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HomeMy WebLinkAbout17280-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tawn Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218361 Date SEPT. 12, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 64098 NORTH RD. (C.R. 48) GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 03 Lot 3.5 Subdivision ARMAROY ACRES Filed Map No. Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1988 pursuant to which Building Permit No. 172802 dated JIfLY 29, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE. The certificate is issued to SCOTT CORWIN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-19 AUG. 30, 1989 UNDERWRITERS CERTIFICATE NO. PENDING SLIP 9/5/89 PLUMBERS CERTIFICATION DATED SCOTT CORWIN JULY 17 1989 B it ing nspector Rev. 1/81 FoaM 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 2 a~ Z Dote /.,1....~.9 19.C1~ Permission is hereby~gra)Cn/7ted~to: SY'"r..«l.....~Lf 4 ~t?...~C.,z.~:..a.~~ ...~if~y...`..y~..~......l~q~f........~ , to ..~~~:`n,.................~ rte...... /r ct premises located at ....Yt~ ....JP[' T ~4~3~t1 ' County Tox Map No. 1000 Section Block ......a~.......... Lot No........~~.a..~11....... . pursuant to application doted ......~.,/..j.~ 19..5!dt, and approved by the Building Inspector. / Fee $.~.~r...%~t. tcs/ 9... 8u n 1 for Rev. 6/30/80 n Ei ' TOWN OF SOUTHOLD U ~ t9 ~ ~1~1~! ..~.......e~ ; ~ ~ ; BUILDING DEPART?PENT i TOWN IIALL SEP "'C) $g¢7j1~ SOUTIIOLD, NEW YORK 11971 ~,d 6LOG. OEP'T. 765 - 1802 T0WN0FS0UTH01,~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY / DATE......~~ NEW V CONSTRUCTION .......OLD gON~R PRE-E%ISTING BUILDING......VACANIT' LAND........ Location of Property..~~~,1v, ~,~y'f • . _ _ ~ a~ HOUSE NO. Y " " " " " .'STREET HAMLET Owner or Owners of Property... ~1~/1 ur/'~ ' . County Taa Map No. 1000 Section .JV,,, Block ~t Lot- Subdivision..~'~{~f,~,~0y?~-.-._ Piled Ma / P Lot........ Permit No. Q.I~,a.BV~,Date of Permit ~ ~J,l~'.Applicant .~Cp~,~s~ue,J~n/ / ~ / ~ Health Dept. Approval Underwriters Approval..... Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: APPLICANT... D ~1~~~`I~y'~ 3~/ rev. 10/14/88 ` c~~F ~ 0(/~,`, TEL. 765-1802 0~0 ~Y~} D~ TOWN OF SO~JTF30;LD , ~~La~i~ , < OFFICE OF IIUILDIA7G INSPECTOR f ~ ~A (1 ',`i i~j ' , c°n '~y: ~ P.O.BOX728 ~ wv, _..;~Idi~ -c TOWN HALL ~~0~ SOUTHULD, N.Y. 11971 SEP - 61989 ~LDG.DEp TOWN C1F SUUTEiOL~~~ C E R T I F I CAT I O N Date ~ IM~ Building Permit No.~ Owner_ S~~ ~,y,w`~ (please print) Plumber ~y ~ ~ ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this ~_day of , 19~. - Xo Gt/.t C/D-2~ Notary Public Notary Public, ~ County NOi~RY PUSIIC~S~tEe ofEtdew York No. 4701$78, Su9klk Caurdy.. , Term Expires kRxroh 30,19._.71 r1c:LD I;:S:'?C:IU1J ~~llATE ~ COrfMENT° \ ro p 1. Y y ~ ~ N _ H O _ - - '-7 FOUIIDATION ( 1st ) ~~pf 0 ) FOUNDATI01d ( 2nd ) OT ~ ~ ~ i; z. ~ z ~ ROUGH FRAME & ~ ~ o~~ PLUMBING I1dSULATION PER N. Y. •STATE ENERGY ~ ` 71J ~ 1U CODE A ~ 4 . ~ y s ~ ` FIiJAL LN Q .~I o . ADDITIONAL COMMENTS: x ' x \ ro H 9 H 2 0 r a r ( - H ~,p ~ ~/1 d m -o H f~ ~~1~~ 4 ~ ~ ~ « ~ - ,4. It 4 _ tip!.-six r r d s ~~r' }xA ° ~w~ ~ erT ~yyy~ - i ~ ~N rn ~y.,,, A,~GV 4.yT1 / ~ ~ ~ ~ , c~~ ~ C ~ ~ C bg ~ - ~>~a,~~~ 1 1 " a. .y. s _n - _ ~ ~ ~ - Y C ~ 34b ,f r, , + ~ 9U T ~,'~j 0~s;.'" E2. 