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Home My WebLink About8763-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... g I oa4 5 ........ Date ...... .J.a.n. qa. ?y..6. ................ 19 ~. THIS CERTIFIES that the, building ................................................ Location of Property . .~ 7.3.5 ............ l'lt~is.o.g. Pr.t,v.~ .............. .(i~l;~l~,qg~# ....... House No. Street Hamlet County Tax Map No. 1000 Section . 1 0.4 ........ Block .06 ............ Lot .16. A .17 ........ Subdivision ..... X ........................ Fi[ed M~p No..Z ...... Lot No. Z. .... ..... :.. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... Jtll¥..25 ......... , 19 .?6pursuant to which Building Permit No.. 8.?.65. g ............. dated ...... 4 .u.lx..2.9 .............. 19.7.~, 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 ......... ....... .a..p.e. ~y.~.,..o.~.f~,ly..d,fe llano, ..................................... The certificate is issued to ... ¢.o~.rlel~.llll. J.,..I~ro.o~ll. &..001~.o. li1~¥. ~.~.o~g~ri,. ~ljl..~. ~;[~'e, (owner,.~t~) of the aforesaid building. Suffolk County Department of Health Approval .6,-..It9.-.1.3. 2. ~..l.~ .t?.:l..l..6. ,. J.9.7. ~1~..R. qb..ey.~..A... Villa UNDERWRITERS CERTIFICATE NO .... ~.6.8.3.5 9 ...................................... Building Inspector Rev. 1/81 NO. 4 TOWN OF SOUTHOLD BUrLrHNG DEPARTM'~.~ Town Clerk% Office Southold, N. Y. Certificate Of Occupancy No..Z. 9~.9.~. ..... Date ...A.p?.~.~....~.0. .............. , 19..7.9 THIS CERTIFIES that the building located at ?.7.3~..M.a..~.o.n...D?: ........... ~LaL~poc Map No ............. Block No ...........Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .....~..u.ly....~.8. ....... , 19.7.~. pursuant to which Building Permit No...~.6.~Z.. dated ......J.u.~...~.9. ........ , 197.~. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ued is ........ .~i.¥.~e...Op..e.. F.e.m.~.~.y..~..e~..i.ng ............................... The certificate is issued to ...... ~.rri..e.~. ~.~.s..J,..& .D..o?.o.tl'w.. Dle.o. og~t~ ............... (owner, ~ of the a~oresaid building. Suffolk Count), Department of Health Approval .....6.-..S.0.-.7..~. ..... A..p.~l...6.t .~..9.7~... UNDERWRITERS CF~TIFICATE No ........ N. ,~.~.8.]5.9 ............................. HOUSE NUMBER ... ? 73.5. ...... Street ..... M..a.s.o.n...I~. %.y.e ........................ ........................................... c..u~h. 9 ~..e. ,. ~.~...¥p.r~ .............. Building In.~pector County Tax Number 1000-10/*-6-16 & q7 I~RI~ NO. 2 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N9 8763 Z Permission is hereby granted to: l~l~]~ley....~..~;c, to~a.....~ ./.~....q.~rx~.. ~.. ~orot~ Droog~ ............... ..~..~.~.b.p. x~..o. ........................................ ~ Build new one famll~ dwelling (finiSh'first floor onlE) at premises located at ..... ~../..~....M.~.~.°..~....?...~..~..~.~. ................................................................................... ,, Cutcho~....e. N~Y. -~" ~-- :~ .... I" ' ~TU.~.~. 2~ · 19.~...~...., and approved by the ~,_ ~: gumuant to app ~cahon dated ...................................................... ~ ~: ~qi[~ipg_ Insp~tor. ~-:;-~ F~,...~ ..... ~ .......... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- 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, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 premise,s, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ......... Old or Pre-existing Building ............ Vacant Land ............. Hou~ No. S~r~t ' ' Owner or Owners of Proper~ ..~~.~~...~.~~ ......... County Tax MapNo. 1000 Section ../.O..E ........ Block ...~'. ...... ,... Lot./.~..