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HomeMy WebLinkAbout17366-zFORM NO. 4 TOrvi3 OF SOUTHOLD BCLLDING DEFARTMENT Office of the Building Inspector Town Hali SOllthuiu, N.Y. CERTIFICATE OF OCCUPANCY No 218699 Date JANUARY 8, 1990 THIS CERTIFIES that the building ADDITLOh Location of Property 7640 ALVAIiS LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 SeCtiuia i01 BiuCx QOi Lot L4.3 Subdivision Fi.ied i~fap No. Lot ivo. conforms substantially to the Application for Building Permit heretofore filed In this office dated AUG. 22, 1988 pursuant to which Building Permit No. 173662 dated AUG. 26, 1988 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for whic,`~ this certificate is issued is TO ATTACH A TRAILER TO ERISTING GREEiv'HOUSE. The certificate is issued to ERi~nST ix JEAN SCHNEIDER (owner, -----' ----- j of the aforesaid building. SUFFOLK COUNTY" DEPART'riF,ivT OF HEALTH APFROiiAL N/A CERTIFICATE NO. N06044i--FEB. 2$, 1989 PLUMBERS CERTIFICATION DATED ~ W~ Building Inspector Rev. 1/8i FoBas 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°_ 017366 Z Date .p~~~ .......................................... 19.~~ Permission is hereby granted to: .. . . .. .. .. ~ .~~. . -.. ~ . - .. . ..~.. ... ..- ~. t . -. r ..~.. .... .... ... . ..........7G.S~o.....~~~...~.c~ :or.....-....... • .G,/ t0 .......G7rl5:Mr7.~....~'1 ......... ........ ......~(~........ '....c.~/..lW~:. ....... Ar+¢:4f.'~+.~..~ ..............~.o...... ...... ......... ....................................~.......................... ....... ......... . .... .. ~r ~ .... at premises loco at ..............................rf..~~r.~.......(.y~...l.'~!/.~G~11....A......Gt.................. .r......M. :. ..:.T.!.l..ToiF.-..T . ............................................... ................................................................................................................................................................ Cvunty Tox Map No. 1000 Section ..../4~........... Block ......,~ .............~Lot No.......1~.--~.... pursuant to application dated .............a!z ......................... 19..!!0.., and approved by the Building Inspector. Fee $....:.5~..'. rtD Building Inspector Rev. 6/30/80 ~C~a~(~ ~u~ ~w ~~~~ ~j FORM NO. 6 ~~/ ~1 TOWN OF SOUTHOLD Building Department Bl-OG. UEPT. Town Hall )WN OF SOUTHOLU Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~~ to the Building Inspec- torwith 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 or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residenges 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 1957), 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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 0.00 4. Vacant Land C.O. $ 20.00 1! ~~~~~j S.Uodated C.O. $ 50.00 pate. .~. ................ NewConstruction,~r/77([/~',~,/,OldorPre,-c/e/ixisting6~ialdin,~gJJ~....... Vacant~dLand ...:....."' Location of Property . G.V. C .~.......Jl..~~!. Y.::':"~.-... . S-~.~(. ,~ I~ GL.t/L ........ ........... House No. Sheer Hamlet Owner or Owners of Property .. ~./~: IF.~~`` .~.. ~Ll,~~, ;~ /C1~1(/~Z /~ ~`~ , County Tax Map No. 1000 Section ...~~.1........ Block .......(........ Lot....~~P3 ,,, Subdivision ./.../ .............................Filed Map No. ..........Lot No. Permit No. l ~~~?~.~, . Date of Permit ~~v~f .Applicant . ~~~~~~,~ , ,~~, ~~C~~{'L., , . . .