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HomeMy WebLinkAbout17596-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218565 Date NOVEMBER 15, 1989 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property `T60 SEAWOOD DRIVE SOUTHOLD "Dose PIc Street Hsmia*_ County Tax Map No. 1000 Section 79 Block 08 Lot 10 Subdivision SEAWOOD ACRES Filed Map No. 2575 Lot No. 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 31. 1988 to which Building Permit No. 175962 dated NOV. 10, 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 DECK ADDITION AND ENCLOSE BREEZEWAY ON EXISTING ONE FAMILY DWELLING. The certificate is issued to IRENE AND ANTHONY STULSRY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N054705 JANUARY 23, 1989 PLUMBFRS CERTIFICATION DATED BERTSAND PLUMBING NOV. 8, 1989 Building Inspector Rev. 1/81 rosai 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) N9 X17596 Z Date ..r~jl fQ .......................................... 19.~~ Permission ~s hereby granted to• ~ ~~~ f~.So.....r~-:~` ....~?i. S.rrt. 4........ ,/ _ ~ ~... .~.~ ..............-....0.. to C~ ..i~~e..Gr`l:e.Gn~-.. ~Clrll~fr/........: r ..~C~6!A~- ~ ...... ...... at premises located of .....~~.~Q......G..`.~`Z~..i ........................................ .... . ................................ ....... ~A24~4....~.............................................................................. ..... ................ ............................................ . Caunty Tax Map No 1000 Section .. .....7~~.... . pursuant to application dated .. ...... ~~/i.~~ Building Inspector. Od Fee $ ~~ Block .. .L1 ............. Lot No ...... ~ ~. .. . ..., 19 ~~ and approved by the r .................................. Inspector Rev 6/30/80 TONN OF SOUTIIOLD BUILDItlC DLPART:[CLlT TORN QALL A SOUTIIOLD, NE47 YORK 11971 765 - 1802 ~,,,_ _ APPLICATION FOR CCRTIFICATE OF OCCIIPAtlCY DATL ................. KEN CONSTRUCTION .......OLD OR PRE-E%ISTItlG BUZLDING_.....VACANT LAND.,...... '~l~o ~ ~/~ ' Locatioa of Propcrtp__ _ ~2~riQ0 aGJ~LL~~____.4-~~~'L:!~G/~Y ............. DOUSE NO. .~/S~/TP-.,LE~ET 1 /^AfiHLET Ovaer or Ovncrs of Pro crt ~~~~~ ~<'!`T+!?~~~ ~1~~1s/t!' P Y ................... ._.. ,..__....... Countp Taz Hap No. 1000 Section .~/. .. Block .. ~... Lot ~~7__.. Subdivision ....................... Filed Map _.......Lot....._.... Permit No. LJ.`~~ ..Date of Permic ..._..__..Applicant ................... Health Dept. Approval .................. Underwriters Appraval....__._...... Planniag IIoard APProval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... APPLICANT.... ............. ~cu 3 ~GOp Cr, z/k.fGs' reY- 10/14/88 FORM NO. 6 TOWN OF SOUTFIOLD BUILDING DEPARTMENT TOWN IIALL ~. 76S - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Huilding Inspector with the following; for new 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 IIealth Dept. of water supply and sewerage-disposal~5-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying [hat 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 eaisting buildings ~PrlOr to April 9, 1957 non-conforming uses, or buildings and "pre-eaisting" land uses: I. 