~ ...... Subdiwsion ................................. Map No ............. ,.. Lot No ............... Health Dept. Approval ~.. ~.~/.~.~...Labor Dept. Approval .' ....................... Unde~riters Approval ~ ~.~.~ .~.~ ......... Plann,ng Board Approval ...................... ~eque~ for Temporarg Ce~ificate ............... Final Certificate~. ...................... Fee Submitted $ ~, ~ ~. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- 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 ~nstallat~on from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- t~ons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographm 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copv of certificate of occupancy $1.00 $5.00 Date. ~ .~, New Building .... I~.. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property //~.~...~. ~ .............. ; ......... ~/~t'/~ ~ House No. ,. ,- Street ,--~ ~ · / ,/ b'/ ~ ~, County Tax Map No. 1000 Section ./~..';~. ......... Block ..... ~ ........ Lot. !..~.'..'~.¢. / ..... Subdivision ................................ Filed Map No ......... [...Lot,No .............. Permit No.~. ~..~, .~.7~. Date of Permit~'..~.~.'7~...Applicant .~..~ ..... Health Dept. Approval .~.~. ~..O.~./..~'.~. .......... Labor Dept. Approval ~ ....................... Underwriters Approval ..~..,~.~.~. ~.~..¢ ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... Fee Submitted $. b d d Id Construction ona ove escribe bui ing an~ermitmeetsal,~)hcablecod~sandregulations. Rev, lO.lO.7a I COUNTY OF SUFFOLK o .~ DEPARTMENT OF HEALTH SERVICES Cornelius Droogan Sherman Avenue Williston Park, New York March 5, 1979 DAVID HARRIS, M.D., M.P.H, RE: 6 so 132 n/side Masor~ drive, 113' w/o Hickory Drive, Cutchogue Dear Mr. Droogan: A recent check of our files indicates that this office has never issued a final approval for the above referenced job. Please be advised that it is illegal to occupy the building until the fol- lowing paperwork is submitted to this office and/or the following inspec- tion(s) are completed: 'tell Drillers Certificate ~W~ter Analysis ': ~_~Cesspool Certification _ 'i [~]Final Surveys ~Other ' I Should you have any questions, please feel free ~fo contact this office. Cc: Tow~ Building Department- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- ak 85 JOHN STREET, NEW YORK. NEW YORK 100~8 .te December 14, 1977 THI~ CERTIFIES TMAT o~.iy t~ elect~cal equipment ~ described belo~v and iat~duced by the applicant named on the above application number ~n the premises of C.J. Droogan, 1150 ~ason Drive, Cutchogue, L.I. the following Iocatior~: Ba~emertt wm~et.m~nodon December 12, 1977 andfoundtohei,~ompl~nceu~thth~.req~drement~ofth~Board. RXTURE FIXTURES RANGES ~OOKING DECKS i OVENS DISH WASHERS EXHAUST FANS 116 DRYERS FURNACE MOTORS FUTURE AI~LIINCE FEEDERS TIMECLOCKS UNItHEATEI~ MULTI-OUTLET DIMMERS OF FEET SERVICE S ' E A 'R ' ·V -~ -I OTHER APPARATUS aSpeclal receptacles: Motor/s: 1-1/2bp 1 G.F.C.[.., 2 Smoke Detectors Ruland Elec.Co., P.O.Box 143 ~attituck, L.I. 11952 1-30amps., 1-50amps. Lie.2q2E Per This certificOle must not be altered in any manner; return to the off~ce of the Board [f mcorrect inspectors mm/ be idenhf,ed by BUILDING DEPARTMENT ~-~ TOWN CLERK'S OFFICE / ~ ~UTHOLD, N. Y. -. ~ ~x~ed ......~~.~..X ..... ~..~:.~ ................ ................................................................................ . .................. AP,LIC~TION FOR 'UILDING PE~IT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 oil applicable laws, ordinances, building code, housing code, end regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ('~g~a~re~f ap~,ca~n, or name, if a co~rporation) (Address of applicant) i / ~..~- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... ~ne r. al..~.a~ra~.