9 a` ~ ~ ~ t S - ~ b~ ~ , ~"'v ~ . ~ ~9 r ~ ~ ~Q. ~ r- ~Npq ~ ~ q} y .J ~ F gal ` ~ ~ ~ (gip" +r ~G. ~ ~ ~ ~ y`" J*L id 't?D Y Air a Y c I~ ~ F{fit 44 t~= y {~'4~+~ { ~ i ? . :t~~: ~ J z ESN ~ r b F\ , ~y ~ .1~'_~~ ~ ~,Q~ { ti m{~TI • I~ C~, f f Y } _ 1 t 4~ _ ~ h, ~ ~ r~ ~ , ~C p~0p .9 I''~~~pp ~ ~ ~ eca aid t r a { p~o~Ww~"'IJ w ''~_s nay ~,a , s g al -z ~ f ;"r i h r~C s " 'T ~ t N Czi ~ - ~ `ter. ~'~c r~, rt .;~'t~. i ~ ~CS ~ ~ ti s c ~ F> ' !fl : CP ' ~ ~ ! SOm W .a 3' ~ : k:.' e >t I ~ S~ f S i x, F 3 _ I d t W z ~ ~ -Y J Q f f~ a~ 11 }j fi k ~ x s x { f n , ~ ~ Z j u i~ ~ ~ D Q I~~ r a 5F5~ ~?S ~ r ~ 7t ' u~. Z v Izi a'' c-"z ~ y ~"'y ~ ~ < , F~ 1 ~ I~ ~ ~ ~ ~ ~ O 2' _ ,lq`i Dl ~ f9 ~ Vl ~ ~ ( s~ a x i { t ~ ~ f~ ~ ~6t~ ~s~ t ~ 00011 Ui !C O +'!I r ~ ip ~ < ~ ~ r °s~ S m ~ ~ ~ ~~Pp„„.~ x{ ! ~ ~ i ~ ~ 1 - 1A + 3e ~ e ~~Si +5 k`;'S~L ',~i':k`f-'LS'3 ~s a a ~ _ ~ •e k { ,h. - S t "a S x q >ys H ~ t.?: ~S y ~d$~` ~A~ 7~e°, ~ r., >w ~ M" MAC i s Ya Ef't r~'a~'? ,x'~h~ ~t v 3 3i . ~ ~ y ~3 qa~~~ h~ ~o-c- 1 `Yx~`"',. 3; 3yss r ~ { , -a t ~ Sg, 4 ir~'a?.y',~y'. 1 " #~$~Y ~ a x ~f~ ~ ~ p.. ~ "'I m m i 2 0'~ ~ ~ ~ ~ a O m ~ c O ~ I rS s rs*, a - F < -i 2 O Up1 fn A Or m " C o ~c _ 7a ~ to . ' ' - ~ r O 7TI 0 rz~ ~ O- ~ o Z m 3 m..~ r - r i-' m f7 ' ~ ~ v .n~_s.. a 3 J O~~ - Ul ~ mSamO ~ Z I C..n - OACy ~h O.`~ e~0~\.%~n\r4. Ys~~q~m~~fi~~~~9~ 6) ~X mD ~ ~~m ',On~n.,p ~ZS ~2~0 THE NEW YORK BOARD OF FIRE UNDERWRITERS l=~v~; x 1~95;1,7~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SRf~TF,MBF.R 9.?.,9.Rfi9 APPlicationNo.onfUe 60If1d289/89 N f)93'1.(}I THIS CERTIFIES THAT only the electrical equipment as described bebEV and introduced by the applicant Homed on the above application number in the premises of SCOT°C CCIRWTEi, ROUTE; ~8, CR~'~IdPC1R`f', k~~Y. in thefollawing location; ?X Basement ? Ist Fl. ? 2nd Fl. C)ff~ Section Block Lot uns exomined on .°iFP ~~'I~Ti~R CS, ~.a~~ andfoundto be in contylianre u;ith the requirements q(this Board. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENi OTHER AMT. K W. AMT. N.W. AMT KW. pMi K W AMT. H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K W. OIL M. P GAS H. P MIT. NO. A. W. G AMi AMP. AMT, AMPS. TRANS. qMi H p SYSTEMS pMi. WAiiS NO.OF FEET SERVICE DISCONNECT NO.OF $ E R V I C E pMT. pMP TYPE METER +%RW +R 3W 9]W ~~JW NO. OF CC COND. A W G. EQUIP' PER B' OF CC. COND NO OF HI-LEG Of ~HI-~tEG NO OF NEUTRALS OF EViRAL 7. 200 C'f3 7 X 1, 2/p ~ 2/© OTHER APPARATUS: ~ *NO'T'Fa: Thi.cs i s ~ I,ar. i:i a:t , 11ot a r.©mplaf~ rcart:ifir_att). ~~"l SA(aF & T,AI7FMANN INC. t,IC.t~3635-E P~O.Bt)X 1768 $OifTHOt,D, IUY, 9.797.1. GENERAL AN OER 79 Per ' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FfRE UNDERWRITERS k''~~'' ~ s ~f'{ X1;,5 Q BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 :i~"i~~`}::~t'~~~'~i ~~r f, tYi}ta qry ~kt~[7,~~f Pi~f{~t} If C7.~~L fUi~f~1 Unte 4f~/ltO1~1)a. aL~1ff2~f:fa2. THIS CERTIFIES THAT only the electrical equipment ae described 6e/ow and introduced 6y the applicant named on Che o6ove application number in the premises of SC{~T`C Cf1Rt~TN, 6~~-~35 1VQiff'Ff Kt`TT,l7, t;RN~FIfYf)N'C, FV.Y, GAit 4t`S ~ .5 fn thefollozvinq l~c~{~ gas ftze ~ lot F'(. ? 