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HomeMy WebLinkAbout17401-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18301 Date AUGUST 18, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1930 ORCHARD STREET ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 5 Lot 3 Subdivision MJo BaYView Farm Filed Map No. 7045 Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated August 25, 1988 pursuant to which Building Permit No. 17401-Z dated SEPTEMBER 8 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 WITN ATTACHED GARAGE & ATTACHED DECK WITH COVERED PORCH AS APPLIED FOR. The certificate is issued to JAMES P. MECCAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL AUGUST 2, 1989-88-SO-121 UNDERWRITERS CERTIFICATE NO. N081533 - JULY 19, 1989 PLUMBERS CERTIFICATION DATED MAY 12 1989-PECONIC PLUMBING & HEATING .~Q~ -- Building Inspector Rev. 1/81 FORM NO. 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) N~ 01740 Z Date ...../...:....~.. ........., 19.11..x` Permission is hereby granted to: ,~ (,,,, . ........... ' ' .~Ilj Gl~!~. ................. t~~~'.~~-f'~.......... ........ ' ct premises located at ...11~..,,/./~~Q~...~...~~:•v.~,T(~/,)G!///1j~.. ..................................................... Caunty Tox Map No. 1000 Section .......p~~..~..... Block ..............~ Lot No...........:,~........ pursuant to application dated .............Q./.~'.~....................., 19.. and approved by the Building Inspector. Fee $..4~. d 4' ~r~pao .....~...1...., ,~.~..'~1.~~...~....~?~ ............. QtSildin actor Rev. 6/30/80 „ FORM NO. 6 TOWN OF SOUTIIOLD BIIILDINC DEPARTlfENT i I TOWN MLr 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTION5 A. 'This application must be' filed in tgpewriter OR ink and subm',itted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of aII buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Dealth Dept. of water supply and sewerahe-disposal(S-9 form). 3• Approval of electrical installation from Board of Fire Un{lerwriters. 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 "pre-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 Co 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 [o the applicant. 3. Date of any housing code or safety inspection of buildingsjor premises, or other pertinent information required to Prepare a certificate. C. For Vacant Land Certificate of Occupancy: ~ , 1- ~ application for vacant land Certificate of Occupancy sh'.tll 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, Additidns to Dwelling $25,00, Alteration [o Dwelling $25.00, Swi®ing Pool, $25,00. e~ccessory 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 yearsi- $10,00 4• Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$(5.00 Residential '+ $50.00 Commercial~~~. ~) '-°• 10/14/88 p n.~.ar~.1 ~ Yl ~ ) I ~1'.~ 7 TOI1N OP SOUTUOI.U BUILDING DCPART:ICNT T011N IIALL SOUTIIOLD, NE47 YORK 119 765 - 1802 ---- - ~r ~ ~~~~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~ x DATE._.~/~,~~.. NEST C0t7STRUCTION .. `:,,O~~ffLD OR PRE-E%ISTIt7G BUILDING_.....CACAt7T LAND..._ Location of Property..~`~-• C~YGJz7j C~~ ~~j~~~ '.-. ..... _ __ UOUSE NO. '• STREET ~" " " ._..._- .~ . • • • • llAMLET Ovncr or Owners of Property... ~~C/rr~~d ~ ~~~~'a'~- County Taa Map No. 1000 Section da~~ J.