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Home My WebLink About17063-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219087 Date MAY 30, 1990 THIS CERTIFIES that the building ADDITION Location of Property 255 WINDJAMMER DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 04 Lot 41 Subdivision HARBOR LIGHTS Filed Map No. Lot No. conforms substantially to the Application £or Building Permit heretofore filed in this office dated MAY 17, 1988 pursuant to which Building Permit No. 170632 dated JUNE 6, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is ADDITION TO EXISTING ONE FAMILY IIWELLING. The certificate is issued to JOHN J. & RUTH ABELE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N028816 AUGUST 19, 1988 PLUMBERS CERTIFICATION DATED NfA B ilding Inspector Rev. 1/81 rows 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 O 0 7 6 3 Z Date 19. (F~ Permission is hereby granted t c ....C'~,,,... ..y..1~.~ , to of premises located at .......~"...a 4~.....f~Gl.. ......~/pi County Tox Map No. 1000 Section Block Lot No..........~.~/.......... pursuant to application dated 19.~ and approved by the Building Inspector. ®O Fee $•`~i~+~~ . Buildin actor Rev. 6/30/80 r ~ c~ a- ' - Form No. 6 Q ~ . p TOWN OF SOUTHOLD U°°'°"^" ~s~ a BUILDING DEPARTMENT ~ TOWN HALL ~.3 ~ ' 765-1802 ~ ~y'~<r BLDG. pEPT, APPLICATION POR CERTIFICATE OF OCCUPA TOWN OF SOUTHOLO d,J j A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal (S-4 form), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2J10 of 1% lead. , S. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed sate plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' ~ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5,. Temporary Certificate of Occupancy - Residential $15.00 ,^~Commerc~iial $15.00 Date ........~v `7, ~ New Construction........... Old Or Pre-ex~i~spt,,~i~ng Buildings... Location of Property..... ~~~...~~'~~L~l':!~'~: ..~1~:.. ~...........~a~.~~.L~..... House No. --~~--qq,, SS Str-e~et~ Hamlet Onwer or Owners of Property.....? : ~d!~.+... :L r... ~j~.ty...~~.// ....................q~./..........,, County Tax Map No 1000, tSecti~o,,n~.c,....~I......B10Ck.......(.........Lot........-l.l............ Subdivision...;~~'P`..h:4~Y?l~l .............Filed Map........... yy .Lot. Permit No...~~:~~~,~~. ,Y, ,Date Of Permlt...~:': ~ : ...Applicant.. , ; ,i~„ Health Dept. Approval........~~'~ .............Underwriters Approval.....(-~...........,.1 Planning Board Approval...... Request for: Temporary Certificate........... Final Certicate..C " Fee Submitted: , ~96~7 s~3o~go 6 z ~ y~ GANT .°lELD II;SP=C::U;J ~Ui;'iE ~ ~OMMENT° ~ 1. lD a FOUtJDATION ~ ( 1st ) p ; - - `V~ ~ ~ ~o FOUNDATIOtJ ( 2nd ) _ _ d 2 . ~ v ~ z ~j o l~ry P,OUGH FRAME & UMBING 3. y IIdSULATI0P1 PER N. Y. STATE ENERGY CODE s . a 4. _ ~ / f FINAL .t~_ ~ jy r o~~ z o ADDITIONAL COMMENTS: x s _ C $-~3 eQ H ~ ~ ~ H~ H O 2 I m~ m d m lv H _ THE .NEW YORK BOARD OF FIRE UNDERWRITERS pAG"N, 1 ~ L$~~tl I ~ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 1p 088 AU,Ug•P 79,t~t88 5674~378A(E4R N t~2aRtb pore Application No. on file THIS CERTIFIES THAT only