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Home My WebLink About11992-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23480 Date FEBRUARY 3, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property. 285 STILLW~TER A~B~JE House No. Street County Tax Map No. 1000 Section 103 Block 1 Subdivision Filed Map No. CUTCHOG~3E, N. Y. Hamlet Lot 9.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 1982 .pursuant to which Building Permit No. 11992-Z dated OCTOBER 29, 1982 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupanc~ for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JAMES & ELIZABETH HOMAN N-591750 - JANUARY 31., 1983 N/A Rev. 1/81 Permissior~ BUILDING DEPARTMENI TOWN HALL SOUTHOLD, N,. Y. BUILDING ~ER~!T! (THIS PERMIT MUST BE KEPT ON THE PEEMISI COMPLETION OF THE WORK AUTHC~RIZED) ~ 'dNTIL ~ULL is hereby granted to: at premises ............................................................................... ~ ................. ?.,.~......? ......... ~.y ..................................... COun~ TaX Map No. 1000 Sec 'o~,.. ............ ....:. I~k ~,...~. ....... , ~ t '" '~r' .... pursuant to apphcahon dated .~:~.~.~....C.~ ................. ~....~....., ]9~ ~and approved by the Building I~spector. ............... ...... : R~v. 6/30980 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN }~LL ~65-1802 · APPLICATION FOR CERTIFICATE OF OCCUPA A. Phis application must be filled in by t~pewriter OR ink and submitted to the building inspector with the following: for.new building 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 from Health Dept. of water supply and sewerage-Risposal(S-9 form). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/lO.of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. '6. Submit Planning Board Approval of completed site plan requirements. B~. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ','pre-existing" land uses: ~ 1. Accurate survey of property showing all property lines, streets, building and unusual natural-or topographic~features. 2~ A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building InspecJor shall state the reasons therefor in writing to the applicant. C. Fees .i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, · Alterations to d elimng $20.00, Swmmmzng pool $25.00, Accessory buzlding $25.00, . - Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $iO.00 '.4. Update~ Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Ne~ C nstruction Old Or Pre exis'ting Building Location of Property ........................... House No. ' .... · ~treet Hamlet Onwer or Owners of Property~..~..~. ~ .. County Tax Map No 1000, Section../a~ ........ Block .... O~. ........ Lot .... ~.'./ .... Subdivision ............................... Filed Map Lot Permit N Date Of p Apliic Health Dept. Approval..~.l~. ............... .... Underwriters Approval ............. Planning Board Approval .............. Request for: Temporary Certificate .......... ,,,"Final Cer~ic~v~yS,~ 1000~3 THE NEW YORK BOARD OF FIRE UNDERWRITERS B, te January 31, 1983 Jpp,~c,,ao, No.o,,f~t~ 194961-82 N 5~1750 D~n Bi~, Stillwa~ Ave. ~ L~=~D~, N.Y. in thefo~[o~ng [ocat~o~; ~ Basetne.t ~ 1st FL ~ 2nd FL Sectlo~ Block Lot was exatnined on J~ 27) 1983 attd found to be in co.tpliance with the r~quiretnents of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES . FLUORESCENT 22 16 DRYERS DIMMERS SYSTEMS NO. OF FEET Motors: 1-1 H.P. Panalboarcts ~ 1-22cir. 20Oamps. 1-G.F.I. 1-G.F.C.i. l-$mo~e Detector E R NO, C~COND, OF CC COND, 2/0 C 2/0 Glenn R. Bradley RFD 16A }brton Ave. Mattituck, N.Y., 11952 Lic. ~1227 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspecto~s may be ~identified their COPY~:FOg. BUILp!NO DEPARTMENT., THIS COPY 9F ANY,.,:MANNER.. COMMENTS FIELU INSPECTION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Z'~ ,4 FORM NO. 1 TOWN OF 8OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely ~led in by typewriter dr 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 bulldin~ 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 pnrt of this appli- c. The work covengl by this application may not be commenced before issuance of Building Pormit. d. Upon approval of this apPlication, the Building Inspector will issued a Building Permit-to the applicant. Such permit ~ be kept on the premises avn!!