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Home My WebLink About17362-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217824 Date MARCH 10, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1200 MAIN BAYVIEW ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 07 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 16, 1988 pursuant to which Building Permit No. 173622 dated AUG. 26, 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM & PATRICIA MILFORD (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N056910 Feb. 6 1989 PLUMBERS CERTIFICATION DATED FRANK MEYER SAN. 26 1989 Building Inspector Rev. 1/81 eosat< 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 7HE WORK AUTHORIZED) r ~^ No 01736E Z Date ......i1...:2:..~t ................................ 19~.~1 Permission is hereb granted to: is o o.....~,1.~ .....................~...... ...~'~u~"~...... ..,..~,~..{...%............ .. to ........ ..~~. ............. ~~.:........ ...~~~~................ ct premises located of ...,1...?..':0...~...... .....,da,l.`5/~,~.•••••~•••••••••••••• ...............................................'T•~ .............................................................................. ................................................................................................................................................................ County Tax Map No. 1000 Section ..../.......~~..... Block ...........~.......6Lot No......,1..~~.........,. pursuant to application date ......~.1~.~~ ........................................ 19..4. and approved by the Building Inspector. ~~~~ ~/' ~~~~ ~~{{..''ii D d Fee $...4/f! .. .... .~... ..~ ....E:?a~~ .................... Buil g nspector Rev. 6/30/80 ~n(JC~c.' TOWN OF SOUTHOLD ~~,J L5 BUILDING DEPART?LENT ~anp ~'~ ~~ E TOWN HALL SOUTflOLD, NEW YORE 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~~~~s ~0 DATE ................. NEW CONSTRUCTION ~ ..OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Property..L?~a.........~0.5~iL!'e~..~~.......~~.~'~~0 ~~ ....... HOUSE NOr.,, / STQREET HAMLET Owner or Owners of Property. ~!Y ~ ~N.~.aL~/.~.q:1 ~:~V. l ~djd:.... !~ 1. ~~Q Y ~ .... County Tax Map No. 1000 Section ~l'.b. Block ....1... Lot .~.!..... Subdivision ....................... F(i~led Map pp........Lotr.'I.........PD MM,r^I~ Permit No.GJ.L3w~..Date of Permit B.I~~.(~O.Applicant ~i(~~~~~a~°~'I~~IGY\6.r1.~V1~d'}'~ Health Dept. Approval .................. Underwriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... APPLICANT. ... ......... ~~~ ::~~ ` -3lv 77/ rev. 10/14/88 CJD z~7do?~ 3~~a`d~ THE NEW YORK BOARD OF FIRE UNDERWRITERS `'~"F~ ' 1pQi71 7„t BUREAU OF ELECTRICITY gs JOHN STREET, NEW YORK, NEW .795~~~0~038 N p5b ) F,P;l3I'ftiARY C)6, 19FS9 58'5577 ~i p Darr Application No. on file THIS CERTIFIES THAT only the sl6ctrieal equipment a dsscrihed 6elotr and introduced 6y the opp/icent nomad on the akooe application number in the promisee of ifLLLCAN MT.LLFORpp NAYVCF:4Y Rt>A1I, SoUTH~)t,l). N,Y. in thefolbuing IocotiA~ go~er~~ ~ Ist F(. ^ Ynd Fl. Sertion Block Lot urns a:omined on ondfound to 6e in complioncr with the reyuiremenG of this Bwrd. N%TU@ A l IT R%TURK RA NGES COOKING q!CKS OVENS qSN W ASHERS EXHAU ST FANS ~+~Tf f fYl GNS NCANDlSCENT . FIUORlSC4M OTHER AMT. K. W. AMT. K. W. MAT. K.W. AMT. K. W. AMT. H. P. a ~ 5 a ,~ ORYNS FUR/MCE MOTORS 1UTURE AfNUANq 1EPoMS SFEGAL RECIT !IM[ CIOCKS Yll UNIT NEAtNS AltKT40Ui1lT gMMERS AMT. K, W. Oll H. P. CMS H. P. AMT. NO. A. W, c. AMT. AAV. AMT. AMPt. !BANS: AMT. N. P. ~ ~ ~T AMT. wATn fIRVIOT