~ or. .................................................................................................................................. Name of owner of premises ....¢~:~Ge.[[~s..J,..~..D~t~l;.k¥...D~.o~ae, ....................................................................... If applicant is a corporate, sigr)ature o.f duly authorized officer. Builder's License No ............. ~,~-. ................................... Plumber's License No ...... ~.52.w~, .............................. Electrician's License No. .~,~.~.-~. .............................. 1. Location of land on which proposed work will be done. Map No.: ................................ Lot No ......................... Street and Number ~.~on D~'ive ~eeo~le,~T.¥. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ....~'.~,.'~.~.~.9...~9.~1.~.11~.q.~. ................................................................................... 3. Nature of work (check which applicable): New Building.......It' ......... Addition .................. Alteratiorl .............. Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) 4. Estimated Cost .................................. Fee ............................................................. ...... t (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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8~ Dimensions of entire new construction: Front ..~.!.,1,Q?. ....................Rear .~.1.!.~1~..". ............. Depth ..~Q.~..&!! .......... Height 2~ Number of Stories 'IL ............... 9. Size of lot: Front -1-t.~...~:1..! ........................................ Rear ....l.t.;~.~?.t ...................... Depth]..~l~.,.;~.l.t..~.l..~.l.¥~t 10. Date of Purchase .~...q~...~....]...c).~..~. ......... ~:~ ...... Name of Former Owner~/~..~...~f~ ................... 11. Zone or use district in which premises are situated ......~...~..O.~?. .................................................................................. 12. Doe~ preposed ~onstruction violate any zoning law, ordinance or regulation: ........................................................ 13. Will [0t~b-e' regraded'. ............ ~._..:~.,..W_illoexRe_ss_fi.[l~..b.e removed framDrernises;, (X) Yes ( ) No 14. Name ~f Owner of premises ..Dl~Og41~, ................................ Address .W.i.l~,la.t,o~..P,l~,, Phone No.~..~...~..[.l:...~..~. Name of Architect ....S.~.~t..~..o..1...~.....L....L~...b...e..r. ....................... Address ..S...o..~..t...~..o..1...d: ............ Phone Nome of Contractor .M~,clg. le.~..&..H~z~.l~om .................... Address .C~,t~4~O~tA~ ......... Phone No. 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. STATE OF NEW YOP, K [ ¢ S COUNTY OF ......... ................................... .C~E'Y~..]IIII~.JilIII~II .................... being duly sworn, deposes and says that he is the applicam r (Name of individual signing contract0 above named. He is the ............................................................ ¢~J~ ............................................................................................ (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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... ........ ........ u ... ..... (,_~~ ( ~.~.,~ ._ ~ L '/~/~ (Signature ~Sf applicant) ELIZABETH At~N ~¥EV/LLE NOTARy PUBLIC, Sta~e of New York , ,IIUIrP. CO. HIE~LTH DEI~T. APPROVAL ~ ,4, ~' OF- Cu-r'c~o~ue - N.Y. RODE~ICK VAN TUY1. p. C. W 0 U FOR APPROVAL OF GONSTltUC'T~ON ONLY DATE: APPROVED: ~I'AT124ENT 01r INT'IItNT I~IE WATf~' BUPPLy A~ S~AGE DIg~L IY~EMB FOR THI~ DENCE Wi~ C~F~M ~ THE OF H~L~, (6) __ APPLICANT /~/ APPROVED AS NO'/ED NOTIFY BUILDING D£PABTMENT 1 BEFORE BACKFILLING FCUNDA ~, FINAL WHEN JOB COMFL[TED .? ~/~ CLOSE'F5. ?~ ,.q II',ICLI~ _ ST~o~ A g [ , //'~., tx,/~ //'N..,,~ CLO ~T