Loading...
HomeMy WebLinkAbout17134-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hali Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218841 Date FEB. 22, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1085 WEST LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 088 Block 006 Lot 008 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14 1988 pursuant to which building Permit No. 171342 dated JUNE 20, 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 ARTHUR THOMPSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N858420 NOV. 22, 198$ PLUMBERS CERTIFICATION DATED N/A t~.~°~ r2~c~~`L~,, Building Tnsp for Rev. 1/81 nosas xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT RHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nq 017134 Z Date 19~,G! Permission is hereby grantGry`.:1.. a / . ct premises located at ....~>~v`._......~T/.~.r.~........~Z~c Cvunty Tax Map No. 1000 Section Block Lot No...........~...... pursuant to application dated ...~./f.~ 19.~~..~ and approved by the Building Inspector. gd ' Fee ~y ..n .e,/w~e~~ g I ctor Rev. 6/30/80 ~ own nan -^~_~~-~-a~ - Southold, N.Y. 11971 Bt-OG. DE-i' i 765 - 1802 TO1ti+h! C)F SOI.tp',°':L.17 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building In~ec- tor 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 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 intorma- , tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwellino,$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 . 0 0 , over 5 years $ 1 0 . 0 0 4.Vacant Land C.O. $ 20.00 S. Undated C.O. $ 50.00 Date New Cons truction,,,,//,,01/d or Pre-existing Building Vacant Land Location of Property !.Q>~.7... L`~..LOiL .........................Sb~J~os! ~1. House No. Street Haml t Owner or Owners of Property ~!~G.~kti*':...j./.'!~?!'N!~~q/.V . County Tax Map No. 1000 Section Block , , Lot , Subdivision .......,t.<./ ..............~./..~.6.f~..Filed Map No. ../.^..a.....Lot N~o.7 . Permit No. ~~~~?.d . Date of/~P~er~ '%~°,ldd"...Applicant !!~/~~"`';Y°!~-{?', ,yr/~G ~UD~~, Health Dept. Approval .......r.:`...../.../.......Labor Dept. Approval ..../Y. . . Underwriters Approval ,,1~~~ .............Planning Board Approval , , Request for Temporar~Certificate .....................Final Certificate ~~e':f . Fee Submitted$.....tl?„~~~',",,,,,,,,,,,,,,,, Construction on above described building and permit meets all applicable co a an a ulations Applicant J4'Z/~r:-~.... ...9 . . ae~. to-to-~a ~ ~ /~0 d~" a/a~~ya CU z~ rF~y/ Memorandum from . BUILDING INSPEC'T'ORS OFFICE TOWN OF SOUTHOLD Towx HALL, SOUTHOLD, N. Y. 11971 765-1802 February 23, ]990 Dear Pir. Thompson: Enclosed is your Certificate of Occupancy for Building Permit X17134. Thank you for your attention to this. When I went to the drawer to pull your file, I came across another outstanding permit. B.P. TI9817 for a 2nd floor dormer. Every- thing you need is in the file. I am en- closing another application. Please return it with your check and we can clear up this old permit too. Thank you. Yours truly, /`~+cJ ~d~ Secretary ' r d 1a~.r11~,f? I~~'ia ~ .y~; VICTOR LESSARD h~'"a ~ ~ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ ~'it' ~ P.O. Box 1179 ? , G'+~"~'•: Southold, New York 11971 (516) 765-1802 - FAX (516) 765-1823 ~~~y ' «zrr OFFICE OF BUILDING INSPECTOR TOWN OF 50UTHOLD February 7, 1990 Mr. Arthur Thompson 1085 West Lane Southold, N.Y. 11971 Dear Mr. Thompson: I am returning your check 1/3281 dated August 10, 1988. At the time of your application for a Cert- ificate of Occupancy we were waiting for an Under- writers certificate Please send us a new check for $25.00 for pour Cer- tificate. We now have the underwriters but the check was too old to issue the C.O. Thank you for your attention to this. Yours truly, Secretary - ARTHUR THOMPSON JR. .32 $ Z 13ABEL G. THOMPSON - 1-1081210 19_ %ro OrYe~of $ a.l x ~ oliars ~ WILLIA TNEET FFICE i MA NE MIDLAND BANK, H. a. NEW YO K NEW YOflK 10038 i I For ~ f:02i0010881:00 5 7 70 4 59~~' 3281 - - o - - --l b ~ /1971 - - _ U _ - ~ 9 Q~ it - - - ~ ~ - t - - E31-g6 -Dti''f'~ J ,_.,;,,,,_70'a~1N ©F S`J~F"t t7! f3 -/~/~/~~®y/J~- - J- - _ ~ ) 4 F - - ~.T.