- 3 - -••-• - •• - Block .._ _. LoC'.. ...... Subdivision. ...................... Filed MaQQp ._..._..LoC.. ._. _ _ Permit No.~`./.~~1'L~ ~ ~ 4~ . --..Date of Permit Jj,J~riz~,~~~p~q.L- . ......_.Applicant ................... Ucalth Dep[. Approval ...x " " '~••••••- Underwriters Approval.~___,_•.•-_. Planning Board Approval ..... Request far Temporary Certificate .....,, Final Certificate _.~`~ Fce Submitted: $.~~~~_.._.-_..__•• APPLICANT-- --,,,,,_~~:~_........ °y• 10/I4/88 Q'~e,. 3 $ 03 8' CO `'z.~g30 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ^'*~~~ 1Ctt)07i)i; BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date dU~,~ .~~~'~'~j ~tl Application Na. on file ~f`•''~"}11'~~f ~~ STS f~1.!~.~i'; THIS CERTIFIES THAT only tke electricol equipment as deacrihed 6elou+ond introduced 6y the opplicant homed on the ohove applicotion numher in the promises of ,3AM~S t2F;7.h~~, [lRra![~R;} 59'Rhl;~', 13FJ7s'nE9', Sd,R. in the ollowin location; ~~--{{~~ i'.t1R ~~~' ~~ .( Q ~ Bas ment CJ lat F'I. ^ 2nd FL .Sertion Block- ~'! Lot uws examined un and found to 6e in conrplianre with the regairenrenLs q(this Board. FI%TURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS OUTLETS EXHAUST FANS INCANDESCENT fIVORESCEN} OTHER pMi K W AMi K W AMi K.W pMi K.W AMi. H P fig X15 6E. fn l_ ~fi.5 t S ,, P; t;~ DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ BELL UNIT HEATERS MULTI-OUTLET DIMMERS pMi K W SYSTEMS . . . Oll H. P. GAS H P AMi NO A W. G. AMT. AMP AMi AMPS TRANS. qM} H p NO.OF FEET pMi. WAiiS r+ k' S :i El 1 SERVICE DISCONNECT NO.OF S E R V I C E METER pMi pMP, rypE EOUIB ~ ~, ]W 1 S. 3W 3 A3W 3,9' dW NO. OF CC COND. PER % A. W G OF CC COND NO OF HbIEG p W G NO OF NEUTRAL S f ~ R . OF HI-LEG O NEUi At 3 ?C(1 t~ll t X i ~tI4 f, t,fCi nmoo e oewewn m. ~V ~fl~ ;iLt 7,'!';.173 ff'C?[f Li)'i)AYe.~'kz':~itF("'~ P~PIk,T,H~t1R11Se~_!) i°nt:, E~){I ~r.~.{'~.~ ~ :"y ~Ya1JU 1~~1'l ILL 1~~ !. a f~7i ~`x'i~A7 jQ a'. r~Z~~("ni~ ~TA~~i R,t't. 3,',O~ 2(IF? CrlS@;3':1~77+i7.K'i', t11Y', i i <dy¢ f.~aC; , ~i.41~~-F,; GENERAL M~1 N`AOE 1 „„.fir ~ ~. Per "~~ yy be identified by their credentials. This certificate must not be altered in any manner; return. to fhe office of the Board if incorrecf.- v = -, TEL. 765-1802 TOWN OF SOUTHOLD 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 Datedi~° T/1/~9 BuildingpPermit Nyo/. ~~~'TDI Z- Owner ~5~'/.~l~.S / ~P 1.~/'~.S ,(please p/rint)/ , P1'umber/L~YJp//G~G Ui/7/.~/~(/~ ~~//~~~~ (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 day of <_~~~~' 1-9 T~~. Notary Public,y~// - d ,~ County OAFtf3ARA SYEPNUVdSKI Notary Punlis, Stete of Now York No. 4SA4762 Qualifiod in Suffolk County Comrntsalon Expires ABmcYr89,19~ 5C~~6°~ pl er's signature) Nota y P lic -1c:LD II;Si`E~:~J;i ~ UAin ~ i;Ut`1ii! NI:: 1 ~ ~ e~ - - --__ ~ ~ H\ ~ FOUNDATION (lit) =~ b~ a FOUNDATION (2nd) -- ~i ~n _ -~- ~h ~~ P OUGH FRAME & .w ~ , PLUMBING ~ 2 ~k., , l~ p C H 3. ` ~ \ IIJSULATION PER N. Y. ~ STATE ENERGY CODE C __ ~ ~° 4 . ~ FIiJAL ~ o ADDITIONAL COMMENTS: M~~ 'Vl o-~-~u•4~ ~~11 C~m.b+-tMZ% ~ eO - r ~ -~- ° t 37 ~ _ ~~ ' H d H O x~ ra A y ' l x~ dQ m~ '° ~. H • U ~~ m~® fAm~d ~ O~G/~it~.S' f d3 e o,~~~f.~~7~ ~~ ~~~ ~ ~~ l ~S~o/ T65-1802 BUILDING DEPT. tNS~ECTION ( ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND (]INSULATION [ ]FRAMING [~NAL REMARKS: 0__G/~ -r2_C~ DATE _~.