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HomeMy WebLinkAbout17097-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18285 Date AUGUST 15, 1989 THIS CERTIFIES that the building ADDITION Location of Property 600 PRAITY LANE CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 27.002 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 1988 pursuant to which Building Permit No. 17097-Z dated JUNE 10, 1988 ~i 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 AS APPLIED FOR. The certificate is issued to DONNA J. McLEAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-083391 - JULY 27 1989 PLUMBERS CERTIFICATION DATED AUGUST 15, 1989 - RON HURRAY B ding Inspector Rev. 1/81 Fosai 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 AUTHORIZEDI No 017097 Z Date ....~.~i..~ 19 Permission is hereby granted to: ~~-.....~~...~-ter rQ..~ 9 . . . . . / . v 0 . . ~~~~s' to .G~~~G.«......q'~1.......... „.Y . - at premises locoted at .....~.a/~~y ..............................................4.:~~d~ ' Caunty Tox Map No. 1000 Section .......lv..<f....... Block Lot No.........e~.~!.d d ~ pursuant to opplication doted 19C~~, and approved by the Building Inspector. Fee r e~.:A . . ildin ctor Rev. 6/30/80 i FORM N0, 6 I!, ' TOWN OF SOUT110LD BIIILDINC DEPARTPiENT TOWN iIALL 7G5 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1NSTRUCTIONS', A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with 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 IIealth Dept. of water supply and sewerage-disposal(S-9 form). 3, Approval of electrical installation from Board of Pire Underwriters. 4, Sworn statement from plumber certifping that solder used;? system contains less than 2/10 of IS lead. 5. Commercial buildings, industrial buildings, multiple resirences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Hoard Approval of completed site plan requirements. B- For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-ezistiag" land uses: 1- Accurate survey of propertp showing all property lines, streets, buildings and unusual natural or topographic features. 2- A properly completed applicatioq, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot priori to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings'or premises, or other pertinent information required to prepare a certificate, C. For Vacant Land Certificate of Occupancy: , 1- ~ application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 195! shall also accompany the application. If a Certificate of Occupancy is denied,,the Building Inspector shall state the reasons therefor in writing to the applicarit. 0- FEES: 1. CERTIFICATE OP OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00, 2, Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4, vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $f,S,Op Residential $50.00 Commerciale ' } ~ ;t 'O. 10/14/S$ -A. TONN OF SOUTIIOLD D ~ 15 O ~ 15 BUILDING DEPART!IEt7T AUG 151989 TONN IIALL , d SOUTIIOLD, NEN YORK i 1971 7 DLD(_•r7~F'T-`~"°~ OVVN OC Si1L~;r~~t) ,y 765 - 1802 _ APPLICATION FOR CERTIFICATE OF OCCUPAt7CY ' DATE. .%ILI.~_~~ j.... _ HEN COt7STRUCTION ----..OLD OR PRE-EBZSTIttG BUILDING_~ -•--VACANT LAND........ Location of Property„~®~_.~(:`~~ d STREET d/ UAMLET Ovncr or Ovncrs of property„~(3~~.~ Coun[y Tax Map No. ~4-~:~ 1000 Section , Block . _ - LoC~ . Subdivi~ion.~(X.~~ ~L~;t.~.I-~,~7~_ • j~ 1 Filed Map !(:Q.(p-Y=..Lot_ pcrai[ tro.~!~ 1~~_,'Z_Date of Pcrmi[ ~~.~f T •---.•~_y-, App 1 i c a o t ~JA.h d7.`[ .'>l~-.c ~dv~. . Ueal[h Dept. Approval UndcrvriCcrs Approval..