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HomeMy WebLinkAbout17105-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17150 Date AUGUST 2, 1988 THIS CERTIFIES that the building ADDITION Location of Property 1365 JOCKEY CREEK DR. SOUTHOLD NEW YORK House No. Street Bamlet County Tax Map No. 1000 Section 70 Biock 2 Lotp/o 19.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1988 pursuant to which Building Permit No. 17105-Z dated JUNE 13, 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 RICHARD & DEBORAH CONRARDY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 r noaai 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 01710 5 Z Date 19. Permission is hereb gra ed t ~~s .....f~.~ . e ct premises located of ~,~r,,.1Y.'~,t . .......~~~4~r~.......,J//!.y i................................ County lax Map No. 1000 Section ..........~l~/,....... Block ........`,~...'.......~Lrot No..~.11......./.% ~Z'~ pursuant to application dated .......4~~~~ 14.:'.G?, and approved by the building Inspector. H Fee • `~~y~ ..~f d~ ~Lildmg 1 actor Rev. 6/30/80 r".~ ~ ,~~y c ' :t- FORM NO. 6 i ~ TOWN OF SOUTHOLD ~ „ 1 ( j Building Department ~UJ Town Hall Southold, N.Y. 11971 BLDG. DE#'T. 765 - 1802 TOWN OF SOUTFI D APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~i~~ 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-IS•9 form or equap. . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate 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 $10.00 4. Vacant Land C.O. $ 20.00 ~_g0' 5. Undated C.O. $ 50.00 Date NewConstruction,,,,,/,Old or Pre-existingB(~uilding Vacant Land Location of Property 3~~....J..~C!'ey,C ~Jl~.a/QJ Souy~,oL~,w~y//97I House No. Q + ,i Stree Hamlet Owner or Owners of Property ~r.'.t.Im.Ys:.!,~GhGt.I;G 1 .~e~O~hl,~p,~1~~~ /2 County Tax Map No. 1000 Section ~.Q Block Lot ....~o.. , SubdivisionP ........-y f... I.,.,e.~...Filed Map No. ..........Lot No. . Permit Nol ©.rJ• .7l Date of Permit ~ f.1.3 ! b~ ...Applicant . 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 plicable codes and regulations. Applicant . . ~+~~~~,-g~~~4~! . ae~. io-~o•~a ~~,e,. 353 6~ Co~tll5~ TEL. 7G5-1802 5~E f OC/~C ~p CG TOWN OF SOUTIIO~.D ~~`.c OI~FICI.OF BUILDING INSPECTOR o ~ ~ P.O. BOX 728 ~ TOWN HALL w0~~0~ ~~0~ SOUTIIOLD, a~ I I ~9~ i 3Q~ c~£~ ~ e l~.a C»D~ ~ -ilk-~-~,C~ To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy is not on file. /y/ No Underwriters Certificate on file. /1_~/ The check is(outdated/not on file.) / / No Flealt-h Dept. Approval on file. /J/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tk ~ ~ ~ ~ 5 Z Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) l~ ~a-Qa~9 cL C, o . tee--- i J ti ~ ~ ~ - ~ m- ~ ~°g ~ y m ~ ~ ~ ad _~,c ___w....._. _ C - - - - - I i !'N' ~ ~i i~ _ i i ~'I ~ c - - 3 - ~ a x V ! ~ m - - - - - - ~ i - ~ °v - - . _ - i ~ ~ --w._-_---- - ~ _ ~ it ~i ~i~( ~ _ ~_~I - I ~ ~ i a i - - - I,_ - ~ ~ ~ - I i .g i ~ ~ _ A_. I - ~'I _ _ _______1!~_[~ I ~a ~ ~~~I ___I ~ 1 _ 4`,1 N ti ~ ~ ~ ~ ~ ! ~ 3 ~ I, ~ ~ I 1 _ i ! ~ 1 t F~~ 1 ~ ~ C~ ~ ~ t7 z • i !~W ~ ~ r~ ' ~ ~ I q ~ x ~ . ~ ~ °0 V-~ ~ ~ ~ ~ ~ I ~r'lELD I~;SPE~:lU;J ~~DATE ~O;fMf"NT~ ~ ~ a 1 . H _ ~w..