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HomeMy WebLinkAbout17272-z FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z 1 74 5 2 , Date No.......... OCTOBER 25, 1988 THIS CERTIFIES that the building.......A,DDITI,ON,,,,,,,,,,,,,,,,,,,,,,,,,,,, Location of Property ,435 RILEY AVE. MATTITUCK House No. Street ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~Hsmlet County Tax Map No. 1000 Section . 14 3........Block 04..........Lot ~ . Subdivision ...............................Filed blap No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated , , , , , Ju l,y , 1 8 , 19 8 8, pursuant to which Building Permit No. ...1.~ 2 ~ 2 Z dated Ju I,y, , 2 7,,, , 19 8 8, , _ , 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 . ,,,,,DECK,&, SHOWER„ADDI,TION,TO,EX,I STING ONE FAMILY DWELLING. The certificate is issued to , , ELLEN 6 ALLAN WE%LER of t}te aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO R?/.t?................................ . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rav. 1/81 ` roam xo. 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) Nfl 17272 Z Date ..~y~y..7 19.~~ Permission is hereby granted,,to:/%~ ~ / .......y~,3.5" .~r--...... ~ ~ ~ , ~rc.....~,r~......~~?~ of premises located at ....7':~~..4.1......../~~c~~.... Caunty Tax Map No. 1000 Section Block Lot No............~.s~... pursuant to application dated 19Q.~ and approved by the Building Inspector. Fee Bu ing for Rev. 6/30/80 - ,i ' _ Y FORM NO. 6 ~ ~ ~ 4 TOWN OF SOUTHOLD ~ F, Building Department Town Hall ~ Southold, N.Y. 11971 ~ APPLICATION FOR C6FRTIFarOn-rc r.r - 7rn.,3?t~G / HOI~p i TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR ec- Town Hall Receipt No• ~ v ~ ~ ~ ~ Southold, New York 11971 al Date ......~a `a?,S'~P,~ . J•, la- . Received of ~ g. ....~..........//o D ......................................../100 Dollars v- . For ....,r~.rr...~~..,.....~..~..~..~s ~ ..............~4~~...................1,~~-rcJ.....~~~s~....................... r Fee for Fee for Fee for ruficate Fee for ? ? 1 ? Misc. ? Yard Sate ? H.LC. LJ Building Permit of Occupancy a- 0 Check /d 7 a ...~r".v"'~ ...41 ' l~i?;, as . D ( Building Department Date ...c~.(~f...t~ ..,l.Y.~' New Construction , , , , , ,Old or Pre-existing Building Vacant Land Location of Property ~ 3,? , , . GC L~P~t_c~eJ ~GL~ ~ ~ House No. Street ~ ~ ~ ' ' ' / ~ ~ Hamlet Owner or Owners of Property „~c,~(,~(,'t-.~1~~~.~l~~~h~,__.•„•'..,.•...••...'. County Tax Map No. 1000 Section . . Block Lot , , , , , , , , , , . Subdivision .....Filed Map No, , , , , , , , , ~,~LJot No./_ ~ ~ ' Permit No. d ,?Z, Z Date of Permit . !~~,7/,~~gpPlicant , ~~~C(!~, , (Y/Z./ . , _ . . Health Dept. Approval .Labor De t. A P PProval , Underwriters Approval ........................Planning Board Approval , , Request for Temporary Certificate .Final Certificate .....C;~, , , , , , , , . _ , Fee Submitted ~ ~ , , . "7 U Construction on above described building and permit meets all applicable codes and regulations, APPlicant ..G%~~~Z~j• GAG/ ....~Q.~t li.~...UY.^.~ . , Rev. t0-f0-78 ]ELD,_ItJS:'EC:iU;J ,~UATr. i;OMMLNT° ~ "0 V ~ ~ ~ v H - H FOUtdDAT20N (1st) c FOUNDATIOtJ (2nd) - m ~J 2. z o ~ ROUGH FRAME & PLUMBING y H 3 . m m IIISULATIOP! PER N. Y. y STATE ENERGY CODE m a 9 .