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Home My WebLink About12645-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildihg Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ......... Date ............. 1.6 ........... 19 85 · . .Z13.~59 ...... S. ept. e..m~..er ..... THIS CERTIFIES that the building . .. Ne.w. Dwelling Location of Property 9,1.0 Old Saddle Lane ~. Cutchogue I~us~ Ho: ................. Street Hamlet County Tax Map No. 1000 Section ...0. 9. .5 ...... Block .... 0. 4. .........Lot...0.1. .8: .0.0.7. ...... Subdivision, P,r.e. cjg.n. ,V.~.e.w..~s..t.. ........... Filed Map No..6.2.4.1....Lot No. 7 conforms substantially to the Appiication for Building Permit heretofore filed in this office dated · September .23 19 .8.3. pursuant to which Building Permit No. 12645Z dated ..... .S.e.p.%.e.ml~..e..r, .2.,9. ........ 19..8.3, was issued, and conforms to all of th0 requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .-.-.77T Ne.w Private. One Fa~.nily D.w. ell.in~ 7---77 The certificate is issued to ........... .R.~.V.~I~. ,It.A.I~.It. ¢. p.Y.S.~..R?..A..L.A.N..J..R:..&. $.U.S?.N..M. (owner, les~e.or-te~e~e&J of the aforesaid building. Suffolk County Department of ltealth Approval 13- SO- 156 N701253 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) 12645 Z Permission is hereby granted to: .......... ....~-.~..~:~...../..~.! .................................................... .~ ~.~-~ ,,_~f" ~,~. at premises located at .....~../..0. ........ ~ ............ ~...~......c~?~....,......~.....~.~ County Tax Map No. 1000 Section .... ..~...~...,~,. ....... Block ....... .~....~. ....... Lot No....~...!...~.....C}..~.~ pursuant to application dated ......... .~..~.. : ...... ...~.....~ ................... , 10.~;'~., and approved by the Building Inspector. Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions · row~ o~ 'Sou'r~OLD A. This application must be filled in wpewriter OR ink, and submitted ~ 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. S.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 pZOperty 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 .~./ /~-- New Building ... ~ ...... Old or Pre-existing Building ............ Vacant Land ............. Hous~ No, Street Ham/at County Tax Map No. 1000 Section .......... Block ........... Lot .............. Health Dept Approval ~ ~ ~ Labor Dept Approval . . nnin ar royal ...................... Reque~ for Temporary Certificate ..................... Finsl Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ' Applicant....¢~~.., .~, ,;... ,(~,~ .... / FIE~D i~S?ECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION FER N. Y, STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: / THE NEW YORK BOARD OF, FIRE UNDERWRITERS 0.3'1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1OO~8. o~[y tAe egectricu[ equipment as described below attd i~troguceg by the applicant named on the above opplication nu tuber in t~ premises of Alan Ravenhall, ~,* the$ollowl.g location; ~ Basement ,~.~ e~a,n~.edo,~ July 15,1985 36 42 ~6 DRYERS FURNACE MOTORS Old Saddle 'Lane, Silver Colt Rd. ~ Cu%ohogue, N.Y. ~] 1st Fl. ~ 2nd FI. Section Block L~t aoM ~ound to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT VA~OR FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1- G.F.I. 2-Smoke Detectors S E R V I i C E 4/0 Jody Pumillo Pat Lane, Box 182A Mattituck, N.Y., 11952 lic.