Location of land on which proposed work will be done. ..J~~ ...P~•... 1~~4< . House Ntnnber Street Hamlet County Tax Map No. 1000 Section ~:S `1. • • • . • • • • . Block Lot 2 6 , /,3, . • , . • , • Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premisers and intended use and occupancy of proposed construction: a. Existing use and occupancy A!~. T~n':~.y.. c~ylf,,,~ . b. Intended use and occupancy ....~Y'.e.e;w,~!,a,-54, . 3. Nature of work (check which applicable): New Building Addition . II Alteration . Repair . . . . . . Removal , Demolition i Other 1Vork , . (Description) 4. Estimated Cost .....f?~~. ~?D ~I Fee (to be'paid on filing this application) 5. If dwelling, number of dwelling waits Number of dwelling units on each floor . If garage, number of cars 1, . 6. If business, commercial or mixed occupancy, specify nature and extent of each pe of use . 7. Dimensions of existin structures if an Front , , Y `T'S ~ g ~ Y~ Rear....... ~ Depth . Height ~`..zo.`..... Number of Stories ......~.y,. , Dimensions'of same structure with alterations or additions: Front yNumber o{' ~ ' Rear . Depth 3.6 . ~ Height 2-~......... . 8. Dimensions of entire new construction: Front rc Rear , , , Stories . 10 0 1 ° ~ Depth ~ , Hei ht q.~.... / 9. Size of lot: Front , , , 3z~ umber of Stories ~ Rear 3 2~ Depth ~ . 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in which premises are situated . 12. lloes proposed construction violate any zoning law, ordinance or regulation: ...IV a, , , , , , , , , , , , , , , , , , , , , , , , „ . 13. Will lot be re raded o k•.. 14. Name of Owner of premises ~c Address , , , , , , , d from premises: Yes No g . . Addressxcess fill be remove; Phone No..7.6'~-..9. 3.5. . Name of Architect .Phone No.. . Name of Contractor ..Qov:~... ~~••~~~:-S .......Address . Qom' . <«(..~a~~~v(. Phone No. 7~>". - . ~ ~ . 15. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be re~qquired. I PLOT DIAG1tAM Locate clearly and distinctly all buildings, whether existing or proposed, and, inldicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coiner lot. II Is3 Gre¢»b.o..k, _ _ ~31~~. ~ ti ~ 3 Z o r 0 I . e 3zo - -_______..._....__._._.._.._,...._,._m........_y..~.___,.....___~__. , . i ' I STATE OF NEW RK II COUNTY OF S.S ~Q.. ' .w... ~..,..«,.~,u..,.,~~ S Y 7&~&1411tut~hli is t 3 bean dul sworn, d"e he applicant (Name of individual signing contract) sr I E3C ~,;,„_',".'r~,„„~,,,~,,,, above named. g~. s i.l C~-~-.~' He is the • • • • • ~ (Contractor a ent cor orate officer t~°t( of said owner or owners, and is duly authorized to perform or have performed the 's~id work and to make and file this application; that all statements contained in this application are true to the best of his, knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. I Sworn to before me this ...day of .........~U : ~4-e~...., 19~~ Notary Public, ounty Y N~p~io ~U.E (Signature of applicant) No. 62~612yA Suff~olk~Co~ • . Term Expired October 31, 19 t Lam=, F.~ s=`~~ - { _ . , r t ~ e^ + rr ~ - _ i'' +i ~ i y u ~~4 3 ~ <ry ~ e"~) c~ sk - , ~1 i) ~ I C ~ ~ ~ O r.T ~ t ° ~ ~ ~ (2` CI i n ~ ° 6 } L ~I.~;1C~ Ol ~ < ~y V} ` 11,16 ~J v fit' J S, ~ ' ~ - - ~ - - - ~ r,{~ - - Q ~ G~ ~ i'Y') e<~ s ~~r;rm.= ©%f.f ~/f to y- } f ~ f r` ~V n~ ~ ~ ~ ~ c t, ~ " _ - - - i~ - H _ 4}I , - . z T . ~ y ~ --....t, - L.. - m ~Z - J / / y/V / ~NAVTHORRED ALTERATION UR wpolOO~ i ~ Y IO TNIS SURVEY IS A VIOLATION OF r r i SFGTION 7209 OF THE NEW YORK STATE f [DUCATION LAW. f COPIES OF TW5 SURYEY MAP NOT REARIM ~ / iH¢ LAND SUR!"EYOR'S 'M1Y(Eb SEAL OR ' ~1 _ ~ ~ O E V4ltp YRUE ..OPY. CONSIDERED T R A • c I ~ - ~ _ Y- _ _ _ )NLY TOE 11EI PERSJN DiOR WOHOMH NLE SURV§~ _ _ . _ _ _ _ _ -r5 PRFPA3EtY, NvU ON Hii 6:HACF'iO'1HE' ' I N~ ~ ~ ~ ~ TITLE COMPANY, GOVERNMENTAL AGENCY AND e i X LENDING INSTITUTION LISTED HEREON, ANp .LR1. ~ J~ 'J YHE ASSIGNEES OT THE LENDFNG INSTE- t 1 'k~-, / 'bifON. GpARANTEE6 ARE NDT IRANEffi.AWF j ~ I ADpIT10NA4 INS7YYUTK)N5 Ov SUSSEOUEN F ~ r rF Q ' ^isRS / _ li ~~.t~T ~ , t->I~(` +f ~ ~ ~ ~ ~ a~"' s a 0 { _ r., ?~j: ~ A _ _ i ~k. ~J v J j - ~ ~ 1 _w 3 y~ ~ n~rv ~ ~ V V~ ( ~-...c. i~l~~w. ' w~ 1...~ t N f rt ~4 ,'y-~~s,t ~.4£3°~1 i a..47'll. ~ ~ I ~ _ ~ r .d. + ' ~ .'a..rc..:o tt'~`~fs.7~t;1 ,'~cJ'?FPt.~~t-, i=~~J ilk tl^- yr:..Y~a ~L;y'Y~S 7L[~~4C( ~'L"kd rQ~' E~:pp;•°°n r`~: j MC w~ ~ C.. ~ ~ C"'.i~ !•~if'o Fed ~"•l,j'Yn._ A ~ X Lam, }