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HomeMy WebLinkAbout17380-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-18359 Date SEPTEMBER 11, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 532 LAUREL AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 03 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1988 pursuant to which Building Permit No. 17380-Z dated AUGUST 31 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & PATRICIA WITZKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-2I-AUG. 21 1989 CERTIFICATE NO. PENDING - AUGUST 29, 1989 PLUMBERS CERTIFICATION DATED SEPTEMBER 7 1989-HENRY J. SMITH & SON ---~ Bui ing Inspector Rev. 1/81 absai xo. a 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) No 017330 Z Date ... ,f.~,l..~~... ....., 19..8 Permission is hereby granted to: ~~~... ~.......8........~~~~...... .......~.,... ,..~,.~.....~~. 3-a to ~ ............................................ .......... ........................................................................... at premises located at .~3.t~.......~C.G~'W`Sr~~:•.•o~/.~ .................................................................. ................................................................................... County Tax Map No. 1000 Section ........J._. ~?........ .................................... Block ........... 0.:3. ............. Lot No. ............................ ........~~,.t....-Jam...... pursuant to application doted ....~~...~j~~ ...... . ................... 19..... ..., and approved by the Building Inspector. Fee $.. D~ D ov o~ ....... .. .. .. .i ~~~.~~~'.G "y.'."'°" ................. <`----~s+!•••~~..ing Inspector Rev. 6/30/80 A. v. ~x~~c~_a.,.t~~.~~..e~~ 3 _~~ ,~ ~ SEP - g 1989 [ ,~ ~.._ TOWN OF SOUTDOLD BUILDING DCPART2ICNT TOWN IIALL SOUTIIOLD, NEW YORK !1971 765 - 1802 f ~~ ~ ~-~~ ~~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE... 1... ~ ..~~ , ,+ NEW CONSTRUCTION ._./,/./..OLD OR PRE-E%ISTING BUILDING...._.VACANT LAND../... _.. Location of Property.,~v~,.,..._ ~C.~(/d~P_L_ ~U~' ._._.. ~dv~K,~1 UOUSE N0. STREET J~N~A~ML~//ET°°° ~ . Owner or Owners of Property...~~~~~~'tM,_~ ~~f~./CC~.,__.~'! /_¢~-~`.__.. County Taa Map No. 1000 Section .;~ ~, Block .. O-3, Lot ... ~..... Subdivision ....................... Filed Map ........Lot.......,.. Permit No. ®,/.13®~..Date of Permit ~.`?~. ~~,Applicant l~.•Ti:~`":'1. Health Dept. Approval .................. Underwriters Approval. ~,~.~1~- D( Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: C~ec. 3~ f q $ . ~~ ens i83s~ rev. 10/14/8 s ... ;.:~ .. G ~. . APPLICANT..:-; Y.a~:~.~2~,, , L ... J i a „ ~~ FORM N0. 6 TOWN OF SOUTHOLD BIIILDING DEPARTPfENT a 7 +.. 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 folltlwing; for new buildings or new use: ' 1. Final survey of property with accurate Location of ali buildings, property lines, streets, and unusualinatural 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 r than 2/10 of lE lead.!i 5. Co®mercial buildings ,l industrial buildings, multiple residences and similar buildings;and installations, a_certificate of code compliance from the ArchitecC 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 shoving 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'pf the entire lot prior to April 9, 1957. If a Certificate of Opcupancy is denied, the Building Tnspectar shall state the reasons therefor in v~iting to the applicant. 