• Health Dept. Approval ..................... . ..Labor Dept. Approval ....................... , Underwriters Approval ........................Planning Board Approval ............ ....... Request for Temporary Certificate .....................Final Certificate .... ,~ ....... . ........ Fee Submitted $...~!~,,,,,,,,,,,,,,,,,,,,,, Construction on above described building and permit meets all ap ica le codes and regulations. APPlicant. .... .. ............................... ae~. io-ions ~~ 2~ /~~~ g~ ~o z~~~99 t THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE ' T2rsilao EIUREAU OF ELECTRICITY 8E JOHN STREET. NEW YORK, NEW YORK 10038 ~~ FEBRUARY [E4, 198'i ApplkationNo.onfile 599238R9)A9 N D6O64t THIS CERTIFIES THAT only eke e4etrk:d puipmsnt m deacrihed 6eloto and inetaduced 6y the applbaat nerved on the ahooa ~ppliatbn numher In the promien of RNE5T SCFINETDER, 76&O ALVAH' i..ANE, POLE q62, C, IITCHOGt1F."", N. Y. in thefdbwbglocatbn: tl AL1 Bp1eEr~atu ~ Ire Fl. ^ Ynd Fl. Sertion frock Lot Teee examined Dn F E B ft KK YY i a , tf and found to 6e in compliance Eritk tke rsyuirementr of thb Buord. nxruq OURETf ASS fK/1TCIN5 KJCANDESCEM nU011tKEM OTNER RA AMi. K. W. tpOKltt AMT.. O DECKS K, W. O AMT. VENf K.W. EMa'M AMi. ASMERS R. W. MAU NAT. ST FANS N. P. 1 T 1 DRYEK AMT. K. W. RJEEIACE MOTORS dl N. P. OAS N. P. EUTIME ARIIANCE RROME AMT. NO. A. W, O. SHOA AMT. L EEC'R AMI. iMA! CLOCKS AMT. NAPS pLL TRAtK. UNIT IIMIElf AMT. X. P. ARRTI.OIITIET fYS1EMS ~, a RRT OIIAMERS AMT. WAIn SERVIC4 DIfCOlNSKT NO.Ot S E R V 1 C E AMT. AAV. TTIE ~ 1 / tW 1 / t\V S / tVr 3 / AW ~' KR +.COND . ~ 2G COMD. No. OF NI-lE6 ~~~;~ No. oP NeuTrAla a . W' . OTMIR ARp11UTUS: FEEGER3:1-3 p ZNO FL01'1R TO t3AE'MENT 'CN1N FORK f.l,Ei;TRk~: P.O. BOX 68 JAMESPORT, NY, 119Si' ~~ I.TC.ilaaz3e ' BEIQRAI Ml~ll./' ]i This urtificoM must not M aherad in am manner; return to tM ofike of the Word if incorrM. Inspectors may M :fi _.~,17~ ln~:' ~.•.lUii I lt)fiTt. ~ i.UdK~'tE'.NT° ' • "0 C~1~ ?w H~ FOUNDATION .(1st) -~~ FOUNDATION (2nd) ~ 2. ~ z o\ ROUGH FRAME & . ~ `~ O PLUMBING H 3 , x' ~~ cn ItdSULATIOP! PER N. Y. •' y STATE ENERGY CODE x a F1i~AL ooff' ICJ o ADDITIOP]AL COMMENTS: x ' x ~ \ n H 0 37 ~1 ~\ H H O I ~ M • ~ a r H S b m H 3 ~j ~/ 765-iSOa BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( 1 ROiIGk PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL a 1 ~ REMARKS: oLU/ DATE INSP~CTO 173 ~ 765-1802 BUILDING DEPT. INSPEGTIC?N [ ]FOUNDATION 15T [ ]FOUNDATION 2ND [ ]FRAMING [ ) ROUGH PLBG. [)INSULATION [FINAL DATE ~~ ~ ~~ INSPECTOR ~, Y REMARKS: ~ ~~ ~ ~ /I -- /~~ ~ ~~'- ~~~1 ~.~~~~ ~ - ; ~-- - - _ _ .. - _ __ r ~ _ k .. .. .._ .. _ _ _. -~t 1 ^' ~~"L F 'i ~~ ~, 3 .,._ ~' ~. ~ ~ !j!'NC'-i 11 i~~t.l S~f3 J ~f" 3 i ~a. , ~ x .r a n..-.. ~ cif ~ f ~+4 . G C n ,~ ,. r,, .. ~. y y t" 'E'G"~. ~ ~ ~ / A y~ ~, ' n , a ,~ Q~~/ r ~~., ~ N tat ~' ~ i 't ~~ A t " ~~ ~' ti~ I ~ . ~ ~~~. i % ~~y ~_. ~ day.,. ~:fi~W Mh'a +sdY^f':. mY.:,~c'%#%.~. ~.. ~?k:-'~4="t _! T v.Gi ~_ _ ... +. L1 R Pt° n 0 w ~~! {.> i i ._,.. ,~ ~.. `t,• ,.~ ~:. (I) (~ ~. `~. ~ . ..~, _. ,~ t . ~ ~ ~ ~ ° ~J ... f~ ~ io ti"`. b. ~ - - '~ y 6 r I~}fly o ! f i,~ w+ fa~, ' ~~~ ~, r ~~ A Xt W~~ hF~ I I~ ~ .,I ~~ +~_ T W~' ~ "~ ~~ ~ ~ "i i' i, i~ X14 ~~ ~y n.. ~~" ~ w ~y.. ,~ ~ k " r o r ,~ ,, ~, ~y ~'~,a ~ ~ i ~ ~~ ~~~5~. ~ ~~ x ~ ~ ~~.