~ FOUNDATION (1st) ~G FOUNDATIOtJ ( 2nd ) - d 2. z~ o~ ROUGH FRAME & PLUMBING s cn C1 H 3. ~ IIJSULATIOPI PER N. Y. !a d STATE ENERGY CODE x ti r C ~ ~ 4 . FINAL S ADDITIOPIAL COMMENTS: tuo ' x ~v~. HN H ( f~ O.` 2~ 1 x m~ ' x~ d m -o H / % ~6 ~0 765-1802 BUILDING DEPT. INSPECTIQN [ ]FOUNDATION 15T f )ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: ~ C~ - ~'r t INSPECTOR DATE n La~f ~I(~ BOARD OF HEALTH IIJI I 3 SETS OF P ANS ~ I{•....... FORM NO. 1 SURVEY ~ . ` T 19A6 ~ TOWN OF SOUTHOLD CHECK :~~~o~ . 9p BUILDING DEPARTMENT SEPTIC FORM r~i-17G. Uci~"r. TOWN HALL 70Wty OF50UNQ1.[7 SOUTHOLD, N.Y. 11971 NOTIFY ~ TEL.: 765-1802 CALL ~ • • • . c MAIL T0: W°~`"tC'' 7~°S'°Z~/y~ Examined . 19a~•!~ Approved !Q~•~......., 19(J.4. Permit No/ Disapproved a/c 2 ••i C=-~I~~ing;Htspector) .APPLICATION FOR BUILDING PERMIT Date .~7u~,~..........., 19/~ INSTRUCTIbNS 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 )tegulations, 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 inspe)ct~i(o~s. (Signature of applic9nt,name, i! a corporanon) ,r36~r' T c.CF~• L'~PF~<c; J`od{'{o/.~...it%`f. 1t97J (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......OWn,h2 Name of owner of premises ~iG~14~•(~..... (,~A!/'s9le~~ /.~.G+Qd.?.$1~, c--p/Y2~??Q~' . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) e Builder's License No. ....G.ti~-:Q~'•'~• • • • • • • • • • • • ~ ~ By Plumber's License No . ~,J Electrician's License No . ~ ~ Other Trade's License No . 1. Location of land on which proposed work will be done. , . ~G~~y... C/~~r/C..Q/~;. . ~~~y~~~~ House Number Street Hamlet Lot... P.a~.1.~• County Tax Map No. 1000 Section 7~........ Block ' 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 . b. Intended use and occupancy 3. Nature of work check which a II ( 1}plicable): New Building Addition ~ Alteration . Repair Removal Demolition ~YheKtW~ork . (Description) 4. Iistimated Cost ..5!/...4~. Fee . (to be paid on 61ing this application) 5. If dwelling, number of dwelling';~units Number of dwelling units on each floor , , , , , , , , , , , , , If garage, number of cars j . 7. Dimensions of existin structure occupancy, specify nature and extent of each type of use . 6, If business, commercigl or mixe s, if any: Front .Rear Depth . Ileight ...............Nurr~berofStories........................................................ Dimensions of same structure ,with alterations or additions: Front Rear . Depth ..Height Number of Stories . " 8, Demh{sions of entire new construction: Front ~ D.. f1... , Rear o~r~.F7 Depth : , !'~y , , , , , g Number of Stories . 9. Size of lot: Front Rear Depth 10. Date of Purchase ..................Name of Former Owner , . 1 1. Pone or use district in which premises are situated . 12. Does proposed construction violate any zoning ]aw, ordinance or regulation: . 13. Will lot be regraded ' .ka ..Will excess fill be removed from premises: Yes Nc) 14. Name of Owner of premises ..~f4HR~4, , ,(ytyyRnR9Y. Address .~d6t?x~~6.j:4~E~ OD. Phone No. ,~6J'.