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HomeMy WebLinkAbout17284-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217554 Date NOVEMBER 30, 1988 THIS CERTIFIES that the building ADDITION Location of Property 25 BRAY AVENUE LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 08 Lot 06 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1988 pursuant to which Building Permit No. 172842 dated AUGUST 2, 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 TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MICHAEL AND NANCY 5WEENEY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. h006545 NOV. 18 1988 PLUMBERS CERTIFICATION DATED BROOKVILLE PLUMB. & HEATING 8/8/88 Building Inspector I Rev. 1/81 i voaat xa a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BULLRING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 17284+ Z Date .......4../O1..` 19..C~.~ Permission ' heref~by~gronted to: ~ ~ ~ ..................~f........ l~' to .fl /~i~'Gy4~J~~ qq__......u.-xt....... .,~F.72...... ~+~~.~.J/.J._.j.,~'r~J1..-4-~..i?.?~- ct premises located at .....te2..~.?/...//~~...aa~~® ..~f/.....~~iE.~ . ...........................................................................................................ryry.................................................... Cvunty Tax Map No. 1000 Section .........,ls//~.~i.... Block ..........4........... Lr~ot NO . .............K/........ pursuant to application dated ...............7,1..~.~....................., 19.~f.1., and approved by the Building Inspector. PJ a Fee ~l..U ..r... ~ ing Inspector i Rev. 6/30/$0 ~k M7J ~7~ T-UC'~ FORM N0.6 4 TOWN OFSOUTHOLD ~ ~RJ~ t~ Building Department Town Hall BLDG. DEPT. Southold, N.Y. 11971 TOWN OF SOUTHOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ®to the Building Inspec- torwith the following; for new buildings or new use: 7. Final survey of property with accurate location of a!I buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-fS-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. 6. For existing buildings (prior to April 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. 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 $100.00 3. Copy of certificate of occupancy $ 5.00, over S years $ 10 .00 9.Vacant Land C.O. $ 20.00 S.Uodated C.O. $ 50.00 Date New Cons truction,,,,,, OldorPre-existing Building Vacant Land Location of Property . , a.J... y ~ h ~ 1).e,~ . . . House No. ~p f Street Hamlet Owner or Owners of Property .)°I.IC.~I~~s!-..~N77...~.I~N~-y...~iJ,l).Z:~l~~~. County Tax Map No. 1000 Section J.~~? Block , Lot Subdivision .......I.' .........................Filed Map No. ......`~...L"oft No. Permit No. ~ ~ ~.'l Z Date of Permit ~~a2~~~..Applicant ~,E~~~1'~-.l.~N ,~l!~~r~ 'n`~h~~ ~q~l$~r~' J(,;T/ (1711 @AAh1fIGEMi40.,-T ~oiz(a. 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 permit meets all applicable codes and regulations. Applicant Rev. 1010-78 ~ 3~ ~ Ir/3u/)%Q 1 C G ~d ~ s's""~` . TEL. 765-1802 oc~~FFUC/~Cp TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR z P.o. sox 7zs ~ b is TOWN HALL 'yO~y~o~ ~ ~~~`r SOUTHOLD, N.Y. 11971 ~ ~ t ~~ll SLDG. DEPT. tgWWN Oi= SOUTHOLD C E R T I F I C A T I O N Date ~ ~ o d Buildin~gn Permit No. ~ / 7~ p Owner ~Gh u-~~ 9~ A~A~(J J GU eG nit/ (please prin ) J Plumber ~OhN ~~U.C~odi~~. ero~6k3i~ P ~ r~L~x'~&>Heating 23 Dogwood Avenue Farmingville, New York 1173 I certify that the solder used in the water supply system contains less than 2/10 of 1g lead. (plumber's signature) c.