Loading...
HomeMy WebLinkAbout17505-z,. ... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17809 Date MARCH 1, 1989 THIS CERTIFIES that the building ADDITION & RENOVATION Location of Property 8880 NASSAU POINT ROAD CUTCHOGUE N.Y. _ House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 6 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 1988 pursuant to which Building Permit No. 17505-Z dated OCTOBER 6, 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 RENOVATION & ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to RICHARD & CHRIS HURLEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 060055 -FE$RUARY 27 1989 PLUMBERS CERTIFICATION DATED MARCH 1, 1989 - EDWARD SCHILLER Building Inspector Rev. 1/81 roam xo. s TOWN OF SOUTHALD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. 1f. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ li 17 5 0 5 Z Data Q. sJr'.~......... ~ ............... 19...d.A Permission is hereby granted to: ....1.~.~.~........~..~~.....~.~.:........ fol-n~ ..~.. ~~. GX: AC..: S.N.....><*J..r-~-!4:~r.!7.k(..... t~~...1A....~,Q~h~n ....~.......o....`~..........~,..\ ct premises located ot .....p..~.d.~....../.y.1.A~fLr4..:w! .. ................... County Tax Map No. 1000 Section .........I..I.~((~~...~~.... Block ......~.~.°........ Lot No....Q..~--.......... pursuant to application dated ......~.~.9.:'f^.x-4....~~ ••.••••.•••.•••, 19~..p, and approved by the Building Ins//p~~ector. Fee $ ~+~.:Y.:1 ~.. .....yrs. L' f.'..::-. Ziy~ ~.~ ............. Inspector Rev. 6/30/80 M l a, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE ...~ ~~ NEW CONSTRUCTION .......OLD OR PRE-E%y/I~STING BUI~L~/~D/,I-NG..~..VAC/A/N~~T LAND./......: Location of Property ................/ :.~S~U..". ... ~~ ..... L.~:.! ~ .C/:.P~ ~!.~ HOUSE N0. ~j~ ~/9STREET HAMLET Owner or Owners of Property..!4.G "' ~ ~" ...,..~~.~.~:,~.. f~C/l2/~~, County Taa Map No. 1000 Section ..~~g Block ._.6... Lot ... ?..... Subdivision ....................... Filed Map ......,,Lot.././/~7..~.,.~.j. /f~~// Permit No. 175052 .. _ „Date of Permit .10~6~g$....Applicant . V: _ .~.C~'~~~. ,/.: ~/~ Health Dept. Approval .................. Underwriters Approval............ Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: Final Certificate ..~.. Y_~ .--- r !~\~ APPLICANT.... C%~ ~'t~~~~~fr :::............ .. . ~o~ -~$°9 rev. 10/14/88 "r'1~LD ii:SP %ii0:1 ~ ~UATc. ~ %OMMEN7° 'V AO "7' N . - - - H H G _ FOUtJDATION {1st) ~ ~ C ~ ti :OUNDATIOtJ (2nd) - ~ 2 f~ i ~ . z 0 0~ d ?OUGA FRAME & ° ~ ~~, e PLUMBING Z y ,,, 3 . ~o ~~ ~' ~ m P y ItJSULATI0P7 PER N. Y. •' ~L STATE ENERGY CODE ~ j ~ ~` $ ~ I . G7 ~ --1 ~ r y 4 . FIiJAL o ADDITIONAL COMMENTS: x ~ ~ ' .A. ti A 1. ~ v+ .O~+~M. ~ AA..~ ~ a.nJ JI.,~c.~11 ~ fS ~j .. r ~ ~ . g , ~ - -1 ~ g ~ f~C0.-t. ~.~>.b.c.u~. 1 ~ ~ _ x b H ~ 4 9 ,~ H H V O Z Z `" a Z • r H x • -~ o r m , . 9 ... y S~FFac~-c ono . ,.,;, °~~ ~®wrr or ~I3YT'Tf$Od.pJ iZ , .t OFFICE OF BiJILDIidG INSPECTOR u°--, ~~ ;~^°L ~ m P.O. I30X 728 ~ eA .s ..~ TOWN HALL 0,., , `c• SOUTIiOLll, N.Y. 11971 C E R T I F I C A T I O N TEL. 7G5-1802 Date ~ ~~ /V Building Permit No. Owner ~, C~IQ./2d. d-- V/jaQ,,`5' /~~~ (pJlease_jprint) / / Plumber ~Gt~~` ~. ~/ti~ 1~~-~ (please prim-) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ~ ~-~~ (plumber's signature) Sworn to beforemy/e~ ,t,~hisp ~PT day of ~ %~//~ifF/f~ Notary Pu c Notary Public, County 0~v~~ ~ HE NEW YORK BOARD OF .FIRE UNDERWRITERS ''~i"''' f ~k.'C~'~li`' ~~ S"U ~ BUREAU OF E4ECTRICITY 65 JOHN STREET, NEW YORK, NEW YORK 10038 i~li;T{flrrtV 2'?,1;~:;": 54?,39tt~s8!