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Home My WebLink About11880-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy No. ~ ] .1,3.1. 3 .......... Date ..... ~.o.v.e..=.b.e.r...2.~ ............... 19 .8.2. THIS CERTIFIES that the building .~, .d.d.J..~t..o.~ ...................................... Location of Property 28785 Hain Road Cu~;chogue House No. Street Hamlet County Tax Map No. ]000 Section . .~ .0.2, ....... Block ...0,5. .......... Lot ...0.2.3. ........... Subdivision.. ~( ............................ Filed Map No...X ...... Lot No..X. ........... conforms substantially to the Application for Building Permit heretofore f'ded in tats office dated ....A.u g.u.a. ~..2.6. .......,19 .8 .2. pursuant to which Building Permit No...1.1. .8 .8.0.. Z. ........... dated .... ~R~q ~. ~.7. ............. 198..2., was issued, and conforms to an of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ~ dormer addStion for increased off~ce and st;orage space. The certificate is issued to Richard F. Lark (owrmr, ~ :;;_;,:; of the aforesaid building. Suffolk County Department of Health Approval .. not; UNDERWRITERS CERTIFICATE NO .......... .~.. 5.8.0,5.8. 9 .............................. R~. 1/81 BUILDING eERMI? (THIS PERMIT MUST BE KEPT ON TH,E PP~E~I~ES UNTIL COMPLETION OF THE WORK AUTHORIZED) 11880 Z Date ....... ~ :ULL Rev. 6/30~80 Permission is hereby granted to: ....~;~~,..~..~ ........ . . ..~.~z ,~...~: ~.~,i~,~...~.zr . _ ,o ....... ~~ ............ :..~,..;:.~~...~ .............. ...... ~:~..~...~....~..~~~~. at promisOs located ~ ............ ~..~...~.~.~..Z...~gg.~.. :.~. ~ ................... ............................................. ~.~~...~.,.~..~~..,. ....................... pursuant {o application dated ...~:~..,.~..~.;~...:;, 19.~ ~nd apprav~ by the Builaing I~spector, ~ FORM NO. 6 TOWN OF $OUTHOLD 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 ail buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approva~ 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. B. 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 premises, or other pertinent informa- tion required to prepare a certificate. C. 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 Date.~ovember 19, 1982 New Building (dormer) X Old or Pre~existing Building ...-~. Vacant Land Location of Property . .~..8.7.8.5. .............. Main Road Cutchogue House No. Street Hamlet Owner or Owners of Property ,. ~.c.h..aT.d. ,?,..L.~.~ ........................................ County Tax Map No. 1000 Section ....i.Q.~ ......... Block ...5 ............ Lot..~.3 ............. Subdivision ................................. Filed Map No ........... Lqt No .............. Permit No. ~.I. 8..8.0..~.. Date of Permit .8 ~/. 2. 7. ./ .8 .~. .Applicant . .R.~.c.J~. ?.~.~..~.:..L.~?. ~ ............... Health Dept, Approval .... .~/..~ ............. .. ,Labor Dept. Approval . .~./'.A. .................. Underwriters Approval. ;~..s.e.e...c.o~..o.~. ....... Planning Board Approval .~,/.A. .................. Certificate ~N580589 attached hereto Request f~r Temporary Certificate ..................... Final Certificate ...X. ................... Fee Submitted $..5...Q ~ ....................... Construction on above described building and permi3~eet,,s2all app, l~---a~e cpl~s,~nd regulations. FIELD INSFE~CTION DATE COMMENTS ~-. 1st) , 2nd) ..... m y. ~"~ ADDITIONAL COMMENTS: FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION FERN STATE ENERGY GODE FINAL AP~;~G' ._D AS NOTED DATE: __B.P. FEE: BY: NOTIFY BUILDING D 765-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS' 1. FOUNDATION - FOR POURED CONCRETF 2. ROUGH - FRAMING 3. NSULATION 4. FINAL - CONSTRU,-%IGN ALL CONSTRUCTION SHALL %HE REQUIREMENTS OF TH STATE CONSTRUCT ON & EN"'RG'~' ~? ~';'~ ~ ~" "~ ;I ' CODES. F~OT RESPONSIBLE FOR , tm .......... ~ ..... 1090287 THE NEW yORK BOARD OF FIRE UNDERWRITERS : . BUREAU OF ~ECTRICITY ~-' * ' '~ ~ 85 JOHN STREET, NEW YORK. N~"~'ORK 10038 ~ ~. ~k, ~ ~. n/a Wo ~C ~e, ~C~, ~.y ~-~o. ~ob~ ~8, 1982 a~fou~to~incompli~cewitht~require~ntsoft~B~d. RX;URE RXTURES RANGES OVENS EXHAUST FANS DRYERS 'FURNACE MOTORS $ ,E R V I C E 1 3/0 1 3/0 Walter Finger Cutchogue, N.Y. 11935 Lic. 1845 E 1i This certificate mu~ not be altered in any manner~ return to the office of fbe ~oard /f incorrect. Inspectors may be identified by their c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~kamined ...~....,~.....~.. ...... 19..~.~..~.~. Approved .~......~.....~... ....... , 19.~...~Permit No../..~...~..~....~...~ ......... Disapproved a/c ............................................................................................ Application No. /.~.~...~.'~..~..~..~.,.... (Bui ding Inspector) " ....... APPLICATION FOR BUILDING PERMIT ~ ~ ~u~us~ 26, 19 ............ Date INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 or 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary/£.:.~ ~--inspecti°n2::?