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HomeMy WebLinkAbout17189-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218314 Date AUGUST 25, 1989 THIS CERTIFIES that the building ADDITION Location of Property 450 PARADISE SHORES RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block OS Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28 1988 pursuant to which Building Permit No. 171892 dated JULY 1, 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 REPLACE EXISTING PORCH WITH DECK. She certificate is issued to ROY H. & BERTHA S. NEWHOUSE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A cy_ B 1 ~ ng Spector Rev. 1/81 vows xo, a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 017189 Z Date 19.~.g Permission is hereby granted to: ....1.~.~? ~5....J. `L ~ .may- Imo.... ~.~:y~ :...,..~.~;.9{,.n7~......... ................V......................................................n......................................................................................... ct Premises located at .~5~.....~.5?:rS-:Si,~r1..~.~:.....`.?;•-`:'-'."."'"•...~...........~J:it:tr..t~t+~~... ...........................................................................q.................................................................................... County Tax Map No. 1000 Section .......Q. ~..1....... Bolock ......Q.a~.......o. plot No......~. Z'........... pursuant to application dated .1.1.rY.~dR....u~.R 19.R,A.., and approved by the Building Inspector. Fee Building Inspector \ Rev.6/30/80 (~y~ ~ TOY1N OF SOUTDOLD ~ _ Y~~ ~ ' BDILDING DEPARTMENT ~ ~~~a~~~~~ SOUTDOLD, NCH YORK 11971 ~A.~ J ~ ' ~ 4!~ rr~~ rye~~ ~ ~ 765 - 1802 6LgG. I)t=FAT. TUWN OF SOUTFfOLO APPLICATION FOR CERTZFICATE OF OCCUPANCY ' ////JJ NE4C COtiSTRUCTION ...L~OLD OR ,/PRE-E%ISTING IIUILD/~IANG ......VACANT LAND..... _ _ . Location of Propcrty..,G ~0..~'P~(,~~'/jlj'/..5~/~`-s ~U~.7.~c~L~- NOUSE N0. STP.EET " " y~~y~~jj L~ ~ q A' • - • NAMLET Ovncr or Ovncrs of Propcrty./SD~,_1~_G.,'~ /~En-~~d_S. /l/FW(-(o~aSF~ County Taa Map No. 1000 Section ~r ~'y IIlock Lot" Subdivision.. / F/filed Map ._.._._.Lot....... _ Perait Cto. f7~~'~ ..,Date of Permit " y~~~~ - .Applicant C.`.`:y ~d:,•+~1~~'')~vVS~= Uealth Dept. Approval Undcrvritcrs Approval....... PlanninU Board Approval Request for Temporary Certificate • Final Certificate Q n . Fce Submitted: $:~..~,;-~t-----••-_.. APPLICANT...~~ v a ~ ~ 3 ~a J S" Ca z i~~/~ 5/~y rC°• 10/14/88 8S/h1701 •na I'ir?aaawmo0 UO'OS$ 4~ Ie?]uap?sag 00'511$ - douedn]op ;o a]rot;t]ab0 Sacaodmay •9 00'05$ - 6ouednoo0 3o a]rot;?]aa0 pa]epdII .S 00'OZS - 6~nrdn~o0 ;o a]r~?;?]aa~ Pur'I ]nc~rp .y 00'01$ -I!saraS S nano - 00'5$ - 6aardnoap ;o a]rat;?]aap ;0 6dog '00.001$ - Su?iianp Sa?]s?xa_aad no dourdnaa0 3o a]rot;?]aa0 •Z '00'U$$ sassan?sng - 00•SZ$ `s3ntpi?nq 6aossanoV o] uo?]tppV 0000 SZ$t3u?Tia^Qoo]as~o?]00'SZ$ `Iood Su?mm?ng `p0'SZ$ 3urilanQ o] vot]eaa]iV ~M PPV 00'SZ$ Sn?iianQ teaN _ aONVdII000 30 IISVOZ3IZUg0 •j :5333 •jaraxiddr a4] o] 3n?]