~c~NS~,~ l ~~/-P Sworn to before me this day of ~_~;~i 19~. N ary P is Notary Public, ~ County AMY JbNN5~1 ?m.n wiruc. sm?,a rr1, usr~~. Su+n;a GNpt1~ Term Ex~k~s P.prq Tai, 1S_`l.G~,,._ ~ V^ G _ ~ m M~ m U 4 .m '/'"W N ~4-` ~ 1 Z e ; 3~ p 6y 1 W F o yy G N ~ M m 4 ~ f'~ tC 1 SS d m l W Z ~ - w I W ~ N w ~ ~z^Y ~ Quo ~ £ t oc d. _ ~ ~ 1 ~ t ~ 3 r 1.11 .s ~ N _ ~ ~ 1 r ~ ~ d W_ ~ o m 1}+ S M ~ Y. W ~ ~ry oo c v p~ i fie. 3 v a 1 r~ 1Y. ~ ~ O OU r K 4~ ~D r o ; m V u~' s r w y ~ W aZ Y ~ ~ Z G} w~~ c 1Y+ W C. t=. o x ~ $ m o `y } o ; ~ r ~ 3 ~ 1 wQ ~ ~ e ~ u ti ~ W/ ? o ~i N~ a Y a q n W ~ Q ~ Hr ~ ~ prcl ~ yre ~ p ~ ' x ~ ~ d ~ w ~ ~ m ~p ~ - V ~ ~ ~ ~ dig ti 1 r1 ~ W m t Z ~ N ~ S W m N V y x. ~ d x ~ ~ o a ` a ~ ~ ~ ~ ~ - r W ~ggW7 ~ ~ ~ ; ~ d a m S+~ m m ~F q p a r~ ~ U « ~ ~ ~ % .D s O Y T H ~ 93 ~L- r~ ~ I::LD It;SP~C:iUII ~~llATE { i;OhfttlENT° 99v,, r ? ~ N m 1. - H . y FOUNDATION (1st Q¢ © ( c e ~ ~ V FOUNDATION ( 2k"id ) 4y - ~ . 2, z ~ ROUGH FRAME & o PLUMBING ~1~, i y IIdSULATIOA! PER N. X. y STATE ENERGY CODE m a t0 , r y 4. ` FI;dAL pP~~-\ z~~ ADDITIONAL COMMENTS: a~U~ S cv x ~ ro\ H ~ V 9 1\ H H z O , x m a~ r H x c m v H TlL. 7G5-1802 S~FFD~c ~~0 ~ OG~~ TOWN Oi~ SOUTIIOLD OfFIC13 OF AUILDING INSPECTOR ~ ~ P.O. I30X 723 ~ TOWN HALL .+O~~O~ ~ SOUTIIOLD, I3.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasor.:s. hn application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. 'Phe check is(out-dated/not on file.) No Health Dept. 1~pproval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit II L ~ ~ ~ ~ Z Building Dept. (J ^ D~'K• '~'~***/_f Dio Plumber Solder Certificate on file. ~j~y_ ( all permiL-s involving plumbing being issued after 11pri1 1,1984 ) . ~ - ~ ~ /~~~s lli LC tvv. i~--. , n N K~DGMpN `6~ad ~ pNG1P~ELE ;.=e ~ o o , ~ / „E, , ot3 ~0 ~ ~ oNE N ' 0 6+, ,r age' I` t e s~ a op , J`;, J L\ ,600 \ ai Foin1° - . x°~e fenc 7 ~ o, 569013 ~ P~00 ~~P¢~f FEy 1 ~G t ~2G w o ~ a, o. R,J ~ D p~`SO~SH ~ ~ ~ ~ F7< U+c.'ao~.zed a! era',an yr o:d:'br m fiu r„rvey c v,clonon oP SURVEY FOR 4 c* the ":eve `.'crk 9:re ta•:cenon lea ~,C.~, - ._'.ey ~na n~ 6zc: nc ,r.e ,,n, sar,eyo+'s ,neea pHrLIP J. ~ HEATHER LORfA •o ,aot s~or _..:,d:.,~ ,c r- o ~o~,d u:Pr. LAUREL .~•,,o.-. ~r.c;t ~~n Doty to tFe TOWN OFSOUTHOLD . . _ ..:nEY ,s y. e: pro e.? cr, Fis cekol? to the .^•a; ace,c, .na ,t~:..,~ ,.~teo SUFFOLK COUi3TY,N.Y. - - ~ ~•e es~a^ee: of tns icnd~.~~a ms!tm,on 3uwoNe~s GUARANTEEDTO~ a, c-• ce cct t.ar.~%e•oble to aad~'aoi m>Lto~.ens c. ~ CHICAGO TITLE INSURANCE COMPANY ' ~ RN ERHEAD SAVINGS 5ANK SCALE f"^ 4O~ PHILIP J. & HEATHER LOR!A SEPT. 15, 1972 L,^.ND SURVEYOR N07Ei ~ N.YS-LIC. N0, 29723 a=MONUMCN7 RIY~RHEAO~N.Y. y . /~a~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST f ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INS CATION [ 7 FRAMING f FINAL REMARKS: DATE oz O INSPECTOR N~ 5 - ~ 17 ~ ~ ~7~`~~~ ass-iso2 BUILDING DEPT. 1 NSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: _ a , ~ , Q.~ a ~ , DATE 2~- INSPECTOR Uwk,~ a i ~ ~a~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~z.,«- G(/ r DATE Q ! INSPECTOR BOAKD OF HEALTH 1 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY ~9~~ SOUTHOLD, N.Y. 11971 CALL • • •~v'•% • • TEL: 765.1802 O: ~y MAIL T Examined . 19 ~ ~ ~ cv. , . c ,~.m_.~.-m.