HomeMy WebLinkAbout17300-z
' FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N. Y.
CERTIFICATE OF OCCUPANCY
No Z-18963 Date APRIL 11, 1990
THIS CERTIFIES that the building ALTERATIONS
Location of Property 710 CEDAR LANE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 6 Lot 5.1
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. 17300-Z dated AUGUST S, 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 ALTERATIONS TO SECOND FLOOR OF EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to ALICE McMANUS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-022436 - JULY 19, 1988
PLUMBERS CERTIFICATION DATED N/A
1
uilding Inspector
Rev. 1/81
i
r~osaz xo, s
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~ 017 3 0 0 Z Date t~"..1.F 19.~~
Permission is hereby gronte tto~:
to .~~1~-~.. .
.
of premises located at ....~.~~.......G~~r......,~~tnc.~.
County Tox Map No. 1000 Section Block Lot No.......... ~ J..
pursuant to application dated 19and approved by the
Building Inspector.
Fee
....g
din I actor
Rev. 6/30/80
Form No. 6
BUO DING DEPARTMENT
g,y~'' TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR 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 Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1~ 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-existing" 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 - Resident al $15.00, Commercial $15.00
,
/ Date li
New Construction..... U.~/... Old Or Pre-existi~~ B//u/Ji~l 'ng. Cf~,~ -
Location of Property... ................~-c'.~G?:...~,e~ ~.~Cri1~4-o:':J.....
House No. c Street Hamlet
Onwer or Owners of Property..~~44-..~~4. ~:?9ti.L,~ . ff
County Tax Map No 1000, Section....:/ .....Block..............Lot.......:.!..........
Subdivision ....................................Filed Map............Lot......................
Permit No..~./.J ~ ...Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.. Y.......
Fee Submitted: $.::ZSI
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3 SETS OF PL.1NS
FORM N0.1 SURVEY
TOWN OF SOUTHOLD CHECK ~
BUILDINGDEPARTMENT SEPTIC POR:1
TOWN HALL
SOUTHOLD, N.Y. 11D71 NOTIFY p-
' TEL.: 7G5.1B02 CALL . ~a% , , .
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Examined Q........., l9 MAIL TO : ~.~2C/ /1 ~ ;9c~
=\pprovcd ~ 196~Penni[ No. ~~~Qn
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TOWN
OF SOUTt•IOLD
( uildin Spector)
APPLICATION FOR BUILDING'PERMIT
Date . 15
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate piot 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 part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Buildin; Department for the issuance of a Building Permit pursuant to the
Buildin; 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 inspect p~er~~g~p in building for necessa ,~'//~,pect'
~t91 idl4'~7'F'x~49 ~~~/4' (mot'-to-C~~r~ -/!C . .
{/yrt~ 9/(~pSign~~~/t
/u(/resof'aJp/'/Lp~licant, or na~~m/e//~,'/jif ta~~/corporation)
R.a..aMMscrv.r w..,~.... f. 3 b / . T T. .t.'i~ l ~C fit. V C S/'
Y~.'1'i~ I497~ Q'1'tft#.il7ifS Y9~ts',t,
~~i~i'ltTB~t%i.9t r~~5,,*f , , as ~ , (Mailing address ofapplicant) ~~5 .
State whether a >i er, le~'cA~`t;~arihitect, engineer, general contractor, electrician, plumber or b/ui~l'der.
l'r"3cT~?tnd~9 B 1.F
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t4+iia {•:•Y
Fame of owner ol'~k~'i~~si31t':ur~ ~ ; ~ ~~a// C ~ ~
(as on the tax roll or latest deed
If applicant is a co~~ru.y nsnaE+~NCagq¢cduly °authorized officer.
.~f.?I.~` .eft £~I'h e;~.. 3r..~ .
(Name,~~~i~~I~;pf= QOrp orate' o ffic cr)
Builder's License No . ~ .
.f
Plumber's Ltcense No. .
Electrician's Liccnsc No.
OlherTrade's License No. .
Locatio//n of land on which proposed work',w'll be done. , . •
House Number ~ Strce[\ Ha,nltt ~ ~ ~ ~ • ~ ~
County Tax tap No. 1000 Section ...l. , , , , Block ~ ,
Lot.....`.5:
Subdivision Filed Alap No. Lot .
