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HomeMy WebLinkAbout17330-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18617 Date DECEMBER 5, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 2565 VANSTON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 6 Lot 7 Subdivision Filed Map No. I,ot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1988 pursuant to which Building Permit No. 17330-Z dated AUGUST 18, 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 ALTER EXISTING ATTACHED GARGAGE TNTO A ROOM AS APPLIED FOR. The certificate is issued to HARRY T. DOLAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA UNDERWRITERS CERTIFICATE NO. N-084088 - AUGUST 1, 1989 PLUMBERS CERTIFICATION DATED SEPT. 15, 1989 - JOHN E. WALTERS PLUMBING Building Inspector Rev. 1/81 Fosx xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT iTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 017 3 3 0 Z Dote .~J~!JC/ L...Q . 19(18 Permission is hereby granted to: ~ ~ ro ......~.cll.:Yn~1.I.:'f!!Y/........G~~~!'L~L.?'!a~iP......~~..........G3',,......./..1rJ~Y..I:...~ at premises located ot .....4~..,..lr...~..~............~l..~l.:t!1......./A~ County Tax Map No. 1000 Section• ~.~.•..y..1..~..........~5)fock .......(Gt.........../.~Lot No......~............ pursuant to application dated .~Al/ ....:........l.f...................., 19.L7~ond approved by the Buildi~n/g Inspector. !//l Fee $/.l~.i~.E7.. Building Inspector Rev. 6/30/80 TOLIN OP SOUTUOLD „„,a..•:~w'; IIUZLDING DEPARTdlENT ~ ~ ~~!I~~n~ ~„„~,,.x». TOWN BALL ~ SOUTBOLD, NPW YORK 11971, ~ BLDG. p TOWN OF 5O11Tl~0Lt7 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ' NEN C0:7STRUCTION , • „ -OLD OR PRE-E%ISTIt7G IIUILDINC_ _ VACANT LAt7D.... - Locatioa of Pro o°~~1~ Pcrty--~oL4RJ... Vf~P.lS7Dev _IVAS.SiSIGC~. ~~Kb= _ _ BOUSE NO. STREET BAMLE• Ovncr or Ovncrs of Propcrty...n[~1~~ ~ County Taz Map No. 1000 Section ~0~ ~ • Block Lot'.. Subdivision,-,, •.ry~ Filed Map ....._..Lot........ Permit No. QiI,J.'•~r3 ~'ltt -..Date of Permit .T~i A P P L i c a n t 0r(16a . ~fF~AIQi- P,dAf$ l~1p,(eJiy~ Bcalth Dcpt. Approval " " Undcrvritcrs Approval..___--•.•._ PLanninC Board Approval Request for Temporary CcrCificatc I ~/f Final Certificate •Fec Submitted: $•'pC,.,``,•; APPLZCANT...,,J27:t=- : !!"4.,. f °y' I0/14J88 Ree. 3~'G98' eo ~ Ig611 FOIL(.) N0. 6 ~ TOWN OF SOUT110LD BIIILDINC DEPARTlfENT TOWN DALL t~y~ 765 - )802 APPLICATION FOR, CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must 6e filed in typewriter OR ink and submitted to the Building Inspector with [he fol~,lowing; for ?ev buildings 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 of_Dealth 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 solder used in system contains less than 2/10 of IZ lead, 5, Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the 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 "pro-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by Che applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor inpritiag to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to Prepare a certificate. C- For Vacagt Land Certificate of Occupancy: 1- Aa application for vacant land Certificate of Occupancy shall be submitted,, and a certified abstract of title issued by a title company showing single and separate ownership o~ the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Alteration to Dwelling $25.00, Swi®ing Pool Dwelling $25.00, Addition to Accessory buildings, $25.00. Accessory building $25.00 $25.00 - Businesses $50.00, 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $f5.00 Residential $50.00 Commercial ' I . 