?an n? ao;aaay] suosraa ay] a]e].s iirys ao7aadsnl Sr?Pi?nH a4i `pa?nap st 6onednoo0 3o a]ro?;?]aa0 r 3I •no?]roiiddE ay] 6uedmoo~r osir Ilrys'L561 `6 i?adV o] aoud ]oi aat]ua ay] ;o d?ysaauno a]eardas • pnr al3ats Satnoys';6uedmoo aI]t] r ~q pansst aI]t] ;o ]oea]sgr pa?;t]aao r pur ' `Pa]]?mgns aq Il;,rys ~onrdnoa0 ;o a]rot;?]aa0 Puel 7urarn ao; ao?]ratidde nV .l , . :6ourdnoo0 3o a]r]?;?]aa0 pae1 ]uroc0 ao3 -0 •a]r~?;?]aa~ r aardaad o7 pas?nbaa nor]rmao;u? ]rant]aad aay]o ao `sas?maad aois3rtpitnq ;o no?]oadsu? L]a;rs ao apoo Sutsnoy bur ;o a]r0 a ']nr~?iddr ay] o] Sat]?an a? ao;aaay] suoseaa y]'L561s`6II?adV o]aao?ad3utpI?n8 ay] `Patvap st 6oardnoo0 3o a]rol3?]aa0 r ;I r s ]°i as?]ua ay] ;o d?ysaavno a]rardas pue ai3u?s ,goys Ii 4 40?4~ Quedmoo aI]?] r 6q panssr ai]?] ;o ]ora]sgr pa?;t]aao r pue ]nr~?iddr ay] 6q pap3ts ]~adsu? o] 7nasno~ r `no?]r~tiddr pa]aidmo~ diaadoad y •Z •saan]ra; otydra3odo] ao iran]rn irnsnnn par s3rtpi?nq `s]aai]s `sauti 6]aadoad ile SutMOys 6]aadoad ;0 6anans a]ranooV .l s3utpitnq so `sasn $a?mao noo_non :sasn pnel .~Su?]s:xa_aad~~ pnr 3 ~L561 `6 i?adV o] ao?add s3utpitnq 3u?]stxa ao3 .g •s]namaa%nbaa acid a]?s pa]aidmoo ;o IrnoaddV paeog 8n?vueid ]?mgnS •9 ~ •Sa?pitn9 a4] ao3 aigtsuodsaa aaau?Sag so ]oa]?goaV ay] moa; ao~rtidmoa apo~ ;o a]ro?;?]aao r `sno?]rlir]su? pur s3rtpitnq aei?mts pue sa~nap?saa aidt]inm `s3ntpitn4 irta]snpu? `s3utpirnq irt~aammo~ -S ssai sn?c]no~ ma]sSs qr pasn aapios ley] Srt6;?]aa~ as mn d-moat YI 3o OI/Z ory] •saa]tanaaprII aa?3 ;o paeog moa; uo?]eiie]sn?iinota~oana a]ris naonV •(mao; 6-g)iesods?p_a3raaMas pue 6lddns aa]rn ;o •]da0 y]iraII ;o irnoadde Irra3 'Z -saan]ea; ~tydea3odo] ao Iean]ru irnsnnn par `s]aaa]s `sand 6]aadoad `s5n?pil?nq IIr 3o no?]raoi a]ranooe y]?n ~]aadoad ;o Sanans iru?g •I ~ :asn nau ao s3ntpi?nq naa ao; :3u?noiio; ay] y]tn ao]~adsol 3??PI?ng ay] o] pa]]'~tmgns pur xu? gp aa]?a1+ad6] a? Pai?3 a4 ]snm Uot]eotidde s?4.L. 'V SNOIZOII2IZSNI dONVdN000 30 r7yV0I3IS$fl0 N03 NOIZVaI1ddV 2081 - S9C ' 11Vll NNOZ Zl1II~LL2iVd80 pNI47IIIg 070I1LIIOS 30 NMOZ . I 9 ' ON FR103 I ~ ~.Zn~y f~ d~ %3E~. ~fJ~1 5. ~?Fw~r/ovsr.: r~,' 0, L3a~ ~on~t ~as~D ,~,¢rG/N~ ~2oaNZ~ GOY~~g~ /jor~N ~ - - - M,__~~_. 0 - - ' - - V Y(.~Gl ("F !G Tf LT -1--~ , ccU~ F ~~7 PosT r DarE 7/// g g ~ ~ . _ i I~ riJILL)ING UEpgRTMENT A7 7RyjAC~2 i9f9 F - _ _ Ff){.t;'4'~~~,titQ II ~yvF ,7 n , OR THE 'DAI,f I'vwu R~ouIReD _ _ tL~ #flPo +'C~EdRFi3 ~f3Y0~E'P~ 2 ROUGH ER,aMiNC tt pl ~1Mt31Mr ~IITM-~ r 4 i:lNA BE CCIMPt,.E7E F" UST UR C.O ION SHALL MEET THE IiEQ ATE CONSTRUCTION & E DESIGN OR CONSTR NSIBLE FOR UCTJrc1N-ERR@RS N r 7~~. ~a~ f~~y ~cKUr~ , IrE ?E 0 Gn - ¢~fc - 60/JcrtEt6- f n - ~ ~ - 1-~r~ - - r- , - ~/4/0 G0~/sTrJcTiv,? op ~o~z~s fl ~~tk' r. N z ~ o ~ .h v' ~ " ~ ti K ~ i d !t - _.r_ i \ ~ o EiF ~ s ~ ~ ~ ~ I ~ ~ ~ ~ ~ s ~ ~ ~i ~ ~ ~~,~c - - -f - - W -~~t4 _ - ~ ~ - - - ~ ,~-s ~ ti ~ P. ~ i 0 n ~ +k ~ ~ ~ ~ C N X p ~ i x j o ~ Q - H N Z ~ ~ ~ ~ ~ ~ ~ \ ~ A v ¢ x " ~ 3 ?lELD It:SPECTIU;) (~llATE ~ COMMENTS i a~ 'n y 1. y m ~ 3 OB H FOUtJDATION (1st) ra FOUNDATIOtJ (2nd) - ~ 2. z o P,OUGH FRAME & PLUMBING H 3. ~ w IIJSULATION PER N. Y. y STATE ENERGY r CODE x a r lI ra ~ 4 , i FI;JAL o E z ADDITIONAL COMMENTS: x 4 x ro H ~ i a ' .