The URL can be used to link to this page

Home My WebLink About8449-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. Certificate Of Occupancy THIS CERTIFIES tlut the building . .a..d.d.i.L. J:..o.n. i&...c.e.l.l.a..r .......................... Location of Property 3 7 5 Eugene ' s Road Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section ....0.9.7. ..... Block ....0.2. ......... Lot . ...0.1.6.: .4 .... Subdivision ....... X. ....................... Filed Map No...X ...... Lot No...X. .......... conforms substantially to the A~lication for Building Permit heretofore f'~}d4 ~n this office dated March 26 Z ...S.e.p.t.e..m)e.,..9. ..... 19.8..2pursuant to7~hich Building Permit No. .]..~9 ~..7..~ ........... March 26 ' ' - dated ..... S..ep.t.e..n)~..e.r.. ]: .6 ......... ] 9.8..2, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wkich this certificate is issued is ......... .. ~...~.a.~.~..~.~.on . .~.o..?..~?~.~. ?..a.~. ?.z.z.~.~. ?..?.4. ? ?.z)., ?. ?.~. z..z. 5~)..zs~., .u.~?.5 ..... exisLing strucLure (11917Z). The certificate is issued to KAREN ROBINSON (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... N../.A. ............................... UNDERWRITERS CERTIFICATE NO. N609971 & N610237 Bufldmg Inspector Rev. 1/81 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMF~T Town Clerk's Office Southold, N. Y. )Certi[icate O[ Occupancy THIS CERTIFIES that the building located at ._8-/. ~ ?..~.g~.-.~.~.., .l.~.D..~. ? .... Street Map No .... lock No ........... Lot No ..... ; ............................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... H. ?..'/ .... .~...~.. 19~..-- pursuant to which Building Permit No..7.~..7.9. ?. dated .......... .~..~.'.(....~.., was issued, and conforms to all of the req, fire. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...~ .... y.e. ff.~.-r..~ .... .0~'.....-F~. ~!k¥ .... ~.k~/.~...C.' ............. Thecertificateisissuedto FI'~I- ~O ~4~ TV4VC.~' ~ o~ ~ ~'P (~ ~ ~, (owner, lessee or tenant) of the aforesaid building. St~olk Co~y Department ol ~e~ App~oYal ..................... ~)~,~w~i~,~$ ¢~,~¢A~ ~o ..... I~ .... ?.( .7..o. ! ~.'~. ..................... ........ Building Inspector FORM NO. 2 TOWN OF SOUTSOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ~Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8449 Z Permission is ereby granted to,: .......... a~t~u~ .............................................. ~o .~-. ~ · ~td~i,t~c~.. ~ ..e;~t;lz~. 4ve~ ............................................................ ~t p~em,~s I~ot~ at ...~..~z~...~ ....... A. FORM NO. 6 TOWN OF SOtJTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUFANCY Instruction~, ;'hie ~pplication must be fliled in typewriter OR ink, and submitted in duplicate to the Buildm6 Inspec tot w~th l. he following; for n~:w buildings or new use: I. Final survey of p;ope~!./with accurate k)cation of alt tmildings, property lines, streets, a~d r, attu'a{ or topographic f~atures. 2. Final ~pproval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}. 3. Approvat of eiectri,;al installation from Board of F ire Underwriters. 4, Commercial huild!n§s, Industrial buddings, Multiple Residences and similar buiidmgc and tions, ~ ::ortlfic;.,;e pt Code compliance from the Architec[ or Engineer r-.sponsibie for thr 5. SuhrnK Planning Briand approval of completed site plan requirements where applicable. For existing buddings {prior to April 1957), Non-conforming uses, or buildings and "pre existing" Ic~l~rJ u I. Accurate ~jrvey of peoperty showing all property lines, streets, buildings and unusual n~turd or tow~qraphic features. 2, ~wo, n statement of owner or previous o~ner as to u~, occupancy and condition of bu[lding~, 3. Date of ,ny housing code or safety ~nspectJon of buildings or premiss, or other pertmeqt informa t~or~ required to prepare a ced ificate. C, f'er"' 1. Gert fF,;ate of ocm:panc¥ $5.00 / 2. Cer*d;cat3ofeccupr, ncyonpre-existingdwelhng/landu~--P:',-v^t:sttn& (;.0. 3, C(,cy of ce~iflcate of occupancy $I.~ /acanL land C.O. ~ O.00 ........ N~, ~.~n~ ..~.... . Okl~rFra~i~tin~mtding .......... Vaca~Land ............ ..................... ~'*'A~'"'~" .Filed Map No ........... Lot Nc ...... P,;rmit ND.I/Ar !.~ ~... Date of Permit~ 7~¢.~.Applicant ................................. H'"ald, DepL Approval ...~__/~ ............. Labor Dept. Approval .... .~l~. ............. Uhdenvr,te~s Approval ~, ~. ' ,Planning Board Approval ~ Re.d,~s, '0, Temporary Certificate.. ~. ~ ............. Final Certificate ...... ~.& ......... oo Fee Subrnttted $ .... ~/~, ~ ................ was examined ~n and found to be in comphanc~ u,~t h I h~. requ~rem~nr~ of l h~, Board FIXTURE FIXTURES RANGES COOKING DECKS OVENS D SH WASHERS EXHAUST FANS ]~0 ~Vi~ ~ti~Ot~ c~iti~ ~ fo~d. Th,s certificate must not be altered ~n any manner, return to the off,ce of the Board ,f incorrect. Inspectors may be ~de~l~d by t.he,r credentials COPY t=OI~ I~UI'LD~N~ DI=PA~TII~ENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEItED IN ANY M/~.NNE11. . [093 THE NEW YORK BOARD OF FIRE UNDERWRITERS 'l'[B BUREAU OF ELECTRICITY [~ ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ only the electrical equipment ~ described below and intmd~ by the appJi~nt named on the able application number in the prem~les of ~ in thefottowlng locahon; ~ Basement ~ 1st FL ~ 2nd Fl. Section Block Lot ~ was examined on JU~ ~5 , ~3 and found to be ,n compliance w~tb the requ ...... nts of thts Board ~ FIXTURE OUTLETS IECEPTACLES SWITCHES FIXTURES RANGES NCANDESCENT FLUORESCENT :t 4 DRYERS FURNACE MOTORS FUTURE APPt. IANCE FEEDERS REC'PT SERVICE DISCONNECT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS A~T AMPS TRANS AMT H P NO. OF FEET V I C E OTHER APPARATUS S E R EXHAUST FANS DIMMERS Gary 4~0 .~ell Lane OaCcho~le, N.Y., 11935 LIC. #29~L1. Th,s certlflcate must not be altered in any manner, return to the office of the Board ~f ,ncorrect Inspectors may be ;den by thmr credenhals COPY FOR BUILDING DEPARTNIENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNE'P.. THE NEW YORK BOARD OF FIRE UNDERWRITERS C~'I BUREAU OF ELECTRICITY ~---- 85 JOHN STREET. NEW YORK, NEW YORK 10038 .e,.$eptember 23. 19~5 _~,,..,,..~.m~,. 8'0732 N 247015 THIS ~E~IFIES T~AT ~obert Robinson, Evgene ~.~ou~e ~,~.~i.~do. September 18, 1975 RXTURES EANGES FIXTURE ~CEFTACLES1 SWITCHES ~ OUTLETS DRYERS MOTORS . FUTUg'E AIq~JANCE ~DE~ ~ME ~CKS ~R~ ~T S ~ - R V I OTHER AI~A~ATU5- *Furnace/s: 1-1/8hp, 1-1/12hp Motor/s: 1-1/3bp Gustan Bartra RR#1, 227E, Breakwater Rd Mattituck, L.I. 11952 OVENS DISH WASHERS EXHAUST FANS LrNIT HEATERS MULTI-OUTLET D~MME~S SYSTEMS I~O OF I~ET A W G_ t NO Of HtL~G This certlf,cate must not be altered in any manner, return to the office of fhe Board ff incorrect Inspectors may be ,denhf~ed by TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y, 11971 TEL. 765-1802 June 14, 1978 Robert & Karen Robinson Eugene Road Cutchogue, New York 11935 Dear Mr. &Mrs. Robinson, Under B.P. 8~9Z, an attached garage was added to your dwelling. You need to apply for a Certificate of Occupancy end call for our final inspection. We notice a deck has also been added. By calling us, we can admend the Building Permit-~ 8449Z to include the deck. GHF/pjs GEORGE H. FISRER Senior Building Inspector TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 May 8, q 978 Adelphi Land Corp. Eugene' s Road Cutchogue, New York 11935 Dear Sir: Building Permit 8449Z, March 26, 1976, Robert & Karen Robinson was issued for a garage addition. This permit is now over two years old and no Certificate of Occupancy has been issued. You should request a final inspection and apply for a Certificate of 0coupancy. Also it has come to my attention that a deck has been added and we have no record of any Building Permit. You may amend Building Permit #8449 to include this deck. GEORGE H. FISHER Chief Building Inspector GHF/pjs BUILDING DEP~RTMENT TOWN CLERK $ OFFICE S~THOLD, N. Y. APPLICATION FOR BUILDING PERMI'[ Date ......... ,¥1~.~;I~..~ .~ .............................. , 19...'/'.(~.. INSTRUCTIONS a. This appl,cation must be completely filled in by typewriter or ,n ink and submitted in duplicate to the I~ulldin, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationsh~p to adjoining premises or public streets o, areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application c The work covered by this apphcat~on may not be commenced b.~fore ~ssuance of Building Permit d. Upon approval of this application, the Build,ng Inspector will issue a BuHd,ng Permit to the applicant. Such permil shall be kept on the premises available for inspection throughout the progress of the work. e No building shall be occupied or used in whole or In part for any purpose whatever until a Cerhficate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ,ssuance of a B,~ildmg Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo,k, and other apphcable Laws, Ordinances or Regulations, for the construction of buildings, addit,ons or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu4d,~g code, hous,ng code, and regulations (Signature cf applicant, or name, if a corporation) (Address of applkant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ..... .R...o...