#2300E GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. may be identified by their credentials. COPY~FOR BUILDING DEPARTMENT. THIS'COPY, OF cER*~ ~LTERED I~i ANY MANNER ' I'II'LENO Iii J ~i~ :' I J ~ ' '' ~X,,~R~,TM ~"-' . '/ ~ o "~' ~ fl'{5 ~ ~WN~UTH~O :, ' ~c~j, / "'. 50' !51 Seatuc~ Ave,, ...... ~..~o.t. ~.~ ~z~ ,,,.(~,)~ ~- YOUNG e YOUNG 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ~FoUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE Examined . .~.__~-.....~,.~. Approved .~.'X-.. ~. FORM NO. 1 TOWN OF SOUTHOLD BU I LDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 ., 19~ Permit No./..~...~..~. 5..~- Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .. S.O.p$,..~. ..... , 19.8.} INSTRUCTIONS a. This application must be com. pl~tely filled in by typewrit,er, p~in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to sch'[e. Fee according to schedfife. 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 necessary inspections. (Signature of applicant, or n~ime, if a corporation) BJax. I.SI..Sea.t.uck. A.v.e. ,. Eas!;p.o. rt;. N[~ ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ A~pl i~.ant, i.s .t h.e..9~e.er..07. Ao.~...a.n.~...w?.l.~...a.l~.~., .~9. ih.?..b.u. 5..1.dp:r.: ................. 1 ' Name of owner of premises .Oys~..r.t...g.l.a.n. Ravenhall~ Jr. and Susan Ravenhal , wife (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 ..... self ................ Plumber's License No .... s.alf ................ Electrician's License No ....................... Other Trade's License No ...................... l. Location of land on which proposed work will be done. [Lot. No. ?.~..". Oregon..VAew. E.slal; ~ .............. ..... >ad.d~ a ~.I,an.e ...C. utch.ogue... House Number Street Hamlet County Tax Map No. 1000 Section . . 9~.5. ............ Block . . . .0.[[. ............ Lot 0.I~ 007 ........... Subdivision.. 0re, on. ~/.5.ew. E.st ate.s. ............ Filed Map No. .6..2.4.I. ........ Lot .7. ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . g, .R@s~xtent ~al-.Ag~&cul.t.ural. ~oned, ./. vaaa~ .................. ............ 9.n.c. r ..Y ........................... b. Intended use and occupancy . R.oside.n~;ia.1. dwellS_n~ / ' 1 c · ; , X Addition Alteration 3. Nature of work ( heck whmh applicable). New Building ....................... Repair .............. Removgl .............. Demolition ............ Other Work ............... ' ' "'~ ' ~} ' ] ~tY~ (Description) 4. Estimated Cost...~.0~ .~.~ .... ' ................... Fee t *7>: ~- ............................ ¢o be paid on filing this application) 5, If dwelling, number of dwelling units...qB9 ......... Number of dwelling units on each floor, ona ........... If garage, number of cars ~wo ~ If business, commercial or mixed 9ceupancy, specify nature and extent of each type of use N/A .... ~ .~; .......... ~ Dhnensi0ns of existing stmctures,.if any Front .NrA .......... Rear ... ~/.~ .... Depth. P/.q .......... Height ...N/A ......... Number of Stories ., .Nfg .............................................. Dimensions of same structure with alterations or additions: Front ~4. ~ ~. ............ Rear ............. Depth...~/g.. .............. ~. Height .. N/A ..... : ...... . .... Number of Sto~es . ~/h ................. 