3. Date of any'housing cede 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 vaunt land Certificate of Occupancy shall be submitted, and a,certified abstract of title issued by a title company showing single and separate ownership of!,ithe 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 OCtrIIPANCY - New Dwelling $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 - 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. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial P cev. 10/14/88 HENRY J. SMITH & SON, Inc. PLUMBING, HEATING 8 FUEL OIL MAIN ROAD q (n( ~J SOUTHOLD, N.Y. 11971 ^ ~ a~,,, Ilq ~~J ~ ~~ (516) 765-3890 SEP ~-g Ig89 ~i U~ C_E_R_T_I_F_I_C_A_T_I_0_N_ ,=.. :! Date _September 7,_1989_ Building Permit No._17~80Z _______ Owner William Witzke______________ -------------- Plumber__Henry_J__Smith_&_Sony_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ,n~: _.s~='~ __________ ~~~ enry P. Smith Sworn to before me this ~t$ _day of _1Sggtemhgr__~ ~f~, ~o 19_9__• Notar Notary Public, Suffolk County BERNADETTE L. TAPLIN NOTARY PUBLIC N4844893 State ot. New York Residing m Sutfalk Coumy :c+nmission Expires Sept. 30, 19~ 7 x' a;:. ,,,~ 1 ,y II:Si C: iVli ' ~+i' M` ,, ~ / ~ IUiiT, ~ /° 2 i;OMMLElTti ~ ~~ 4,. ~/o ~ ' (~! ~ ~ . ' / ~O FOUidDATSON (1st) ~ ~~ ~M ~ i FOUNDATIOtd ( 2nd ) ~~' m M1 2 . z ~ 0 R UGH FRAME ~ ~ 0 r 2 , r L MBING H x' 3 . cn m I[1SULATION PER N. Y. y STATE ENERGY O DE C 4 •6 ~9 co ~ ~..~~ ,~ 4 . , '~ FIi~AL ~ ~ ...~ ~~ ca _ T" S © / "ZJ J ADDITIOMA COMMENTS: _ x `(~~ _~_ ' ro x H w\ ~,n H y7 O d z 1 , ~ M '+ 9 r ) H d Q ' ( V .~ )v a T6S-1802 BUILDING DEPT. 1 NSPECTION [ ] FOU ON 1 T [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION REMARKS: DATE c5J [ ]FRAMING [ ]FINAL 765-1802 t3UtLDING DEPT. lNS~PECTION [ ] FOUNDATION i5T f ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION d'z. DATE lc ~ ~ ~ IN [ ]FRAMING [ ,~ FINAL ~D' r/~r, (~.~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~-.~,"L~~("~+:~~ c?"~- ~' _ DATE ~ INSPECTOR ~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ OUCH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~MING [ ]FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [ ]FRAMING [ ]FINAL REMARKS: 4• j DATE 1 NSPEiCTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~`'~ '{.l)QQ7tI.A BUREAU OF ELECTRICITY BS JOHN STREET. NEW YORK. NEW YORK 10038 Date , $i;~P'1'Fd•{Pk~;Ct 59,S~fSn Application No. on file 62FS4178~I89 I~ C)9.7,~07 THIS CERTIFIES THAT only the electrical equipment as deacrihed Below and introduced 6y the applicant named on the ohooe opplication numher in the premises of ~z~3L~~.