-a „~D O ~y z m M • r H - ~ d [*J b H ~S 9 IX . `-s„_ _ _ r .?b~ - ~ /n ~ -/,ii ~ ~ v, 372 Ici ~ X ~ ~ ~ ~ r - - - - J - _ _ - - - - c~ ~ ' _ l v, ~®,x /avy~ G~Y~jfS'~ - - - - - - - _/I - y~E~klr~~-~ _ ?a/P - - - - - - ----a~- - - - - - - - - - - ~ - - - - - 1-?„ - - - _ - - - ~ - - - - - - - -Corvr~,,~- ~~%~aS~~7 Grln!-rT?uTro - - pp - - - ~~--'~ST.S - - - - - - - - - - _ ?N ~ _ - - - _ E ~ - - _ - - - - - - J !t - - - - APPROVED_AS NOTED - - - _ - - DATE: Z / ~ - ~ ~B.P.it./ 7/_~q~. FEE: S`L'= BY: Q~4-. ---NOTIFY-BUILQINC3 DEPARTMENT AT- - - 765~ 1802 9_AM __TO_~?M FOR_THE-- - FOLLOWING INSPECTIONS. ' -1-:-fpUNDATION-•- TWO REQUIRED- - fOR POURED CONCRETE ---2:-ROlJZ,H-~ FRAMING & PLUMBING -------3._INSUlAT10~ ---------~?~/7~--/gyp----------- - --~-BE"CONIPI~TEFt7R E0 ~ON MUST ~~~~dR - ALl. CONS7RUCTiON _-SHALtr MEET----- - ° - - , I• ~6~'tq ~U~ - - TNE REOUNt~MENTB OF THE N.Y. ~F ---gTATE--eonstaucnoa s--ENERCV-~ -----------------t~=~'~~r~~~~rF-------_-_ Cl?DES.- NO?~_ i~ESP-LE.._EOR _ _ - - - - - _ _ _ _ - DESIGN OR CON$TRUCTION ERRORS - - ~ f a N ~J~ ~.y v.a 0r~n a y._ - ~ - - 0 6+6 ~ ~0.~ _ % ~ 3 ~ _ _ { M _ _ _ 3 ig _ _ /Y N _ - - S ~ _ - - - x~ ~ . - ---W - - ~ - - ~ - - - - - ~ - a - ~ - a _._i - - ~ - - ~~s - -u--~--- - - - _ ~ - _ _ f - 1 _ i ,G - y ~ - - - - - _ ~ _ _ - ~ _ _ - ~.t 7 _ - - _ _ - - - - - - ~ " - - - ~ _ ----t1/ - - - - - - _ ~ v r _ _ s _ ~ N7, ~ - _ / T' t'. - ~Y ~ ~ C1 A ~ - ` Y . _ _ 3 ~v y ~ ~/fnrtlovs'e~` 0, '~©k /ooyc ~®~~N - - - - ~ _ ~P 9~ ~ - i - _ - - ~ ~ - - - - ~x~-- _ _ _ _ ~ 1--+____ . - -___-__.-._.p_ c~ - - U S - - - - - - P ~04~ P - - - - - - - ..i - _ _ ~ . r_~ i sx ~ ss::..-. _ . G~ 3 ~ .~Q,~,. ~.L.. ,a% ~-r-~fi s~G . ~ ~,,,~..C-~,E i mac,.: /t,r-~, .E2~ ~o~-~,~.- .h, ' ~°a~° .p ~ ,~-a-a-vC-~~~..~ ,~~a~~,~-~-'`~ ~ ..~cc ~ i~ I' j ~ ~ - i - - - - - - - - - _ - C/ I - - - I - - - ~ - -a ~ ~ ox /roo ~ - l'~,~ c r~ s~ ~f /~v So ~-r/d-o~~~ ~ y 9~~_ ~I - i BOARD OF HEALTH i, f 3 SETS OF PLANS ? ~ t'~~J~ JuN n Q'~ ~ FORM N0.1 SURVEY (,v I u TOWN OF SOUTHOLD CHECK r{~.:::::::: BUILDING DEPARTMENT SEPTIC FORM BLDG. DEi'T. TOWN HALL TOWNUFSOUTHOLD SOUTHOLD,N.Y.11971 NOTIFY ,s~ q/ - TEL.: 765-1802 CALL ; Examined...~.t'...,19~~. o MAIL T0: Approved ~ 1 ~ ~ _g l 1~ ..Permit No... . Disapproved a/c ti~e't+ ~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT QG Date 15 D 0 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 far 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 ins ctions. (Sig ure of"applicant, or name, if a corporation) Via. ~3ox j. h. //.97.!.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ../~.~~!..,~7:•..!~..~~~2.TF:f.~..s:.../v~(~/~t{OUS'E' (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. ~ ~U,NC~2; , , , , , , , Plumber's License No. ......Q.