DKCOlH1KT /10. O! f E R V 1 C E AMi. AAe. T1TF ~ t / IW I l SW S l tw 3 / AW NO.OF CC. COND. FER / A W.O. OF CC. COND. ND.OF H4LEG A. W. G. OF HFIHi NO. OI NEVi11Al$ A. W. G. Of NEVTML ~'ANWtLTUk iTLR4' . R()(.)N Hk;AT4?.RS t i--5t10 K . V . PAiJl, R. 96RNS y "1,75 7'<)ViN NARHOH I,ANY: SOtITRntdi, NY, 9?9'71 EIEIIERu er ,.,. r•.n n.. ER~I. .4A r. This certificate mutt not be altered in pLLy manner; roturn to tM office of Ma Board if incorrM. In COPY FOR BUILDING DEPARTMENT. THIS COFY OF CERTIFICATE MUST idsMifiad BE ALTERED IN ANY MANNER. TEL. 765-1802 TOWN OF SOUT]HOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date_~~ ~ ~~j Building--Permit No. oi~~~~ ~ Owner ,/5~~~ ~~~"~` (plea/se print) Plumber / r~"2z/~ //~~/Pr (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this a (o day of „~.. 19 S~ ~.,/s~~f~ Gam" G%~~~.4._ (plumbe s signat e) Notary Public Notary Public, .S ~ County H LD t CARR NDTARV PUBLIC, STATE Of NEW YORK Nt- 5? 0578405-SUFFOLK COUNTY CUis1MISSION EXPIRES JAN91,19~ r'1cLD i~:SP~~:'_~;J ~ ~Un:n ~~ :;Ci~(MLNT° ~ FOUNDATIO'.J {1st) FOUNDATIOIJ (2nd) ~ 2 ~ . • z ~ o Ay / ROUGH FRAME &' ~ ` 0 / PLUMBINCY 3. ~ ea I2JSULATION PER N. Y. ' H STATE ENERGY ~ ~~ CODE x A c V ` FI;JA[e' z ADDITIONAL COMMENTS: x ~ ~~ ~'~ ' x H ro~ ~\ 9' `\\ H df~~ H O z 1 • ~ h7 b r H x ~r - o I 765-1802 BUILDING DEPT. I NSPEC7°IUN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [s~] FINAL DATE N~ INSPECTOR 1 ~, REMARK8: ~~~~~` 1~3~~ 765-1802 BUILDING DEPT. [ ]FOUNDATION 1ST [ UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: _~" .(/~,9-,C.. DATE ~~~ INSPECTOR .~~ ~ ~ ~ 765.1802 BUILDING DEPT. [ ]FOUNDATION 1ST (~T ROUGIi PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL REMARKS: DATE o~ y INSPECTOR l ~;~~ 2 -~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [/..~]~FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~r.~ ~~ ~ < ~, DATE~O ~~ INSPECTOR U ~, _ . _~ ~ 73~z ~ rss-iso2 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ } ROUGH PLBG. ~~®Ci~ [ v]~F UNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~. D ffi' 1,.(G ~D l2 (`~D L (~~,, ~j c e~ r ""'..~- DATE_~22 ~'~ INSPECTOR uM. ~Oj\Fi~Dtk~'';~. ~, I:...~1 ryl~ F~.:~! ..,y ~ .~ ~,~~01 niEa '?~~~~ T~~~'N (~I' SOU'I.IIO~,U OPE 1C1's 0I' 11[11LllING IiJSPF,C:T012 i'.O. {10X 72S 'I'OPJN 1L1L1. SO[Yi'fIOLb, N.Y. 11971 JANUARY 18, 1989 TEL. 7G5-1807. WILLIAM & PATRICTA MILFORD 1200 MAIN BAYVIEW RD. SOUTHOLD, NEW ,YORK 11971 To 47hcm This May Cohcern, t•ie arc uiiablr_ to complete your Certificate of Occupancy becau;e,of the following reasons. / x/ An application for Certificate of Occupancy is not nn file. (ENCLOSED) /X / ao UfldCrlJrltCrS Certificate on file. /x / The check .i:; (c~il[L&t&~,c~~not on file.) $25.00 /_/ t:o Health P,cpt. Approval on file. /. / Uo final in:;pect:ion hap been made. Please con~ar_t our office on this matter. Thank yoi.1 for your. cooperation: Juildinq Permit II 1 7 3 6 2 2 Buil~lincl [)epL-, *'**/X/ ito Plumber Solder Certificate on file. n11 permits involving plumbinr~ being ia:wed after April 1,19II~1 ) ~ FORM N0. 6 TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building 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 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 solder used in system contains less than 2/10 of 1~ 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 "pre-existing" 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 ownership 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 writing 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 of 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 ownership 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: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $10.00 Addition to Accessory buildings, $10.00. - 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 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.00 rev, 10/]4/88 ~~ ~.,~ ~~ ~,~ ~~~ ~..