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 the applicant and a certified abstract of title issued by a title company which shall show single and separate ovnersh ip of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in vritiag 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 Vacant Land Certificate o£ Occupancy: 1. An 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 ovnership of 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: I. CERTIFICATE OF OCCUPANCY - New Duelling $25,00, Additions to Dwelling $25.00, Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - $usinesses $SO.00_ 2. Certificate of Occupancy on pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4_ Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ev. 10/14/S8 ari! -- 1159 6~ 1 . , .._._~ THE NEW YORK BOARD OF FIRE UNDERWRITERS `''''~` LII~: X441 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 .VaiVYIARV 23,74p.v K, S1~31Gv89,/f;° N' Uh4`;Il'~ Dote Applicotion No. on file THIS CERTIFIES THAT only the electrtcal equipment a dsecribed 6ebw and introduced by the appiicont nomad on the oboue application number In the promises of AMi'NI}Y N 5'I,'f((:[iKY. "i611 ''vM;ia1(fK)i) i1NIVR, 1~N41i,p: #t>, RViPiHtll.i7, lu_y. in thefollofcing hfcagion• 0 ~ S ~ Iu FI. ^ Ynd FI. .Sertion Block Lot ~'~` ~ P -I f Ak1y (l ,teYN Y teas examined on and found to be in comp/ianre with the reyuirementx of this Board. NXTUR! RXTURES RANOlS COOKING DKKS O VlNS qSN W ASNlRS EXNAUST FANS OUTLETS NTACLES SWITCHES I NGNDESCFNi NVOIIESCENi OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. M.I. L- ~ I ~ DRYlRS FURNAC! MOTORS FUTURE AMl1ANCE F[EDlRS SFKIAL RlC'FT TIME CLOCKS BEII UNI7 NlATERS MULTI.OUTIET gMMlRS AMT. K. W. Oll N. P. OAS M. v. AMT. NO. A. W. G. AMT. AMI. AMi. AMFS. TRANS. AMT. N. r. SYSTEMS NO.OF 1lET AMT. WATTS SlRVIC! gSCONNKT NO.OF S E R V 1 C E AMT. AMt. 11TF METER EOW-. 1 / Ttl t A JW 3 R' ]W ] / KW ~~ ~ CC COND. PEFe A. W O. Of CC. COND. yp, OF NI-LFG A' W. G' OF NMIEG NO. OF NEUTRALS A. W 4 Of NEUTRAL OTt1lR APMRATUS: loh.i'..i.,. ~~ 5Y'M;}rq~t~h f M'NRIYK 'I' ~'11`t't-NUf:i7M:. My l1y?5 II L i, i.C o;PI:i H; NU. 1"dr+ ~: 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 ntials. BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NO BE ALTERED IN ANY MANNER. - y p~U" °`~~Op TOWN OF SOUTHOLD Y~ 0 y~c OFFICE OF BUILDING INSPECTOR ~ ~ P.O. BOX 728 TOWN HALL 'YO ~ ~~ SOUTHOLD, N.Y. 1 1971 C E R T I F I C A T I O N Date Building Permit No. ~ (s % ~ 11 Owner W~~~~1ub)~1 * .~rF V12 C~~"4i1~~~~ (plea e print) PlumberQE,erza.~rn Q[.~_rn~9..~ ~ ~ HEA7i.~-c ,T.e,c (please print) r ~ ` TEL. 765-1802 I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. '~ 4~E.C~iU`'' ~(plu er's signature) Sworn to before me this ~~ day of Nddc.r,t9c.e , 19 89 ~-~-Fi~,c~ 7x ~~~tc-!r~_ Notary Public Notary Public, S u aPO ~~~ County Eq.EHi M. llpAgR lioeM9 No 82894 gtivlkllt Comml~pion ErMrssJmus©ry ~18.~J.t~ x~ t'tiRl w' ~', m }.~. -err.-M fll'Rr*.)pn N R'~^^tan ... ; ,~.vw ~. n v ~+ne.c~ o{ ^r "~CM1 77 "' Cf 77+9 AIQYl Yorlt &[e2t ri~pg}ICn L.E1'!. Q.'rr~tr., Cr th79 tmvaV IreM. M1M t'natlR4 * k' iLla Sn;tM/Of t i1dR0a Eva{ IX L' -~t.er.80E 1981 t11t1I /NR 6tl Wn84aNPl~ to t>v a vaud uut ooMr• Guxemttsa,ataeea trereon 91+^71 tr'r t:r=~~ to the otnau eor viham tho arm•r3; k Ca toxtd. etra otthk br•hetS to tFm ' b :o comxt7.4oYwnma+~e4 a^°rry erd r_r,~.m, irewna{tn IGrted hmowr anr7 go+h5 teugnaat aF tM 187+a np k, .I- :u;ba Guarnrrt9r to trot tranetorahis to rd7Yiattl irrtIIUtktrs a su6rsqurrrt rnrnxz. t.! 7 S ft? It r ~ ~1 4 !' ~ T ~~ 1. o-4 1y,. O S 64' 04' 20" v 136.:J ~! w r- ~~ ~ f L ~7r ,.,~ ~- ~ o l~,~~r g~ o ~ `4- i ~- o rte. ,~ ;r y' ~ _ -6~' -~ o d~ ~ f ~'' ~ ~~ ~ j K ~ Lat t! .. 3 ~ ~ V` U m - as' ~ v, '' ~ y. O - ~ ~ m ~ 26' l m z ~ ui !J 64'04'.