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HomeMy WebLinkAbout11848-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UP DATED CERTIFICATE OF OCCUPANCY No Zl1745 Date JUNE 28, 1983 THIS CERTIFIES that the building-- ONE-FAMILY DWELLING & GOLD SPUR ST. Location of Property 12pp~W. CORNER HORSESHOE DR. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 095 Block 04 Lot 18.31 Subdivision OREGON VIEW ESTATESFiled Map No. 6741 Lot No. 31 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 5, 1982 pursuant to which Building Permit No. 11848Z dated AUG. 9~ %982 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 NEW ONE-FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND DECK The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N590320 PLUMBERS CERTIFICATION DATED STALLER ASSOCIATEs 12-50-82 spector Rev. 1/81 BUILDING SOUTHOI~ BUILDING! PE~IT (THIS PERMIT MUST BE KEPT COMPLETION OF THE WOR~ ^L~TH~RI'ZEDi :N9 ~1848 Z bate · P~er~issior is hereby gra~ted to: .....j...~.. ........... .... at p~emJses located ~UNTIL FULL C~oty Tax Map No. 1000 Sechon +..~...~.,...,..,;...~k..' pUrspant t0 application dated ..~.~,¢~..~i ~..~ Sgtl~ing I~sPector. : : ~, ] ~e~.~~ R~v. 6/30/80 · : ! ,~ ~Lot No and ~3pproved by the FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building InspeCtor Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.q .1.Iq 5 ........ Date ....... .g.~r~ .e..2.8. ................. 19.8.3. THIS CERTIFIES that the building .. Q ~ ¢.-.f. ~ r~ j_.]..y., qlV.e.& ~ $ ~ ....................... Location of Property . .12.Q5 .... S/W..C.qz?.r~?..l~9;e;s.~.~bp.e' .D.C .8~ .pp.l.d. 5put .S.t . ..C.u.tchogue House No. Street Ham/et County Tax Map No. 1000 Section . 09.5 ........ Block ..... 0.~ ........ Lot ...... 1. ~.; .3.1 ...... Subdivision.. Or.e.go=..~,~,ev. ~.~t~.~.e.~ ...... Filed Map No.. 6 .~.~.1...Lot No .... 3. .~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated · Au gu ~.~.. 5 .......... ,19. $ Rpursuant to which Building Permit No ..... ~. 1. .B.~.g.Z. .......... dated ...... g ugu ~ I;..9 ............. 19 .~ ~, 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 ......... ...... n.ew. on.e., f a~.±l y. g.~qe * ~[~.r~g..C~.. '~1.1~...~.~..~..e~ ~-.4..~[ .~.e}..~?..~...~ ~¢.1[. The certificate is issued to STABLER ASSOCIATES ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ~ 2 - 50 - ~ 2 UNDERWRITERS CERTIFICATE NO .... ~590320 Building Inspector Rev. 1/81 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 installation from Board of Fire Unde[writers. 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 build!rigs or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 ! /¢/$5.00 2. Certificate of occupancy on pre-existing dwelling ~r land use 3. Copy of certificate of occupancy $1.00 Date .. ~"-'¢~'~' ~' New Building ............. Old or Pre-existing Building(Z) ......... ~ fVacant Land ........... Location of ~roperty f~o'~ ~o~-,'~'' '~'(2/~/'~f~""" Street Hamlet Owner or Owners of Property ,, ,~,~. ~Z:~,, :.; .~_,~.~_~ ~,?, ,~,/,¢, ,~>..~'. ......................... County Tax Map No, I000 Section , ,O.~.~.',-' ....... Block ..... ,~, ,~, ...... Lot,/,~.',~',,/. ........ Subdivision,. , .~.]..J.{.~/, , ~_~.S ,¢ .....Filed Map No, , ,Lot No. ,3 .......... Permit No ........... Date of Permit .......... Applicant .V.i.'~'.(?... f.~..~./~.).~.~.~.....~.~.~-~- Health Dept. Approval. ~/~,..-~.(~..(~. , .~. ........ Labor Dept. Approval ...................... ,.. Underwriters Approval...~..~0.'~..~O. ........... Planning Board Approval .................. ~..~ Request for Temporary Certificate ..................... Final Certificate ........ - ......... Fee Submitted $ ............................. Construction on above described building and~per~it'mee~'~ll apl~l~cable~code~ and regulations. Apphcant ................................ Rev. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Dopartment Town Hart $outhold, 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 premises, or other pertinent inforrna- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 land use $/5/$5.00 Date New Building ........ Old or Pre-existing Building(X) .......... ~ fVacant Land Owner or Owners of Property ..... ; ........................... County Tax Map No. 1000 Section . .O~.~. ...... Block ..... ~. ..... Lot../~,~./ ........ Health Dept. Approval . 1~.. ~0 .~.~ ........ Labor Dept. Approval ...................... ,.. Unde~riters Approval .... ~.~0.'~... ' ,Planning Board Approval .................. ~,.~ Request for Temporary Certificate ..................... FinaICertificate . .~ ........... * Fee Submitted $ ............................. Construction on above described building and,p,~rmit'mee~za~all/~~.~¢. ~aPP~'cable~c°de~ and regulations. Apphcant ,; ..... ~k~"" - ~/I,~/~ ....................., ..... /7 Rev, 10-10-78 FIELD INSPECTION FOUNDATION (1st FOUNDATION (2nd COMMENTS ~ .~. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE o FINAL ADDITIONAL COMMENTS: looo3zl THE NEW YORK BOARD OF FiRE UNDERWRITERS BUREAU OF ELECYRI¢IT~ ~- ss JOHN STREET, NEW YORK, NEW ~OnK ,oo3. "ate Jmmary 19, 1983 ~.~u~o.~o.o.Y~ 191477~-82 in the following location; ~ Basement [] 1st FI. ~a~ox.,,,i..do,, 3~nuary 13, 1983 FIXTURE OUTLETS 24 DRYERS [~ 2nd FI. ;, Section Block and found to be in compliahce_ with the requirements_ , o~f this Board. FIXTURES RANGES FLUORESCENT Lot OVENS EXHAUST FANS OTHER APPARATUS: E R t V I C E OF Hi-LEG 21o A~Otor$: 1-F. 1-G.F.L 1-~oke Detector Trackligh~:8'-0", 4 lites, G. O. Electric 6 Poplar Avenue Medford, N.Y., 11763 ~c.#2677 GENERA/. MANAGER j 11 ,,,, / q,; / This cert f cate must not be altered in any manner; return to the office of ~h'e Board if ~ co'reef In ' jr '' ''' ' ' '~'';' '~ %''/ TOWN HALL SOUTHOLD, N.Y. 11971 ApproveW .....7.., Disapproved a/c .~ ....... ~2.2' ' ' ' '~' ' ' '~~ ............... ~-. ............... ~~ ~ ! ~11~ilnspector) i .... APPLICATION FOR BUILDING PERMIT Application No../~/. v~..~.. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 5._. _k4~!i.__d~ 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 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 Southotd, 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 here_in described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regul,~dons, mzd to necessary insp,ections. /% admit authorized inspectors on premises and in buildings for ........ '~J'~'' '1~~ i~c~' '~)- (Signature of app ' , o , ' 9r4p, ) .... aT. . . . ..- . (Mailing address of applicant) whether applicant is owner, lessee~agent) architect, engineer, general contractor, electrician, plumber or builder. State (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auttmrized officer. (Name and title of corporate officer) Builder's License No Plumber's License No, ~,. Electrician's License No..~.7,..0...~,aZ~.. ('T'.~.(~... Other Trade's License No..:-. .................. .~/.~. ~--~[.~/d~ .~?("//'~ C~, .~./..~f~, 1. Location of land on which proposed work will be done .... ~..~ .c House Number t ~.O~ Street Hamlet County Tax Map No. 1000 Section .... O~ ........ Block . .~¢ ............ Lot. J ~ 3 J ........... Subdivision.~.~/~.~.('. ............ Filed Map No. ~,~[. . Lot .~.] .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~C~[~ b. Intended use and occupancy .................. ................................. 4. Esnm;rod Cost ........ i ......................... Fee ........... TT, ,' ....................... ' (to be paid on filing this application) 5. I f dwelling, number of dwelling pnits ............... 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 ~ He'ght Number of Stories 8. r)imensions, ofentire new construction: Front..grO., .......... Rear.. 6..° .......... Depth ~.