~ ~'~"../ Main Road - P. O. Box 973 Cutchogue, New York 11935 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Richard F. Lark If applicant is a corporate, signature Of duly authorized officer. ............... . (Name and title of corporate officer) Builder's License No. William Beebe, Southold Town License No. 99 Plumber's License No ..... .N../.A.. .................................... Electrician's License No. N/A Other Trade's License No....N.../..A.. ................................... Suff, Cty Tax Map No, 1000-102-5-23 1. Location of land on which proposed work will be done. Street and Number 28785 Main Road, Cutchoque, New York Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy Law office 'b. Intended use and occupancy ..... kg, W...Q,f.~.Gf~.~ .i..n...c..r..e.~..s...e...o..f..f...i..c...e. an.d. storaf~e space 3. Nature of work (check which ]applicable): New Building.. ................. Addition .................. Alteration ..... .X. ......... Repair .................. Removal .................. Demolition,,,:,..,.~ ........ Other Work ................................................ .... , ~ (Description) 4. Estimeted Cost ............ ................................................ ~ee ...... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....N./~. ................. Number of dwelling units on each floor ...... .N./.A, ................ If garage, number of cars ..../, ....................................................................................................................................... 6. If bus,ness, commercia~ or mixed occupancy, specify nature end extent of each type of use ..L.a...w....O.,f..f.,i.9..e. ....... 7. Dimensions of existing structures, if any: Front ...3..2.....f.e..e..% ........... Rear .....3..2....f.9..e..t ............... Depth .2..4.....f_t.~....8...$n. Height ....2..2.....f-e,9,t. ...... Number of Stories ....O..n.9....a.n.c%..,°-n.e. rb.a..1..~...{,1..-.%/.2..). .............................................................. Dimensions of same structure with alterations or additions: Front _..3.,2....f...e.e..t. .................. Rear ,3.2....f..e.?..t. ............. - 2 Depth .2..4.....~.t..:...,8....i..n.; ........ Height ..~.2,.,_f,e,~,t.. ........... Number of Stories ..%..,l-/. ...................... 8. Dimensions of entire new construction: Front ,ge.p..1..a.g~..~9.O~ ............ Rear.t!a_..i..s...e....r,9..a..r....r..o,9.f fo~ .D..o....rg,.e...r' ........... Height ....N,/.A. ........... Number of Stories .. lq/A. ................................................................................................... 9. Size of lot: Front .... .1,1,0...f..e..e..t. .................................... Rear .....1,.2..3.:.7.~ .......................... Depth ...2..8..8,.;.5...4 .................. December 29~ 1977 ,. . ................................................... ]0. Oat~ of Purchase ................. , ....................................... ~wame of Former Owner Vel St~e 11. Zone or use district in which premises are situated .B..?.~..G~P,~;C~..~fi;~qfl~fi..D~$.tX~.q.t .......................................... ~2. Does proposed construction violate any zoning law, ordinance or regulation: ...N.o. .................................................. 13. Will lot be regraded .....~.o.. .................. Will excess fill be removed frg,m pre_m, iseSZ, lq~A)~Yes ~_~ N(/A) No · Richard F, Lark Cutcho uer NY p 734~6807 ]4. Name of Owner of prom,sos .................................................... Address .............. ~. ...............hone No ....................... Name of Architect ............ .N.~.A. ............................................ Address ..... .N./.A.. .................... Phone No....N./,.A.. ............. New Suffolk Avenue 7 - Nome of Contractor -~i..1..1..i..~a~-...B..e..e..b..e. ................................ AddressC.~.¢kQ.g.%~.,..i~. ...... Phone No..$.~...~.~.~.~ ....... PLOT DIAGRAM Locate clearly and distinctly aH buildings, whether existing or proposed, and 'indicate aH set-b~ck 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. See Survey of Roderick Van Tmyl dated December 6~ 1~77 attached hereto as Exhibit A, See Plan (Two sheets prepared by ~illiam M, Beebel for new dormer to be added to rear of building attached hereto as Exhibit B, SLATE OF NEW YORK, [S S COUNTY OF ..s..q~9-LS,. ................. ~' ' ................................................................................................. being duly sworn, deposes and says that he is the applicon (Name of individual signing contract) above named. He is the ............................. ..O..W~I....E.,R. ......................................................................................................................................... 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 tk, o¥ the Work will be performed in the manner set forth in the application filed therewith, Sworn to before me this Notary P~blic, SUFFgLK. . Coun~ ................ ~.~,.k ........................... , ' ................................................ , ~ (SignatJre o~p[icant) ~~ NOTARY P~, ~ ~ New Ye~ ~mmisston Expi~ MIKH 30.