~ ~ r Approved 2r........, 19 A .Permit No.~7~~~. • ~ o ; ~l ; Disapproved a/c ..............................G!%%%~.......1. ~ ~ p (Buil g Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) Main.ftoad & Depot Lane Cutcho~ue N.Y. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises .Michael and Nancy Sweeney (as on the tax roll or latest deed) If applicant is a c rpo ation, signature of duly authoriz1ed officer. - ( ame and title of corporate officer) ALL CONTRACTOR'S M~~S~SBE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . 25 Bray Avenue Laurel, Flew York House Number Street Hamlet County Tax Map No. 1000 Section 1.? Block . 8 Lot . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , 1 Story Frame House Single Family Dwelling ,,r ,„s b. Intended use and occupancy ay;y. c „$,.,~1.......... . . ,3. Nature of work (check which aplylicable): New Building Addition : X........ Alteration . Repair Removal , Demolition Other 1Vork . 19 , 500 .00 (Description) stimat ed Cost .............'F........................ Fee...................................... ` (to be paid on filing this application) 5. If gdwe~in , number of dwelno nits 1 Family Number of dwellin units on each floor , 1 . g ,attached g If era e, number of cars . . 6. If business, commercial or mixed'! occupancy, specify nature and extent of each type of use . 7. I)i ~ensi ~ns q~eorying structures, if any: Frontl Rear Depth Hei ht Number of Stories , . ons'o same struc ure w~ De th . or h alterationjs os.~~dit~ons: Front Rear . p 1~~~ i w c013stru ~ Height ry Number of Stories 1.................... . unens . ction: Front Rear Depth 8. a ens}R~ Y .5 ber of Stories ~ .................................fb0'............... . ~Iei ~ Num ~ 9. Size o "~""`'r F~~~ X97°.. i.. Rear ..75 ~ D th i 1' 3„~'~ h Phi~'ip :T: 11'eath'er'Lbr3'a 10. Date^osAur`~13a'se.,,,. N me of F rmer Owner . ft'esic~entia~' 1 1. Zone or use district in which premises are situated ......................~o........... , . 12. Does proposed constriction violi}te any zoning law, ordinance or regulation : . 13. WIll lot be regraded Will e cess fill be r moveedd from remises: Ye 1vV~ ~ee ~hfac~'Y~aelffcNah'cy'Siv'eeAn~~ ~5 firay ~ve.Laur .p 298, 938 14. Name of Owner of emise ess Atone No... . . Name of Architect 1?olt A ress Huntington N~.'Y . phone No. 385, 75oh larankY~iri'bev:&C'orit:Nlari„~~.~ Cutcho~nue'IV'.Y:' 734 '$j00""' Name of Contractor 1 A d$~'s~ ...................Phone No............... . 15. Ie~ this property located within 300 feet of a tidal wetland? *Yes No X *If yes, Southold Town Tru$tees Permit ma be required. PLOXI' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from properly lines. Give street and block number or description according to deed, and show street names and indicate whether " interior or corner lot. 'I i i ~i I i STATE OF NEW YORK, $.S COliNTY OF S~? ~PQS-!!~.... . • ~:~'?"I-•~• \..~C~`,.3>~~'1?'V. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above+~~named. He ist~ief~.~~SI~Qk'N?.off... 11 tZ,l'j1-~U~LIt.11L?f?~L:'~.~ Co?.J~TYtac.TK?~ F1~~~(zrV1Ge~ CaIGP, (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 file this application; that 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 this ~ 3.~,./..,....day of .~'',...~.5/-?/L:. 1........., 19 ~FS Notary Public, . ' .tl~ Count ~ (Signature of applicant) ND?ARY PU9l1C. Shte at New 1~wltl Ten~n~+Evgres?Afireh30.19...~~/~