2nd F'l. .Section B[cek Lat n~as exmnined art aredfound to be in compliance with the reyuirenzenLS of this Roard. FI%TURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OYENS DISH WASHERS EXHAUST FANS gqOUTLETS INpCAONDESCENT RUORE$CENi OTHEH AMi K W. AMi K W. AMT. KW A}MT. yyK Wq. AMT. ~(H P J~ JFP L d+L J DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET OINIMERS AMT. K. W. Oll H. P. GA$ H, P AMT NO. A. W.O. AMT AMP AMT. AMD$ TRANS. AMi H P, SYSTEMS A6tf " . '1YATT$ NO.OF FEET k' SERVICE DISCONNECT NO.OF S E R V I C E MIT AMP. TYPE METER I A, YW I 3W 3 9 3W 3,0' 4W NO OF CC COND A. W G. NO Of HI-LEG 0. W' G NO OF NEUTRALS A' W G' EQUIP. PER 9 OF CC.CONp. OF HLLEG OF NEUTRAL OTHER APPARATUS: 7N^lEl4.Ct1R f)iVLY^~ ,~,tSt>Kf; 71I;C1s"tJ`'COR.-2 *P3Q'i'~: '1'h4s ~ifT ueLrra;a"{, paY ~i com~1~C~ cF>rf_2ficat:;~. ~t/f~.E%r.C-CSI-~ Lac' l ~ sc~'rrr c~IRwrrd 2~Yet AVh;.,k',o~SQK <.'/5 CI?PE.I4P~1f?'P, P1Y, :i.'f~rtA 6ENERA~MANAGER I.1 l~:, a Per Ll~~ h' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be °idertiifl~d by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARKS: s I DATE ~ INSPECTO ` /?zoo 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] !ROUGH PLBG. [ ] FOUNDATION 2ND [~IN~SULATION [ ] FRAMIN(a [ ]FINAL REMARKS: ~~,E,,,(/_~t,~~ C~~ DATE a` INSPECTOR "1*~ 65-1802 BUILDING DEPT. [ ]FOUNDATION i5T .I~ ROUGH PLBG. [ J FOUNDATION 2ND [ )INSULATION [ ]FRAMING [ ]FINAL REMARKS: 4~-e~~u ~u.,~~ u DATE ~ Z ~ ~ INSPECTOR 4 - ~7~~~ T65-1802 BUILDING DEPT. INSPECT'I [ ] (FOUNDATION i5T BOUGH PLBG. [ ] F,OUNDAT{ON 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~ ~ ~ ~ ~ ~ ~ ~ . r DATE I INSPECTOR ° " " I ~a-~ ~ 765-1802 BUILDING DEPT. INSPECTIAN [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL _ / REMARKS: ~ ~ DATE ~ INSPECTOR .mot l rss-1802 UILDING DEPT. INSPECTION [ OUNDATION i5T ( ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ` i ~ _ y ~~~~f ~ i DATE ~~INSPECTOft ~ _ _ 0 4 m ~ ua~N,~ ~ ~ N ~ 2~~ P~ ~ ~ _ n i Q Q., ti i; g ti QQ . ~ ~ LI yy'~'O ~ Q v 4 Q ~ ~ - w w W W d ap 3z~w 2 v ,o 0 0 ~ ~ rJ ~1 2 j f~ 0 1,n l~ ~o ~ ~ fti o w ~ 7 m ~ h v ~ ,p~ oaw~ c! ~U Q ~ 4 ro ~ a ~ 1~ In ~ Q try 1^ rJ O 41 ~ O O ~ ~ O O O O O O p ~a~H ~ ' ' Q h . ~ ~ W ? F~ ~ 4 Q ~ V v ~ q a a ~ ~ ~ o~ U a m Q OW Q ~ w W n ~ ~ w O - a 3 Q New`" a r ' v v ~l ~ ri ~ (j ~ ~ ~ 0 4 ~ ~i~wr~i~ r p cOM~CH H h ~ ~ W ~ t ~ a Q a ~ ~ a ~ W } \ d ~ ~ ~ ~o~n oa~ ~ ~ ~ ~ ~ ~ ~ ~~~~a~o H H ~ a `'1 k ~ ~ ~ W ~ ~ ~ ~~~~z~~ W '~v ~ ~ 4 ~ ~ ly 0 HH~~W~ ~ ~~~~a~~ .-1 N M V' Vl lD i BOARD OF HEALTH FORM NO.1 3 SETS OF PL.1NS SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SL•PTIC FORrf • TOWN HALL / SOUTHOLD, N. Y. 11971 NOTIFY 7 7/.. /~7~ , . . c!~{ TEL.:765-180 CALL Examined 7..X./.........., 19(J.L/ MAIL T0: , A Provcd.~~....... ,1~~PennitNo.~~~~~,~ ~~~;~~=-ii==,~~- Disapproved a/c y~ wR. ~ ~ ~~8 . ' ' TOWN OF SOU' HOLD wild' b Inspector) APPLICATION FOR BUILDING PERMIT Date lkf: t1. - 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 ~~r 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 app]ication, 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. Tl~e 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 inspections. ~s (Sigila re of app it cant, of name, i a o por. ion) • ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~.