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HomeMy WebLinkAbout17274-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217210 Date AUGUST 19, 1988 THI5 CERTIFIES that the building ADDITION Location of Property 685 ORCHARD ST. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block OS Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21 1988 pursuant to which Building Permit No. 172742 dated JULY 28, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JOSEPH AND ANNE NOLAN (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NfA PLUMBERS CERTIFICATION DATED N/A Building Ins for Rev. 1/81 FOEM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ffHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 0 017 2 7~ Z Date ? 2 8 19.a..GJ Permission is hereby grante to: r r via .~~.........,~..yr.< .......~r~3s .~..e~.....~~.~~.........~~~.~... ' at premises located at ....~..~~....~S~~P~~6'.."....~._'.. .r ~ C=~ County Tox Map No. 1000 Section .........117.... Block ..........®.~yy~~Lot No .............3..A... pursuant to application doted 19.0.. and approved by the Building Inspector. Fee $.s,J. ild1 nspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Q ~ ~ ~ D~!y 4~ Building Department Town Hall AUG ~ g Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLU(, p TOWN OF SOU HOtD 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 equal). 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 or 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 buildings 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 $ 50.00 ~ 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 0 0 4. Vacant Land C.O. $ 20.00 n J~~ S.Undated C.O. $ 50.00 Date NewConstruction,,,,,,OldorPre-existing Building Vacant Lad , Location of Property ~U ~ .......[~~,;O~Q~, , , , , / ~2;2-'~ ~„(~{i~/ House No. " ' " " " Street Ham/et Owner or Owners of Property ~ Q': , , , , , yy~~ ......Lot .....3. ~J....... . County Tax Map No. 1000 Section ~ Block ....c,!~, , , , , , Subdivision .................................Filed Map No. ..........Lot No. / r~ Permit No.l. 7 Date of Permit ~Q , . , ,Applicant . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate 11 Fee Submitted $ ~J. ; .~J, v, , , ~ ;1 Construction on above described building and p it meets II applicable codes and regulations. Applicant. Rev. 1010-78 ~ 3s' ~ DO e.o. zi~aio r'lELD I;:SP~C7iU;J ~~UATE ~ i;OMMGNT° ~ -v ca 1. ~ ~ 3 H y FOUtdDATION (1st) ° c n FOUNDATIOIJ (2nd) _ - 2. 2 O P,OUGH FRAME & PLUMBING ti y 3. m m ~ y IIdSULATIOAI PER N. Y. , STATE ENERGY CODE x ~ ca 4 . ~ ~ FINAL z ADDITIONAL COMMENTS: x rt x b H 9 H H \n p o Z x m b r H~ x o. -o H S~~F aLKC~~ TEL. 7G5-1802 O L,</~ OG~' TOWN OF' SOUTIIOLTD t:f~ G£:~a~t ~ UI~PICL• OP BUILDING INSPECTOR rr.a ~~ni? ,~T, P.O. BO\ 728 ~ TOWN HALL SOUTIIOLD, N.Y. 1 1971 oyfol ~~0 1 I } ~ ~ ~ Y To S4hom This May Concern, we are unable to complete your Certificate of Occupancy because of the folhowing reasons. nn application for Certificate of Occupancy is not on Lilc. / / No Underwriters Certificate on file. ICI The check is (outdated/not on file ) 't2q`.~w No ttcalth Dept. Approves on file. No final S.ns.pection has been made. Please contact our office on this matter. Thank you for your cooperation. ~p 13uildi.ng Permit Ik ) 7 Z ~ b & ~ C?.~~.~~ Building Dept. ~ ~ No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1984 } . _ . . __._.w..__--___ t ~ 0 N.6'S~'.~J'[. - /3b.0~ t .`ti. o+ ~ ~ ~ ~ t ~ _ t>) C U `f, o ' G i - - ~a. r 1 + ~ R ~ id. .,a j` Q 0 4 ~ 4 S. S.raG .`.~U1i~~~'( ~ + ~ i f w ~o om ~ n a w~D0.' .a ' - Gi " G N 3 A ~ ~ a o-° O~_z U p,~~.a.--f-.'_ i'"'- i~~-K.F z o ~ m H ~ 'O m o imy. foK C - _ ~ Oz0000y „~,a TNT ~ ,yv `O^m3 am ~0,~3 £00 ~ ' rI. j. J. N O o A z S 0 n ~ c S p %~V I O ° D ~nY n ~nZ Op BCD .+J j ' Ci cN z G~Oi.D- AOm 9no /C' ~ o ~ ~ ~ a; i 4 C'y -U T- yy~ ~.5~ S ~ "Y PiD J.» i4 G. f ~ r, u . ` r., ~~t - ~ ! . r. r. r t,~ C G ~ , , s ci c C. O S. ~ w_ C, ,,5, c ~ L ~ o Q s ~ ->-~-1 • (Ye~i K 4 ` I l) ~.1 C n ~ C n ~ ir. 1 ~ ' t ~ ~ h ~ f ~ ~ ~ ~ G ~ 1 ~„i ~ `"e l `7~~~f ~ 'ss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [/yIFINAL ,Q~. REMARKS: ©~K . ~ ~ G ~ ~ r DATE ~B~INSPECTOR G~. , ; BOARD OF HE~ILTH FORM NO. 1 3 SETS OF PL.1NS . SURVEY a TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPf TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 705-1802 CALL ~~~`~O 7~ Examined.!-.!ZQ.'........, 194.V MAIL T0:.....~~.(1.~.~„ Approved j J........., 19 t~0. Permit No.