HomeMy WebLinkAbout17237-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17183 Date AUGUST 10, 1988
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 640 LONGVIEW ROAD SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block 4 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 12, 1988 Pursuant to which
Building Permit No. 17237-Z dated JULY 19, 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 ROOF ADDITION & SCREEN ENCLOSURE TO EXISTING DECK ADDITION AS
APPLIED FOR
The certificate is issued to JANET P. REDHEAD
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
~~1./
Building Inspector
Rev. 1/81
Fosat< 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 fl 017 2 3 7 Z Dote ..x~~.~` 19P1~
Permission is(yhereb granted o: el
~i~~.... ........~.~i.....;
.~;..m~....,.~.~.~...,..........~/~~9
to
at premises located at C7...Q~........~c4~.. ~3lffl.'~.....~.s
f ~s.....................................................................
County Tax Map No. 1000 Section Block ~GLpvot No....~~...........
pursuant to application dated 19.~v, and approved by the
building Inspector.
Od
Fee $....~G~y
l B ....Ing Inspec
Rev. 6/30/80
FORM NO. 6 U - t
TOWN OF SOUTHOLD ~ .J
Building Department j
Town Hall
Southold, N.Y. 11971 BLDG. DEi'T.
765 - 1802 TOwN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ to the Building In~ec-
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 equaU.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect ar 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 bpildings 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 $ SO . 00
3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 1 0 . 0
4.Vacant Land C.O. $ 20.00 qy~ Q~~yy
5. Updated C.0. $ 50.00 Date....k).. g...:~lQ.........
N~ Re CouSTRuG.~~c.RE~N t~,~3crs~r/n1G`d~ei<
NewConstruct~on,,,,,, ~~d//or re-exrstingBuilding Vacant Lan
Location of Property .~7.Q ................~+v,C;,ULtY?^J..~R...........SD.kTiiD~l2.
Nousa No. p Street Hamlet
Owner or Owners of Property ~J.~h!~`~....I\~t~t.1'A .
County Tax Map No. 1000 Section ~ Block , .
Lot....a~.~.........
Subdivision ...Filed Map No. ....''''..11....Lot No. .
Permit No. .``?17~~7.zDate of Permit .~~(.9.'~.Applicant ....J6C~, , ; i`?~~{nl ,
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 rmit meets all a licable cc~odesQanpd regulantions.
Applicant ....."'~-d~1..1~1~r..........
Rev. 10-10.78 LLL...///~}y.(_ G jZ f~~o
(~s~c..35 3 s~
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~~FFD(/(~, TEL. 765-1802
o~p O~ TOWN OF SOUTHOLD
's` r'c OFFICE OF BUILDING INSPECTOR
ro rn P.O. BOX 728
5 ® ' ~ TOWN HALL
~ SOUTHOLD, N.Y. 11971
C~ Y '
P~.~~o~
To ~o~m This May~~Con~cern,
We are unable to complete your Certificate
o_f1Occupancy because of the following reasons.
N/ An application for Certificate of Occupancy
is not on file.
No Underwriters Certificate on file.
The check is (outdated/not on file.)~~5-~
No Health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation:
-Building Permit # ~ ~ J ~ Z ~~~-"~'-r!/
Building Dept.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
' "'CTIU.J ~~llATE ~ COa`iMENT° ~
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P,OUGH FRAME &
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BUILDING DEPT.
INSPECTION
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[ )FRAMING FINAL ~ ~
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JOHN C. BORN 5is-'
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BOe1RD OF HEALTH
3 SETS OF PLANS
FORMNO.1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT sEPTiO roam
TOWN HALL
EOUTHOLD, N.Y. 11071 NOTIFY
• TEL.:765~1802 CALL
Exantined .71~......... , 19p~-G MAIL T0:.(~.~ .
Approved 19Q .~Pennit No. I7~ ~ ~ ~~'f 1 ~i L1
a6
Disapproved a/c
~ F JUL 1 21988'
~i,~~~ ~~~a~ _ n~~
O/ C.71'~' I_. ~Il~s`tll ~;v L ~~_?'j
j.i{~J~~7
udding Inspector) "
APPLICATION FOR BUILDING PERMIT
Date 15 .
INSTRUCTIONS
a. j Tltis 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 Petmit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. 3x'o 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 const b}Iij~dditions or alterations, or for removal or demolition, as herein described.
The applicant agrees to co i le laws, ordinances, building code, housing code, and regulations, and to
admit authorized ins c o o ~rs„~~,d in bu~ildi~t~ •for necessary inspections.
~Y~......„.....,...,• p ~A.FIa.J . G..~o.RN . ~u I1,A.E72 .xJ.~1C......... .
!«"E_94i~:' (Signature of applicant, or name, if a corporation)
API' A~ A Wit. iii ` _ ;
....n:~:.13.~...ao E. roil N. , 3
x ~~......y.... ~'..9..
• ~~iflt€JCt:atlDttV'8 b.;': ,
~7~s4^atrt, r,•: ~ . ~ (Mailing address of applicant) ,
State whether applia~y3f~tB1's1'bt~}n~r lefsee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .......m R.S.•...4~A.?aL-AAy.. 1~~~. , . ~ .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
....Y ~.~'744 l.. 1~17.~N { •IC ~S • .
