HomeMy WebLinkAbout11886-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17763 Date FEBRUARY 15~ 1989
THIS CERTIFIES that the building_ ALTERATION
Location of Property 1335 NEW SUFFOLK LANE CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 109 Block 07 Lot 9.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUG. 25, 1982 pursuant to which
Building Permit No. 11886Z dated SEPT. it 1982
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 CLOSE IN GARAGE DOOR & INSTALL NEW WINDOWS.
The certificate is issued to
~ILLIAM M. BEEBE
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspecto~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 11886 Z
Permission is hereby granted to:
........
...... :::::::::::::::::::::::::::::::::
ot prem,se, 'o~ed a, ..~...z...~...z.~...m.~.....d~...~...~......- ' "
............................ ~~'~7 ...... ~ '~ .............................................................
__ ,,7 ~ '/. ~'7 _. ,~ ... _'I, ~ ·
County Tax Map No. 1000 'Section ...:'/...~_....~.. ..... Block ..... .~.~.../. ......... Lot No....~..~ .~....~.~..../
pursuant to application dated ........ ~ ............. ~.....~....~......, 19..~....,~and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TO~N O~ SOUT~OLD
BU~LDI~
TO~N HALL
SOUTHOLD~ NE~ YORK
765 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. '.-~--VACANT LAND ........
....
Location of ~'roperty.l.~..S.S.-.. L ..... ~L.~.~.. . .~.~
HOUSE NO. STREET ..... ~'* HAMLET '~ '
Owner or Owners of Property.. I l.~.f~ ..............
/oq q, 3 .........
~o~.~ ~ .~, .o. ,000 ~o~ ~ ~o~ .~ .... ~o~
Subdivision ....................... ~tted ~ap ........ Lot ..........
Health Dept Approval
Planning Board Approval
Request for Temporary Certificate .......
Fee Submitted: $..l~.~ ~
Underwriters Approval.
Final Certificate .... ~
rev. 10/14/88
FIELD INSPECTION COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C ODE
FINAL
ADDITIONAL COMMENTS:
~APP. ROV:.[~'rAS NOTED
NOTIFY BUILDING DEPARTMENT A~
1. FOUNDATION - TWO REOtJ~R, ED
FOR P~URZ~ CONCR~Z~
2. ROU~b~ - FRAM[FIm ?~
3. JNc[F
AL1 ~ ....... ~' ';'~>~ ~"'>~ ~,' ---
t
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
FRAMING []FINAL
REMARKS:
DATE I NrSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ~.. ~/...., 19
Approved . .~.~.../.., 19~. Permit No.///~
Disapproved a/c .....................................
Application No../~. ~. ~. ~'~.~....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date
a. Tkis application must be completely filled in by typewriter or 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 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/~pde, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. /r} / ! /]
....... ............
(Signature of applicant, orname, if a cqrgorgtion) _.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ....... ~. ~.' .' .... ~ ...................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ........ ~ ..............
Plumber's License No ........ ~ ............
Electrician's License No .......................
Other Trade's License No ......... ~ .............
1. Loc_ation./~. 3..~- .°f land ..... on which~~~proposed work will be don~ .................. ............. ~'-~<' '~ ....... ~ ...................... ..........
House Number t / Street Hamlet U
County Tax Map No. 1000 Section .[..~...~. ......... Block .... ~ ........... Lot..~.'.."~.. ~'.~.../ ......
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and ocqupancy of proposed .construction:
a. Existing use and occupancy ........................
' , ' 2 '0
b. Intended use and occupancy ..................................... ~., , . ....
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . .~.
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost ........ /..o..O.q. ~. .................. Fee ...........................
(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 ...3. t,).. ....... Depth ...o~ ........
Height ... [~../. ....... Number of Stories ....... /. ............... ? ..................... ~ ..........
Dimensions of same structure with alterations or additions: Front ....Jo5 .......... Rear .. ~.~.{d. ( ..........
Depth... ~.~. r. ............. Height ..... /at':..(. ............ Number of Stories ...... ] ...............
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories .... ~ .............. ?, ............................ ~ ........
9. Size of lot: Front ..... ].{.,,w'O.[ .... . ....... Rear ....... [~'A"0 .......... Dep,th .... ~ ~71J~._ .';.,; ......
10. Date of Purchase ...' ....... /.~..~/..Ot'~.. ..........~ame of Former Owner ../t~~..
1 1. Zone or use district in which premises are situated .....................................................
12. Does proposed construction~i~late any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ...... 1~. O. · ·/,,.. ............. Will exc~s fill.be.removed from premises: Yes NoJ
14. Name of Owner of premises'. ~ .~If~--'~ tr//.,.~ ~e ~.~Address /.5~r.~... Phone No..~3Z.
Name of Architect ....................... Address .~....~. ..... ~. ....... Phone No ..... ~.. ........
Name of Contractor ...... ~ ......... Address .... ~ ...... Phone No... ~
PLOT DIAGRAM
Lochte clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from
prope~cy lines. Give street and block humber or description according to deed, and show street names and indicate whether
interior or corner lot.
[.,/y, ¢.¢J
Io- l
STATE OF N~W.~_. I~, ],/~ - S
COUNTY OF ~; .... ~' . ..~ .
..... ~~. ~..~. ~ being duly sworn, deposes and says that he is the applicant
t e ' aiv' a ~igning contract) ,
above named.
Heisthe.. .-~ :~ ' ...............~
~ ~ent, corporate officer, etc.) '
of said owner or owners, ~d is duly~uthorized to perfom or have peffo~ed the said work and to m~e and file this
application;that ~1 statements contained ~ this application are true to ~e best of his knowledge and belief; ~d that the
work will be perfomed in the m~ner set forth in the application filed therewith. '
Sworn to before me this
....... ~~ ...... day of..~;' 1~ ~
.............
~ ~ ~O~V PUBUC, State of ~ ~I~ / ' 'f ........ (Sien~tu e f a rca -'
, No, 52-8125~0. Suffolk fl~ ~ [ g a r o pp 1 nt),
Term Ex~ire~ Merch ~, 1~ ~ '
7
NOTE=
I. ~=MONUMENT
2. AREA= J9~996 S.E
3. SUFE CO. TAX MAP=
TELEDYNE POST N01779
walter E~ Esther Teresko
W/H/am M. 8eebe
oF c~JRVE
DIS[ SECT. BLK. LOT
I000 109 07 08 ~ 09.1
SURVEY FOR
WILLIAM m. BEEBE
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
~ UNAUTHORIZED ALTENATtON OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OFTHE
NEW YORK STATE EDUCATION LAW.
'1~ COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAt~OR EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE COPY.
NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO
YOUNG e, YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE N0.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 4§893
DATE : JAN. 4~ 1983
SCALE: I"=$0'
NO. : 82-T65-A
400 OSTRANDER AVENUE
RIVERHEAD , NEW YORK
tt ...../