the electrical equipment rH descrtbsd 6ekna and introduced 6y the applicant named on tha obooe application number in the promisr of JOFity A.rfF;1,F:, MT~NDdAtIMP:N, itK"(VF:~~,--}}{{i~'oiTI,FIE3, f:q~PrH[1i,1}: N.k. in thefollou:inp lncati~L~~~~ae,E~. Li lat Fl. ? Ynd Fl. Section Block Lot una examined on h and found to be in compliancy rcith the rryoirementa of this BGard. pXTUEE STAM SWI7C11E5 RXTURK RAN66 COOKING DECKS OVENS DISH WASNlRS EXHAUST ANS OUTLETS INCANOFSCFNT. FlUOI1ESCENT vA AML. K.W. AMT. K. W. AMt. K.W. NAT. K. W. AMT. M. P. ~ ~i ~ ~ ~ DRYERS RJRNAC! MOTORS IUTUEE ANRIANO! REDEES 7MC111L M'C'K TYRE CLOCKS ENL UNIT NEAiEES AWLN-OUTIET DIMMERS fYSTMIf ~ AMT. K. W. Oll N. P. GAS N, P. AMT. NO. A. W. G. AMT. NM. AMT. AMPS. TRANS. AMT. N. P. ~ RkT AMT. WATTS q F ~ 5f1 SERVIOE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TTPt 1 X ]V/ I / 3W ]raw a / AW Pq.O~CCeCOND. OF C GONU. NO. Oi NI-lFG Of NO. G NEYIIIALS Of EYIOW~I orwR AwAEATUS: c. r,e r._.z (+OtiL}iY Y.i,Y:CTkiC` F'.0.~3C1X y64 c-~~rrt1<xaut.. rlv . ~ S_y ~ oENau MANAGER i~ _ l.Tt"t;N;,E Nf1. iF,T:`F; Ptt v~~-- This csrtificah meat not M allsrod in any manner; return to the office of TM Board if iMOrratl. Inspectors may be ideMifiad. by tlroir cradaniiah..~. COPY FOR BUILDING DEPARTMENT. THIS COFY OF CERTIFIGTE MUST NOT BE ALTERED IN AMY MAMIER. - 765-1802 BUILDING DEPT. 1 NSPECTtON [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~p-~-~~c_~ ~2~ ~~i!~ _ S a DATE `S .INSPECTOR ~~~-1$02 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [)INSULATION [ ]FRAMING [-=-]~"FINAL - ~ -~r~~ r' - J r ~ REMARKS: t..;>°`{~~ ~!"<=r,/i'~~ ~ ~ 0 l j) ,l / y ! , t f ' / f? DATE , - ,..~<<~~ ~'~i'(~ INSPECTOR y",,~i , f i%,~ , tom. . /70~ 3 ass-isoz BUILDING DEPT. 11~ISPEC7'I®I~1 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] f ULAT~ ION- Q [ ] FRAMING [ FINAL ,~!y,.,~*~[ REMARKS: ,C~~y-c~ ,~-~k/~~T.~ ~ ~~~!-""-----/tae ~ ~ r r~ ~ ~ ~ w~~~ ~A I l~"' - 4 t 'r DATE 3 ~LNSPECTOR ~~o~ 3 7<PS-18!12 Ru1LDING DEPT. INSPECTlCJN [ ]FOUNDATION 1ST [ } ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING ~ ]FINAL J- REMARKS: ~'~~-t'~~ ~T~- 4 i DATE f~' INSPECTOR c k ~ ~ 765-1802 BUILDING DEPT. INSPECTIQ?N [ ]FOUNDATION iST [ ~ ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: Q.~ ~-~y1 ~ i DATE ~ ~ ~INSPECTO ti ~~0(~3 ass-isoa BUILDING DEPT. 1 NSPECTIC~N [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] fNSULATfON [)FRAMING [ ]FINAL REMARKS: ~ - ~ b I {f 1 DATE V INSPECTOR N~"~ k 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~~'~YiC f C I c(G ~1 DATE 0 ~ INSPECTOR ~'~'~1 4 _ BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPT~ji'~~•y • ~I~ ' TOWN HALL ~t/L~J' (i ! tom'' SOUTHOLD,N.Y.11971 NOTIFY 7~~ ~•~7~ TEL.: 765.1802 CALL MAIL T0: Examined ..~1.:.l°........., 19 , Approved (d........., 19 ~~Permit No. ~f®~~..~~ D aa Disapproved a/c 1 BLDG. DEPT. TOWN OF SOUTHOLb (Bu~ ~ Inspector) APPLICATION FOR BUILDING PERMIT Date ...1~ . 19 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corpora~r~i-o°n) (Mailing addres's of applicant) • State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....J~~.