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HomeMy WebLinkAbout12375-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail $outhold, N.Y. Certificate Of Occupancy Date ......... ~9~Y~Y 22 .,19~3 THIS CERTIFIES that the building . .a..d.d.i.L.i. 9.n ................ - ..................... Location of Property 1130 Little Peconic Bay Rd. Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section .. J-.1.], ...... Block ...10 ........... Lot ..... 0,~..7 ......... Subdivision..~la~.~au. P.t,. ¢l.ub. P~..op, .,...Filed Map No... 3.5.2..Lot No...2, .3.7 ........ Amended Map A conforms substantially to the Application for Building Permit heretofore f'ded in this office dated · . ?.e..D.r.u?.r.y..~.q ..... , 198..3. pursuant to which Building Permit No. , 12375 Z · dated ....4u..n.% .9. ................. 198..3., 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 ......... ...... .an .~4.d.J.~.igp..~.9..e.x.~..s.~i.n.g, ¢~.e.~..~.~.n.q .. .................................. The certificate is issued 'to ..... J. AkVl~..V,. A .4r .E.&~.~T .T.E. .L.:..M.qF.A..R.LAN.D' ................ (owner, of the aforesaid building. Suffolk County Department of Health Approval .... .n./. a. .................................. lq618683 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FOEM NO. 2 TOWN OF $OUTHOLD 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? 12375 Z Permission is hereby granted to: ...... ~. ,7..~..../.~.~....~..~**~**~.c.~...~** -'~ .... i~c~.~.~.~..~..~.~.~: ................... et premises I~eted et ....ZZ~......Z~.~::....~~...~..~.: ............... .......................................................................................................... ,~~...~ ...................................... ~.a~...~ ........................................ Co~ ~ ~op ~o. ~oo0 Se,t~o~ ...Z~.t ............ m~ ........ e.~ ...... uo~ ~o, ...~.~.Z Building Inspector. BuilSing Inspector Rev. 6/30/80 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 propertv 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. Commerc al bu Idings, Industrial buildings, Mu'ltiple Residences and similar buildings and installa- tions a cer;ti~i~ate of Cod~ compliance from the Architect or Engineer responsible for the building. 5. Submit Plahning Board approval of completed s te 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 unusua~ natural or topographic featu res. 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 land use --?re-t~×±sf,±ng C.0, $15.00 3. Copy of certificate of occupancy $1.00 Vacanf. land C.O. $ 5.00 Date ..... ~. !..~..~. ?..'~. ?..~. ...... New Building ............. Old or Pre-existing Building ...~'... ..... Vacant Land ............. Location of Property . ..0 ..... ~ .. ['~f..~'. .... , ............ House No. \ Stree, . ,~ ~ ~ Ham e~ Owner or Owners of Property ..... ~(~f,,', ..... ,~,~5, ..... ~ ~ ,~,. ~. County Tax Map No. 1000 Section . ,l ,~. } ......... Block .... J. d ....... Lot .... (. ,~, ........ Subdivision ..... ,~, ~.~. ~...~,O'~,~,,~ ....... Filed Map No ........... Lot No... ~?~,~..~. .... Permit No./.~3.1~,.. Date of Permit..I.1:~ ~.:~..~App,icant..~. C~/~'.r. .~C~rt .~...~.~&~.h ..~. C. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building a~ FIELD INgPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY C2DE FINAL ,ITIO~ COMMt ._y. ,cz.. ~ ..j./. -Fowt~ or=- ~xzz~q-~ot_o, tx&y. (q 10001 l THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- SE JOHN S'TREET, NEW YORK, NEW ~fORK 10038 October 4, 1983 ate N 618 83 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abOVe application nu tuber itt the premises of James ~,lcFarland, Little Peconic Bay Rd., Cutc~go~, N~Y. in the following location; [] Basement ~ 1st Fl. [] 2nd FI. Section Block Lot was examined on SCptfff, flb~x'~ 29 , 198~ and found to be in co,npliance with the ~equirements of this Board. FIXTURE i FIXTURES RANGES OVENS OUTLETS RECEPTACLE,~ SWITCHES , FLUORESCENT v^po~ 5 19 15 DRYERS FURNACE 5 EXHAUST FANS FUTURE APPLIANCE FEEDERS I~IME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 2-G. F.C.I. 1-Smok~ S R NO. OF CC COND PER ,e' R V I A W.G. NO. OF HI-LEG C E A. W. G NO, OF NEUTRAt$ A. W O OF HI-LEG OF NEUTRAL Paul Burns Town Harbor Lane Sour-hold, N.Y., 11971 LIC. #282 This certificate must not be altered in any manner; return to the office of the Board if incorrect. GENERAL MANAGER/ 11 may be identified by their COpY FOR I OF ( ' MANNER. NEW YOF~ STATE DEPAP. TMEIff OF ENVIP~)N!~NTAL CONSEI'.VATION Regulatory Affairs Unit Bldg. 40, SUNY--.Room 219 Stony Brook, NY 11794 (516) 751-7900 Mr. and Mrs. J. McFarland 23? Nassau Point Cutoho~ue, N.Y. 11935 MaV 16, 1083 SCTM No. 1090-111~14517 1~: Construction of an addition ,on the residence. Dear Mr. McF-~rl~nd: landward sld.~ of the A review has been made of your proposal to: see ~bove Location: ~outh sl~e of Little ?e~outc B,~y Road, N ~ ~a~,sau Point. New York State Department of Environmental Conservation has found the . parcel ~_ project to be: _ Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than i00' in length constructed prior to September 20, 19~7. ... Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is required at this time since the current proposal is beyond State mandated ]nrisdictlon pursuant to this act. However, any additional work or modifications to the project may r~quire a permit. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. Regional Supervisor of Regulat0ry~ Affairs FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................. Date . ..-~~ .......... , 19 ..... , ~-~ / ! · o .~...~.. ~~ ........ ~ .... ~ .................. ..... ~/. ?~.~7'. .......... ' C'-'Y PLEASE TAKE NOTICE that your application Sated.. ~... ~.~ .......... 19 for peN it to construct... ~ ~.. ~~. ~ ...... a ~ouse No. ~'treet Co~ty ~x ~p No. moo sect~p~ ...~dd ........ moc~ .. . .~ .~.. ~..~.~. ~. ~.~ .... ~ (~~~ ........... .. ~..~... ~.. ~ ~...~~~~ .............. Building Inspector RV 1/80 7GS-~,802 BUILDING DEPT, INSPECTION' ] FOUNDATION 1ST [ ] ROUGH, PLBG..[ ~ [] FOUNDATION 2ND ~INSULATION ~/~ ]FRAMING [ ] FINAL ~ REMARKS: DATE '~/~/_/~//'~/~ INSPECTOR ~. 765-1802 . BUILDING DEPT. INSPECTION FOUNDATION 1ST [~] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 76S-'t802 BUILDING DEPT. INSPECTION [ /~UNDATION] 1ST [ ] ROUGHF ~pLB~. FOUNDATION 2ND [ ] INSULATION' [ ] FRAMING [ ] FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 --~ i~_,.,.,.,~ TEL.: 765-1803 Examined ... ': .--7-:., 19 Approved ~/~AA.~....~. ..... 19~..D. Permit No.../..~..~....~. ~- / Disapproved a/c .~44/2t~.~.~--_~'.~...~..~. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No...~d.~?~.~..D-. ....... Date ....... .O. .......... 19 ~.~ a. This 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessaw i~pections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant)~ . State whether applicant is owner, lessee, agent, architect, en~neer, ~~electrician, plumber or builder· (as on the tax roll or latest deed) ~ (N~e of corporati off)fief) Plumber's License No. Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ..... .I(.:. ................ . . , ...... ..... House Number Street Hamlet County Tax Map No. 1000 Section ...