~::~•,f-_• PlanninC Hoard Approval .;~y__-•-. Requca[ for Temporary Certificate c., Final Certificate Fec Submitted: ,SQ~_J..O(j APPLICANT, ~ • ~ / / 10/14/88 O~~c. 379 g ~ f co ~i~ags RADIANT DRYWALL & INSULATION CORP. 73 HAWKINS AVENUE BOX 273 CENTER MORICHES, NEW YORK 11934 516 878-1515 March 3, 1989 Town of Southold Building Department Southold, N. Y. ATTENTION: MR. GARY FISH RE: Neil McLean Residence 600 Praity Lane Cutchogue, N. Y: Extension & Alteration This is to certify that the above mentioned residence was insulated by Radiant Drywall and Insulation Corp. on October 8, 1988 in accord- ance with the State Building Code using 6"R=19 in ceiling, walls and crawl space. Thank you. Very truly yours, John Bunai Vice-President JB:ek ~~F~~~~C TEL. 7G5-1802 ~O O,, TOWN OF SO'UTIIOd.~ p 's . OFFICE OF BUILDII4G INSPECTOR o ~Y'~, T, P.O. BOX 728 `1',.~ ~ -e TOWN HALL SOUTHOLD, N.Y. 11971 Cpl ~ Yob C E R T I F I C A T I O N , Date ~ ~ ~9 Building Permit No. ~ Owner rlec (l`1 e L~u.,~ '~F + V.t! i ~ ~c ~~ec~,,.~e (please print) Plumber ~~jllf ~N ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. /c, vl' I ~ (plumber's siynatu e) Sw1o~~in to before me this _..1__M`~day of , 19 ~ -<M~ Notary Public Rotary Public, County l.J GARA. bAVIg ~9 puWk, Stele o1 New 16r1t QueNfNd~ ~eenmiafbn Erpie~e Fb. 28,16Y0 i?~ s~~.~ ~r~~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~Lt>(a~ a. {t)O14bJ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 - Dwte JC1hY ~,•:+,10ti `I Application No. un file 614G;t ~rti~f H~ ~ {I ii 43 L31 THIS CERTIFIES THAT only the efectricol equipment as described below wnd introduced by the applicant named on the above application number in the premises of C~~ri~ti NFxh S`If;{',V, bolt F'tti~TTY I,Pl, :;,tt`Frift}Gltt;, fV.Y. in the following location: ? Basement © /st FL ? 2nd F'L Section Blcek Lot ' uas examined on LfYihy 'j f1 , I'a,y 4d ~s and found to 6r in coruplianre with the requirements y( this Board. FIXTURES ~"'~'I ' RANGES COOKING DECKS OVENS DI'iH WASHERS EXHAUST FANS FI%TURE ECEPTACLES SWITCHES OUTLETS INCANDESCENT RUORESCENi OTHER PMi K W. AMT K. W PMi K W, pMi K W. AMi N. P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS qMT. K. W Oll H. P GAS H. P PMT. NO. A. W G AMT. AMP AMT. AMPS TRANS. qMT H p SYSTEMS AMT. WATTS NO.OF FEET l ~I) SERVICE DISCONNECT NOAF - ~ S E R~ V I C E AMT. AMP TYPE ME1FR 1 ]W L %~W 3 H 3W 3 %4W NO. OF CC COND. A W G NO OF HbLEG A W G NO Of NEUTRAIa A. W G. EQUIP. PER % OF CC. COND OF H4LEG Of NEUTRAL OTHER APPARATUS: JAt't)%%7 LiJ't'If 34 AP~If UR`1. ;"RK RR(;ti,KH~fi-.l G, k . C,'1': I S(iIITF1 f`ARK F,I,A:i., (^CtiY`PR~ Ci4tty#,'.,"73~->v' ~ ~`AR.C( ALA17I? I',~:~CHi){IUIs', N'Y, 1 7.1'7:? GENERAL MANAGER Per 1. t ~ 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 CERTIFICATtr MUST NOT BE ALTERED IN ANY MANNER. , 1~LD I.;S:'~-=O,J ~~Un.E ~ UOMMENT° ~ O 4' . ~ 7 ~ ~ o ~ `L1 ~i _ _ j FOUTiDATIO, (1st) - ~ d FOUNDA OW (2n ) _ ~ G 2. ~O i .Ui1d n 0 0 !1 ~ ~ ROUGH FRAME .PLUMBING U y 3. ~ ca I1dSULATIDCI PER N. Y. y STATE ENERGY CODE 4 . /f --I FINA~ ~ 20 U sL ~ _ h ADDITIONAL COMMENTS: ~c ' x ~v H A 9\ H O ~0 2 . ~ m - x o m ~v H 7?65-1802 BUILDING DEPT. 1 NSPECTI®N ] ~ OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL y REMARKS: DATE ~ INSPECTOR Y ~ G~ L /7©~) rss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ]FRAMING [ FINAL REMARKS: ~ .ti~ DATE a ~ (~n INSPECTOR . w _ _ . . ~ 97 rss-sso2 BUILDING DEPT. . [ ]FOUNDATION sST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION 4 F [ ]FRAMING [ ]FINAL REMARKS: _ a- r i _ r C ~ _ DATE INSPECTOR ~ ~ ~ ~ ~ ~70~~ Y65-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: 6~, DATE ~0 S INSPECTOR S ~ BOARD OF HEALTH Q (t_+?s I I 7 3 SETS OF PLANS r~ ; FORM N0.1 SURVEY ~p TOWN OFSOUTHOLD CHECK 1~v i BUILDING DEPARTMENT SEPTIC FORM ' o TOWN HALL ~n~~/ BLDG. DE.^'i. vOUTHOLD, N.Y. 11971 NOTIFY ~ TOWNQFSOUTHOLD TEL.: 765-1802 ^T nQ~I CALL -71~ ~ 19~.~ lam' MAIL TO (v~7 /r7' Examined • . Approved ...