~x~s Tat~c~xx, LAUItkIL ~,v~, ;~orr°~'xctz~r,, er,~e }, ~T'rsc in thefo/lowing loco r4• ay t L lst Fl. ~ 2nd F'l. Section Block Lot ~Yf~,lls~~~, .f~ga uns examined on aad found to 6e in contplianre with the requirements of this Board. it%TURE OUTLETS ECEPTAClES SWITCHES I FIXTURES NCANDESCENT FIUORESCENi OTHER RANGES AMT K W. COOKING DECKS AMi K.W OVENS AMT K.W DISHW AMi. ASHERS K W EXHAUST FANS AMT. H P 3£ 49 3fi 35 ~ 1 52,.3 1 S.f 5 P' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MUlT1.0UTLET DIMMERS AMi. K. W. Oll H. P GAS N. P. AMi NO. A W. G. AMT AMP. AMi AMPS. TRANS. AMT. H P SYSTEMS NO.OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R Y I C E MIT AMP TYPE METER EQUIP. ~ ~, 1W I ~. SW 3.e SW SA, <W NO OF CC. COND PER % A. W G OF CC. COND NO OF NI~LEG A W G' OF HbIEG NO OF NEUTRALS A W G OF NEUTRAL t 200 cP I x ~. ~/~ t ~/~ OTHER APPARATUS: srtrxP; nrxr;r~~ox: ~?. Rk~L:YX']A Ft:[Gi3AT±D C. Y.O. POX 37'1, hAIJFtF.:G, TdYr ]'k.R9,8 LAIC,#21.~i3°.E C/~%~ '6 N~AI MANAGER ' S1. ~ .f I® This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may die identified by their credentials. I~I COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN,ANY MANNER. ~~.~~.~ , ~:-', i. p~6 1~ 61988 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11.971 TEL.: 765-1802 Examined .. /~......., 19~. Approved ...~/.3~ ......, 19 ~~Perrnit No.~.2!~.8.`~~. ~~ BOAKD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK •••••••••- SEPTIC FORM •••.•........: NOTIFY ~ ~ ~-y x~% CALL ..~.~~:... ~. F,':~' MAIL T0: Disapproved ~a/~c~ ..~y'f! . ~ -/ .. u/~~Y ..........~"/ .............. .. ~ uiYa ------"~ ~J~~-.. .. /.... (B~filding I ctor) APPLICATION FOR BUILDING PERPAIT INSTRUCTIONS Date ..4/ .... 1........., 19 t~.~ 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 regulation and to admit authorized inspectors on premises and in building for necessary inspection (Signature of applicant, or name, if a corp~ ation) (Mailing address of applicant) State whether appliicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....hN .1. t~~! A:~.~.... f~... ~' ~ ~.r. C. ~Yr t~ ~. ~:.`-. Cf~~,f ............ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ... (,~.c..~.Y`~.~h........... . Plumber's License No. ...(.~.l.~.l-?~~ ........... . Electrician's License No. ..~.~W e~:.......... . Other Trade's License No. . ~. l..J !~.~'~-........ . ................. Location of land on which proposed work will be done . ............................... . House Number St~^r"eet Hamlet County Tax Map No. 1000 Section .....~y:? ....... Block ... ~.. ~ ........ Lot .... ~G~. . Subdivision .....................:'............... Filed Map No. .............. Lot .............. . (Name) 2. State existing use and occupancy of premises and intrended use and occupancy of proposed construction: a. Existing-use and occupancy ..~D'.ht ...b.1~.5, . r ................................................ b. Intended use and occupancy ...... S r9n~t{£ .':`? (. , owe ~a.~cr~, i ~ d,u,'~,~ ~ ~ ~, . 3. Nature of work (check which applicable): New Building .. !!...... Addition .......... Alteration ......... . p ' .............. D oval .............. Demolition ..............Other Work .............. . Re atr Rem ~escripSion) ~J 4. Estimated Cost ...... ~ ...(.. ~. d ~ .................. Fee ............ ...::....: ........ . ... S. If dwellin , number of dwellin ~ ~ (to be paid on filing this application) g g units .'~- ....... Number of dwelling units on each floor :..: , ,.; i :...... . If garage, number of cars .... I......... " ......................................... ,,................ . 6. If business, commercial or mixed occupancy, specify n~ture,2nd extent of each type of use . `....