-PR td titi.iit)'',;i Date Application No. on file THIS CERTIFIES THAT only the electrIcol equipment as descrihed below and introduced 6y the opplicant named on the shove application numher in the premises of .1'.~ H?)~:>h;+': t~A.,s~Il i"t' ~,i.. Ti)t,Is" ~:1a5, S'CI'!."C:7i~'~tal~, id.~. in the following lncotion• ~ Baxement ~ lxt Fl. ~ 2nd F7, Section Block Lot @`~IJ~.f.°iF.11t~ 1 . .i :I~s~ wos examined mt ~ arzdfoundto be in compliance wirh the reyuireutentx q(this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTAClES SWITCHES I NCANDESCENT FWORESCENi OTHER AMT. K W. AMT. K. W AMT KW pMi K.W AMi. H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT T IME CLOCKS gELI UNIT HEATERS M SYSTEMS T DIM MERS AMT. K. W. OIL H P. GA$ H. P AMT. NO. A W. G. AMi AMP AMT. AMPS TRANS. qMT H P NO. OF FEET AMi WAiiS r, .[' t5 4o {Jf9 SERVICE DISCONNECT' NO.OF S E R V I C E AMi AMP. TYPE METER EQUIP. L ~, PW L 9 iW S S. ~W J)r dW NO OF CC. COND PER% A W G. OF CC CONp NO Of H4LEG p W 0. OF HbLEG NO Of NEUTRALS A. W. G. Of NEUTRAL 1 .~~ti f l~A} I ~ I Y/f.3 ~ f ~~} OTHER APPARATUS: JH{;(Ii;~,~. 'P`J°.P1~ T{f{1 &f s~) }1l$k~ ii)' I j,S ~'~+e[ai"~ ftc,°hr~tls.~. -~ ~r..e. P.f3.E3f1X I6~ L`h'!";".tlt7i~31)h;- 16Y, 1 i'-1 +'> i7 This certificate must not be altered in return to the office of the Board if incorrect. Inspectors may be COPY FOR BUILD{P1G DEPARTMENT. THIS COPY OF °ICATE MUST NOT ,BE ALTERED IN ANY MANPIER. by FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined . C9 e~!?~?i•.. ~ ., 19 ~.~ Approved .©~~~...~., 19~. Permit No. ~.7S~S~~. Disapproved a/c .................................... (Building Inspector) BOARD OF HEALTH ............ 3 SETS OF PLANS ~........... SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL T0: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ... .. /- ..~fl..., 19•! 9. 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 necessary inspections. (Signature ot""applicant, or name, if a corporation) .............................................. (Mailing address of applicant) State whether applicant is owner essee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ................ ... ........ . . .... Name of owner of premises .... (// .. ...... ..."" :................................. (as on the 11 or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title f corporate officer) Builder's License No~C/tiJD~r!~ r .. 1.,~.G.~.s l: ~ ~ ~ 1 L2G'~7v" Plumber's License No. ..~~.LI__...?.C.l/.'.: ~I Q ~ Electrician's License No. ~~"~~... ~.~!!n!L Other Trade's License No . .................... . Location of land on which proposed work will be done . ............. , .......................... . .... .. .`~ 6g.~...........,/~/.~S`AU ~~..~~ ...............~LT~a..~~ House Number Street / Hamlet County Tax Map No. f 000 Section ...~/. ........ Block ......~ .......... Lot ..... ........ . Subdivision ....... .............................. Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of p emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~~~ ~~"~I+I~•~ ....................... atbmV•~y14c> ~~ ;3ttx"tt~I . ........... . ~r3t .