~~i~......., 19~~Permit No. Disapproved a/c ( utl g nspector) APPLICATION FOR BUILDING PERMIT p Date l`:IA~:I..J. ~ - 19 INSTRUCTIONS U 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. Tlie 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 ins ,ections- ~ ~ /l22~ see . . (Signature of ap~ant,~~orrr name, if a corporation) • (Mailing address of applicant) • State whether applicant i owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ....~~G.C'a.~1 t.. 1. S O u? r7 e / . Name of owner of premises ...~w?. Q-:.. J•... Y~ c-~ f'ci r~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No. ~:i:Sr:'."`:~-~ . Electrician's License No. ...G.t-t-4Y'.'~'.?~ . Other Trade's License No. ~~'.`:'???:''tJ • . • • 1. Location of land on which proposed work will be done . . House Number J q Street Hamlet County Tax Map No. 1000 Section . ! ~.I. Block Lot . Q~+.~..~, , , , , Films Subdivision ~q i.r' wcL, . F,~;J. vv~S_ , ~a,~, s...7`~. Filed Map No. .~G.~ .Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constn~ction: j • ~ a. Existing use and occupancy f i vi~~cr' . F',~ tc4evi G ~...~fi fi) ?_a,9,r) f l.' . ~..ri....~• << b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration . e azr Removal Demolition (Description) p ..............Other Work...........,... 4. Estimated Cost (1~ Fee . .....i, ~ (to be paid on filing this application) 5. If dwelling, number of dw lin units Number of dwelling units on each floor , , , , , , , , If garage, number of cars ~.~~~z. ~Q~.e:.R~iS~~!'t~ I 6. If business, commercial or mixed o~upancy, specif na{ure and extent of each ~ype of use . 7. Dimensions oqf existing structures, if any: Front Rear . , , , Depth ...~~f.~....... . Height Jb 1.... , , Number of Stories J. Via........... . Dimensions of same structure with alterations or additions: Front Rear . ~ s5 r...... , , , , De gth 9 . . . . . .Height , . J~. ~..r. Number of Stories I . p ....Depth 8. Dimensto of entire j ~ ~ onstruction: Front .Rv2=.: Rear • s~ ( I,I, Depth . ~i y„', , , , , , , , , , Hei ltt Number of Stories ~ • • . g... , , . . 9. Stzeoflot:Front 10. Date of Purchase UQC-R-ria. ~.d?, ~ $S• . • ~ ~ ,wcelf.~e: LLG7/ . . 1 1. Zone or use district in which premises ar situated . J;e,~ ol~,, f~Q_~ per Owner, 12. Does proposed construction violate any zoning law, ordinance or regulation: ../.).iJ . 13. WIlI lot be regraded .Kl,t7, , , , , , , , , , , , , , , , , , , , , , , ,Will excess fill be remo;Ved from premises: Yes . • , . No 14. Name of Owner of remises .~~,!lqa, fti cLe , { ~~~/-'79g3 P ~ • !t!") ,Address C~iq . (m„~li, Phone No......... Name of Architect , . ..Address ...................Phone No............... . Name of Contractor .Ne! ~...`~f-Letwt,(&lJPU~~ j). ,Address (axt ~tlrlk~4t,~°¢,e~t :...Phone No..y$`~',7,75'yj ]S.Is this property located within 100 feet of a tidal ,.etland? *YES....NO.~.,,:: *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ~ Locate clearly and distinctly all 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. ' ~ n~ , ~ ' ~ ~ ~ N/f R06sRgmz N/i' Sr~iVTri I ~ ~ (vtcANr,) M 'iofc'c R~ aa~ 'i " ' ~ i4~ds ~~pN,E' z 2100. oo ~ ! ?aoo• .C.i.C.C'e. 256.37.. ~asaMaNT ; ?/.02, at' wide h ~ x 8~deep d ro ~ ~ x o ~ I ' n ~ 0, i „r,. ~ ~ ~ ~ I(' S7OR 5t ~ ~ z Y FlZQMt; ~ u "F.F. !12.52 ~ ~•i ro O ST. 7r~ W W /iGl/ CO ~1 r~ ~ ~~4,~\ .ys that he is the applicant abc ~ N dy~o~' He ~ - - ~ a r of ; NI! 4G 25' r{{ ,.a,W. W8+8JI' ?ork and to make and file this _ apP"~- B ' ~ ~ ~ *85 .tt, ~ I awledge and belief; and that the .....dayof/ /~-xRr..:...,.. , 19th' Notary ll~ic~ .....7~ ttl.R. l/?~-... , County I! Q_ HELEN K DE VOE - ; ~~'~",...i i ; ; ARY PUBLIC State el New Yak . .°47078/ Suftolk0ounty (Signature of applicant) Term Eepirea March 30,18 ~ i y GC ~ U' ~ ° ~ "i P m m ~ Y x 00 • ~ ~ g W ~ ~ r. ~ ~ ~ ~N ~ aa y. 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