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HomeMy WebLinkAbout17248-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219405 Date OCT. 2, 1990 TBIS CERTIFIES that the building ADDITION & DECKS Location of Property 150 MASON DRIVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 07 Lot 1.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SLILY 22, 1988 pursuant to which Building Permit No. I7248Z dated SLILY 22, 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 ADDITION AND DECKS. The certificate is issued to SANE & GEORGE SWEENEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N125492 APRIL 24, 1990 PLUMBERS CERTIFICATION DATED RICHARD MAC NISH MARCH 8, 1990 Building Inspector Rev. 1/81 roses xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) Na 017248 Date Permission is hereby granted to: ...~,.sr.~.........°~1..~.,~~~.~,.... ,J.~ / 9"3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. . . . . . . ..~.j. -.y. . . . . . . . .7. . . . . . . . . . . . . . . . . . . at premises located at ....~n..j..t.~.~l. :..............:.~/....~~'.`.~1........Ll....:IL'c~:`~......................... .......................................1......i/!.t ..........................................'Y.1~~..44........... ~..,1 /....~'.,1....,.~...~................................ County Tox Map No. 1000 Section ........Ir~~ock Lot No......~t..~........ pursuant to application doted 19........, and approved by the Building Inspector. Fee s....l...~„~.:...Yr Building Inspector Rev. 6/30/80 ~ ~ : . . TowN of saurnoLD ~T " ~ ~ BUZLDING DEPART:IENT TOFlN IIALL ~ F#ICSLD ~ 3 SOUTIIOLD, NEK YORK I1 ~Vp ~ ~ ~ ~'~i~ w 765 - 1802 hA~ '~s Y, TONIN~CDiF 5Ck! ThtC)1, `Y.,,.,. APPLICATION FOR CERTIFICATE OF OCC 7CY .mow . NEH CONSTRUCTION .......OLD OR PRE-E%ISTZNG BUILDING......VACAN/T LAND.... Location of Pxoperty..~Sa.... ~,__,__.~v~~'~csy?~ 1f0USE NO_ STREET UAMLET Ovner or Ovners of Property...~:"'~~~:~~~~~_ ~AJ~Yt~~ County Taz Map No. 1000 Section ~;y. Block Lot'. Subdivision Filed Map ........Lot._._...._. PermiC No. ~~?J.~JzDate of PermiC ~:y~ZJ~~.Applicant ;T"??~!~'v`!'J'_S4/~e»~ol • IIealth DepC. Approval Undcrvriters Approval......._...... Planning Board Approval Request for Temporary Certificate Final Certificate ` oa Fce Submitted: APPLICANT.%...G:,6~_!.' S ~ b o ~ ~ ~~y~~p rep• 1D/ia~ss i ~ X~ 9~ - FORM NO. 6 TOWN OF SOUT110LD BUILDING DEPARTMENT TOWN DAL 765 - 1802 APPLICATION FOR C1RTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must bell,filed in typewriter OR ink and submitted to the building Inspector with the folloying; for new buildings or new use: 7<. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final approval of IIea~th Dept. of eater supply and sewerage-disposal(S-9 form}. 3~. Approval of electrica} installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less" Chan 2/10 of IZ lead. T`" Commercial buildings,~industrial buildings, multiple residences and similar- ' buiidings and installations, a certificate o€ code cumNlianea frcow C4yE Asclritect or Engineer responsible for the building. , ,~'i~ Submit Planning Boardl,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 showing all property lines, streets, buildings and unusual natural or topographic features. :t. 