~I y FIidAL /Z,'~a !AI v 0 z~~- ~~'l~ 7~7s D ~ ~ z ADDTTI AL COMMENTS: x ~ ~AA S x ~ ro` H aann 9 ~ 'N y H 2 0 _ 1 . ~ A r~ H x d ca H /p ~3 y., 9~ w r ~ ~ J L6 g o y ` I O~ 900 ld ~~K'/el'~ i 0 Have ~/~'~c GZ/f~ ~ r ( ~ a _ ~u~~ 231" j "M 283" i N N ~I1..~ Y Av,~ ~ 7~ 765-1802 BUILDING DEPT. INSPECTI®111 [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: _ s _ DATE ~ INSPECTOR v ~ I~ _ ~ e 765-1802 BUILDING DEPT. f NSPECTION [)FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND INSU TION [ ]FRAMING [ .FINAL REMARKS: 0 ~J~y~~Ls Pl y ` DATE 2 INSPECTO i 4 BOARD OF HEALTH ''JJ D ~ ~ ~ 3 SETS OF PLANS 6.1~.,•: • • c~ FORMNO.1 SURVEY TOWN OF SOUTHOLD CHECK , ¦r~~ r~ipp BUILDING DEPARTMENT SEPTIC F02"i . , ~If~. { ~ IJOO ~ . TOWN HALL BLCG. CL;''L SOUTHOLD, N.Y. 11D71 NOTIFY Sys a9~ ~f~~ f! TOIN~~ F SOU7NOLC ¢~a TEL.: 765-1802 CALL . Examined ~'.7........, 19 (X.1 MAIL TO : . Approved ] 9 ~Pennit No. ~ ~ ~ ~Z; Disapprovedalc uildi nspector) APPLICATION FOR BUILDING PERMIT f~9Q ,t Date 19~'.c? INSTRUCTIONS ACT a. 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 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 appficable Laws, Ordinances or ~ Re;ulations, 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, housin' code, aid regulations, and to admit authorized inspectors on_grg ~i in building for necessary ins ec t~ns. U/flef/' \/S/„Sr~ .,...r~+-• (J gnanire of applicant, or name, if a corporation) yry~ .n. '1 FY ...verm.n- J py ~/y!~ry ry~q~ ..yyin...,wwa G~ '~11~`~FC9 J4! Y,3FpY~i~~S~i~ ~'~~S-tom • :ill\ tMe ~ sdi ay4 rA ti. ~'^i14:`l 1:- •~l€t"EtT`43'~+` ~ ,I~.,,~~~, (Mailing address of applicant) State whether a~~ps(tgr~4fiter, lios~@@~;e~~° architect, engineer, general contractor, electrician, glumber or builder. /~P ~ 5 ..4~, i.'? ~ ~~'f4~tt~t~JtEm •~S .a /~`~~.a~7~gk. it* ' Name of owner ofpr~nl€s'C~t' "t;;,,t. ;i: ~ {.•l~l~....... l~/ ~ ~''t r•• . C~ ~r ~'t'' ` ' (as on the tax roll or latest deed) x l~,a;. ~ ~ , If applicant is a c~z'~`r~n,ts~gnatu,re of,duly authorized officer. 351*S; tai .3:., .fi <..; (Name'~a~~~,R~a~ofporatero fficer) ape, , Builder's License No. Ate/. ~.~r - Plumber's License No . . Electrician's License No . . Otfter Trade's License No . . 1. Location of land on which proposed work will be done . . . .............~~:~t-~--w~..~..................... House Number Street\ Hamlet ~ • • • ~ ~ County Tax Map Nq. 1000 Section . 1.~........... Block Lot . LL~~ . . Subdivision .~;1.1; 1~Q•t,,\,. ,T° .1"l~~'........ Filed t`fap No. Lot (Name) State existing use and occupancy of premises(a/nd intended use and occupancy of proposed construction: a. Existing use and occupancy • • • • • . . . . . b. Intended use and occupancy ~,(2 .41r) S•.-. W 1 q.G9o~Id7©1q i ,n 3. Aature of work (check which a~' n>JU~ ~~~K ~ pplicable): New [luilding , , , , , Addition ,Utcration , ' Repair Rerrjoval ' ' ' ' ~ • • • • • • • • • • • Demolition Other tVork . 4. Estimated Cost ~~Q. ds,©O . • • • . • ~ ~ .Description). .Fee . (to be paid on filing this application) 5, if dwelling, number of dwelling units/'' Number of dwelling units on each floor Q ? If gara~c, number of cars S.]"]