~ . ~~ ~~~- 1 ~~ ~ ~,~ ~ .`~ ~ ~ M' a f Y' ~~, ~~~ 4 ~,,~~~. ~, ~ 9IX,o/ t ~ ~, `' ~ ~' ~~ ' ~~ y ~' i r r~ e u I .' Wa ii, v ~, I ~ w 4 ~` ~d -{ ~ i a ~ t i01 ~..J~ i . .~ ' ~o ~ ~`~ µ, ENV ~ .~ }4~Wt i 'C"~d~ ~4"7~r'~~'~~1'-/ r{ ~ iFi ~,; _~ i ~~ u ~ ,; ~ dl ~ ~ i i'G' ~ €1~ Y !~ ~4SI Wia N ~iw' itrl i ~.. VVV i,., V~ ~ a~~ f iB i' ~, u ~ € r ' ,. I. ~ k ~Ipliil ~ It. ii p.4. V 1i ~~ ~. .. ..I ~ i, r.... ,.«- I/'4 hjfn~ i III ~I 1, ~ii~' '~ 1~~`~'d~;" ~~~ ..~.,.. , ~ ~ r 4 i ~~~~, ~ ~/ I "ti ( 'V4 ire ~~~ {~' ~~~ ~~i~~'~w~~p~~~~i~m `~ €•" ~ ~.n.Y ai+'Il.~ .,~(~ ~ J i Y~~~V" r ~,~'~ ~ Phi ~~~ kVif~p ii"I"h~~ .a~`"'~T 4 ~i9' i ii ly ~lA 1 iil i i ~ ~ ~f V d~ ~ k ~ ~ ~ V 4 ~~ii V I4~ndi u~ i~iN~ ~ u~~ I~~ ' ~ ' i~ w. ~ ~ A~ ~ (~~~~ ~ 7 Syr, 4„ ~ Ib I i ~I a ii i~ 4 I II~~ i r n~~ ~u ~ ~ ~,r y ~ 4 4 ~ 4~)~ 11 ~ fi ~ i ~~WUnI ~ !' I ~ P~ FORM NO. 1 ~~>~~ ~. ~ ~ ~9~8 "I I~ TOWN OF SOUTHOLD ( BUILDING DEPARTMENT „y.a.,__.~ TOWN HALL G.."'~ :~~~?'7- SOUTHOLD, N.Y. 11977 y'(tF,~fl~ {1'=~=hf 7 ' --- f?p TEL.:7G5-1802 Examined ..~.~(~//.....~... ~19 va / / Approved ... ~pz.~(, , , , , ,~ 19~.t! .Permit No.. I1.36G.. ~ Disapproved a/c// ................................. . BOARD OF HEALTH ............ 3 SETS OF PLr1NS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..... MAIL TO• dam? ~~~~~ ~/~ ................................... ........ .... (B ding Inspector) APPLICATION FOR BUILDING PERMIT DateL~fj..~~~... >, 15~~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street 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, ~~IYI~~~~ws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remo or emolition, as her~ein described. The applicant agrees to comply with all applicable laws, ordinances, build' 3tiil~ode; and regu'lafons, and to a mtt aut graze mspectors on premises and in buildin, for necessary inspechonY ~ ~ ' ~ ~ o •Y~ aa. e'. fr .I 'bi ny w, i °'«-~•w•',I HVR.=t`d .. ~~.~U. .r , ~ ~ivrau~~ ~~-. ~u;~ .- ''n~~t~! ~ ~ ' lt`13s'- I+KZItpp ux~~ s ~' State whether applicant is owner,' lessee,, agent, architect, engineer, general c~ontr~~t~e~q¢,/~{ ~yi~ny,~pluptbar or builder. ^ •... '~„"} >ppa.V-°+ r~yyyy~ ~~ysrrgg.F~~~~`ggApP£$,~r I x ia.M1 Y a Name of owner of premises ... ....... , ~ , t ~ fir' ~" ,,z , .. , ... . (as o the"" tax roll ,~ ~ ;,t, If applicant is a corporation, signature of duly authorized officer. ~"'~, =B''" ='~t?xl ~'`_ `' "' ' ............................................. (Name and title of corporate officer) Builder's License No . ........... ............. . Plumber's License No. ......' ... .. ........... ' Electrician's License No. ... .... .... . Other Trades License No . ............... ... . 1. Location of land on which proposed work will be done . .............. . ......... . . ....... . . . . . ........... House Number Street ~ ~ ~ ~ ' ' ' ' ' ' Hamlet County Tax Map No. 1000 Section .... ~ .©. ~ ........ Block ....'~-~, , , ,f , , , , , , , Lot . . l ~~, 3 Subdivision ..................................... Filed C\tal~ No. .............. Lot .............. . (Name) 2. State existing use and occupancy Qof~pJrey~!!}},,risD~es a'~nd intended use and occupancy of proposed construction: a. Existing use and occupancy ..L/:'~.~~~`~X.f • + ......... ,~C?!t!itiC! ................ . b. Intended use and occupancy it 3. NaPure of wort. (c leek wluRempphcable). New fluilding .....