~Y Name of Architect . . . . . ...Address ...................Phone No.............. . Name of Contractor . . . ......Address ...................Phone No............:... PLOT DIAGRAM i Locate cleazly 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 shgw street names and indicate whether interior or corner lot. - -0---:---r-- ~ i ~ ~ ~ ~1~~~ Po01, I ) , rf,~ch. u i ~ I i Ib Q E K GRRAGP 1•la~tf STATE OF NEW Y ° COUNTY O " F ..S'.k a. • • • g ~ being duly sworn, deposes and says that he is the applicant l~iP~P4 ~D N. ~'fYZ,O,y. • (Name f indivrdual sr n ng contract) above named. He is the wJ.~~~~...... (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 dill be,performed in the manner set forth in the application filed therewith. Sworn to before me this ~d'!1....... ......day of,'.. T"tom 19 8~ jj... Notary Public, F~l.+?•! . ~ /V.¢:.~~......... County HEIEM K DE y0E NOTARY PUBLIC, State of New Yorlt (Signature of applicant) No. A707878, Su9toik County Term Expires March 30,19~.~ i TITLE N0. T - 12 -82-01959 TEST HOLE 0.0 LOAM 2.0 - 'S~Li1hO~d S AND , ~ Fl ~~Y O/S~~~C1 GRAVEL ~ S~Qe 20, S 7~~0 F /7j3B, ti IS.O ry fL.r~3 \ 9~ QREq ° 47 ' ~SOSO.,~r ~ o h Iz.,p.. b ti r~ to ©;L ~.a 1 0 0 //~7C • L $8.1. ~ V 25 Q,, a I STO Sg ( N NousE 4 44g6e a ` ' V ~I u ro l~ I / / 1• ~ro// 1 y /~I P / ( hJ - eL o~ ~ PI O 1 ~s7y, T~DO"E. ~ ss~oy6 1 ~FTf N•T jB,Sjse' asa~~e. • I h'. ) EI.N.e~ ( ~ 1 , 1 I r/Q N.7joy6,. ~ i so EL./!.a - . . %70 QOi Elay( C~~-//EEC, oM, , 8- D~/~~ EL.,g.D C9EEK: ° ' SURVEY FOR . RICHARD GONRARDY & DEBORAH GONRARDY ' ~ ~ . MAY I I , 1983 ' AT'SOUTNOLD ~ DATE ruNE2s,lse2 TOWN, OF SOUTHOID scALE~ I"=ao' SUFFOLK COUNTY, NEW YORK No. 82 - 372 ' ~ ~ ~NUNAUTNORiZEO ALTERATION OR ADDITION 10 THIS GUARANTEED TO ~ ~ ',SURVEY IS A VIOLATION OF SECTION izoa of THE'`' FIRST AMEBIC CE CO.OF N. Y. " NEW YORK STATE EDUCATION LAW - ~ ~~1 MU' 'NCOPIES OF~TNIS SURVEY MOT BEARW6 THE LAND' •(E OR . SUR VEYO0.~S .INKED SEAL' OR EMBOSSED SEAL SHAL4 y'~P ~f) W' YOG ~ " ' ~ NOT BE CONSIDERED TO BE'A VAllp TRUE COPY ' NGUARANTEES INDICATED HEREON SHALL RUN ONLY TC) ~ ~~y~„~s yQ "THE PEIISON FOR WHOM THE SVRVEY IS PREPARED Y• m HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT pN0 ON NIS BEHALF TO THE TITLE COMPANY, GOVERN- %w~~ N NEAREST WATER MAIN.,~ML! NSOURCE OF WATERS PRIWTE PUBLIC„~,. MENTAL AGENCY AND LENDING INSTITUTION LASTED, ~ ~ i,~'-,~~T~,:~',8 jz~~°'w ' N SUFF CO. TA%NAP MST ~°O~SECTION a7o BLOCK? LOT ~SY•~ HEREON, ANDTO THE ASISIONEE§ OF THE LENDING w x «-JjP ~ i~, ~ " tdd5~: !3- RTHERE ARE NO DWEILINS4 WITHIN 100 FEET OF THIS PROPERTY INSTITUTION.~OUARANTEES ARE NOT TRANSFERABLE' ~ o ~~SJ'v~;.„~~a°k'~ c ~ ' OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEOUENI' n .,.i , K THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIpENCE' q DN STANCES, SHOWN HEREON ~fflOM PROPERTY UNE,S ' for .tr AS all ~ WILL CONFOhM TO THE STANDARDS Of THE SUFFOLK COUNTY DEPARTMENT ~ TOE%ISTIN6 9TRUCTURE4 "ARE FOR A SPECIFIC _ `°ds~ 1 ^~D ' OF HEALTH SERVICES. " ~ ~ PURPOSE AND APE NOT TO BE USED TO ESTABLISH ~ aNq~ eyyglA~-` - _ APPLICANTi PROPERTY LINES OR POR THE ERECTION OF, FENCES ; ADDRESS ~ ~ r TEL. Y(?UNG'a YOUNG R~RFiEADNNEWAYORK~ A•MONUMENT 'ALDEN W.YOUNG,PROFESSIONAL~ENGINE'ER ~ ,AND LANQ SURVEYOR N.Y,S,LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N TK LOCATgN OF WELIiw),SEPTIC TANK)9TIB CESSPOOLS(CP)SHOWN NERlON N.Y, $•LICENSE N0.45E193- ' ME F110M FIEl.O OBSERVATIONS AHD ON DATA OBTAINED FROM OTHERS ' iDY POST E0~94 ~,5