-.._-. _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 65 JOHN STREET, NEW YORK, NEW YORK 70038 Date 'L~OV'f'Ci1~E'X.' ~~r APPlicatian No. on file / ~~J~~I~~p THIS CERTIFIES THAT ~~~~~'~i only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremiaea of `s~"' 1~?Y'C:YY 1,18: ti~£`lOSIj3FJ C)Y&g ~t)65 ~C~E'i~ $).t".s A~iE~U~~'i.Cl Y.C~a ba«~w in thefo8owing Location; ? Basement 1st FY. ? 2nd Fl. .Section B~Blcek Lo[ was examined on I'~FCdVFCilYJ G'b:' ~Ba arrdfowrdto 6e in emrtplianee with the rwquirerneats of this Board. FIXTURE FIXTURES RANGES COOKING DECK$ OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT MvnPOGY AMi K W AML K W Mli. K W. AML K W AMT. H P. ~j~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K, W. On H. P GAS H P AMi NO A. W G AML AMP. AMT. AMPS TRANS. AMT. H P SYSTEMS AM[ WAFTS NO.OF FEET I SERVICE DISCONNECT NO.OF $ E R V I C E METER NO OF CC COND A W. G. A. W. G. A. W G. PMT. AMP. LTPE EQUIP I q 1W I % 3W 9 $ JW 3,e' 4W PER % OF CC COND. NO.OF M4LEG OF HbIEG ~ ~ NEUTRALS OF NEUTRAL S OTHER APPARATUS: ~L=t~~~ ~~-C Artk~ur TtatampESaax &065 'W~s~ T,~T1cT $Ot.'1~f107.tj r 1V a GENE~AL MANAGER r r Per t...f This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified their re a tials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE Mt~57 NQT BE ALTERED IN ANY MANNER. ~ '713 y ~~-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: ' 6~wl~l~~ 13~~~~ gt , DATE _ 7~2 S~ R- INSPECTOR 1111 ~ _ ~Lu~~ t~ . 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION i5T [ ] ROUGH PLBG. [ 7 FOUNDATION 2ND [ ]INSULATION [L]'FRAMING [ ]FINAL REMARKS: uz ~ F DATE c~ 0 ~ INSPECTOR ~1::LD I.:S:'~C;i01J ~~bkTE OMMENTS J ~ ~ H `~yy1 - `V^ FOUIIDATION (1st) c ~'S ~ C7 FOUNDATI0IJ (2nd) - ~ G - i 2. o O P,OUGH FRAME & Ul PLUMBING N y 3. ~ ~ m IidSULATI0II PER N. Y. y STATE ENERGY CODE m 0 ~ C Zs c.e - ~ ~-a-I FIiJAL E ~ z O ADDITIONAL COMMENTS: x . _ G ' x ro N 9 H H 2 I ~ C+7 . Zs~!\/ H ~..J x cti m H w > w N ~ ~ tr i ~1 ~ cy o 3 ~ ~ g o a, v ~ ~ ~ ` Cl ~ / ~q- r ~ j y ~ ~ ~ ~ N ~ ~ ~ ~ ~ ~ a w ~ _ ~ ~ ~ ~t~. . ~ C d N O_fr/ v 9 _ ~ v. ? V j' .a 1 ~ ~ ~ 2 ~ ~ r' o -y.=T a~ - - - _ {4 ~ cJ .4 ' ~ t W BOARD OFD HEALTH t1-`r C,~,LI~\••r 3 SETS OF PLANS • ? • • . bw:~• ~ - a~ FORM NO. 1 SURVEY / 1~... . D ~y~ i~ TOWN OFSOUTHOLD CHECK .....t! vyl~ ~ Q BUILDING DEPARTMENT SEPTIC FORM . • ai TOWN HALL BLDG.pEpT. SOUTHOLD,N.Y.11971 NOTIFY TOWN.UP SOUTWOLD TEL.: 765-1802 CALL Examined ~/moo....., 19 MAIL T0: Approved 19~~Permit No.l7~~T~ • Disapproved a/c .o?, i . . ! v~y..... . (Bull g Inspector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building lnspector, 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 i_nspec#ions,. (Signature of applicant, o/ry~name or razion) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumUer or builder. Name of owner of premises ..~r.!:'.Nr `~~t"~!f•~~~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and~ti le of corporate officer) Builder's Licenses NoC ~S 3 Plumber's License No . . Electrician's License No . . Other Trade's License No . . I. Location of land on which proposed work will be done. ......SLjN.~.+°.~..L :/,l~r~r ;~~?L1/.