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 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 biting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information) required to prepare a certificate. C. For pacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall 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. I D. SEES: 1. CERTIFICATE OF OCCUPANCY - 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 O~cupancy on pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Cert}ficatc of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certiflcate of Occupancy -$15.00 Residential Commercial I I ev. 10/14/S8 TEL. 7G5-1802 ~05~~~0~-~D,, TO'4Y~N OF SO~JTIIO~~ o : c OFFICE OF IIUILDI2•IG INSPECTOR o~ P.O. BOX 728 ~ ~'E~~ -e TOWN HALL yo ~ ~ a '~Ol ~b~~ SOUTHOLD, N.Y. 11971 D t ,~;,s, ~ ~ 15~ e3~o~ a~i~,~ T4`N~ bF SOS3~NC7t;~,.,., C E R T I F I C A T I O N , Date 3 ® _ Building Permit No . / 7 Z / ~ Z Owner tT`~-ric l'~a.r,s 5~~~,y~~_ (please print) PlumberQ.~a~d /Y/a~ f7J'.St7 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1; lead. _ ( lumber's signature) ` Sw°ern ;:o~ 6~fore me this ~`y~~dsi o 19 9u _ _ i Notary Public Ciotary Publ c, ounty C3-~' S.3-~~'O~~ LOIIETTA A. tAAY Notary Public, Stata o1 Now Yor1e No. F2~12~8 ®uaYiic~ in Sutfotk~o Commisslon Expires 9v THE NEW YORK BOARD OF FIRE UNDERWRITERS vnci': 1 _ iQU0.343 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK10038 Dote APR]i. 24,:1`19{) Application No. on file 6205U5R9/RS) % 13.5A<i7. THt3 CERTIFIES THAT only the elec[rical equipment as descrihed 6eloro and introduced 6y the applieent nomad on ehea6ooe oppliution numher in the pnmisss of ;1!;ORGE SNEE%EY, O>! MA3Q% 1>RI:Y)?:, rtiT<,'MOG11E, Y. intMfdbrrinp bcation• ? e ant ~ry GAR/UUT MARL'H 7'j Bae)irrk LJ Ixt Fl. ? Ynd Fl. Seetiun Blork Lot - rcas examined on , 1` )0 and found to 6e in complionce with the rryuiremen[e of this Board. HXTUa ACMS SVYITCNN RXTUR6 RANOES COOKIIKi DICKS OVlNS OFiH WASHERS EXHAUST FANS. OUTURS INCANDESCENT FlUOI1ESCENT OTNER AMT. K. W. AML K. W. AML K.W. AMT. K. W. AMT. N. P, f ~Ei h 1.3 24 1. f#~ DRYERS FURNACE MOTORS FUTURE AFFtIANCE R!0lRS SMOAI R[C'FT fUIE CLOCKS RNL DINT HEATRRS Mt Y ~ U!T DIh1MER5 AMT. K. W. ql N. P. GAS N. P. AMT. NO. A. W. G. AMT. AM/. AMT. AMPS. TRANS. AMT. N. P. p ~T AMT. WATTS 1 f•t)t) SlRVIC! DISCONNECT No.w 5 E R p~ V 1 C E AMT. AMP, TYPE t/t\Y 1R]W ]i]W ]X rN ffM COND. OF CC COND. ~.OF.NI~LEG OF~N~~iC NO.OP NEUTRALS OF NWEU1GPAl s 11 OTHER ANARAi115: j MtRI%t; F6R %RTI ADllIT"10% U%I,Y 1. k;f,F:f.. RUON HEATERS:1-.7~+ K,N.,t 1.ti K.M.,2 ?..5 K.11. k;1,I~C. Rt?OM BMnTERS:'1-'L K.N. - I'A%F;irBOARAS:1 -11. 1'IR. LOCI SMOKE DETECTOR:-1 ~s~ (;001)At.k. i~;1,15CTR:C : L7~T'.~'183-E, 7355 Mn1N ROAt) OENERAt TERN ER MATTITIiCK, %Y, 1'19'i; 1'i ,r~ Psr / This certifiWb must rat be akered in any manner; return to tla offir" of fhe Board if inwrrscl. In rs may be idamiTad by Nair cradantiols. CO FOR BUILDING DEPARTMENT. THIS COY OF CERTIFICATE MUST NOT BE ALTERED IN Id~11f MANMER• m ~ 3 3 p I ~ i~ ~ o u r^'ro aF D ~ MASON D.