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HomeMy WebLinkAbout17132-z FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..,Z-_]7034,...,,. Date June 27, 1988 ALTERATION THIS CERTIFIES that the building . Location of Property ....3.00 Narbor Lane Orient, New York House No . Street .......................Hemlet County Tax Map No. 1000 Section ? .......Block ..4 ............Lot 5........... . Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore f31ed in this office dated .,.June 10, 1988 17132 Z pursuant to which Building Permit No. . dated June 2 0 , ] 9 88 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 . ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIEB FOR Tlie certificate is issued to ,FRANK ALLECI A owner l~'~'rl{~~i~t~%................... . of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO . N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/ai aoaat xo. s TOWN OP 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) fl ~ 1713 2 Z Da9e ..~~~J~ 1 R7.:~ Permission isChereby granted to: / 6 itl-~A.:ye2~iA4~~~~..'~'.r..t.. aG...?.~1 ""c-/-~Qi ......:.,~.,..~.~.r.....;..~i. , ct premises located at ..s.~.Ct ~......~........~1~ County Tax Map No. 1000 Section ........,1.7...... Block .............~L~ot No....~.......... pursuant to application doted .......~7{/..4 19A...Z.7T, and approved by the Building Inspector. / U Fee S•L~~ ! . ,C... ..e~~'~~......... ~ ~ ~ Buil~~~~ 1 ~ for Rev. 6/30/80 h. w - ' FORM NO. 6 (pl fc+ a N7 TOWN OF SOUTHOLD ~ tJ L5 V Building Department Town Hall ~ Z 7 Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC rOVVrsuoFS u7FIDlD Instructions A. This application must be filled in typewriter OR ink, and submitted ~l~~ 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-(S-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. 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.OO,ALTERATION $25.00 - 1. Certificate of occupancy New Dwelling $25.0.0, .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 5.Uodated C.O. $ 50.00 Date June, 21{;,1,9.88,,, NewConstruction,,,,,,01dorPre-existing Building Vacant Land Location of Property .....COQ,,,,,,,,,,,,,,Ffar;bQr,.L~ne,,,,,,,,,,,,, Orient„_,,,,,,, House No. Stree[ Ham/et Owner or Owners of Property ..k'r'An.k.411-.1.e.Gii~ . County Tax Map No. 1000 Section ..2? Block i•I:......... Lot 5........... . Subdivision .................................Filed Map No. ..........Lot No. . Permit Noll"~3~Z.... Date of Permit 6~2IJ~86. ,Applicants ny~.,rgnlne,gt,E as t, , ~qc , F©r ,Qgtper Health Dept. Approval N/, :.................Labor Dept. Approval ..N~A.................. . Underwriters Approval T'i%A .................Planning Board Approval N~A.................. . Request for Temporary Certific/ate ..................Final Certificate ~ . Fee Submitted $ 25.«00. !!~.~.4!`: a Construction on above described building an r it meets ~I pl i ble co es and regulations. Applicant. ~'I'~.q~.4fGXlt~ . Environment East, 'nl c~For Own®r Rev. 70-10-78 t',.a~c. 3y 9 ~y Cd~.l~D3y BUILDING DEPT. I NSP~CTIt~N [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ CD 1 DATE o7 INSPECTO Tf5-1802 ~ BUILDING DEPT. INSPECTIO[V [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ] FRAMING ~ [ ]FINAL REMARKS: ~~.c D~- c~? .~r~c.~..,~.~u„~ h DATE ~ ~ INSPECTOR =iEiD ,ry;.sr~c.lut! puAT;; ~ ;;orr~crrr~ ~ J. S y ~ ~ ~ _ - cOUIdDATION (1st) c y m FOUNDATIOIJ (2nd) _ - 2 . / . 0 lP z CIS ' 0 0 ROUGH FRAME PLUMBING H 3. ~ IIlSULATIOM PER N. Y. y STATE ENERGY CODE Q x O a 4. H ~I FIlJAL a ~1 z Q ADDITIONAL COMMENTS: x o ro \ H ,ay, 9 \ ~ \j H H O 2 I CA~\ d H I ~gy~ ii ~ ~ rl A b ~ ~7~ /~`J L~"/ ~ mA O _d~ ~ +x~°° 2 ' ~ ~ ~ N ~ _ ~ A r •LM a ® f VPVY~ \II p • T A n j (j] i 1 m m ~~m~ C ~ N Cob ~ c { ,~~r ~ O ~ f ~ ~ i~~l ~ ~ i~' i I ~ ~ A i i ~ ~ x m ~ ~ I ~ ~ ~ \ ' ~ ~ Q ~ ~ ~m z ~ 0 f ai 6 ~ mg ~h ~ _ r Z l i m ~ m r {fJ T O ~ ~Im ~ I ~ i 'm'j°~_j®~~'•`--•••p.,,.v,..,.m,. ~ B 0 A K D O F HEALTH ~1, ~-`'~10'r`~ra`"1~(~`V~~,~ ~ 3 SETS OF PLANS 1 [ .e.,.,._,,..,., _._..._.,~'`d.