~ble for inspectiOn throughout the work. e. No building ishall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been ~ranted by the Building Inspector. APPLICATION 15 HEREBY MADE to ~ Building Dep~i.uent for the issuance of a Buildinl Permit punuant to the ~ Zone Ordtnanee of the Town of ~outhold, Suffolk County, New York, and other applicable Laws, Oniinancas or i~tlm., for tl~ construction of buildinls, additions or alterations, o'r for removal or demolition, as herein described. Tim applicent a~tee~ to comply with all applicable laws, ordinances.building c~lff, housing c,s~l~, and remdntions, and to admit author'=ed inspectors on premises and in building for nece~~i~/~ ~S.l~natum of ~pplican't, or name, if a corporetion) ......... (Mailing addrt~s of ~pplicant) $~t*/w~h.~ther ~p~..plicant is owner, lessee, asent, architect, engineer, 8en~ral contractor, electrician, plumber or bulld,r. · ../--~ ~ .Q--/~..~...~-~.:..2 .............................................. : .............................. N~-ne of owner of premise.~~1~ . .~ [ ~ ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Buri,~er'~ rice,,.,, ~o...'~..-..~..~.~ ~l.m~.r', U~. ~o..~..~.,~.~.. ~, ~.,~.~.. ~i~', uce,, ~o. ~1~.~.~ .... 1. Location of land on which proposed work will be done .................................................. House Number Street County Tax Map No. 1000 Section .. (..~.~ .......... Block . ~..~: ..O...C).. ...... Lot j~.c.c~...(~.. ~ ..... Subdivision ..................................... Fried Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended usc and occupancy of proposed construction: a. Existing use and occupancy b. ~tan~d use and occupancy ........... ~-~w-- '~u4...~d ~Z~rs ................. 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repair .............. Removal .............. Demolition ........... Other Work ............... /~_~__~./ . (Description) 4. Lst, mated Cost Fee (to be paid on filing this application) 5. If dwe!ling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specif.v nature and extent of each type of use ...................... 7. Dimensions of existing structures, if any: Front.i~..~. ......... Rear ~.~) ......... Depth . .~...~ ......... Height ~.~. ........... Num. ber of Stories ...... '~ ................................................. Dimensiom,~(~f same structure w,th alterations or, additions: Front .. ~ .C). ........... Rear ....Gl ~ ........... Depth:. ~ .~ ............... ,'.. Height...l .~. ............... Number of Stories ...................... 8. r)imen~io s of entire new construction' Front Iq/ Rear ~ ~/ r~n,h ~ Height .~.(~. .......... Number of'Storiesiiiiiiil.lii,~i ..... i iiiii..".'iiiiii.~.:~'~'.i...'-'i'iiiiiiiiii 9. Size of lot: Front 'i '~'~ '~''' ........... Rear..~i ~. ............ Depth .. ~_,,.~.~ ............. 10. ~ate of Purchase . ~.~,.. (.f. ..................... Na~e of qormer Owner ............................. 11. Zone or use district in which pr~mises are situated ....... ~.a..'7 .t. ........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... -~/ ...... -~. ~. ..... ...... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises.-~'*'l°,o..~[~.,.~a.... Address ................... Phone No. r~.~..~ .(z>.c[..q~.~... Name of Architect ., t ....... i ./9 .............. Address ................... Phone No ........... Name of Contracto~ ~ i ol~r~ ~ ~.64~. ~ ?~/~;'tt~ Address ................... Phone No. ~.~..~.. 7..~..cl..O.. PLOT DIAGRAM Locate clearly and distinctly alll 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 Y,,(~RK/ / ~ ,~ COUNTY OF .~~ S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above .named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owrier or owners, and is dul~ authorized to perform or have performed /he 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 manne~ set forth in the application filed therewith. Sworn to before me this ............ · /(..~....~.....day ofl ...... .~...~/.~, 19 .~ Notary Public__..-~'..--~ ~ .... ¥. County JUDITH T. TERRY . .~,2',/~. t '~'1/' '~'' '/ '" ........ ~ ...... [qetary Public, S~ate of New York / M ~ (Signature of applicant) No ~2.0344963 Suffolk Count~,~.~. O~mml~lon Expires March 30, 19~.. 12015~1,7 'N/O/F GEORGE .~ LILL/AN BRAUN S TI L L wA TER AVENUE 3URVEY FOR DEAN BLAIKIE AT c u TCHOGUE TOWN OF $OUTHOLD SUFFOLK COUNTY~ N.Y, SCALE' 1"=40' JULY 25, 1978 AUG 7, 1978 REFERENCE: GUARANTEED TO l THE TITLE GUARANTEE COMPANY DEAN ELAIKIE RIVENHEi~D, N.Y. , If copper tubing is usec] of b/peS K or L only L