^_0"',N I48 ~4 LOf' !O N1P1R O~ i.rAMO sulzv~,re~ t=exz AhITF~Ol~lY~'1 i~ ~ C ~~ STU'LSKY R~r Npf~° : LOS YLUH1t7ct'° :i410N/N Y'Cft`7• ~-^, "MuP cif :ae_twr-rc! Acres - Sec4io7+ t" ftiect IN ~Fi>r 5uffotk C:c..s17kj Ctee k's c?f~are cap 1nA(-~ NUrNk>er 1575 Tole NuWtkzer: !22133$5 "~AYVIEW„ 'fOW1.t C3F SG~UThtQL d RlEw Yo2JC qY •- s= U t" ~. O= irysa Ul~te I'Y t CA1tC. 1'11(+11 U Nf R" Vt-F Guarcevlteed to'T'Lte't~V~"V6 ~4+arctM'F~7eC urld F{1e IzivcrHead Savinc}s Ba1tk, ~ ccs sur~~yed 5epi'. 3, (4Er$ by ~~ L7t+o W. Va1t "I°ucyl ~ $pF1 t _o t~ Va,.rrl ~'~ 1.14GHSed t-.aNt~ SUYY EI~pYS -ldLD ILS:EC:~U;i ~ ~lli.iE ~ ~OMMGNT~ 7 . ~ "11R ~~ ~ . ~ ` H , FOUt1DATI0N ( 1 stt ) . ~~ ~ i o~ ?OUNDATIOW (Z~ m ~ 2. z 0 °,OUGH FRAME & PL UMBING ~ e~ 1 ~- 3 . ~ m - n I17SULATION PER N. Y. '~ STATE ENERGY ~ CODE c 1 a - . -~ ~ ... r =~ y 1' 13 89 FIi]AL ~O ,~ ~~~; ADDITIOPIAL COMMEPJTS: ~ S'am' .•~.~ ''' •- - ~~ '9 ~ H H H O m - y C z ~,. o J m ^ ~ H 7s~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~~~ ~T~'I ITC - DATE ~~' ~ INSPECTOR ~~ 17~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST t~ROUGH PLBG. DATE ~~ [ ]FOUNDATION 2ND [ ] INSULATION [FRAMING [ ]FINAL ~ ~~y~ [ FO DATION [ FOUNDATION t ] FRAMfNG 1ST [ ]ROUGH PLBG. 2ND [ ]INSULATION [ ]FINAL REMARKS: ~~C ~~~~~~` DATE I~ ~ ~" INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~~ BOARD OF HEALTH ...., ... 3 SETS OF PLANS ~'.'~'.~....... .3 r i i FORM NO 1 ~~ ~I ~ ~ TOWN OF SOUTHOLD ~Yt BUILDING DEPARTMENT ' TOWN BALL .t(~IiF. SOUTHOLD, N Y 11971 TEL .765-1802 Examined . ~I/~d ....., 19¢~g Approved ../. j.~j.(I.... , 19 V ~Permtt No~ 7`5.~~.~ Disapproved as/cp ...... ..... .... .. ... ... . SURVEY ... ., f1. iC~........ . CHECK .~. ..~..~by.`f SEPTIC FORM ............... NOTIFY ~~ S"- 3aoo CALL .................... MAIL T0: ~~~ ~° ~f ^~iI . ~~~ ~Bwl~Inspector) APPLICATION FvvOR BUILDING PERMIT INSTRUCTIONS Sid i~ y,~' ~` Date .~~. a t ......, 1~ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 stre or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this ap catron. c. The work covered by ttus application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector will issued a Buildmg Permit to the applicant Such pe„ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupai shall have been granted by the Buildmg Inspector APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Building Permit pursuant to Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demohtron, as herein descnb The applicant agrees to comply with all applicable laws, ordinances, buildmg code, housm, code, and regulations, and admit authorized msgectots on premises and in buildmg for necessary inspections. (~ , , ~ ~ Q (Signature of applicant,(or name, if a cJOr~po,/ration) ..... ~ .~O SL~F LUUGb . V,~/. SO~d'Gto~6i.'~4 ...... . • _ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ................. ........ ... ~4v~,~C`.~2 ....... ......... .. ............ .... ...... Name of owner of premises ~-~?'~^~?'C ~ ~£ `'o~ g"tU t S l`Y • • . - .......................... . (as on the tar roll or latest deed) If applicant is a corporation, signature of duly authorized officer ..... ............... .. .... .. ... ... ... . (Name and title of corporate officer) Builder's License No 1, 3•l c? 5 1-( 1 Plumber's License No ......... .... .. Electrician's License No. ... ... ....... Other Trade's License No ... .. ........... . . 1. Location of land on which proposed work will be done ... .7G D ..... S~~wo~o . ~ ......... .... ~Q.~-~~. ,.01~ .... ....... . House Number Stree[ Hamlet County Taa Map No 1000nSccu^on .