•~.'••••`)~..1~••~"•~'~•~•~~"`"•~~•••••••••••••••••••••'•""••• (as on the tax roll or latest deed) If applicant is c por io a u of duly authorized officer. o .s........... ( a and f tle of ~ o ~tcer) Builder's License No. ~ ®o . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. .....'~~.rL..~D'~'7.'~.... ~tl~.~ ...h>~?.f't~~ HouseNumber Street Hamlet ~y County Tax Map No. 1000 Section •7• • • • • Block K.......... Lot .'"7~ . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of prQemises and inyte~n~ded use and occu~pa~ngc~y of proposed construction: a. Existing use and occupancy ~~~.LI~ •f• .~J?'!t~+~• •'~+•4~ • . . b. Intended use and occupancy .....~.~"W 3: ~aepu~r= of work check which a 'plicable): New Building Addition ~ Alteration , , . ( P Removal , Demolition Other Work . (Description) 4: Estimated Cost . Fee . ` (to ba paid on filing this ap"p~li-cation) 5: If dwelling, number of dwelling;units Number of dwelling units on each floor ....,1. , ~ ,7!... , If garage, number of cars . 6: If btysi~es$, com_mercial,or-~i ~d occupancy, specify n~tur~ nc~~extent of each type of use . bb ~ D' a lions of ek' t'ng struc e , Dimensions s utG ~I if any: Front ~ ,Rear Depth Hei ht • rtr4 ti , Aber of Stories lff~y~y, f g Nu #th alterations or add~hons: Front Rear , . , .,.]6CJ?'R'C, , , , , , • Depth',....... 'C-...... Height , . .t.... Number of Stories I . ' 8. Dimeh'sions'o 'nttxe new'construction: Front , . Q,•D. Rear Depth , (7; . , , , Height....,. 'Num`ber of Stories . . 9. Size of lot: Front Rear ~ ~ Depth , .~0. . l lfl. 7,onep r upsecdistrict in which re• ' ' ' ' ' • • • • • Name of Former Owner . ' p miles are situated . 12: Does ro osed construction vio gate any zoning law, ordinance or regul~jation: /lJD . 13: Will lot be regraded 0, . , . ^ , Will excess fi ~e remove rom premises: Yes No 14., Name of Owner of premises ~TfJ:i~?.41,,~. ,ddress .9 D- Mt1~„IL Phone No. Name of Architect y~ , Address . v.... Phone No.. , Name of Contractor ..r„~(f}! ,~/.t..'~cALL! c,'~ Address ..~jCIJC~~~~(r(~f.'~/~~hone No. 'r'3''fr': ~c2v7'o . ` PLOT DIAGRAM Locate cleazly and distinctly alli~ buildings, whether existing or proposed, and, indicate all set-back dimensions from pr lines. Give street and block ;number or description according to deed, and show street names and indicate whether nterio r corner lot. i I 1~~', ,pROi'~SED aDD~~f'IOiJ r ~~~1 ~ I t a - 'k?r1371NG 'a°- ~lt:lsr G ?16'; Q cb~e. ktwSE Nil . CotuP~' Pali ~ care I ~ ~ ~~1 • I, 0 ~ ~ yJ 11~~' YVv~L- JZ- . STATE OF NEW YORK, S COUNTY OF ~ d ' ' ' ' ' • • • • • • ~ • • • • • • • • • • • , being duly sworn, deposes and says that he is the applicant (Name o i stg ; g con r ) above named. I He is the .....................~`~~~-ti.................. (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 manned set forth in the application flied therewith. Sworn to before me this p ..~...day~~to/fl,I~..`nJ..yYl,~ 194 Notary Public, ...!:`!~-'~•~^"'../~,-.',.^'.L~O'~.... County HELEN K DE VDE NDTIIRY PUDLIC. State of Hew York , , , , , , , , , , , , , , , ~ No.4707878, Suttotk County~9 Term Expires March 36,19! (Signature of applicant)