~~G(L''~...r; O.Y...... ~c.%° • {lOq.r'... . 6. If business, commercial or Mixad occu anc ~ ~1 ~ ~ ~ ~ ~ " " " " " " " " " • • • • • • • • • • • • . y nature and extent of cacti type o(use . 7. Dimensions of existim structur p y. spccif d Fs, if any: Front . , ,7,>;3, 3 ' ' Hcight'2,0, ; , t¢• •P~`.~.k.. Number of Stories , ~ • •q •Rcar . , , -~'-~'~r't ;'~5 7"Depth .'~j,ef, ;6:. , , . • • ~ Dimensions ocf ~same stftrcfurc with alterations or ad)litions: Fron , ; ~ " " Depth •/.J~.. • • Rcar 1 Ilcight ...~1:?. J~• ..7.. . 8. Dimensions of ent're net const~tw[ion: Front , ~H~H 'r ~ ' ' ' ' • • Numbcf of~Stories , , , ,t. • • • • • . Height . z ; ~~cK~ Number of Stories . ' ' ' ' • • Rear , .3, ~ , , , , , , , , Depth . , ,y. • 9. Sizaoflot:Front....."75,td ~ Rcar...~•~ ~ !0. Date of Purchase „if p~~~' Dc th .~.Q9;.~A.A.~,ZQ~h.~8~ .............Name of Pormcr Owner .G.~~}r?~.~.... fft~.~,,1,,~"/1,1. ~ 11, Zone or use district in which premises are situated , , , , , 12. Does proposed constructjop violate any zoning law, ordinance or regulation: , r/J„`Q, , , , , , , , , , , , , • ~ ~ ' • ~ • 13. ~VIlI lot be regraded Q.. , .Will excess fill be removed from premises• y • ? 14. Name of Owner of premises . ~;A ~ ~av~ , , e'~IerAddress ,~pS..w , ~~N.1~~ Name of Architect + .Phone Nor~,~, ~ ,Y. ~ Name of Contractor . • • • • ~ . .Ii ~ ~ • • • ~ • ~ • ' ' ' ' ' • • • Address ...................Phone No....... , IS.Is this property located with in •."'Address .Phone No. X00 feet of a tidal wetland? *YES....Npl~'„ *If yes, Southold Towr>; Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all'i buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block fiumber or description according to deed, and show street names and indicate whether interior or corner lot. 5~.~ ~ti~~~,'~s ~~-awltiG I~ DATE: ~ Z 7 9g N.R ar 2- . ,l NOTIFY~0 , 786.1802 9 AM 1p 4 tMY1 T FOLLOWlNOINSPEC'F7ppg; THE ' ~ 1. FOUNDATION - TilYO RE~UMIEO FOR POURED CONCRETE 2. ROUON - F1IAMINp Et,.Plt1AA81Np 3. INSULATiQN ~ 4. FINAL - ~ CONSTRUCTION MU8'"1' BE COMPLETE FOR C,Q, ALL CONSTRUCTION $HAII MEET THE REQUIREMENTB OF 711E N.Y. STATE CONSTRUCTION A ENERaM ~ DESIGN OR ONSTRUOC11pNEERRq STATE OF NE1V YORK, COUNTY OF S'jS (Name of individual signin~ contract) ~ • ' ' ' ' being duly sworn, deposes and says that he is the applicant ibovc named. le is the . ! (Contractor, agent, corporate officer, etc.) ~ ~ • ~ ~ ' ' ' ' ' ' ' •f said owner or owners, and is duly ;authorized to perform or have performed the said work and to make and file this Pplication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the 'ork will be perlbrmcd in the manners}t forth in the application facd therewith. wom to before me this .~~....dayoF. ..~y.......,.. ,19 fg t r, otary Public, , , , ~"`."`r'N,~ ..~.~~(•.~//p~,~~~....... County HELENN K DE YOE • ~ ~Y:: ~ ; • .."Y . ' PUB 1~ of w'Yaykl1 ~ . ' ` ~~M Sh k~ou_ m~~ (Si;nature of applicant) I - /Z '0" -"" ®® ~'6~" ~ ~ I ~ ~ 1 _ z r„ N ~ { N ~ ~v ~ ~ i ; ; i \ ~ ~ t~l ii 1 ' - _ ~ i ± ~ ~l~ ~ ~ I I ~ ~ ~ ~ I I: 1 ~ ' 1 ~ ~ ~ y - - 2--root-..~.._ ~n ~ l , ~ ~ ~ ~I ~ r~ J v _ ' N~~ i " i Ch i i y ~ ~ ~ -_Vl- I ~\w l i 1 \v ~ d • x~ ~ o~ N~ ~ ~ ' ~ ~ ~ ~ ~ ~ i! ~ ~ ~ ~ ~ f ~ ~ y ~ ' ~ µ ~ ~ r~ ~ a