`°'"' ....... , Hei ht ~ d.... g.... Nu es, if any: Front ..; .... ,.. Rear .. ~~........... Depth ...b . ~........ . 7. Dimgenstons f e~istin structu~ber of Stories ...'.'.,.~::...` ............................ _.............. , Dimensions'of same structure With alterations or additions: Front ....:"".......... Rear ...--'........... . De th ................... Height ......' ....... Nu ...Height ...::::"-' . ' _... Numl~r of Stories . ................... . 8. Dimensions of entire new construction: Front ... ~. ra .......'Rear ..... ~.:....:, Depth ,.;~';~•. , .'..... . rhber of Stories ....... , ~ a .............: ..,.........~.~..~.:::..,;::....... 9. Size of lot: Front i ......: . : .. . . Rear .,.r.....:............... D th' /~ "~,"` " L1 10. Date of Purchase ....~:..~~°...8~ ~ ..:. ..Name of Former Owner .. ~4 ~l.f:~ ~":t.ti ... ~C%Q1.o.'!. /t;Fr'-r . . 11. Zone or use district in which premises are situated .................................................... . 12. Does proposed construction viglate any zoning law, ordinance or regulation: .... ~ .C~ ................... g ....... 14. Nameoof Owner of premises 'U ~ • ' ' " • • • Will excess fill be removed from premises: Yes {•xf I,lfd ~,In, CJ/a'?A~fAddress .A.~..Q~tJ.~...~.7.... Phone No..7~~°~ .7. /~... . Name of Architect .........'L .................Address ...................Phony No. *Name of Contractor ..........................Address ....:.............. Piton o. ..... 15. Is this ro ert located) y within 300 feet of a tidal wetland? *Yes ..... No ..... If es Southold Town Trustees Permit ma be re uired. PLOyT' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. ~~ -...e STATE OF NEW YO , COUNTY (Name of individxr& above named ~ I~ ~t o j°vs-~ I~ ~ ~~s a y _fi/ .. ~~Eo ~. iwn, (~ ,'M 73 L17G, r' 'mob ~~ _ ~2 ~a ~ ~~~~ ~ ~~ S.S .................. being duly sworn, deposes and says that he is the applicant contract) He is the . , ....... , C~ /'l~. ~n c,, c'~v /t (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 con~ained 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 ...... /.~ .............day o'f .~~'w~...... , 19~~ N tart' Public, ...~~~~r<<,-r...... County ~ ~~ U .r~~,.P.~~. ~- . ~~.. LINDA J. COOPER (Signal a of applicant) Notary Public, State of New York No. 4822563, Suffolk County Term Expires December 31 ~ 19; ~ s. •, .. ~ay.W plN~d ~ IpIN .pro. 9L'L~5 ~k ON~'NOW ~f • ..i. 1'" S ~ 0~~, ,F N M O t0 Q i~ 0: ~ O~ ~~ ~~ J W ~ i o: o~ z -~ ~-- _._ ,u.~. ~ ;- ... 6~ ~~ ~- - ~ w Y Y N ~ I ~. O N i a 2 ~ Z S O m ~~ s~. M . •n~u~. ;, I?~~s'r d d~ p+a . ~ i~t12 ~ aaaR ~aq}a JNf(rilE]UBtu~!CtY~3~sr,I~A+~p~1r:Jsui~:~~~nel~~ICncao~ slid ao~ sai~~~~aea l~dd~s .ia;erc~ pue ~~o~slp a~ernas aql ~-,~ •ora ~~3a ~sf36i ~ ~-~-f~~iva n~na ~~i~ ~~raa ~zivw~ a~R~is ~. ua~tlM o~'`e°~ S~'JtA2~S N1li~N 301PS3U~12iVd3~ ni~Ii140 Nl0~iRS ~~S"M~ ~~ Nd3~~f ~ ~ ~; ev ~~1,ytl~ OIN i W ~ ~ 2 v ~:. ~G ti a V' d~ ,01~~'~~~~5 $ ~ ~. y; C = ~' dam' ~ c z ~,, ryas2 'i13~ Nko ~ w fN5 y' a ~` J ?)"~ 0~ ~ v 1~0" . / ytl'1003 aI ; ~ ~ = N 2 O r w ~ cn ~ g~. u C ~ ~ ~ O V ~ .' N ~ N tD O ~t E1'r ~ oNd ,.,,,, '~ 0 N ~ Now O .,,,~ LL O ~ c~ ~ J ~- ~ o me m N' ... tn° ~'` N~~ ^ ~. W ~ -J .. ~ ~, J 3 ~ .. 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