~..... Addition ...~.... Alteration ......... Re air ...... ova( ..... . ....... • .Demolition ....... Other, ~tlo~kn,n .... .. v. ~........... (Description) 4. Estimated Cost ....~© fit'-.-....... , .. , Fee . ~~r~ ~ .r ............................ ^ § (to be paid on filing this application) 5. If ~wellin~ numb r of dwellin I' units ............... Number of dwelling units on each Cloor .............. . If ara~e, number f cars 6. If business, comet rcial or mixed occupancy, specify nature and extent of each type of use~.rl,¢i,~.~,C©,r~/ ~'~\ Height .......... s.... Nures, if any: Front .:............. Rear .............. Depth .............. nbcrofStorics ....................................................... Dtmensions of sa t c,`structurc tYith alterations or additions: Front ................. Rear ................ . Dc,pth ........... ... Ilcigltt ......... Nutrtbe o Stories ............. ~...... . 8. Dimensions of cnt rc new const, ~~ , , , , Rcar ...yax ......... Depth . ~ Q , a ~ P ruction: Front .... r Hei~lrt ,~... ..... Number of Stories . , ,~.. ...... 9. Size of lot: Front ... .. .'. Rear ....' .................. Depth .. ~ ~ I0. Date of Purchase / f ~('~ Name of ~ rmer Owner .. , , , , , , , , 1 I. Zone or use district in wl ch ptemises are situated . Q ~,,f, O ~ ~~~, ,, P, , , , , , , , , , , . ' 12, Does proposed co struction v o e an zontn~ ~ ~ Y ~ b law, dinance or regulation: ...~ ........................ . 13. Will lot be regrade ...... . V ........ .........Will excess Gll be removed from premises: ~ ,Yes x Nc 14. Name of Owner o remises P ~/QtU~:'ST. ~S' f/A1t~l.I~+rR~lress7ir,~,1'?j. ~-Y.641-f S.~-ff ~.. Phone No,7..~.~ :S(:f';~ , Name of Architect ........ ' ..... . .......... .Address ........... , .......Phone No. . Name of Contract r . .Address .......... ... .Phone No. . `~ 15.Is this prop rty locgted within 300 feet of a tidal wetland? *YL~S....NO./s,. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly al( buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give str et and block''. number or description according to deed, and show streeC names and indicate whether interior or corner lot. w ~ ~ . DATE: X36 ~-' ,., REE: NgfliK FO~I.QWINb IN OMft1~N11Nt ,~ ,. F . mow. - OCL~IP~NCY 0 z, ~ : ~. .. ~~E !~ UNIA~UUL 4. B~~ ,~~'~'~°"""~"' 'WITHOUT CERTI~~CATE THE CON ~. OF OCCUPANCY 3TATE t`~ CODES. NOT ,',»i~.? P-, , , .. DES1CiN OR ., STATE OF NEW YORK, S.S COUNTY OF ......... ....... . ' ' ' ' ' ' ' ' ' ' ' ' ' ' • 5 ~• • • • • • • • . • .......... being duly sworn, deposes and says that he is the applicant (Name of individual si~n;ng contract) above named. He istlte......,,,.. .... ~ (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ • of said owner or owner ,and is duly authorized to perform or have performed the said work and to make and file this application; that all slat ments contained in this application are true to the best of his knowledge and belief; and that the work will be performed i the manner set forth in the application filed therewith. Sworn to before me this ................a ...day of'..~.~........ t9~~ Notary Public, ...... .. .....? . G P~{-:..... County HELEN K. DE VOE i%'~~'ryZZ'~,ly', ,~i~~~ ............ . JDTAtiY PUDIIC, State of New Yarh No,M176787 ,SnttolkCoanty ~ (Signature of applicant) TF.rzn Fxpiees fySaich 3D, 19_._.e~