~,.~ ~.~ ~..~ ~,,,,~„ a ~ ~ ~,~~ C;,~ ^~ .._ ~P o ~sw~ ~~ z~ DATE: ~ aP a 0 NEOTIFY ILDING ~ AT 755-1802 9 AM TO 4 fOR THE FOLLOWING INSPECTIONS: i. FOUNDATION TWONEQUIRtrD FORPOUREDCONCRETE 2. ROUGN -FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS Of THE N.Y. STATE CONSTRUCTION & ENERGY COCaES. NOT RESPONSIBLE fOR r,r=~lc;N OR CONSTRUCTION ERRORS ~~ ~, d' l~~b ~' ~ / i ~U ~ l-~ l a w~ Nt ~ c~-~/',p v~ (~o c ~a ~~ V i f cv- ~~. C,o~,._j ~ol,d ~ ~ . y. ~~u~lG, ~_, ~~W. ~ / L/ ~ ~~ ~~ ~. ~~ aa-f ~ S//I`d l'~, ~ ~~I~~l~~~b'~ ~~ " 1 ~ISr~W~ 3`~ ~5 ~~ ~/` ~~ ~XI~ ~~ ~ ~~~ , ,, ®. ~ ~~~ ~y ~~~ w1 ~~ ,~",`' ' ~ ~ ~, ~~~ c~ u`~` s i aG- RJR i ~~G S ? YY~ ~? h~ C~ o o Ir. ~~l.~iam ~~i~--~oY'c~ laoc~ ~~~a~,View- ~,~ ~~~~ I~~~~)N~~' ~~~~~ ~ W e~s -I- ~ ~ '~~.. a <<, ~' ~i {to~f~s~~;r~ `~ to ~~~.~ ~~ e~~S~ ~r~ roµ~~ '~a~b~_ic~rn w~u:lvic.ir~ ~`~~G'~e~~~~ laoo 13~.~1j~c aa,. 1n.G ',<<l'1 1 S v a, ~., ~~ ,~ n ~.,, a U ~~ U Z7 .~ .V .ice ,v .i`f, W «aa ~~. -~ ~__w ._ ,- -- ~. - -- ---- V "1 s -C u's `~ .N n`. 1'' k ~1 .~ S V ,~', U tl' ~ '~~ \S ... c n .,( C~ t V `i ~ <.~ J ~~ S U ~h, i~ y ~' ~A~~ I ~~ tIf ~f _..__. L ~~ a 8 x8 ~~.~ Yoo~r~n 8'c~w~en~° bloG~~o"=IGAr 1~ WC"f"~A- t~ GONCyeI~CC„LAYJ ~ ~~ ~ ~ t~ ~ a~~xLn pc~~Si~e, waG~S S h i1 ~T q' N a 'W~t-~.ie~m ~-Tn`1~YiciG.. ~'1FG{~ov~~ 12.00 ~3a~ 1ftic~w- ~~ Sa~"II.oG~~ N.;', {{~~°~ 1 g'x8 ~k~ roorv~ g'oew.er:~` bl~~~~GPI-~ur wCtka y'~ c,ohcr~'~'c SG.a(o s"e~i ~r Q 6 c u {_ v .A ~ a„x~~~ pc{fSi~e. waG~s b . ~ .~ C} ~,O ''- K `` _.. ~ 1~ ~ ~ ~~~ ~~C7~`'i4 C~.C~ Cc;_~i,, , , ,=,~ r i°~, '~ FORM NO. 1 ~UG ~ 6 1988 TOWN OF SOUTHOLD ~~ ~,~~~„~,~ ~-~ BUILDING DEPARTMENT BLOY;. gEl'r. TOWN HALL 74WN OF SDUTHq~q SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..~~ ........, 19 `~:~ Approved ....~.~......., 19 Permit No.:f '~`3 ' 2~ Disapproved a/c .................................... . BOARD OF HEALTH .. 3 SETS OF PLANS ~ SURVEY ........ '~......... CHECK ........./............ SEPTIC FORM ................ NOCALL ...~~~, . l.J~O>~~..... . MAIL T0: .......................... .............. .- ... rah ~ ~ (BUifding I ector) , ~X ~~~""" APPLICATION FOR BUILDING PERMIT Date .~.+!t.~ ~ , d ~ ......., 19 g~ 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 necess~a,/ry~ins ctions. , (Signature ot" applicant1 t/I, or rl$me, if a corporanon) ... l'~, O p a0.` ~~.1!.~.? 111!1 .....~Q!:t~~~~:~j.~:V (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... 6 w.N e.r ............................................................................. Name of owner ofpremises . V~%l` ~':L.~ a.~.. q:. ~ a~.r!,.~-.i. a'..... ~.V~4-;~O Y..` :..................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. .. $. 3 ~ .~^~... ~ ~ ........ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . 1. Location of land on which proposed work will be done . ............................................ . ... . ... ! ~o o ... }~~, ~ ... ~ A~. U.~. ~.w-.. h~ ................~a ~t.`~.~.a .G. d .................. House Number Street Hamlet q County Tax Map No. 1000 Section .....~ ~......... Block ..... ~........... Lot ... ! .~' ............ . Subdivision ..................................... Filed Map No. .............. Lot .............. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~?,y'. l .V.4~..C'.-... ~6.}:Y.1.~. ......................................... . ... . _ ,, b. Intended use and occupancy ... M. U; , , , , ~' ~ ,d, 4'4'~ ................... `,~ .. `.:.........': . • • • • • • ........ Rem plicable): New Building .....~..... Addition .. !~/... Alteratjon ......... . 3. Repazr of work (check which a oval ..... . ...... . . Demolition ..............Other Work'. ~...~c',...... . (Description) 4. Estimated Cost ....... ~~~~?~ .................... Fee ..................................... . 5. If dwelling, number of dwelling ,units ..... ~...... , .. Number of dwelling units on each floor ............... . If garage, number of cars ... ..................................................... . 6. If business, com!nerc!al or mixed occupancy, specify nature and extent of each type of use ,,,,,,,, , , , , , , , , , , , , , Hc,ight ............... Nuns, if any: Front ............... 'Rear .............. De th .............. . 7. Dimensions of existing structureber of Stories .... /.17~ ............................. . p ..... , , . , . , , , , , , , Dimensions of same structure w}th alterations or additions: Front ............... . . Rear ................. . Depth .................. .Height ......................Number of Stories ................ .. . g .......... >?uction: Front ............... Rear ...............Depth .............. . $ Hem hYsions of entire new c Number of Stories ....... . .. . . ............................... . . . . . . . . . . . . . 9. Size of lot: Front ...... ''........... Rear ...................... Depth f 10. Date of Purchase ~'u. ). (q.7.1 .............. Name of Former Owner . ~f!+R12 K . Za-~e$/'~1....... . 11. Zone or use district in w rch premises are situated .. ~ ~ S j,d, :e,h ,)!: t~L; , -, ^y~,~,~ F,1; ~, ~,~,~1,!, (~,o,.; ~, , , , , , , , , , 12. Does proposed construction vrolate any zoning law, ordinance or regulation: .../~. P.... . 13. Will lot be regraded ....IYQ, .!,.. , ... , Will excess fill be removed fr~ ~emises: Yes No 14. Name of Owner of premises .1~1)S`.LGr'am~Pa'Fric!~; n'(~'!-~~ress . IZod,l~a~(/,~'eir:-,bou hone No..7.~e~1. ^,.S",Z~JG. . Name of Architect ..... ~ Address . Phone No ............... . Name of Contractor~~r~'~~h. y'f''n~~~ d.1abS~cr ••/1L•a~;o•' IS.Is this property loca~ "•"••..Address ..~o,u~-hn.~aNl-....PhoneNo ................ ted within 300 feet of a tidal wetland? *YES....NO./..~ *If yes, Southold Towri Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all~!,buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block }rumber or description according to deed, and show street names and indicate whether interior or corner lot. ~/.~ ~h$eriol- ~-0'}- P~pose~ a /dl~.!`h ~ayl/t`0ar ~d STATE OF NEW YORK, $ S COUNTY OF ..........•% •y!•n,•~ • ,,,/ ~U L~' ' I .L ~:!•4asrn. • 7 ~, /• V ~•~ ~t•-: • • • • • .. • ...... being duly sworn, deposes and says that he is the applicant (Name of individual si Wing contract) above named. He is the ..................... ............................ ....... ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul}i authorized to perform or have performed the said 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 apphcation filed therewith. Sworn to before me this .............. ~~°. .~da/y of ~ ...G-G4q~S.ca:d, ........, 19 ~~ Notary Public, . , !Ia:~"..O .. ~it: ~!~:GO:...... , . County HELEN R DE YDE (, NDTARY PUBLIC, Shte oL New'York No. 4707878, Suffolk Cou!~Y Term Expires March 30,19....~gj aarr \ ~~`- \~ ,.2'' c (Si ature of applicant)