¢IvP 2 0 ~ 2 M TN X:D N 1 ~ o o m o s Np .Y, ~ a` ~ ~ ~ ~ ~ c 4 Rt r 3~0~=. ~ 5 (~Z, ' 3o°E m- 9 Ill 3 5 a"p5 ~ ~ a ~PY~A ~ 2 i (n r- z ~ o• z ~ rn i ~ ~o R~ O p ~ y ~ ~ ~ O fi ~ D u A n ~ O~ o (/7 O~ m C o n C1 '-C J tp p 1} C A O y, Q ~ IC Q. ~ ny,~ 3 ~ 'V ~ ~ t3 ~ ~ ~ ~ nX co ~za ~mb Q ~ 3 ~3 ~e y~ o~i c w ~ 4 C ~ r ~ ~ Kv _ o rn ~ ~m ~ z m 7C M ~ 0 ~ ~ O -F. ~ I~ o~ ~ ~ `C ~ N x t ~S~fFOr.~~, . ~,,cz^~+ C;~ ~ T01~ IV UI~ SOUTIIOLD • 1~~~~Y;~ ~c~ OFi'1C1: ()1' fiUILDIM1'C INSPECTOR U ~~~/44 z 1'.O. DO'( I l 79 ' ~ TOtVN HALL ;b,/~l r~~~' SOLJ7"HOLD, N.Y. 11971 February 26, 1990 Jane Paris Sweeney 150 Mason Drive Cutchogue, N.Y. 11935 - To t9hom This May Concern, 4;e are unable r.o complete your Certificate of~occunanc;~ because oL• the follocoing reasons. /_a/ An application for Certificate of Occupancy is not nn fil.c. ENCLOSED) / / *to Under~•~riters Certificate on file. 't'he check .i:: ~%t~iRt$.~1Xc&Sjtnut on file.) $25.00 No 1L;a].th Dept. Approval on file. no final inspection has been made. P]ea:;e r_ontact our office on this matter. - Thank you for your cooperation. ISU.ildir,tJ Pcrm.it•, tt 1 7 2 4 8 Z Duilc]in Dupt-. - " / Ilo Plumber Soldor Certificate on file. all pormils involving plumbing being icsuccl aFtcr April 1,1984 ) r c'1ELD iL:SPE~;iU;J ~~llATE ~ i:Ot'iMENT° . ti, V v F~ ~ 3 H y FOUtJDAT20N ^ (1st} = N cn FOUNDATIOtJ (2nd) _ C /O ~ 2. z 0 ROUGH FRAME & PLUMBING ti . y 3. ~ ra IIJSULATION PER N. Y. y STATE ENERGY Q CODE d r 4 . FIiJAL z ADDITIONAL COMMENTS: x ca x ro~ H pp-~ ~ 'N 9 H p. H l"~+ O ~ V r O . ~ x a • ~ r H d CTJ .9 H ~ 7 765-1802 BUILDING DEPT. i NspEC°rioN [Y] FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ _ [ ]FINAL REMARKS: __~~~~f l~..~ ~ - DATE 0 a~ INSPECTOR / ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( INAL REMARKS: i DATE ~ ~ INSPECTOR R + r ~ ~ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL ~ REMARKS: .~l~P/~A C;7"k-- ' DATE ~ ~ INSPECTOR r l ~~-182 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING ( ]FINAL REMARKS: ~~9-,. CTS DATE ~7 ~ INSPECTO~ 1~~~~ 765-1802 BUILDING DEPT. INSIPECTI®N [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL REMARKS: 7 i~~ i DATE D INSPECTOR ~ _ BOARD OF HEALTH 3 SETS OF PL.1N5 FORM NO.1 SURVEY 'i TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT sEPTIC r•oart • TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY - TEL.: 765-1802 CALL 19~ ~ MAIL T0: Examined Approved 19r?/~Pennit No. Q d~ / S~ , Disapproved a/c (Building Inspector) T APPLICATION FOR BUILDING PERMIT - Date Z.~....., 19 c~l~ INSTRUCTIONS a. Tlus 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 schedute. 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, housinry code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~j~ / y. e-~ . (Signature o[ applicant, or name, t a corporation) ' (Mailing address of applicant) State whether appl/icannt, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........~!zV!/~~ Name of owner of premises .....ti-!..a/? °...~°.3"Cs ...~4!~'.~wl. ~.5~ . (as on the tax rol or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer)~p~ Builder's License No. :":".~,.,2X~..:... Plumber's License No. i . Electrician's License No. . . Other Trade's License No. ......-:~.-..i'. . 