10/l4/Sg i 17330 ~ THE NEW YORK BOARD OF EIRE UNDERWRITERS ~~t^~ ~ ~ a e'S() l ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK T0038 ;j1S~,IJS'I' t~7 , 4,k}>'t'3 SY;~?~S:E'1R~#9&F4 ~t (3Y,~YrSa Date APPlicatian No. on file THIS CERTIFIES THAT only [he electricol equipment as deacrihed 6eloW and introduced 6y the applicant named on the shove application numher in the premises of K~S'Clf 1J(3fLR1d, ~ltNS'f"(3td R}). f~iLe:";Sx`:Ci F"l".: +~IF'f't"FIl)~i7C';r @I,~"• in thefoUouinq htcation, B¢s ent ~ /st Fl. ? 2nd Fl. Section Block Lot ,ttcr,v I,t~'~ uws ex¢mined mR and found to 6e in corrtplianre with the reyuirementx q(this R¢ard. ' FIKTURE gCEPTACIEi SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS qq INCANDESCENT FIUORESCENi OTHER AMi K W AMi K W AMi KW AMT. K W AMT. N.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCNS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMi. K. W. Oll H. P GAS N. P. AMT. NO. A W. G. AMT AMP AMi AMPS TRANS. AMi H. P SYSTEMS AMi WATTS NO.Of FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMI. AMP. 1YPE METER t 9, 4W t ~ 3W 3 B 3W 3,9' 4W NO. OF CC COND A. W G NO. Of H4lFG A W' G' NO Of NEUTRALS A. W. G' EDUIP. PER A' OF CC.COND OP HbLEG OF NEUTRAL OTHER APPARATUS: ftQSiaisK k:x,a;CTli_ff' l,LC..#~Cn77-F. P.f).I4pX 1(if~ CA`~s;f,{C7[}13$;, NY, L1. `-33!i GENERAL MAN GJf 1. t Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~~FF~(~~C - TEL.7G5-1802 o~~ ~..,.•l O~ TORN OF SO'U~'IIOd.D L'~ti3!°x . ~c OFFICE OF BUILDR•IG INSPECTOR o ` " P.O. BOX 728 -c TOWN HALL ~ ~ 1 SOUTHOLD, N.Y. 11971 ~~M~l ~ ~b C E R T I F I C A T I O N , Date ~P.~- 15 ~ 14~ Building Permit No. J~.~~p~- Owner K~ l7, o~~tN (please prin(ts) Plumber ~1Gtil ~9}LI~yS L~uwg~-~ K~- (please print) 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 e this day of ~~~-2~~_.~ j ~ Notary Public Notary Public, County !1r:LD II:SPECTIUN 1 ~~UATE ~ COMMENT° ` ro I. m H - _ y Q FOUIJDATION (1st) = I~~ ~ ~ m FOUNDATIOIJ (2nd) _ _ 2. 0 ~ r ii o ROUGH FRAME / PLUMBING oZot ~ L~ ~ ~C H 3. ~ rh rn IIJSULATIOII PER N. Y. y STATE ENERGY CODE x ` ~ ^~1 r a. - .may FINALS Y z Q ADDITIONAL COMMENTS: x ra ' x f'* w a~ o a D - x d ra _ .ti H S~FF~(kl'`~. TEL. 7G5-1802 4 OGy TOWN OF SOUTIIOLD `"""~"r ~ OFFICE Of BUILDING INSPECTOR u, ;J~ , , ~'~P P.O. BOY 728 ~ ~ TONN }IALL y!/~l ~ ~~o~- SOUTHOLD, N.Y. 11971 Gnu ~3, 98~ 4'. o . t~ 5 a ~ - To [•Ihom This May Concern, ' We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy i:; not on file. No Underwriters Certificate on file. The check is (outdated)3~„o~n file.) CK'+ No Itcalth Dept. Approval on file. Nu final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. 7lui]di.n~ Permit 11 aSGS ~~,,.~~n` ~ . Uu.ilding Dept. ~-~acy~a, No Plumber Solder CcrL-ificate on filed ( all permits involving plumbing being i:,sucd after April 1,1984 ) / ~33o rss-iso2 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST ( ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ]INSULATION [ J FRAMING [ FINAL REMARKS: DATE INSPECTOR /~33~ 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION i5T [ ] ROUGH PLBG. i [ ]FOUNDATION 2ND [ r7 INSULATION [ I FRAMING n [ ]FINAL REMARKS: ~.x~,~„u~,,.~~.,,,__ e.~ DATE ~Y INSPECTOR F... , . Z 7ss-1802 BUILDING DEPT. INSPE~TtON (]FOUNDATION 1ST ( ] ROUGI~1 PLBG. ] FOU RATION 2ND [ ]INSULATION RAMING [ ]FINAL REMARKS: CA2 ~~©~~C7 G DATE G © ~ ~ ~ INSPECTOR t ~ ~ ! ' ~ i ~ ~ i ~ ~ ~ ~ ~ t ~ I i ~ ~ i ~ ~ ~ ~ ~ ! i III, ~ i ~ ro l ~r ~ ~ i~ I i 5 _ ~ C j ~ ~ ~ ~ I i F~ tea. b ~ . I t ~ I i, ~ f `v4'..ms ~ f ~J j i M~', r,, ~ I ti ! ~ t , i I , ~ ~ ~ i ~ SJ~ ~ I ~ I,~ Ali I~ ~I j I~ ~ i I I I I I i I ~ I I I I i I i I I l~i~ ~ I ~ ~ I ~ ~ - I ~ I y ~ I ~ ~ ~ ~ iyy,,~ Ili I i~ l~ti i ~ ' I it i I ~I ail ~I ~ ~ ~I ~ i i i ~ i~ I A i ~ h ern. 