(Name and title of corporate officer)
Builder's License No. ~ a2~.
Plumber's License No . .
Electrician's License No . .
Otter Trade's License No . .
1. Location of land on which proposed work will be done . . . . , , , , , , , , , , , , , , , . ,
,,rr
, ....6.7.~ ......................G-:J^'Sll.t E.1n1.. ~.ni~................ ~0.~1%-IEQ[-..Z'J...................
I{ouse Number Street Hamlet
County Tax Map No. 1000 $CCt10? ~0... Blpck , , , , _ , , Lot , , ~ , , , , .
Subdivision Filed t<tap No. Lat .
(Name)
State existing use and occupancy of premises and intended use and occu
11 panty of proposed construction:
a. Existing use and occupancy ....Q!"~JV. • .~~1< .
b. Intended use and occupancy ..............~e~~?`?F2:
/:v, , p6/lG~~ 7 w~} OV
t
a~itl, .=B~,°x~a~~l.. .
,.~..,i9~.a', ,
ature o work check which
Repair ( Rcl,~applicable): New Building , , , , Addition Alteration
• • • • • • • • moval . Demolition Other 1Vork .
4. Estimated Cast . (Description)
t3Z)z7 Fee................
5. If dwelling number of dwellit} (to be paid on filing this application)
g units , , , , , , , , , , Number of dwelling units on each floor , ,
If garace, number of cars . , . .
6, If business, commercial or miffed occupancy, specify nature and extent of each type of use .
Hcigf b.... N res, if any: Front . Rear .
tt 4 Depth...............
Dtme tuber of Stories , . , ,
tmenstons of existm ~ structuwdh alterations or additions: Front ~ •
Rear.....
Depth . , • • • • • • • • ' • ~ • • tntction: Front ,
Height t ~ height Number of Stories .
8. Dimensions bf enhresne
v cons , , , , , , , , , , , Rear . Depth
Number of Slories . ' ' ' ' ' ' ' • • • • • • • •
9. Size of lot: Front Rear',
10. Date of Purchase ~ Depth
' ' ' ....Name of Former Owner
1 1. Zone or use district in which premises are situated ~ • • • •
13. IVill lot be regraded Plate any zoning law, ordinance or regulation: .
oes ro ose consptruction vi ,Will excess 11 be removed from premises; Yes No
14. :Name of Owner of remises .~C~S I~tAttEirlA, , , , , , ,Address .k;N~~jt~, DR,,,toun~p~,p Phone No. 7~:s:': ,S,9.SO.... .
Name of Architect , ..............Address .
Name of Contractor . ~o.Fbl .~CRN. , • • • • • • • • • • • • • • • Phone No....... , ,
,Address L3c>F??08. ~',,m, 6(Lrq,~, , ,Phone No. 3a~ ^ At~6
15.:[s this property located with in~00 feet of a tidal wetlaad? *YES....NO.
*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 bloc)q number or description according to deed, and show street names and indicate whether
interior or corner lot.
it
~ A~ ~ AfMp[~ 23
DATE: ile
FEE:
NOTIFY 1
~ 766-704 9 AM 1O 4 IMII l~IR 1MIE
- FOLLOWING IN$PECTION$:
t. FOUNDATION - TWEfREaNlIlO ,
FOR ROURED CONCRETE
2. ROUGH -FRAMING 8 PWM$ING
3. INSUL.A?ION
d FIN,41. - CON57RUCTION MUSt
I ESr COMPLETE Ft)R C.O.
Ft,ll. C;t?~IS'fH11C71C)N SHALL MEET
~I iFdE i,C:£;UIRE'MEN7S OF THE N.Y.
F {Y"7~iSTRUCTiON ~ ENERGY
e'.,;, n'+^," i! fisPt~NSIBLE FOR
'I C,. ~"d t:Fi t: ~:~a;>~RS_ICTIGN ERRORS
i
STATE OF NE~V RK,
COUNTY OF S.S
• ; bcin dul
(T\`
'ame of individual si;nin~ g Y sworn, deposes and says that ha is the applicant
above named.
Ifcisthe
(Contractor gent, 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; [hat 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 the application filed therewith.
Sworn to before me thi~s/ l '
~o?.T."l.....day of . l . , ~%~y~, , , I rl'6~
Vo/ta~ry
P/uJblic',,~,~~ ~~~,,~j ! unty /
C~~~G~~EL2ASETHANN ~:.~d.r,},U?~ti,'~~e~ 4f:t'`z.•.....
NMerryyPublic,State yr„k (Signature of applicant)
N0. 62$1261750, Su
Tian Expires Oc•~n,~r 31,..1
3 7 ~sS-isoz
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING FINAL
~ ~
REMARKS:
DATE ~ 0 INSPECTOR
E ~ . ~
,:'TEED I;:SPEC,iON ~~llATE ~ %OhiMENTS
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FOUNDATIOtJ ( 2nd ) m
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