~....r..t...&.....K~....r.~..n....P}..o..b.i..n.s..o..n.. ............................................................ If app~t is a corporate, s!gnoture of duly authorized officer ......... ~~: ................... ;,...~. ........................... (l~ame an-~ title 'of corporate officer) Minor Subdivision I Location of land on which proposed work will be done Map No ..o.~....~..r..ti~..F.l.1..l~. ...... Lot No .... ..2,. ............. Street and Number ...... ~.5.....E..~.~.e..n.~.~.~...R...d., ............................... .C...~..t..c...hg..~Lu..e. .................................................. Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction' a, Existing use and occupancy ............ ..~...e.~.i.,d..e.~...c..e ............................................................................................. b, Intended use and occupan? , ........ ..O..~.?..~.J[~. .................................................................................................. 3. Nature of work (check whicl~ applicable): New Budding .................. Addition .................. Alteration . Repair ................... Removal .................. Demolition .............. ~c: ~c:~er Work (Describe) ............................ 4. Estimated Cost ............... .( ........................................... Fee .../. ................................................................................. (to be prod on fi~ing th~s apphcation) 5. If dwe[llng, number of dwelling units ............ ~. .............. Number of dwelling units on each floor ....... : .................... If garage, number of cars ................... ..I ........................................................................................................................ 6 If business, commercial or mixed occupancy, specify nature end extent of each type of use ........................... 7 Dimensions of existing st'ructures, if any: Front ..........~...~.. ........... Rear ..~. ........................ Depth ...Z...~.! ............ Height .... [.~. ................ Number of Stories ................................................................................................................. D~mensions of same structure with alterations or addmons: Front .......... .5..6..~. .................... Rear ...... ..5..6.~ .............. Depth ....... ~-,~-!. .................. Height .......... .J~. ............. Number of Stories 8. Dmnensions of ent,re new construction: Front ............... .Lc'.~ ............... Rear .......... !...~ ............. Depth ..?..c/. ............ Height .................... Number of Stories ................. ~ .............................................................................. 9. Size of lot: Front ....... ~],..~.), ......... Rear ........ .~.~..5., .0..~. ............. Depth ......... ~.Z. 5.. ............... ~0 Date of Purchase ....... ,S. . ,/, .Z, /. ?, .S. ................................... Na.~e of Forme~ Owner ..... .~.~.~.f.."..~ ........................... 11. Zone or use district in which premises are s,tuated ......... ..~.....l'...e.~.l,..~..e..~..t...~..l. ............................................................... 12 Does proposed construct;on ~iol~te any zoning law, ordinance or regulation? ....... ~ .............................................. 13 Name of Owner of premises .~...o...b..e.~.t....~.o...b..~..~. ~ ...... Address ......~...u.l~.e.~.e-L.l...~..~.*....C..~..t..c..~.'Phone No. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .A...cl:.e..~...~.,.....'~.....z~.....C..°..~ll~.'. ............. Address ...~...~..d...~...e....~.~:.~..~..~.t...u~....k.. Phone No..Z..9..8..:..~..5.?..9... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and red,cate all set-back dimensions from property lines. Give street and bbck number or description according to deed, and show street names and whether interior or ccrner Jot. STATE OF NEW Y~R~; > COUNTY OF ~~.~..~'~' .......................... ~~]~.....~.~...~Z~eing duly sworn, d~oses and says t~t he is the appHcan (Name of indiv,~u~g~,licat,o~ , above named. He ~s the ........... ~;..~.~~ .- :' ............................................. ~ .............. ~;~;;;;;;;';~;~;";;~;;;;;';~fi;;;;';;;;~ ............. of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and this applicahon; that alt statements contained in this application are true to the best of his knowledge and ~hef; an tk, aT the work will be p~rformed in the manner set fo~h m the application filed ther~ith. Sworn to before me this ...... .............. , .................... ............... ............. I