~ ~!?7~~ D ~ ~ ^ a,( Disapproved a/c 5---- Tpy~,~' ~~l~!. ,SpE'Fty~;~; ..(Building Inspector)•~~ ~D APPLICATION FOR BUILDING PERMIT ,,Q' Date , 13'. INSTRUCTIONS 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 applicable 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, housing c ,and regulations, and to admit authorized inspectors on premises and in building for necessary inspe ns. (Si „ature of appli t, or name tf a corporanon) (Mailing address of applicant) , State whether applic,~~.~i ~~v~te~~,;~,egs~~, agen~tg, architect, engineer, general contractor, electrician, plumber or builder. Name of owneA6~6PIe';ise~;-,+l!rn`0~1. ~ J e.. !t!C.'L~/9N ;,I?4~ ftta't i14ti p ~'tt~ ?uI!.. ~ ~ (as on the tax roll or latest deed) If applicant is a corporait~n {~i~"hafiiie `of ~ufy `authorized officer. f,I~+~PIfCI'~'~') UlCu,'As`+=;'~)~.,k , ~~(ts~t~~~~~~:~t~~ O~CUpA~~~ 0~ (N~ii~~tl~ b~f'"~t~r'~pt~~at~`'df'fi`c"ei)......... t Builder'sT~.~~ra` oloS1"~-~•~;'~~~~ nsc~ ~ trt..~. UN~.A~FUt~ Plumber~~~~t~~~. %3'''3~IR::~tF~i-it,,... ,..R,........ ~~~i.d~ i V~li 1 ~~~i0~~~ Electrici ~ r~d3"?~~~°~~:--. r, ~~~~~~e~~°t,,:~4 ` ~ aCUPAN~~ tt~~ a„~ Other Tr5ilc~st~,cense No. . 1. Location of land on which proposed work will be done . ~ _ House Number ~ Streets ~ ~ ~ " " Hamlet ~Y County Tax blip No. 1000 Section Black ...®:S, , , , , • . , , , , Lot p. , Subdivision Filed btap No. Lot . (Name) State existing use and occupancy of p/remises and int/e~npded use and occupancy of proposed construction: a• Existing use and occupancy • • •G . /,,,ppp,,,~~~,,, b. Intended use and . ~~/fG' .................fl.........p..3.......... . occupancy .W . .`.t. 3, 3. Nature of work (check which applicable): New I3uilding , , • ~ ~~'c/G ~~~i/~~ • • • • • • • ....~rhoval Addition fUtetat!~n . R [ • Demolition Other 1Vork . e ~r~(' `CJ'O (Description) 4. Esrimatcd Cost • Fee . 5. If dwelling, number of dwelling (to be paid on filing this application) g units Number of dwelling units on each floor , If garage, num ber of cars • • • • • . • . i .....Fy,...•..•....••..••. 6• If business, conunercial or mix''ed o ;specify nature and extent of each type of use . . . 7. Dimensions of existing strut Heigftt St Rear Depth Dimensions of sa it additions: Front • • • • • ~ ' ' ' ' ' ' ' Depth........a,.` Rear............... 8. Dimensions of entit e v c` . : J ' ' ' ' ' • • • • • Number of Stories • • lchon' Rear . f? r.~...... Depth Height .........t~.,. ' . Nu~nbcr.' s . ' . 9. Size of lot: Front ~ :"'"~,~jr.'}~•'~. Rear De th . •t~„ e•• P ] 0. Date of Purchase , P • • • . '•~••••••••••••••...NameofPormcrOwner 11. Lone or use district in which 13. 6Vill lot be regraded • remises are situated . . 12. Does ro osed construction viglate any zoning law, ordinance or regulation: • • • ~ • • ' ' ' ' ' ' ' • • • • • • • • • • • • • \Vill excess FIl be removed from premises: Yes No 14. Noma of Owner of premises ~ ~ • Name of Architect ~ ~ ~ • • ~ ~ • • ' ' ' ' ' ' ' • • Address PJtone No.............. . Name of Contractor ..................Address ...................Phone No............... . IS.I:s this property looted within "Address .PhoneNo *If qes, Southold Towp Trustees Permit may bearequiredetland? *YLrS....NO.... . PLOT DIAGRAM Locate clearly and distinctly aIJ 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. r U~~~ ~%w YJr~G/~ OPl ~?~1 c~~ 'S ~ irr~ ~ ~°~=P~,~ ~ . APPRO Ed AS NOtED DATE: 7 7 ~ ~ S.P, M ' ..2 on FEE: _..~~J 1'GEPA NT A NbTIPV 786-1802 8 AM In 4 PM FOR TILE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REDUNIlQ t'4 ~ " f"'. ~ FOR POURED CONCRETE a ~ . ~ sz z ~ ~ . ' 2. ROUGH - FRAMING a PI.UAAeINIi ~t_ ~,..j~; P~;,k. , =p 3. INSULATION -~t` ? s _ t # ` ~ b. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. STATE O F Y~I~r; ' " ' ALL CONSTRUCTION gM1ALL MEET ' ~ ~"'e.:'~ e: ntS 5~.-; . : THE REQUIREMENTS OF TNB M.K COUNTY O f........ °•e ~ , tili7il ` STATE CONSTRUC110N Et ~ilRGY .~1 ~~c~. ~r s ~ being duly F011 Name of individu5l sty tg contract) NEhR~e applicant above named, He is t}te ....~.~,dN~/fCJ~h (Contractor, agent, corporate officer, cfc.) ~ • • ' ' ' ' ' ' of said owner or owners, and is duly autltorized to perform or have performed the said work and to make and file this application; [hat all statements contaiped in this application arc 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 this • ...........a~.~ .........day of 19 ~p Notary Public, • , • ~~t(Q-~.Ci,+~5,% lG , County HELEN K DE VOE . NOTARYPUBLN;ShteMNerr i~nature of a TamEKaTresgMirch~,1~9 PPlicant)