~-7 INSPECTOR l7~©~ 765-1802 BUIWING DEPT. 1 NSPE~CTION [ FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: Q~~ ~~~~~-~,~~ DATE ~ ~1 ~ INSPECTOR v~ a Id ~ ~ 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST [ ] IROUGH PLBG. [ ]FOUNDATION 2ND [G.]~PNSULATION [ ]FRAMING [ ]FINAL REMARKS: ~.( (~ < ~-` .y.~G.-C ~-,,eY~,~ DATE ~~`~I 765-iso2 BUILDING DEPT. tNSPECTIC~N [ ]FOUNDATION i5T [ ROUGH PLBG. [ ]FOUNDATION 2ND [) iNSULAT~ON r ~ 6 DATE ~~ U~ INSPECTOR: [ ~FRAMlNG [)FINAL REMARKS: ~~~-iu.e., 1`101 765-1802 BUILDING DEPT. i NSPECTIOIV [)FOUNDATION 1ST ( ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE D / INSPECTOR 9'yp~ _, C, TORN OIL SOUTLIQL'a ~" ~ Y:' ~.~c OPP1CIi OP BUILDING iNST'ECTOR r~ ,~b,~. ~,4~gt~4 ~ I'.O. BOX 1 1 79 u ~+~~'al~:"~'+~~14 ~~ TOWN (TALL ~~~,0~°~!~O~' SOUTIiOLD, N.Y. 1 1971 c~~, 3, l9~sq Q ~ 'I'o P7hcm This May Concern, ,; 4ie are unable r.o complete your Certificate of Occupancy because,gf the follocaing reasons. TEL. ',C,S-I80~ /~ An application f r Certificate of Occupancy /is not cn fi].c. ~~~-eia~-cQ-~ /!~/ PIo tJnderc•rriters Certificate on file. /-1~'t'he checF; .i:; (~•'-~-tea'- . Hot on file.) YJ ~2s~(/"4 I// D7o tlca].L-h Dept. Approval on file. /_/ No final inspection has been made. P]c:ase contact our office on this matter. Thank you for your cooperation. Iuilding Pcrrn.it: i! ~ ? !~ _ Q t Z Building DupL'. t"`/~ tlo flumbor Solder Certificate on file. ( all permits involving plumbing being issued after ~~pri.l 1,1964 ) Examined Approved ~~r.........,19fcr.(~ /t~........, 1940. Permit No. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 7. ~~~ .~ Disapproved a/c ..................................... BOARD OF HEALTH . j 3 SETS OF PLANS ~.Y........ SURVEY ......... .......... CHECK ......1/ ............... SEPTSC FORM ....~~......... NOTIFY •2~~~C~2©~.,../../~ y~'°b~ CALL / !Q /.. MAIL T0: R\~`B~ i ~Buildi Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date . ... -~0.. ~j.,! 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 br 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, build' code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i s cti ns. ~y ..1.~. ~.~'~:_~.. .. griature of applicant, r na if a corporation) • (Mailing addre of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........:~,.~,,~~ ..................~......J............................................... . ........................ Name of owner of premises . ~ ~P~. ~ .i ~.~//,'~`L'-- ................... . (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. .... ~~,ti ~ :~"-.'^.'~• • • yC Plumber's License No. .... ~~~'~~ ' y1 ' ' ' '~./ <O l P Electrician's License No. .. ~~4 ....'...~ .. ~ a / 9 ~. Other Trade's License No . .................... . ]. Location of land on which proposed work will be done. ~ ................................. . ~,....,c......... House Number Street Hamlet ~~•• C County Tax Mapc..N~o. 1y000 Section ..4,.~':,':........ Block ..... ............ Lot ....~............ . Subdivision .... T.~AO.~~~~...~~~ ...... Filed Map No. ./..~ ~~.... Lot .............. . (Nam 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy !~z"` -'-U- ............ ........................................................ • c"]~ b. Intended use and occupancy .. • •~~"~ • • ~rtt •`• ~~ • • • •T •l ~'~~!!°"~~~ 3. Nature of work check which a Re air , , , , , . pplicable): New Building ...,/~ ... Addition ; :..., ' ' ~ tAlfe~~aL,.r .n,~~.t ' . P (...... , Removal .............. Demolition ......... ... ~psher Work ........ , ~~;,: ~ . . ~~ ~~~p~i 4. 'Estimated Cost .....~j~._~U'.G70. ~! ~~ .................. Fee ............ ~.+~ . . .......... .. / (to be pai on i ) dwelling number of dwellin / units ~ C, ~! , . Number of dw~llin units on"e ,, , , ; , , , , , , , , , , , g .' ~ .....~!-l9 b ~~ .................................................... If gara e, number of cars • ' ' sd occupancy, specify nature and 'extent of each type of use ,,,,,,, , , , , , , , , , , , , , , 7. Dm ens ons of ewstmglstn ctures, if any: Front ............. .. Rear .............. Depth .............. . Height Number of Storics .................................................. . ..... irnensions of same structure With alterations or additions: Front ................. Rear ........... ~.a~,e g .......J ,... ...Height ......................Number of Stories .......:.. .. • p ... r ruction: Front .~~I~ ....... ear .~5.~....... Depth c~~,',~~„ 3S.Q .. . Hei ht Nut ~r q 9. 3izeoflotSFrentirenewco~~berofStories........~~~v ..................... ,.,,,,,,,,, ont. / .1~~1... ~ ... -Rear ......~~~ : ~ Z....... Depth ~ T.'~',~~.' . ~?~''.:1.~ 10. Date of Purchase .. ~/..... ~. .... Name of Former Owner ~P.~~ 94'........... . ........ P P emises are situated .......................... ......................... . ]2. Does ~ o osgdsconstru~ion vpolate any zoning law, ordinance or regulation: ...A/.4 ...................... . 13. Will lot be re raded ... .......... ...Will axce fill be re oved from premises: Yes 14. Name of Owner of premises .wl~r!?t°-t,`,~ j~~?/,/I,2J'Address ..~~?>.~~. ~~~... Phone No..3~'~PJ";~ Name of Architect ......... ',....!), , , , , , , , , , , , ,Address ..... ~°!T ........Phone No.......~J ...... . ame o Contractor ....... . q ....!/, ...... '......Address ....... /~.......... Phone No...... !: ... .. 15.Is this propertq located within 300 feet of a tidal wetland? *YES....NO~. *If es Southold Towp Trustees Permit may be required. PLOT DIAGRAM r Locate cleazly and distinctly alj 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 whethea interior or corner lot. ~ o~ L ~ ~ ~ ~'~ ~!,~ ~~. `9`~ lj i2 c? ~1aol~ D ,rr> ~ G/li'~7 itJ cs ~~ STATE OP NEW YORK, ~' °"' - ~ ~ ~ COUNTY OF ............ . . . . . iS.S ........... . (Name of individual si~nl~ . • • ~ ~ ~ ~ ~ ~ • ~ ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant b ins contract) above named. 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 contained m this application era 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. Swqrn to before me this ............a:S. ....day ofj.... ..., ... sD' ... , z ~~ ... Notary Public, .... 6~ Yf '•, . ~L (!~~. . ... .... Count, ~ ~ ~-~ NOfI1Rl' PURL C, sgro~NewMyYapkq l.. / / Ter~m•Exp~resMerch~k 1~8--R-/ ~gnature of applicant) j:~'A.: i./Ni~c~~ ~ ~ w~ x a a x w ~ o r ~. v~~--u .~~ F, ~ w~. _ O O E 7 L h lWN O w~~ A :VI ~ u Q .Gl 9~'. II^^ 1I1 IL ~ ~ `~ R E i~ H ry '~ Q c °c a. r. $ '.n q J w c ¢6. x t7 w Gi ~ d O ~ ~ , ~ _ ~ r,a~F~~ ~ ~ ~ ~ Z W w ~' W H Q. 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