8. Dimensions of entire new construction: Front. 38eg. ,[~9P~.~)Rear .38~, (h~u~e~e~'th 26~ Height . .2¢~ ......... Numb:er of S~o~es . .~ .' ............ ' ~ , ' '. ' '~' 9. of ot: .......... ........... I0. Date of purchase .. ~/~.6/8 ~..(la~d) ........... Nme of Fomer Owner .~r~a:g. ~...~ 11. Zone or'use district in which preOises are situated ~A[ Resi¢.e~ $~}.-Agric~l~3.~$ ............ y.~. ~.~. 12 Does proposed construction violate any zoning law ordinance or re~lation: no 13. Will lot be regraded ,. ~S.~..Susa., '~11 · Will excess fill be removed from oremises: Yes 14. N~e of Owner of premises ~y~.g~.r~.~,~dress B~x 151 Eas~po~ u~ 32~-0209 Name of Architect . Nr,,~ Og~.~~ ....... [. [.. ~. ~[ Address ~je~[ ~,. ~7~'~'~; ...... N~e of Contractor .... ~Y..: ................ Address .~Y.~[ .lYP... P Sene No.~2.~2~9 ~ ~ j ~ ] ~ ~ ', ~ ~LOTDIAG~ ~ .' Locate c!e~ly ~d disfinetlg ~1 build~g~ whe~er existing or ~ and, indicate ~1 set-back dimensions from property ~nes. Give street ~lock umber or description according ~, ~ ~d show street n~s and indicate whether interior or corner lot.~ ~ ~ ~ STATE OF NEW YORK, ' ' COUNTY OF.. B~fQ~ ....... ....... S~3' .1¢~. B.~¢gall....,....,.,..,,........., being duly sworn, deposes and says that he is the applicant : (Name ofin~vidual sig~ing contract) above named. He is the.. ~ner~ .0o~qeaeq6.~/.. ~u&.~de~ ........................................................ (Con,actor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfomed the said work ~d to m~e ~d file this application; that ail statements contained ~ this application am tree to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewi~. Sworn to 6efore me this ........... ~ ....... . ~ .../day 4f..~epXemba~ ........ ,19 No~,~ Public, . ........... ~.~.. ~Cou~ty ........ ~ ~ [LlZaB~ ~ SEVI~E ....... (Signature of applicant) j ~ARY PUB/I~, State ~ NeW Y~rk . Term [xp~res ~]arch 30, 19..,..~ , ?ITLE NO. III- $-5558 faeilittes for this louat, ton have been inspected by this d~pa~tment and found ~$ satisfaetoz~¢.~ Se~ee ~dFFOLK COUNTY DEPARTMENT OF HEALTH I~OR ~AL OF CONSTRUCTION ONLY DATE I'~ EE~, NO, , .... APPROVED , HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT 4- x ADORE$$ TEt. NOTE: · -' MONUMENT O -- STAKE SUBDIVISION MAP FI££D IN TH£ OFF/CE OF TIlE C£ERK OF SUFFO; K COUNTY ON APR. 4, 19F5 AS FI~'E~/NO. 6241 SURVEY FOR DYSART ALAN RAVENHALL, JR ~ SUSAN RAVENHALL AUa 27, /9e5 " ~EP~ ~, 1984 LOT NO. 7, "OREGON VIEW ESTATES AUGUST/5;/9a4 ~ CUTCHOGUE ~= APR. ~8, /~8~ 'N GUARANTEED TO = FIRST AM£/?ICAN TITlE INSURANCE CO OFN. K , T CQ/WPANY YOUNG s YOUNG RIVERHEAD~ NEW YORK AL~D/EN W. YOUNG, PROFESSIONAL ENGINEER ANO LAND SURVEYOR N.Y.S. UCENSE NO, 12845 HOWARD W YOUNG~ LAND SURVEYOR N.Y..S, LICENSE N0.4589], NO. III - S - 553FB Eastoort.N.¥. TTgZ~T (516) NOT~-: · = MONUMENT ~ = STA~ SUBDIVISION M~P ~ILED IN SUFFOLK COUNTY ON SURVEY FOR DYSART A~N RAVENHALL ,JR. ~ SUSAN RAVENHALL LOT NO. 7, "OREGON VIEW ESTATES" AT CUTCHOGUE ~ATE: APR. 28, 1985 TOWN OF SOUTHOLD SCALE: I "= 50 SUFFOLK COUNTY, NEW YORK NO. 85 - $06 P~PERTT LINES OR FOR THE ERECTION ~ FENCES tall YOUNG a YOUNG ALDEN W.YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N,Y.$.UCEi~JSE NO, 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45895 GUARANTEED TO: 4001 RIVERHEAD, NEW YORK