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Home My WebLink About12694-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date June THIS CERTIFIES that the buildiflg fi ¢.6.5, % $ 9;a ....................................... Location of Property ,.... 3. 2.5. ¥ il~ o w. Y.q ~ ~ .~..R 0 g 0 .............. S. 9 U .t.h.q ¢ .d ........... County Tax Map No. 1000 Section . .0.~ 6 ....... Block .... 5. .......... Lot .... 2. .6 ........... SubdiviSiOn ............................... Filed Map No ......... L6t No .............. conforms substantially to the Applica. tion for Building Permit heretofore filed in this office dated ....A.u.g ....8 ............ 19 83 puisuant to which Building Permit No. 1 ~ 6~94.~ dated ...... O.q ¢ ,..1.~ .............. 19 ~3.3., 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 ......... .add. ~ar. age and storage to existing dwelling. , The certificate is issued to Cliff~rd & Ruth Cornell (owner, IF.~e~ 7~K~EeY~fJ of the aforesaid building. Suffolk County Department of Health Approval ....... ~././~ ............................... UNDERWRITERS CERTIFICATE NO ............... A~ ~ 05.2.9 .......................... Building Inspector J Rev, 1/81 FOle~ NO. ~ 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~ 126~ z Permission is hereby grantedKo: __ :.....~.~.~..~_..L~..~ ........................................... ,o ...... ~ ..,~o0:_~ r.~ _ ,o,o.0. :' J~fl .~ (~ ~ ................. I · '~~'"-~'"'~3"~'"'.~?~;"~".'~'""'; ......... ~-';'"'"~ ........ =-'";'-~' .... at premises Iocate~Jat .~,'~ .............. .~.~ ........ ~....-~,J. ........... c._.~.. . County Tox Map No. 1000 Section(,~..~/,,~ ..... Block ........ ~ .......... Lot No ...... .~.....(ff ......... pursuant to application dated ...... .~,~--~,~I~.~..'~......~.. ................. , 19.~....~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Bu ~lding Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter. 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 forth 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 buildi.n~]s 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 informa- tion required to prepare a certificate. C.' Fees: ' 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copv of certificate of occupancy $1,00 use --Pre-Existihg C.O. $15.00 Vacant land C.O. $ 5.00 Date - New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~. ..~-! ~ .C.~. ~ . O. House No. Street Ham/et Owner or Owners of Property ........... - ............. County Tax Map No. 1000 Section . .~.: ~-~ Block ~ Lot. ~ ~. Subdivision..(-..~.). ~.0..~?..~/~.~..~JJ-~. ......... Filed Map No. ~.S.'-.c~...Lot No.. ~.~Z ....... Permit No ....... Date of Permit ¢' ~5..Applicant ....... ~.~..~-2~'J,.~-~-.~..~.:.I .~.~'t~~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval. ~2.-~ .d)~..~ C'~,/~ ......... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . ~ ................. Fee Submitted $ ...... .,~.-; ~ ................ Construction on above described building and p~rmit meets all applicable codes and regulations. ~ ~ Applicant.., '~.~'~... ~.....-~.~-~.,J ..................... :L0001'Z4 THE NEw YORK BOARD OF FIRE UNDERWRITERS n~ BUREAU OF ELECTRICITY i ~ 85 JOHN STREET, NEW YORK, NEW ~ORK 1OO36 Oate April 13, 1984 ,~p~lieation~o. oa~ile 264143-84 N6~0~9 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant narn~d on the above application ~umber in the prernises of Clifford Corne].l ~ 325 Willow Point Rd~, Southold~ NoYo in the following location; [] Base,neat ~ Is, FI. [] 2nd FI. Section Block Lot · was exatninedon April 9 ~ ~9~4 and found to be in cotapliattce with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS OUTLETS DRYERS FURNACE 4 4 FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS~ 1-G. F. C.~ I. S E R V I C E NO' Ol~ E RCC~'CON D'OF Acc.WcoND.~' NO. OF HI-LEG o,~A'W' G'Hi.[EO NO OF NEUTRALS A. WG OF NEUTRAI. Clifford Cornell EECO Elect. 325 Willow Point Rd. SOUrthOld, N.Y., 11971 LIC.#2816 This certificate must not be altered in any manner; return to the office of the Board if iqco[rect. COPY FOR BUILDI dG ,1' HIS COPY I ' BE ALTEI may be identified by their credentials. MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~FRAMING [ ] FINAL REMARKS: iNSPECTOR FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL COMMENTS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ Date ...........~..O'.~ .~. .......... ,19 .~.."~... PLEASE TAKE NOTICE that your application dated... ~.(-(..~.....~.. .......... ,19 / ~ouse No. ~ Street '~ ~'~"~ Namlot County Tax Map No. 1000 Section ...~..~.~.~ ..... Block ....t?..~.'~. ..... Lot ..~.q~ ...... is returned herewith and disapproved on the following grounds .~. ~C2.~..~... Building Inspector RV 1/80 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined..~.~. Approved ¢.-q<....-~-~..... !~..., 1973. Permit No. t .~..~. ...... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT IN STRUCTIONS 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 1S 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, housi,ag, code, and regulations, and to admit authorized inspectors on premises and in building.for nece~_n~sp_ec, tio~,,ns~ ~ ~) ~- ~~/ .' ._._) . [~uJ(~ig~at~e of applicant, or name, if a corpo~atio~'O' .( .~,ff.~ ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pre~}ie}' ~ .1.. ~.. ~..0 f.~.~.....~-,..~7~ .~ ./~..~ .... ./~[...... (JO f~-. Al.'{ .~ .~ 2 ....... (as on the tax roll or Iatest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...5..~ .................. Plumber's License No ......................... Electrician's License No'.', ....................... Other Trade's License No ...................... 1. Location of land on which_proposed work will_be ~tone ................................................... e. ......... ................... :n ............... . .................. House Number Street Hamlet County Tax Map No. 1000 Section ........ ~ ..... ......... Block ~. .......... Lot...~..?. .... Subdivision ¢;~ eO;~+ Filed Map No. W.~.~..~ Lot .~. (Name) 2. Sta~e existing use and occupancy of premises and intended nsc and occupancy of proposed construction: .... ............... b. lntended use and occupancy ...~'.~...~ .... ~.*..~.~.~~ ........... 3. Nature of work (check which applicable): New Building .......... Addition ..../.~L'~..'~.~. .. Alteration .......... Repair .............. Rempval .............. Demolitiott .............. Other Work ............... I 4 (Description) 4. l:st~matedCost ............................... Fee . . .~ ............................... (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............. Number of dwelling units on each floor ................ If garage, number of cars ................. 6. If busi.ness, commercial or mixet occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structur~ s, if any: Front ..... ~ 9. ...... Rear ...~ .d ....... Depth . ~i[. ......... Height .... ~ ........... Nun tber of Stories .... [ .................. 'i ................ , ................ Dimensions of s,am~..~ structure With alterations or additions: Front ...4..0.? ......... Rear . .~.? ............. Depth .... .~ .6.' ........... :... Height ...................... N~4ffiber of Stories ...................... 8. Dimensions of entire new construction: Front ......... .: ..... Rear ..; ............ Depth ............... ~?ight ............... __Nc~ber of Stories ........... .~. ....................................... 9. Size oflot: Front ...... ! ............... Rear ...}.l ........... ,.. Depth ..l~.i ............. I0. Date of Purchase ..... /..~/..7. !! ................ Name of Former owner ............................. I 1. Zone or use district in which pr~mises are situated ........................... ~.) ...................... 12. Does proposed construction viqiate any zoning law, ordinance or regulation: ..... 13. Will Iot be regraded ........ ' .................... Will excess fill be removed from premises: ~ No 14. Name of Owner of premises .. ~ .................. Address ................... Phone No ................ Name of Architect ......... , ............. i~.'i ~1)16t Address ¢~i .~ .. PhOnephone No.7.N° ................ ~.~.7.~.e~5.3... Name of Contractor .~.4u ~' '~' .tg..~-. Address .~. Locate clearly and distinctly all property lines. Give street and block interior or Corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF ~ ~ '~s s COU .... i ' ~ .(Nmhe of individual sig~ing contract) above name'd. being duly sworn, deposes and says that he is the applicant Heisthe . ..~fTZ~... ~ ....................................... : .......... (z~ Q (ContractorSgent, corporate officer, etc.) of said owner or owners, and is d~ly a32rtt'a~ized ~-pefform or have performed the said work and to make land file this application; that all statements contfiined in this application are true to the best of his knowledge and belief;land that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... ...(57...~-)~.. ..... dayoi ..... (~..,19 $5~-~l~!~iic, . .~.~...../..~L-~...4~.~ ./~ ~~County tx ~ YORK STATE DEPAP. T~NT OF E~VI?.ONI,~NTAL CONSEEVATION ~' Regulatory Affair~'"Uait Bldg. 40, SU~Y--Room/19 Stony ~ookw NY-"i~794 ................ (516) 7~1-7900 October 1983 Clifford & Ruth Cornell 325 Willow Point Road Southold, New York 11971 Dear Mr. & Mrs. Cornell: .A review has been made of your proposal to: construct a 14' X 25' extension to existing garage, located on the southeastern side of house, as per supplied plans (surveyor Van Tuyl & Son-Map of WiTlow Point-Nov. 15, 1971). Location: Canal oil Southold Bay; Willow Point Road, Arshamomoque, Tows of Southold. Lot ~ 24 of Map of Willow Point (Ma~46§2) New York State Department of Environmental Conservation has found tile ,,, parcel~proJect to be: Greater than 300' from inv~ntoried tidal wetlands. XXX~Landward of a substantial man-made structure . (Functional gulkhead) greater than 100' in length constructed prior to September 20, 19~7. __Landward of 10' contour elevation above moan sea level on a gradual, nat- ural slope. Landward of topographical crest of.bluff, cliff or dane in excess of 10 feet in elevation above moan sea level. '..... .... Therefore, no permit under Article 25 (Tidal Wet,ands of the Environmental Conservation Law) is required at this time since tim current proposal is beyond State mandated Jurisdiction pure,mat to this act. However, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additianalwork of modifications are contemplated. Vezy truly yours, [ ~ Daniel J.VL~rkin Regional Supervisor of Re§ulatoryAffa~rs