~. ~ • • • Block .g. ......... Lot . ~-~.-.. ~.p .... . Subdivision .~~r~?c1PQ !'~.~°° .. Filed Alap No a S 75 .. .... Lot .. ~ J ...... . (Name)... .. • 2. State eeistmg use and occupancy oC premises and intended use mid occupancy of proposed construction a. EKishng use and occupancy ~ . ~Y1.Wti I`; .. .Q W4.{~~."~ .... ... . gyp .......................... . b Intended use and occupancy /~ ~ ~ • • • ~Z ~'~ ~` • ~ •4ln!-,~ R ~ • .t~ ":"';~'^.~. ~.rvi(viS. ~ t~a• -t- tom.. a c(~ 3. Nature of work (check which applicable) New Iluildmg .. ..• . , Addition 'f...... Alteration ...... . Regatr ...... ... Removal .... ....... Demolition ...... Other 1 . q ~~'~~ (Descnpuon 4 Estimated Cost . • •~ it .Sf.~C~.-~ ... Fee ...... :................,.,a...~....... (to be paid on Filing this apphcaUon) 5. If dwelling, number of dwelling units ...... Number of dwelling units on each floor . . If garage.numbcrofcars ..... .. ........ ...... .. ... ............. ................ 6. If business, commercmi or mixed occupancy, specify' natur and extent of each pe of gse .. .. 7. Dimensions of existing stnictures, if any Front .. G? ~ ~ ~...... Rear ..w.~?O.r.6 .. Depth .~ ~. ~ ..... . Heig}it ...l.S.~..... NumbcrofStoncs ....~ ... ..... ............. .. .... ....... ..... Dmiensions of same structure with alterations or additions Front :S• ... ..... Rear SI~Y!•:t....... . Depth ...S.7~^o-!~..... ....Height ,, .........Number of Stones ...f, , , , , , , , , , , , , ... 8. Dimensions of entire new construction Front ... lc~ I2,"....... Rear ..,(,yl.'.~`•`....... Depth ~`f:b " Height .... ~~ ~ .......Number of Stones ...... ~ ........ ............. .... , ...... ~ 9 Srze of lot Front ..(O~.!?Z ............. Rear .. ! a .°....... ... Depth !~{S..f.'..... .. .... 10. Date of Purchase ...... .... .. ........ ....Name of Former Owner .. . ... ..... ...... .... 11. Zone or use district in which premises are situated ........ .. .... .. - .................... . 12. Does proposed construction` violate any zoning Iaw, ordinance or regulation• .~,},C7 .. .................... . 13. Will lot be regraded ....N.~ ..... ....... .... Will excess fill be r~~ggmoved from premises: Yes 14. Name of Owner of premisesW}R>F/l~lLa. ,dN+fn.4nY Sd.~S~E,Address 5fr"Q(~•1 • .~°. Phone No 7.~-........ , Name of Architect ................... .......Address ...................Phone No............. . Name of Contractor ..~p..Cd.:Ji.4(i Alm........... Address ~fiwcon.Q'I . S°... , .Phone No.2EtS:3 ~?:'.... . ISIS this property located within 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 fr. property fines. Give street and block number or descnption according to deed, and show street names and indicate whet; intenor or corner lot. ~~ ~_~ STATE OP NEW YORK, S S COUNTY OF ..... ..... • • • • ~•~` ~`•~<<~t+~~~' ...... being duly sworn, deposes and says that he is t)te applic; (Name of individual signing contract) above named He is the .. ~ph'f2,AG~to~ ....................... .... ....................... ............. (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 t application, that all statements contained m this application are true to the best of his knowledge and belief; and that 1 work will be performed m the manner set forth m the application filed therewith. Sworn to before me this .... ~f. .... .. ..day of Notary Public, ..',~.~ ~ HELEN K DE VOE ~11~47 7878, Suffolk CouNY Term Expires Meech 34,19.. .dam` .... .... , 19~~" n / /i.rt ,(fc~`.'... .County fr ~, 11 ~. W.~~~ ..... . (Signature oC applica