//.e?L;b • (1~~/ . , . • . • House Number Strpeet Hamlet County Tax Map No. 1000 Section t~4 Block 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 . b. Intended use and occupancy 3. Nature of work (check which applicable): New Buildin Addition i. , . , , , , , , g ~ J!:...... Alteration ~ Repair Removal , Demolition Other Work . (Description) 4. Estimated Cost .........~.orv Fee . t Number of dwelli ~ u e paid on 61ing this application) 5. If dwelling, number of dwelling units 'nits on each floor , , , , , , , , , , , , If garage, number of cars . . . 6. If business, commercial or mixed occupancy, specify nahirc and extent of each 4ype of use , , , 7. Dimensions ~F;.~•~~.~„r ~ ~ structures, rf any: Front , . /.L . , , I:car Depth Height • • Number of Stories L . Dimensions of same structure with alterations or additions: Front • • • ~ • • • • .Rear Depth Height Number',of Stories . 8. Dimensions of entire new construction: Front , , . ' ~ ~ • ' ' ' ' ' ' Depth ,/.d'. , r:.... . Hei ht ~ • • Rear g • • • . Number of Stories , • 9. Size of lot: Front Rear..................... •Depth....................... 10. Date of Purchase ] 1. Zone or use district in which premises are situated , • Name of Former Owner, . . , . , . , . 12. Does proposed construction violate any zoning law, ordinance or regulation: , A/D . . . 13. Will lot ba re raded ' ' ' ' ' ' ' g • • ~ • • • • • • .......Will excess fill be removed from remises: Yes No 14. Name of Owner of premises l~aiwlpS"Q,~~ • • , , , , ,Address l5!~1j~!¢~,y,g~~ , •5,•p~dne No.7/~, 4!'>,?,) J' Name of Architect ,Address bb. ..Phone No. Name of Contractor LLl~/:/, t~lf, ~i/F1.1aJ.ctc? ~+C•tf, ,Address lG.F3p(t„I fin, . ~ ,Phone No..,lr~.'~.~~ri~'!~'`L~, 15.Is this property located within 100 feet of a tidal wetland? *YES....NO..~ . *If yes, Southold Town Trustees Permit may be required. . PLOT DIAGRAM 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 acc to deed, and show street names and indicate whether interior or corner lot. h~a ~bo4° ~ . , tit ~/y~ ~~.,u, • • ~ /o~ ~ ~o ~ ~s~. L STATE OF NEW YORK, COUNTY OF ~ S' , , bete dul sworn de • ~ • ' ' ' ' ' • • • g y poses and says that he is the applicant mdividua 'd ' rg contract) above named. He is the (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 tLhis r ................f.~i~..~~dayy~of..~~`........,19 NotaryPubkr,~.~•~~r:~s<<......"::...../k.~-...~C,.... County NO(ARY PUBLIC, S~ ot~Plew Ypk ~ No.4707878,Suflolklbunty~i (Signature applic t) Term Expires hlerch 30,18 _ - u ~ - ~ _ - 4 ivies N ivlE~;~~ F+D 1 6p~ so ~ -tl o in ~S I Z ~ . ~ - p W MH,~ bF LANG, _ S I ,pIH ~ " SUi7VEYE0 FOR p ` ~ ~LOREN~CE Hf-~NC,:OCK < Y N~~' ~ sl'r'uATE_ A-r ' ~ BAY,V/E~W ; ; , ~ Z F ~ TOWN OF SO(JTHOLD S(/FFOLK COUNN N: Y. ~ ! ~ ,e l ~ ~ ~ ~ ~ Se ale.', So' ~ Q } W' i ~ r fi M%//s' ~ Q" , 6 ~ r a ~ _ ,'o ~ 1~~ H. ik .+E~ ~ ~ ~ f~"i'~ "','i~~~~l~~ly.~l ' t~`~1'^w~ I.~`~µr~~d W~ ~v ~ Yv~' e sg ~ h I~ ~ ~ ~ a ~ a U o ~ ' i I o' r b 's ~ I bl 3 ~ a ~ ro ~ 3 i i ~ ~ ~l e W ~ ~ n ` ~ fy he _ ~ n ~ VI 0 ~ m z,,s B- ~e N ~ a ~ 3 " .y ~ I i ~ 0 2 I ~ ~ Q ~ ° ~ ~oo.~ o 1 I a ~ ` m I ~ ~ lO D.DO 'VJ A, N 67135~z,0,'_ y i ~c ~ 9'~ h I ~w~ ~ ~ + F ~ , , A ~yua sRR~[J~,,~.".f 5~ ~ y~1~~"~,~,~i'~~"~~'i~,~ll .~';~,:,r~1. ~iad's"~~,~`~ 'fF ,iu ~ ~ ~ - = monument I II 1 ~ = stake: - - - - i f ~ i ~i ~ ~ ~I N. ~ ' I 1 j ~i ~ ki ¢ ~ Gucira~leed ~`o ; lit/e ~uoruri]`ee ar~d Trus/ Corr~~rhy Qhd m' a ~I W ~/cr~f, Fork Bnnk'ur~d Tusk Cerrp~any ~ ~ ~ 9s sdrveyed Occember 2~ /95,3 ~ Offo W. Von Tuy/~ Son C ~ ~,r~ ~S - _ _ L/e e,ys =r1 La d Surveyors I 1 Gi •cen/nnorf•~ N. Y ~ ,,r ~ cE Pct-ON/G ~ , ! i ~ --~_I' m,~, ~,,.~~2a~, w~LLi. ~d, ~ , ~ ~