1. Location of land on which proposed work will be done . House Number i Stir/eet\ Hmnlet County Tax Map No. 1000 Section ~.~1..Z Block 7.. , . , • • , , • • Lot Subdivision ..............~J~. • • • • • • • • • • • . Filed ~Iap No. • , , , • , Lot (Name) ~t State existing use and occupancy of premises and inte~nd~~ed/use and occupancy of proposed construction: a. Exisung use and occupancy ...~~y<~E'~~'•"~'• • • • . b. Intended use and occupancy attire of work check which' p • . • . • . • • • • • • Rc applicable): New Uuilding Addition V Nteration Re atr Fnoval • . . ( ~ • Demolition Other \Vork . 4, , Estrmated Cost ~ l ~j,0,o6 u (Description) i Fee.~L./. ~.r..~~~ (to be paid on filing this application) 5. If dwelling, nurnber of dwclliri g n g units Number of dwelling units on each floor , If ara,e, number of cars .....~••r 6. Tf business, comrnercial or miffed occupancy, specify nature and extent of each type oC use , , , . • • . • • 7, Dimensions of e. fisting structures, if any: Front . , .'.,C; S ; , , , , , ,Rcar ;?';f; " ~ . Number of Stories , • • • • • • • Depth , ' ture with alterations or additions: Front :T":r ' Rcar . 6,Z ' • • ' i e'j3E1T`.. . Ilcight X.?~ . , . ~ Di . , • ...............Number of Stories z, • . i constnrction: Front . . 2, 2, , Rear ~c Depth . , Y!!. , ~4~ H~ > • • • Number of Stories . ~ ~ • ~ . • . • . ' • . '9. Size'tsf to , • S'~ Rcar do , .............3 ~s;y . ,,r.,•• Depth . .mot, i~:~e...... . 10. , .p ;A ~ ....Name of Former Owner d lone orli's%~d~ts•r rich • , p p remises are situated . . • • es ro ose construction yr 13. 'Hill lot be re raded ,./1/O .Olate any zoning law, ordinance or regulation: „/1io, , , , , , , , , , , , • • • • . p ' ' • • • • .........Will excess 611 be removed from premises: Yes 14. Name of Owner of remtses .7:~•d~e: , .,=',cy g ~raC,/.. Address sir„??moo . . Name of Architect , , a' • Phone No. J.?~! r~~,'', , , . . Name of Contractor . ~ ~ • • ' ' ' ' ' • • • • Address . . . . . • , ,phone No.............. . ................Address ...................Phone No. 15.Is this property looted with in ;x100 feet of a tidal wetland? *YES.X..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 Gnes. Give street and block number or description according to deed, and show street names and indicate whether interior or corner ]ot. 'I i I iil STATE OF NEW YORK, COUNTY OF . SIS above m (Name of individual sip ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant ,niq~ ;contract) rmed. i !Ic is the . y! (Contractor, agent, corporate officer, etc.) ~ ~ ~ ' ' ' ' ' ' of said owner or owners, and is dul 'authorized to Rerform or have erformed the said work and to make and 61e this apRlication; that all statements contairjed in this apRlication are true to the best oCltis knowledge and belief; and that the work will be Rerformed in the manner set forth in the application bled therewith. Sworn to bcCore me this ' Rotary Public, , , , . , ,~'e-,t.-. ,2~.°. !%Q-v(/~(/, , County G~~i~j r HELEN K DE VOE ~ NOTMtY PUBLIC, State of Nees . No.4707873,SuHelkCouRq (Signature of'applicant) Term Expires NHrc6 30,19..,. I I I `\ PS tlnl lL[I< wN�l� w int DlNt � . . _. '.,. 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