~!~ . Electrician's License No. . Other Trade's License No . . 1, Loca~t/ion of land on which proposed work will/bye done . . / House Number p~ Street Hamlet County Tax Map No. 1000 Section Block . Lot l~........... . Subdivision Filed blap No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~J.ln/,~yG. !:e!r~ . b. Intended use and occupancy = ` - ' r.- ~ # 5'i?'~ ~T~A~,~~~ ature of work check which P . ReI~aPPlicable): New Building Addition Alteration , , , . Re air Fj~y,~ M A/7"' jnoval Demolition , , Other W~rl~.''.il . ~ [ ~ ~ (Description) 4. Estimated Cost Fee ' (to be paid on filing this application) 5• Ida elling, number of dwelling units Number of dwelling units on each floor , . g rage, number of cars . . . . . . , , usmess, commercial or mi ~ ed occupancy, specify nature and extent of each type of use . res, if any: Front . . Rear , . Depth . 7. Dim, , Dimhns~onsofexistir~ struNumberofStories,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Iwith alterations or additions: Front Rear , , . , , , , , , , , P 8. Dmmensions of enriresnew con • ~ ~ 'Height Number of Stories . $truction: Front . Rear Depth ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • Height Number of Storke~s,., . •tte'•. 9. Size of lot: Front Rear,,.....,.....,........ Depth 10. Date of Purchase ~ . . . . Name of Former Owner 1 1, Zone or use district in which premises are situated . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . I!3. Will of be regraded . . .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . , , , , , , , , , , , ,Address , . , ....Phone No............... . Name of Architect ,,,,,,,,,,,,,,,,,Address .Phone No. . Name of Contractor . ! .Address ..Phone No. . ~y IS,.Is this property located within 100 feet of a tidal wetland? *YES....NO.l~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from prolierty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEIV Y C, ~ S. COU TY OF ~ ~ ' ' ' ' ' bY' ' ' ' ' ' ' ' • ~ , • ~ ~ ~ ~ ~ • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si ping contract) above named. He is the .............U.~'!./~f~-~.6!L;..................................... ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or leave performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in t ie application filed therewith. . Sworn to before me this No[ary Public(~~,~~F i County Nogry Ph~blb 6tr~ti?~O N York W/J. V9 . No. 4$ (J (Signature of applicant) 4uelHk~d In Suffolk County Gommhslon Expires December 8.19 I '.t _ - . ~ , I ~1.. I _ _ ~ I C, ~ ! S i ~ I• AKSCil~ ~ ' ~ ~ I i z (-{cPZ fae~" G a I (I ! } ~ } ~~'I I' ~ ll! U1i -45 W YW - i y ! 1 p ~ i j i t Z ~ - i. { , I wHCrav~.a j W \ J 5b~ ~ ~r~ I~, _ ~ r J ~2~ ~ ~ ~ ~ r Q , ~ j . -o~ \ ~ Z O ~ ~ ~ ~ , ~ o m Y ~1 f) - ~ . -n, t ~ ~ lJ - ~ > { G _ '-..d._ ice` ei 2 S "/t . , . r lam, 17 nl• i i ~ i c; ~ - i I i,l f I ~ C; / q'1 'L lJ _ 1 1 1 ! 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