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TEL.: 765-1802 MAIL TOy:~ r~ Examined . 19 p ~1 ~ l~G i~~ ~6 Approved . ~.r~...., 1~~ Permit No.d l.~ ?.~OZ Disapprovedac (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..~4./~^~g 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 part 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 inspectors on premises and in building for necessary inspections. - ~ _ (Signa e of applicant, or name, if a corporation) P. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..........Gt~~v~'~-a G.. ~~.~~~'ac,~ovc. ......,__,_r 7~.. ~ Name of owner of premises ~~~~~~q~ • • L~Pf.. ~i.. . (a on the tax roll latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate off~iTcer) ALBuildeNSLCe S~No .Me~~i'/oSf~U/.~,~/~LK ,COUN/T/Y LI/CENSED Plumber's License No. .._~IIJ~./.. ~~2'~Y~'O~~P? Electrician's License No. ! . . Other Trade's License No . . 1. Location of land on which proposed work will be done . - .o~,.fii . ~ r/.9hls o,~/, o~'o~ ~ L'v ~G'tfo G=vr_' House Number Street Hamlet County Tax Map No. 1000 Section Block ...4C~ Lot ...7.............. . Subdivision /~l17.$'S'/.~l,~ ~!!,V, Filed Map No. , . Lk....... Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy $?~~~.'L ~i,?Z./. ~ . ?$?/r!~/Gb:/= . b. Intended use and occupancy ....~~~C 3. Nature of work (check which applicable): New Building Addition Alteration ~ Repair Removal Demolition Other Work ; . y~ r (Description) ~.~.'~.o.°.e.a.~ FV •~idv.. 4. Estimated Cost ~ (to be paid on filing this application) S.' If dwelling, number of dwelling }nits Number of dwelling units on each floor . If garage, number of cars 6.' If business, commercial or mixed. occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structure, if any: Front ...............Rear Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear . Depth ....................',..Height Number of Stories . 8. Dimensions of entire new construction: Front . . Rear . • .............Depth . Height • Number of Stories ~ . 9. Size of lot: Front .l~lE? Rear g.~~ Depth ~.99. `3 0 9. ~.z 1 O. one or use district i~which r ~ !,9 • • • ' • Name of Fonner Owner ,fz'I.ylZ!e y' .Jt?~ L!5?!1l ~/~,,r/.6>~~'~ p anises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~P? . . 13. Will lot be regraded ..../.Y. 4 ....................Will excess fill be removed from premises: ~feS°' No 14. Name of Owner of premises i Address ...................Phone No...........:... . Name of Architect .................Address ...................Phone No...........:... . Name of Contractor , .Address ....:..............Phone No............... . 15. Is this property located within 300 feet of a tggidal wetland? *Yes No .1/.': *If yes, Southold Town Trugtees PermitPLOxI'DIAGKAMed. Locate clearly and distinctly all li,buildings, whether existing or proposed, and, indicate 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 corner lot. ~~"+Lo'" Jo ~avfs Imo' rsGB"U~~, a21~~ ~`loa? .~.,~~I- l~ s ~ CFYC/.~~ f„~n2~ IJr-. ~ zC - ~ l6 O, ~ , ~ ti ~ Q>GY/3 ~•dr~ ~?C...,+,~ f~r?•~s-~ c.~~u 2~"1 c'~' ~ ~4C~,t~" 6ts, STATE OF NEW YORK, ~ S COliNTY OF . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signipg contract) above named. i He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conta~ned 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. Sworn to before me this ................/.S.....day oofNe-UGG........, 19~~ Notary Public, ..Il.:. , ...1•~- County , NEIEN K DE YOE ' • • ' ' • • • • NOTARY PUDtIC, Stereof NewMyYm~t (Signature of applicant) 7 m•Fxp~rea?Marc301eU9. :19 i