~~§ b. Intended use and occupancy ... ~~:~.~~..... • • • • • • • • • ....... '"~~~''% wt=>9t+s~ irr tszui~tl~,.f2. • • . t•J.. ~ ._ _.. ~ iF ..a. 1.= ....... . 3. Nature of work (check which applicable): New Bu'Idi .. ..~. v i ng .... Addition .......... Alteration ......... . Repair .............. Removal ..... , ....... , Demolition ..............Other Work .............. , (Description) 4. Estimated Cost.......... ......................... Fee..........,........................... 5. If dwelling number of dwellin (to be paid on filing this application) b, ~ units ............... Number of dwelling units on each floor ............... . If garage, number of cars ....................................................... ............. 6. If business, commercial or mix ~~ V,___. He,i ht ~^ ,~~~~~',~; .hued occupancy, specify nature and extent of each type of use .................... . ~~e~'s-n :~ttuctur 7. Dimensi . ~. es, Jf apy: Front . ............. .Rear .............. Depth .............. . g 6`'~k ._.s. }~ ,, , ]1J'.1~"rb,~'Stones ........................................................ Dimensi f same structure wit~i,~aj rations or additions: Front ............... . . Rear ................. . Depth . ,«, fight .... , . , .........Number of Stories . " 8. Dimensi f e~w co~nst :Front , , .~ "` ...~ ~.?...~.. Rear ...`d.p....4~.... Depth GS. Height Stories .......... 9. Size of t: ..... Rear . .................. Depth.:..................... p ,. ..................... 10. Date of . ....... . ....................Name of Farmer Owner ............... , , ............ 11. Zone or use district in which remises are situated ............. . .......................... . 12. Does proposed construction viglate any zoning law, ordinance or regulation: . ........................... 13. Will lot be regraded .. , .... .... Will excess fill be removed from premises: Yes 14, Name of Owner of premises . ',C,P , ,~u~1~~, , , , , , Address /~,~,~~.d: _ , . , , , , . , ,Phone No.7. ~ ~l, ,~~. , ,e~ Name of architect ~ .Address .Phone No. . Name of Contractor~~; ~.. ~py~~ , .Address S'P.`.'~1u/~a .. .Phone No..,~~ ~.~Z'~- 15.Is this ro ert looted within 300 feet of a tidal wetland? *YES....NO.... P P Y .. ... *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 dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. '_ . ~!2~~~2" _ " `~ i 0,~~~ , STATE OF NEW RK~~~~''rr ! I/ COUNTY OF .. ~<!t:`(=6~ l•F~, • I~S.S ..~ d.Z!/..... ~ s~v1'J (Name of individual sign • ~• • • ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant ing contrac above named. Hcisthe ......................~................ ................ (Contracto agent orporate officer, etc.) of said owner or owners, and is dull 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 manned set forth in the application 61ed therewith. Sworn to befc Notary Public ....., 19 04 County ignature of applicant) :< i> ~` ,., ::;~ ;,.. ~ ~. ,., 'z~: i" i ., :. :;t ~, ~, -. I,; :,",. i::._ ~: ~. Sec fron A Desk Crass ,Scafidh Z-2x ru~~~ ti~tb ~~z r~l`rYu+xd G,.de~ 1 it j '. ~r ~/ i i,_ , I~ l1/ _fes D«/s to lie. Consfroc~~°~ Tl~~s Sane w<y o-,.ca.Q 7`~e en'l~•y y~ust (~ Au Lr/n6e- t> Q~ ccA 3 Favi„f t+ Bc !le(.w f'rn ff Lrne \. i r r_..a~ _r:~::l::::~..g.y ~ -~_, ~ I ±~ ~ I_~ I ~ ~{ _. _ ~ --- _. 'r I ~ ~l^- 1~ Dc Z-2 K is ~, rb ~Z nfyy~ G~rd« -~ N_fes 0«k 1'~ 50.55 MG G/cY Acs GUI FD ~ i ~'J