(Name) ,
• State existing use and occupancy of premises and intended use and occupancy'of proposed construction:
a. Existing use and occupancy , . , ,
' ~ ~s ...:'t~•°.".. .
b. Intended use and occupancy . , , ' `'/J
~ < ~~~-~-m/J
it
3, Repair of wort. check whin` applicable): New [3uilding '
( ~
moval , , ' ' ' ' ' ' • • • Addition .Utcration •
dd,,~~ i • • • • • • • , , Ucmolition . Other work .
4. Estimated Cost . i o
~XJ`~i (Dcscnpnon)
Fec........................,...........
Its ~ (to be paid on filing this application)
5, If dwelling, number of dwelli
oara,e, number of cars ng units ~ Number of dwelling units on each floor ,
b
6. If busyness, commercial or mired occu ant • • •
P Y, spccil'y nature and extent of each type of use . , • • ~ • • • ~ •
7. Dimensions of existin~~ structures, if any: Front . ' ' ' '
Height ; , . Number of Stories . • ~ Rear , Depth .
Dimensions of samestrvcturc ~~with altcratio • • ~ • • ~ ~ • ~ • • • • • • • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • . • •
iii p nsorad itions: Front Rear
8, il D` tlt . Iieight . Number of Stories • .
~{ttirc' new con$tntction: Front , ' ' ' ' • r•
Hetght . , Rear .!~i?..`<..... Depth d..S. , • .
N~ tuber of Stories ,
g, i..•s~ize of lot: Front ?3 j;` . .
10. Date of Purdhase Rear , ....:?Z;~cs~. ~ , , , , pcptth / 7'S--; .
~ Name of Former Owner , ::1.
11. Zone or use distnctan which l • ~ • • ~ •
o remises are situated , •
~ p
13. Will lot be~e~raded tructron vy,
P P •olatc any zoning law, ordinance or regulation: • • ~ ' ' ~ • •
14, Name of Owner of ise y~yic, /y~ • • ~yill cx ss Fill be cmJ~ved fr9m premise . Ycs N..
F~j~ C!`f: 4". {t ~r/.~L?'Address ~lt . ~~~,.5'1; SD' ,
Name of Architect ,~p,ss~~`~Q~ q'~ • , Phone Nd~~~~v~~~~,6~E
Name of Contractor . lJ ~i e ~m'b'e'~ 'Address .Phone No. .
' ~~eg~•~~~.. Address . . • • Phone No..,~a;.;,, e•
IS.Is this property located within X00 feet of a tidal wetland? *YES..-.NO....~~
*IE yes, Southold Toc~~n Trustees Permit may be required. `
I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions froir:
property lines. Give street and bloc!; number or description according to deed, and show street names and indicate whether
interior or corner lot.
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I
AMI D At Np1Ep
~I DATE: b,R ~ 1736 0
8
• I FNa~rIFV u M ~
788-iSOx 8 AM 1p t /M 1'OR TWE
FOLLOWING NVSPFCTIOMS: .
1, FOUNpATipN TiAK1lIEO.UMEp
FOR ?OUREb CONpIlTE
2. ROUQW - FRAMING b PR,1lMBINO
3. INSULATION'
4. FINAL - CONSTRUCTION MUST
i, BE COMPLETE FOR C.O.
ALL CONSTRUCTION 8WALL MEET
THE REOUIREMENTS OF THE N.Y.
' STATE CONSTRUCTION b ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATC OF NE\V YORE, '
COUNTY OF Si S
• • . • . • • • • •(Name of individual sip
bout named. ,nyn• • • • • • ~ • • • • being duly sworn, deposes and says that 1te is the applicant
~e contract) ~ ~ ~ •
i~ysthc,,,•,
I (Contractor, agent, corporate officer, etc.) ~ ~ " •
f said owner or atvncrs, and is duly ~,tutltorized to perform or have performed the said work and to make and Plc this
Pplication; that all statements contairjed in this application arc tnyn to the best of his knowledge and belief; and that the
pork will be performed in the manner spt forth in the application Glcd therewith.
'•vam to before me this
............PZIi.......day~,o/f,.l' 198
otary• Public, , , , ,
rye, I County ///~~~I, 7~
M~IARYpt1 ~~S'~~e~liewNnlt . r~6:~,~ , !%l
~~'~>0~78,Sulfdk .
p hWreh~'~ (Signature of applicant)
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