//?..~;;~ ....... Block ...... ~f. /. .45/. .... Lot ..... ~..~..~. · . . Subdivision../~...~.~,~....~.,. ' Filed Map No ............... Lot...~.'~7 ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~].~?~. ~h ;.~..-~.~. s-~ ............................................... b. Intended use and occupancy ........ .~:..5.. . .-¢~.u~.q_q.~ ..... p. ~ .......... 3. Nature of work (check which applicable): New Building .......... Addition .... ~ .... Alteration .......... Repel Re val Demolitio Other Work r .............. mo ..... , ........ n ............................. : (Description) 4. Estimated Cost ~ ' Fee ~ (to be paid on filing this application) 5. If dwel!ing, 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 structure§, if any: Front ..... ~..rD ...... Rear ....~.~.% ....... Depth ... ~. 0 ......... Height . . .././* ......... Number of Stories ....... /. ................................................ Dimensions of sam~ structure with alterations or additions: Front .... ~-.~..~... ....... Rear ....~...~5..'-~. ......... Depth .... ~.. ~. .......... i.. Height ..... /..~ ............. Number of Stories ...... ./ ......,, ....... 8. Dimensions of entire new construction: Front ... ~. ~ .~... Rear ... ~..~ ......... Depth .../..~-,- ....... lq.eight .../..~_,~ . ,. Number of Stories .......... /. ............................................ Size of lot. Front ..... ~,, .fi., ........... Rear ........ ~.,.g~.. ........ Depth .... t/ ~ .~ ........... Date of Purchase .., .N..~ ~.F,o. .e~ ........ : .................. a rmer Own ............................. Zone or use district in which pr~mises are situated ............................................ Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ...... ..~2 ~ .~ .............. Will excess fill be removed from premises: Yes ~ Name of Owner of premises "~O~..~YKc..~p,w .[.~-~.. Address . ~..~,q ~.~ .~.~,...~-~.~Phone No..~..g.~.. 7 ./..2.2. ~.. Name of Architect ......... 2 ................. Address ................. .,~. _ Phone No. Name of Contractor. ~-~. ,-~'[ .~-.q-., ............ Address . E'.-~.c_c.~-.;. r,, ...... Phone No..~.,~ .~.~i)i~ 10. 11. 12. 13. I4. PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .~:u.~..m~.4 .K. ....... ..... ~.~.~.*~ .... 7~.'.. ~.7/~.~/.~O.~..t~ ?.q ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ...................... i...~ ................................................. ; ,Q~ (Contractor, a~nt, corporate officer, etc.) of saki owner or owners, and is duly afith'F6'flx*d to perform or.have performed the said work and to make and file this application; that all statements contained h~ this application are true to the best of his knowledge and belief; and that the work will bg performed in the manner set forth in the application filed therewith. Sworn to before me this : ......... /.~...5~. ......... day o~..'.q.~.~.~.~. ............ , 19 ?,.'~.' __ · / .... , ......... I'IOTARY VU~hlC,.Steteof NewYorgNo S2 4524171 ~"~ ~"~'' '' /~' '"--..(S_~nature ofapphcant) QualJfie¢l in Suffolk County ,,r Commission Expires March 30, 198,~ 77- 52 - 15801 pE. CON ~C io6 Unauthorized alterd~on or ~ddition to this sv~ is a violation o~ sochon 7209 of the New York State Education Low, Cop,es of th~s survey ma~ nol bearing tJ~o ~cnd su~eyor's inked se~l or embossed coal shqJ[ not bo considarad to be a vahd copy, $'J~'VEY FOR JAMES F ~ AT NA$SI~U POINT TOW?~ OF SOUTHOLD SUFFOLK COU,"JT¥~ N.Y. SCALE~ I"= 30' ,4PRIL 13,1977 JEANETTE L. MC FAt?LAND REFERENCE: AMENDED POIN'r FILED O- 156 USLIFE ,/AMES YORK , ! 765-1 .$, ~65- £0D£S.