-;,~~ FORMNO.1 SURVEY ~J ~ f 3'~ ~ 1 TOWN OF SOUTHOLD CHECK • • • • • • - BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY RLOa DE.pT• SOUTHOLD, N.Y. 11971 'CALL TOWNUFSOUTyOLD • • • • • • TEL.:765-1802 MAIL T0: Examined ~/.~."o........., 19 Approved • • • • • • ~ • 19g~Permit No. ~ Disapproved a/c . .......~7~.. (Buildi nspector) APPLICATION FOR BUILDING PERMIT Date ...June .1D......., 19 88. 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 jshall 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 inspectgrs~~on premisas`.and in building for necessary inspections. „ ...Env, #,~q.nlnR tit. ~a e t,..l no.« . (Signature of applicant, or name, if a corporation) 3075 Indian Neck Lane Pe.co ni c.,.. Ia1Y• .11958 . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............~..uildi.n~.Cp.ntrao.tor............................................................ Name of owner of premises k'.rank..Allen.la . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................d?res5.dent (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No...555.6 .IiI• • • • • Plumber's License No. ......N~A• • • • • • • • • • • • • • Electrician's License No. ....N~/Ey . Other Trade's License No . . 1. Location of land on which proposed work will be done. •3.00 • ZY•arbor• •L• ane• • • • • • • • • • ~ • • ~ • • • • ...300 liarbrar.. Lane Orie nt House Number Street Hamlet County Tax Map No. 1000 Section z.'j.......... Block ,I* Lot Y.............. . 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 .One, ,l+~am~.l,q..T)Hte7,7,~.pg. , , , , . , , . • , , , • • , , : , s,~ . b. Intended use and occupancy Qn~. F~ep~~..y.,dwel];inl;•,with ,new windetw~.-. • 3. NaGture of work (check which applicable): New Building Addition Alteration ....X.... . Repair Removal Demolition Other 1Vork . . (~D~~;ipiion) 4. Estimated Cost .6100,.00.....' Fee . 1l ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed',occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures!, if any: Front .....no • ehan~® Rear Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear . Depth .Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth Height ...............Number of Stories . 9. Size of lot: Front ............i Rear ' Depth . 10. Date of Purchase .................Name of Former Owner . Ks.ll}*..................... . 11. Zone or use district in whichprernisesaresituated., re,S~degtj.al,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,•, 12. Does proposed construction violate any zoning law, ordinance or regulation: ~9' . 13. Will lot be regraded Via Will excess fill be removed from premises: Yes No 14. Name of Owner of premisesl'?'.an'k, A11e eia . , , , , Address300. 2IIarbor ILane phone No. 32~• 3926 Name of Architect 0ri.e nt ' ' ' 11~'S7 ............................Address ...................Phone No. p p y nt. East,..Tnc.. AddressQ~~:. ad1 P~.~~~beureeNo..7.9)1•..7~1.711... 15. ITS thisCoYOtraert~ locat d within 300 feet of a tiidal we~~~c3d? Y~s`' No X... *If yes, Southold Town Trustees PermitPLO~ DIAGRAM ed. 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. Se' attached p;A~,ns ' ) PR~D pt NO?ED o DATE~~~~7/a O B.P. f! 7/~~ o® NOTIFY U ING pEPA A7 7bb-1$02 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST SE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CO!)ES. NOT RESPONSt$LE FOR DESI<yN OR CONSTRUCTION ERRORS STATE OF NEW YO IC, COliNT'Y OF S, S being duly sworn, dep`eses and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, age ,corporate officer tc.) of said owner or owners, and is duly', authorized to perfdrm ~~fiave per ormed the s8id 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 wall be performed in the manner set forth in the application filed therewith. Sworn to before me this ~.w............day of ....~!k~-r.........., 19 Notary Public . ............~~'~~`G~........ County LINDAJ.000PER NoteryPubllo,Steteof N~~awuuYork (Signature of applicant) '1bm~Exp~ires 8pecem~bar 31,1