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Home My WebLink About12309-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-26001 Date: 09/30/9B THIS CERTIFIES that the building NEW DWELLING Location of Property: 1585 WOOD WAY CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.27 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1983 pursuant to which Building Permit No. 12309-Z dated MAY 11, 1983 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to DOROTHY SYRACUSE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-56 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0s/01/85 N 642114 04/27/84 N/A /~ui~ing ~I n~pect or Rev. 1/81 N? ~2309 TOWN O~ BUILDING DEP~RTMI Town HALL SOUTHOLD,' N. Y, BUILDING PEI~v~iT Per~nission is hereby granted to: ........... ~.~.c...X... ~' (THIS PERMIT MUST BE KEPT ON THE PRE~IS~S uNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) z Oat....~ .... :~/.. ........ i ............ , ,~..../...-~' at pi~emise-~ located ot ...... Z..~.~.~'.~...~..2 co~ 'ra;~ Map Uo. ~000 S~.o~ .~ . ~[ pu~Oant fo application dat~...~_ ...... ~...~.~...~,......., Buildinge IJ ector,nsp ~ ' ' No. ~. .: approved by the FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N ZYB/407 May 1 o .................. Date 198. 5. THIS CERTIFIES that the building . N.e.~z. d ~q.e.]. 1 :~g ................................ Location of Property ...... 7.5 8 5..W.q c? ~ m~.Y. ........................ ~..u3.q ~. 9 g.u.e. ........ House No. Street Hamlet County Tax Map No. 1000 Section . . . q..09 ...... Block ...0. 5. .......... Lot . .0. ! .6 ...2.7. ........ Subdivision...F. fi..~.R.W, fi. Y...F.&R.H..S ............. Filed Map No...6. .0 .6.6..Lot No...2.7. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·../~.p.n $ J-..7.4 ........ , 19.8.3 pursuant to which Building Permit NoJ 2.3. 9 ~.Z. ............... dated ... ~I~.y... J J ................. 19 .8.3., 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 ......... Oge family dwelling The certificate is issued to FREDERICK T COULTER ................. io¥.'o;i(ffad6id& e;'O ...................... of the aforesaid building. Suffolk County Department of Health Approval ........ 7.} v ~.0.-:~ .6 ......................... UNDERWRITERS CERTIFICATE NO. . . N 6/42 11 q Rev. 1/81 Building Inspector ~ (~ ~PLICATION ~R CERTIFICATE OF 0cc~c~ Thls application must be fLlled ~n by typewriter OR ink and submitted to the bu~ld~n~ Lnspector ~LCh the fo[~o~Lng: f~ ne~ building or ne~ use: FLnaZ su~ey of property ~th accurate ~ocation of al1 buildings, property ~nes streets, and unusual natural or topographLc features. 2. FKnal Approval /ro~ Health Dept. of ~aCer supply and sewerage-d~sposa~(S-9 3. Approval of electrica~ ~nsta~lat~on ~rom Beard of FLre Under,tars. S~orn statement [rom p~umber certi~y~ng that the solder used Kn syst~ couta~ns less than 2/I0 of lg lead. 5. C~e~cLa~ build,g, ~dustr~al bu~ld~gg, multiple residences and s~lar builder and installat~ons, a certificate of Code Compliance ~rom architect or engineer responsible for the bu~ld~ng. 6. Submit Planning Board Approva~ of completed s~te p~an requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ ~uildings an Ypre-existing" land uses: l. Accurate survey of property sho%~ing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a couseut to inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00~ Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3.Copy of Certificate of Occupancy - = .25~. 4.Updated .Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........... New Construction ........... Old Or Pre-existing Building... Location of Property. i / '~ff'~ /~'~ ~.Ji'~ ........................... V. ........ House No. Street Hamlet O~wer or O~ers of Property...~.~4..~..~Y..~~. ............................. .... . County Wp ,o ,000, Section....--... ..... ....... ......... Subdivision .................................... Filed Map ............ Lot ........... Permit No ........... .. . . . Date Of Permit .............. .. Applicant ................... · ........ . Health Dept. Approval....... .................. . Underwriters Approval ....................... Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~Coperty showing all property lines, streets, buildings and unusual 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. 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.. 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date .. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . OO~/[~/.~ /-~/.~ ~, ........ House No. Street Ham/et Owner or Owners of Property ,..~..~.~-/~.. ~./.~'~. · .'~..& LT.. ~ ........................... County Tax Map No. 1000 Section .... /.q. 7 Block . d,~. Lot .q./,~.,. ,~. ,7. Subdivision, ~,, ,~,. ,'~,, ,~Y~:~,.. ............ Filed Map No.. ~.47.~..~...Lot No .... ?.?. ..... Permit No ........... Date of Permit .......... Applicant ................................ Health Dept. Approva~ ........................ Labor Dept. Approval .................... Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. Construction on above described building and p,e~mit meets all applic~le~odes and re Applica ~ .................. ,,.,o_,o.,s FIELD ~NSPECTION FOUNDATION (1st) F, OUNDATION (2nd) 2. ~OUGH FRAME & PLUMBING COMMENTS INSULATION PER N. Y. ENERGY FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS I[~ BUREAU OF ELECTRICITY ~It~ 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 ':' ' i: ,,.,, ~ ~, ~ ~,,p,,,.,,,,,, ~,,...,,~,,. ~/~3 N 6 4 2114 THI'5 CERTIFIES THAT only the electrical eq[dpn~ent os described below and introduced by ~he applicant named on the above application number in the prer~dsez of Fr~ T. ~ulter, ~ay, Fai~ay & ~ses ~ue, ~tc~e, ~.Y. h, the folh, wl,tg location; ~ Basement ~ Ist ~'l. ~ 2,,d FI. Scctiort Bloc~ Lot was exainJnod on J~y 23, 1984 t.td fot~nd to bt, in cootpliunce with the requlrentettts of this Bt~ard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS OUTLETS SWITCHES FLUORESCENT 44 32 DRYERS FURNACE MOTORS SYSTEMS *~T NO. OF FEET SERVICE DISCONNEC? S E R V I OTHER APPARATUS~ Motors: 1-3/4bp, 1-2bp. 1-G.FoI. 1-Sm°ke Detector. Jody Pumillo Pat Lane / Mattituck, N.Y. 11952 Lic. 2300 ~s~t ~aA~ ' This certificate must not be altered in any manner,, return to the office of the Board if incorrect. Inspectors ma ide . ~~?~ - ,. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined ' . ..././ ..... , Approved ~.....c~.,. f.Y ..... 1~..'-f. Permit No. f.~f.~..(~.?. ~ Disapproved a/c ........ -........-~ ........ f~ ........ / (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No ....... ~. ......... e v, INSTRUCTIONS 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, b~uflding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary kq,~pections. __ ~ ,w-r---~/'/ ~ ~ Z.. .......... (Signature of applicant, 6~f a corporation) (Mailing address of applicant) { (~t-~ o State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ........................................................................... Name of owner of premises .... .~..d~.~7'~./.d.. · .~.....~. · ·O. . .O...t..~. · .~ ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Electrician's License No. ]..LT.~..~./~.A[..~ ..... Other Trade's License No ..................... House Number Street Hamle{ County Tax Map No. 1000 Section ./..~. ~. ............ Block .... .~..'77. .......... Lot.../...(~. r..4.7..':. / (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .. .................................................. 3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ............ .. Demolition .............. Other Work ............... 4. Estimated Cost ..............~.~..~). '............'7/ 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 busi.ness, commercial or mixeld occupancy specify nature and extent of each type of use ..................... 7. Dimensions of~xisting structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. l)imensions of entire n~w construction: Front Rear Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front .......... ; ........... Rear ...................... D.~&~h~.& >r~ .................. 10. Date of Purchase .... Ag/.~. ~./.~'..'~. ............ Name of Former Owner . .. f:~: ....... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ,~. P.: ....................... 13. Will lot be regraded . .TA ~. ~.~_. ....... ....~...~... Will excess,,,fill be remo~v~d,l[ro~m premises: 6) No 14. Name of Owner of premises /77f~/.)/,~. ~..(.'0.~. ~'Address . ."2..5'~t*.q~.q .d..~q/, .~.'-?..Phone No. ~. ~.-.~.0.~. d.'-. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ....'Z-. .... ' ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all~ 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 nmnes and indicate whether interior or corner lot. STATE OF NEW ~RK, ~' .- - ' (Name of individual signing contract) above named. .... being duly sworn, deposes and says that he is the applicant He is the .................... ~. ........................................................ (Contractor, agent, corporate officer, etc.) of saki 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 that the work will be performed in the manner set forth in Sworn to b~fore me this ............. ,...,....~ .... uay ut. Public, ~IOTARY PUl N Term Expires NE of New Yo~/[~ the application filed therewith. .... , 19 .~..~ .... ~ ~T~,,~T OF -HEALTH SERVICES ~ . . ~PTROV~L OF CONSTRUCTION ONLY $. 88e$9' ~0"£. LOT 28 LOT 27' WOODWA Y U rmuthorlzed altarstion or addition to this survey ~ a visle, tlon of 9eetloft 7209 of the NewYo~ State Ed,Jgetiml Law Cople~ of I~IS euwey map not bearing t~ Isnd su~,eyo~'; Inlced seal re'embossed seal shall not be ~on~ldered to b~ ~ vafid copy. Guarantees o~ certifications indicated hereon shaft run onh !o the person for whom the survey i.~ prepared, and DP hi~ behalf to the title company, governmental agency and rep ~ling leetltutton listed hereon, and to the assignees of th lendlng I~=titudon ~uarantees or certifications are n, SURVEY FOR FREDERICK T, COULTER AT CUTCHOOUE TOWN OF $OUTHOLO j~ SUFFOLK COUNTY, N.Y. SCALE: I"' 50 ' REFERENCE ' · ell. ED ,e'E~. I$,/9?4 I:'/LE NO. 6066 IARANTEED TO, LAND SURVEYOR N.Y.$. LIC, NO. ~'S71~5 I~IYEItNEAD; N.Y. LO T 28' WOOOW,4 Y SUFFOLK COUNTY HEALTH DEPARTME~2 SURVEY OF' /_oT 27 AT CUTCHOGU~ TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE ~ I"z 50' M.4RCH /9. 1985 ,4PR. 9, 8~ARANTL~D TO ' NIVERNEA D~ N.Y. 42Jo JLpt~ '*Alteralion of this Documem 'except by a Licensed Profes- sional, EnDineer' is illegal". Se¢lon ?~09, Subdlv~sl0n '~, M. y. State Education Law. NOTIPY .UILDING DEPARTMENT AT' 7654g02 9 AM TO 4 PM FOR THE~ FOLLOW D,~G iNSPECTIONS: 1, FOUNPATION - TWO REQUIRE~ ~R Pf~URcD CONCRETE 2, ~OUGH - FRAMING & pLUMBIN~ _J ? 75'..4e ,24/ I thl~ Dt~cument ' Prof. s. Law, -7 If copper tubing is usecl; For water di?ributing system; piping shall be of types K or L only k4 1 ~ J