~ ......... [.C~. - ~qumber of Stories ] Height .................................................. ~ ............... 9. Size of lot: Front...I.ci~'.0. ............... Rear ..].~.O. ................ Depth .~..'~.. ............... 10. Date of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 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~(~../~; ...... Address/~C,~.q~?.~O~-~...~., Phone No. ~.~.~.o~'~././....'~. Name of Architect . .,~ ....... ; .................. Address .. ~t~q~. t~. ~'q~-c '~Poh°ne No ................ Name of Contractor ~flq0~-,),, ,2~,, .]~.~, ,,C~ ..... Address 12?.~LI/,,~;2~',~:, ,~one No./f~,C.~ (,g', .... PLOT DIAGRAM Locate clearly and distinctly alii 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. COUNTY 01~~ iS'S ........ · ~..~. · i ~f~/~.'.~ .?ff. · .~.. ............. being duly sworn, deposes and says that he is the applicant ' (Na~ne of individual signing contract) above named. : (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 apphcation; that all statements cont$~ned m th~s apphcation are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... . . .~....(fi~ ........ d~y,oi... :~19~.:. --- -fl ................ ~ Ne. 92.$125850, Sdlol~ C~/ ,. { r~'m iExplre$ Mm'~h 30, 19~2//'"" "It should be noted that since this ~ ,~,.~'~/'~,~'~'"- property is located.., in an ogricultura " _ ..\. ~aetae, r thseuplP~;slbimli~[ ecX~Snt;ai~hattr~hcee ~ , L. Ot' ~0 amounts of pesticides and/or nitrates. ~ Special analysis'q'-~o/~,l J,/~,,, required. p;';C., to ~ J suRV~ ~o. ~UFFOLK COUNTY DEPAR'IMENT OF HEALTtt SERVICES STALL'ER ASSOCIATES FOR APPR()V^L OF CONSTRUCTION ONLY LO~ 3j, "OREGON VIEW ESTATES" AT CUTCHOGUE DATE: dULY ~' , 1982 DAT~ ~ -- ,-(~ TOWN OF SOUTHOLD SCALE= 1".40' ~~~'~.C} SUFFOLK COUNTY, NE~ YORK NO. 8.-S?S  NtMAOTN~IZ~'O ALTEIMT ON ON AOOeTION m mid APPRO¥ ~.D .~.,~.~,r~__~.j.,/, ~..,~.~,.,~. ~ suRvEY I~ A v O(.ATlON Mr SECTION 7209 OF THE ~ NEW ~ONK STAT, EOUCAT,0N LAW #COP~ES ~F TH S ~VEY NOT BEANING TNE LAND s..uE., !s ,.KEO BEA~ ON E.'O..ED ...~ '"ALL ' ~ ~., ~. w.o. THe .u~[~ ,s p.~...~o /~ / HEAL~ DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~NO~ Nil 'MMLF ~ ~"TL[ eNVY, eOVMN- .... : YOUNG YOUNG SUBDIVISIONI. MONUMENTMAp FILEDb I"' STAKETHE O~IGE* Mr ~H~ CLEAr OF SU"~OL, COUaTY . RIVER~AD, NEW ~RK ON A~R. 4, 1975 AS FILE No.e~41 ~DEN W.Y~NG~ PROFESSIONAL ENGINE ER ~ L~T~ ~ W~L(~,~IC T*NK(ST)e CES~O~(~)~ HE~E~ HoWARoAND ~NDw. SURVEYORyouNG, LANDN'Y'S' UCENSEsuRVEYoRNO' Z845 60! . ~ Se~ee8 I ~E~ A~k~iNS WITHIN 100 FEET OF T~S PROPE~Y ~ ~R TNA~fiOb~ SHOWN HEREON, ~ ~ WA~E~P~Y ~ SE~OE DI~AL SYST~ ~ THIS I~C~F~NH ~ THE STAN~ OF THE SU~K C~TY OEPARTME~T I~LTN ~IC[S FtN~,L SU!~/EY STAI, L[R ASSOCIATES LOT 31, "OREGON VIEW ESTATES" AT CUTCHOGUE TO~N OF SOUTHOLD DATE: JULY 2 , 1982 SCALE~ l" = 40' NO. -SUFFOt~K COUNTY, NEW YORK /ff'UN~I~TH~RIzED ALTEII~TION OR ADDITION ~ ~R~[Y ~,A VI~ATION ~ SECTION ?209 ~ THE N~'W ~RK STATE E~CAT ~ LAW ~¢OPI~ES ~ ~lS S~VEY NOT KARWG THE LAND SU~V~R~S ]~K~O ~A~ OR EMSOSSED S~AL SHALL ~ ~ C~$10~ED TO K A VALID TRUE COPY N~UARAN~ I~Dt~TEO HE~EOM ~L RUN ~LY ~'~ ~ WHOM THE SU~EY IS PREPARED ANO'~HI~ BE~LF ~ THE TITLE C~P~Y, ~OV~N- MENTA~ A~Y AND LENDING INSTITUTION LIS~O H~E~, ~D ~o mE ASSI~N~S OF ~HE LENOIN~ INSOlenTly, GUA~ANT~ AR~ ~T '~ ~AL INSTITUT ~S O~ SUOSEQUENT OWNE~ S ' , ~ISTAN~[S S~N HEREON FROM PR~ERTY TOEXI~T~6 ITRUCTUR~S ARE FOR A SPECIFIC PURPOSE ~N~ ARE NOT TO BE USED TO ESTABLISH P~P~RTY LINES OR FOR THE ERECTION ~ FENCES /VI. II~I~.] ~ /UUI]O RIVER~AD, NEW YORK ALOE. W. YOUNG, PROFESSIONAL ENGINEER 4N~ ~N0 5U~VEYO~ N.~.5. HCENSE NO. 1~8~fi HOWARD W. YOUNG~ LANO SURVEYOR ,.KS. LICENSE N0.4589~ 41 FOLLOWING INSPECTIONS: ~., .FOUNDATION - ~O R~IR~ 8. INSU~TION 4, FINAL - CON~RU~I~ ~ BE COMPL~ FOR ~ O. ~LL CONSTRU~ION ~ ~ TH~ REOUIR~E~ ~ ~ ~ATE CONSTR~I~ & ~ COD~. ~T ~S~ ~ DESIGN OR C~ I ~ ~ t o; 47