~~.•`t~•d• b/'~'.L . (as on the tax roll or latest deed) !f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . , fJ.'li?'?<:e!u . Plumber's License No. .fft~•rl.gn, r . Electrician's License No. O.-u??":?!t•~ . Other Trade's License No . . 1. Location of land on which proposed work will be done. ....,A•~!~,(~,/; , , , • • !/1n ,)~j ~1 . 4~ ~ , . E{ouse Number ~ Strcet~ Hamlet e County Tax ibtap No. 1000 SCCUO? 1..... Blpck , , , , , , , , , , , , Lot ~3.~ 1. Subdivision . ~~•NN./~~f~~ l,.y.'~/~ Filed 6tap No. , Lot . (Name) ; State existing use and occupancy of premises~aand intended use and occupancy of proposed construction: a• Existing use and occupancy • • • . . b. Intended use p y and occu anc .~i~~,~II~iJ.~'./`~• 1/~...fl.d..... ~.4°'Va! ..'.1"~ll'"I;ll.l• 3. Rehr of work (check whi~hmPplicable): New [3uilding . ' • • • • • • Addition Alteration . P oval Demolition Other 1Vork . 4. Estimated Cost . ~ + (Description) .......1.~.~.~~.J~ Fee I (to be paid on filing this application) S. If dwelling nurnbcr of dwelhn~ g ~ units . . Number of dwelling units on each floor . If ara4e, number of cars 6. If business, commercial or mix . a ed occupancy, specify nature and extent of each type of use . 7. Dmrensrons of exrstm stru NUrcs, if any: Front . Rear • ' ~ • • • • ' ' Ilei~ht g ~nber of Stories . Depth . imensions of same structure with alterations or additions: Front • • • • ' • • ' Depth . ~ . IIcight . Rear . 3 ' 8: Dimerisio bf•C17t5re new consknrction: Front , • ' ' ' ' ' ' • • • • Nunt ber of Stones . . . Height Rear............... Depth . Number of Stories . 9."•~:iize of lot: Front , . Rear . l0. Date of Purchase Depth p Name of Former Owner • ~ • • • • ........emisesaresituated p P o 'late any zoning law, ordinance or regulation: • ~ • • • • ' one or use tstrict in which [ Will excess fill be removed from premises: Yes l3. Will lot be regraded .......Q oes ro osed consptruction yr Address ...................Phone No....... . 14. Name of Owner of remrses ` No Name of Archrtect ,Address . • ' ' ' ' ' ' ' Name of Contractor . ..................Phone No............... . I5.]C~ this property locd•••••~•~""'••..Address.....•• .......PhoneNo.........,, ' ted with ina(00 feet of a tidal wetland? *YLrS....NO.... yes, Southold Town Trustees Permit may be required. - PLOT DIAGRAM ~ Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklpumber or description according to deed, and show street names and indicate whether interior or corner lot. i I ~I~ STATE OF NEW YORK, COUNTY OF .S ,nir,' ' ' ' ' ' ' • being duly sworn, deposes and says that he is the applicant (Name of individual sip rg contract) above named, [Ie is the I! (Contractor, agent, corporate officer, etc.) • • • ~ • • ~ ' ' ' ' ' of said owner or owners, and is duly'',, authorized to perform or have performed the said work and to make and fife this application; that all statements contaijmd in this application arc true to the best of ltis 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 u o 19 Votary Public, County ! HELEN KpEVOE . 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